MSH|^~\&|ADM|SMH|||201912310201||ADT^A03|4137189|D|2.2|||AL|NE
EVN|A03|201912310201||||20191230
PID|1|FHATVIG0009625|SM00044979|SM44782|CWSPHILLIPS^SEQUOIA^TRAIN|JANE|19801010|F|||8915 39 ST^^NORTH VANCOUVER^BC^V4G 5S3|||||||SM001003/19|9875295453
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201906131123|201912300001
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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20190612||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|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|||201912310201||ADT^A03|4137190|D|2.2|||AL|NE
EVN|A03|201912310201||||20191230
PID|1|FHATVIG0009626|SM00044980|SM44783|ADMJACKSON^NEON^TRAIN|ELAINE|19930516|F|||1818 281ST^^NEW WESTMINSTER^BC^V1R4D1|||||||SM001004/19|9875295446
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201906131123|201912300001
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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|INS MSPDOB^Date of Birth^INS||19930516||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20181206||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|11|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||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|||201912310201||ADT^A03|4137191|D|2.2|||AL|NE
EVN|A03|201912310201||||20191230
PID|1|FHATVIG0009624|SM00044978|SM44781|ADMJACKSON^ACHIEVA^TRAIN|MARY|20020817|F|||8451 249 ST^^NORTH VANCOUVER^BC^V1U 4X7|||||||SM001002/19|9875295478
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201906131123|201912300001
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^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|INS MSPDOB^Date of Birth^INS||20020817||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||10000||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20190613||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|11|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||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||||||

