MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115876|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281037
PID|1|FHATVIG0012623|SM00047046|SM46826|ADMFLORES^VIRAGE^TRAIN|TRISHA|19851114|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1|||||||SM003655/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281037|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||456 LIVEDHEREBEFORE 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||4||||||F
GT1|1||ADMFLORES^VIRAGE^TRAIN||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115877|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281044
PID|1|FHATVIG0012622|SM00047045|SM46825|ADMTHOMPSON^IMPALA^TRAIN||19870102|F|||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4|||||||SM003654/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||4||||||F
GT1|1||ADMTHOMPSON^SPOUSE||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4||||||PR
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115878|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281044
PID|1|FHATVIG0012624|SM00047047|SM46827|CWSCOLEMAN^VANAGON^TRAIN||19881005|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1|||||||SM003656/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 lIVEDHEREBEFORE 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||4||||||F
GT1|1||CWSCOLEMAN^VANAGON^TRAIN||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115879|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281044
PID|1|FHATVIG0012625|SM00047048|SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS|||||||SM003657/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123456985||||||F
OBX|4|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115880|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281044
PID|1|FHATVIG0012626|SM00047049|SM46829|CWSPATTERSON^VIGOR^TRAIN||19870114|F|||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1|||||||SM003658/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||4||||||F
GT1|1||CWSPATTERSON^VIGOR^TRAIN||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115881|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281044
PID|1|FHATVIG0012627|SM00047050|SM46830|ADMRIVERA^PREVIA^TRAIN||19840507|F|||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6|||||||SM003659/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||4||||||F
GT1|1||ADMRIVERA^PREVIA^TRAIN||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A04|4115890|D|2.2|||AL|NE
EVN|A04|201911281046||||201911281044
PID|1|FHATVIG0012628|SM00047051|SM46831|CWSHARRIS^LEGEND||19861005|F|||1860 85 ST^^NORTH VANCOUVER^BC^V4D 4U1|||||||SM003660/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||13 LIVEDHEREBEFORE 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||T4L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSHARRIS^LEGEND||1860 85 ST^^NORTH VANCOUVER^BC^V4D 4U1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281046||ADT^MRIPHNDODUPDATE|4115913|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281046
PID|1|FHATVIG0012623||SM46826|ADMFLORES^VIRAGE^TRAIN||19851114|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||||9874809398
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A08|4115914|D|2.2|||AL|NE
EVN|A08|201911281046||||201911281037
PID|1|FHATVIG0012623|SM00047046|SM46826|ADMFLORES^VIRAGE^TRAIN|TRISHA|19851114|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1|||||||SM003655/19|9874809398
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281037|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||456 LIVEDHEREBEFORE 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||4||||||F
GT1|1||ADMFLORES^VIRAGE^TRAIN||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281046||ADT^MRIPHNDODUPDATE|4115916|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281046
PID|1|FHATVIG0012622||SM46825|ADMTHOMPSON^IMPALA^TRAIN||19870102|F|||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4||||||||9874809373
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A08|4115917|D|2.2|||AL|NE
EVN|A08|201911281046||||201911281044
PID|1|FHATVIG0012622|SM00047045|SM46825|ADMTHOMPSON^IMPALA^TRAIN||19870102|F|||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4|||||||SM003654/19|9874809373
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||4||||||F
GT1|1||ADMTHOMPSON^SPOUSE||6475 53 AVE^^PORT COQUITLAM^BC^V6O 8E4||||||PR
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281046||ADT^MRIPHNDODUPDATE|4115921|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281046
PID|1|FHATVIG0012624||SM46827|CWSCOLEMAN^VANAGON^TRAIN||19881005|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||||9874809366
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281046||ADT^A08|4115922|D|2.2|||AL|NE
EVN|A08|201911281046||||201911281044
PID|1|FHATVIG0012624|SM00047047|SM46827|CWSCOLEMAN^VANAGON^TRAIN||19881005|F|||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1|||||||SM003656/19|9874809366
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 lIVEDHEREBEFORE 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||4||||||F
GT1|1||CWSCOLEMAN^VANAGON^TRAIN||3521 68 ST^^PITT MEADOWS^BC^V0F 5K1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281047||ADT^MRIPHNDODUPDATE|4115931|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281047
PID|1|FHATVIG0012625||SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||||9874809359
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281047||ADT^A08|4115933|D|2.2|||AL|NE
EVN|A08|201911281047||||201911281044
PID|1|FHATVIG0012625|SM00047048|SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS|||||||SM003657/19|9874809359
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123456985||||||F
OBX|4|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281047||ADT^MRIPHNDODUPDATE|4115936|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281047
PID|1|FHATVIG0012626||SM46829|CWSPATTERSON^VIGOR^TRAIN||19870114|F|||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1||||||||9874809341
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281047||ADT^A08|4115937|D|2.2|||AL|NE
EVN|A08|201911281047||||201911281044
PID|1|FHATVIG0012626|SM00047049|SM46829|CWSPATTERSON^VIGOR^TRAIN||19870114|F|||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1|||||||SM003658/19|9874809341
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||4||||||F
GT1|1||CWSPATTERSON^VIGOR^TRAIN||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201911281047||ADT^MRIPHNDODUPDATE|4115942|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201911281047
PID|1|FHATVIG0012627||SM46830|ADMRIVERA^PREVIA^TRAIN||19840507|F|||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6||||||||9874809334
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201911281047||ADT^A08|4115943|D|2.2|||AL|NE
EVN|A08|201911281047||||201911281044
PID|1|FHATVIG0012627|SM00047050|SM46830|ADMRIVERA^PREVIA^TRAIN||19840507|F|||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6|||||||SM003659/19|9874809334
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201911281044|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE 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||4||||||F
GT1|1||ADMRIVERA^PREVIA^TRAIN||9510 114 AVE^^MAPLE RIDGE^BC^V4A 2R6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
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