MSH|^~\&|ADM|MMH|||201911211347||ADT^A04|4110457|D|2.2|||AL|NE
EVN|A04|201911211347||||201911211347
PID|1|FHATVIG0012539|MM00002121|MM2111|PHATEST^MMH1||19991120|F|||7324 HURD STREET^^MISSION^BC^V2V 3H5|||||||MM000056/19|
PV1|1|E|MM.ER||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||MMH|||||201911211347|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911211348||ADT^A01|4110463|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211344
PID|1|FHATVIG0012540|SM00047011|SM46794|ADMKING^BABY^GIRL(LIBERTE)|LIBERTE TRAIN|20191121|F|||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2|||||||SM003593/19|
PV1|1|I|SM-S2NUR2^SMNUR2-214^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211344|
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||12 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||TO1LIT||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMKING^LIBERTE^TRAIN||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2||||||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|||201911211348||ADT^A01|4110466|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211345
PID|1|FHATVIG0012541|SM00047012|SM46795|CWSTORRES^BABY^GIRL (SAFARI)|SAFARI TRAIN|20191121|F|||1267 195 AVE^^PORT COQUITLAM^BC^V2B 2H7|||||||SM003594/19|
PV1|1|I|SM-S2NUR2^SMNUR2-212^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211345|
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||CWSTORRES^SAFARI^TRAIN||1267 195 AVE^^PORT COQUITLAM^BC^V2B 2H7||||||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|||201911211348||ADT^A01|4110467|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211346
PID|1|FHATVIG0012542|SM00047013|SM46796|CWSKING^BABY^GIRL (SCAMP)|SCAMP TRAIN|20191121|F|||6694 258 AVE^^PITT MEADOWS^BC^V1P 1W8|||||||SM003595/19|
PV1|1|I|SM-S2NUR2^SMNUR2-211^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211346|
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^SCAMP^TRAIN||6694 258 AVE^^PITT MEADOWS^BC^V1P 1W8||||||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|||201911211348||ADT^A01|4110482|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211345
PID|1|FHATVIG0012543|SM00047014|SM46797|CWSCOLEMAN^BABY^BOY (CHEROKEE)|CHEROKEE TRAIN|20191121|M|||5189 109 ST^^NORTH VANCOUVER^BC^V6L 4X4|||||||SM003596/19|
PV1|1|I|SM-S2NUR2^SMNUR2-220^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211345|
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||CWSCOLEMAN^CHEROKEE^TRAIN||5189 109 ST^^NORTH VANCOUVER^BC^V6L 4X4||||||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|||201911211348||ADT^A01|4110484|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211346
PID|1|FHATVIG0012544|SM00047015|SM46798|ADMALEXANDER^BABY^GIRL(SKYLAR|SKYLARK TRAIN|20191121|F|||5749 295 AVE^^PITT  MEADOWS^BC^V3E 8Z0|||||||SM003597/19|
PV1|1|I|SM-S2NUR2^SMNUR2-218^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211346|
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||123LIVEDHEREBEFORE 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||ADMALEXANDER^SKYLARK^TRAIN||5749 295 AVE^^PITT  MEADOWS^BC^V3E 8Z0||||||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|||201911211348||ADT^A01|4110488|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211345
PID|1|FHATVIG0012545|SM00047016|SM46799|ADMRICHARDSON^BABY^GIRL (RANGE|RANGER TRAIN|20191121|F|||6540 273 ST^^NORTH VANCOUVER^BC^V7R 7C1|||||||SM003598/19|
PV1|1|I|SM-S2NUR2^SMNUR2-219^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211345|
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||T0L1TO||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMRICHARDSON^RANGER^TRAIN||6540 273 ST^^NORTH VANCOUVER^BC^V7R 7C1||||||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|||201911211348||ADT^A01|4110489|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211346
PID|1|FHATVIG0012546|SM00047017|SM46800|ADMEVANS^BABY^GIRL (LUMINA)|LUMINA TRAIN|20191121|F|||6951 7 AVE^^PORT COQUITLAM^BC^V6R 5V4|||||||SM003599/19|
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211346|
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||ADMEVANS^LUMINA^TRAIN||6951 7 AVE^^PORT COQUITLAM^BC^V6R 5V4||||||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||||201911211348||ADT^MRIPHNDODUPDATE|4110490|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911211348
PID|1|FHATVIG0012540||SM46794|ADMKING^BABY^GIRL(LIBERTE)||20191121|F|||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2||||||||9874853836
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|||201911211348||ADT^A08|4110491|D|2.2|||AL|NE
EVN|A08|201911211348||||201911211344
PID|1|FHATVIG0012540|SM00047011|SM46794|ADMKING^BABY^GIRL(LIBERTE)|LIBERTE TRAIN|20191121|F|||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2|||||||SM003593/19|9874853836
PV1|1|I|SM-S2NUR2^SMNUR2-214^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211344|
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||12 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||TO1LIT||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMKING^LIBERTE^TRAIN||7-7447 AVE^^PORT COQUITLAM^BC^V4K 7F2||||||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|MMH|||201911211348||ADT^A08|4110498|D|2.2|||AL|NE
EVN|A08|201911211348||||
PID|1|FHATVIG0012539|MM00002121|MM2111|PHATEST^MMH1||19991120|F|||7324 HURD STREET^^MISSION^BC^V2V 3H5|||||||MM000056/19|
PV1|1|E|MM.ER||||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||MMH|||||201911211347|
PV2|||
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|5|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N^NO||||||F
AL1|1|MA|1^     Penicillin Skin Test Negative|||20191121
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911211348||ADT^A01|4110499|D|2.2|||AL|NE
EVN|A01|201911211348||||201911211346
PID|1|FHATVIG0012547|SM00047018|SM46801|CWSBUTLER^BABY^GIRL (TURISMO)|TURISMO TRAIN|20191121|F|||6788-5 ST^^NORTH VANCOUVER^BC^V4C 3G7|||||||SM003600/19|
PV1|1|I|SM-S2NUR3^SMNUR3-230^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211346|
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||TOL1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBUTLER^TURISMO^TRAIN||6788-5 ST^^NORTH VANCOUVER^BC^V4C 3G7||||||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||||201911211348||ADT^MRIPHNDODUPDATE|4110512|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911211348
PID|1|FHATVIG0012541||SM46795|CWSTORRES^BABY^GIRL (SAFARI)||20191121|F|||1267 195 AVE^^PORT COQUITLAM^BC^V2B 2H7||||||||9874853829
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|||201911211348||ADT^A08|4110513|D|2.2|||AL|NE
EVN|A08|201911211348||||201911211345
PID|1|FHATVIG0012541|SM00047012|SM46795|CWSTORRES^BABY^GIRL (SAFARI)|SAFARI TRAIN|20191121|F|||1267 195 AVE^^PORT COQUITLAM^BC^V2B 2H7|||||||SM003594/19|9874853829
PV1|1|I|SM-S2NUR2^SMNUR2-212^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211345|
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||CWSTORRES^SAFARI^TRAIN||1267 195 AVE^^PORT COQUITLAM^BC^V2B 2H7||||||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||||201911211349||ADT^MRIPHNDODUPDATE|4110515|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911211349
PID|1|FHATVIG0012542||SM46796|CWSKING^BABY^GIRL (SCAMP)||20191121|F|||6694 258 AVE^^PITT MEADOWS^BC^V1P 1W8||||||||9874853811
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|||201911211349||ADT^A08|4110516|D|2.2|||AL|NE
EVN|A08|201911211349||||201911211346
PID|1|FHATVIG0012542|SM00047013|SM46796|CWSKING^BABY^GIRL (SCAMP)|SCAMP TRAIN|20191121|F|||6694 258 AVE^^PITT MEADOWS^BC^V1P 1W8|||||||SM003595/19|9874853811
PV1|1|I|SM-S2NUR2^SMNUR2-211^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211346|
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^SCAMP^TRAIN||6694 258 AVE^^PITT MEADOWS^BC^V1P 1W8||||||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||||201911211349||ADT^MRIPHNDODUPDATE|4110531|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911211349
PID|1|FHATVIG0012543||SM46797|CWSCOLEMAN^BABY^BOY (CHEROKEE)||20191121|M|||5189 109 ST^^NORTH VANCOUVER^BC^V6L 4X4||||||||9874853804
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|||201911211349||ADT^A08|4110532|D|2.2|||AL|NE
EVN|A08|201911211349||||201911211345
PID|1|FHATVIG0012543|SM00047014|SM46797|CWSCOLEMAN^BABY^BOY (CHEROKEE)|CHEROKEE TRAIN|20191121|M|||5189 109 ST^^NORTH VANCOUVER^BC^V6L 4X4|||||||SM003596/19|9874853804
PV1|1|I|SM-S2NUR2^SMNUR2-220^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201911211345|
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||CWSCOLEMAN^CHEROKEE^TRAIN||5189 109 ST^^NORTH VANCOUVER^BC^V6L 4X4||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

