MSH|^~\&|ADM|SMH|||201912021018||ADT^A03|4121425|D|2.2|||AL|NE
EVN|A03|201912021018||||201912021018
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||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201911281319|201912021018
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||||||

MSH|^~\&|ADM|SMH|||201912021018||ADT^A03|4121426|D|2.2|||AL|NE
EVN|A03|201912021018||||201912021018
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||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201911281319|201912021018
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
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

