MSH|^~\&|ADM|SMH|||201910301426||ADT^A03|4094352|D|2.2|||AL|NE
EVN|A03|201910301426||||201910300700
PID|1|FHATVIG0012254|SM00046818|SM46609|ADMTESTITC^SYDNEY|ISHA|19740528|F|||5310 NEPTUCK ROAD^^FORT LANGLEY^BC^V5X 5P4|||||||SM003332/19|9874932021
PV1|1|I|SM-S3S2^SMS3S2-314^A|UE|||CAMERONR^Cameron^Ronald^J.^^^^^^^^^XX|||SURG||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201910290200|201910300700
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||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|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||99990||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|11|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^Yes||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ALTMANY^Altman^Yevgeni^^^^^09335^DOC||CAMERONR^Cameron^Ronald^J.^^^^25101^DOC|ALTMANY^Altman^Yevgeni^^^^^09335^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910290105|2||||

