MSH|^~\&|ADM|SMH|||202001231055||ADT^A04|4152743|D|2.2|||AL|NE
EVN|A04|202001231055||||202001231053
PID|1|FHATVIG0013118|SM00047277|SM47054|ADMPHILLIPS^SUMMIT^TRAIN|SHARON|19910803|F|||1559 173 AVE^^NORTH VANCOUVER^BC^V4L 6H3|||||||SM004010/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001231053|
PV2|||ASSESSMENT
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 LIVED HERE BEFORE 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||4||||||F
GT1|1||ADMPHILLIPS^SUMMIT^TRAIN||1559 173 AVE^^NORTH VANCOUVER^BC^V4L 6H3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231055||ADT^A04|4152747|D|2.2|||AL|NE
EVN|A04|202001231055||||202001231053
PID|1|FHATVIG0013119|SM00047278|SM47055|ADMGREEN^ACCLAIM^TRAIN|SIMPSON|19960118|F|||8026 112 ST^^PITT MEADOWS^BC^v7a 6x3|||||||SM004011/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001231053|
PV2|||ASSESSMENT
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 LIVED HERE BEFORE 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||T01T10||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMGREEN^ACCLAIM^TRAIN||8026 112 ST^^PITT MEADOWS^BC^v7a 6x3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231056||ADT^A04|4152754|D|2.2|||AL|NE
EVN|A04|202001231055||||202001231053
PID|1|FHATVIG0013120|SM00047279|SM47056|CWSPARKER^FESTIVE^TRAIN|BARB|19850525|F|||4978 212 AVE^^PITT MEADOWS^BC^V1C 5I4|||||||SM004012/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001231053|
PV2|||ASSESSMENT
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||12345000||||||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||4||||||F
GT1|1||CWSPARKER^FESTIVE^TRAIN||4978 212 AVE^^PITT MEADOWS^BC^V1C 5I4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001231056||ADT^MRIPHNDODUPDATE|4152760|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001231056
PID|1|FHATVIG0013118||SM47054|ADMPHILLIPS^SUMMIT^TRAIN||19910803|F|||1559 173 AVE^^NORTH VANCOUVER^BC^V4L 6H3||||||||9874753396
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231056||ADT^A08|4152761|D|2.2|||AL|NE
EVN|A08|202001231056||||202001231053
PID|1|FHATVIG0013118|SM00047277|SM47054|ADMPHILLIPS^SUMMIT^TRAIN|SHARON|19910803|F|||1559 173 AVE^^NORTH VANCOUVER^BC^V4L 6H3|||||||SM004010/19|9874753396
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001231053|
PV2|||ASSESSMENT
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 LIVED HERE BEFORE 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||4||||||F
GT1|1||ADMPHILLIPS^SUMMIT^TRAIN||1559 173 AVE^^NORTH VANCOUVER^BC^V4L 6H3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001231056||ADT^MRIPHNDODUPDATE|4152763|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001231056
PID|1|FHATVIG0013119||SM47055|ADMGREEN^ACCLAIM^TRAIN||19960118|F|||8026 112 ST^^PITT MEADOWS^BC^v7a 6x3||||||||9874753389
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231056||ADT^A08|4152764|D|2.2|||AL|NE
EVN|A08|202001231056||||202001231053
PID|1|FHATVIG0013119|SM00047278|SM47055|ADMGREEN^ACCLAIM^TRAIN|SIMPSON|19960118|F|||8026 112 ST^^PITT MEADOWS^BC^v7a 6x3|||||||SM004011/19|9874753389
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001231053|
PV2|||ASSESSMENT
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 LIVED HERE BEFORE 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||T01T10||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS||4||||||F
GT1|1||ADMGREEN^ACCLAIM^TRAIN||8026 112 ST^^PITT MEADOWS^BC^v7a 6x3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM||||202001231056||ADT^MRIPHNDODUPDATE|4152765|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202001231056
PID|1|FHATVIG0013120||SM47056|CWSPARKER^FESTIVE^TRAIN||19850525|F|||4978 212 AVE^^PITT MEADOWS^BC^V1C 5I4||||||||9874753371
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231056||ADT^A08|4152766|D|2.2|||AL|NE
EVN|A08|202001231056||||202001231053
PID|1|FHATVIG0013120|SM00047279|SM47056|CWSPARKER^FESTIVE^TRAIN|BARB|19850525|F|||4978 212 AVE^^PITT MEADOWS^BC^V1C 5I4|||||||SM004012/19|9874753371
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202001231053|
PV2|||ASSESSMENT
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||12345000||||||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||4||||||F
GT1|1||CWSPARKER^FESTIVE^TRAIN||4978 212 AVE^^PITT MEADOWS^BC^V1C 5I4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

