MSH|^~\&|ADM|SMH|||201910092101||ADT^A08|4073745|D|2.2|||AL|NE
EVN|A08|201910092101||||201910090150
PID|1|FHATVIG0011693|SM00046408|SM46200|ADMSTENWED^DARRYL|HARSHA|19880228|M|||76-7166 DELI LANE^^SURREY^BC^V3X 2C2|||||||SM002801/19|
PV1|1|I|SM-ERTAC1^SMERTAC1^AB|UE|||SWANSONT^Swanson^Todd^^^^^^^^^^XX|||EMED||||||||IN|||||||||||||||||||||SMH|||||201910090150|
PV2||W^Ward|RIGHT HIP FRACTURED
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20111215||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|ADM TPL^Third Party Liability?^ADM||N^No||||||F
OBX|8|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||R||||||F
OBX|9|TX|INS WCBBP^Body Part^INS||25100||||||F
OBX|10|TX|INS WCBDOI^Date of Injury^INS||20191009||||||F
OBX|11|TX|INS WCBNOI^Nature of Injury^INS||99990||||||F
OBX|12|CE|INS WSBC^Is this a WorkSafeBC claim?^INS||Y^Yes||||||F
GT1|1||ADMSTENWED^DARRYL||76-7166 DELI LANE^^SURREY^BC^V3X 2C2||||||SP
ZFD|BOXERJ^Boxer^Jacob^^^^^00458^DOC|1530 West 7th Avenue^Seymour Health Centre^Vancouver^BC^V6J 1S3|CHONGD^Chong^David^L^^^^28112^DOC||SWANSONT^Swanson^Todd^^^^^64932^DOC|CHONGD^Chong^David^L^^^^28112^DOC|#WBC^BC^#Worksafe^^^^^^LOCATION|
ZFH|LUMED|201910090130|2||||

MSH|^~\&|ADM|SMH|||201910092101||ADT^A03|4073748|D|2.2|||AL|NE
EVN|A03|201910092101||||201910092059
PID|1|FHATVIG0011689|SM00046404|SM46196|ADMSTENCHEESE^BABY^GIRL B|SONIA|20191009|F|||9689 116TH ST^^DELTA^BC^V4N 2W3|||||||SM002797/19|
PV1|1|I|SM-S2NUR1^SMNUR1-207^A|NB|||SINGHS2^Singh^Sunira^^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED TO ACUTE FACILITY|||SMH|||||201910090934|201910092059
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||SINGHS2^Singh^Sunira^^^^^63836^DOC|.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910092101||ADT^A08|4073749|D|2.2|||AL|NE
EVN|A08|201910092101||||201910090130
PID|1|FHATVIG0011717|SM00046432|SM46223|ADMSTENJACK^BABY^GIRL(SONIA)|CINDY|20191009|F|||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1|||||||SM002825/19|
PV1|1|I|SM-S2FBUPA^SMFBUPA-01^B|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN|||||||||||||||||||||SMH|||||201910090130|
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM MN^Enter Patient's Maiden Name:^ADM||SONIA||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMSTENJACK^CINDY||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1||||||MO
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SMH|||201910092102||ADT^A03|4073757|D|2.2|||AL|NE
EVN|A03|201910092102||||201910091600
PID|1|FHATVIG0011717|SM00046432|SM46223|ADMSTENJACK^BABY^GIRL(SONIA)|CINDY|20191009|F|||1234 PINK TICK ROAD^^MAPLE RIDGE^BC^V4P 5P1|||||||SM002825/19|
PV1|1|I|SM-S2FBUPA^SMFBUPA-01^B|NB|||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^^^^^^XX|||NEWB||||||||IN||||||||||||||||||DISCHARGED TO ACUTE FACILITY|||SMH|||||201910090130|201910091600
PV2||W^Ward|NEWBORN
OBX|1|TX|ADM MN^Enter Patient's Maiden Name:^ADM||SONIA||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|RAMESHK^Ramesh^Kuppuchipalayam^K.^^^^28555^DOC|
ZFH|LUMED||||||