MSH|^~\&|ADM|SMH|||201912090804||ADT^A08|4125598|D|2.2|||AL|NE
EVN|A08|201912090804||||201912060815
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|||||201912060815|
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||||||