MSH|^~\&|ADM|SMH|||201912021020||ADT^A03|4121438|D|2.2|||AL|NE
EVN|A03|201912021020||||201912021020
PID|1|FHATVIG0012628|SM00047051|SM46831|CWSHARRIS^LEGEND||19861005|F|||1860 85 ST^^NORTH VANCOUVER^BC^V4D 4U1|||||||SM003660/19|9874809327
PV1|1|I|SM-S2FBU1^SMFBU1-202^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201911281307|201912021020
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||13 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T4L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
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|||201912021020||ADT^A03|4121440|D|2.2|||AL|NE
EVN|A03|201912021020||||201912021020
PID|1|FHATVIG0012626|SM00047049|SM46829|CWSPATTERSON^VIGOR^TRAIN||19870114|F|||9269 144 ST^^MAPLE RIDGE^BC^V2W 2W1|||||||SM003658/19|9874809341
PV1|1|I|SM-S2FBU1^SMFBU1-203^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201911281307|201912021020
PV2||W^Ward|LABOUR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191120||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON,AB,T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
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|||201912021020||ADT^A03|4121443|D|2.2|||AL|NE
EVN|A03|201912021020||||201912021020
PID|1|FHATVIG0012623|SM00047046|SM46826|ADMFLORES^VIRAGE^TRAIN|TRISHA|19851114|F|||1203 105 ST^^NEW WESTMINSTER^BC^V1B 1T1|||||||SM003655/19|9874809398
PV1|1|I|SM-S2FBU1^SMFBU1-207^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||201911281307|201912021020
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|CE|ADM CCI1^CCI#1^ADM||AVB^AVB-Agressive/Violent Beh||||||F
OBX|3|CE|ADM CCI2^CCI#2^ADM||DNA^DNA-Do Not Acknowledge||||||F
OBX|4|TX|ADM CCI3^CCI#3^ADM||||||||F
OBX|5|TX|ADM CCI4^ARO - Antibiotic Resistant Organisms^ADM||||||||F
OBX|6|TX|ADM CCI5^DNA - Do Not Acknowledge^ADM||||||||F
OBX|7|TX|ADM CCI6^AVB - Aggressive/Violent Behaviour^ADM||||||||F
OBX|8|TX|ADM CCI7^MDR - Multiple Drug Resistant Organisms^ADM||||||||F
OBX|9|TX|ADM CCI7a^          **or**^ADM||||||||F
OBX|10|TX|ADM CCICO1^Comments:^ADM||29112019||||||F
OBX|11|TX|ADM CCICO2^:^ADM||||||||F
OBX|12|TX|ADM CCICO3^:^ADM||||||||F
OBX|13|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191121||||||F
OBX|14|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|15|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|16|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|17|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|18|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|19|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|20|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|21|TX|INS OPCAD1^Address line 1^INS||456 LIVEDHEREBEFORE ST||||||F
OBX|22|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|23|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|24|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|25|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||AVB

