MSH|^~\&|ADM|SMH|||202001071456||ADT^A04|4141235|D|2.2|||AL|NE
EVN|A04|202001071456||||202001071454
PID|1|FHATVIG0012954|SM00047209|SM46988|ADMPEREZ^VIGOR^TRAIN|AMY|19370523|F|||1933 233 ST^^EDMONTON^AB^T1D 2N1|||||||SM003893/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001071454|
PV2|||DOPPLER ULTRASOUND
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 OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||ADMPEREZ^VIGOR^TRAIN||1933 233 ST^^EDMONTON^AB^T1D 2N1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001071456||ADT^A04|4141236|D|2.2|||AL|NE
EVN|A04|202001071456||||202001071454
PID|1|FHATVIG0012955|SM00047210|SM46989|CWSJONES^TRAINAROSSA^TRAIN|ANISHA|19900404|F|||9560 64 AVE^^EDMONTON^BC^T7A 6H6|||||||SM003894/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001071454|
PV2|||DOPPLER ULTRASOUND
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 OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSJONES^TRAINAROSSA^TRAIN||9560 64 AVE^^EDMONTON^BC^T7A 6H6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001071456||ADT^A04|4141241|D|2.2|||AL|NE
EVN|A04|20200107||||
PID|1|FHATVIG0012953|AB00008463|AB8361|UCITEST^RECURRING||19891212|M|||1234 NEW RD^^SURREY^BC^V3T 5T5|||||||AB000923/19|
PV1|1|O|AB.PAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||201912281453|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCITEST^RECURRING||1234 NEW RD^^SURREY^BC^V3T 5T5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001071456||ADT^A04|4141243|D|2.2|||AL|NE
EVN|A04|20200107||||
PID|1|FHATVIG0012953|AB00008463|AB8361|UCITEST^RECURRING||19891212|M|||1234 NEW RD^^SURREY^BC^V3T 5T5|||||||AB000923/19|
PV1|1|O|AB.PAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||201912281453|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCITEST^RECURRING||1234 NEW RD^^SURREY^BC^V3T 5T5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001071456||ADT^A04|4141246|D|2.2|||AL|NE
EVN|A04|20200107||||
PID|1|FHATVIG0012953|AB00008463|AB8361|UCITEST^RECURRING||19891212|M|||1234 NEW RD^^SURREY^BC^V3T 5T5|||||||AB000923/19|
PV1|1|O|AB.PAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||201912281453|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCITEST^RECURRING||1234 NEW RD^^SURREY^BC^V3T 5T5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001071456||ADT^A04|4141248|D|2.2|||AL|NE
EVN|A04|202001071456||||202001011454
PID|1|FHATVIG0012953|AB00008463|AB8361|UCITEST^RECURRING||19891212|M|||1234 NEW RD^^SURREY^BC^V3T 5T5|||||||AB000923/19|
PV1|1|O|AB.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||202001011454|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCITEST^RECURRING||1234 NEW RD^^SURREY^BC^V3T 5T5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||202001071456||ADT^A04|4141250|D|2.2|||AL|NE
EVN|A04|202001071456||||202001021454
PID|1|FHATVIG0012953|AB00008463|AB8361|UCITEST^RECURRING||19891212|M|||1234 NEW RD^^SURREY^BC^V3T 5T5|||||||AB000923/19|
PV1|1|O|AB.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||ARH|||||202001021454|
PV2|||
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||UCITEST^RECURRING||1234 NEW RD^^SURREY^BC^V3T 5T5||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001071456||ADT^MRIPHNDODUPDATE|4141282|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001071456
PID|1|FHATVIG0012954||SM46988|ADMPEREZ^VIGOR^TRAIN||19370523|F|||1933 233 ST^^EDMONTON^AB^T1D 2N1||||||||9874759469
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001071456||ADT^A08|4141283|D|2.2|||AL|NE
EVN|A08|202001071456||||202001071454
PID|1|FHATVIG0012954|SM00047209|SM46988|ADMPEREZ^VIGOR^TRAIN|AMY|19370523|F|||1933 233 ST^^EDMONTON^AB^T1D 2N1|||||||SM003893/19|9874759469
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001071454|
PV2|||DOPPLER ULTRASOUND
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 OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||ADMPEREZ^VIGOR^TRAIN||1933 233 ST^^EDMONTON^AB^T1D 2N1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001071456||ADT^MRIPHNDODUPDATE|4141285|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001071456
PID|1|FHATVIG0012955||SM46989|CWSJONES^TRAINAROSSA^TRAIN||19900404|F|||9560 64 AVE^^EDMONTON^BC^T7A 6H6||||||||9874759451
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001071456||ADT^A08|4141286|D|2.2|||AL|NE
EVN|A08|202001071456||||202001071454
PID|1|FHATVIG0012955|SM00047210|SM46989|CWSJONES^TRAINAROSSA^TRAIN|ANISHA|19900404|F|||9560 64 AVE^^EDMONTON^BC^T7A 6H6|||||||SM003894/19|9874759451
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001071454|
PV2|||DOPPLER ULTRASOUND
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 OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSJONES^TRAINAROSSA^TRAIN||9560 64 AVE^^EDMONTON^BC^T7A 6H6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

