MSH|^~\&|ADM|SMH|||201910111956||ADT^A03|4078118|D|2.2|||AL|NE
EVN|A03|201910111956||||201910111630
PID|1|FHATVIG0011824|SM00046536|SM46327|ADMSTEN^BABY^BOY(SUSAN)|SUSAN ALICE|20191011|M|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC|||||||SM002952/19|9874974939
PV1|1|I|SM-S2NUR3^SMNUR3-226^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910110233|201910111630
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910111957||ADT^A08|4078123|D|2.2|||AL|NE
EVN|A08|201910111957||||201910111630
PID|1|FHATVIG0011824|SM00046536|SM46327|ADMSTEN^BABY^BOY|SUSAN ALICE|20191011|M|||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC|||||||SM002952/19|9874974939
PV1|1|I|SM-S2NUR3^SMNUR3-226^A|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910110233|201910111630
PV2||W^Ward|NEWBORN
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|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 WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
GT1|1||ADMSTEN^SUSAN^ALICE||6696 JUNIPER VINE BOULEVARD^^SUNSHINE VALLEY^OC^OC||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

