MSH|^~\&|ADM|BH|||201911290956||ADT^A08|4117535|D|2.2|||AL|NE
EVN|A08|201911290956||||201911291005
PID|1|FHATVIG0012625|BH00005211|SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC|||||||BH000420/19|9874809359
PV1|1|P|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201911291005|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191118||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHERE BEFORE ST, EDMONTON AB, T0H 2T0||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

