MSH|^~\&|ADM|SMH|||201910181835||ADT^A02|4084378|D|2.2|||AL|NE
EVN|A02|201910181835||||201910180700
PID|1|FHATVIG0012019|SM00046678|SM46469|ADMTESTITCH^SYDNEY|HARSHA|19880228|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003119/19|9874966322
PV1|1|I|SM-S3S1^SMS3S1-308^B|UE||SM-ERTAC2^SMERTAC2^AD|SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||S^Semi-Private - Non-Solicited|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||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|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 WCBDOI^Date of Injury^INS||20191017||||||F
OBX|11|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181835||ADT^A06|4084382|D|2.2|||AL|NE
EVN|A06|201910181835||||201910170400
PID|1|FHATVIG0012018|SM00046677|SM46468|ADMTESTITCH^SYDNEY|ADRIANA|19911202|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003118/19|9874966347
PV1|1|I|SM-ERTAC1^SMERTAC1^AJ|UE||SM.ERT|SCHOPFB^Schopf^Bernie^W.^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||W^Ward|QUERY CEREBRAL HEMORRHAGE
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|ADM TPL^Third Party Liability?^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||80000||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|10|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||SCHOPFB^Schopf^Bernie^W.^^^^23563^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910170105|2||||

