MSH|^~\&|ADM|BH|||201912060300||ADT^A04|4124669|D|2.2|||AL|NE
EVN|A04|201912060300||||201912050700
PID|1|FHATVIG0012623|BH00005212|SM46826|ADMFLORES^VIRAGE^TRAIN|TRISHA|19851114|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1|||||||BH000421/19|9874809398
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912050700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191121||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||456 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMFLORES^VIRAGE^TRAIN||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||AVB

MSH|^~\&|ADM|BH|||201912060300||ADT^A04|4124670|D|2.2|||AL|NE
EVN|A04|201912060300||||201912050800
PID|1|FHATVIG0012508|BH00005206|SM46768|ADMKING^LIBERTE^TRAIN|PARMJIT|19920115|F|||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2|||||||BH000415/19|9874856319
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912050800|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON,AB,T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||12 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||TO1LIT||||||F
GT1|1||ADMKING^LIBERTE^TRAIN||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912060300||ADT^A04|4124672|D|2.2|||AL|NE
EVN|A04|201912060300||||201912050805
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|||||201912050805|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|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||||||

MSH|^~\&|ADM|BH|||201912060300||ADT^A04|4124674|D|2.2|||AL|NE
EVN|A04|201912060300||||201912051000
PID|1|FHATVIG0012627|BH00005210|SM46830|ADMRIVERA^PREVIA^TRAIN|ALYSSA|19840507|F|||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6|||||||BH000419/19|9874809334
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912051000|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191121||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON, AB,T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMRIVERA^PREVIA^TRAIN||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912060300||ADT^A04|4124677|D|2.2|||AL|NE
EVN|A04|201912060300||||201912051045
PID|1|FHATVIG0012507|BH00005205|SM46766|ADMRICHARDSON^RANGER^TRAIN|JANE|19911018|F|||6540 273 ST^^NORTH VANCOUVER^BC^V7R 7C1|||||||BH000414/19|9874856326
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912051045|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191101||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON,AB,TOL,2TO||||||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||T0L1TO||||||F
GT1|1||ADMRICHARDSON^RANGER^TRAIN||6540 273 ST^^NORTH VANCOUVER^BC^V7R 7C1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912060300||ADT^A04|4124680|D|2.2|||AL|NE
EVN|A04|201912060300||||201912051100
PID|1|FHATVIG0012625|BH00005211|SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y 5K5|||||||BH000420/19|9874809359
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912051100|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191118||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHERE BEFORE ST, EDMONTON AB, T0H 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|6|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|7|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|8|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||||||

