MSH|^~\&|ADM|SMH|||201911281322||ADT^A01|4116646|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281319
PID|1|FHATVIG0012650|SM00047073|SM46853|ADMFLORES^BABY^GIRL (VIRAGE)|VIRAGE TRAIN|20191128|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1|||||||SM003684/19|
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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||1234500000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||456 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
GT1|1||ADMFLORES^VIRAGE^TRAIN||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||MO
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|||201911281322||ADT^A01|4116649|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281319
PID|1|FHATVIG0012651|SM00047074|SM46854|ADMROGERS^BABY^GIRL (TREDIA)|TREDIA TRAIN|20191128|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS|||||||SM003685/19|
PV1|1|I|SM-S2NUR3^SMNUR3-230^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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||123456985||||||F
OBX|3|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||MO
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|||201911281322||ADT^A01|4116650|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281319
PID|1|FHATVIG0012653|SM00047077|SM46855|CWSCOLEMAN^BABY^GIRL (VANAGON)|VANAGON TRAIN|20191128|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1|||||||SM003687/19|
PV1|1|I|SM-S2NUR3^SMNUR3-224^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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
GT1|1||CWSCOLEMAN^VANAGON^TRAIN||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||MO
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|||201911281322||ADT^A01|4116651|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281320
PID|1|FHATVIG0012652|SM00047075|SM46856|ADMTHOMPSON^BABY^GIRL (IMPALA|IMPALA TRAIN|20191128|F|||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4|||||||SM003686/19|
PV1|1|I|SM-S2NUR2^SMNUR2-213^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281320|
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
GT1|1||ADMTHOMPSON^SPOUSE||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4||||||MO
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|||201911281322||ADT^A01|4116652|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281319
PID|1|FHATVIG0012654|SM00047076|SM46857|CWSHARRIS^BABY^GIRL (LEGEND)|LEGEND|20191128|F|||1860 85 ST^^NORTH VANCOUVER^BC^V4D 4U1|||||||SM003688/19|
PV1|1|I|SM-S2NUR1^SMNUR1-202^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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||13 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||T4L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSHARRIS^LEGEND||1860 85 ST^^NORTH VANCOUVER^BC^V4D 4U1||||||MO
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|||201911281322||ADT^A01|4116653|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281319
PID|1|FHATVIG0012655|SM00047078|SM46858|ADMRIVERA^BABY^GIRL (PREVIA)|PREVIA TRAIN|20191128|F|||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6|||||||SM003689/19|
PV1|1|I|SM-S2NUR2^SMNUR2-221^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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
GT1|1||ADMRIVERA^PREVIA^TRAIN||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6||||||MO
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|||201911281322||ADT^A01|4116654|D|2.2|||AL|NE
EVN|A01|201911281322||||201911281319
PID|1|FHATVIG0012656|SM00047079|SM46859|CWSPATTERSON^BABY^BOY (VIGOR)|VIGOR TRAIN|20191128|M|||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1|||||||SM003690/19|
PV1|1|I|SM-S2NUR1^SMNUR1-207^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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
GT1|1||CWSPATTERSON^VIGOR^TRAIN||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281322||ADT^MRIPHNDODUPDATE|4116683|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281322
PID|1|FHATVIG0012650||SM46853|ADMFLORES^BABY^GIRL (VIRAGE)||20191128|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||||9874808214
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|||201911281322||ADT^A08|4116684|D|2.2|||AL|NE
EVN|A08|201911281322||||201911281319
PID|1|FHATVIG0012650|SM00047073|SM46853|ADMFLORES^BABY^GIRL (VIRAGE)|VIRAGE TRAIN|20191128|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1|||||||SM003684/19|9874808214
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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||1234500000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||456 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
GT1|1||ADMFLORES^VIRAGE^TRAIN||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281322||ADT^MRIPHNDODUPDATE|4116685|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281322
PID|1|FHATVIG0012651||SM46854|ADMROGERS^BABY^GIRL (TREDIA)||20191128|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||||9874808207
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|||201911281322||ADT^A08|4116686|D|2.2|||AL|NE
EVN|A08|201911281322||||201911281319
PID|1|FHATVIG0012651|SM00047074|SM46854|ADMROGERS^BABY^GIRL (TREDIA)|TREDIA TRAIN|20191128|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS|||||||SM003685/19|9874808207
PV1|1|I|SM-S2NUR3^SMNUR3-230^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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||123456985||||||F
OBX|3|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281322||ADT^MRIPHNDODUPDATE|4116695|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281322
PID|1|FHATVIG0012653||SM46855|CWSCOLEMAN^BABY^GIRL (VANAGON)||20191128|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||||9874808199
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|||201911281322||ADT^A08|4116696|D|2.2|||AL|NE
EVN|A08|201911281322||||201911281319
PID|1|FHATVIG0012653|SM00047077|SM46855|CWSCOLEMAN^BABY^GIRL (VANAGON)|VANAGON TRAIN|20191128|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1|||||||SM003687/19|9874808199
PV1|1|I|SM-S2NUR3^SMNUR3-224^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281319|
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
GT1|1||CWSCOLEMAN^VANAGON^TRAIN||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281322||ADT^MRIPHNDODUPDATE|4116698|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281322
PID|1|FHATVIG0012650||SM46853|ADMFLORES^BABY^GIRL (VIRAGE)||20191128|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||||9874808214
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281322||ADT^MRIPHNDODUPDATE|4116703|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281322
PID|1|FHATVIG0012652||SM46856|ADMTHOMPSON^BABY^GIRL (IMPALA||20191128|F|||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4||||||||9874808181
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|||201911281322||ADT^A08|4116704|D|2.2|||AL|NE
EVN|A08|201911281322||||201911281320
PID|1|FHATVIG0012652|SM00047075|SM46856|ADMTHOMPSON^BABY^GIRL (IMPALA|IMPALA TRAIN|20191128|F|||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4|||||||SM003686/19|9874808181
PV1|1|I|SM-S2NUR2^SMNUR2-213^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911281320|
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
GT1|1||ADMTHOMPSON^SPOUSE||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

