MSH|^~\&|ADM|BH|||201912140300||ADT^A04|4129104|D|2.2|||AL|NE
EVN|A04|201912140300||||201912130820
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|||||201912130820|
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|||201912140300||ADT^A04|4129105|D|2.2|||AL|NE
EVN|A04|201912140300||||201912130905
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|||||201912130905|
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|ARH|||201912140300||ADT^A08|4129106|D|2.2|||AL|NE
EVN|A08|201912140300||||201911191100
PID|1|FHATVIG0005255|AB00007565|AB7599|CPATEST^BUGLE^TEST||19690902|F|||1 ONE LANE^^ABBOTSFORD^BC^V5H 7G8|||||||AB000675/19|9875846414
PV1|1|I|AB-SH^ABSH-01^5|EL|||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||GYNE||||||||IN|||||||||||||||||||||ARH|||||201911191100|
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19961012||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
AL1|1|DA|F006001159^bismuth subsalicylate^^From Pepto-Bismol Extra Strength|MI|Diarrhea              ADR|20180907
AL1|2|DA|F006001350^lidocaine^^From Bactine|MI|Fever (Drug fever)    *AL|20180907
AL1|3|DA|F006002307^furosemide^^From Lasix|MI|Dizziness             ADR|20180907
AL1|4|DA|F006003141^benzalkonium chloride^^From Bactine|MI|Fever (Drug fever)    *AL|20180907
AL1|5|DA|F006004841^cefazolin|SV|Anaphylaxis           *AL|20180907
AL1|6|FA|F006010566^lemon|MI|Hives/Urticaria       *AL|20180907
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

