MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107117|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008770|SM00044566|SM44378|ADMSANDERS^INTEGRA|ZELDA|19301122|M|||4213 5 ST^^MAPLE RIDGE^BC^V1Y 7J7|||||||SM000337/19|9875390435
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021136|201911180001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20181206||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107118|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008772|SM00044568|SM44380|CWSHENDERSON^EAGLE^TRAIN|CINDY|19400424|F|||9891 288 AVE^^NORTH VANCOUVER^BC^V1N 0J8|||||||SM000339/19|9875390403
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021135|201911180001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|ADM SCH DT^Appointment Date^ADM||20190502||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20181206||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107119|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008766|SM00044562|SM44374|ADMJONES^AZURE^TRAIN|JASMAN|19400317|F|||3976 102 AVE^^NEW WESTMINSTER^BC^V5J 5U4|||||||SM000333/19|9875390474
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021135|201911180001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|ADM SCH DT^Appointment Date^ADM||20190502||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20190502||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||123456||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107120|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008767|SM00044563|SM44375|ADMALEXANDER^LYNX^TRAIN||19961001|F|||4790 211 AVE^^PORT COQUITLAM^BC^V1E 4V2|||||||SM000334/19|9875390467
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021136|201911180001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190502||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107121|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008771|SM00044567|SM44379|CWSCARTER^FRONTIER^TRAIN||19990517|F|||5237 290 AVE^^NORTH VANCOUVER^BC^V2Y 0S4|||||||SM000338/19|9875390428
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021137|201911180001
PV2|||WCB IV - THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43800||||||F
OBX|4|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|5|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|6|TX|INS WCBPOC^Province of claim:^INS||5||||||F
OBX|7|TX|INS WSBC^Is this a WorkSafeBC claim?^INS||Y||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107122|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008768|SM00044564|SM44376|SWSEVANS^MANGUSTA^TRAIN||20040301|M|||8800 158 ST^^NEW WESTMINSTER^BC^V6H 1W2|||||||SM000352/19|9875390442
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021135|201911180001
PV2|||WCB IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|ADM SCH DT^Appointment Date^ADM||20190502||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20190502||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107123|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008774|SM00044570|SM44382|CWSBARNES^PRUIS^TRAIN|CWSBARNES, JANE|19720824|F|||9858 110 ST^^PITT MEADOWS^BC^V2K 8M3|||||||SM000341/19|9875390388
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021135|201911180001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20181206||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107124|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008773|SM00044569|SM44381|CZSDIAZ^LUMINATRAIN|ZELDA|19290608|M|||1275 226 AVE^^MAPLE RIDGE^BC^V4D 6B5|||||||SM000351/19|9875390395
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021136|201911180001
PV2|||WCB IV - THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20181206||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|10|TX|INS WSBC^Is this a WorkSafeBC claim?^INS||||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911190201||ADT^A03|4107125|D|2.2|||AL|NE
EVN|A03|201911190201||||20191118
PID|1|FHATVIG0008769|SM00044565|SM44377|CWSROGERS^DISCOVERY^TRAIN||19320105|F|||9975 46 AVE^^NEW WESTMINSTER^BC^V7M 2B2|||||||SM000336/19|9875388589
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905021133|201911180001
PV2|||IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||03300||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190502||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||04300||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

