MSH|^~\&|ADM|SMH|||202001161121||ADT^A04|4147592|D|2.2|||AL|NE
EVN|A04|202001161121||||202001161118
PID|1|FHATVIG0013037|SM00047242|SM47020|CWSLOPEZ^METRO^TRAIN|SARA|19880719|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||SM003952/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001161118|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0LIT0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSLOPEZ^METRO^TRAIN||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001161121||ADT^A04|4147593|D|2.2|||AL|NE
EVN|A04|202001161121||||202001161118
PID|1|FHATVIG0013038|SM00047243|SM47021|CWSGONZALES^SORENTO^TRAIN|MINNIE MOUSE|19870924|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0|||||||SM003953/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001161118|
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||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSGONZALES^SORENTO^TRAIN||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001161121||ADT^MRIPHNDODUPDATE|4147605|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001161121
PID|1|FHATVIG0013037||SM47020|CWSLOPEZ^METRO^TRAIN||19880719|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||||9874757125
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001161121||ADT^A08|4147606|D|2.2|||AL|NE
EVN|A08|202001161121||||202001161118
PID|1|FHATVIG0013037|SM00047242|SM47020|CWSLOPEZ^METRO^TRAIN|SARA|19880719|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||SM003952/19|9874757125
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001161118|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0LIT0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSLOPEZ^METRO^TRAIN||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001161121||ADT^MRIPHNDODUPDATE|4147608|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001161121
PID|1|FHATVIG0013038||SM47021|CWSGONZALES^SORENTO^TRAIN||19870924|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||||9874757118
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001161121||ADT^A08|4147609|D|2.2|||AL|NE
EVN|A08|202001161121||||202001161118
PID|1|FHATVIG0013038|SM00047243|SM47021|CWSGONZALES^SORENTO^TRAIN|MINNIE MOUSE|19870924|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0|||||||SM003953/19|9874757118
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001161118|
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||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSGONZALES^SORENTO^TRAIN||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

