MSH|^~\&|ADM|SMH|||201910301034||ADT^A04|4093599|D|2.2|||AL|NE
EVN|A04|201910301034||||201910301000
PID|1|FHATVIG0012247|SM00046813|SM46604|ADMSTEN^TEST^ONE|SAM|19901010|M|||321 WINDY ST^^SURREY^BC^V2S 1P9|||||||SM003320/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910301000|
PV2|||MULTIPLE LACERATIONS TO BOTH LEGS
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20151101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||Y^YES||||||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||U^UNK||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||B||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||41000||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20191030||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03400||||||F
OBX|10|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||F
GT1|1||ADMSTEN^TEST^ONE||321 WINDY ST^^SURREY^BC^V2S 1P9||||||SP
ZFD|WONGD^Wong^Daniel^K^^^^09200^DOC|110 - 20528 Lougheed Highway^Mageta Medical Clinic^Maple Ridge^BC^V2X 2P8|.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910300945|2||||

MSH|^~\&|ADM||||201910301034||ADT^MRIPHNDODUPDATE|4093603|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910301034
PID|1|FHATVIG0012247||SM46604|ADMSTEN^TEST^ONE||19901010|M|||321 WINDY ST^^SURREY^BC^V2S 1P9||||||||9874940566
ZFD|WONGD^Wong^Daniel^K^^^^09200^DOC|110 - 20528 Lougheed Highway^Mageta Medical Clinic^Maple Ridge^BC^V2X 2P8|.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301034||ADT^A08|4093604|D|2.2|||AL|NE
EVN|A08|201910301034||||201910301000
PID|1|FHATVIG0012247|SM00046813|SM46604|ADMSTEN^TEST^ONE|SAM|19901010|M|||321 WINDY ST^^SURREY^BC^V2S 1P9|||||||SM003320/19|9874940566
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910301000|
PV2|||MULTIPLE LACERATIONS TO BOTH LEGS
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20151101||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||Y^YES||||||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||U^UNK||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||B||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||41000||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20191030||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03400||||||F
OBX|10|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||F
GT1|1||ADMSTEN^TEST^ONE||321 WINDY ST^^SURREY^BC^V2S 1P9||||||SP
ZFD|WONGD^Wong^Daniel^K^^^^09200^DOC|110 - 20528 Lougheed Highway^Mageta Medical Clinic^Maple Ridge^BC^V2X 2P8|.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910300945|2||||

