MSH|^~\&|ADM|SMH|||201910112013||ADT^A04|4078253|D|2.2|||AL|NE
EVN|A04|201910112013||||201910100730
PID|1|FHATVIG0011829|SM00046541|SM46332|ADMSTEN^SUSAN^ALICE|JESSICA|19911224|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002957/19|
PV1|1|O|SM.MAT||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910100730|
PV2|||ASSESMENT
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 BLVD^^SUNSHINE VALLEY^BC^BC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112013||ADT^A03|4078254|D|2.2|||AL|NE
EVN|A03|20191011||||
PID|1|FHATVIG0011813|SM00046525|SM46316|ADMSTEN^KENDAL^WESLEY|ISHA|19750912|M|||765 SAFFRON PLACE^^PORT COQUITLAM^BC^V0Y 9Y7|||||||SM002938/19|9874986141
PV1|1|O|SM.AMSDC||||BROWND1^Brown^D.Sean^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201910110030|
PV2|||RIGHT ANKLE INJURY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|8|TX|UPI ISO^^ADM||CAN||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|IBRAHIME^Ibrahim^Evelin^^^^^26323^DOC|100-205 Newport Dr^^Port Moody^BC^V3H 5C9|.HOSPITAL^Hospitalist^.^^^^^^HOS||BROWND1^Brown^D.Sean^^^^^27688^DOC||KENDALLR^Kendall^Richard^W^^^^06028^DOC|
ZFH|LUMED|201910101046|2||||

MSH|^~\&|ADM|SMH|||201910112013||ADT^A03|4078255|D|2.2|||AL|NE
EVN|A03|201910112013||||201910112013
PID|1|FHATVIG0011813|SM00046525|SM46316|ADMSTEN^KENDAL^WESLEY|ISHA|19750912|M|||765 SAFFRON PLACE^^PORT COQUITLAM^BC^V0Y 9Y7|||||||SM002938/19|9874986141
PV1|1|O|SM.AMSDC||||BROWND1^Brown^D.Sean^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201910110030|201910112013
PV2|||RIGHT ANKLE INJURY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|8|TX|UPI ISO^^ADM||CAN||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|IBRAHIME^Ibrahim^Evelin^^^^^26323^DOC|100-205 Newport Dr^^Port Moody^BC^V3H 5C9|.HOSPITAL^Hospitalist^.^^^^^^HOS||BROWND1^Brown^D.Sean^^^^^27688^DOC||KENDALLR^Kendall^Richard^W^^^^06028^DOC|
ZFH|LUMED|201910101046|2||||

MSH|^~\&|ADM||||201910112014||ADT^MRIPHNDODUPDATE|4078267|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910112014
PID|1|FHATVIG0011829||SM46332|ADMSTEN^SUSAN^ALICE||19911224|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||||9874974914
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112014||ADT^A08|4078268|D|2.2|||AL|NE
EVN|A08|201910112014||||201910100730
PID|1|FHATVIG0011829|SM00046541|SM46332|ADMSTEN^SUSAN^ALICE|JESSICA|19911224|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002957/19|9874974914
PV1|1|O|SM.MAT||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910100730|
PV2|||ASSESMENT
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 BLVD^^SUNSHINE VALLEY^BC^BC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112014||ADT^A04|4078271|D|2.2|||AL|NE
EVN|A04|201910112014||||201910100730
PID|1|FHATVIG0011830|SM00046542|SM46333|ADMSTEN^SUSAN^ALICE|ADRIANA|19911202|F|||6696 JUNIPER VINE BLVD.^^SUNSHINE VALLY^BC^BC|||||||SM002958/19|
PV1|1|O|SM.MAT||||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 BLVD.^^SUNSHINE VALLY^BC^BC||||||SP
ZFD|PUSICM^Pusic^Martin^V.^^^^08142^DOC|L408, 4500 Oak St^^Vancouver^BC^V6H 3N1|||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910112014||ADT^MRIPHNDODUPDATE|4078273|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910112014
PID|1|FHATVIG0011829||SM46332|ADMSTEN^SUSAN^ALICE||19911224|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||||9874974914
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910112015||ADT^MRIPHNDODUPDATE|4078280|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910112015
PID|1|FHATVIG0011830||SM46333|ADMSTEN^SUSAN^ALICE||19911202|F|||6696 JUNIPER VINE BLVD.^^SUNSHINE VALLY^BC^BC||||||||9874974907
ZFD|PUSICM^Pusic^Martin^V.^^^^08142^DOC|L408, 4500 Oak St^^Vancouver^BC^V6H 3N1|||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112015||ADT^A08|4078281|D|2.2|||AL|NE
EVN|A08|201910112015||||201910100730
PID|1|FHATVIG0011830|SM00046542|SM46333|ADMSTEN^SUSAN^ALICE|ADRIANA|19911202|F|||6696 JUNIPER VINE BLVD.^^SUNSHINE VALLY^BC^BC|||||||SM002958/19|9874974907
PV1|1|O|SM.MAT||||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 BLVD.^^SUNSHINE VALLY^BC^BC||||||SP
ZFD|PUSICM^Pusic^Martin^V.^^^^08142^DOC|L408, 4500 Oak St^^Vancouver^BC^V6H 3N1|||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112015||ADT^A04|4078284|D|2.2|||AL|NE
EVN|A04|201910112015||||201910100730
PID|1|FHATVIG0011831|SM00046543|SM46334|ADMSTEN^SUSAN^ALICE|MEGAN|19970608|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002959/19|
PV1|1|O|SM.FBU||||BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910100730|
PV2|||ASSSESSMENT
OBX|1|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMSTENJONES||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTENJONES^SUSAN^ALICE||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112015||ADT^A04|4078285|D|2.2|||AL|NE
EVN|A04|201910112015||||201910101052
PID|1|FHATVIG0011832|SM00046544|SM46335|ADMSTEN^KENDAL^WESLEY|MANROOP|19981007|M|||765 SAFFRON PL^^PORT COQUITLAM^BC^V0Y 9Y7|||||||SM002960/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910101052|
PV2|||RIGHT ANKEL INJURY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19981007||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTEN^KENDAL^WESLEY||765 SAFFRON PL^^PORT COQUITLAM^BC^V0Y 9Y7||||||SP
ZFD|IBRAHIME^Ibrahim^Evelin^^^^^26323^DOC|100-205 Newport Dr^^Port Moody^BC^V3H 5C9|.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910101046|2||||

MSH|^~\&|ADM|SMH|||201910112015||ADT^A04|4078289|D|2.2|||AL|NE
EVN|A04|201910112015||||201910101800
PID|1|FHATVIG0011828|SM00046540|SM46331|ADMSTENJONES^ALICE|SHERIELYN|19781006|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002961/19|9874974921
PV1|1|O|SM.FBU||||BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910101800|
PV2|||ASSESSMENT
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTENJONES^ALICE||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910112015||ADT^MRIPHNDODUPDATE|4078303|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910112015
PID|1|FHATVIG0011831||SM46334|ADMSTEN^SUSAN^ALICE||19970608|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||||9874974899
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910112015||ADT^A08|4078304|D|2.2|||AL|NE
EVN|A08|201910112015||||201910100730
PID|1|FHATVIG0011831|SM00046543|SM46334|ADMSTEN^SUSAN^ALICE|MEGAN|19970608|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002959/19|9874974899
PV1|1|O|SM.FBU||||BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910100730|
PV2|||ASSSESSMENT
OBX|1|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMSTENJONES||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTENJONES^SUSAN^ALICE||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

