MSH|^~\&|ADM|SMH|||202001301324||ADT^A11|4158677|D|2.2|||AL|NE
EVN|A11|20200130||||
PID|1|FHATVIG0013069|SM00047260|SM47037|REGBATEST^MICY^POC||19891212|F|||1234 ADM ST^^SURREY^BC^V3T 5Y5|||||||SM004038/19|9874754832
PV1|1|O|SM.PMORG||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||202001241309|
PV2|||RELEASED - PRODUCT OF CONCEPTION
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|ADM POC FC^Is Funeral Home Collection Requested?^ADM||Y||||||F
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED|||||||||FXREGREF

MSH|^~\&|ADM|SMH|||202001301324||ADT^A04|4158678|D|2.2|||AL|NE
EVN|A04|202001301324||||202001231309
PID|1|FHATVIG0013069|SM00047260|SM47037|REGBATEST^MICY^POC||19891212|F|||1234 ADM ST^^SURREY^BC^V3T 5Y5|||||||SM004038/19|9874754832
PV1|1|O|SM.PMORG||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||202001231309|
PV2|||RELEASED - PRODUCT OF CONCEPTION
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|ADM POC FC^Is Funeral Home Collection Requested?^ADM||Y||||||F
GT1|1||REGBATEST^MICY^POC||1234 ADM ST^^SURREY^BC^V3T 5Y5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED|||||||||ENREGREF

MSH|^~\&|ADM|SMH|||202001301325||ADT^A08|4158686|D|2.2|||AL|NE
EVN|A08|202001301325||||202001231309
PID|1|FHATVIG0013069|SM00047260|SM47037|REGBATEST^MICY^POC||19891212|F|||1234 ADM ST^^SURREY^BC^V3T 5Y5|||||||SM004038/19|9874754832
PV1|1|O|SM.PMORG||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||REF|||||||||||||||||||||SMH|||||202001231309|
PV2|||PRODUCT OF CONCEPTION
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|ADM POC FC^Is Funeral Home Collection Requested?^ADM||Y||||||F
GT1|1||REGBATEST^MICY^POC||1234 ADM ST^^SURREY^BC^V3T 5Y5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED|||||||||EDREGREF

MSH|^~\&|ADM|SMH|||202001301325||ADT^A06|4158689|D|2.2|||AL|NE
EVN|A06|202001301325||||202001301321
PID|1|FHATVIG0013175|SM00047309|SM47084|CWSWRIGHT^SPECTRA^TRAIN|LAURA|19920619|F|||9244 48 AVE^^PITT MEADOWS^BC^V0K 6Q3|||||||SM004052/19|9874752552
PV1|1|I|SM-S2FBU3^SMFBU3-226^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001301321|
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200123||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSWRIGHT^SPECTRA^TRAIN||9244 48 AVE^^PITT MEADOWS^BC^V0K 6Q3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENADMIN

MSH|^~\&|ADM|SMH|||202001301325||ADT^A06|4158690|D|2.2|||AL|NE
EVN|A06|202001301325||||202001301321
PID|1|FHATVIG0013177|SM00047311|SM47086|CWSRUSSELL^HORIZON^TRAIN|FUN|19880901|F|||9201 285 AVE^^NORTH VANCOUVER^BC^V3Z 8A1|||||||SM004054/19|9874752538
PV1|1|I|SM-S2FBU3^SMFBU3-225^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001301321|
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200123||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON,AB,T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSRUSSELL^HORIZON^TRAIN||9201 285 AVE^^NORTH VANCOUVER^BC^V3Z 8A1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENADMIN

MSH|^~\&|ADM|SMH|||202001301325||ADT^A06|4158691|D|2.2|||AL|NE
EVN|A06|202001301325||||202001301322
PID|1|FHATVIG0013176|SM00047310|SM47085|CWSFLORES^FREELANDER^TRAIN|SARA|19841013|F|||3628 141 AVE^^MAPLE RIDGE^BC^V2O 6P1|||||||SM004053/19|9874752545
PV1|1|I|SM-S2FBU1^SMFBU1-203^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001301322|
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200123||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFOR ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSFLORES^FREELANDER^TRAIN||3628 141 AVE^^MAPLE RIDGE^BC^V2O 6P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENADMIN

