MSH|^~\&|ADM|SMH|||201910111917||ADT^A04|4077770|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|||||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|||201910111917||ADT^A04|4077771|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|||||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|||201910111919||ADT^A03|4077780|D|2.2|||AL|NE
EVN|A03|201910111919||||201910111918
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||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910111830|201910111918
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
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED||||||

