MSH|^~\&|ADM|SMH|||201910301348||ADT^A04|4094275|D|2.2|||AL|NE
EVN|A04|201910301348||||201910290110
PID|1|FHATVIG0012254|SM00046818|SM46609|ADMTESTITC^SYDNEY|ISHA|19740528|F|||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4|||||||SM003332/19|
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910290110|
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||20091030||||||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||99990||||||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||ADMTESTITC^SYDNEY||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910290105|2||||

MSH|^~\&|ADM||||201910301348||ADT^MRIPHNDODUPDATE|4094283|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910301348
PID|1|FHATVIG0012254||SM46609|ADMTESTITC^SYDNEY||19740528|F|||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4||||||||9874932021
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301348||ADT^A08|4094284|D|2.2|||AL|NE
EVN|A08|201910301348||||201910290110
PID|1|FHATVIG0012254|SM00046818|SM46609|ADMTESTITC^SYDNEY|ISHA|19740528|F|||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4|||||||SM003332/19|9874932021
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910290110|
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||20091030||||||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||99990||||||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||ADMTESTITC^SYDNEY||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910290105|2||||

MSH|^~\&|ADM||||201910301349||ADT^MRIPHNDODUPDATE|4094290|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910301349
PID|1|FHATVIG0012254||SM46609|ADMTESTITC^SYDNEY||19740528|F|||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4||||||||9874932021
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910301350||ADT^A08|4094291|D|2.2|||AL|NE
EVN|A08|201910301350||||201910290110
PID|1|FHATVIG0012254|SM00046818|SM46609|ADMTESTITC^SYDNEY|ISHA|19740528|F|||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4|||||||SM003332/19|9874932021
PV1|1|E|SM.ERT||||.ERGP^Generic^ER^Physician^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||SMH|||||201910290110|
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||20091030||||||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||99990||||||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||ADMTESTITC^SYDNEY||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||.ERGP^Generic^ER^Physician^^^^^OTH||||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910290105|2||||

