MSH|^~\&|ADM|SMH|||202001161358||ADT^A01|4148026|D|2.2|||AL|NE
EVN|A01|202001161358||||202001161357
PID|1|FHATVIG0013047|SM00047250|SM47028|CWSLOPEZ^BABY^GIRL (METRO)|METRO TRAIN|20200116|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||SM003960/19|
PV1|1|I|SM-S2NUR2^SMNUR2-221^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||202001161357|
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||T0LIT0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSLOPEZ^METRO^TRAIN||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||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|||202001161359||ADT^A01|4148027|D|2.2|||AL|NE
EVN|A01|202001161358||||202001161357
PID|1|FHATVIG0013048|SM00047251|SM47029|CWSGONZALES^BABY^GIRL (SORENTO|SORENTO TRAIN|20200116|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0|||||||SM003961/19|
PV1|1|I|SM-S2NUR2^SMNUR2-222^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||202001161357|
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||CWSGONZALES^SORENTO^TRAIN||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||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||||202001161359||ADT^MRIPHNDODUPDATE|4148038|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001161359
PID|1|FHATVIG0013047||SM47028|CWSLOPEZ^BABY^GIRL (METRO)||20200116|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||||9874757007
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|||202001161359||ADT^A08|4148039|D|2.2|||AL|NE
EVN|A08|202001161359||||202001161357
PID|1|FHATVIG0013047|SM00047250|SM47028|CWSLOPEZ^BABY^GIRL (METRO)|METRO TRAIN|20200116|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||SM003960/19|9874757007
PV1|1|I|SM-S2NUR2^SMNUR2-221^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||202001161357|
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||T0LIT0||||||F
OBX|7|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||CWSLOPEZ^METRO^TRAIN||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7||||||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||||202001161359||ADT^MRIPHNDODUPDATE|4148041|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001161359
PID|1|FHATVIG0013048||SM47029|CWSGONZALES^BABY^GIRL (SORENTO||20200116|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||||9874756993
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|||202001161359||ADT^A08|4148042|D|2.2|||AL|NE
EVN|A08|202001161359||||202001161357
PID|1|FHATVIG0013048|SM00047251|SM47029|CWSGONZALES^BABY^GIRL (SORENTO|SORENTO TRAIN|20200116|F|||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0|||||||SM003961/19|9874756993
PV1|1|I|SM-S2NUR2^SMNUR2-222^A|NB|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||202001161357|
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||CWSGONZALES^SORENTO^TRAIN||6476 29 AVE^^NORTH VANCOUVER^BC^V4H 7P0||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

