MSH|^~\&|ADM|SMH|||201910111834||ADT^A04|4077394|D|2.2|||AL|NE
EVN|A04|201910111834||||201910091830
PID|1|FHATVIG0011774|SM00046488|SM46279|ADMSTEN^SIGMUND^BERT|MANDEEP|19730527|M|||BOX 1345^^SARDIS^BC^V0Z I0A|||||||SM002913/19|9874986618
PV1|1|O|SM.AMIV||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910091830|
PV2|||IV THERAPY
OBX|1|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|2|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|4|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||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
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z I0A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111834||ADT^A04|4077395|D|2.2|||AL|NE
EVN|A04|201910111834||||201910100011
PID|1|FHATVIG0011774|SM00046488|SM46279|ADMSTEN^SIGMUND^BERT|MANDEEP|19730527|M|||BOX 1345^^SARDIS^BC^V0Z I0A|||||||SM002913/19|9874986618
PV1|1|O|SM.AMIV||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910100011|
PV2|||IV THERAPY
OBX|1|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|2|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|4|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||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
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z I0A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111834||ADT^A04|4077396|D|2.2|||AL|NE
EVN|A04|201910111834||||201910111834
PID|1|FHATVIG0011774|SM00046488|SM46279|ADMSTEN^SIGMUND^BERT|MANDEEP|19730527|M|||BOX 1345^^SARDIS^BC^V0Z I0A|||||||SM002913/19|9874986618
PV1|1|O|SM.AMIV||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910111834|
PV2|||IV THERAPY
OBX|1|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|2|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|4|TX|ADM SCH DT^Appointment Date^ADM||||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||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
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z I0A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111835||ADT^A04|4077409|D|2.2|||AL|NE
EVN|A04|20191011||||
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 OPCAD1^Address line 1^INS||GENERAL DELIVERY LASBURN||||||F
OBX|4|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|5|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|6|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||||||

MSH|^~\&|ADM|SMH|||201910111835||ADT^A04|4077410|D|2.2|||AL|NE
EVN|A04|20191011||||
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 OPCAD1^Address line 1^INS||GENERAL DELIVERY LASBURN||||||F
OBX|4|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|5|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|6|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||||||

MSH|^~\&|ADM|SMH|||201910111836||ADT^A03|4077420|D|2.2|||AL|NE
EVN|A03|201910111836||||201910111835
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||||||||||||||||||DISCHARGED - HOME SUPPORT|||SMH|||||201910110630|201910111835
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
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||||||

