MSH|^~\&|ADM|SMH|||201910181937||ADT^A06|4085166|D|2.2|||AL|NE
EVN|A06|201910181937||||201910181936
PID|1|FHATVIG0012037|SM00046696|SM46487|ADMTESTLUCKY^GLENDA|ADRIANA|19911202|F|||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8|||||||SM003150/19|9874966157
PV1|1|I|SM-S2FBU2^SMFBU2-217^A|EL||SM.MAT|MAHE^Mah^Elaine^^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||201910181936|
PV2||W^Ward|PREGNANCY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20151018||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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||Y^YES||||||F
GT1|1||ADMTESTLUCKY^GLENDA||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8||||||SP
ZFD|FAGANM^Fagan^Mitchell^^^^^23036^DOC|204-22112 52 Avenue^Murrayville Family Practice^Langley^BC^V2Y 2M6|||MAHE^Mah^Elaine^^^^^05649^DOC|MAHE^Mah^Elaine^^^^^05649^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A06|4085170|D|2.2|||AL|NE
EVN|A06|201910181938||||201910181937
PID|1|FHATVIG0012039|SM00046698|SM46489|ADMTESTLUCKY^GLENDA|HARSHA|19880228|F|||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8|||||||SM003153/19|9874966125
PV1|1|I|SM-S2FBU3^SMFBU3-234^A|EL||SM.MAT|MAHE^Mah^Elaine^^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||201910181937|
PV2||W^Ward|PREGNANCY
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||20140101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|6|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMTESTPUT||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||Y^YES||||||F
GT1|1||ADMTESTLUCKY^GLENDA||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8||||||SP
ZFD|FAGANM^Fagan^Mitchell^^^^^23036^DOC|204-22112 52 Avenue^Murrayville Family Practice^Langley^BC^V2Y 2M6|||MAHE^Mah^Elaine^^^^^05649^DOC|MAHE^Mah^Elaine^^^^^05649^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085173|D|2.2|||AL|NE
EVN|A04|201910181938||||201910181000
PID|1|FHATVIG0012028|SM00046687|SM46478|ADMTESTITCH^SYDNEY|ISHA|19650528|F|||5310 NIPTUCK ROAD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003157/19|9874966229
PV1|1|O|SM.SDC||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||201910181000|
PV2|||PATIENT HAS DIED
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||20080101||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK ROAD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A06|4085174|D|2.2|||AL|NE
EVN|A06|201910181938||||201910181937
PID|1|FHATVIG0012038|SM00046697|SM46488|ADMTESTLUCKY^GLENDA|MEGAN|19970608|F|||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8|||||||SM003152/19|9874966132
PV1|1|I|SM-S2FBU2^SMFBU2-219^A|EL||SM.MAT|MAHE^Mah^Elaine^^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||201910181937|
PV2||W^Ward|PREGNANCY
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||20140101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMTESTPUT||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||Y^YES||||||F
GT1|1||ADMTESTLUCKY^GLENDA||22 9080 BIRTHING RD^^NEW WESTMINSTER^BC^V3X 8J8||||||SP
ZFD|FAGANM^Fagan^Mitchell^^^^^23036^DOC|204-22112 52 Avenue^Murrayville Family Practice^Langley^BC^V2Y 2M6|||MAHE^Mah^Elaine^^^^^05649^DOC|MAHE^Mah^Elaine^^^^^05649^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085178|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085179|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085181|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085183|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085185|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085187|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085188|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085189|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085191|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085194|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085196|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085198|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085210|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085211|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085212|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085213|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181938||ADT^A04|4085214|D|2.2|||AL|NE
EVN|A04|20191018||||
PID|1|FHATVIG0012040|SM00046699|SM46490|ADMTESTPEST^MARK|JESSICA|19911224|M|||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5|||||||SM003154/19|
PV1|1|O|SM.AMIV||||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910010800|
PV2|||IV THERAPY
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTESTPEST^MARK||1212 DUNCAN RD^^SURREY^BC^V3S 5Y5||||||SP
ZFD|DELAIRL^Delair^Leonard^C.^^^^24111^DOC|307-22112 52 Ave^^Langley^BC^V2Y 2M6|||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181939||ADT^A04|4085269|D|2.2|||AL|NE
EVN|A04|201910181939||||201910181935
PID|1|FHATVIG0012022|SM00046681|SM46472|ADMTESTITCH^SYDNEY|SONIA|19821212|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003158/19|9874966282
PV1|1|O|SM.MORG||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||201910181935|
PV2|||D.O.A
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||20091018||||||F
OBX|3|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||N||||||F
OBX|4|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|5|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||||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

