MSH|^~\&|ADM||||201910111831||ADT^MRIPHNDODUPDATE|4077349|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111831
PID|1|FHATVIG0011801||SM46304|ADMSTEN^SIGMUND^BERT||19911202|M|||BOX 1345^^SARDIS^BC^V0Z 1O2||||||||9874986291
ZFD|RICHARDA2^Richardson^Alescia^^^^^89215^MID|103 - 33119 South Fraser Way^West Coast Health Collective^Abbotsford^BC^V2S 2B1|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111831||ADT^A08|4077350|D|2.2|||AL|NE
EVN|A08|201910111831||||201910091100
PID|1|FHATVIG0011801|SM00046513|SM46304|ADMSTEN^SIGMUND^BERT|ADRIANA|19911202|M|||BOX 1345^^SARDIS^BC^V0Z 1O2|||||||SM002924/19|9874986291
PV1|1|O|SM.AMIV||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910091100|
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 LASHBURN||||||F
OBX|8|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|9|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|10|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 1O2||||||SP
ZFD|RICHARDA2^Richardson^Alescia^^^^^89215^MID|103 - 33119 South Fraser Way^West Coast Health Collective^Abbotsford^BC^V2S 2B1|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111831||ADT^MRIPHNDODUPDATE|4077355|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111831
PID|1|FHATVIG0011801||SM46304|ADMSTEN^SIGMUND^BERT||19911202|M|||BOX 1345^^SARDIS^BC^V0Z 1O2||||||||9874986291
ZFD|RICHARDA2^Richardson^Alescia^^^^^89215^MID|103 - 33119 South Fraser Way^West Coast Health Collective^Abbotsford^BC^V2S 2B1|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077358|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077359|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077360|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077361|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077369|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077370|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111832||ADT^A04|4077371|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011795|SM00046507|SM46298|ADMSTENSTRIPES^ZEBRA|HARSHA|19880228|F|||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4|||||||SM002917/19|9874986356
PV1|1|O|SM.AMIV||||RAMPERSR^Rampersaud^Rai^V^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910040630|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTENSTRIPES^ZEBRA||ROSEMARY HEIGHTS ASSISTED^2522 152 ST^SURREY^BC^V4W 4R4||||||SP
ZFD|RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|13750 96 Avenue^Surrey Memorial Hospital^Surrey^BC^V3V 1Z2|||RAMPERSR^Rampersaud^Rai^V^^^^25497^DOC|
ZFH|LUMED||||||

