MSH|^~\&|ADM|SMH|||202001211411||ADT^A03|4150748|D|2.2|||AL|NE
EVN|A03|202001211411||||202001211411
PID|1|FHATVIG0013049|SM00047252|SM47030|ADMRICHARDSON^TALON^TRAIN|STEFANIE|19860704|F|||1862 136 AVE^^MAPLE RIDGE^BC^V8L 6K7|||||||SM003962/19|9874756961
PV1|1|I|SM-S2FBU2^SMFBU2-211^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||202001161513|202001211411
PV2||W^Ward|LABOUR
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20200109||||||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||EDMONTON||||||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||123450000||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001211411||ADT^A03|4150749|D|2.2|||AL|NE
EVN|A03|202001211411||||202001211411
PID|1|FHATVIG0008953|SM00044602|SM44414|ADMRAMIREZ^ODYSSEY^TRAIN|STEFANIE|19941014|F|||4285 263 AVE^^PORT COQUITLAM^BC^V1R 0K0|||||||SM003901/19|9875370196
PV1|1|I|SM-S2FBU2^SMFBU2-220^A|UE|||GENPT^GENP^TEST^A^^^^^^^^^XX|||OBS||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||202001081400|202001211411
PV2||W^Ward|LABOUR
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||20200103||||||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|TX|ADM MN^Enter Patient's Maiden Name:^ADM||HINZ||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|TX|ADM POC FC^Is Funeral Home Collection Requested?^ADM||Y||||||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||12345678||||||F
OBX|11|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||GENPT^GENP^TEST^A^^^^0008^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001211411||ADT^A03|4150754|D|2.2|||AL|NE
EVN|A03|202001211411||||202001211411
PID|1|FHATVIG0013037|SM00047242|SM47020|CWSLOPEZ^METRO^TRAIN|SARA|19880719|F|||5237 103 AVE^^PORT COQUITLAM^BC^V0K 6G7|||||||SM003952/19|9874757125
PV1|1|I|SM-S2FBU2^SMFBU2-221^A|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||OBS/AP||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||SMH|||||202001161344|202001211411
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||20200109||||||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 SCH DT^Appointment Date^ADM||||||||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||T0LIT0||||||F
OBX|15|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

