MSH|^~\&|ADM|SMH|||201910220201||ADT^A03|4087300|D|2.2|||AL|NE
EVN|A03|201910220201||||20191021
PID|1|FHATVIG0008419|SM00044339|SM44170|ADMWILSON^CONTOUR^TRAIN|JANE|19410321|M|||8388 285 AVENUE^^PITT MEADOWS^BC^V5J 106|||||||SM000036/19|9875415615
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201904041342|201910210001
PV2|||IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|ADM SCH DT^Appointment Date^ADM||20190405||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20181206||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|11|TX|INS WCBPOC^Province of claim:^INS||2||||||F
OBX|12|TX|INS WSBC^Is this a WorkSafeBC claim?^INS||Y||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910220201||ADT^A03|4087301|D|2.2|||AL|NE
EVN|A03|201910220201||||20191021
PID|1|FHATVIG0008421|SM00044340|SM44171|CWSWRIGHT^STRADA^TRAIN|JANE|20030103|M|||2318 163 AVE^^NORTH VANCOUVER^BC^V4E 1O7|||||||SM000037/19|9875415582
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201904041342|201910210001
PV2|||IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS||20190328||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|7|TX|INS WSBC^Is this a WorkSafeBC claim?^INS||Y||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910220201||ADT^A03|4087302|D|2.2|||AL|NE
EVN|A03|201910220201||||20191021
PID|1|FHATVIG0008420|SM00044341|SM44172|ADMBAILEY^NEWPORT^TRAIN|JANE|19310902|F|||6654 38 AVE^^MAPLE RIDGE^BC^V1E 4M6|||||||SM000048/19|9875415608
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201904041342|201910210001
PV2|||IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS||20190402||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|7|TX|INS WCBPOC^Province of claim:^INS||2||||||F
OBX|8|TX|INS WSBC^Is this a WorkSafeBC claim?^INS||Y||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910220201||ADT^A03|4087303|D|2.2|||AL|NE
EVN|A03|201910220201||||20191021
PID|1|FHATVIG0008422|SM00044342|SM44173|CWSMORRIS^CORVETTE^TRAIN|MARIA|19661013|M|||6757 16 AVE^^PORT COQUITLAM^BC^V5Z 6P3|||||||SM000039/19|9875415575
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201904041342|201910210001
PV2|||IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190402||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

