MSH|^~\&|ADM|BH|||201911221114||ADT^A04|4111175|D|2.2|||AL|NE
EVN|A04|201911221114||||201911221114
PID|1|FHATVIG0012504|BH00005207|SM46763|ADMEVANS^LUMINA^TRAIN|JANE|19950113|F|||6951 7 AVE^^PORT COQUITLAM^BC^V6R 5V4|||||||BH000416/19|9874856365
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201911221114|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB T0L 2T0||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMEVANS^LUMINA^TRAIN||6951 7 AVE^^PORT COQUITLAM^BC^V6R 5V4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

