MSH|^~\&|ADM|SMH|||202001231145||ADT^A04|4152935|D|2.2|||AL|NE
EVN|A04|202001231145||||202001231144
PID|1|FHATVIG0013122|SM00047281|SM47058|ADMGREEN^MIATA^TRAIN|MARY|19460219|F|||1238 172 AVE^^PITT MEADOWS^BC^V2K 3N3|||||||SM004014/19|9874753357
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202001231144|
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other Photo||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||R||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS||20200123||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
GT1|1||ADMGREEN^MIATA^TRAIN||1238 172 AVE^^PITT MEADOWS^BC^V2K 3N3||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231145||ADT^A04|4152936|D|2.2|||AL|NE
EVN|A04|202001231145||||202001231144
PID|1|FHATVIG0013123|SM00047282|SM47059|CWSALEXANDER^ELANTRA^TRAIN|BARB|19731117|M|||2480 147 ST^^PITT MEADOWS^BC^V7L 3X6|||||||SM004015/19|9874753325
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202001231144|
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS||20200123||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
GT1|1||CWSALEXANDER^ELANTRA^TRAIN||2480 147 ST^^PITT MEADOWS^BC^V7L 3X6||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||202001231145||ADT^A04|4152937|D|2.2|||AL|NE
EVN|A04|202001231145||||202001231144
PID|1|FHATVIG0013121|SM00047280|SM47057|ADMWARD^DINO^TRAIN|JANE|19950702|M|||4438 47 ST^^NEW WESTMINSTER^BC^V3E 8B8|||||||SM004013/19|9874753364
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202001231144|
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS||20200123||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03400||||||F
GT1|1||ADWARD^DINO^TRAIN||4438 47 ST^^NEW WESTMINSTER^BC^V3E 8B8||||||SP
ZFD|GENPT^GENP^TEST^A^^^^0008^DOC|10 SOME STREET^^NEW WESTMINSTER^BC^V3H 4N5|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED||||||

