MSH|^~\&|ADM||||201910111924||ADT^MRIPHNDODUPDATE|4077851|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111924
PID|1|FHATVIG0011816||SM46319|ADMSTEN^SUSAN^ALICE||19821212|F|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC||||||||9874986134
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111924||ADT^A08|4077852|D|2.2|||AL|NE
EVN|A08|201910111924||||201910100730
PID|1|FHATVIG0011816|SM00046528|SM46319|ADMSTEN^SUSAN^ALICE|SONIA|19821212|F|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC|||||||SM002942/19|9874986134
PV1|1|O|SM.FBU||||BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910100730|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTEN^SUSAN^ALICE||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111925||ADT^MRIPHNDODUPDATE|4077858|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111925
PID|1|FHATVIG0011816||SM46319|ADMSTEN^SUSAN^ALICE||19821212|F|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC||||||||9874986134
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

