MSH|^~\&|ADM|ARH|||201911221235||ADT^A08|4111463|D|2.2|||AL|NE
EVN|A08|201911221235||||
PID|1|FHATVIG0012380|AB00008350|AB8258|PCSTEST^CUPCAKE||19761108|M|||1327 ANVIL CRT^^NEW WESTMINSTER^BC^V3E 4R4|||||||AB000657/19|
PV1|1|I|AB-3CHEAMA^AB3C-C3037^1|UE|||OEDOCN^Oedoc^Nancytrain^^^^MD^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201911081118|
PV2||P^Private - Non-Solicited|
OBX|1|ST|1010.1^WEIGHT^CPT4||90.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||150.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160417||||||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|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|9|TX|AdAC000100^Accompanied by other^ADM||RN||||||F
OBX|10|TX|AdADMDAT01^Admission date^ADM||20191122||||||F
OBX|11|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|12|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|13|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||Y||||||F
OBX|14|TX|AdADMRSN00^Reason for admission^ADM||Respiratory Failure||||||F
OBX|15|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||Y||||||F
OBX|16|TX|AdADMTIM00^Admission time^ADM||1000||||||F
OBX|17|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|18|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|19|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|20|TX|AdCOMDIF00^Communication difficulties^ADM||Y||||||F
OBX|21|TX|AdCRSTAT00^Current problem status^ADM||No BM x2days||||||F
OBX|22|TX|AdGOALCP00^Goal^ADM||Have soft BM||||||F
OBX|23|TX|AdGOALDT00^Goal target date^ADM||20191109||||||F
OBX|24|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|25|TX|AdGOCPHH00^Goal^ADM||Prevent fatigue at meal time and promote intake||||||F
OBX|26|TX|AdGOCPPT00^Goal^ADM||indep + cane + rails x 4 steps||||||F
OBX|27|CE|AdGOSTHH00^Goal status^ADM||1^In progress||||||F
OBX|28|CE|AdGOSTPT00^Goal status^ADM||1^In progress||||||F
OBX|29|TX|AdGOTDHH00^Goal target date^ADM||20191109||||||F
OBX|30|TX|AdGOTDPT00^Goal target date^ADM||20191111||||||F
OBX|31|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||Y||||||F
OBX|32|TX|AdHXCOND00^History of presenting condition^ADM||SOB for 3 days||||||F
OBX|33|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F
OBX|34|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F
OBX|35|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|36|TX|AdINVAHH00^1. Intervention to address problem^ADM||Provide meals without packaging||||||F
OBX|37|TX|AdINVAHH01^2. Intervention to address problem^ADM||Allow for extra time during meals||||||F
OBX|38|TX|AdINVANR00^1. Intervention to address problem^ADM||Encourage fluid intake||||||F
OBX|39|TX|AdINVANR01^2. Intervention to address problem^ADM||Follow Level II bowel protocol in MAR||||||F
OBX|40|TX|AdINVANR02^3. Intervention to address problem^ADM||Encourage Q2H mobilization around unit during day||||||F
OBX|41|TX|AdINVANR03^4. Intervention to address problem^ADM||Diet changed to high fibre||||||F
OBX|42|TX|AdINVAPT00^1. Intervention to address problem^ADM||Practice stairs daily||||||F
OBX|43|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV~8^Urinary catheter||||||F
OBX|44|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|45|CE|AdNICOT000^History of nicotine use^ADM||3^Quit within last 30 days||||||F
OBX|46|CE|AdNICOT010^Type of nicotine use^ADM||5^Hookah/Bidis/Kreteks||||||F
OBX|47|TX|AdNICOT040^Number of years smoking^ADM||30||||||F
OBX|48|TX|AdNICOT050^Cigarette pack years amount^ADM||Incomplete||||||F
OBX|49|TX|AdNICOT080^Date nicotine use stopped^ADM||20191101||||||F
OBX|50|CE|AdNICOT090^Nicotine cessation interventions^ADM||2^NRT offered||||||F
OBX|51|TX|AdNICOT120^Patient informed smoking/vaping not allowed on FH property^ADM||Y||||||F
OBX|52|TX|AdOTCPDE01^Problem detail^ADM||currently requiring 1PA sit to lie||||||F
OBX|53|TX|AdOTCPGD00^Goal target date^ADM||20191115||||||F
OBX|54|TX|AdOTCPGO00^Goal^ADM||Independent from sitting to lying down in bed||||||F
OBX|55|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|56|CE|AdOTCPID01^Problem identified^ADM||25^Bed mobility||||||F
OBX|57|TX|AdOTCPIN00^1. Intervention to address problem^ADM||Practice funtional mobility||||||F
OBX|58|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||Y||||||F
OBX|59|TX|AdPRLANG00^Primary language spoken^ADM||urdu||||||F
OBX|60|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|61|TX|AdPROBDS00^Problem detail^ADM||Risk for constipation||||||F
OBX|62|CE|AdPROBHH01^Problem identified^ADM||3^Needs meal set-up||||||F
OBX|63|CE|AdPROBID20^Problem identified^ADM||27^Gastrointestinal||||||F
OBX|64|CE|AdPROBPT00^Problem identified^ADM||22^Negotiating stairs||||||F
OBX|65|TX|AdPRODHH00^Problem detail^ADM||experiencing difficulty with meals and packaging||||||F
OBX|66|TX|AdPRODPT00^Problem detail^ADM||needs to practice||||||F
OBX|67|CE|AdREPREF00^Report received^ADM||2^By telephone||||||F
OBX|68|TX|AdREPRFR01^Report received from^ADM||Norman Nurse||||||F
OBX|69|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|70|CE|GuPARAMR00^Genitourinary defined parameters^ADM||2^Significant findings||||||F
OBX|71|TX|HeDOCDAT00^Documentation completed. Viewable in 'other reports'^ADM||20191120||||||F
OBX|72|TX|HxMEDHOT00^Communicable disease history^ADM||TB||||||F
OBX|73|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||Y||||||F
OBX|74|TX|HxSPTCHX01^Pertinent clinical history^ADM||TB 9 years ago||||||F
OBX|75|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||N||||||F
OBX|76|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|77|CE|OhIN000300^Information source^ADM||1^Patient||||||F
OBX|78|TX|OhINTE0001^Type of interpreter^ADM||family||||||F
OBX|79|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|80|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F
OBX|81|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F
OBX|82|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||N||||||F
OBX|83|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||N||||||F
OBX|84|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F
OBX|85|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|86|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|87|TX|ReFRINOX01^Fraction of inspired oxygen (FiO2)^ADM||0.80||||||F
OBX|88|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||4^High flow face mask||||||F
OBX|89|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|90|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|91|CE|VsBPCFLP01^Blood pressure cuff location^ADM||3^Right ankle||||||F
OBX|92|CE|VsBPDEUS00^Device used^ADM||2^Manual cuff||||||F
OBX|93|TX|VsBPDIAO01^Blood pressure diastolic^ADM||90||||||F
OBX|94|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||105||||||F
OBX|95|CE|VsBPPOST02^Patient position^ADM||6^Standing||||||F
OBX|96|TX|VsBPSYSO01^Blood pressure systolic^ADM||150||||||F
OBX|97|TX|VsHRADLT01^Heart rate^ADM||90||||||F
OBX|98|CE|VsHRLOCA02^Heart rate location^ADM||3^Apical||||||F
OBX|99|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|100|CE|VsHRMETH00^Heart rate method used^ADM||2^Auscultation||||||F
OBX|101|CE|VsHRRHYM02^Pulse rhythm^ADM||2^Irregular||||||F
OBX|102|TX|VsHTCM0100^Current height^ADM||150.0||||||F
OBX|103|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||8||||||F
OBX|104|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||82||||||F
OBX|105|CE|VsPRLOMO00^Probe location modifier^ADM||2^Left||||||F
OBX|106|CE|VsPROLOC00^Probe location^ADM||3^Earlobe||||||F
OBX|107|CE|VsPULSTR00^Pulse strength on palpation^ADM||3^Strong||||||F
OBX|108|TX|VsPUOXCO00^Pulse oximetry comment^ADM||testing||||||F
OBX|109|TX|VsRESPAD03^Respiratory rate^ADM||18||||||F
OBX|110|CE|VsTPSORC03^Temperature source^ADM||8^Axillary||||||F
OBX|111|TX|VsTPTEMPO2^Temperature^ADM||38.7||||||F
OBX|112|TX|VsWT000101^Current Weight^ADM||90.000||||||F
OBX|113|CE|VsWT000700^Weight measurement method^ADM||2^Bed scale||||||F
OBX|114|CE|VsWT004900^Height or length source^ADM||3^Stated||||||F
OBX|115|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||90000.000||||||F
OBX|116|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|5555 Main Street^^Langley^BC^V3V 1Z1|||OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

