MSH|^~\&|ADM|SMH|||201910241417||ADT^A06|4089004|D|2.2|||AL|NE
EVN|A06|201910241417||||201910241412
PID|1|FHATVIG0012108|SM00046742|SM46533|ADMROBINSON^SCORPIO^TRAIN|JASPREET|19860904|F|||5931 149 ST^^NEW WESTMINSTER^BC^V0Y 1Z6|||||||SM003216/19|9874956837
PV1|1|I|SM-S2FBU2^SMFBU2-219^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241412|
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON,AB,T0L 2T0||||||F
OBX|8|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|10|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|11|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|12|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|13|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|14|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|15|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMROBINSON^SCORPIO^TRAIN||5931 149 ST^^NEW WESTMINSTER^BC^V0Y 1Z6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910241417||ADT^A06|4089005|D|2.2|||AL|NE
EVN|A06|201910241417||||201910241413
PID|1|FHATVIG0012111|SM00046746|SM46537|CWSWRIGHT^OUTLANDER^TRAIN|NICKI|20000301|F|||4557 16 ST^^PORT COQUITLAM^BC^V1V 8E4|||||||SM003219/19|9874956797
PV1|1|I|SM-S2FBU3^SMFBU3-225^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241413|
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSWRIGHT^OUTLANDER^TRAIN||4557 16 ST^^PORT COQUITLAM^BC^V1V 8E4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910241417||ADT^A06|4089006|D|2.2|||AL|NE
EVN|A06|201910241417||||201910241413
PID|1|FHATVIG0012112|SM00046745|SM46536|ADMCOLEMAN^HORIZON^TRAIN|JENNY|19870121|F|||6981 254ST^^PORT COQUITLAM^BC^BC|||||||SM003220/19|9874956772
PV1|1|I|SM-S2FBU3^SMFBU3-235^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241413|
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHERE BEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMCOLEMAN^HORIZON^TRAIN||6981 254ST^^PORT COQUITLAM^BC^BC||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910241417||ADT^A06|4089007|D|2.2|||AL|NE
EVN|A06|201910241417||||201910241413
PID|1|FHATVIG0012113|SM00046747|SM46538|ADMBROOKS^AZURE^TRAIN|SERENA|19891123|F|||7514 195 ST^^NEW WESTMINISTER^BC^V7F 1S7|||||||SM003221/19|9874956353
PV1|1|I|SM-S2FBU4^SMFBU4-242^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241413|
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMBROOKS^AZURE^TRAIN||7514 195 ST^^NEW WESTMINISTER^BC^V7F 1S7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910241417||ADT^A06|4089008|D|2.2|||AL|NE
EVN|A06|201910241417||||201910241412
PID|1|FHATVIG0012109|SM00046743|SM46534|CWSJONES^AVENGER^TRAIN|ARVIN|19970922|F|||8791 263 AVE^^NEW WESTMINSTER^BC^V0H 8Y8|||||||SM003217/19|9874956812
PV1|1|I|SM-S2FBU3^SMFBU3-230^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241412|
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||132 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSJONES^AVENGER^TRAIN||8791 263 AVE^^NEW WESTMINSTER^BC^V0H 8Y8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910241418||ADT^A06|4089009|D|2.2|||AL|NE
EVN|A06|201910241417||||201910241417
PID|1|FHATVIG0012110|SM00046744|SM46535|CWSGONZALES^EXPEDITION^TRAIN||19870119|F|||2407 50 AVE^^MAPLE RIDGE^BC^V3I 2T4|||||||SM003218/19|9874956765
PV1|1|I|SM-S2FBU3^SMFBU3-236^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241417|
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190801||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||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|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEHERBEFORE ST,EDMONTON||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSGONZALES^EXPEDITION^TRAIN||2407 50 AVE^^MAPLE RIDGE^BC^V3I 2T4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

