MSH|^~\&|ADM|ARH|||201911110955||ADT^A08|4103328|D|2.2|||AL|NE
EVN|A08|201911110955||||
PID|1|FHATVIG0010145|AB00008103|AB8055|PCSTEST^ANIMAL||19890723|F|||456 DEF St.^^Sesame^BC^45|||||||AB000298/19|
PV1|1|I|AB-SH^ABSH-01^5|EL|||DOCT^DOC^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201907231506|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||60.000||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20000723||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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|AcADL00200^Mobility aids used prior to admission^ADM||1^None||||||F
OBX|8|TX|AcADLWAO00^Wash products/skin protectant used other^ADM||patient used own prodcuts from home brought by family||||||F
OBX|9|TX|AcADLWAT00^Wash type performed^ADM||showered independently||||||F
OBX|10|CE|AcCLTYPE00^Clothing type^ADM||2^Hospital pajamas||||||F
OBX|11|CE|AcDRASST02^Dressing assistance^ADM||1^Unassisted||||||F
OBX|12|CE|AcEQUPDC10^Equipment recommended for discharge^ADM||21^Cane~26^Hospital bed||||||F
OBX|13|TX|AcEQUPDO01^Equipment recommended for discharge other^ADM||dentures||||||F
OBX|14|CE|AcFTTYPE00^Footwear type^ADM||3^Shoes||||||F
OBX|15|CE|AcHD000100^Hand dominance^ADM||1^Right||||||F
OBX|16|CE|AcHEHT0M00^Home environment - housing type^ADM||1^House||||||F
OBX|17|CE|AcHOCNPR00^Housing considerations prior to admission^ADM||1^Stairs~3^Pets at home||||||F
OBX|18|TX|AcLIVOTH00^Living with others prior to admission^ADM||Y||||||F
OBX|19|CE|AcMOCARE03^Mouth care assistance^ADM||1^Unassisted||||||F
OBX|20|CE|AcOTSPRT01^Recommended supports for discharge^ADM||4^Meal management||||||F
OBX|21|CE|AcWAASST03^Washing assistance^ADM||1^Unassisted||||||F
OBX|22|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|23|TX|AdADMDAT01^Admission date^ADM||20191111||||||F
OBX|24|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|25|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|26|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F
OBX|27|TX|AdADMRSN00^Reason for admission^ADM||chest pain||||||F
OBX|28|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F
OBX|29|TX|AdADMTIM00^Admission time^ADM||0800||||||F
OBX|30|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|31|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|32|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|33|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F
OBX|34|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F
OBX|35|TX|AdDCCOMP00^Discharge plan complete^ADM||N||||||F
OBX|36|CE|AdDISCHA00^Destination^ADM||1^Home||||||F
OBX|37|TX|AdDRVRES00^Aware of driving restrictions^ADM||Y||||||F
OBX|38|TX|AdESTDTD00^Estimated date of discharge^ADM||20190814||||||F
OBX|39|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity||||||F
OBX|40|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||appointments||||||F
OBX|41|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||N||||||F
OBX|42|TX|AdHXCOND00^History of presenting condition^ADM||injured while playing basketball||||||F
OBX|43|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F
OBX|44|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F
OBX|45|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||clinic||||||F
OBX|46|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||6^Psychiatric liaison nurse~17^Pharmacist~18^Social worker~20^Physiotherapist||||||F
OBX|47|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|48|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F
OBX|49|TX|AdMRPNAM00^MRP or physician name^ADM||dr. erp||||||F
OBX|50|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|51|CE|AdNICOT000^History of nicotine use^ADM||2^Current use||||||F
OBX|52|CE|AdNICOT010^Type of nicotine use^ADM||1^Cigarettes||||||F
OBX|53|TX|AdNICOT030^Number of cigarettes smoked per day^ADM||10||||||F
OBX|54|TX|AdNICOT040^Number of years smoking^ADM||10||||||F
OBX|55|TX|AdNICOT050^Cigarette pack years amount^ADM||5.00||||||F
OBX|56|CE|AdNICOT090^Nicotine cessation interventions^ADM||2^NRT offered||||||F
OBX|57|CE|AdNICOT110^Willingness to quit^ADM||4^No plan next 6 months||||||F
OBX|58|TX|AdNICOT120^Patient informed smoking/vaping not allowed on FH property^ADM||Y||||||F
OBX|59|TX|AdNICUA141^Other PIV comments^ADM||iv dc'd with cannula intact||||||F
OBX|60|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||unable to secure local denturist||||||F
OBX|61|TX|AdOTCPDE00^Problem details^ADM||no teeth||||||F
OBX|62|TX|AdOTCPED00^Equipment in place for discharge^ADM||N||||||F
OBX|63|TX|AdOTCPGD00^Goal target date^ADM||20190829||||||F
OBX|64|TX|AdOTCPGO00^Goal^ADM||fit for dentures||||||F
OBX|65|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|66|CE|AdOTCPID01^Problem identified^ADM||27^Reduced oral intake||||||F
OBX|67|TX|AdOTCPIN00^1. Intervention to address problem^ADM||find denturist||||||F
OBX|68|TX|AdOTCPIN01^2. Intervention to address problem^ADM||contact denturist and make appointment||||||F
OBX|69|TX|AdOTCPIN02^3. Intervention to address problem^ADM||figure out how to fund dentures||||||F
OBX|70|CE|AdOTPREF01^Outpatient/Community referral(s) sent to^ADM||1^Acquired brain injury~18^Geriatrician~26^Hospice||||||F
OBX|71|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||other things||||||F
OBX|72|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|73|CE|AdPTA00300^Equipment used prior to admission^ADM||1^None||||||F
OBX|74|CE|AdPTA01500^Ambulation assistance required prior to admission^ADM||1^None||||||F
OBX|75|CE|AdPTA04900^Financial mgmt assist required prior to admission^ADM||1^None||||||F
OBX|76|CE|AdPTA05600^Diet type prior to admission^ADM||1^General||||||F
OBX|77|TX|AdPTA05800^History of bowel incontinence^ADM||N||||||F
OBX|78|TX|AdPTA05900^History of urinary incontinence^ADM||Y||||||F
OBX|79|CE|AdPTA08800^Community supports utilized prior to admission^ADM||1^None||||||F
OBX|80|TX|AdPTA12900^Recent falls prior to admission^ADM||N||||||F
OBX|81|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||make her make decisions||||||F
OBX|82|CE|AdREPREF00^Report received^ADM||3^By fax||||||F
OBX|83|TX|AdREPRFR01^Report received from^ADM||Blue Cloud RN||||||F
OBX|84|TX|AdRHD00000^Transportation services referral completed^ADM||N||||||F
OBX|85|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||PIV to R hand - NS running @ 100cc/hr||||||F
OBX|86|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|87|TX|AdSTRECO01^Reason EDD changed other^ADM||things||||||F
OBX|88|TX|AdSWCPDB00^Discharge barriers identified by social worker^ADM||indecisiveness||||||F
OBX|89|TX|AdSWCPDE00^Problem detail^ADM||INDECISIVE||||||F
OBX|90|TX|AdSWCPGD00^Goal target date^ADM||20190814||||||F
OBX|91|TX|AdSWCPGO00^Goal^ADM||to be decisive||||||F
OBX|92|CE|AdSWCPGS00^Goal status^ADM||1^In progress||||||F
OBX|93|CE|AdSWCPID00^Problem identified^ADM||1^Accessing services||||||F
OBX|94|TX|AdSWCPIN00^1. Intervention to address problem^ADM||test||||||F
OBX|95|TX|AdSWCPIN01^2. Intervention to address problem^ADM||testing||||||F
OBX|96|TX|AdSWCPIN02^3. Intervention to address problem^ADM||tester||||||F
OBX|97|TX|AdSWCPIN04^5. Intervention to address problem^ADM||stuff||||||F
OBX|98|CE|Ca00000000^Pre-existing pain concerns^ADM||1^No concerns identified||||||F
OBX|99|CE|Ca00000001^Pre-existing medication concerns^ADM||2^Concerns identified||||||F
OBX|100|CE|Ca00000002^Pre-existing nutrition/hydration concerns^ADM||1^No concerns identified||||||F
OBX|101|CE|Ca00000003^Pre-existing bowel/bladder concerns^ADM||2^Concerns identified||||||F
OBX|102|CE|Ca00000004^Pre-existing cognitive concerns^ADM||2^Concerns identified||||||F
OBX|103|CE|Ca00000005^Pre-existing mobility concerns^ADM||1^No concerns identified||||||F
OBX|104|TX|Ca00000006^Pre-existing concerns comments^ADM||- takes multiple supplements~- stress incontinence~- limited attention and concentration span||||||F
OBX|105|CE|Ca00000100^Right radial pulse^ADM||4^+2||||||F
OBX|106|CE|Ca00000400^Left radial pulse^ADM||4^+2||||||F
OBX|107|CE|Ca00000700^Right dorsalis pedis pulse^ADM||3^+1||||||F
OBX|108|CE|Ca00000800^Right post tibial pulse^ADM||4^+2||||||F
OBX|109|CE|Ca00000900^Right popliteal pulse^ADM||3^+1||||||F
OBX|110|CE|Ca00001000^Left dorsalis pedis pulse^ADM||3^+1||||||F
OBX|111|CE|Ca00001100^Left post tibial pulse^ADM||3^+1||||||F
OBX|112|CE|Ca00001200^Left popliteal pulse^ADM||4^+2||||||F
OBX|113|CE|Ca00001300^Right femoral pulse^ADM||4^+2||||||F
OBX|114|CE|Ca00001400^Left femoral pulse^ADM||4^+2||||||F
OBX|115|TX|CaBTV00100^Blood intake^ADM||0.00||||||F
OBX|116|TX|CaCA000352^Electrocardiogram rhythm^ADM||SVT||||||F
OBX|117|TX|CaCA000400^Cardiac rhythm RR segment^ADM||333||||||F
OBX|118|CE|CaCAARIN00^Investigations done^ADM||1^Blood work~2^12 lead ECG||||||F
OBX|119|CE|CaCAARIT00^Cardiac interventions^ADM||3^Cardioversion||||||F
OBX|120|TX|CaCADIND01^Cardiac device insertion date^ADM||20190830||||||F
OBX|121|CE|CaCADTYP01^Cardiac device type^ADM||3^ICED||||||F
OBX|122|TX|CaCAMODA00^Date cardiac monitoring initiated^ADM||20191003||||||F
OBX|123|CE|CaCAMOLE00^Cardiac monitoring lead placement^ADM||1^EASI||||||F
OBX|124|CE|CaCAMOQT00^Continuous cardiac QT monitoring turned on^ADM||3^Not applicable||||||F
OBX|125|TX|CaCAMOST00^Continuous cardiac ST monitoring turned on^ADM||N||||||F
OBX|126|TX|CaCAMOTI00^Time cardiac monitoring initiated^ADM||0530||||||F
OBX|127|CE|CaCAMOTY00^Cardiac monitoring type^ADM||1^Bedside monitor||||||F
OBX|128|CE|CaCAPEPA01^Pacemaker mode^ADM||2^VVI||||||F
OBX|129|TX|CaCASHDA01^Cardiac shock event date^ADM||20191014||||||F
OBX|130|TX|CaCASHTD00^Cardiac shock event time^ADM||1400||||||F
OBX|131|TX|CaCDDDAT01^Cardiac device deactivation date^ADM||20191114||||||F
OBX|132|CE|CaCDDMTD01^Cardiac device deactivation method^ADM||1^Magnet||||||F
OBX|133|CE|CaCDDREA01^Cardiac device deactivation reason^ADM||1^Disable shocks||||||F
OBX|134|TX|CaCDDTIM01^Cardiac device deactivation time^ADM||1500||||||F
OBX|135|CE|CaCRFOLE01^Capillary refill left foot^ADM||2^3 seconds or longer||||||F
OBX|136|CE|CaCRFORI01^Capillary refill right foot^ADM||2^3 seconds or longer||||||F
OBX|137|CE|CaCRHALE00^Capillary refill left hand^ADM||1^Less than 3 seconds||||||F
OBX|138|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|139|CE|CaCV000200^Initial shock pad placement^ADM||2^Anterior posterior||||||F
OBX|140|CE|CaCV000301^Initial shock indication^ADM||3^SVT||||||F
OBX|141|TX|CaCV000400^Initial shock time performed^ADM||0600||||||F
OBX|142|TX|CaCV000500^Initial shock joules used^ADM||150||||||F
OBX|143|TX|CaCV000600^Initial shock successful^ADM||Y||||||F
OBX|144|TX|CaCV000700^Rhythm post initial shock^ADM||NSR||||||F
OBX|145|TX|CaCV002600^Cardioversion comments^ADM||- given propofol 80mg iv @ 0550 and fentanyl 50mcg iv @ 0553 by writer (RN)~- writer (RN), dr. erp, and RT @ bedside during cardioversion~- pt tolerated procedure well||||||F
OBX|146|CE|CaCYANOS00^Cyanosis^ADM||3^Peripheral||||||F
OBX|147|TX|CaDRSPRT00^Dressing present^ADM||Y||||||F
OBX|148|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|149|CE|CaHS000200^Heart sounds quality^ADM||1^Normal||||||F
OBX|150|TX|CaHS000300^Heart sounds murmur^ADM||N||||||F
OBX|151|TX|CaHS000500^Heart sounds rub^ADM||N||||||F
OBX|152|TX|CaHS000600^Heart sounds mechanical valve click^ADM||N||||||F
OBX|153|CE|CaHS000700^Heart sounds audible^ADM||1^S1~3^S2||||||F
OBX|154|TX|CaLPRECP00^Loop recorder present^ADM||N||||||F
OBX|155|TX|CaOVRDPD01^Override pacing date^ADM||20190928||||||F
OBX|156|TX|CaOVRDPT01^Override pacing time^ADM||1348||||||F
OBX|157|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||1^Within defined parameters||||||F
OBX|158|TX|CaPLDATE00^PIV Insertion date^ADM||20190922||||||F
OBX|159|TX|CaPLNEED00^Peripheral line daily assessment ongoing need reviewed^ADM||Y||||||F
OBX|160|TX|CaTRLESR01^Pacemaker set rate^ADM||50||||||F
OBX|161|TX|CaTRPACA04^Pacemaker capturing appropriately^ADM||Y||||||F
OBX|162|TX|CaTRPASA04^Pacemaker sensing appropriately^ADM||Y||||||F
OBX|163|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||N||||||F
OBX|164|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|165|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||1^None||||||F
OBX|166|CE|CmPHOBV000^Phonation observations via^ADM||2^Verbal cues~4^Phrases and sentences~10^Picture description~11^Spontaneous production~13^Words||||||F
OBX|167|TX|CmPHOBVO00^Phonation observations via other^ADM||test||||||F
OBX|168|TX|CmSL005101^Reading comprehension task comment^ADM||things||||||F
OBX|169|TX|CmSL005200^Visual deficits suspected^ADM||Y||||||F
OBX|170|TX|CmSL005300^Visual deficits impacting performance^ADM||N||||||F
OBX|171|TX|CmSL005400^Visual deficits comment^ADM||tester||||||F
OBX|172|TX|CmVEEXCO00^Verbal expression task comments^ADM||words||||||F
OBX|173|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||1^Within defined parameters||||||F
OBX|174|CE|GuPARAMR00^Genitourinary defined parameters^ADM||1^Within defined parameters||||||F
OBX|175|CE|HeAXPAR001^Assessment participation^ADM||2^Unable to remain alert~3^Distracted~4^Fatigued easily||||||F
OBX|176|TX|HeAXPARC01^Assessment participation comments^ADM||paper||||||F
OBX|177|TX|HeAXPARO01^Assessment participation other^ADM||noise||||||F
OBX|178|CE|HeSW000100^Swallowing concerns identified with solids^ADM||1^No obvious concerns||||||F
OBX|179|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||1^No obvious concerns||||||F
OBX|180|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||1^No obvious concerns||||||F
OBX|181|CE|HeSW001800^Swallowing concerns intervention^ADM||1^Completed SST||||||F
OBX|182|TX|HeTYAXME00^Standardized assessment tool used^ADM||testing||||||F
OBX|183|TX|Hx486PRO00^Pre-admission screening questionnaire provided^ADM||N||||||F
OBX|184|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||N||||||F
OBX|185|TX|HxSPTCHX01^Pertinent clinical history^ADM||normally healthy||||||F
OBX|186|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F
OBX|187|CE|InISGR0000^infiltration Scale Grade^ADM||1^0||||||F
OBX|188|CE|InPARAMR00^Integumentary defined parameters^ADM||1^Within defined parameters||||||F
OBX|189|CE|InPESIDE00^Peripheral line site description^ADM||1^Satisfactory||||||F
OBX|190|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F
OBX|191|CE|InSKIMOI02^Skin moisture^ADM||2^Clammy||||||F
OBX|192|CE|InSKITEM00^Skin temperature^ADM||2^Warm||||||F
OBX|193|TX|IoNICUIN20^Location^ADM||R hand||||||F
OBX|194|TX|IoNICUIN30^Intake, IV Amount^ADM||400.00||||||F
OBX|195|TX|IoNICUIN50^Intake, Free Water Amount^ADM||250.00||||||F
OBX|196|CE|IoSOLUMA00^Solution^ADM||1^NS||||||F
OBX|197|TX|IvCAPCIV00^PIV cap change next due^ADM||20191005||||||F
OBX|198|CE|IvFLUSHS01^Flush solution^ADM||1^Normal saline||||||F
OBX|199|CE|IvFLUSHV00^Flush volume^ADM||1^3 mL||||||F
OBX|200|TX|IvINSERT00^Insertion details^ADM||successful on first attempt, tolerated well||||||F
OBX|201|CE|IvLINECA02^Saline lock care^ADM||1^Flush~3^Patency check||||||F
OBX|202|CE|IvLOCATM01^Location Modifier^ADM||5^Left||||||F
OBX|203|TX|IvNXTDRS00^Next dressing change due^ADM||20191004||||||F
OBX|204|CE|IvPIVLOC00^Location^ADM||6^Foot PIV||||||F
OBX|205|TX|IvPIVNIC00^PIV insertion time^ADM||1000||||||F
OBX|206|CE|IvPL000700^Initial management^ADM||2^Saline lock||||||F
OBX|207|CE|IvPS000100^Phlebitis scale grade^ADM||1^0||||||F
OBX|208|TX|IvRATE0000^Rate^ADM||100.00||||||F
OBX|209|TX|IvREMOTI00^Removal time^ADM||1630||||||F
OBX|210|TX|IvREMOVD00^Removal date^ADM||20190925||||||F
OBX|211|CE|IvREMOVE00^Removal reason^ADM||3^Infiltrated||||||F
OBX|212|TX|IvSIZE0000^Size^ADM||24||||||F
OBX|213|TX|IvTUBCHA00^Next tubing change due^ADM||20191005||||||F
OBX|214|CE|MhADVFIS01^Vocational/financial status^ADM||7^Social services||||||F
OBX|215|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|216|CE|Mo00000501^Ambulation support provided^ADM||1^None||||||F
OBX|217|CE|MoAIDAMB00^Ambulation aid^ADM||1^No aid used||||||F
OBX|218|CE|MoAIDTRA00^Transfer aid^ADM||1^No aid used||||||F
OBX|219|CE|MoAMBLOC00^Ambulation location^ADM||3^Outside of ward||||||F
OBX|220|TX|MoAMCMTS00^Ambulation comment^ADM||ambulating well independently||||||F
OBX|221|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||1^Unassisted||||||F
OBX|222|TX|MoCHTIME04^Duration of time up in chair^ADM||120||||||F
OBX|223|CE|MoEQUTRA00^Transfer equipment^ADM||1^No equipment used||||||F
OBX|224|TX|MoEXERBC00^Bed exercises completed^ADM||N||||||F
OBX|225|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal||||||F
OBX|226|CE|MoPOBDPO01^Bed position^ADM||1^Flat||||||F
OBX|227|CE|MoTRSUP001^Transfer support provided^ADM||1^None||||||F
OBX|228|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|229|TX|MsEM000700^Transportation mode post discharge other^ADM||go kart||||||F
OBX|230|TX|MsEM000801^Supports in place to assist upon discharge^ADM||N||||||F
OBX|231|TX|MsHK001100^Home set-up requirements reviewed^ADM||N||||||F
OBX|232|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||1^Within defined parameters||||||F
OBX|233|CE|NePOSC0000^POSS score^ADM||1^1 - Awake and alert||||||F
OBX|234|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||N||||||F
OBX|235|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||N||||||F
OBX|236|CE|Nu00015500^Patient's position during breakfast^ADM||1^High fowlers||||||F
OBX|237|CE|Nu00015600^Patient's position during lunch^ADM||2^Edge of bed||||||F
OBX|238|CE|Nu00015700^Patient's position during dinner^ADM||3^Bedside chair||||||F
OBX|239|CE|NuBRAMCO02^Breakfast amount consumed^ADM||05^100%||||||F
OBX|240|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||2^No||||||F
OBX|241|CE|NuDIAMCO02^Dinner amount consumed^ADM||05^100%||||||F
OBX|242|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|243|TX|NuIPBAAC00^Intake - parenteral nutrition amino acids^ADM||0.00||||||F
OBX|244|TX|NuIPNLIP00^Intake - parenteral nutrition lipids^ADM||0.00||||||F
OBX|245|CE|NuLUAMCO02^Lunch amount consumed^ADM||05^100%||||||F
OBX|246|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||0.0||||||F
OBX|247|TX|NuNICUF370^Intake, Oral Amount^ADM||1000.0||||||F
OBX|248|TX|NuNM000100^Nothing by mouth^ADM||N||||||F
OBX|249|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital~2^Family or friends||||||F
OBX|250|TX|NuOURINE00^Output - urine^ADM||400.00||||||F
OBX|251|CE|NuSNAMCO02^Snack amount consumed^ADM||05^100%||||||F
OBX|252|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|253|CE|OhIN000300^Information source^ADM||1^Patient~2^Health record review~9^Nurse||||||F
OBX|254|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|255|TX|OhOTSMRT00^OT SMART goals^ADM||find denturist, make appointment, arrange transportation, figure out~funding, have full set of dentures in place by Aug 29/19.||||||F
OBX|256|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F
OBX|257|TX|PaEPVOLM00^Epidural volume administered in 12 hours^ADM||0.00||||||F
OBX|258|CE|PaFREQ0000^Pain frequency^ADM||2^With movement||||||F
OBX|259|CE|PaLOCBDS02^Location^ADM||27^Foot||||||F
OBX|260|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F
OBX|261|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|262|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||1^Calm~5^Decreased activity||||||F
OBX|263|CE|PaPAQUAL01^Pain quality^ADM||4^Ache||||||F
OBX|264|TX|PaPARADI00^Pain radiating^ADM||N||||||F
OBX|265|CE|PaPARAMR00^Pain defined parameters^ADM||2^Significant findings||||||F
OBX|266|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|267|TX|PaPASCRE01^Pain score^ADM||5.00||||||F
OBX|268|TX|PaPATIME00^Time of pain onset^ADM||0900||||||F
OBX|269|TX|PaPATMDE00^Pain timing details^ADM||intermittent, when putting pressure on R foot||||||F
OBX|270|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|271|CE|PaPNMGTT00^Pain management techniques^ADM||2^Ice pack~5^Positioning~9^Rest||||||F
OBX|272|TX|PsACCOMM01^Auditory comprehension comments^ADM||vocabulary||||||F
OBX|273|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||Y||||||F
OBX|274|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||Y||||||F
OBX|275|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||Y||||||F
OBX|276|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||Y||||||F
OBX|277|TX|PsCAGET004^CAGE-AID total^ADM||4||||||F
OBX|278|TX|PsCLB00000^Communication language barrier^ADM||N||||||F
OBX|279|CE|PsFIMS0002^Marital status^ADM||4^Separated||||||F
OBX|280|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||1^Within defined parameters||||||F
OBX|281|TX|PsRCCOCO01^Cognitive communication comments^ADM||sound||||||F
OBX|282|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|283|TX|PsSWSTDC00^Dependents comments^ADM||one daughter and one son||||||F
OBX|284|TX|PsWECOMM00^Written expression comment^ADM||stuff||||||F
OBX|285|CE|PsWEHUDA00^Hand use during assessment^ADM||2^Left||||||F
OBX|286|CE|PsWELDHA01^Legibility dominant hand^ADM||1^Good||||||F
OBX|287|CE|PsWELNDH01^Legibility nondominant hand^ADM||1^Good||||||F
OBX|288|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|289|CE|RePARAMR00^Respiratory defined parameters^ADM||1^Within defined parameters||||||F
OBX|290|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|291|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|292|TX|SpCYTOME00^Receiving cytotoxic medication^ADM||N||||||F
OBX|293|CE|SpCYTOPR00^Cytotoxic precautions required^ADM||1^None||||||F
OBX|294|CE|SpIPRTYP00^Isolation precautions room type^ADM||3^Shared occupancy room||||||F
OBX|295|TX|SpRADIAT00^Receiving radiation^ADM||N||||||F
OBX|296|TX|SpRADPRE00^Radiation precautions required^ADM||N||||||F
OBX|297|TX|SpRIREQU00^Reverse isolation required^ADM||N||||||F
OBX|298|TX|SpSLEAID00^Sleep aid PRN given^ADM||N||||||F
OBX|299|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|300|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F
OBX|301|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|302|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|303|TX|VsBPDIAO01^Blood pressure diastolic^ADM||90||||||F
OBX|304|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||70||||||F
OBX|305|CE|VsBPPOST02^Patient position^ADM||2^Supine||||||F
OBX|306|TX|VsBPSYSO01^Blood pressure systolic^ADM||150||||||F
OBX|307|TX|VsHRADEL00^Electrical heart rate^ADM||180||||||F
OBX|308|TX|VsHRADLT01^Heart rate^ADM||100||||||F
OBX|309|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|310|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|311|CE|VsHRMETH00^Heart rate method used^ADM||4^Monitor||||||F
OBX|312|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|313|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||0||||||F
OBX|314|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||91||||||F
OBX|315|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F
OBX|316|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|317|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F
OBX|318|TX|VsRESPAD03^Respiratory rate^ADM||16||||||F
OBX|319|CE|VsTPSORC03^Temperature source^ADM||2^Oral||||||F
OBX|320|TX|VsTPTEMPO2^Temperature^ADM||35.5||||||F
OBX|321|TX|VsWT000101^Current Weight^ADM||60.000||||||F
OBX|322|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|323|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||60000.000||||||F
OBX|324|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|||DOCT^DOC^TEST^A^^^^0006^DOC|DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||201911110957||ADT^A08|4103334|D|2.2|||AL|NE
EVN|A08|201911110957||||
PID|1|FHATVIG0010145|AB00008103|AB8055|PCSTEST^ANIMAL||19890723|F|||456 DEF St.^^Sesame^BC^45|||||||AB000298/19|
PV1|1|I|AB-SH^ABSH-01^5|EL|||DOCT^DOC^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201907231506|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||60.000||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20000723||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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|AcADL00200^Mobility aids used prior to admission^ADM||1^None||||||F
OBX|8|TX|AcADLWAO00^Wash products/skin protectant used other^ADM||patient used own prodcuts from home brought by family||||||F
OBX|9|TX|AcADLWAT00^Wash type performed^ADM||showered independently||||||F
OBX|10|CE|AcCLTYPE00^Clothing type^ADM||2^Hospital pajamas||||||F
OBX|11|CE|AcDRASST02^Dressing assistance^ADM||1^Unassisted||||||F
OBX|12|CE|AcEQUPDC10^Equipment recommended for discharge^ADM||21^Cane~26^Hospital bed||||||F
OBX|13|TX|AcEQUPDO01^Equipment recommended for discharge other^ADM||dentures||||||F
OBX|14|CE|AcFTTYPE00^Footwear type^ADM||3^Shoes||||||F
OBX|15|CE|AcHD000100^Hand dominance^ADM||1^Right||||||F
OBX|16|CE|AcHEHT0M00^Home environment - housing type^ADM||1^House||||||F
OBX|17|CE|AcHOCNPR00^Housing considerations prior to admission^ADM||1^Stairs~3^Pets at home||||||F
OBX|18|TX|AcLIVOTH00^Living with others prior to admission^ADM||Y||||||F
OBX|19|CE|AcMOCARE03^Mouth care assistance^ADM||1^Unassisted||||||F
OBX|20|CE|AcOTSPRT01^Recommended supports for discharge^ADM||4^Meal management||||||F
OBX|21|CE|AcWAASST03^Washing assistance^ADM||1^Unassisted||||||F
OBX|22|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|23|TX|AdADMDAT01^Admission date^ADM||20191111||||||F
OBX|24|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|25|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|26|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F
OBX|27|TX|AdADMRSN00^Reason for admission^ADM||chest pain||||||F
OBX|28|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F
OBX|29|TX|AdADMTIM00^Admission time^ADM||0800||||||F
OBX|30|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|31|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|32|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|33|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F
OBX|34|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F
OBX|35|TX|AdDCCOMP00^Discharge plan complete^ADM||N||||||F
OBX|36|CE|AdDISCHA00^Destination^ADM||1^Home||||||F
OBX|37|TX|AdDRVRES00^Aware of driving restrictions^ADM||Y||||||F
OBX|38|TX|AdESTDTD00^Estimated date of discharge^ADM||20190814||||||F
OBX|39|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity||||||F
OBX|40|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||appointments||||||F
OBX|41|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||N||||||F
OBX|42|TX|AdHXCOND00^History of presenting condition^ADM||injured while playing basketball||||||F
OBX|43|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F
OBX|44|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F
OBX|45|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||clinic||||||F
OBX|46|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||6^Psychiatric liaison nurse~17^Pharmacist~18^Social worker~20^Physiotherapist||||||F
OBX|47|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|48|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F
OBX|49|TX|AdMRPNAM00^MRP or physician name^ADM||dr. erp||||||F
OBX|50|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|51|CE|AdNICOT000^History of nicotine use^ADM||2^Current use||||||F
OBX|52|CE|AdNICOT010^Type of nicotine use^ADM||1^Cigarettes||||||F
OBX|53|TX|AdNICOT030^Number of cigarettes smoked per day^ADM||10||||||F
OBX|54|TX|AdNICOT040^Number of years smoking^ADM||10||||||F
OBX|55|TX|AdNICOT050^Cigarette pack years amount^ADM||5.00||||||F
OBX|56|CE|AdNICOT090^Nicotine cessation interventions^ADM||2^NRT offered||||||F
OBX|57|CE|AdNICOT110^Willingness to quit^ADM||4^No plan next 6 months||||||F
OBX|58|TX|AdNICOT120^Patient informed smoking/vaping not allowed on FH property^ADM||Y||||||F
OBX|59|TX|AdNICUA141^Other PIV comments^ADM||iv dc'd with cannula intact||||||F
OBX|60|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||unable to secure local denturist||||||F
OBX|61|TX|AdOTCPDE00^Problem details^ADM||no teeth||||||F
OBX|62|TX|AdOTCPED00^Equipment in place for discharge^ADM||N||||||F
OBX|63|TX|AdOTCPGD00^Goal target date^ADM||20190829||||||F
OBX|64|TX|AdOTCPGO00^Goal^ADM||fit for dentures||||||F
OBX|65|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|66|CE|AdOTCPID01^Problem identified^ADM||27^Reduced oral intake||||||F
OBX|67|TX|AdOTCPIN00^1. Intervention to address problem^ADM||find denturist||||||F
OBX|68|TX|AdOTCPIN01^2. Intervention to address problem^ADM||contact denturist and make appointment||||||F
OBX|69|TX|AdOTCPIN02^3. Intervention to address problem^ADM||figure out how to fund dentures||||||F
OBX|70|CE|AdOTPREF01^Outpatient/Community referral(s) sent to^ADM||1^Acquired brain injury~18^Geriatrician~26^Hospice||||||F
OBX|71|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||other things||||||F
OBX|72|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|73|CE|AdPTA00300^Equipment used prior to admission^ADM||1^None||||||F
OBX|74|CE|AdPTA01500^Ambulation assistance required prior to admission^ADM||1^None||||||F
OBX|75|CE|AdPTA04900^Financial mgmt assist required prior to admission^ADM||1^None||||||F
OBX|76|CE|AdPTA05600^Diet type prior to admission^ADM||1^General||||||F
OBX|77|TX|AdPTA05800^History of bowel incontinence^ADM||N||||||F
OBX|78|TX|AdPTA05900^History of urinary incontinence^ADM||Y||||||F
OBX|79|CE|AdPTA08800^Community supports utilized prior to admission^ADM||1^None||||||F
OBX|80|TX|AdPTA12900^Recent falls prior to admission^ADM||N||||||F
OBX|81|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||make her make decisions||||||F
OBX|82|CE|AdREPREF00^Report received^ADM||3^By fax||||||F
OBX|83|TX|AdREPRFR01^Report received from^ADM||Blue Cloud RN||||||F
OBX|84|TX|AdRHD00000^Transportation services referral completed^ADM||N||||||F
OBX|85|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||PIV to R hand - NS running @ 100cc/hr||||||F
OBX|86|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|87|TX|AdSTRECO01^Reason EDD changed other^ADM||things||||||F
OBX|88|TX|AdSWCPDB00^Discharge barriers identified by social worker^ADM||indecisiveness||||||F
OBX|89|TX|AdSWCPDE00^Problem detail^ADM||INDECISIVE||||||F
OBX|90|TX|AdSWCPGD00^Goal target date^ADM||20190814||||||F
OBX|91|TX|AdSWCPGO00^Goal^ADM||to be decisive||||||F
OBX|92|CE|AdSWCPGS00^Goal status^ADM||1^In progress||||||F
OBX|93|CE|AdSWCPID00^Problem identified^ADM||1^Accessing services||||||F
OBX|94|TX|AdSWCPIN00^1. Intervention to address problem^ADM||test||||||F
OBX|95|TX|AdSWCPIN01^2. Intervention to address problem^ADM||testing||||||F
OBX|96|TX|AdSWCPIN02^3. Intervention to address problem^ADM||tester||||||F
OBX|97|TX|AdSWCPIN04^5. Intervention to address problem^ADM||stuff||||||F
OBX|98|CE|Ca00000000^Pre-existing pain concerns^ADM||1^No concerns identified||||||F
OBX|99|CE|Ca00000001^Pre-existing medication concerns^ADM||2^Concerns identified||||||F
OBX|100|CE|Ca00000002^Pre-existing nutrition/hydration concerns^ADM||1^No concerns identified||||||F
OBX|101|CE|Ca00000003^Pre-existing bowel/bladder concerns^ADM||2^Concerns identified||||||F
OBX|102|CE|Ca00000004^Pre-existing cognitive concerns^ADM||2^Concerns identified||||||F
OBX|103|CE|Ca00000005^Pre-existing mobility concerns^ADM||1^No concerns identified||||||F
OBX|104|TX|Ca00000006^Pre-existing concerns comments^ADM||- takes multiple supplements~- stress incontinence~- limited attention and concentration span||||||F
OBX|105|CE|Ca00000100^Right radial pulse^ADM||4^+2||||||F
OBX|106|CE|Ca00000400^Left radial pulse^ADM||4^+2||||||F
OBX|107|CE|Ca00000700^Right dorsalis pedis pulse^ADM||3^+1||||||F
OBX|108|CE|Ca00000800^Right post tibial pulse^ADM||4^+2||||||F
OBX|109|CE|Ca00000900^Right popliteal pulse^ADM||3^+1||||||F
OBX|110|CE|Ca00001000^Left dorsalis pedis pulse^ADM||3^+1||||||F
OBX|111|CE|Ca00001100^Left post tibial pulse^ADM||3^+1||||||F
OBX|112|CE|Ca00001200^Left popliteal pulse^ADM||4^+2||||||F
OBX|113|CE|Ca00001300^Right femoral pulse^ADM||4^+2||||||F
OBX|114|CE|Ca00001400^Left femoral pulse^ADM||4^+2||||||F
OBX|115|TX|CaBTV00100^Blood intake^ADM||0.00||||||F
OBX|116|TX|CaCA000352^Electrocardiogram rhythm^ADM||SVT||||||F
OBX|117|TX|CaCA000400^Cardiac rhythm RR segment^ADM||333||||||F
OBX|118|CE|CaCAARIN00^Investigations done^ADM||1^Blood work~2^12 lead ECG||||||F
OBX|119|CE|CaCAARIT00^Cardiac interventions^ADM||3^Cardioversion||||||F
OBX|120|TX|CaCADIND01^Cardiac device insertion date^ADM||20190830||||||F
OBX|121|CE|CaCADTYP01^Cardiac device type^ADM||3^ICED||||||F
OBX|122|TX|CaCAMODA00^Date cardiac monitoring initiated^ADM||20191003||||||F
OBX|123|CE|CaCAMOLE00^Cardiac monitoring lead placement^ADM||1^EASI||||||F
OBX|124|CE|CaCAMOQT00^Continuous cardiac QT monitoring turned on^ADM||3^Not applicable||||||F
OBX|125|TX|CaCAMOST00^Continuous cardiac ST monitoring turned on^ADM||N||||||F
OBX|126|TX|CaCAMOTI00^Time cardiac monitoring initiated^ADM||0530||||||F
OBX|127|CE|CaCAMOTY00^Cardiac monitoring type^ADM||1^Bedside monitor||||||F
OBX|128|CE|CaCAPEPA01^Pacemaker mode^ADM||2^VVI||||||F
OBX|129|TX|CaCASHDA01^Cardiac shock event date^ADM||20191014||||||F
OBX|130|TX|CaCASHTD00^Cardiac shock event time^ADM||1400||||||F
OBX|131|TX|CaCDDDAT01^Cardiac device deactivation date^ADM||20191114||||||F
OBX|132|CE|CaCDDMTD01^Cardiac device deactivation method^ADM||1^Magnet||||||F
OBX|133|CE|CaCDDREA01^Cardiac device deactivation reason^ADM||1^Disable shocks||||||F
OBX|134|TX|CaCDDTIM01^Cardiac device deactivation time^ADM||1500||||||F
OBX|135|CE|CaCRFOLE01^Capillary refill left foot^ADM||2^3 seconds or longer||||||F
OBX|136|CE|CaCRFORI01^Capillary refill right foot^ADM||2^3 seconds or longer||||||F
OBX|137|CE|CaCRHALE00^Capillary refill left hand^ADM||1^Less than 3 seconds||||||F
OBX|138|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|139|CE|CaCV000200^Initial shock pad placement^ADM||2^Anterior posterior||||||F
OBX|140|CE|CaCV000301^Initial shock indication^ADM||3^SVT||||||F
OBX|141|TX|CaCV000400^Initial shock time performed^ADM||0600||||||F
OBX|142|TX|CaCV000500^Initial shock joules used^ADM||150||||||F
OBX|143|TX|CaCV000600^Initial shock successful^ADM||Y||||||F
OBX|144|TX|CaCV000700^Rhythm post initial shock^ADM||NSR||||||F
OBX|145|TX|CaCV002600^Cardioversion comments^ADM||- given propofol 80mg iv @ 0550 and fentanyl 50mcg iv @ 0553 by writer (RN)~- writer (RN), dr. erp, and RT @ bedside during cardioversion~- pt tolerated procedure well||||||F
OBX|146|CE|CaCYANOS00^Cyanosis^ADM||3^Peripheral||||||F
OBX|147|TX|CaDRSPRT00^Dressing present^ADM||Y||||||F
OBX|148|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|149|CE|CaHS000200^Heart sounds quality^ADM||1^Normal||||||F
OBX|150|TX|CaHS000300^Heart sounds murmur^ADM||N||||||F
OBX|151|TX|CaHS000500^Heart sounds rub^ADM||N||||||F
OBX|152|TX|CaHS000600^Heart sounds mechanical valve click^ADM||N||||||F
OBX|153|CE|CaHS000700^Heart sounds audible^ADM||1^S1~3^S2||||||F
OBX|154|TX|CaLPRECP00^Loop recorder present^ADM||N||||||F
OBX|155|TX|CaOVRDPD01^Override pacing date^ADM||20190928||||||F
OBX|156|TX|CaOVRDPT01^Override pacing time^ADM||1348||||||F
OBX|157|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||1^Within defined parameters||||||F
OBX|158|TX|CaPLDATE00^PIV Insertion date^ADM||20190922||||||F
OBX|159|TX|CaPLNEED00^Peripheral line daily assessment ongoing need reviewed^ADM||Y||||||F
OBX|160|TX|CaTRLESR01^Pacemaker set rate^ADM||50||||||F
OBX|161|TX|CaTRPACA04^Pacemaker capturing appropriately^ADM||Y||||||F
OBX|162|TX|CaTRPASA04^Pacemaker sensing appropriately^ADM||Y||||||F
OBX|163|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||N||||||F
OBX|164|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|165|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||1^None||||||F
OBX|166|CE|CmPHOBV000^Phonation observations via^ADM||2^Verbal cues~4^Phrases and sentences~10^Picture description~11^Spontaneous production~13^Words||||||F
OBX|167|TX|CmPHOBVO00^Phonation observations via other^ADM||test||||||F
OBX|168|TX|CmSL005101^Reading comprehension task comment^ADM||things||||||F
OBX|169|TX|CmSL005200^Visual deficits suspected^ADM||Y||||||F
OBX|170|TX|CmSL005300^Visual deficits impacting performance^ADM||N||||||F
OBX|171|TX|CmSL005400^Visual deficits comment^ADM||tester||||||F
OBX|172|TX|CmVEEXCO00^Verbal expression task comments^ADM||words||||||F
OBX|173|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||1^Within defined parameters||||||F
OBX|174|CE|GuPARAMR00^Genitourinary defined parameters^ADM||1^Within defined parameters||||||F
OBX|175|CE|HeAXPAR001^Assessment participation^ADM||2^Unable to remain alert~3^Distracted~4^Fatigued easily||||||F
OBX|176|TX|HeAXPARC01^Assessment participation comments^ADM||paper||||||F
OBX|177|TX|HeAXPARO01^Assessment participation other^ADM||noise||||||F
OBX|178|CE|HeSW000100^Swallowing concerns identified with solids^ADM||1^No obvious concerns||||||F
OBX|179|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||1^No obvious concerns||||||F
OBX|180|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||1^No obvious concerns||||||F
OBX|181|CE|HeSW001800^Swallowing concerns intervention^ADM||1^Completed SST||||||F
OBX|182|TX|HeTYAXME00^Standardized assessment tool used^ADM||testing||||||F
OBX|183|TX|Hx486PRO00^Pre-admission screening questionnaire provided^ADM||N||||||F
OBX|184|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||N||||||F
OBX|185|TX|HxSPTCHX01^Pertinent clinical history^ADM||normally healthy||||||F
OBX|186|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F
OBX|187|CE|InISGR0000^infiltration Scale Grade^ADM||1^0||||||F
OBX|188|CE|InPARAMR00^Integumentary defined parameters^ADM||1^Within defined parameters||||||F
OBX|189|CE|InPESIDE00^Peripheral line site description^ADM||1^Satisfactory||||||F
OBX|190|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F
OBX|191|CE|InSKIMOI02^Skin moisture^ADM||2^Clammy||||||F
OBX|192|CE|InSKITEM00^Skin temperature^ADM||2^Warm||||||F
OBX|193|TX|IoNICUIN20^Location^ADM||R hand||||||F
OBX|194|TX|IoNICUIN30^Intake, IV Amount^ADM||400.00||||||F
OBX|195|TX|IoNICUIN50^Intake, Free Water Amount^ADM||250.00||||||F
OBX|196|CE|IoSOLUMA00^Solution^ADM||1^NS||||||F
OBX|197|TX|IvCAPCIV00^PIV cap change next due^ADM||20191005||||||F
OBX|198|CE|IvFLUSHS01^Flush solution^ADM||1^Normal saline||||||F
OBX|199|CE|IvFLUSHV00^Flush volume^ADM||1^3 mL||||||F
OBX|200|TX|IvINSERT00^Insertion details^ADM||successful on first attempt, tolerated well||||||F
OBX|201|CE|IvLINECA02^Saline lock care^ADM||1^Flush~3^Patency check||||||F
OBX|202|CE|IvLOCATM01^Location Modifier^ADM||5^Left||||||F
OBX|203|TX|IvNXTDRS00^Next dressing change due^ADM||20191004||||||F
OBX|204|CE|IvPIVLOC00^Location^ADM||6^Foot PIV||||||F
OBX|205|TX|IvPIVNIC00^PIV insertion time^ADM||1000||||||F
OBX|206|CE|IvPL000700^Initial management^ADM||2^Saline lock||||||F
OBX|207|CE|IvPS000100^Phlebitis scale grade^ADM||1^0||||||F
OBX|208|TX|IvRATE0000^Rate^ADM||100.00||||||F
OBX|209|TX|IvREMOTI00^Removal time^ADM||1630||||||F
OBX|210|TX|IvREMOVD00^Removal date^ADM||20190925||||||F
OBX|211|CE|IvREMOVE00^Removal reason^ADM||3^Infiltrated||||||F
OBX|212|TX|IvSIZE0000^Size^ADM||24||||||F
OBX|213|TX|IvTUBCHA00^Next tubing change due^ADM||20191005||||||F
OBX|214|CE|MhADVFIS01^Vocational/financial status^ADM||7^Social services||||||F
OBX|215|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|216|CE|Mo00000501^Ambulation support provided^ADM||1^None||||||F
OBX|217|CE|MoAIDAMB00^Ambulation aid^ADM||1^No aid used||||||F
OBX|218|CE|MoAIDTRA00^Transfer aid^ADM||1^No aid used||||||F
OBX|219|CE|MoAMBLOC00^Ambulation location^ADM||3^Outside of ward||||||F
OBX|220|TX|MoAMCMTS00^Ambulation comment^ADM||ambulating well independently||||||F
OBX|221|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||1^Unassisted||||||F
OBX|222|TX|MoCHTIME04^Duration of time up in chair^ADM||120||||||F
OBX|223|CE|MoEQUTRA00^Transfer equipment^ADM||1^No equipment used||||||F
OBX|224|TX|MoEXERBC00^Bed exercises completed^ADM||N||||||F
OBX|225|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal||||||F
OBX|226|CE|MoPOBDPO01^Bed position^ADM||1^Flat||||||F
OBX|227|CE|MoTRSUP001^Transfer support provided^ADM||1^None||||||F
OBX|228|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|229|TX|MsEM000700^Transportation mode post discharge other^ADM||go kart||||||F
OBX|230|TX|MsEM000801^Supports in place to assist upon discharge^ADM||N||||||F
OBX|231|TX|MsHK001100^Home set-up requirements reviewed^ADM||N||||||F
OBX|232|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||1^Within defined parameters||||||F
OBX|233|CE|NePOSC0000^POSS score^ADM||1^1 - Awake and alert||||||F
OBX|234|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||N||||||F
OBX|235|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||N||||||F
OBX|236|CE|Nu00015500^Patient's position during breakfast^ADM||1^High fowlers||||||F
OBX|237|CE|Nu00015600^Patient's position during lunch^ADM||2^Edge of bed||||||F
OBX|238|CE|Nu00015700^Patient's position during dinner^ADM||3^Bedside chair||||||F
OBX|239|CE|NuBRAMCO02^Breakfast amount consumed^ADM||05^100%||||||F
OBX|240|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||2^No||||||F
OBX|241|CE|NuDIAMCO02^Dinner amount consumed^ADM||05^100%||||||F
OBX|242|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|243|TX|NuIPBAAC00^Intake - parenteral nutrition amino acids^ADM||0.00||||||F
OBX|244|TX|NuIPNLIP00^Intake - parenteral nutrition lipids^ADM||0.00||||||F
OBX|245|CE|NuLUAMCO02^Lunch amount consumed^ADM||05^100%||||||F
OBX|246|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||0.0||||||F
OBX|247|TX|NuNICUF370^Intake, Oral Amount^ADM||1000.0||||||F
OBX|248|TX|NuNM000100^Nothing by mouth^ADM||N||||||F
OBX|249|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital~2^Family or friends||||||F
OBX|250|TX|NuOURINE00^Output - urine^ADM||400.00||||||F
OBX|251|CE|NuSNAMCO02^Snack amount consumed^ADM||05^100%||||||F
OBX|252|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|253|TX|OhEDIT0000^Reason for edit^ADM||incorrect patient||||||F
OBX|254|CE|OhIN000300^Information source^ADM||1^Patient~2^Health record review~9^Nurse||||||F
OBX|255|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|256|TX|OhOTSMRT00^OT SMART goals^ADM||find denturist, make appointment, arrange transportation, figure out~funding, have full set of dentures in place by Aug 29/19.||||||F
OBX|257|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F
OBX|258|TX|PaEPVOLM00^Epidural volume administered in 12 hours^ADM||0.00||||||F
OBX|259|CE|PaFREQ0000^Pain frequency^ADM||2^With movement||||||F
OBX|260|CE|PaLOCBDS02^Location^ADM||27^Foot||||||F
OBX|261|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F
OBX|262|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|263|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||1^Calm~5^Decreased activity||||||F
OBX|264|CE|PaPAQUAL01^Pain quality^ADM||4^Ache||||||F
OBX|265|TX|PaPARADI00^Pain radiating^ADM||N||||||F
OBX|266|CE|PaPARAMR00^Pain defined parameters^ADM||2^Significant findings||||||F
OBX|267|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|268|TX|PaPASCRE01^Pain score^ADM||5.00||||||F
OBX|269|TX|PaPATIME00^Time of pain onset^ADM||0900||||||F
OBX|270|TX|PaPATMDE00^Pain timing details^ADM||intermittent, when putting pressure on R foot||||||F
OBX|271|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|272|CE|PaPNMGTT00^Pain management techniques^ADM||2^Ice pack~5^Positioning~9^Rest||||||F
OBX|273|TX|PsACCOMM01^Auditory comprehension comments^ADM||vocabulary||||||F
OBX|274|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||Y||||||F
OBX|275|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||Y||||||F
OBX|276|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||Y||||||F
OBX|277|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||Y||||||F
OBX|278|TX|PsCAGET004^CAGE-AID total^ADM||4||||||F
OBX|279|TX|PsCLB00000^Communication language barrier^ADM||N||||||F
OBX|280|CE|PsFIMS0002^Marital status^ADM||4^Separated||||||F
OBX|281|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||1^Within defined parameters||||||F
OBX|282|TX|PsRCCOCO01^Cognitive communication comments^ADM||sound||||||F
OBX|283|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|284|TX|PsSWSTDC00^Dependents comments^ADM||one daughter and one son||||||F
OBX|285|TX|PsWECOMM00^Written expression comment^ADM||stuff||||||F
OBX|286|CE|PsWEHUDA00^Hand use during assessment^ADM||2^Left||||||F
OBX|287|CE|PsWELDHA01^Legibility dominant hand^ADM||1^Good||||||F
OBX|288|CE|PsWELNDH01^Legibility nondominant hand^ADM||1^Good||||||F
OBX|289|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|290|CE|RePARAMR00^Respiratory defined parameters^ADM||1^Within defined parameters||||||F
OBX|291|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|292|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|293|TX|SpCYTOME00^Receiving cytotoxic medication^ADM||N||||||F
OBX|294|CE|SpCYTOPR00^Cytotoxic precautions required^ADM||1^None||||||F
OBX|295|CE|SpIPRTYP00^Isolation precautions room type^ADM||3^Shared occupancy room||||||F
OBX|296|TX|SpRADIAT00^Receiving radiation^ADM||N||||||F
OBX|297|TX|SpRADPRE00^Radiation precautions required^ADM||N||||||F
OBX|298|TX|SpRIREQU00^Reverse isolation required^ADM||N||||||F
OBX|299|TX|SpSLEAID00^Sleep aid PRN given^ADM||N||||||F
OBX|300|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|301|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F
OBX|302|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|303|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|304|TX|VsBPDIAO01^Blood pressure diastolic^ADM||90||||||F
OBX|305|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||70||||||F
OBX|306|CE|VsBPPOST02^Patient position^ADM||2^Supine||||||F
OBX|307|TX|VsBPSYSO01^Blood pressure systolic^ADM||150||||||F
OBX|308|TX|VsHRADEL00^Electrical heart rate^ADM||180||||||F
OBX|309|TX|VsHRADLT01^Heart rate^ADM||100||||||F
OBX|310|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|311|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|312|CE|VsHRMETH00^Heart rate method used^ADM||4^Monitor||||||F
OBX|313|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|314|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||0||||||F
OBX|315|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||91||||||F
OBX|316|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F
OBX|317|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|318|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F
OBX|319|TX|VsRESPAD03^Respiratory rate^ADM||16||||||F
OBX|320|CE|VsTPSORC03^Temperature source^ADM||2^Oral||||||F
OBX|321|TX|VsTPTEMPO2^Temperature^ADM||35.5||||||F
OBX|322|TX|VsWT000101^Current Weight^ADM||60.000||||||F
OBX|323|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|324|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||60000.000||||||F
OBX|325|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|||DOCT^DOC^TEST^A^^^^0006^DOC|DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED||||||

