MSH|^~\&|ADM||||202002061107||ADT^MRIPHNDODUPDATE|4163058|D|2.2|||AL|NE
EVN|MRIPHNDODUPDATE|202002061107
PID|1|FHATVIG0013232||SM47110|ADMPERRY^VISION^TRAIN||19850501|F|||3939 212 AVE^^NORTH VANCOUVER^BC^V2I 3W3||||||||9874750573
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||NMIPHN

MSH|^~\&|ADM|SMH|||202002061107||ADT^A08|4163059|D|2.2|||AL|NE
EVN|A08|202002061107||||202002061105
PID|1|FHATVIG0013232|SM00047335|SM47110|ADMPERRY^VISION^TRAIN|GOOFY|19850501|F|||3939 212 AVE^^NORTH VANCOUVER^BC^V2I 3W3|||||||SM004093/19|9874750573
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002061105|
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 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||ADMPERRY^VISION^TRAIN||3939 212 AVE^^NORTH VANCOUVER^BC^V2I 3W3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||EDREGCLI

