MSH|^~\&|ADM|SMH|||201910231029||ADT^A04|4087925|D|2.2|||AL|NE
EVN|A04|201910231029||||201910231029
PID|1|FHATVIG0012098|SM00046736|SM46527|CWSWILSON^BOXTER^TRAIN||19830421|M|||1708 119 ST NEW WESTMINSTER^^NEW WESTMINSTER^BC^V2G 4N8|||||||SM003207/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910231029|
PV2|||LAB TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVERHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSWILSON^BOXTER^TRAIN||1708 119 ST NEW WESTMINSTER^^NEW WESTMINSTER^BC^V2G 4N8||||||SP
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910231029||ADT^A04|4087926|D|2.2|||AL|NE
EVN|A04|201910231029||||201910231028
PID|1|FHATVIG0012099|SM00046737|SM46528|ADMBROOKS^ELANTRA^TRAIN||19660123|M|||4695 185 ST^^MAPLE RIDGE^BC^V2K 8Y2|||||||SM003208/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910231028|
PV2|||LAB TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDBEFOREHERE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||BC||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L 1T||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMBROOKS^ELANTRA^TRAIN||4695 185 ST^^MAPLE RIDGE^BC^V2K 8Y2||||||SP
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910231029||ADT^A04|4087931|D|2.2|||AL|NE
EVN|A04|201910231029||||201910231029
PID|1|FHATVIG0012100|SM00046738|SM46529|ADMPHILLIPS^MEDALLION^TRAIN|JANE|19970601|M|||9427 177 ST^^NEW WESTMINSTER^BC^V1L 2U7|||||||SM003209/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910231029|
PV2|||LAB.TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1TO||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMPHILLIPS^MEDALLION^TRAIN||9427 177 ST^^NEW WESTMINSTER^BC^V1L 2U7||||||SP
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910231030||ADT^MRIPHNDODUPDATE|4087942|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910231030
PID|1|FHATVIG0012098||SM46527|CWSWILSON^BOXTER^TRAIN||19830421|M|||1708 119 ST NEW WESTMINSTER^^NEW WESTMINSTER^BC^V2G 4N8||||||||9874962429
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910231030||ADT^A08|4087943|D|2.2|||AL|NE
EVN|A08|201910231030||||201910231029
PID|1|FHATVIG0012098|SM00046736|SM46527|CWSWILSON^BOXTER^TRAIN||19830421|M|||1708 119 ST NEW WESTMINSTER^^NEW WESTMINSTER^BC^V2G 4N8|||||||SM003207/19|9874962429
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910231029|
PV2|||LAB TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVERHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSWILSON^BOXTER^TRAIN||1708 119 ST NEW WESTMINSTER^^NEW WESTMINSTER^BC^V2G 4N8||||||SP
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910231030||ADT^MRIPHNDODUPDATE|4087945|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910231030
PID|1|FHATVIG0012099||SM46528|ADMBROOKS^ELANTRA^TRAIN||19660123|M|||4695 185 ST^^MAPLE RIDGE^BC^V2K 8Y2||||||||9874962411
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910231030||ADT^MRIPHNDODUPDATE|4087947|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910231030
PID|1|FHATVIG0012100||SM46529|ADMPHILLIPS^MEDALLION^TRAIN||19970601|M|||9427 177 ST^^NEW WESTMINSTER^BC^V1L 2U7||||||||9874962404
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910231030||ADT^A08|4087948|D|2.2|||AL|NE
EVN|A08|201910231030||||201910231029
PID|1|FHATVIG0012100|SM00046738|SM46529|ADMPHILLIPS^MEDALLION^TRAIN|JANE|19970601|M|||9427 177 ST^^NEW WESTMINSTER^BC^V1L 2U7|||||||SM003209/19|9874962404
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910231029|
PV2|||LAB.TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1TO||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMPHILLIPS^MEDALLION^TRAIN||9427 177 ST^^NEW WESTMINSTER^BC^V1L 2U7||||||SP
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910231030||ADT^MRIPHNDODUPDATE|4087952|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910231030
PID|1|FHATVIG0012098||SM46527|CWSWILSON^BOXTER^TRAIN||19830421|M|||1708 119 ST NEW WESTMINSTER^^NEW WESTMINSTER^BC^V2G 4N8||||||||9874962429
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910231030||ADT^MRIPHNDODUPDATE|4087957|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910231030
PID|1|FHATVIG0012100||SM46529|ADMPHILLIPS^MEDALLION^TRAIN||19970601|M|||9427 177 ST^^NEW WESTMINSTER^BC^V1L 2U7||||||||9874962404
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910231030||ADT^MRIPHNDODUPDATE|4087958|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910231030
PID|1|FHATVIG0012099||SM46528|ADMBROOKS^ELANTRA^TRAIN||19660123|M|||4695 185 ST^^MAPLE RIDGE^BC^V2K 8Y2||||||||9874962411
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910231030||ADT^A08|4087959|D|2.2|||AL|NE
EVN|A08|201910231030||||201910231028
PID|1|FHATVIG0012099|SM00046737|SM46528|ADMBROOKS^ELANTRA^TRAIN||19660123|M|||4695 185 ST^^MAPLE RIDGE^BC^V2K 8Y2|||||||SM003208/19|9874962411
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910231028|
PV2|||LAB TEST
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDBEFOREHERE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||BC||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L 1T||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMBROOKS^ELANTRA^TRAIN||4695 185 ST^^MAPLE RIDGE^BC^V2K 8Y2||||||SP
ZFD|#WCMG^Group^#West^Coast Medical^^^^^LOCATION|3 - 3238 King George Blvd.^^Surrey^BC^V4P 1A5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

