MSH|^~\&|ADM|SMH|||201910150909||ADT^A04|4078832|D|2.2|||AL|NE
EVN|A04|201910150909||||201910150909
PID|1|FHATVIG0009499|SM00044893|SM44697|ADMBUTLER^TURBO^TRAIN|MICKY|19850311|F|||9697 207 ST^^PITT MEADOWS^BC^V3B 7K4|||||||SM002464/19|9875301754
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150909|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190401||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVED HERE BEFORE ST EDMONTON, AB||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVED HERE BEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMBUTLER^TURBO^TRAIN||9697 207 ST^^PITT MEADOWS^BC^V2V 8Q2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910150909||ADT^A04|4078837|D|2.2|||AL|NE
EVN|A04|201910150909||||201910150909
PID|1|FHATVIG0010373|SM00045399|SM45196|ADMSANCHEZ^FIERO^TRAIN|JANE|19870209|F|||3304 37 ST^^PORT COQUITLAM^BC^V3B 7K4|||||||SM002466/19|9875193192
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150909|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2TD||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFOREST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMSANCHEZ^FIERO^TRAIN||3304 37 ST^^PORT COQUITLAM^BC^V5I 3I8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|DH|||201910150910||ADT^A03|4078842|D|2.2|||AL|NE
EVN|A03|201910150909||||201910150909
PID|1|FHATVIG0000419|DH00002096|RC6046|PHATEST^CANADIAN||19770101|F|||112233 NICE STREET^^NEW WESTMINSTER^BC^V3L 3L3|||||||DH000035/18|9876529066
PV1|1|I|DH-1N^DH1N-SH^1|UE|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||SURG||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||DH|||||201806201510|201910150909
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||158.757331||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||66.04||||||F
OBX|3|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|4|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19770101||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||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|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910150910||ADT^A04|4078846|D|2.2|||AL|NE
EVN|A04|201910150910||||201910150910
PID|1|FHATVIG0010377|SM00045406|SM45203|ADMRAMIREZ^CORVETTE^TRAIN|MINNIE|19910707|F|||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8|||||||SM002463/19|9875193139
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150910|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB TOL 2T0||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|8|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|9|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|10|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMRAMIREZ^CORVETTE^TRAIN||9896 219 AVE^^PORT COQUITLAM^BC^V4W 7T8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910150910||ADT^A04|4078848|D|2.2|||AL|NE
EVN|A04|201910150910||||201910150910
PID|1|FHATVIG0009483|SM00044883|SM44689|CWSROSS^BONNEVILLE^TRAIN|JANET|19801020|F|||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5|||||||SM002467/19|9875310248
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150910|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190604||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST.,EDMONTON AB  T1A4R4||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHERBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T1A4R4||||||F
GT1|1||CWSROSS^BONNEVILLE^TRAIN||4871 235 ST^^MAPLE RIDGE^BC^V1Z 1Y5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910150910||ADT^A04|4078849|D|2.2|||AL|NE
EVN|A04|201910150910||||201910150910
PID|1|FHATVIG0004993|SM00042264|SM42158|ADMBELL^OUTLANDER^TRAIN|ROSE|19791021|F|||9672 135 AVE^^PITT MEADOWS^BC^V6T 3B1|||||||SM002465/19|9875878743
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910150910|
PV2|||DIABETES
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
GT1|1||ADMBELL^OUTLANDER^TRAIN||9672 135 AVE^^PITT MEADOWS^BC^V6T 3B1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

