MSH|^~\&|ADM|SMH|||201911260201||ADT^A03|4112625|D|2.2|||AL|NE
EVN|A03|201911260201||||20191125
PID|1|FHATVIG0001201|SM00040309|SM40271|VAN REALLYLONGNAME^BETTY-LOU^M||19560208|F|||FHGVHJGHJ^^FGHHGHJ^BC^DGFGH|||||||SM004893/17|9876424584
PV1|1|O|SM.LABHC||||#SMH-HR^Records^#SMH-Health^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201711271153|201911250001
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|#SMH-HC^Clinic^#SMH-HEAL^^^^^^LOCATION|13750 96 Avenue^^Surrey^BC^V3V 1Z3|||#SMH-HR^Records^#SMH-Health^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911260201||ADT^A03|4112626|D|2.2|||AL|NE
EVN|A03|201911260201||||20191125
PID|1|FHATVIG0008837|SM00044626|SM44438|STENDHANOA^AKWANT|JOGINDER|19770917|F|||11419 86 AVE^^DELTA^BC^V4C 2X1|||||||SM000501/19|9875383461
PV1|1|O|SM.AMBC||||TEST12345^TEST12345^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905090900|201911250001
PV2|||IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190401||||||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||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||4567 FRONT ST SURREY V3V 2H7||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|TEST12345^TEST12345^^^^^^^DOC||||TEST12345^TEST12345^^^^^^^DOC|
ZFH|LUMED||||||AVB-LMH-15/05/19,DNA-LMH-16/05/19,ARO-LMH-16/05/19

MSH|^~\&|ADM|SMH|||201911260201||ADT^A03|4112627|D|2.2|||AL|NE
EVN|A03|201911260201||||20191125
PID|1|FHATVIG0008869|SM00044650|SM44462|ADMLONG^STANZA^TRAIN|ELIZABETH|19420220|M|||7610 219 AVE^^PITT MEADOWS^BC^V0P 2J2|||||||SM000466/19|9875375916
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905091125|201911250001
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||20190509||||||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|||201911260201||ADT^A03|4112628|D|2.2|||AL|NE
EVN|A03|201911260201||||20191125
PID|1|FHATVIG0008868|SM00044649|SM44461|ADMHARRIS^ACHIEVA^TRAIN|MICHELLE|19360201|F|||6077 27 AVE^^PITT MEADOWS^BC^V8K 7NS|||||||SM000465/19|9875375923
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905091125|201911250001
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||20190509||||||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|||201911260201||ADT^A03|4112629|D|2.2|||AL|NE
EVN|A03|201911260201||||20191125
PID|1|FHATVIG0008867|SM00044648|SM44460|ADMKING^PREVIA^TRAIN|ANNA|19390816|F|||5149 74AVE^^MAPLE RIDGE^BC^V3G1S4|||||||SM005262/18|9875375948
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905091126|201911250001
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|||201911260201||ADT^A03|4112630|D|2.2|||AL|NE
EVN|A03|201911260201||||20191125
PID|1|FHATVIG0008839|SM00044628|SM44440|STENBUBA^MARYAM|BINTA|19840214|F|||7054 144B ST^^SURREY^BC^V3S 8H4|||||||SM000495/19|9875383447
PV1|1|O|SM.AMBC||||TEST12345^TEST12345^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905092017|201911250001
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170508||||||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|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||1234 122 A AVE V3S 7HE||||||F
OBX|7|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|TEST12345^TEST12345^^^^^^^DOC||||TEST12345^TEST12345^^^^^^^DOC|
ZFH|LUMED||||||AVB-LMH-16/05/19,DNA-LMH-16/05/19

