MSH|^~\&|ADM|ARH|||201911211433||ADT^A08|4110683|D|2.2|||AL|NE
EVN|A08|201911211433||||
PID|1|FHATVIG0010760|AB00008221|AB8109|PCSTEST^IPOC1||19530826|M|||1111111^^ABBOTSFORD^BC^C1W 2E3|||||||AB000453/19|
PV1|1|I|AB-2BAKER^AB2B-B2108^2|EL|||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201908261534|
PV2||W^Ward|GALLSTONES
OBX|1|ST|1010.1^WEIGHT^CPT4||75.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||130.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181030||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|CE|Ac00000700^Upper body washing support provided^ADM||8^Independent||||||F
OBX|9|CE|Ac00001000^Grooming support provided^ADM||8^Independent||||||F
OBX|10|CE|Ac00001700^Housing considerations prior to hospitalization^ADM||1^Stairs||||||F
OBX|11|TX|Ac00001800^Housing considerations prior to hospitalization other^ADM||test||||||F
OBX|12|CE|Ac00001900^Community supports utilized prior to hospitalization^ADM||1^None||||||F
OBX|13|TX|Ac00002000^Community supports utilized prior to hospitalization other^ADM||test||||||F
OBX|14|TX|Ac00002100^Community supports utilized comments^ADM||test||||||F
OBX|15|CE|Ac00002200^Respiratory equipment used prior to hospitalization^ADM||1^Home oxygen||||||F
OBX|16|TX|Ac00002300^Respiratory equipment used prior to hospitalization other^ADM||test||||||F
OBX|17|TX|Ac00002400^Respiratory equipment used prior to hospitalization comments^ADM||test||||||F
OBX|18|CE|Ac00002500^Equipment/Aids used prior to hospitalization^ADM||1^No aid used~2^No equipment used~3^Band sling~4^Bath board~41^Walker: 2 wheeled~43^Walker: platform||||||F
OBX|19|TX|Ac00002600^Equipment/Aids used prior to hospitalization other^ADM||test||||||F
OBX|20|TX|Ac00002900^Recent falls prior to hospitalization^ADM||Y||||||F
OBX|21|TX|Ac00003000^Mobility and falls prior to hospitalization comments^ADM||test||||||F
OBX|22|CE|Ac00003100^Upper body dressing support required^ADM||8^Independent||||||F
OBX|23|CE|Ac00003200^Lower body dressing support required^ADM||8^Independent||||||F
OBX|24|CE|Ac00003400^Stair support required^ADM||8^Independent||||||F
OBX|25|TX|Ac00003500^Other pre-hospitalization comments^ADM||test||||||F
OBX|26|TX|Ac00003600^Home oxygen provider/company^ADM||test||||||F
OBX|27|TX|Ac00003800^IADL support required prior to hospitalization^ADM||test||||||F
OBX|28|TX|Ac00005100^Equipment/Aids used comments^ADM||test||||||F
OBX|29|CE|Ac00005200^Oral care support required^ADM||8^Independent||||||F
OBX|30|CE|AcADLWAT00^Wash type performed^ADM||5^Sink side in bathroom||||||F
OBX|31|CE|AcFTTYPE00^Footwear type^ADM||1^Non slip socks||||||F
OBX|32|CE|AcHEHT0M00^Home environment - housing type^ADM||8^Assisted living||||||F
OBX|33|TX|AcHOCOMM00^Housing prior to admission comments^ADM||test||||||F
OBX|34|TX|AcLIVOTH00^Living with others prior to admission^ADM||Y||||||F
OBX|35|CE|AcMOCARE03^Mouth care assistance^ADM||1^Unassisted||||||F
OBX|36|CE|AcTOASST02^Toileting assistance^ADM||1^Unassisted||||||F
OBX|37|CE|AcWAASST03^Washing assistance^ADM||2^Supervision||||||F
OBX|38|TX|Ad00001900^Other admission and clinical history comments^ADM||test||||||F
OBX|39|TX|Ad00002000^Two patient identifiers checked^ADM||N||||||F
OBX|40|TX|Ad00002900^Personal aids present^ADM||Y||||||F
OBX|41|TX|Ad00003000^Communication difficulties^ADM||Y||||||F
OBX|42|TX|AdAC000100^Accompanied by other^ADM||test||||||F
OBX|43|TX|AdADMDAT01^Admission date^ADM||20191025||||||F
OBX|44|CE|AdADMFRO01^Admitted from^ADM||3^Other unit||||||F
OBX|45|TX|AdADMRSN00^Reason for admission^ADM||test||||||F
OBX|46|TX|AdADMTIM00^Admission time^ADM||1000||||||F
OBX|47|TX|AdADMTRA00^Name of other unit/site^ADM||test||||||F
OBX|48|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|49|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|50|TX|AdDIETY000^Diet type other^ADM||test||||||F
OBX|51|TX|AdGOALCP00^Goal^ADM||better mobility||||||F
OBX|52|TX|AdGOALDT00^Goal target date^ADM||20191018||||||F
OBX|53|TX|AdHCPNPC01^Notification method comment^ADM||||||||F
OBX|54|TX|AdHXCOND00^History of presenting condition^ADM||test||||||F
OBX|55|TX|AdINFNAM00^Name of information source^ADM||test||||||F
OBX|56|TX|AdINFOTH00^Information source other^ADM||test||||||F
OBX|57|CE|AdINSM0000^Information source^ADM||2^Parent(s)||||||F
OBX|58|TX|AdINVANR00^1. Intervention to address problem^ADM||current function 2 person with ceiling lift||||||F
OBX|59|CE|AdLITUBE01^Lines/Tubes in situ^ADM||1^CVC||||||F
OBX|60|TX|AdMRPNMD00^MRP or physician notification method^ADM||||||||F
OBX|61|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|62|CE|AdNICOT010^Type of nicotine use^ADM||1^Cigarettes||||||F
OBX|63|TX|AdNICOT020^Type of nicotine use other^ADM||test||||||F
OBX|64|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|65|TX|AdNICOT100^Nicotine cessation interventions other^ADM||test||||||F
OBX|66|CE|AdNICOT110^Willingness to quit^ADM||1^Quit with this admission||||||F
OBX|67|TX|AdPRLANG00^Primary language spoken^ADM||test||||||F
OBX|68|TX|AdPROBDS00^Problem detail^ADM||mobility||||||F
OBX|69|CE|AdPROBID20^Problem identified^ADM||13^Mobility||||||F
OBX|70|CE|AdPTA05200^Assistive devices used prior to admission^ADM||3^Contacts||||||F
OBX|71|CE|AdPTA05600^Diet type prior to admission^ADM||1^General~5^Diabetic||||||F
OBX|72|CE|AdPTA08800^Community supports utilized prior to admission^ADM||2^Family||||||F
OBX|73|CE|AdPTA09100^Formal supports utilized prior to admission^ADM||2^Lifeline||||||F
OBX|74|TX|AdPTA14000^Sleep pattern prior to admission^ADM||test||||||F
OBX|75|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|76|TX|AdREPRFR01^Report received from^ADM||test||||||F
OBX|77|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||test||||||F
OBX|78|TX|Ca00002100^Circulation satisfactory^ADM||Y||||||F
OBX|79|TX|Ca00002200^History of orthostatic hypotension^ADM||Y||||||F
OBX|80|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||1^Within defined parameters||||||F
OBX|81|TX|CaPLDATE00^PIV Insertion date^ADM||20190905||||||F
OBX|82|TX|CmASPARO01^Treatment participation other^ADM||||||||F
OBX|83|TX|CmASPART01^Treatment participation^ADM||||||||F
OBX|84|TX|CmINTCOM00^Interpreter comment^ADM||||||||F
OBX|85|TX|Ec00000000^History of diabetes^ADM||Y||||||F
OBX|86|CE|Ec00000100^Type of diabetes^ADM||1^Type 1||||||F
OBX|87|TX|Ec00000200^Diabetes diagnosed in past 12 months^ADM||Y||||||F
OBX|88|CE|Ec00000300^Reported symptoms of hypoglycemia^ADM||1^None||||||F
OBX|89|TX|Ec00000400^Reported symptoms of hypoglycemia other^ADM||test||||||F
OBX|90|CE|Ec00000500^Reported symptoms of hyperglycemia^ADM||1^None||||||F
OBX|91|TX|Ec00000600^Reported symptoms of hyperglycemia other^ADM||test||||||F
OBX|92|TX|EnDDRRSP00^Response from designated provider^ADM||||||||F
OBX|93|TX|EnITEMCO00^Item(s) of concern^ADM||||||||F
OBX|94|TX|EnITEMRP01^Item(s) of concern reported to (name and designation)^ADM||||||||F
OBX|95|CE|Gi00000800^Enteral feeding tube unclogging method^ADM||1^Warm water||||||F
OBX|96|TX|GiABGIRT00^Abdomen abdominal girth^ADM||30.00||||||F
OBX|97|TX|GiABINDT00^Abdominal feeding tube insertion date^ADM||20190904||||||F
OBX|98|TX|GiADULPH01^Gastric tube pH adult^ADM||5.0||||||F
OBX|99|CE|GiBALTYP00^Balloon gastrostomy type^ADM||1^Long shaft||||||F
OBX|100|TX|GiBALVOL00^Balloon gastrostomy initial volume^ADM||22.3||||||F
OBX|101|CE|GiBM000000^Bowel movement method^ADM||1^Toilet||||||F
OBX|102|CE|GiBM000100^Bowel movement colour^ADM||3^Brown||||||F
OBX|103|CE|GiBMAMT201^Bowel movement amount^ADM||1^Small (less than 120 mL)||||||F
OBX|104|TX|GiBMCOOT00^Bowel movement colour other^ADM||test||||||F
OBX|105|TX|GiBMINCO00^Bowel movement incontinence^ADM||Y||||||F
OBX|106|TX|GiBMMEOT00^Bowel movement method other^ADM||test||||||F
OBX|107|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20191101||||||F
OBX|108|TX|GiBSST0001^Bristol Chart stool consistency^ADM||2||||||F
OBX|109|CE|GiCNMETH00^Feeding tube placement confirmation method^ADM||1^Radiology report||||||F
OBX|110|TX|GiCURLEN00^Feeding tube current external length^ADM||20.3||||||F
OBX|111|TX|GiEFT00101^pH duodenal tube^ADM||8.0||||||F
OBX|112|CE|GiEFT00300^Site appearance^ADM||1^Redness||||||F
OBX|113|TX|GiEFT00400^Site appearance other^ADM||test||||||F
OBX|114|CE|GiEFT00500^Exudate description^ADM||1^Serous||||||F
OBX|115|TX|GiEFT00700^Balloon volume removed^ADM||10||||||F
OBX|116|TX|GiEFT00800^Balloon volume filled^ADM||10||||||F
OBX|117|TX|GiENTINS00^Enteral feeding tube length at insertion^ADM||35.536666||||||F
OBX|118|TX|GiETCLON01^Enteral feeding tube number of unclogging attempts^ADM||3||||||F
OBX|119|TX|GiETCLOT00^Enteral feeding tube unclogging method other^ADM||test||||||F
OBX|120|TX|GiETCOMM02^Other enteral feeding tube comments^ADM||test||||||F
OBX|121|TX|GiETDEVI00^Enteral feeding tube securement device intact^ADM||Y||||||F
OBX|122|TX|GiETDEVI01^Enteral feeding tube securement device intact^ADM||Y||||||F
OBX|123|TX|GiETINAT00^Enteral feeding tube insertion attempts^ADM||3||||||F
OBX|124|TX|GiETPLCO00^Enteral tube placement comments^ADM||test||||||F
OBX|125|TX|GiETREMD00^Enteral feeding tube removal date^ADM||20190904||||||F
OBX|126|CE|GiETREMR03^Enteral feeding tube removal reason^ADM||2^Oral intake adequate||||||F
OBX|127|TX|GiETSIZE00^Enteral feeding tube size^ADM||14.0||||||F
OBX|128|TX|GiEXLNTH00^Feeding tube initial external length^ADM||620.3||||||F
OBX|129|CE|GiFTTYPE00^Feeding tube type^ADM||3^Gastrostomy||||||F
OBX|130|TX|GiGT000300^Enteral feeding tube current length^ADM||2.5||||||F
OBX|131|TX|GiGT000700^Other insertion comments^ADM||test||||||F
OBX|132|CE|GiGT000900^Gastric tube port status^ADM||1^Draining to gravity||||||F
OBX|133|CE|GiGT001000^Jejunal tube port status^ADM||3^Feeding||||||F
OBX|134|TX|GiGTREAD01^Gastric drainage description other^ADM||test||||||F
OBX|135|CE|GiGTRECH00^Gastric return characteristics^ADM||1^Green||||||F
OBX|136|TX|GiNOINDT00^Nasal/Oral feeding tube insertion date^ADM||20190904||||||F
OBX|137|CE|GiNSORAL01^Feeding tube insertion site^ADM||1^Right nare||||||F
OBX|138|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||1^Within defined parameters||||||F
OBX|139|TX|GiREPLCD00^Abdominal feeding tube scheduled replacement date^ADM||20190925||||||F
OBX|140|TX|GiREPORT01^Enteral feeding tube reported placement^ADM||es||||||F
OBX|141|TX|GiRTINSI00^Rectal tube in situ^ADM||Y||||||F
OBX|142|CE|GiRTRETU01^Rectal tube returns^ADM||1^Flatus||||||F
OBX|143|TX|GiRTRETU02^Rectal tube returns other^ADM||est||||||F
OBX|144|TX|GiSECURE00^Securement method^ADM||test||||||F
OBX|145|TX|GiSKINNT00^Surrounding skin intact^ADM||N||||||F
OBX|146|TX|GiTBRAND00^Feeding tube brand^ADM||test||||||F
OBX|147|TX|GiTUBEBL00^Tube balloon volume checked^ADM||Y||||||F
OBX|148|TX|GiTUBERT00^Tube rotated^ADM||Y||||||F
OBX|149|TX|GuBDINCO00^Bladder incontinence^ADM||N||||||F
OBX|150|CE|GuBDPAT001^Bladder pattern^ADM||1^Normal||||||F
OBX|151|CE|GuBDUIT000^Urinary incontinence type^ADM||1^Total||||||F
OBX|152|CE|GuBDVM0002^Voiding method^ADM||1^Toilet||||||F
OBX|153|CE|GuPARAMR00^Genitourinary defined parameters^ADM||1^Within defined parameters||||||F
OBX|154|TX|GuPD000100^Dialysate 1 volume^ADM||1000||||||F
OBX|155|TX|GuPD000200^Dialysate 2 volume^ADM||1000||||||F
OBX|156|TX|GuPD000300^Dialysate 3 volume^ADM||500||||||F
OBX|157|CE|GuPD000401^Prescription verified^ADM||1^At set-up||||||F
OBX|158|CE|GuPD000500^Dialysate 1 type^ADM||1^Dextrose||||||F
OBX|159|CE|GuPD000600^Dialysate 1 concentration^ADM||1^1.5%||||||F
OBX|160|CE|GuPD000700^Dialysate 2 type^ADM||1^Dextrose||||||F
OBX|161|CE|GuPD000800^Dialysate 2 concentration^ADM||1^1.5%||||||F
OBX|162|CE|GuPD000900^Dialysate 3 type^ADM||1^Dextrose||||||F
OBX|163|CE|GuPD001000^Dialysate 3 concentration^ADM||1^1.5%||||||F
OBX|164|CE|GuPD001100^Dialysate last fill type^ADM||1^Dextrose||||||F
OBX|165|CE|GuPD001200^Dialysate last fill concentration^ADM||1^7.5%||||||F
OBX|166|TX|GuPD001300^Dialysate last fill volume^ADM||5400||||||F
OBX|167|TX|GuPD001400^Time continuous cycling peritoneal dialysis initiated^ADM||1000||||||F
OBX|168|TX|GuPD001500^Output, Peritoneal Dialysate Initial Drain Amount^ADM||1000||||||F
OBX|169|TX|GuPD001600^Total ultrafiltration^ADM||5||||||F
OBX|170|TX|GuPD001700^Dwell average time^ADM||54||||||F
OBX|171|TX|GuPD001800^Dwell added time^ADM||5||||||F
OBX|172|TX|GuPD001900^Dwell lost time^ADM||5||||||F
OBX|173|TX|GuPD002000^Dwell comments^ADM||test||||||F
OBX|174|TX|GuPD002200^Number of alarm(s) during therapy^ADM||5||||||F
OBX|175|TX|GuPD002300^Type of alarm(s) during therapy other^ADM||test||||||F
OBX|176|TX|GuPD002400^Alarm(s) comments^ADM||test||||||F
OBX|177|TX|GuPD002500^Intake, Peritoneal Dialysate Last Fill Amount^ADM||500||||||F
OBX|178|CE|GuPD002600^Type of alarm(s) during therapy^ADM||1^Check drain line||||||F
OBX|179|TX|GuPDCEDO00^Peritoneal dialysis catheter exit site drainage other^ADM||test||||||F
OBX|180|CE|GuPDCESA00^Peritoneal dialysis catheter exit site appearance^ADM||1^Satisfactory||||||F
OBX|181|CE|GuPDCESD00^Peritoneal dialysis catheter exit site drainage^ADM||1^None||||||F
OBX|182|TX|GuPDCESO00^Peritoneal dialysis catheter exit site appearance other^ADM||test||||||F
OBX|183|CE|GuPDCLOC00^Peritoneal dialysis catheter location^ADM||3^Right upper quadrant||||||F
OBX|184|TX|GuPDCMT000^Other peritoneal dialysis comments^ADM||test||||||F
OBX|185|CE|GuPDDCL000^Peritoneal dialysis dialysate clarity^ADM||1^Clear||||||F
OBX|186|TX|GuPDDCLO00^Peritoneal dialysis dialysate clarity other^ADM||test||||||F
OBX|187|TX|GuPDFLS000^Fluid leakage from site^ADM||Y||||||F
OBX|188|TX|GuPDMAD000^Peritoneal dialysis medications added to dialysate^ADM||Y||||||F
OBX|189|TX|GuPDSDIO00^Peritoneal dialysis securement device in use other^ADM||test||||||F
OBX|190|CE|GuPDSDIU01^Peritoneal dialysis securement device in use^ADM||1^Tape||||||F
OBX|191|TX|GuUCBFV000^Urinary catheter balloon fill volume^ADM||10||||||F
OBX|192|CE|GuUCBSZ000^Urinary catheter balloon size^ADM||4^30 cc||||||F
OBX|193|TX|GuUCIARO00^Urinary catheter insertion/application reason other^ADM||long-term||||||F
OBX|194|TX|GuUCID0000^Urinary catheter insertion date^ADM||20190827||||||F
OBX|195|CE|GuUCMAT000^Urinary catheter material^ADM||2^Silicone||||||F
OBX|196|TX|GuUCNIA000^Urinary catheter insertion attempts^ADM||1||||||F
OBX|197|TX|GuUCSDU000^Urinary catheter securement device in use^ADM||Y||||||F
OBX|198|CE|GuUCSZA001^Urinary catheter size^ADM||3^14 Fr||||||F
OBX|199|CE|GuUCTL0000^Urinary catheter type/location^ADM||2^2-way||||||F
OBX|200|CE|GuUCUCS000^Urinary collection system^ADM||1^Drainage bag||||||F
OBX|201|CE|GuURCLR000^Urine clarity^ADM||1^Clear||||||F
OBX|202|TX|GuURCLRO00^Urine clarity other^ADM||test||||||F
OBX|203|CE|GuURCOL001^Urine colour^ADM||1^Yellow||||||F
OBX|204|CE|GuURCOL002^Urine colour^ADM||9^Colourless||||||F
OBX|205|TX|GuUROA0000^Urine output adequate^ADM||Y||||||F
OBX|206|CE|GuUROD0000^Urine odour^ADM||1^None||||||F
OBX|207|TX|GuURODO000^Urine odour other^ADM||test||||||F
OBX|208|CE|HeAXPAR000^Assessment participation^ADM||1^No concerns||||||F
OBX|209|TX|HeAXPARC01^Assessment participation comments^ADM||test||||||F
OBX|210|TX|HeAXPARO01^Assessment participation other^ADM||test||||||F
OBX|211|TX|HeSLP01001^Treatment participation comments^ADM||||||||F
OBX|212|TX|HeTR000100^Trachea position^ADM||||||||F
OBX|213|TX|Hx486COM00^Pre-admission screening questionnaire completed by^ADM||test||||||F
OBX|214|TX|Hx486PRO00^Pre-admission screening questionnaire provided^ADM||Y||||||F
OBX|215|TX|HxSPTCHX01^Pertinent clinical history^ADM||test||||||F
OBX|216|TX|InDR000200^Type of dressing applied^ADM||test||||||F
OBX|217|CE|InDRATYE00^Drainage type^ADM||1^Serous||||||F
OBX|218|TX|InDRESSC00^Dressing changed^ADM||Y||||||F
OBX|219|TX|InDRESSP00^Dressing present^ADM||Y||||||F
OBX|220|CE|InDREWOU00^Wound cleansing solution^ADM||1^Sterile normal saline||||||F
OBX|221|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F
OBX|222|CE|InISGR0000^infiltration Scale Grade^ADM||1^0||||||F
OBX|223|TX|InNAREIN00^Nares skin intact^ADM||Y||||||F
OBX|224|CE|InPARAMR00^Integumentary defined parameters^ADM||1^Within defined parameters||||||F
OBX|225|CE|InPESIDE00^Peripheral line site description^ADM||1^Satisfactory||||||F
OBX|226|TX|InPTRESP00^Patient's response to procedure^ADM|| ~tolerated well||||||F
OBX|227|TX|InSITECL00^Site cleansed^ADM||Y||||||F
OBX|228|TX|InSUTDAT00^Sutures scheduled removal date^ADM||20190928||||||F
OBX|229|TX|InSUTPRE00^Sutures present^ADM||Y||||||F
OBX|230|TX|IoNICUIN20^Location^ADM||lt arm||||||F
OBX|231|TX|IoNICUIN30^Intake, IV Amount^ADM||50.00||||||F
OBX|232|CE|IoSOLUMA00^Solution^ADM||15^Insulin||||||F
OBX|233|CE|IvLOCATM01^Location Modifier^ADM||5^Left||||||F
OBX|234|CE|IvPIVLOC00^Location^ADM||2^Lower arm PIV||||||F
OBX|235|TX|IvPIVNIC00^PIV insertion time^ADM||1338||||||F
OBX|236|CE|IvPL000700^Initial management^ADM||1^Infusion||||||F
OBX|237|CE|IvPS000100^Phlebitis scale grade^ADM||1^0||||||F
OBX|238|TX|IvRATE0000^Rate^ADM||10.00||||||F
OBX|239|TX|IvSIZE0000^Size^ADM||22||||||F
OBX|240|CE|MhADVFIS01^Vocational/financial status^ADM||5^Employed part time||||||F
OBX|241|CE|MhDENTYP02^Type of dentures^ADM||1^Upper||||||F
OBX|242|CE|MhEYETYP02^Type of eyewear^ADM||1^Glasses||||||F
OBX|243|CE|MhHEATYP01^Type of hearing aids^ADM||1^Right||||||F
OBX|244|CE|MhINFOSC00^Information source^ADM||1^Patient~6^Guardian||||||F
OBX|245|TX|MhITRESP01^Notified of personal responsibility for items kept^ADM||Y||||||F
OBX|246|TX|MhITSHPE01^Items sent home with appropriate person(s)^ADM||Y||||||F
OBX|247|TX|MhMRSAMD00^MRSA/MDRO swabs collected^ADM||Y||||||F
OBX|248|TX|MhPBAIDC01^Personal aids comments^ADM||test||||||F
OBX|249|TX|MhPBCOM001^Other patient belongings comments^ADM||test||||||F
OBX|250|CE|MhPBDEND01^Disposition of dentures^ADM||1^None present||||||F
OBX|251|CE|MhPBGLAD01^Disposition of eyewear^ADM||1^None present||||||F
OBX|252|CE|MhPBHEAD01^Disposition of hearing aids^ADM||1^None present||||||F
OBX|253|TX|MhPBIDII01^Items for disposal comments^ADM||test||||||F
OBX|254|TX|MhPBIDIP01^Permission given for disposal of items^ADM||Y||||||F
OBX|255|TX|MhPBITSC01^Items kept/sent with patient comments^ADM||test||||||F
OBX|256|TX|MhPBIUNC01^Items stored on unit comments^ADM||test||||||F
OBX|257|TX|MhPBLIST01^Items sent home^ADM|| ~ ~test||||||F
OBX|258|TX|MhPBNARA01^Name and relationship of person aids sent home with^ADM||test||||||F
OBX|259|TX|MhPBOAID02^Other personal aids^ADM||test||||||F
OBX|260|TX|MhPBVALC01^Valuables in safekeeping comments^ADM||test||||||F
OBX|261|CE|MhPED00100^Behaviour^ADM||1^Relaxed||||||F
OBX|262|TX|MhPERAID01^Personal aids present^ADM||Y||||||F
OBX|263|TX|MhVALKEE01^Valuables documented and placed in Safekeeping Envelope^ADM||Y||||||F
OBX|264|CE|MhVALLOC01^Location of valuables in Safekeeping Envelope^ADM||1^Cashier's Office||||||F
OBX|265|CE|Mo00000500^Ambulation support provided^ADM||8^Independent||||||F
OBX|266|CE|Mo00000501^Ambulation support provided^ADM||2^Supervision||||||F
OBX|267|CE|Mo00001400^Falls safety equipment set up on admission^ADM||1^Bed alarm~4^Hip protector||||||F
OBX|268|TX|Mo00001500^Falls safety equipment set up on admission other^ADM||test||||||F
OBX|269|TX|Mo00002100^Falls in hospital^ADM||N||||||F
OBX|270|TX|Mo00002200^Fall related injuries^ADM||test||||||F
OBX|271|TX|Mo00002300^Independent with mobility and ADLs prior to hospitalization^ADM||Y||||||F
OBX|272|TX|Mo00002400^Current support required for mobility and ADLs^ADM||est||||||F
OBX|273|CE|Mo00002500^Ambulation support required^ADM||8^Independent||||||F
OBX|274|CE|MoAIDAMB00^Ambulation aid^ADM||9^Walker: 2 wheeled||||||F
OBX|275|CE|MoAIDAMB01^Ambulation aid^ADM||3^Cane||||||F
OBX|276|CE|MoAIDTRA00^Transfer aid^ADM||1^No aid used||||||F
OBX|277|CE|MoAIDTRA01^Transfer aid^ADM||10^Walker: 2 wheeled||||||F
OBX|278|CE|MoAMASST02^Ambulation assistance required^ADM||1^None||||||F
OBX|279|CE|MoAMBABI03^Ambulation ability^ADM||1^Complete independence||||||F
OBX|280|CE|MoAMBACT01^Ambulation activity^ADM||2^Ambulation in hall||||||F
OBX|281|CE|MoAMBLOC00^Ambulation location^ADM||1^Within room||||||F
OBX|282|CE|MoAMMBAD01^Ambulation aid^ADM||1^Standard walker||||||F
OBX|283|TX|MoAOTOHC00^Other task outcome comments^ADM||||||||F
OBX|284|CE|MoBCTFTO01^Transfer to^ADM||2^Chair||||||F
OBX|285|CE|MoBCTTFR01^Transfer from^ADM||1^Bed||||||F
OBX|286|TX|MoCHTIME04^Duration of time up in chair^ADM||60||||||F
OBX|287|CE|MoEQUTRA00^Transfer equipment^ADM||1^No equipment used||||||F
OBX|288|CE|MoEXERB00^Exercises in bed^ADM||1^UE ROM~2^LE ROM||||||F
OBX|289|TX|MoEXERBC00^Bed exercises completed^ADM||Y||||||F
OBX|290|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal~2^Chair alarm~9^Bed alarm~10^Hip protectors~14^Mobility aid accessible~18^Monitor while mobilizing||||||F
OBX|291|CE|MoFAM00002^Additional fall prevention strategies^ADM||9^Non-slip socks||||||F
OBX|292|CE|MoMOTYPE00^Mobility type^ADM||1^Bed mobility||||||F
OBX|293|CE|MoMOTYPT00^Mobility type^ADM||6^Ambulation||||||F
OBX|294|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|295|CE|MoRECAID02^Recommended aid^ADM||12^Walker: platform||||||F
OBX|296|CE|MoRECEQP00^Recommended equipment^ADM||6^Bed rail||||||F
OBX|297|TX|MoSUPPPT00^Recommended support provided^ADM||||||||F
OBX|298|CE|MoSUPPPT01^Recommended support provided^ADM||6^1 person assist||||||F
OBX|299|CE|MoSUPPRV00^Recommended support provided^ADM||1^None||||||F
OBX|300|CE|MoTRAAST00^Transfer assistance required^ADM||2^1 person||||||F
OBX|301|CE|MoTRABIL00^Transfer level of ability^ADM||3^Moderate assist||||||F
OBX|302|CE|MoTRANSF00^Transfer from^ADM||1^Bed||||||F
OBX|303|CE|MoTRANST02^Transfer to^ADM||2^Chair||||||F
OBX|304|CE|MoTRSUP001^Transfer support provided^ADM||2^Supervision||||||F
OBX|305|CE|MoTRSUP002^Transfer support provided^ADM||8^Independent||||||F
OBX|306|CE|MsORTH0003^Supportive orthosis for mobilization^ADM||6^Shoulder sling~7^Air cast||||||F
OBX|307|TX|Ne00005500^Pain reported^ADM||Y||||||F
OBX|308|TX|Ne00005600^Orientation checks complete^ADM||Y||||||F
OBX|309|TX|Ne00005700^Orientation comments^ADM||test||||||F
OBX|310|TX|Ne00005800^History of seizure^ADM||Y||||||F
OBX|311|TX|Ne00005900^Date of last seizure^ADM||20191016||||||F
OBX|312|TX|Ne00006000^Seizure history details^ADM||test||||||F
OBX|313|TX|Ne00006100^History of autonomic dysreflexia^ADM||Y||||||F
OBX|314|CE|Ne00006200^Impact of pain on performing activities^ADM||1^None||||||F
OBX|315|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|316|CE|NeLECONS01^Level of consciousness^ADM||1^Alert||||||F
OBX|317|CE|NeORIENT01^Oriented to^ADM||1^All domains||||||F
OBX|318|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||1^Within defined parameters||||||F
OBX|319|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||Y||||||F
OBX|320|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||Y||||||F
OBX|321|TX|Nu00016600^Current fluid order^ADM||500||||||F
OBX|322|CE|Nu00016700^Current feeding support required^ADM||8^Independent||||||F
OBX|323|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||1^Yes||||||F
OBX|324|TX|NuEN000100^Enteral feeding tube patent after treatment^ADM||Y||||||F
OBX|325|TX|NuNM000100^Nothing by mouth^ADM||Y||||||F
OBX|326|TX|NuOGRETU01^Output, Gastric Drainage Amount^ADM||10.00||||||F
OBX|327|TX|NuOURINE00^Output - urine^ADM||500.00||||||F
OBX|328|TX|Oh00000800^Care plan^ADM||||||||F
OBX|329|TX|Oh00000900^Patient stated rehab goals^ADM||test||||||F
OBX|330|TX|Oh00001000^Reported bedtime^ADM||2200||||||F
OBX|331|TX|Oh00001100^Reported wake time^ADM||0800||||||F
OBX|332|TX|Oh00001200^Number naps during day^ADM||5||||||F
OBX|333|CE|Oh00001300^Reported general health status^ADM||1^Excellent||||||F
OBX|334|CE|Oh00001400^General health status reported by^ADM||1^Patient||||||F
OBX|335|TX|OhEDIT0000^Reason for edit^ADM||wrong information||||||F
OBX|336|CE|OhIN000300^Information source^ADM||1^Patient~7^Friend||||||F
OBX|337|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|338|TX|OhMEDRE000^Medications reviewed^ADM||Y||||||F
OBX|339|TX|OhMOSTST00^MOST status reviewed^ADM||Y||||||F
OBX|340|TX|Pa00000000^Pain pre-hospital baseline^ADM||chronic back pain||||||F
OBX|341|CE|PaFREQ0000^Pain frequency^ADM||1^At rest||||||F
OBX|342|CE|PaLOCBDS02^Location^ADM||7^Elbow||||||F
OBX|343|TX|PaPAGOAL02^Pain goal^ADM||3||||||F
OBX|344|CE|PaPAIASS00^Pain assessment^ADM||1^Pain not reported||||||F
OBX|345|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|346|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||1^Calm~5^Decreased activity||||||F
OBX|347|TX|PaPANVBO00^Pain non-verbal behaviours other^ADM||test||||||F
OBX|348|CE|PaPAQUAL01^Pain quality^ADM||1^Sharp||||||F
OBX|349|TX|PaPARADI00^Pain radiating^ADM||Y||||||F
OBX|350|TX|PaPARADL00^Pain radiating location^ADM||test||||||F
OBX|351|CE|PaPARAMR00^Pain defined parameters^ADM||1^Within defined parameters||||||F
OBX|352|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|353|TX|PaPASCRE01^Pain score^ADM||9.00||||||F
OBX|354|TX|PaPATIME00^Time of pain onset^ADM||1000||||||F
OBX|355|TX|PaPATMDE00^Pain timing details^ADM||test||||||F
OBX|356|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|357|TX|PaPAVRDS00^Pain verbal descriptors scale^ADM||test||||||F
OBX|358|CE|PaPNMGTT00^Pain management techniques^ADM||1^Medication~5^Positioning||||||F
OBX|359|TX|PaQU000100^Pain quality other^ADM||test||||||F
OBX|360|CE|PsCCIMP000^Cognitive communication impairments^ADM||1^Attention~4^Memory~5^Organization||||||F
OBX|361|TX|PsCCIMPO00^Cognitive communication impairments other^ADM||test||||||F
OBX|362|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|363|TX|PsCOMPRL00^Communication primary language^ADM||||||||F
OBX|364|CE|PsFIMS0002^Marital status^ADM||1^Single||||||F
OBX|365|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||1^Within defined parameters||||||F
OBX|366|TX|PsRCCOCO01^Cognitive communication comments^ADM||test||||||F
OBX|367|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|368|TX|PsSU000200^Substance use comments^ADM||est||||||F
OBX|369|TX|PsSWSTDC00^Dependents comments^ADM||test||||||F
OBX|370|TX|Re00000000^Respiratory pre-hospital baseline^ADM||||||||F
OBX|371|TX|Re00000100^Respiratory assessment^ADM||||||||F
OBX|372|TX|Re00000200^Airway stable^ADM||Y||||||F
OBX|373|TX|Re00000300^Breathing easy^ADM||Y||||||F
OBX|374|TX|ReABNORM00^Abnormal findings comments^ADM||||||||F
OBX|375|TX|ReAENTRY00^Air entry adequate throughout^ADM||||||||F
OBX|376|TX|ReAUAIRE01^Air entry^ADM||||||||F
OBX|377|TX|ReAUBTHS02^Breath sounds^ADM||||||||F
OBX|378|TX|ReAULOCT00^Auscultation location^ADM||||||||F
OBX|379|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||||||||F
OBX|380|TX|ReBRESOU00^Breath sounds other^ADM||||||||F
OBX|381|TX|ReCGDESC01^Cough description^ADM||||||||F
OBX|382|TX|ReCGDESO00^Cough description other^ADM||||||||F
OBX|383|TX|ReCGPROD00^Cough productive^ADM||||||||F
OBX|384|TX|ReCGSTGH00^Cough strength^ADM||||||||F
OBX|385|TX|ReCOLMET01^Secretions collection method^ADM||||||||F
OBX|386|TX|ReDISTRE00^Respiratory distress comments^ADM||||||||F
OBX|387|TX|ReFIND0000^Other respiratory findings^ADM||||||||F
OBX|388|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|389|CE|RePARAMR00^Respiratory defined parameters^ADM||1^Within defined parameters||||||F
OBX|390|TX|RePHASE000^Phase^ADM||||||||F
OBX|391|TX|ReRECHEX01^Chest expansion^ADM||||||||F
OBX|392|TX|ReREDISI00^Respiratory distress indicators^ADM||||||||F
OBX|393|TX|ReREDISO00^Respiratory distress indicators other^ADM||||||||F
OBX|394|TX|ReREDPTH00^Respiratory depth^ADM||||||||F
OBX|395|TX|ReRPNM0000^Respiratory pattern^ADM||||||||F
OBX|396|TX|ReSCAMNT00^Secretions amount^ADM||||||||F
OBX|397|TX|ReSCCOLR00^Secretions colour^ADM||||||||F
OBX|398|TX|ReSCDESC02^Secretions description^ADM||||||||F
OBX|399|TX|ReSCDESO00^Secretions description other^ADM||||||||F
OBX|400|TX|ReSE000100^Secretion source^ADM||||||||F
OBX|401|TX|ReSECCOM00^Secretions comments^ADM||||||||F
OBX|402|TX|ReSECMET00^Secretions collection method other^ADM||||||||F
OBX|403|TX|ReSECRET00^Secretions source^ADM||||||||F
OBX|404|TX|ReWRKBRE00^Work of breathing^ADM||||||||F
OBX|405|TX|SpCONCOM01^Consent comments^ADM||||||||F
OBX|406|TX|SpCONOTH00^Assessment/Treatment benefits and risks explained to other^ADM||||||||F
OBX|407|TX|SpCONPAT00^Consent received from patient^ADM||||||||F
OBX|408|TX|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||||||||F
OBX|409|TX|SpCONSIG00^Consent for treatment received from^ADM||||||||F
OBX|410|TX|SpCONTYP00^Consent received for^ADM||||||||F
OBX|411|TX|SpTRAMAT11^Ensured universal fall prevention strategies in place^ADM||Y||||||F
OBX|412|TX|SpUPAICM02^Fall prevention comments^ADM||test||||||F
OBX|413|TX|TeASRECO01^Communication assistance recommendations^ADM||||||||F
OBX|414|TX|TeDYSASR00^Dysphagia assistance recommendations^ADM||||||||F
OBX|415|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|416|TX|TeSL001000^Dysphagia therapy and tasks for support personnel^ADM||||||||F
OBX|417|TX|TeSL001100^Communication therapy and tasks for support personnel^ADM||||||||F
OBX|418|TX|TeTASKO000^Therapy and tasks outcome^ADM||||||||F
OBX|419|TX|TeTASKOC00^Therapy and task outcome comments^ADM||||||||F
OBX|420|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|421|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|422|TX|VsBPDIAO01^Blood pressure diastolic^ADM||78||||||F
OBX|423|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||90||||||F
OBX|424|CE|VsBPPOST02^Patient position^ADM||3^Sitting||||||F
OBX|425|TX|VsBPSYSO01^Blood pressure systolic^ADM||151||||||F
OBX|426|TX|VsHRADLT01^Heart rate^ADM||81||||||F
OBX|427|TX|VsHRLOCA02^Heart rate location^ADM||finger||||||F
OBX|428|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|429|CE|VsHRMETH00^Heart rate method used^ADM||3^Pulse Oximetry||||||F
OBX|430|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|431|TX|VsHTCM0100^Current height^ADM||130.0||||||F
OBX|432|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||99||||||F
OBX|433|CE|VsPRLOMO00^Probe location modifier^ADM||2^Left||||||F
OBX|434|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|435|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F
OBX|436|TX|VsRESPAD03^Respiratory rate^ADM||16||||||F
OBX|437|CE|VsTPSORC03^Temperature source^ADM||2^Oral||||||F
OBX|438|TX|VsTPTEMPO2^Temperature^ADM||36.8||||||F
OBX|439|TX|VsWT000101^Current Weight^ADM||75.000||||||F
OBX|440|CE|VsWT000700^Weight measurement method^ADM||2^Bed scale||||||F
OBX|441|TX|VsWT001701^Birth weight^ADM||3.250||||||F
OBX|442|TX|VsWT003500^Goal/target weight^ADM||50.000||||||F
OBX|443|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|444|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||75000.000||||||F
ZFD|.HOSPITAL^Hospitalist^.^^^^^^HOS||||.HOSPITAL^Hospitalist^.^^^^^^HOS|.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

