MSH|^~\&|ADM|SMH|||201911121403||ADT^A04|4103824|D|2.2|||AL|NE
EVN|A04|201911121403||||201911121402
PID|1|FHATVIG0012388|SM00046903|SM46689|ADMALLEN^TAURUS^TRAIN||19380905|F|||2134 13 ST^^EDMONTON^BC^T1A 2H6|||||||SM003466/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911121402|
PV2|||DOPPLER ULTRASOUND
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 OPC ED^OPC Expiry Date (If Applicable)^INS||20191113||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHERBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||ADMALLEN^TAURUS^TRAIN||2134 13 ST^^EDMONTON^BC^T1A 2H6||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911121403||ADT^MRIPHNDODUPDATE|4103830|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911121403
PID|1|FHATVIG0012388||SM46689|ADMALLEN^TAURUS^TRAIN||19380905|F|||2134 13 ST^^EDMONTON^BC^T1A 2H6||||||||9874890558
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911121403||ADT^A08|4103832|D|2.2|||AL|NE
EVN|A08|201911121403||||201911121402
PID|1|FHATVIG0012388|SM00046903|SM46689|ADMALLEN^TAURUS^TRAIN||19380905|F|||2134 13 ST^^EDMONTON^BC^T1A 2H6|||||||SM003466/19|9874890558
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911121402|
PV2|||DOPPLER ULTRASOUND
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 OPC ED^OPC Expiry Date (If Applicable)^INS||20191113||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHERBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||ADMALLEN^TAURUS^TRAIN||2134 13 ST^^EDMONTON^BC^T1A 2H6||||||SP
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

