MSH|^~\&|ADM|SMH|||201910111816||ADT^A08|4077293|D|2.2|||AL|NE
EVN|A08|201910111816||||201910091100
PID|1|FHATVIG0011798|SM00046510|SM46301|ADMSTEN^SIGMUND^BERT|SHERIELYN|19781006|M|||1345^^SARDIS^BC^V0Z 10A|||||||SM002921/19|
PV1|1|O|SM.AMIV||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910091100|
PV2|||IV THERAPY
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||5646458||||||F
OBX|3|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTENBERT^SIGMUND||1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

