MSH|^~\&|ADM|SMH|||202002041443||ADT^A04|4161570|D|2.2|||AL|NE
EVN|A04|202002041443||||202002041442
PID|1|FHATVIG0013213|SM00047329|SM47104|CWSCOLEMAN^BRONCO^TRAIN|LEE|19970325|F|||1288 213 ST^^EDMONTON^AB^T8S 2Z8|||||||SM004086/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002041442|
PV2|||DOBBLER 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 OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSCOLEMAN^BRONCO^TRAIN||1288 213 ST^^EDMONTON^AB^T8S 2Z8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENREGCLI

MSH|^~\&|ADM||||202002041443||ADT^MRIPHNDODUPDATE|4161576|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202002041443
PID|1|FHATVIG0013213||SM47104|CWSCOLEMAN^BRONCO^TRAIN||19970325|F|||1288 213 ST^^EDMONTON^AB^T8S 2Z8||||||||9874751622
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||NMIPHN

MSH|^~\&|ADM|SMH|||202002041443||ADT^A08|4161577|D|2.2|||AL|NE
EVN|A08|202002041443||||202002041442
PID|1|FHATVIG0013213|SM00047329|SM47104|CWSCOLEMAN^BRONCO^TRAIN|LEE|19970325|F|||1288 213 ST^^EDMONTON^AB^T8S 2Z8|||||||SM004086/19|9874751622
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002041442|
PV2|||DOBBLER 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 OPCRBC^Reason patient in British Columbia^INS||1||||||F
GT1|1||CWSCOLEMAN^BRONCO^TRAIN||1288 213 ST^^EDMONTON^AB^T8S 2Z8||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||EDREGCLI

