MSH|^~\&|ADM|SMH|||201910111936||ADT^A04|4077924|D|2.2|||AL|NE
EVN|A04|201910111936||||201910110030
PID|1|FHATVIG0011818|SM00046530|SM46321|ADMSTEN^KENDAL^WESLEY|JESSICA|19911224|M|||765 SAFFRON PLACE^^PORT COQUITLAM^BC^V0Y 9Y7|||||||SM002944/19|9874986102
PV1|1|O|SM.AMBC|||SM.ERT|BROWND1^Brown^D.Sean^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201910110030|
PV2|||RIGHT ANKLE FRACTURE
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||19911224||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^No||||||F
GT1|1||ADMSTEN^KENDAL^WESLEY||765 SAFFRON PLACE^^PORT COQUITLAM^BC^V0Y 9Y7||||||SP
ZFD|IBRAHIME^Ibrahim^Evelin^^^^^26323^DOC|100-205 Newport Dr^^Port Moody^BC^V3H 5C9|.ERGP^Generic^ER^Physician^^^^^OTH||BROWND1^Brown^D.Sean^^^^^27688^DOC|
ZFH|LUMED|201910101046|2||||

MSH|^~\&|ADM|SMH|||201910111937||ADT^A04|4077930|D|2.2|||AL|NE
EVN|A04|201910111936||||201910101800
PID|1|FHATVIG0011816|SM00046528|SM46319|ADMSTEN^SUSAN^ALICE|SONIA|19821212|F|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC|||||||SM002945/19|9874986134
PV1|1|O|SM.FBU||||BLESZYNM^Bleszynski^Maria^E.^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201910101800|
PV2|||PREGNANCY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|TX|ADM MN^Enter Patient's Maiden Name:^ADM||ADMSTENJONES||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTEN^SUSAN^ALICE||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||BLESZYNM^Bleszynski^Maria^E.^^^^09717^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111937||ADT^A01|4077931|D|2.2|||AL|NE
EVN|A01|201910111937||||201910110233
PID|1|FHATVIG0011819|SM00046531|SM46322|ADNSTEN^BABY^BOY(SUSAN)|SUSAN ALICE|20191011|M|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^BC^BC|||||||SM002946/19|
PV1|1|I|SM-S2NUR1^SMNUR1-205^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910110233|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADNSTEN^SUSAN^ALICE||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^BC^BC||||||MO
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910111937||ADT^MRIPHNDODUPDATE|4077940|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111937
PID|1|FHATVIG0011819||SM46322|ADNSTEN^BABY^BOY(SUSAN)||20191011|M|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^BC^BC||||||||9874986094
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111937||ADT^A08|4077941|D|2.2|||AL|NE
EVN|A08|201910111937||||201910110233
PID|1|FHATVIG0011819|SM00046531|SM46322|ADNSTEN^BABY^BOY(SUSAN)|SUSAN ALICE|20191011|M|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^BC^BC|||||||SM002946/19|9874986094
PV1|1|I|SM-S2NUR1^SMNUR1-205^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910110233|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADNSTEN^SUSAN^ALICE||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^BC^BC||||||MO
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111937||ADT^A01|4077942|D|2.2|||AL|NE
EVN|A01|201910111937||||201910110233
PID|1|FHATVIG0011820|SM00046532|SM46323|ADMSTEN^BABY^BOY (SUSAN)|SUSAN ALICE|20191011|M|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002947/19|
PV1|1|I|SM-S2NUR1^SMNUR1-208^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910110233|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTEN^SUSAN^ALICE||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||MO
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111937||ADT^A04|4077950|D|2.2|||AL|NE
EVN|A04|201910111937||||201910110030
PID|1|FHATVIG0011817|SM00046529|SM46320|ADMSTEN^KENDAL^WESLEY|MEGAN|19970608|M|||765 SAFFRON PLACE^^PORT COQUITLAM^BC^V0Y 9Y7|||||||SM002943/19|9874986127
PV1|1|O|SM.SDC|||SM.ERT|BROWND1^Brown^D.Sean^^^^^^^^^^XX|||||||||||SDC|||||||||||||||||||||SMH|||||201910110030|
PV2|||INTERNAL FIXATION OF THE RIGHT ANKLE
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||19970608||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|8|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^No||||||F
GT1|1||ADMSTEN^KENDAL^WESLEY||765 SAFFRON PLACE^^PORT COQUITLAM^BC^V0Y 9Y7||||||SP
ZFD|IBRAHIME^Ibrahim^Evelin^^^^^26323^DOC|100-205 Newport Dr^^Port Moody^BC^V3H 5C9|.ERGP^Generic^ER^Physician^^^^^OTH||BROWND1^Brown^D.Sean^^^^^27688^DOC|
ZFH|LUMED|201910102246|2||||

MSH|^~\&|ADM||||201910111937||ADT^MRIPHNDODUPDATE|4077952|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910111937
PID|1|FHATVIG0011820||SM46323|ADMSTEN^BABY^BOY (SUSAN)||20191011|M|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||||9874986087
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111937||ADT^A08|4077953|D|2.2|||AL|NE
EVN|A08|201910111937||||201910110233
PID|1|FHATVIG0011820|SM00046532|SM46323|ADMSTEN^BABY^BOY (SUSAN)|SUSAN ALICE|20191011|M|||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC|||||||SM002947/19|9874986087
PV1|1|I|SM-S2NUR1^SMNUR1-208^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910110233|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTEN^SUSAN^ALICE||6696 JUNIPER VINE BLVD^^SUNSHINE VALLEY^BC^BC||||||MO
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111938||ADT^A01|4077965|D|2.2|||AL|NE
EVN|A01|201910111938||||201910110233
PID|1|FHATVIG0011821|SM00046533|SM46324|ADMSTEN^BABY^BOY (SUSAN)|SUSAN ALICE|20191011|M|||6696 JUNIPER VINEBOULEVARD^^SUNSHINE VALLEY^BC^BC|||||||SM002948/19|
PV1|1|I|SM-S2NUR3^SMNUR3-233^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910110233|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTEN^SUSAN^ALICE||6696 JUNIPER VINEBOULEVARD^^SUNSHINE VALLEY^BC^BC||||||MO
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

