MSH|^~\&|ADM||||202002041111||ADT^MRIPHNDODUPDATE|4161181|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202002041111
PID|1|FHATVIG0013210||CM1035|GRANDFATHER^CLOCK||19560301|M|||9440 202 ST^^LANGLEY^BC^V1M 4S6||||||||9874751758
ZFD|WITTMANR^Wittmann^Rita^^^^^24333^DOC|205-22112 52 Ave^^Langley^BC^V2Y 2M6|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||NMIPHN

MSH|^~\&|ADM|COM|||202002041111||ADT^A08|4161182|D|2.2|||AL|NE
EVN|A08|202002041111||||202002041108
PID|1|FHATVIG0013210|CM00001053|CM1035|GRANDFATHER^CLOCK||19560301|M|||9440 202 ST^^LANGLEY^BC^V1M 4S6|||||||CM000016/19|9874751758
PV1|1|O|CM.CRP||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||COM|||||202002041108|
PV2|||COMMUNITY RESPIRATORY SERVICES
OBX|1|CE|CRS ALTCOV^Alternative Coverage:^ADM||NIHB^Native Indian Health Ben.||||||F
OBX|2|TX|CRS AS0210^Seen At Home? - Yes/No^ADM||N||||||F
OBX|3|CE|CRS AS0211^Clinic:^ADM||1^Hope Clinic||||||F
OBX|4|CE|CRS PD0020^Client's Location on Referral:^ADM||Acute BH^Acute Care - BH||||||F
OBX|5|CE|CRS PD0025^Client Type:^ADM||ASTHMA ED^Asthma Education||||||F
OBX|6|TX|CRS PD0057^% HOP Coverage:^ADM||0||||||F
OBX|7|TX|CRS REFDT1^CRS Program Referral Date:^ADM||20200402||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||GRANDFATHER^CLOCK||9440 202 ST^^LANGLEY^BC^V1M 4S6||||||SP
ZFD|WITTMANR^Wittmann^Rita^^^^^24333^DOC|205-22112 52 Ave^^Langley^BC^V2Y 2M6|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||EDREGRCR

MSH|^~\&|ADM||||202002041111||ADT^MRIPHNDODUPDATE|4161184|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202002041111
PID|1|FHATVIG0013210||CM1035|GRANDFATHER^CLOCK||19560301|M|||9440 202 ST^^LANGLEY^BC^V1M 4S6||||||||9874751758
ZFD|WITTMANR^Wittmann^Rita^^^^^24333^DOC|205-22112 52 Ave^^Langley^BC^V2Y 2M6|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED|||||||||NMIPHN

