MSH|^~\&|ADM|SMH|||201912191310||ADT^A01|4131984|D|2.2|||AL|NE
EVN|A01|201912191310||||201912191309
PID|1|FHATVIG0012854|SM00047169|SM46946|CWSBROWN^BABY^GIRL (ZEPHYR)|ZEPHYR TRAIN|20191219|F|||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2|||||||SM003827/19|
PV1|1|I|SM-S2NUR2^SMNUR2-212^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201912191309|
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||12345000||||||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||T0O1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBROWN^ZEPHYR^TRAIN||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2||||||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|||201912191310||ADT^A01|4131988|D|2.2|||AL|NE
EVN|A01|201912191310||||201912191309
PID|1|FHATVIG0012855|SM00047170|SM46947|ADMMORRIS^BABY^BOY (SPIRIT)|SPIRIT TRAIN|20191219|F|||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7|||||||SM003828/19|
PV1|1|I|SM-S2NUR1^SMNUR1-207^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201912191309|
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 LIVEDHEREBERFORES 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||ADMMORRIS^SPIRIT^TRAIN||5042 125 ST^^MAPLE RIDGE^BC^V7P 2A7||||||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|||201912191310||ADT^A01|4131989|D|2.2|||AL|NE
EVN|A01|201912191310||||201912191309
PID|1|FHATVIG0012856|SM00047171|SM46948|CWSWHITE^BABY^GIRL (ELECTRA)|ELECTRA TRAIN|20191219|F|||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5|||||||SM003829/19|
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201912191309|
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||CWSWHITE^ELECTRA^TRAIN||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5||||||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||||201912191311||ADT^MRIPHNDODUPDATE|4132004|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912191311
PID|1|FHATVIG0012854||SM46946|CWSBROWN^BABY^GIRL (ZEPHYR)||20191219|F|||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2||||||||9874768658
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|||201912191311||ADT^A08|4132005|D|2.2|||AL|NE
EVN|A08|201912191311||||201912191309
PID|1|FHATVIG0012854|SM00047169|SM46946|CWSBROWN^BABY^GIRL (ZEPHYR)|ZEPHYR TRAIN|20191219|F|||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2|||||||SM003827/19|9874768658
PV1|1|I|SM-S2NUR2^SMNUR2-212^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201912191309|
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||12345000||||||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||T0O1T0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBROWN^ZEPHYR^TRAIN||2592 20 ST^^MAPLE RIDGE^BC^V5J 0S2||||||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||||201912191311||ADT^MRIPHNDODUPDATE|4132006|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|201912191311
PID|1|FHATVIG0012856||SM46948|CWSWHITE^BABY^GIRL (ELECTRA)||20191219|F|||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5||||||||9874768633
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|||201912191311||ADT^A08|4132007|D|2.2|||AL|NE
EVN|A08|201912191311||||201912191309
PID|1|FHATVIG0012856|SM00047171|SM46948|CWSWHITE^BABY^GIRL (ELECTRA)|ELECTRA TRAIN|20191219|F|||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5|||||||SM003829/19|9874768633
PV1|1|I|SM-S2NUR1^SMNUR1-203^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201912191309|
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||CWSWHITE^ELECTRA^TRAIN||6443 142 ST^^NEW WESTMINSTER^BC^V8D 4E5||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

