MSH|^~\&|ADM|SMH|||201910181848||ADT^A02|4084448|D|2.2|||AL|NE
EVN|A02|201910181848||||201910180700
PID|1|FHATVIG0012017|SM00046676|SM46467|ADMTESTITCH^SYDNEY|JESSICA|19911224|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003117/19|
PV1|1|I|SM-S3S1A^SMS3S1-306^B|UE||SM-ERTAC3^SMERTAC3^AF|SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||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
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181848||ADT^A08|4084449|D|2.2|||AL|NE
EVN|A08|201910181848||||201910180700
PID|1|FHATVIG0012017|SM00046676|SM46467|ADMTESTITCH^SYDNEY|JESSICA|19911224|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003117/19|
PV1|1|I|SM-S3S1A^SMS3S1-306^B|UE|||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||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||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A02|4084452|D|2.2|||AL|NE
EVN|A02|201910181848||||201910171200
PID|1|FHATVIG0012024|SM00046683|SM46474|ADMTESTITCH^SYDNEY|SUMANDEEP|19910822|M|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003124/19|9874966268
PV1|1|I|SM-S3S1^SMS3S1-303^A|UE||SM-3E^SM3E-306^A|SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||S^Semi-Private - Non-Solicited|QUERY CEREBRAL HEMORRHAGE
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20091018||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||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 WCBNOI^Nature of Injury^INS||06200||||||F
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A08|4084453|D|2.2|||AL|NE
EVN|A08|201910181848||||201910171200
PID|1|FHATVIG0012024|SM00046683|SM46474|ADMTESTITCH^SYDNEY|SUMANDEEP|19910822|M|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003124/19|9874966268
PV1|1|I|SM-S3S1^SMS3S1-303^A|UE|||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||S^Semi-Private - Non-Solicited|QUERY CEREBRAL HEMORRHAGE
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20091018||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||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 WCBNOI^Nature of Injury^INS||06200||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A12|4084462|D|2.2|||AL|NE
EVN|A12|201910181849||||201910181200
PID|1|FHATVIG0012025|SM00046684|SM46475|ADMTESTITCH^SYDNEY|MEGAN|19970608|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003125/19|
PV1|1|I|SM-S3S1^SMS3S1-302^B|UE||SM-S3S2^SMS3S2-321^A|SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||S^Semi-Private - Non-Solicited|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
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A12|4084463|D|2.2|||AL|NE
EVN|A12|201910181849||||201910181200
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|||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
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A02|4084464|D|2.2|||AL|NE
EVN|A02|201910181849||||201910170700
PID|1|FHATVIG0012020|SM00046679|SM46470|ADMTESTITCH^SYDNEY|ANUREET|19900601|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003120/19|9874966315
PV1|1|I|SM-S3S2^SMS3S2-314^A|EL||SM-3E^SM3E-315^A|SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||S^Semi-Private - Non-Solicited|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||20091001||||||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||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|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|9|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^No||||||F
OBX|10|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|11|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|12|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A06|4084465|D|2.2|||AL|NE
EVN|A06|201910181849||||201910170220
PID|1|FHATVIG0012028|SM00046687|SM46478|ADMTESTITCH^SYDNEY|ISHA|19650528|F|||5310 NIPTUCK ROAD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003128/19|9874966229
PV1|1|I|SM-S3S2^SMS3S2-321^B|UE||SM.ERT|ALTMANY^Altman^Yevgeni^^^^^^^^^^XX|||NEUR||||||||IN|||||||||||||||||||||SMH|||||201910170220|
PV2||S^Semi-Private - Non-Solicited|FALL
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM ACC VE^Requested Accommodation Verified?^ADM||||||||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||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|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|9|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|10|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|11|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|12|TX|INS WCBNOI^Nature of Injury^INS||02100||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK ROAD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A03|4084480|D|2.2|||AL|NE
EVN|A03|201910181849||||201910181848
PID|1|FHATVIG0012019|SM00046678|SM46469|ADMTESTITCH^SYDNEY|HARSHA|19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003130/19|9874966322
PV1|1|O|SM.MORG||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||REF||||||||||||||||||DEPARTED FROM THE MORGUE|||SMH|||||201910181000|201910181848
PV2|||EXPIRED - SMS3S1-308-B
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||20090101||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181849||ADT^A03|4084481|D|2.2|||AL|NE
EVN|A03|201910181849||||201910181848
PID|1|FHATVIG0012019|SM00046678|SM46469|ADMTESTITCH^SYDNEY|HARSHA|19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003130/19|9874966322
PV1|1|O|SM.MORG||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||REF||||||||||||||||||DEPARTED FROM THE MORGUE|||SMH|||||201910181000|201910181848
PV2|||EXPIRED - SMS3S1-308-B
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||20090101||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

