MSH|^~\&|ADM|SMH|||201910102053||ADT^A08|4075272|D|2.2|||AL|NE
EVN|A08|201910102053||||201910100834
PID|1|FHATVIG0011781|SM00046495|SM46286|ADMSTEN^MARTHA|LORI|19650919|F|||25014 89 AVE.^^ALDERGROVE^BC^V3W 2U9|||||||SM002900/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910100834|
PV2|||CONCUSSION AND RIGHT LEG IN JURY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19990501||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||80090||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191010||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|11|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||F
GT1|1||ADMSTEN^MARTHA||25014 89 AVE.^^ALDERGROVE^BC^V3W 2U9||||||SP
ZFD|DUBLANDE^Dubland^Edward^J^^^^00778^DOC|350-3150 East 54th Ave^^Vancouver^BC^V5S 1Z1|.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910100830|2||||

MSH|^~\&|ADM|SMH|||201910102053||ADT^A03|4075277|D|2.2|||AL|NE
EVN|A03|201910102053||||201910102052
PID|1|FHATVIG0011779|SM00046493|SM46284|ADMSTEN^SIGMUND^BERT|SONIA|19821212|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002898/19|
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR||||||||||||||||||DISCHARGED RECURRING ACCOUNT|||SMH|||||201910101920|201910102052
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
OBX|6|TX|INS OPC^Other Province Health Care Number^INS||5646458||||||F
OBX|7|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|8|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|9|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|10|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|11|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910102054||ADT^A08|4075280|D|2.2|||AL|NE
EVN|A08|201910102054||||201910100834
PID|1|FHATVIG0011780|SM00046494|SM46285|ADMSTEN^MARTHA|MANROOP|19981007|F|||25014 89 AVE^^ALDERGROVE^BC^V3W2U9|||||||SM002899/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910100834|
PV2|||CONCUSSION/RIGHT LEG INJURY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19990105||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTEN^MARTHA||25014 89 AVE^^ALDERGROVE^BC^V3W2U9||||||SP
ZFD|DUBLANDE^Dubland^Edward^J^^^^00778^DOC|350-3150 East 54th Ave^^Vancouver^BC^V5S 1Z1|.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910100830|||||

MSH|^~\&|ADM|SMH|||201910102054||ADT^A05|4075281|D|2.2|||AL|NE
EVN|A05|201910102054||||201910152054
PID|1|FHATVIG0011776|SM00046490|SM46281|ADMSTEN^MARTHA|ISHA|19961216|F|||25014 89 AVE^^ALDERGROVE^BC^V3W 2U9|||||||SM002902/19|
PV1|1|P|SM.AMBC||||FROHR^Froh^Robert^G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910152054|
PV2|||FOLLOW UP FOR CAST
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19990501||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||R||||||F
OBX|5|TX|INS WCBBP^Body Part^INS||41000||||||F
OBX|6|TX|INS WCBDOI^Date of Injury^INS||20191010||||||F
OBX|7|TX|INS WCBNOI^Nature of Injury^INS||06200||||||F
GT1|1||ADMSTEN^MARTHA||25014 89 AVE^^ALDERGROVE^BC^V3W 2U9||||||SP
ZFD|DUBLANDE^Dubland^Edward^J^^^^00778^DOC|350-3150 East 54th Ave^^Vancouver^BC^V5S 1Z1|||FROHR^Froh^Robert^G^^^^09164^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910102055||ADT^A03|4075286|D|2.2|||AL|NE
EVN|A03|201910102055||||201910100856
PID|1|FHATVIG0011778|SM00046492|SM46283|ADMSTEN^MARTHA|MEGAN|19970608|F|||25014 89AVE^^ALDERGROVE^BC^V3W 2U9|||||||SM002897/19|
PV1|1|E|SM.ERT||||BIRDIR^Birdi^Ravdeep^S^^^^^^^^^XX|||||||||||ER||||||||||||||||||TRANSFER TO OUTPATIENT|||SMH|||||201910100834|201910100856
PV2|||CONCUSSION, RIGHT LEG INJURY
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19990401||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||R||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||80090||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191010||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
ZFD|DUBLANDE^Dubland^Edward^J^^^^00778^DOC|350-3150 East 54th Ave^^Vancouver^BC^V5S 1Z1|BIRDIR^Birdi^Ravdeep^S^^^^65808^DOC||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910100830|3||||

