MSH|^~\&|ADM|SMH|||201910211033||ADT^A08|4086748|D|2.2|||AL|NE EVN|A08|201910211033||||201910150910 PID|1|FHATVIG0009483|SM00044883|SM44689|CWSROSS^BONNEVILLE^TRAIN|JANET|19801020|F|||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5|||||||SM002467/19|9875310248 PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150910| PV2|||DIABETES OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190604||||||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 LIVEDHEREBEFORE ST.,EDMONTON AB T1A4R4||||||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 LIVEDHERBEFORE ST||||||F OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F OBX|7|TX|INS OPCAD5^Postal Code^INS||T1A4R4||||||F GT1|1||CWSROSS^BONNEVILLE^TRAIN||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5||||||SP ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC| ZFH|LUMED||||||  MSH|^~\&|ADM|SMH|||201910211033||ADT^A08|4086752|D|2.2|||AL|NE EVN|A08|201910211033||||201910150910 PID|1|FHATVIG0010377|SM00045406|SM45203|ADMRAMIREZ^CORVETTE^TRAIN|MINNIE|19910707|F|||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8|||||||SM002463/19|9875193139 PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150910| PV2|||DIABETES OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||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 OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB TOL 2T0||||||F OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F OBX|8|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F OBX|9|TX|INS OPCAD3^City^INS||EDMONTON||||||F OBX|10|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F GT1|1||ADMRAMIREZ^CORVETTE^TRAIN||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8||||||SP ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC| ZFH|LUMED||||||