MSH|^~\&|ADM|SMH|||202002131157||ADT^A04|4167765|D|2.2|||AL|NE
EVN|A04|202002131157||||202002131155
PID|1|FHATVIG0013314|SM00047372|SM47148|ADMRICHARDSON^MYSTIQUE^TRAIN|JANE|19300302|F|||9238 111 AVE^^NEW WESTMINSITER^BC^V1A 6D1|||||||SM004145/19|9874739062
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202002131155|
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^^^WCB||L||||||F
OBX|6|TX|INS WCBBP^Body Part^INS^^^WCB||43230||||||F
OBX|7|TX|INS WCBDOI^Date of Injury^INS^^^WCB||20200206||||||F
OBX|8|TX|INS WCBID^WCB Claim Number^INS^^^WCB||12345678||||||F
OBX|9|TX|INS WCBNOI^Nature of Injury^INS^^^WCB||03700||||||F
GT1|1||ADMRICHARDSON^MYSTIQUE^TRAIN||9238 111 AVE^^NEW WESTMINSITER^BC^V1A 6D1||||||SP
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC||#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGRCR||

MSH|^~\&|ADM|SMH|||202002131157||ADT^A04|4167768|D|2.2|||AL|NE
EVN|A04|202002131157||||202002131156
PID|1|FHATVIG0013315|SM00047373|SM47149|CWSLEWIS^VIRAGE^TRAIN|JANE|19620903|M|||6370 201 AVE^^PORT COQUITLAM^BC^V3V 4B5|||||||SM004146/19|9874739055
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202002131156|
PV2|||WCB IV-THERAPY
OBX|1|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F
OBX|2|TX|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||||||||F
OBX|3|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS^^^WCB||L||||||F
OBX|4|TX|INS WCBBP^Body Part^INS^^^WCB||43230||||||F
OBX|5|TX|INS WCBDOI^Date of Injury^INS^^^WCB||20200213||||||F
OBX|6|TX|INS WCBID^WCB Claim Number^INS^^^WCB||12345678||||||F
OBX|7|TX|INS WCBNOI^Nature of Injury^INS^^^WCB||03700||||||F
GT1|1||CWSLEWIS^VIRAGE^TRAIN||6370 201 AVE^^PORT COQUITLAM^BC^V3V 4B5||||||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|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGRCR||

MSH|^~\&|ADM|SMH|||202002131157||ADT^A04|4167770|D|2.2|||AL|NE
EVN|A04|202002131157||||202002131156
PID|1|FHATVIG0013316|SM00047374|SM47150|ADMRICHARDSON^MYSTIQUE^TRAIN|SPIDERMAN|19300302|F|||9238 111 AVE^^NEW WESTMINSTER^BC^V1A 6D1|||||||SM004147/19|
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202002131156|
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^^^WCB||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS^^^WCB||21000||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS^^^WCB||20181206||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS^^^WCB||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS^^^WCB||04400||||||F
GT1|1||ADMRICHARDSON^MYSTIQUE^TRAIN||9238 111 AVE^^NEW WESTMINSTER^BC^V1A 6D1||||||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|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGRCR||

MSH|^~\&|ADM|SMH|||202002131157||ADT^A04|4167775|D|2.2|||AL|NE
EVN|A04|202002131157||||202002131156
PID|1|FHATVIG0013317|SM00047375|SM47151|CWSNELSON^EXPRESS^TRAIN|JANE|19690211|F|||8954 179 AVE^^MAPLE RIDGE^BC^V5F 1V7|||||||SM004148/19|9874739048
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202002131156|
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^^^WCB||L||||||F
OBX|3|TX|INS WCBBP^Body Part^INS^^^WCB||43230||||||F
OBX|4|TX|INS WCBDOI^Date of Injury^INS^^^WCB||20200213||||||F
OBX|5|TX|INS WCBID^WCB Claim Number^INS^^^WCB||12345678||||||F
OBX|6|TX|INS WCBNOI^Nature of Injury^INS^^^WCB||03700||||||F
GT1|1||CWSNELSON^EXPRESS^TRAIN||8954 179 AVE^^MAPLE RIDGE^BC^V5F 1V7||||||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|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGRCR||

MSH|^~\&|ADM|SMH|||202002131158||ADT^A04|4167782|D|2.2|||AL|NE
EVN|A04|202002131158||||202002130953
PID|1|FHATVIG0013318|SM00047376|SM47152|CWSBRYANT^OUTBACK^TRAIN|JANE|19940617|F|||5925 6 ST^^PORT COQUITLAM^BC^V2V 6G0|||||||SM004149/19|9874739023
PV1|1|O|SM.TRAIN||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SMH|||||202002130953|
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||20200213||||||F
OBX|6|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS^^^WCB||L||||||F
OBX|7|TX|INS WCBBP^Body Part^INS^^^WCB||43230||||||F
OBX|8|TX|INS WCBDOI^Date of Injury^INS^^^WCB||20181206||||||F
OBX|9|TX|INS WCBID^WCB Claim Number^INS^^^WCB||12345678||||||F
OBX|10|TX|INS WCBNOI^Nature of Injury^INS^^^WCB||03700||||||F
GT1|1||CWABRYANT^OUTBACK^TRAIN||5925 6 ST^^PORT COQUITLAM^BC^V2V 6G0||||||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|ADM||||||||||
ZFH|LUMED|GEN||||||||ENREGRCR||

