MSH|^~\&|ADM|SMH|||201910111902||ADT^A04|4077690|D|2.2|||AL|NE
EVN|A04|201910111902||||201910091100
PID|1|FHATVIG0011808|SM00046520|SM46311|ADMSTEN^SIGMUND^BERT|LORI|19650919|M|||BOX 134^^SARDIS^BC^V0Z 10A|||||||SM002932/19|
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||OPID^Other Photo ID||||||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||||||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 134^^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|||201910111902||ADT^A03|4077692|D|2.2|||AL|NE
EVN|A03|201910111902||||201910111800
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||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910111800|201910111800
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
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111903||ADT^MRIPHNDODUPDATE|4077700|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111903
PID|1|FHATVIG0011808||SM46311|ADMSTEN^SIGMUND^BERT||19650919|M|||BOX 134^^SARDIS^BC^V0Z 10A||||||||9874986206
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|||201910111903||ADT^A08|4077701|D|2.2|||AL|NE
EVN|A08|201910111902||||201910091100
PID|1|FHATVIG0011808|SM00046520|SM46311|ADMSTEN^SIGMUND^BERT|LORI|19650919|M|||BOX 134^^SARDIS^BC^V0Z 10A|||||||SM002932/19|9874986206
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||OPID^Other Photo ID||||||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||||||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 134^^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|||201910111903||ADT^A04|4077705|D|2.2|||AL|NE
EVN|A04|20191011||||
PID|1|FHATVIG0011808|SM00046520|SM46311|ADMSTEN^SIGMUND^BERT|LORI|19650919|M|||BOX 134^^SARDIS^BC^V0Z 10A|||||||SM002932/19|9874986206
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||OPID^Other Photo ID||||||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||||||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 134^^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|||201910111903||ADT^A04|4077706|D|2.2|||AL|NE
EVN|A04|201910111903||||201910101100
PID|1|FHATVIG0011808|SM00046520|SM46311|ADMSTEN^SIGMUND^BERT|LORI|19650919|M|||BOX 134^^SARDIS^BC^V0Z 10A|||||||SM002932/19|9874986206
PV1|1|O|SM.AMIV||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910101100|
PV2|||IV THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||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||||||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 134^^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|||201910111904||ADT^A06|4077715|D|2.2|||AL|NE
EVN|A06|201910111904||||201910102330
PID|1|FHATVIG0011791|SM00046503|SM46294|ADMSTENECO^AMANDA^HARSHA|HARSHA|19880228|F|||9563 GOSSEMER WAY^^ELK GROVE^CA^95632|||||||SM002925/19|9874986403
PV1|1|I|SM-S2FBU1^SMFBU1-208^A|EL||SM.MAT|TIERNEYJ^Tierney^John^P^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||201910102330|
PV2||W^Ward|PREGNANCY
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||20010101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|TX|ADM LOCRES^Local Address (if visiting)^ADM||16236 WELCOME RD SURREY V3W 2Q2||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||Y^YES||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||Y^YES||||||F
OBX|8|TX|ADM PHONE#^Local Phone Number (if visiting)^ADM||6047899696||||||F
GT1|1||ADMSTENECO^AMANDA^HARSHA||9563 GOSSEMER WAY^^ELK GROVE^CA^95632||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TIERNEYJ^Tierney^John^P^^^^67083^DOC|TIERNEYJ^Tierney^John^P^^^^67083^DOC|
ZFH|LUMED||||||

