MSH|^~\&|ADM|SMH|||202001071518||ADT^A04|4141468|D|2.2|||AL|NE
EVN|A04|202001071518||||202001071518
PID|1|FHATVIG0012957|SM00047212|SM46991|ADMPEREZ^IMPULSE^TRAIN|MONIQUE|19770425|F|||2820 52 AVE^^PORT COQUITLAM^BC^V4C 5Y6|||||||SM003897/19|9874759365
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001071518|
PV2|||CHEST XRAY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS FAS^Client ID Number^INS||23645987||||||F
GT1|1||ADMPEREZ^IMPULSE^TRAIN||2820 52 AVE^^PORT COQUITLAM^BC^V4C 5Y6||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001071518||ADT^A04|4141469|D|2.2|||AL|NE
EVN|A04|202001071518||||202001071518
PID|1|FHATVIG0012956|SM00047211|SM46990|ADMFLORES^CELICA^TRAIN|ANISHA|19350118|F|||8787 189 AVE^^NORTH VANCOUVER^BC^V7V 7Y7|||||||SM003898/19|9874759372
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001071518|
PV2|||CHEST XRAY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|UPI ISO^^ADM||CAN||||||F
OBX|3|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|4|TX|INS FAS^Client ID Number^INS||18549876||||||F
GT1|1||ADMFLORES^CELICA^TRAIN||878 189 AVE^^NORTH VANCOUVER^BC^V7W 7Y7||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

