MSH|^~\&|ADM|SMH|||201910301228||ADT^A03|4094014|D|2.2|||AL|NE
EVN|A03|201910301228||||201910301228
PID|1|FHATVIG0012028|SM00046687|SM46478|ADMTESTITCH^SYDNEY|ISHA|19650528|F|||5310 NIPTUCK ROAD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003128/19|9874966229
PV1|1|I|SM-ZERO^SMZERO^01|UE|||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||NEUR||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910171200|201910301228
PV2||W^Ward|FALL
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM ACC VE^Requested Accommodation Verified?^ADM||||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20080101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|9|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|10|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|11|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|12|TX|INS WCBNOI^Nature of Injury^INS||02100||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910301229||ADT^A03|4094017|D|2.2|||AL|NE
EVN|A03|201910301229||||201910301229
PID|1|FHATVIG0012026|SM00046685|SM46476|ADMTESTITCH^SYDNEY|LORI|19650919|F|||5310 NIPTUCK RD.^^FORT LANGLEY^BC^V3X 5P4|||||||SM003126/19|9874966243
PV1|1|I|SM-S3S1^SMS3S1-302^B|UE|||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910170400|201910301229
PV2||S^Semi-Private - Non-Solicited|QUERY CERBRAL HEMORRHAGE
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910301229||ADT^A03|4094022|D|2.2|||AL|NE
EVN|A03|201910301229||||201910301229
PID|1|FHATVIG0012018|SM00046677|SM46468|ADMTESTITCH^SYDNEY|ADRIANA|19911202|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003118/19|9874966347
PV1|1|I|SM-S3S1^SMS3S1-310^A|UE|||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910170400|201910301229
PV2||P^Private - Non-Solicited|QUERY CEREBRAL HEMORRHAGE
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20091018||||||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||U^UNK||||||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|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^No||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||80000||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|10|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^Yes||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910301230||ADT^A03|4094026|D|2.2|||AL|NE
EVN|A03|201910301230||||201910301230
PID|1|FHATVIG0012017|SM00046676|SM46467|ADMTESTITCH^SYDNEY|JESSICA|19911224|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003129/19|9874966354
PV1|1|I|SM-ERTAC3^SMERTAC3^AG|UE|||SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN||||||||||||||||||EXPIRED|||SMH|||||201910171200|201910301230
PV2||W^Ward|QUERY CEREBRAL HEMORRHAGE
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20080101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||Y^YES||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301230||ADT^A03|4094030|D|2.2|||AL|NE
EVN|A03|201910301230||||201910301230
PID|1|FHATVIG0006134|SM00043041|SM42913|ADMTESTITCH^SYDNEY|KAYLAN|19950516|F|||5310 NIPTUCK RD^^FORTLANGLEY^BC^V3X 5P4|||||||SM003470/18|9875788075
PV1|1|I|SM-3W^SM3W-FLO^A|UE|||WESTB^West^Bill^^^^^^^^^^XX|||EMED||||||||IN||||||||||||||||||EXPIRED|||SMH|||||201810041800|201910301230
PV2||W^Ward|QUERY LOWER LUMBAR INJURY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20080101||||||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||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|7|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||B||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||23800||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20181004||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||01300||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||WESTB^West^Bill^^^^^25898^DOC|WESTB^West^Bill^^^^^25898^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201810041625|2||||

