MSH|^~\&|ADM|SMH|||201910250750||ADT^A01|4089320|D|2.2|||AL|NE
EVN|A01|201910250750||||201910241130
PID|1|FHATVIG0012141|SM00046774|SM46565|ADMSTEWART^SONOMA^TRAIN|BARB|19920215|F|||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3|||||||SM003248/19|
PV1|1|I|SM-S2FBU2^SMFBU2-223^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241130|
PV2||W^Ward|TERM PREGNANCY
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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|8|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|9|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|10|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|11|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|12|TX|INS OPCAD5^Postal Code^INS||T0L2T0||||||F
OBX|13|TX|INS OPCRBC^Reason patient in British Columbia^INS||5||||||F
GT1|1||ADMSTEWART^SONOMA^TRAIN||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3||||||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||||201910250750||ADT^MRIPHNDODUPDATE|4089324|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910250750
PID|1|FHATVIG0012141||SM46565|ADMSTEWART^SONOMA^TRAIN||19920215|F|||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3||||||||9874955899
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|||201910250750||ADT^A08|4089325|D|2.2|||AL|NE
EVN|A08|201910250750||||201910241130
PID|1|FHATVIG0012141|SM00046774|SM46565|ADMSTEWART^SONOMA^TRAIN|BARB|19920215|F|||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3|||||||SM003248/19|9874955899
PV1|1|I|SM-S2FBU2^SMFBU2-223^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||201910241130|
PV2||W^Ward|TERM PREGNANCY
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|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|8|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|9|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|10|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|11|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|12|TX|INS OPCAD5^Postal Code^INS||T0L2T0||||||F
OBX|13|TX|INS OPCRBC^Reason patient in British Columbia^INS||5||||||F
GT1|1||ADMSTEWART^SONOMA^TRAIN||8177 14 AVE^^MAPLE RIDGE^BC^V8A 4M3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

