MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093718|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093719|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093720|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093721|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093722|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093723|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093724|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093725|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093726|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301113||ADT^A04|4093727|D|2.2|||AL|NE
EVN|A04|20191030||||
PID|1|FHATVIG0012250|SM00046814|SM46605|STENADM^TEST^ONE|LOOPY|19900110|F|||6547 BROCK ST^^SURREY^BC^V3S 5P1|||||||SM003324/19|9874937679
PV1|1|O|SM.AMIV||||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201910250800|
PV2|||IV THERAPY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180501||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||STENADM^TEST^ONE||6547 BROCK ST^^SURREY^BC^V3S 5P1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

