MSH|^~\&|ADM|SMH|||201910181841||ADT^A06|4084405|D|2.2|||AL|NE
EVN|A06|201910181841||||201910170400
PID|1|FHATVIG0012024|SM00046683|SM46474|ADMTESTITCH^SYDNEY|SUMANDEEP|19910822|M|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003124/19|9874966268
PV1|1|I|SM-3E^SM3E-306^A|UE||SM.ERT|ALTMANY^Altman^Yevgeni^^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||SMH|||||201910170400|
PV2||S^Semi-Private - Non-Solicited|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||Y^Yes||||||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||06200||||||F
GT1|1||ADMTESTITCH^SYDNEY||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|
ZFH|LUMED|201910170105|2||||

MSH|^~\&|ADM|SMH|||201910181842||ADT^A02|4084410|D|2.2|||AL|NE
EVN|A02|201910181842||||201910180700
PID|1|FHATVIG0012021|SM00046680|SM46471|ADMTESTITCH^SYDNEY|MANROOP|19981007|F|||5310 NIPTUCK RD^^FORT LANGLEY^BC^V3X 5P4|||||||SM003121/19|9874966308
PV1|1|I|SM-S3S1^SMS3S1-308^B|UE||SM-ERTAC3^SMERTAC3^AC|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|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||N^NOT ASKED/NOTHING SIGNED||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20090101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||U^UNK||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||U^UNK||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||U^UNK||||||F
OBX|8|CE|ADM TPL^Third Party Liability?^ADM||Y^Yes||||||F
OBX|9|CE|INS WCBAP^Anatomical Positions (Side of Body)^INS||N^No||||||F
OBX|10|TX|INS WCBBP^Body Part^INS||00000||||||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|
ZFH|LUMED|201910170105|2||||

