MSH|^~\&|ADM|SMH|||201910111818||ADT^A04|4077299|D|2.2|||AL|NE
EVN|A04|201910111818||||201910111816
PID|1|FHATVIG0011799|SM00046511|SM46302|ADMTESTYOU^IT^WAS|JOAN|19650501|F|||7058 BERESFORD ST^^BURNABY^BC^V5L 3L3|||||||SM002922/19|
PV1|1|O|SM.FBU||||BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910111816|
PV2|||ASSESSMENT
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||78986593||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||1269 72 AVE||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||TL62L2||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMTESTYOU^IT^WAS||7058 BERESFORD ST^^BURNABY^BC^V5L 3L3||||||SP
ZFD|SMITHC^Smith^Cameron^D^^^^07831^DOC|201-22242 48 Avenue^^Langley^BC^V3A 3N5|||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111818||ADT^MRIPHNDODUPDATE|4077304|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111818
PID|1|FHATVIG0011799||SM46302|ADMTESTYOU^IT^WAS||19650501|F|||7058 BERESFORD ST^^BURNABY^BC^V5L 3L3||||||||9874986324
ZFD|SMITHC^Smith^Cameron^D^^^^07831^DOC|201-22242 48 Avenue^^Langley^BC^V3A 3N5|||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

