MSH|^~\&|ADM|BH|||202002141124||ADT^A04|4168937|D|2.2|||AL|NE
EVN|A04|202002141124||||202002141124
PID|1|FHATVIG0013313|BH00005294|SM47147|ADMJOHNSON^PASSPORT^TRAIN||19850413|F|||2817 197 ST^^PORT COQUITLAM^BC^BC|||||||BH000529/19|9874739087
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202002141124|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180111||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE EDMONTON||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS^^^OAB||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
GT1|1||ADMJOHNSON^PASSPORT^TRAIN||2817 197 ST^^PORT COQUITLAM^BC^BC||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGRCR||

