MSH|^~\&|ADM|SMH|||202001280201||ADT^A03|4157017|D|2.2|||AL|NE
EVN|A03|202001280201||||20200127
PID|1|FHATVIG0009973|SM00045216|SM45014|CWSBUTLER^LAGONDA^TRAIN|SUE|20040108|M|||9627 95 ST^^MAPLE RIDGE^BC^V2K 6X5|||||||SM001319/19|9875246063
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201907110900|202001270001
PV2|||WCB IV-THERAPY
OBX|1|TX|INS MSPDOB^Date of Birth^INS||20040108||||||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||20190711||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
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|||||||||ENDISRCR

MSH|^~\&|ADM|SMH|||202001280201||ADT^A03|4157018|D|2.2|||AL|NE
EVN|A03|202001280201||||20200127
PID|1|FHATVIG0009972|SM00045215|SM45013|ADMGONZALES^LEGENDTRAIN|JANE|19520314|M|||7163 178 AVE^^PORT COQUITLAM^BC^V7J 0E4|||||||SM001318/19|9875246088
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201907111236|202001270001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|ADM SCH DT^Appointment Date^ADM||20190711||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS||20190711||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
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|||||||||ENDISRCR

MSH|^~\&|ADM|SMH|||202001280201||ADT^A03|4157019|D|2.2|||AL|NE
EVN|A03|202001280201||||20200127
PID|1|FHATVIG0009991|SM00045233|SM45031|CWSPHILLIPS^CORRADO^TRAIN||19940914|M|||9718 47 ST^^NEW WESTMINSTER^BC^V5V 1Z1|||||||SM001336/19|9875245853
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201907111236|202001270001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190711||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
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|||||||||ENDISRCR

MSH|^~\&|ADM|SMH|||202001280201||ADT^A03|4157020|D|2.2|||AL|NE
EVN|A03|202001280201||||20200127
PID|1|FHATVIG0009967|SM00045210|SM45008|ADMYOUNG^FESTIVA^TRAIN|RAJI|19930207|M|||5261 138 AVE^^NEW WESTMINISTER^BC^V2D 5J3|||||||SM001313/19|9875246142
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||201907111235|202001270001
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|3|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|5|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS||20190711||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS||03700||||||F
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|||||||||ENDISRCR

