MSH|^~\&|ADM|SMH|||201910101033||ADT^A04|4073911|D|2.2|||AL|NE
EVN|A04|201910101033||||201910101031
PID|1|FHATVIG0011719|SM00046434|SM46225|ADMWILSON^TACOMA^TRAIN||19840107|F|||1036 271 AVE^^PITT MEADOWS^BC^V0Y 5G1|||||||SM002827/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910101031|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMWILSON^TACOMA^TRAIN||1036 271 AVE^^PITT MEADOWS^BC^V0Y 5G1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910101033||ADT^A04|4073912|D|2.2|||AL|NE
EVN|A04|201910101033||||201910101031
PID|1|FHATVIG0011720|SM00046435|SM46226|ADMROBINSON^TURBO^TRAIN||19881105|F|||3578 197 ST^^PORT COQUITLAM^BC^V4B 7I2|||||||SM002828/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910101031|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMROBINSON^TURBO^TRAIN||3578 197 ST^^PORT COQUITLAM^BC^V4B 7I2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910101033||ADT^A04|4073918|D|2.2|||AL|NE
EVN|A04|201910101033||||201910101031
PID|1|FHATVIG0011721|SM00046436|SM46227|CWSANDERSON^COUNTACH^TRAIN||19810701|F|||9139 165 ST^^PITT MEADOWS^BC^V0M 4N2|||||||SM002829/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910101031|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||12345000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSANDERSON^COUNTACH^TRAIN||9139 165 ST^^PITT MEADOWS^BC^V0M 4N2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

