MSH|^~\&|ADM||||202001211527||ADT^MRIPHNDODUPDATE|4151369|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211527
PID|1|FHATVIG0013089||SM47045|CWSJENKINS^ROADSTER^TRAIN||19360713|M|||1873 125 ST EDMONTON^^EDMONTON^AB^T0Z 4I3||||||||9874754287
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001211527||ADT^A08|4151370|D|2.2|||AL|NE
EVN|A08|202001211527||||202001211517
PID|1|FHATVIG0013089|SM00047268|SM47045|CWSJENKINS^ROADSTER^TRAIN|FILIP|19360713|M|||1873 125 ST EDMONTON^^EDMONTON^AB^T0Z 4I3|||||||SM003996/19|9874754287
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001211517|
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 OPC ED^OPC Expiry Date (If Applicable)^INS||20201105||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|7|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSJENKINS^ROADSTER^TRAIN||1873 125 ST EDMONTON^^EDMONTON^AB^T0Z 4I3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001211527||ADT^MRIPHNDODUPDATE|4151373|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211527
PID|1|FHATVIG0013090||SM47046|ADMSCOTT^TIBURON^TRAIN||19490618|M|||1201 172 ST^^EDMONTON^AB^T0R 0G1||||||||9874754262
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001211527||ADT^A08|4151374|D|2.2|||AL|NE
EVN|A08|202001211527||||202001211517
PID|1|FHATVIG0013090|SM00047269|SM47046|ADMSCOTT^TIBURON^TRAIN|TRACY|19490618|M|||1201 172 ST^^EDMONTON^AB^T0R 0G1|||||||SM003997/19|9874754262
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001211517|
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 OPCAD1^Address line 1^INS||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||ADMSCOTT^TIBURON^TRAIN||1201 172 ST^^EDMONTON^AB^T0R 0G1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001211528||ADT^MRIPHNDODUPDATE|4151375|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211528
PID|1|FHATVIG0013091||SM47047|ADMEVANS^STORM^TRAIN||19711124|F|||8629 50 AVE^^EDMONTON^AB^T2E 0N3||||||||9874754255
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001211528||ADT^A08|4151376|D|2.2|||AL|NE
EVN|A08|202001211527||||202001211517
PID|1|FHATVIG0013091|SM00047270|SM47047|ADMEVANS^STORM^TRAIN|JZEL|19711124|F|||8629 50 AVE^^EDMONTON^AB^T2E 0N3|||||||SM003998/19|9874754255
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001211517|
PV2|||DOPPLER ULTRASOUND
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No 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||ADMEVANS^STORM^TRAIN||8629 50 AVE^^EDMONTON^AB^T2E 0N3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001211528||ADT^MRIPHNDODUPDATE|4151379|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211528
PID|1|FHATVIG0013092||SM47048|ADMCOOK^INTEGRA^TRAIN||19710612|M|||9877 6 AVE^^EDMONTON^AB^T4C 4E4||||||||9874754248
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001211528||ADT^A08|4151381|D|2.2|||AL|NE
EVN|A08|202001211528||||202001211518
PID|1|FHATVIG0013092|SM00047271|SM47048|ADMCOOK^INTEGRA^TRAIN|SARA|19710612|M|||9877 6 AVE^^EDMONTON^AB^T4C 4E4|||||||SM003999/19|9874754248
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001211518|
PV2|||DOPPER 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 OPCAD1^Address line 1^INS||123 LIVEDHEREBBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||ADMCOOK^INTEGRA^TRAIN||9877 6 AVE^^EDMONTON^AB^T4C 4E4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001211528||ADT^MRIPHNDODUPDATE|4151383|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211528
PID|1|FHATVIG0013082||BH4491|CWSAMY^SMITH||19780610|F|||13750 96AVE^^SURREY^BC^V3V 1Z2||||||||9874754223
ZFD||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^^DOC|LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||202001211528||ADT^A08|4151384|D|2.2|||AL|NE
EVN|A08|202001211528||||202001280730
PID|1|FHATVIG0013082|BH00005258|BH4491|CWSAMY^SMITH||19780610|F|||13750 96AVE^^SURREY^BC^V3V 1Z2|||||||BH000483/19|9874754223
PV1|1|P|BH.ONC||||LAMW1^Lam^Wendy^Y. H.^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001280730|
PV2|||FAMILY SESSION
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^^DOC|LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|BH|||202001211528||ADT^A05|4151385|D|2.2|||AL|NE
EVN|A05|202001211528||||202001291300
PID|1|FHATVIG0013088|BH00005264|BH4497|ADMTEST^SONY||19821212|F|||13750-96 AVE^^SURREY^BC^V3V 1Z2|||||||BH000492/19|
PV1|1|P|BH.ONC||||TELIOD^Telio^David^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||BH|||||202001291300|
PV2|||FAMILY SESSION
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|||||TELIOD^Telio^David^^^^^64416^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001211528||ADT^MRIPHNDODUPDATE|4151388|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211528
PID|1|FHATVIG0013084||BH4494|ADMTEST^MANDY||19730527|F|||13750-96 AVE^^SURREY^BC^V3V 1Z2||||||||9874754216
ZFD|||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001211528||ADT^MRIPHNDODUPDATE|4151389|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001211528
PID|1|FHATVIG0013084||BH4494|ADMTEST^MANDY||19730527|F|||13750-96 AVE^^SURREY^BC^V3V 1Z2||||||||9874754216
ZFD|||||LAMW1^Lam^Wendy^Y. H.^^^^23201^DOC|
ZFH|LUMED||||||

