MSH|^~\&|ADM|SMH|||201910111726||ADT^A04|4077063|D|2.2|||AL|NE
EVN|A04|201910111726||||201910091030
PID|1|FHATVIG0011791|SM00046503|SM46294|ADMSTENECO^AMANDA^HARSHA|HARSHA|19880228|F|||9563 GOSSEMER WAY^^ELK GROVE^CA^95632|||||||SM002912/19|
PV1|1|O|SM.MAT||||TIERNEYJ^Tierney^John^P^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910091030|
PV2|||PREGNANCY ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
GT1|1||ADMSTENECO^AMANDA^HARSHA||9563 GOSSEMER WAY^^ELK GROVE^CA^95632||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TIERNEYJ^Tierney^John^P^^^^67083^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111726||ADT^A13|4077070|D|2.2|||AL|NE
EVN|A13|201910111726||||201910100856
PID|1|FHATVIG0011777|SM00046491|SM46282|ADMSTEN^MARTHA|JESSICA|19911224|F|||25014 89 AVE^^ALDERGROVE^BC^V3W 2U9|||||||SM002894/19|9874986578
PV1|1|E|SM.ERT|||SM.ERT|BIRDIR^Birdi^Ravdeep^S^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910100834|
PV2|||CONCUSSION, RIGHT LEG INJURY- POST FALL
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
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|||||

MSH|^~\&|ADM||||201910111727||ADT^MRIPHNDODUPDATE|4077073|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111727
PID|1|FHATVIG0011791||SM46294|ADMSTENECO^AMANDA^HARSHA||19880228|F|||9563 GOSSEMER WAY^^ELK GROVE^CA^95632||||||||9874986403
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TIERNEYJ^Tierney^John^P^^^^67083^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111727||ADT^A08|4077074|D|2.2|||AL|NE
EVN|A08|201910111727||||201910091030
PID|1|FHATVIG0011791|SM00046503|SM46294|ADMSTENECO^AMANDA^HARSHA|HARSHA|19880228|F|||9563 GOSSEMER WAY^^ELK GROVE^CA^95632|||||||SM002912/19|9874986403
PV1|1|O|SM.MAT||||TIERNEYJ^Tierney^John^P^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910091030|
PV2|||PREGNANCY ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
GT1|1||ADMSTENECO^AMANDA^HARSHA||9563 GOSSEMER WAY^^ELK GROVE^CA^95632||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TIERNEYJ^Tierney^John^P^^^^67083^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111727||ADT^MRIPHNDODUPDATE|4077080|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111727
PID|1|FHATVIG0011791||SM46294|ADMSTENECO^AMANDA^HARSHA||19880228|F|||9563 GOSSEMER WAY^^ELK GROVE^CA^95632||||||||9874986403
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TIERNEYJ^Tierney^John^P^^^^67083^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111728||ADT^A03|4077083|D|2.2|||AL|NE
EVN|A03|201910111728||||201910100856
PID|1|FHATVIG0011780|SM00046494|SM46285|ADMSTEN^MARTHA|MANROOP|19981007|F|||25014 89 AVE^^ALDERGROVE^BC^V3W2U9|||||||SM002899/19|9874986539
PV1|1|E|SM.ERT||||BIRDIR^Birdi^Ravdeep^S^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||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||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
ZFD|DUBLANDE^Dubland^Edward^J^^^^00778^DOC|350-3150 East 54th Ave^^Vancouver^BC^V5S 1Z1|BIRDIR^Birdi^Ravdeep^S^^^^65808^DOC|
ZFH|LUMED|201910100830|||||

