MSH|^~\&|ADM|SMH|||201912121101||ADT^A04|4128069|D|2.2|||AL|NE
EVN|A04|201912121101||||201912121058
PID|1|FHATVIG0012775|SM00047130|SM46908|CWSCLARK^MYSTIQUE^TRAIN|JANE|19850111|F|||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5|||||||SM003775/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912121058|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||TOL1TO||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSCLARK^MYSTIQUE^TRAIN||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912121101||ADT^A04|4128070|D|2.2|||AL|NE
EVN|A04|201912121101||||201912121058
PID|1|FHATVIG0012776|SM00047131|SM46909|CWSGARCIA^VIGOR^TRAIN|JANE|19940101|F|||2676 164 ST^^MAPLE RIDGE^BC^V1B 8H7|||||||SM003776/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912121058|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||T0L1TO||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSGARCIA^VIGOR^TRAIN||2676 164 ST^^MAPLE RIDGE^BC^V1B 8H7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912121101||ADT^MRIPHNDODUPDATE|4128081|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912121101
PID|1|FHATVIG0012775||SM46908|CWSCLARK^MYSTIQUE^TRAIN||19850111|F|||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5||||||||9874779098
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912121101||ADT^A08|4128082|D|2.2|||AL|NE
EVN|A08|201912121101||||201912121058
PID|1|FHATVIG0012775|SM00047130|SM46908|CWSCLARK^MYSTIQUE^TRAIN|JANE|19850111|F|||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5|||||||SM003775/19|9874779098
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912121058|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||TOL1TO||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSCLARK^MYSTIQUE^TRAIN||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912121101||ADT^MRIPHNDODUPDATE|4128084|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912121101
PID|1|FHATVIG0012776||SM46909|CWSGARCIA^VIGOR^TRAIN||19940101|F|||2676 164 ST^^MAPLE RIDGE^BC^V1B 8H7||||||||9874779073
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912121101||ADT^A08|4128085|D|2.2|||AL|NE
EVN|A08|201912121101||||201912121058
PID|1|FHATVIG0012776|SM00047131|SM46909|CWSGARCIA^VIGOR^TRAIN|JANE|19940101|F|||2676 164 ST^^MAPLE RIDGE^BC^V1B 8H7|||||||SM003776/19|9874779073
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912121058|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||T0L1TO||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSGARCIA^VIGOR^TRAIN||2676 164 ST^^MAPLE RIDGE^BC^V1B 8H7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912121102||ADT^MRIPHNDODUPDATE|4128089|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912121102
PID|1|FHATVIG0012775||SM46908|CWSCLARK^MYSTIQUE^TRAIN||19850111|F|||8785 11 ST^^PITT MEADOWS^BC^V4R 0P5||||||||9874779098
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

