MSH|^~\&|ADM|SMH|||202001161209||ADT^A04|4147882|D|2.2|||AL|NE
EVN|A04|202001161209||||202001161208
PID|1|FHATVIG0013039|SM00047244|SM47022|CWSGARCIA^WAGONEER^TRAIN|SHAWNA|19410601|M|||9933 48 AVE^^NORTH VANCOUVER^BC^V6S 4H0|||||||SM003954/19|9874757085
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202001161208|
PV2|||WCB IV - THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43000||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS||20200116||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03400||||||F
GT1|1||CWSGARCIA^WAGONEER^TRAIN||9933 48 AVE^^NORTH VANCOUVER^BC^V6S 4H0||||||SP
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|||202001161209||ADT^A04|4147885|D|2.2|||AL|NE
EVN|A04|202001161209||||202001161208
PID|1|FHATVIG0013040|SM00047245|SM47023|CWSCOLLINS^BLACKWOOD^TRAIN|MICKEY MOUSE|19721114|F|||1968 176 AVE^^PORT COQUITLAM^BC^V4M 0O6|||||||SM003955/19|9874757078
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202001161208|
PV2|||WCB/IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM SCH DT^Appointment Date^ADM||20200116||||||F
OBX|3|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|4|TX|INS WCBBP^Body Part^INS||43000||||||F
OBX|5|TX|INS WCBDOI^Date of Injury^INS||20200116||||||F
OBX|6|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|7|TX|INS WCBNOI^Nature of Injury^INS||04300||||||F
GT1|1||CWSCOLLINS^BLACKWOOD^TRAIN||1968 176 AVE^^PORT COQUITLAM^BC^V4M 0O6||||||SP
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||||||

