MSH|^~\&|ADM|SMH|||201911210841||ADT^A11|4109454|D|2.2|||AL|NE
EVN|A11|201911210841||||201911120800
PID|1|FHATVIG0010370|SM00045400|SM45197|CWSBROOKS^MEDALLION^TRAIN|HAR|19820117|F|||3151-82 AVE^^MAPLE RIDGE^BC^V3R 2X1|||||||SM003319/19|9875193185
PV1|1|P|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201911120800|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190601||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON,AB, T0L 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||201911210842||ADT^A03|4109458|D|2.2|||AL|NE
EVN|A03|201911210842||||201911210842
PID|1|FHATVIG0012497|AB00008362|AB8278|CCNHABOYTE^BABY^BOY|JANEE|20191120|M|||3988 LAUKITIS MAN^^COURTNEY^BC^V9D 6G0|||||||AB000688/19|9874858677
PV1|1|I|AB-4C/NUR^AB4C-C4002^4|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||ARH|||||201911201456|201911210842
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

