MSH|^~\&|ADM|BH|||201912190300||ADT^A04|4131373|D|2.2|||AL|NE
EVN|A04|201912190300||||201912180820
PID|1|FHATVIG0012775|BH00005217|SM46908|CSWCLARK^MYSTIQUE|JANE|19850111|F|||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5|||||||BH000426/19|9874779098
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912180820|
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||TOL1TO||||||F
GT1|1||CWSCLARK^MYSTIQUE^TRAIN||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912190300||ADT^A04|4131374|D|2.2|||AL|NE
EVN|A04|201912190300||||201912181100
PID|1|FHATVIG0012713|BH00005216|SM46879|ADMMARTINEZ^IMPULSE^TRAIN|KIRAN|19850218|F|||2242 77 ST^^NORTH VANCOUVER^BC^V4B 4D7|||||||BH000425/19|9874794678
PV1|1|O|BH.ONC||||YUS1^Yu^Simon^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912181100|
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 LIVEDHEREBEFOREST, 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 LIVEDHEREBEFOREST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMMARTINEZ^IMPULSE^TRAIN||2242 77 ST^^NORTH VANCOUVER^BC^V4B 4D7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||YUS1^Yu^Simon^^^^^28380^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912190300||ADT^A04|4131375|D|2.2|||AL|NE
EVN|A04|201912190300||||201912181200
PID|1|FHATVIG0012710|BH00005215|SM46877|ADMCARTER^HORIZON^TRAIN|SOANDSO|19860220|F|||7357 130 ST^^MAPLE RIDGE^BC^V4Z 5L5|||||||BH000424/19|9874794908
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912181200|
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, T0L2T0||||||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||ADMCARTER^HORIZON^TRAIN||7357 130 ST^^MAPLE RIDGE^BC^V4Z 5L5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

