MSH|^~\&|ADM|SMH|||201910102100||ADT^A03|4075297|D|2.2|||AL|NE
EVN|A03|201910102100||||201910100856
PID|1|FHATVIG0011781|SM00046495|SM46286|ADMSTEN^MARTHA|LORI|19650919|F|||25014 89 AVE.^^ALDERGROVE^BC^V3W 2U9|||||||SM002900/19|
PV1|1|E|SM.ERT||||BIRDIR^Birdi^Ravdeep^S^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910100834|201910100856
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
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|2||||

MSH|^~\&|ADM|SMH|||201910102102||ADT^A08|4075301|D|2.2|||AL|NE
EVN|A08|201910102102||||201910100856
PID|1|FHATVIG0011781|SM00046495|SM46286|ADMSTEN^MARTHA|LORI|19650919|F|||25014 89 AVE.^^ALDERGROVE^BC^V3W 2U9|||||||SM002900/19|
PV1|1|E|SM.ERT||||BIRDIR^Birdi^Ravdeep^S^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910100834|201910100856
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|BIRDIR^Birdi^Ravdeep^S^^^^65808^DOC||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910100830|2||||

