MSH|^~\&|ADM|SMH|||201910181803||ADT^A06|4084175|D|2.2|||AL|NE
EVN|A06|201910181803||||201910170400
PID|1|FHATVIG0012016|SM00046675|SM46466|AMDTESTITCH^SYDNEY|MEGAN|19970608|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003116/19|9874966361
PV1|1|I|SM-ERTAC2^SMERTAC2^AC|UE||SM.ERT|ALTMANY^Altman^Yevgeni^^^^^^^^^^XX|||EMED||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||W^Ward|QUERY CEREBRAL HEMORRHAGE
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||19990101||||||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||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|8|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^No||||||F
OBX|9|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||AMDTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181803||ADT^A04|4084176|D|2.2|||AL|NE
EVN|A04|201910181803||||201910170110
PID|1|FHATVIG0012018|SM00046677|SM46468|ADMTESTITCH^SYDNEY|ADRIANA|19911202|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003118/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20091018||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|6|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||80000||||||F
OBX|8|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|9|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181803||ADT^A04|4084178|D|2.2|||AL|NE
EVN|A04|201910181803||||201910170110
PID|1|FHATVIG0012019|SM00046678|SM46469|ADMTESTITCH^SYDNEY|HARSHA|19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003119/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20090101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM||||201910181803||ADT^MRIPHNDODUPDATE|4084190|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181803
PID|1|FHATVIG0012018||SM46468|ADMTESTITCH^SYDNEY||19911202|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||||9874966347
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181803||ADT^A08|4084191|D|2.2|||AL|NE
EVN|A08|201910181803||||201910170110
PID|1|FHATVIG0012018|SM00046677|SM46468|ADMTESTITCH^SYDNEY|ADRIANA|19911202|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003118/19|9874966347
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20091018||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|6|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||80000||||||F
OBX|8|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|9|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^YES||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM||||201910181804||ADT^MRIPHNDODUPDATE|4084193|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181804
PID|1|FHATVIG0012019||SM46469|ADMTESTITCH^SYDNEY||19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||||9874966322
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181804||ADT^A08|4084194|D|2.2|||AL|NE
EVN|A08|201910181804||||201910170110
PID|1|FHATVIG0012019|SM00046678|SM46469|ADMTESTITCH^SYDNEY|HARSHA|19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003119/19|9874966322
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20090101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||NA^NOT ASKED||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM||||201910181804||ADT^MRIPHNDODUPDATE|4084198|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181804
PID|1|FHATVIG0012018||SM46468|ADMTESTITCH^SYDNEY||19911202|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||||9874966347
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910181804||ADT^MRIPHNDODUPDATE|4084204|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181804
PID|1|FHATVIG0012019||SM46469|ADMTESTITCH^SYDNEY||19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||||9874966322
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181805||ADT^A04|4084206|D|2.2|||AL|NE
EVN|A04|201910181804||||201910170110
PID|1|FHATVIG0012020|SM00046679|SM46470|ADMTESTITCH^SYDNEY|ANUREET|19900601|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003120/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20091001||||||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|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181805||ADT^A04|4084210|D|2.2|||AL|NE
EVN|A04|201910181805||||201910170110
PID|1|FHATVIG0012021|SM00046680|SM46471|ADMTESTITCH^SYDNEY|MANROOP|19981007|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003121/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20090101||||||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||U^UNK||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|7|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM||||201910181805||ADT^MRIPHNDODUPDATE|4084214|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910181805
PID|1|FHATVIG0012020||SM46470|ADMTESTITCH^SYDNEY||19900601|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||||9874966315
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910181805||ADT^A08|4084215|D|2.2|||AL|NE
EVN|A08|201910181805||||201910170110
PID|1|FHATVIG0012020|SM00046679|SM46470|ADMTESTITCH^SYDNEY|ANUREET|19900601|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003120/19|9874966315
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910170110|
PV2|||HEAD PAIN
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||20091001||||||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|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^NO||||||F
OBX|8|TX|INS WCBBP^Body Part^INS||00000||||||F
OBX|9|TX|INS WCBDOI^Date of Injury^INS||20191017||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

