MSH|^~\&|ADM|BH|||201912100418||ADT^A04|4126002|D|2.2|||AL|NE
EVN|A04|201912100418||||201912090700
PID|1|FHATVIG0012625|BH00005211|SM46828|ADMROGERS^TREDIA^TRAIN||19830209|F|||9882 141 AVE^^MAPLE RIDGE^BC^V5Y 5K5|||||||BH000420/19|9874809359
PV1|1|O|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912090700|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191118||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHERE BEFORE ST, EDMONTON AB, T0H 2T0||||||F
OBX|4|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|5|TX|INS OPC ED^OPC Expiry Date (If Applicable)^INS||20200227||||||F
OBX|6|TX|INS OPCAD1^Address line 1^INS||123 LIVED HEREBEFORE ST||||||F
OBX|7|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMROGERS^TREDIA^TRAIN||9882 141 AVE^^MAPLE RIDGE^BC^V5Y5KS||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||201912100418||ADT^A04|4126003|D|2.2|||AL|NE
EVN|A04|201912100418||||201912090800
PID|1|FHATVIG0012411|BH00005202|SM46705|CWSHALL^TITAN^TRAIN|JANE|19960107|F|||9292 25 AVE^^PORT COQUITLAM^BC^V6Y 4I7|||||||BH000411/19|9874889919
PV1|1|O|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||201912090800|
PV2|||ONCOLOGY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20131206||||||F
OBX|2|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON,AB,T0L 2F3||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||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 OPCAD5^Postal Code^INS||T0L TO||||||F
GT1|1||CWSHALL^TITAN^TRAIN||9292 25 AVE^^PORT COQUITLAM^BC^V6Y 4I7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912100418||ADT^A04|4126004|D|2.2|||AL|NE
EVN|A04|201912100418||||201912090800
PID|1|FHATVIG0004993|SM00042264|SM42158|ADMBELL^OUTLANDER^TRAIN|ROSE|19791021|F|||9672 135 AVE^^PITT MEADOWS^BC^V6T 3B1|||||||SM002465/19|9875878743
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201912090800|
PV2|||DIABETES
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
GT1|1||ADMBELL^OUTLANDER^TRAIN||9672 135 AVE^^PITT MEADOWS^BC^V6T 3B1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912100418||ADT^A04|4126005|D|2.2|||AL|NE
EVN|A04|201912100418||||201912090800
PID|1|FHATVIG0009363|SM00044830|SM44636|ADMBAILEY^PASSPORT^TRAIN|JANE|19820107|F|||8580 54 ST^^PORT COQUITLAM^BC^V3B 7K4|||||||SM002469/19|9875321029
PV1|1|O|SM.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201912090800|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190530||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS||123 LIVEHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
GT1|1||ADMBAILEY^PASSPORT^TRAIN||8580 54 ST^^PORT COQUITLAM^BC^V0D 1R4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||201912100418||ADT^A03|4126010|D|2.2|||AL|NE
EVN|A03|201912100418||||20191209
PID|1|FHATVIG0009235|AB00008050|AB7993|ICCTEST^SCANNINGRCR||19720215|M|||1234 FIFTH ST^^VANCOUVER^BC^V5K 6N7|||||||AB000201/19|9875328322
PV1|1|O|AB.ER||||GENPT^GENP^TEST^A^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||201905231119|201912090001
PV2|||
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5||DOCT^DOC^TEST^A^^^^0006^^DOC|GENPT^GENP^TEST^A^^^^0008^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912100418||ADT^A03|4126011|D|2.2|||AL|NE
EVN|A03|201912100418||||20191209
PID|1|FHATVIG0009233|SM00044761|SM44567|CWSWHITE^CARAVAN^TRAIN|NEENA|19700107|M|||6048 21 ST^^MAPLE RIDGE^BC^V7E 3P7|||||||SM000672/19|9875328361
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201905231146|201912090001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other 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|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190523||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
OBX|10|TX|INS WSBC^Is this a WorkSafeBC claim?^INS||||||||F
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

