MSH|^~\&|ADM|SMH|||201910291415||ADT^A04|4093074|D|2.2|||AL|NE
EVN|A04|201910291415||||201910291414
PID|1|FHATVIG0012239|SM00046809|SM46600|CWSBENNETT^TURISMO^TRAIN|MARY|20000910|M|||7270 212 AVE^^EDMONTON^AB^T5J 2C1|||||||SM003310/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910291414|
PV2|||DOPPLER ULTRASOUND
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other 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 OPC ED^OPC Expiry Date (If Applicable)^INS||20201105||||||F
OBX|5|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSBENNETT^TURISMO^TRAIN||7270 212 AVE^^EDMONTON^AB^T5J 2C1||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910291415||ADT^A04|4093079|D|2.2|||AL|NE
EVN|A04|201910291415||||201910291414
PID|1|FHATVIG0012240|SM00046810|SM46601|CWSBUTLER^BLAZER^TRAIN|MARY|19580215|F|||6362 90 AVE^^EDMONTON^AB^T5J 2C1|||||||SM003311/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910291414|
PV2|||DOPPLER ULTRASOUND
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other 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 OPC ED^OPC Expiry Date (If Applicable)^INS||20201105||||||F
OBX|5|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSBUTLER^BLAZER^TRAIN||6362 90 AVE^^EDMONTON^AB^T5J 2C1||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910291415||ADT^MRIPHNDODUPDATE|4093084|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910291415
PID|1|FHATVIG0012239||SM46600|CWSBENNETT^TURISMO^TRAIN||20000910|M|||7270 212 AVE^^EDMONTON^AB^T5J 2C1||||||||9874943554
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910291415||ADT^A08|4093085|D|2.2|||AL|NE
EVN|A08|201910291415||||201910291414
PID|1|FHATVIG0012239|SM00046809|SM46600|CWSBENNETT^TURISMO^TRAIN|MARY|20000910|M|||7270 212 AVE^^EDMONTON^AB^T5J 2C1|||||||SM003310/19|9874943554
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910291414|
PV2|||DOPPLER ULTRASOUND
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other 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 OPC ED^OPC Expiry Date (If Applicable)^INS||20201105||||||F
OBX|5|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSBENNETT^TURISMO^TRAIN||7270 212 AVE^^EDMONTON^AB^T5J 2C1||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910291415||ADT^MRIPHNDODUPDATE|4093090|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910291415
PID|1|FHATVIG0012240||SM46601|CWSBUTLER^BLAZER^TRAIN||19580215|F|||6362 90 AVE^^EDMONTON^AB^T5J 2C1||||||||9874943547
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910291415||ADT^A08|4093091|D|2.2|||AL|NE
EVN|A08|201910291415||||201910291414
PID|1|FHATVIG0012240|SM00046810|SM46601|CWSBUTLER^BLAZER^TRAIN|MARY|19580215|F|||6362 90 AVE^^EDMONTON^AB^T5J 2C1|||||||SM003311/19|9874943547
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910291414|
PV2|||DOPPLER ULTRASOUND
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other 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 OPC ED^OPC Expiry Date (If Applicable)^INS||20201105||||||F
OBX|5|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSBUTLER^BLAZER^TRAIN||6362 90 AVE^^EDMONTON^AB^T5J 2C1||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

