MSH|^~\&|ADM|SMH|||201910111858||ADT^A04|4077633|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|9874986277
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111858||ADT^A04|4077634|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|9874986277
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111858||ADT^A04|4077635|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|9874986277
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111858||ADT^A04|4077636|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|9874986277
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111858||ADT^A04|4077637|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011803|SM00046515|SM46306|ADMSTEN^SIGMUND^BERT|MEGAN|19970608|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002927/19|9874986277
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1ER||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111859||ADT^MRIPHNDODUPDATE|4077643|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111859
PID|1|FHATVIG0011806||SM46309|ADNSTEN^SUSAN^ALICE||19820601|F|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^BC^BC||||||||9874986238
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111859||ADT^MRIPHNDODUPDATE|4077645|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111859
PID|1|FHATVIG0011807||SM46310|ADMSTEN^SUSAN||19910822|F|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||||9874986213
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111900||ADT^A04|4077663|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|9874986252
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111900||ADT^A04|4077665|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|9874986252
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111900||ADT^A04|4077667|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|9874986252
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111900||ADT^A04|4077670|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|9874986252
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111900||ADT^A04|4077671|D|2.2|||AL|NE
EVN|A04|201910111900||||201910111858
PID|1|FHATVIG0011804|SM00046516|SM46307|ADMSTEN^SIGMUND^BERT|JESSICA|19911224|M|||BOX 1345^^SARDIS^BC^V0Z 10A|||||||SM002928/19|9874986252
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910111858|
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||||||F
OBX|4|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 1345^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

