MSH|^~\&|ADM|SCSC|||202001141814||ADT^A08|4146432|D|2.2|||AL|NE
EVN|A08|202001141814||||202001160900
PID|1|FHATVIG0011808|SU00004090|SM46311|ADMSTEN^SIGMUND^BERT|LORI|19650919|M|||BOX 134^^SARDIS^BC^V0Z 10A|||||||SU000396/19|9874986206
PV1|1|P|SU.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202001160900|
PV2|||DIABETES
OBX|1|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|2|TX|INS OPCAD1^Address line 1^INS||GENERAL DELIVERY||||||F
OBX|3|TX|INS OPCAD3^City^INS||LASHBURN||||||F
OBX|4|TX|INS OPCAD5^Postal Code^INS||T2R1E3||||||F
GT1|1||ADMSTEN^SIGMUND^BERT||BOX 134^^SARDIS^BC^V0Z 10A||||||SP
ZFD|RICHARDD^Richardson^David^R.^^^^07868^DOC|112 - 5501 204 Street^^Langley^BC^V3A 5N8|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SCSC|||202001141814||ADT^A11|4146434|D|2.2|||AL|NE
EVN|A11|202001141814||||20200122
PID|1|FHATVIG0011372|SU00004086|SM45904|ADMTEST^JEFF|ANUREET|19900601|M|||32896 MARSHALL ROAD^^ABBOTSFORD^BC^V9Y 8U7|||||||SU000392/19|9875028372
PV1|1|O|SU.DIAB||||SUED^Sue^Donna^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202001221430|
PV2|||DIABETES
OBX|1|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||N||||||F
OBX|2|TX|INS WCBBP^Body Part^INS||23100||||||F
OBX|3|TX|INS WCBNOI^Nature of Injury^INS||02100||||||F
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||SUED^Sue^Donna^^^^^01357^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SCSC|||202001141814||ADT^A11|4146435|D|2.2|||AL|NE
EVN|A11|202001141814||||20200121
PID|1|FHATVIG0001026|SU00004087|RC6108|ADMTEST^FRAY^HOUSE||19840512|F|||1234 MAIN ST^^SURREY^BC^V3X 9C1|||||||SU000393/19|9876474976
PV1|1|O|SU.DIAB||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202001211400|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|SCSC|||202001141814||ADT^A11|4146436|D|2.2|||AL|NE
EVN|A11|202001141814||||20200121
PID|1|FHATVIG0011376|SU00004088|SM45908|ADMTEST^JEFF|SONIA|19650919|M|||32896 MARSHALL RD.^^ABBOTSFORD^BC|||||||SU000394/19|9875023491
PV1|1|O|SU.DIAB||||.UNATTACH^Unattach^^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202001211300|
PV2|||DIABETES
OBX|1|TX|INS WCBAP^Anatomical Positions (Side of Body)^INS||N||||||F
OBX|2|TX|INS WCBBP^Body Part^INS||23100||||||F
OBX|3|TX|INS WCBNOI^Nature of Injury^INS||02100||||||F
ZFD|.CANNOTID^ID^Cannot^^^^^^OTH||||.UNATTACH^Unattach^^^^^^^OTH|
ZFH|LUMED||||||

MSH|^~\&|ADM|SCSC|||202001141814||ADT^A11|4146441|D|2.2|||AL|NE
EVN|A11|202001141814||||20200121
PID|1|FHATVIG0012454|SU00004089|SM46748|ADMSTENBERG^NONU|SUMANDEEP|19910822|F|||17615 89AVE^^DELTA^BC|||||||SU000395/19|9874879735
PV1|1|O|SU.DIAB||||#AC^Clinic^#Aquarius^^^^^^^^^^XX|||||||||||RCR|||||||||||||||||||||SCSC|||||202001211230|
PV2|||DIABETES
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20150912||||||F
OBX|2|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|BIRDIP^Birdi^Parvinder^K^^^^29139^DOC|1952 Bay Street^Royal Jubilee Hospital-Drs Rm^Victoria^BC^V8R 1J8|||#AC^Clinic^#Aquarius^^^^^^LOCATION|
ZFH|LUMED||||||