MSH|^~\&|ADM|SMH|||201910111849||ADT^A04|4077536|D|2.2|||AL|NE
EVN|A04|201910111849||||201910091100
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|
PV1|1|O|SM.SDC||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910091100|
PV2|||IV THERAPY
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||5646458||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111849||ADT^A04|4077542|D|2.2|||AL|NE
EVN|A04|201910111849||||201910111100
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910111100|
PV2|||IV THERAPY
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||5646458||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111849||ADT^MRIPHNDODUPDATE|4077543|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111849
PID|1|FHATVIG0011803||SM46306|ADMSTEN^SIGMUND^BERT||19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A||||||||9874986277
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111849||ADT^A08|4077544|D|2.2|||AL|NE
EVN|A08|201910111849||||201910091100
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|9874986277
PV1|1|O|SM.SDC||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910091100|
PV2|||IV THERAPY
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||5646458||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111850||ADT^MRIPHNDODUPDATE|4077553|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111850
PID|1|FHATVIG0011804||SM46307|ADMSTEN^SIGMUND^BERT||19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A||||||||9874986252
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111850||ADT^A08|4077554|D|2.2|||AL|NE
EVN|A08|201910111850||||201910111100
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|9874986252
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910111100|
PV2|||IV THERAPY
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||5646458||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111850||ADT^A08|4077556|D|2.2|||AL|NE
EVN|A08|201910111850||||201910111730
PID|1|FHATVIG0011798|SM00046510|SM46301|ADMSTEN^SIGMUND^BERT|SHERIELYN|19781006|M|||1345^^SARDIS^BC^V0Z 10A|||||||SM002921/19|
PV1|1|O|SM.AMIV||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910111730|
PV2|||IV THERAPY
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||5646458||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTENBERT^SIGMUND||1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

