MSH|^~\&|ADM|SMH|||201910311518||ADT^A01|4095474|D|2.2|||AL|NE
EVN|A01|201910311518||||201910311515
PID|1|FHATVIG0012288|SM00046849|SM46640|ADMJAMES^BABY^GIRL (ZEMONA)|ZEMONA TRAIN|20191031|F|||321 85 AVE^^SURREY^BC^V7G 5R8|||||||SM003366/19|
PV1|1|I|SM-S2NUR1^SMNUR1-208^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311515|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMJAMES^ZEMONA^TRAIN||321 85 AVE^^SURREY^BC^V7G 5R8||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910311518||ADT^A01|4095475|D|2.2|||AL|NE
EVN|A01|201910311518||||201910311109
PID|1|FHATVIG0012287|SM00046848|SM46639|ADMRIVERA^BABY^GIRL(MAXIMA)|MAXIMA TRAIN|20191031|F|||6623 245 ST^^NEW WESTMINISTER^BC^V0V 5L5|||||||SM003365/19|
PV1|1|I|SM-S2NUR1^SMNUR1-202^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311109|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||98756424123||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMRIVERA^MAXIMA^TRAIN||6623 245 ST^^NEW WESTMINISTER^BC^V0V 5L5||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910311518||ADT^A01|4095476|D|2.2|||AL|NE
EVN|A01|201910311518||||201910311109
PID|1|FHATVIG0012289|SM00046850|SM46641|CWSKING^BABY^GIRL (MIRAGE)|MIRAGE TRAIN|20191031|F|||8866 110 AVE^^MAPLE RIDGE^BC^V7J 6J3|||||||SM003367/19|
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311109|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSKING^MIRAGE^TRAIN||8866 110 AVE^^MAPLE RIDGE^BC^V7J 6J3||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910311518||ADT^A01|4095477|D|2.2|||AL|NE
EVN|A01|201910311518||||201910311515
PID|1|FHATVIG0012290|SM00046851|SM46642|CWSGONZALES^BABYGIRL(FRONTIER)|FRONTIER TRAIN|20191031|F|||2298 294 ST^^NORTH VANCOUVER^BC^V0W 8C0|||||||SM003368/19|
PV1|1|I|SM-S2NUR1^SMNUR1-207^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311515|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||CWSGONZALES^FRONTIER^TRAIN||2298 294 ST^^NORTH VANCOUVER^BC^V0W 8C0||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910311518||ADT^MRIPHNDODUPDATE|4095499|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910311518
PID|1|FHATVIG0012288||SM46640|ADMJAMES^BABY^GIRL (ZEMONA)||20191031|F|||321 85 AVE^^SURREY^BC^V7G 5R8||||||||9874919878
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910311518||ADT^A08|4095500|D|2.2|||AL|NE
EVN|A08|201910311518||||201910311515
PID|1|FHATVIG0012288|SM00046849|SM46640|ADMJAMES^BABY^GIRL (ZEMONA)|ZEMONA TRAIN|20191031|F|||321 85 AVE^^SURREY^BC^V7G 5R8|||||||SM003366/19|9874919878
PV1|1|I|SM-S2NUR1^SMNUR1-208^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311515|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMJAMES^ZEMONA^TRAIN||321 85 AVE^^SURREY^BC^V7G 5R8||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910311519||ADT^MRIPHNDODUPDATE|4095504|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910311519
PID|1|FHATVIG0012287||SM46639|ADMRIVERA^BABY^GIRL(MAXIMA)||20191031|F|||6623 245 ST^^NEW WESTMINISTER^BC^V0V 5L5||||||||9874919853
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910311519||ADT^A08|4095505|D|2.2|||AL|NE
EVN|A08|201910311519||||201910311109
PID|1|FHATVIG0012287|SM00046848|SM46639|ADMRIVERA^BABY^GIRL(MAXIMA)|MAXIMA TRAIN|20191031|F|||6623 245 ST^^NEW WESTMINISTER^BC^V0V 5L5|||||||SM003365/19|9874919853
PV1|1|I|SM-S2NUR1^SMNUR1-202^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311109|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||98756424123||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMRIVERA^MAXIMA^TRAIN||6623 245 ST^^NEW WESTMINISTER^BC^V0V 5L5||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201910311519||ADT^MRIPHNDODUPDATE|4095508|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201910311519
PID|1|FHATVIG0012289||SM46641|CWSKING^BABY^GIRL (MIRAGE)||20191031|F|||8866 110 AVE^^MAPLE RIDGE^BC^V7J 6J3||||||||9874919839
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910311519||ADT^A08|4095509|D|2.2|||AL|NE
EVN|A08|201910311519||||201910311109
PID|1|FHATVIG0012289|SM00046850|SM46641|CWSKING^BABY^GIRL (MIRAGE)|MIRAGE TRAIN|20191031|F|||8866 110 AVE^^MAPLE RIDGE^BC^V7J 6J3|||||||SM003367/19|9874919839
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910311109|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|3|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|4|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|5|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSKING^MIRAGE^TRAIN||8866 110 AVE^^MAPLE RIDGE^BC^V7J 6J3||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

