MSH|^~\&|ADM|SMH|||201912191052||ADT^A04|4131586|D|2.2|||AL|NE
EVN|A04|201912191052||||201912191051
PID|1|FHATVIG0012841|SM00047157|SM46934|ADMMORRIS^SPIRIT^TRAIN|SONIA|19950702|F|||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7|||||||SM003814/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912191051|
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 LIVEDHEREBERFORES 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||ADMMORRIS^SPIRIT^TRAIN||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912191052||ADT^A04|4131587|D|2.2|||AL|NE
EVN|A04|201912191052||||201912191051
PID|1|FHATVIG0012842|SM00047158|SM46935|CWSWHITE^ELECTRA^TRAIN|MARTYKA|19901025|F|||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5|||||||SM003815/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912191051|
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||CWSWHITE^ELECTRA^TRAIN||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912191052||ADT^A04|4131588|D|2.2|||AL|NE
EVN|A04|201912191052||||201912191051
PID|1|FHATVIG0012843|SM00047159|SM46936|CWSBROWN^ZEPHYR^TRAIN|MOM|19940301|F|||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2|||||||SM003816/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912191051|
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||12345000||||||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||T0O1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBROWN^ZEPHYR^TRAIN||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912191053||ADT^MRIPHNDODUPDATE|4131597|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912191053
PID|1|FHATVIG0012841||SM46934|ADMMORRIS^SPIRIT^TRAIN||19950702|F|||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7||||||||9874768862
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912191053||ADT^A08|4131598|D|2.2|||AL|NE
EVN|A08|201912191053||||201912191051
PID|1|FHATVIG0012841|SM00047157|SM46934|ADMMORRIS^SPIRIT^TRAIN|SONIA|19950702|F|||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7|||||||SM003814/19|9874768862
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912191051|
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 LIVEDHEREBERFORES 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||ADMMORRIS^SPIRIT^TRAIN||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912191053||ADT^MRIPHNDODUPDATE|4131599|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912191053
PID|1|FHATVIG0012842||SM46935|CWSWHITE^ELECTRA^TRAIN||19901025|F|||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5||||||||9874768855
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912191053||ADT^A08|4131600|D|2.2|||AL|NE
EVN|A08|201912191053||||201912191051
PID|1|FHATVIG0012842|SM00047158|SM46935|CWSWHITE^ELECTRA^TRAIN|MARTYKA|19901025|F|||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5|||||||SM003815/19|9874768855
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912191051|
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||CWSWHITE^ELECTRA^TRAIN||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||201912191053||ADT^MRIPHNDODUPDATE|4131611|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912191053
PID|1|FHATVIG0012843||SM46936|CWSBROWN^ZEPHYR^TRAIN||19940301|F|||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2||||||||9874768848
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201912191053||ADT^A08|4131612|D|2.2|||AL|NE
EVN|A08|201912191053||||201912191051
PID|1|FHATVIG0012843|SM00047159|SM46936|CWSBROWN^ZEPHYR^TRAIN|MOM|19940301|F|||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2|||||||SM003816/19|9874768848
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||201912191051|
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||12345000||||||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||T0O1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBROWN^ZEPHYR^TRAIN||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

