MSH|^~\&|ADM|SMH|||202002131108||ADT^A04|4167434|D|2.2|||AL|NE
EVN|A04|202002131108||||202002131107
PID|1|FHATVIG0013309|SM00047367|SM47143|CWSHENDERSON^ELANTRA^TRAIN|JADE|19930715|F|||3557 193 AVE^^PITT MEADOWS^BC^V5S 2U3|||||||SM004140/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002131107|
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^^^OAB||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS^^^OAB||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVEDEHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS^^^OAB||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS^^^OAB||4||||||F
GT1|1||CWSHENDERSON^ELANTRA^TRAIN||3557 193 AVE^^PITT MEADOWS^BC^V5S 2U3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGCLI||

MSH|^~\&|ADM|SMH|||202002131108||ADT^A04|4167441|D|2.2|||AL|NE
EVN|A04|202002131108||||202002131107
PID|1|FHATVIG0013310|SM00047368|SM47144|CWSHENDERSON^ELANTRA^TRAIN|SPIDERMAN|19330715|F|||3557 193 AVE^^PITT MEADOWS^BC^V5A 2U3|||||||SM004141/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002131107|
PV2|||ASSESSMENT
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||||||||F
OBX|3|CE|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS^^^OAB||N^No||||||F
OBX|4|TX|INS OPC^Other Province Health Care Number^INS^^^OAB||123450000||||||F
OBX|5|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVEDHEREBEFORE ST||||||F
OBX|6|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|7|TX|INS OPCAD4^Province^INS^^^OAB||AB||||||F
OBX|8|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
OBX|9|TX|INS OPCRBC^Reason patient in British Columbia^INS^^^OAB||4||||||F
GT1|1||CWSHENDERSON^ELANTRA^TRAIN||3557 193 AVE^^PITT MEADOWS^BC^V5A 2U3||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGCLI||

MSH|^~\&|ADM|SMH|||202002131108||ADT^A04|4167443|D|2.2|||AL|NE
EVN|A04|202002131108||||202002131107
PID|1|FHATVIG0013311|SM00047369|SM47145|CWSADAMS^PROBE^TRAIN|JANE|19990401|F|||8750 194 ST^^PORT COQUITLAM^BC^V1A 8G4|||||||SM004142/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002131107|
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^^^OAB||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS^^^OAB||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS^^^OAB||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS^^^OAB||4||||||F
GT1|1||CWSADAMS^PROBE^TRAIN||8750 194 ST^^PORT COQUITLAM^BC^V1A 8G4||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGCLI||

MSH|^~\&|ADM|SMH|||202002131108||ADT^A04|4167444|D|2.2|||AL|NE
EVN|A04|202002131108||||202002131107
PID|1|FHATVIG0013312|SM00047370|SM47146|CWSHILL^ECONOLINE^TRAIN||19580105|F|||7521 204 ST^^PORT COQUITLAM^BC^V7W 1C2|||||||SM004143/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002131107|
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^^^OAB||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS^^^OAB||123450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS^^^OAB||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS^^^OAB||4||||||F
GT1|1||CWSHILL^ECONOLINE^TRAIN||7521 204 ST^^PORT COQUITLAM^BC^V7W 1C2||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGCLI||

MSH|^~\&|ADM|SMH|||202002131108||ADT^A04|4167445|D|2.2|||AL|NE
EVN|A04|202002131108||||202002131107
PID|1|FHATVIG0013313|SM00047371|SM47147|ADMJOHNSON^PASSPORT^TRAIN||19850413|F|||2817 197 ST^^Port Coquitlam^BC^V3U 302|||||||SM004144/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||SMH|||||202002131107|
PV2|||ASSESSEMENT
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^^^OAB||N||||||F
OBX|3|TX|INS OPC^Other Province Health Care Number^INS^^^OAB||12450000||||||F
OBX|4|TX|INS OPCAD1^Address line 1^INS^^^OAB||123 LIVEDHEREBEFORE ST||||||F
OBX|5|TX|INS OPCAD3^City^INS^^^OAB||EDMONTON||||||F
OBX|6|TX|INS OPCAD4^Province^INS^^^OAB||AB||||||F
OBX|7|TX|INS OPCAD5^Postal Code^INS^^^OAB||T0L1T0||||||F
OBX|8|TX|INS OPCRBC^Reason patient in British Columbia^INS^^^OAB||4||||||F
GT1|1||ADMJOHNSON^PASSPORT^TRAIN||2817 197 ST^^Port Coquitlam^BC^V3U 302||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGCLI||

