MSH|^~\&|ADM|SMH|||202002050941||ADT^A03|4162052|D|2.2|||AL|NE
EVN|A03|202002050941||||202002050941
PID|1|FHATVIG0013187|SM00047321|SM47096|CWSWRIGHT^BABY^BOY (SPECTRA)|SPECTRA TRAIN|20200130|M|||9244 48 AVE^^PITT MEADOWS^BC^V0K 6Q3|||||||SM004065/19|9874752394
PV1|1|I|SM-S2NUR3^SMNUR3-226^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||202001301333|202002050941
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENDISIN

