MSH|^~\&|ADM|SMH|||201911130824||ADT^A03|4104174|D|2.2|||AL|NE
EVN|A03|201911130824||||201911130824
PID|1|FHATVIG0012287|SM00046848|SM46639|ADMRIVERA^BABY^GIRL(MAXIMA)|MAXIMA TRAIN|20191031|F|||6623 245 ST^^NEW WESTMINISTER^BC^V0V 5L5|||||||SM003365/19|9874919853
PV1|1|I|SM-S2NUR1^SMNUR1-202^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910311109|201911130824
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||98756424123||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
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|||201911130824||ADT^A03|4104178|D|2.2|||AL|NE
EVN|A03|201911130824||||201911130824
PID|1|FHATVIG0012289|SM00046850|SM46641|CWSKING^BABY^GIRL (MIRAGE)|MIRAGE TRAIN|20191031|F|||8866 110 AVE^^MAPLE RIDGE^BC^V7J 6J3|||||||SM003367/19|9874919839
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910311109|201911130824
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

