MSH|^~\&|ADM|SMH|||202001091407||ADT^A06|4143010|D|2.2|||AL|NE
EVN|A06|202001091407||||202001091404
PID|1|FHATVIG0012978|SM00047215|SM46994|ADMREED^RANGER^TRAIN|JANE|19870121|F|||1873 136 AVE^^PORT COQUITLAM^BC^V6T 7T5|||||||SM003904/19|9874758291
PV1|1|I|SM-S2FBU2^SMFBU2-211^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001091404|
PV2||W^Ward|ASSESSMENT
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMREED^RANGER^TRAIN||1873 136 AVE^^PORT COQUITLAM^BC^V6T 7T5||||||SP
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|||202001091407||ADT^A06|4143015|D|2.2|||AL|NE
EVN|A06|202001091407||||202001091404
PID|1|FHATVIG0012977|SM00047214|SM46993|ADMPOWELL^TALON^TRAIN|TALON|19400424|F|||1120 2910 AVE^^NEW WESTMINSTER^BC^VOB 218|||||||SM003903/19|9874758324
PV1|1|I|SM-S2FBU2^SMFBU2-219^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001091404|
PV2||W^Ward|LABOR
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190109||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST,EDMONTON, AB TOL 2T0||||||F
OBX|7|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|8|TX|INS OPC^Other Province Health Care Number^INS||1234500000||||||F
OBX|9|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|10|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|11|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|12|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|13|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMPOWELL^TALON^TRAIN||1120 2910 AVE^^NEW WESTMINSTER^BC^VOB 218||||||SP
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|||202001091408||ADT^A08|4143020|D|2.2|||AL|NE
EVN|A08|202001091408||||202001091404
PID|1|FHATVIG0012978|SM00047215|SM46994|ADMREED^RANGER^TRAIN|JANE|19870121|F|||1873 136 AVE^^PORT COQUITLAM^BC^V6T 7T5|||||||SM003904/19|9874758291
PV1|1|I|SM-S2FBU2^SMFBU2-211^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001091404|
PV2||W^Ward|LABOR
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L 2T0||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|10|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|11|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|12|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|13|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|14|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|15|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMREED^RANGER^TRAIN||1873 136 AVE^^PORT COQUITLAM^BC^V6T 7T5||||||SP
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|||202001091408||ADT^A06|4143021|D|2.2|||AL|NE
EVN|A06|202001091408||||202001091405
PID|1|FHATVIG0012976|SM00047213|SM46992|CWSBAILEY^IMPULSE^TRAIN|CAROL|19890302|F|||7697 79 ST^^NEW WESTMINSTER^BC^V2H 3W7|||||||SM003902/19|9874758317
PV1|1|I|SM-S2FBU2^SMFBU2-213^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN|||||||||||||||||||||SMH|||||202001091405|
PV2||W^Ward|LABOR
OBX|1|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191210||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|7|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST, EDMONTON, AB, T0L2T0||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|9|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|10|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|11|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|12|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|13|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|14|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSBAILEY^IMPULSE^TRAIN||7697 79 ST^^NEW WESTMINSTER^BC^V2H 3W7||||||SP
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|||202001091408||ADT^A06|4143025|D|2.2|||AL|NE
EVN|A06|202001091408||||202001091404
PID|1|FHATVIG0012979|SM00047216|SM46995|ADMANDERSON^AZTEK^TRAIN|JODY|19930218|F|||5218 86 STREET^^NEW WESTMINISTER^BC^V4W 1Z2|||||||SM003905/19|9874758284
PV1|1|I|SM-S2FBU3^SMFBU3-230^A|UE||SM.TRAIN|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS||||||||IN|||||||||||||||||||||SMH|||||202001091404|
PV2||W^Ward|LABOR
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|CE|ADM ACC VE^Requested Accommodation Verified?^ADM||Y^YES VERIF PA NOT SIGNED||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191101||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||123 LIVEDHEREBEFORE ST. EDOMONTON, AB, TOL ZTO||||||F
OBX|9|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|10|TX|INS OPC^Other Province Health Care Number^INS||123450000||||||F
OBX|11|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|12|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|13|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|14|TX|INS OPCAD5^Postal Code^INS||TOL1TO||||||F
OBX|15|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMANDERSON^AZTEK^TRAIN||5218 86 STREET^^NEW WESTMINISTER^BC^V4W 1Z2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

