MSH|^~\&|ADM|SMH|||201910181814||ADT^A04|4084290|D|2.2|||AL|NE
EVN|A04|201910181814||||201910170110
PID|1|FHATVIG0012026|SM00046685|SM46476|ADMTESTITCH^SYDNEY|LORI|19650919|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4|||||||SM003126/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||FELL OFF LADDER
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||20180101||||||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
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181814||ADT^A06|4084292|D|2.2|||AL|NE
EVN|A06|201910181814||||201910170400
PID|1|FHATVIG0012017|SM00046676|SM46467|ADMTESTITCH^SYDNEY|JESSICA|19911224|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003117/19|
PV1|1|I|SM-ERTAC3^SMERTAC3^AF|UE||SM.ERT|ALTMANY^Altman^Yevgeni^^^^^^^^^^XX|||NEUR||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||W^Ward|QUERY CEREBRAL HEMORRHAGE
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20080101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|8|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|9|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||Y^Yes||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM||||201910181814||ADT^MRIPHNDODUPDATE|4084295|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181814
PID|1|FHATVIG0012026||SM46476|ADMTESTITCH^SYDNEY||19650919|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4||||||||9874966243
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181814||ADT^A08|4084296|D|2.2|||AL|NE
EVN|A08|201910181814||||201910170110
PID|1|FHATVIG0012026|SM00046685|SM46476|ADMTESTITCH^SYDNEY|LORI|19650919|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4|||||||SM003126/19|9874966243
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||FELL OFF LADDER
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||20180101||||||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
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181814||ADT^A04|4084307|D|2.2|||AL|NE
EVN|A04|201910181814||||201910170110
PID|1|FHATVIG0012027|SM00046686|SM46477|ADMTESTITCH^SYDNEY|MANDEEP|19730527|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4|||||||SM003127/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20091001||||||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||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181815||ADT^A06|4084308|D|2.2|||AL|NE
EVN|A06|201910181814||||201910170400
PID|1|FHATVIG0012025|SM00046684|SM46475|ADMTESTITCH^SYDNEY|MEGAN|19970608|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003125/19|
PV1|1|I|SM-ERTAC2^SMERTAC2^AG|UE||SM.ERT|ALTMANY^Altman^Yevgeni^^^^^^^^^^XX|||EMED||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||W^Ward|QUERY CEREBRAL HEMORRHAGE
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||19990101||||||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||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|8|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^No||||||F
OBX|9|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM||||201910181815||ADT^MRIPHNDODUPDATE|4084315|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181815
PID|1|FHATVIG0012027||SM46477|ADMTESTITCH^SYDNEY||19730527|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4||||||||9874966236
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181815||ADT^A08|4084316|D|2.2|||AL|NE
EVN|A08|201910181815||||201910170110
PID|1|FHATVIG0012027|SM00046686|SM46477|ADMTESTITCH^SYDNEY|MANDEEP|19730527|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4|||||||SM003127/19|9874966236
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20091001||||||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||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910170105|2||||

