MSH|^~\&|ADM|LMH|||201912040759||ADT^A04|4122847|D|2.2|||AL|NE
EVN|A04|201912040759||||201911260758
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000644/19|
PV1|1|O|LM.MINS||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||LMH|||||201911260758|
PV2|||BA TEST - EXCISION
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912040800||ADT^MRIPHNDODUPDATE|4122853|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912040800
PID|1|FHATVIG0012705||LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||||9874797279
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040800||ADT^A08|4122854|D|2.2|||AL|NE
EVN|A08|201912040800||||201911260758
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000644/19|9874797279
PV1|1|O|LM.MINS||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||LMH|||||201911260758|
PV2|||BA TEST - EXCISION
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040800||ADT^A04|4122858|D|2.2|||AL|NE
EVN|A04|201912040800||||201911280800
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201911280800|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A04|4122863|D|2.2|||AL|NE
EVN|A04|20191204||||
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201911280800|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A04|4122864|D|2.2|||AL|NE
EVN|A04|20191204||||
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201911280800|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A04|4122865|D|2.2|||AL|NE
EVN|A04|20191204||||
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201911280800|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A04|4122866|D|2.2|||AL|NE
EVN|A04|20191204||||
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201911280800|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A04|4122867|D|2.2|||AL|NE
EVN|A04|201912040802||||201912030758
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201912030758|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A04|4122869|D|2.2|||AL|NE
EVN|A04|201912040802||||201912040801
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201912040801|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912040802||ADT^MRIPHNDODUPDATE|4122893|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912040802
PID|1|FHATVIG0012705||LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||||9874797279
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|LMH|||201912040802||ADT^A08|4122894|D|2.2|||AL|NE
EVN|A08|201912040802||||201912040801
PID|1|FHATVIG0012705|LM00005475|LM5308|ADMTEST^GRAPE^OVERLAY||19820507|M|||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4|||||||LM000645/19|9874797279
PV1|1|O|LM.IV||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||LMH|||||201912040801|
PV2|||BA TEST - IV THERAPY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^GRAPE^OVERLAY||1234 BUBBLE LANE^^LANGLEY^BC^V3A 4H4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

