MSH|^~\&|ADM|ARH|||201911291008||ADT^A08|4117594|D|2.2|||AL|NE
EVN|A08|201911291008||||
PID|1|FHATVIG0012081|AB00008299|AB8206|PCSTEST^REPORT2||19731021|M|||236 BOWSER ST^^VANCOUVER^BC^V5U8H0|||||||AB000581/19|
PV1|1|I|AB-2BAKER^AB2B-B2109^1|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201910211152|
PV2||P^Private - Non-Solicited|
OBX|1|ST|1010.1^WEIGHT^CPT4||85.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||183.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170125||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other 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|Ac00000000^Specialty skin product used^ADM||N||||||F
OBX|9|TX|Ac00000100^Hair washed^ADM||Y||||||F
OBX|10|CE|Ac00000700^Upper body washing support provided^ADM||2^Supervision||||||F
OBX|11|CE|Ac00000900^Mouth care support provided^ADM||2^Supervision||||||F
OBX|12|CE|Ac00001000^Grooming support provided^ADM||3^Set-up||||||F
OBX|13|CE|Ac00001100^Toileting hygiene ability^ADM||2^Supervision||||||F
OBX|14|CE|Ac00001200^Oral care support provided^ADM||3^Set-up||||||F
OBX|15|CE|Ac00001300^Dressing support provided^ADM||4^Partial||||||F
OBX|16|CE|Ac00001400^Bed mobility support provided^ADM||2^Supervision||||||F
OBX|17|CE|Ac00003100^Upper body dressing support required^ADM||6^1 person assist||||||F
OBX|18|CE|Ac00003200^Lower body dressing support required^ADM||6^1 person assist||||||F
OBX|19|CE|Ac00003400^Stair support required^ADM||2^Supervision||||||F
OBX|20|CE|Ac00003700^Lower body washing support provided^ADM||8^Independent||||||F
OBX|21|CE|Ac00005200^Oral care support required^ADM||3^Set-up||||||F
OBX|22|CE|Ac00005300^Repositioning support required^ADM||6^1 person assist||||||F
OBX|23|CE|Ac00006000^Bathing support provided^ADM||3^Set-up||||||F
OBX|24|TX|AcADLCOM00^Activities of Daily Living Comments^ADM||other ADL comments||||||F
OBX|25|TX|AcADLWAO00^Wash products/skin protectant used other^ADM||test||||||F
OBX|26|CE|AcADLWAP01^Wash products/skin protectant used^ADM||1^Chlorhexidine cloths||||||F
OBX|27|CE|AcADLWAT00^Wash type performed^ADM||4^Partial bed bath/Pericare||||||F
OBX|28|CE|AcADLWAT01^Wash type performed^ADM||4^Partial bed bath/Pericare||||||F
OBX|29|CE|AcCLTYPE00^Clothing type^ADM||1^Hospital gown||||||F
OBX|30|CE|AcDRASST02^Dressing assistance^ADM||2^Supervision||||||F
OBX|31|TX|AcEQUPCC02^Equipment recommended for discharge comments^ADM||equipment recommended for discharge comments CDP - PT||||||F
OBX|32|TX|AcEQUPDO01^Equipment recommended for discharge other^ADM||equipment recommended for discharge other CDP - PT||||||F
OBX|33|CE|AcEYECAR00^Eye care^ADM||2^Saline||||||F
OBX|34|CE|AcFTTYPE00^Footwear type^ADM||2^Slippers||||||F
OBX|35|CE|AcGRASST03^Grooming assistance^ADM||1^Unassisted||||||F
OBX|36|CE|AcHAIWAS00^Hair wash performed^ADM||2^With hair wash tray||||||F
OBX|37|TX|AcHYGIEN00^Hygiene/Dependent patient comments^ADM||test||||||F
OBX|38|CE|AcMOCAPE00^Mouth care performed^ADM||2^Antibacterial oral rinse~5^Chlorhexidine oral rinse||||||F
OBX|39|CE|AcMOCAPE01^Mouth care performed^ADM||7^Teeth brushing||||||F
OBX|40|CE|AcMOCARE03^Mouth care assistance^ADM||2^Supervision||||||F
OBX|41|TX|AcMOUCAO00^Mouth care performed other^ADM||test||||||F
OBX|42|CE|AcOT000100^Washing location^ADM||5^Sink side in bathroom||||||F
OBX|43|CE|AcOT000200^Washing adaptive aids^ADM||1^Shower chair||||||F
OBX|44|TX|AcOT000300^Washing adaptive aids other^ADM||washing adaptive aids other||||||F
OBX|45|CE|AcOT000400^Washing level of function^ADM||3^Supervision||||||F
OBX|46|TX|AcOT000500^Washing assistance required^ADM||bathing assistance required||||||F
OBX|47|TX|AcOT000600^Washing comment^ADM||bathing comment||||||F
OBX|48|TX|AcOT000700^Washing time taken to complete^ADM||bathing time taken to complete||||||F
OBX|49|TX|AcOT000800^Grooming location^ADM||Grooming location||||||F
OBX|50|CE|AcOT000900^Grooming level of function^ADM||5^Moderate assist||||||F
OBX|51|TX|AcOT001000^Grooming assistance required^ADM||grooming assistance required||||||F
OBX|52|TX|AcOT001100^Grooming comment^ADM||grooming comment||||||F
OBX|53|TX|AcOT001200^Grooming time taken to complete^ADM||grooming time||||||F
OBX|54|CE|AcOT001300^Upper extremity dressing level of function^ADM||4^Minimal assist||||||F
OBX|55|TX|AcOT001400^Upper extremity dressing assistance required^ADM||Upper Ex dressing asst required||||||F
OBX|56|TX|AcOT001500^Upper extremity dressing comment^ADM||UE dressing comment||||||F
OBX|57|TX|AcOT001550^Upper extremity dressing time taken to complete^ADM||upper ex dressing time taken||||||F
OBX|58|CE|AcOT001600^Lower extremity dressing level of function^ADM||3^Supervision||||||F
OBX|59|CE|AcOT001700^Lower extremity dressing adaptive aids^ADM||2^Long handled reacher||||||F
OBX|60|TX|AcOT001800^Lower extremity dressing adaptive aids other^ADM||lower extremity dressing adaptive aids other||||||F
OBX|61|TX|AcOT001900^Lower extremity dressing assistance required^ADM||Lower extremity dresssing assistance required||||||F
OBX|62|TX|AcOT002000^Lower extremity dressing comment^ADM||lower extremity dressing comment||||||F
OBX|63|TX|AcOT002100^Lower extremity dressing time taken to complete^ADM||lower extremity dressing time taken to complete||||||F
OBX|64|CE|AcOT003000^Toileting level of function^ADM||3^Supervision||||||F
OBX|65|TX|AcOT003100^Toileting assistance required^ADM||toileting assistance required||||||F
OBX|66|TX|AcOT003200^Toileting comment^ADM||toileting comment||||||F
OBX|67|TX|AcOT003300^Toileting time taken to complete^ADM||toileting time taken to complete||||||F
OBX|68|TX|AcOT003400^ADL general observations^ADM||ADL gen observcations||||||F
OBX|69|CE|AcPER00001^Personal care provided by^ADM||1^Nurse||||||F
OBX|70|TX|AcPER00100^Personal care provided by other^ADM||grandmother||||||F
OBX|71|TX|AcPERSCC00^Personal care comments^ADM||test||||||F
OBX|72|CE|AcPRUSED00^Physical restraint used^ADM||2^Magnetic locking||||||F
OBX|73|TX|AcSHAGIV00^Shave given^ADM||Y||||||F
OBX|74|CE|AcWAASST03^Washing assistance^ADM||3^Set-up||||||F
OBX|75|CE|AcWAMETH00^Wash method^ADM||2^Bedside with basin||||||F
OBX|76|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|77|TX|AdAC000100^Accompanied by other^ADM||wife Margaret||||||F
OBX|78|TX|AdADMDAT01^Admission date^ADM||20191008||||||F
OBX|79|CE|AdADMFRO01^Admitted from^ADM||2^Home||||||F
OBX|80|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||Y||||||F
OBX|81|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||Y||||||F
OBX|82|TX|AdADMRSN00^Reason for admission^ADM||reason for admission||||||F
OBX|83|TX|AdADMTIM00^Admission time^ADM||1200||||||F
OBX|84|TX|AdADMTRA00^Name of other unit/site^ADM||name of other unit/site admitted||||||F
OBX|85|CE|AdAIEQDC00^Equipment recommended for discharge^ADM||9^Cane: quad~12^Commode: stationary||||||F
OBX|86|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|87|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|88|CE|AdARRMOD00^Mode of arrival^ADM||3^Walking||||||F
OBX|89|CE|AdASEVRD00^As evidenced by^ADM||2^Diagnosis or treatment||||||F
OBX|90|CE|AdBIRTH000^Birth place^ADM||1^Hospital||||||F
OBX|91|TX|AdBIRTH010^Expected date of delivery^ADM||20200124||||||F
OBX|92|CE|AdBIRTH021^Delivery presentation^ADM||1^Cephalic||||||F
OBX|93|CE|AdBIRTH030^Single/Multiple births^ADM||1^Singleton||||||F
OBX|94|TX|AdCDCCOM00^Other care and discharge planning comments^ADM||other care and discharge planning comments from CDP - PT||||||F
OBX|95|TX|AdCOMDIF00^Communication difficulties^ADM||Y||||||F
OBX|96|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F
OBX|97|TX|AdDCBAPT00^Discharge barriers identified by physiotherapist^ADM||discharge barriers identified by physisio~line 2~line 3||||||F
OBX|98|TX|AdDCBARD00^Discharge barriers identified by dietitian^ADM||requires RD referral prior to discharge~discharge barriers identified by RD 11/13/2019~line 3||||||F
OBX|99|TX|AdDCCOMP01^Discharge plan complete^ADM||Y||||||F
OBX|100|TX|AdDISCHA30^Discharge destination^ADM||discharge destination C\T\DP RD||||||F
OBX|101|TX|AdDRVPLA00^Driving restrictions in place^ADM||Y||||||F
OBX|102|TX|AdDRVRES00^Aware of driving restrictions^ADM||Y||||||F
OBX|103|TX|AdEDADLO00^Other care activity comments^ADM||test||||||F
OBX|104|TX|AdESTDTD00^Estimated date of discharge^ADM||20191108||||||F
OBX|105|CE|AdESTREA03^Reason EDD changed^ADM||5^Supplies/Equipment needs||||||F
OBX|106|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||services and appointments arranged from Care and dishcharge planning - PT~line 2~line 3||||||F
OBX|107|TX|AdGOCPRD00^Goal^ADM||adequate mineral intake||||||F
OBX|108|CE|AdGOSTPT00^Goal status^ADM||1^In progress||||||F
OBX|109|CE|AdGOSTRD00^Goal status^ADM||3^Met||||||F
OBX|110|TX|AdGOTDPT00^Goal target date^ADM||20191018||||||F
OBX|111|TX|AdGOTDRD00^Goal target date^ADM||20191104||||||F
OBX|112|TX|AdHXCOND00^History of presenting condition^ADM||history of presenting condition||||||F
OBX|113|TX|AdINFNAM00^Name of information source^ADM||name of info source||||||F
OBX|114|TX|AdINFOTH00^Information source other^ADM||info source other||||||F
OBX|115|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||inpatient referrals sent (CDP - PT)||||||F
OBX|116|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||4^Child life specialist~13^General rehab||||||F
OBX|117|CE|AdINPTRF03^Inpatient referral(s) sent to^ADM||4^Dietitian||||||F
OBX|118|TX|AdINTNEE00^Interpreter needed^ADM||Y||||||F
OBX|119|TX|AdINVAPT00^1. Intervention to address problem^ADM||intervention||||||F
OBX|120|CE|AdINVARD00^Interventions to address problem^ADM||4^Vitamin/Mineral suppl||||||F
OBX|121|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F
OBX|122|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|123|TX|AdNEWBO330^Skin comments^ADM||asdf||||||F
OBX|124|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|125|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|126|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||discharge barriers identified by OT on 11/13/2019~more lines on discharge barriers OT  - line 2~more lines on discharge barriers OT - line 3||||||F
OBX|127|TX|AdOTCPDE01^Problem detail^ADM||details for iADL problem||||||F
OBX|128|TX|AdOTCPED00^Equipment in place for discharge^ADM||Y||||||F
OBX|129|TX|AdOTCPEQ00^Sources of equipment recommended for discharge^ADM||sources of equiment for dichacharge||||||F
OBX|130|TX|AdOTCPGO00^Goal^ADM||able to manage iADLs||||||F
OBX|131|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|132|CE|AdOTCPID01^Problem identified^ADM||5^Ability to manage iADLS||||||F
OBX|133|TX|AdOTCPIN00^1. Intervention to address problem^ADM||build||||||F
OBX|134|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM|| Outpatient referrrals sent (CDP - PT)||||||F
OBX|135|CE|AdOUTM0000^Outpatient/Community referral(s) sent to^ADM||1^Acquired brain injury~13^Audiologist||||||F
OBX|136|CE|AdOUTS0100^Outpatient/Community referral(s) sent to^ADM||7^Dietitian||||||F
OBX|137|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||N||||||F
OBX|138|TX|AdPRLANG00^Primary language spoken^ADM||primary language spokent||||||F
OBX|139|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|140|CE|AdPROBPT00^Problem identified^ADM||1^Abnormal head shape||||||F
OBX|141|CE|AdPROBRD00^Problem identified^ADM||23^Inadequate mineral intake||||||F
OBX|142|TX|AdPRODPT00^Problem detail^ADM||problem detail PT||||||F
OBX|143|TX|AdPTFAMY01^Patient/Family goals for discharge^ADM||CHECK Here||||||F
OBX|144|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|145|TX|AdREPRFR01^Report received from^ADM||report received from||||||F
OBX|146|CE|AdRETORD00^Related to^ADM||11^Increased nutrient needs||||||F
OBX|147|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||lines tubes other||||||F
OBX|148|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|149|TX|AdSOEQPT00^Sources of equipment recommended for discharge^ADM||sources of equipment for discharge CDP - PT||||||F
OBX|150|CE|Ca00000100^Right radial pulse^ADM||1^Doppler||||||F
OBX|151|CE|Ca00000200^Right ulnar pulse^ADM||1^Doppler||||||F
OBX|152|CE|Ca00000400^Left radial pulse^ADM||1^Doppler||||||F
OBX|153|CE|Ca00000500^Left ulnar pulse^ADM||1^Doppler||||||F
OBX|154|CE|Ca00000700^Right dorsalis pedis pulse^ADM||1^Doppler||||||F
OBX|155|CE|Ca00000800^Right post tibial pulse^ADM||1^Doppler||||||F
OBX|156|CE|Ca00000900^Right popliteal pulse^ADM||1^Doppler||||||F
OBX|157|CE|Ca00001000^Left dorsalis pedis pulse^ADM||1^Doppler||||||F
OBX|158|CE|Ca00001100^Left post tibial pulse^ADM||1^Doppler||||||F
OBX|159|CE|Ca00001200^Left popliteal pulse^ADM||1^Doppler||||||F
OBX|160|CE|Ca00001300^Right femoral pulse^ADM||1^Doppler||||||F
OBX|161|CE|Ca00001400^Left femoral pulse^ADM||1^Doppler||||||F
OBX|162|TX|Ca00001800^Cardiovascular pre-hospital baseline^ADM||pre Cardio||||||F
OBX|163|CE|Ca00001900^Cardiovascular assessment^ADM||1^Within defined parameters||||||F
OBX|164|TX|CaCAVASC00^Other cardiovascular comments^ADM||other cardiovascular comments||||||F
OBX|165|CE|CaCRFOLE01^Capillary refill left foot^ADM||1^Less than 3 seconds||||||F
OBX|166|CE|CaCRFORI01^Capillary refill right foot^ADM||2^3 seconds or longer||||||F
OBX|167|CE|CaCRHALE00^Capillary refill left hand^ADM||2^3 seconds or longer||||||F
OBX|168|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|169|CE|CaEDEMA000^Edema^ADM||2^Present||||||F
OBX|170|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||Y||||||F
OBX|171|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|172|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||2^Bilateral||||||F
OBX|173|CE|CoNOVECO00^Nonverbal communication^ADM||1^Not interacting||||||F
OBX|174|TX|CoNOVEOO00^Nonverbal communication other^ADM||non - verbal||||||F
OBX|175|TX|Gi00001400^Gastrointestinal pre-hospital baseline^ADM||baseline||||||F
OBX|176|CE|Gi00001500^Gastrointestinal assessment^ADM||2^Significant findings||||||F
OBX|177|TX|Gi00001600^Genitourinary pre-hospital baseline^ADM||pre genitourinary||||||F
OBX|178|CE|Gi00001700^Genitourinary assessment^ADM||3^At pre-hospital baseline||||||F
OBX|179|TX|Gi00001800^Bladder scan comments^ADM||bladder scan comments||||||F
OBX|180|CE|Gi00001900^Care plan^ADM||1^Initiated||||||F
OBX|181|CE|GiABPALP02^Abdominal palpation^ADM||1^Soft||||||F
OBX|182|TX|GiABPAOT00^Abdominal palpation findings other^ADM||other||||||F
OBX|183|CE|GiABSHAP00^Abdominal shape^ADM||1^Flat||||||F
OBX|184|TX|GiABSHOT00^Abdominal shape other^ADM||other||||||F
OBX|185|CE|GiBM000000^Bowel movement method^ADM||2^Bed pan||||||F
OBX|186|TX|GiBMINCO00^Bowel movement incontinence^ADM||N||||||F
OBX|187|TX|GiBMINTC01^Bowel movement level of intervention comments^ADM||dasf||||||F
OBX|188|CE|GiBMINTE01^Bowel movement level of intervention^ADM||2^Disimpaction||||||F
OBX|189|TX|GiBMINTO00^Bowel movement level of intervention other^ADM||asgd||||||F
OBX|190|TX|GiBMMEOT00^Bowel movement method other^ADM||test||||||F
OBX|191|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20191124||||||F
OBX|192|CE|GiBS000100^Bowel sounds frequency^ADM||1^Active||||||F
OBX|193|TX|GiFART0001^Flatus^ADM||Y||||||F
OBX|194|TX|Gu00000000^Genitalia/Perineum concerns^ADM||genitalia perineum concerns||||||F
OBX|195|TX|GuAFBA0000^Arteriovenous fistula bruit audible^ADM||Y||||||F
OBX|196|CE|GuAFLOC000^Arteriovenous fistula location^ADM||1^Right arm||||||F
OBX|197|TX|GuAFTP0000^Arteriovenous fistula thrill palpable^ADM||Y||||||F
OBX|198|TX|GuBDINCO00^Bladder incontinence^ADM||N||||||F
OBX|199|TX|GuBDSVA000^Bladder scan volume^ADM||500||||||F
OBX|200|TX|GuBDURSO00^Urinary retention signs and symptoms other^ADM||other||||||F
OBX|201|CE|GuBDURSS01^Urinary retention signs and symptoms^ADM||1^None||||||F
OBX|202|TX|GuBDUTIO00^Urinary tract infections signs and symptoms other^ADM||other||||||F
OBX|203|CE|GuBDUTIS00^Urinary tract infection signs and symptoms^ADM||1^None||||||F
OBX|204|CE|GuBDVM0002^Voiding method^ADM||2^Urinal||||||F
OBX|205|CE|GuDI000100^Dialysis type^ADM||2^Peritoneal dialysis||||||F
OBX|206|TX|GuOTDAYC00^Day continence^ADM||Y||||||F
OBX|207|TX|GuOTNGTC00^Night continence^ADM||Y||||||F
OBX|208|TX|GuUCB00000^Skin care management^ADM||skin care management||||||F
OBX|209|TX|GuUCB00010^Other gastrointestinal/genitourinary comments^ADM||otther GI /GU||||||F
OBX|210|TX|GuUCID0000^Urinary catheter insertion date^ADM||20191121||||||F
OBX|211|TX|GuUCRDT000^Urinary catheter removal date^ADM||20191126||||||F
OBX|212|TX|HeCO000200^Verbal communication^ADM||other verbal||||||F
OBX|213|CE|HeTR000100^Trachea position^ADM||3^Deviated right||||||F
OBX|214|TX|HxCORAGE10^Corrected age^ADM||Use PMA||||||F
OBX|215|TX|HxIICPMA02^Postmenstrual age^ADM||29 weeks 2 days||||||F
OBX|216|TX|HxIIDATE01^Date of birth^ADM||20191018||||||F
OBX|217|TX|HxIIGAWD00^Gestational age^ADM||23 weeks 2 days||||||F
OBX|218|TX|HxIIGEDA00^Gestational age in days^ADM||2||||||F
OBX|219|TX|HxIIGEWE00^Gestational age in weeks^ADM||23||||||F
OBX|220|TX|HxIISCO100^Apgar score at 1 min^ADM||5||||||F
OBX|221|TX|HxIISCO200^Apgar score at 5 mins^ADM||7||||||F
OBX|222|TX|HxIISCO300^Apgar score at 10 mins^ADM||9||||||F
OBX|223|TX|HxIITIME00^Infant time of birth^ADM||1422||||||F
OBX|224|TX|HxIITOTA01^Total days of life^ADM||42||||||F
OBX|225|TX|HxMEASUR00^Weight change from previous measurement^ADM||65 grams over the past 1 days||||||F
OBX|226|TX|HxMEASUR10^Percent weight change since birth^ADM||7.94%  weight gain||||||F
OBX|227|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||Y||||||F
OBX|228|TX|HxSPTCHX01^Pertinent clinical history^ADM||pertinent clinical history from pDS~editable line 2||||||F
OBX|229|CE|HxWHX00002^Weight change prior to admission weight history^ADM||2^Unintentional loss||||||F
OBX|230|TX|HxWTHX0000^Weight history details^ADM||weight history details from anthropometric ax~line 2~line 3 anthro ax||||||F
OBX|231|TX|In00000000^Dressing type^ADM||type||||||F
OBX|232|TX|In00000600^Skin pre-hospital baseline^ADM||adsfd||||||F
OBX|233|CE|In00000700^Skin assessment^ADM||1^Skin intact||||||F
OBX|234|TX|In00000800^Specialty mattress^ADM||adsfdsaf||||||F
OBX|235|TX|In00000900^Wound dressing dry and intact^ADM||Y||||||F
OBX|236|CE|In00001000^Skin description^ADM||1^Flaky||||||F
OBX|237|TX|In00001100^Wound dressing change details^ADM||tet||||||F
OBX|238|CE|InEDEMAS00^Edema severity^ADM||1^+1||||||F
OBX|239|CE|InEDEMLB01^Edema location^ADM||12^Foot||||||F
OBX|240|CE|InEDEMLM00^Edema location modifier^ADM||3^Right||||||F
OBX|241|CE|InEDEMTP00^Edema type^ADM||1^Pitting||||||F
OBX|242|TX|InEYECAR00^Eye care^ADM||N||||||F
OBX|243|CE|InSA001500^Heel pressure relief method^ADM||2^Heel protectors||||||F
OBX|244|TX|InSA001902^Additional pressure relief methods comments^ADM||afsddf||||||F
OBX|245|TX|InSKCOOT00^Other integumentary comments^ADM||fdasf||||||F
OBX|246|CE|InSKGNTM00^Generalized skin temperature^ADM||2^Warm||||||F
OBX|247|TX|InSKIAPO00^Skin appearance other^ADM||dasfd||||||F
OBX|248|CE|InSKIAPP01^Skin appearance^ADM||3^Pale||||||F
OBX|249|TX|InSKIDEO00^Skin description other^ADM||fdsaf||||||F
OBX|250|CE|InSKIMOD01^Skin and wound modifier^ADM||4^Lower~9^Medial||||||F
OBX|251|CE|InSKIMOI02^Skin moisture^ADM||1^Dry||||||F
OBX|252|CE|InSKITEM00^Skin temperature^ADM||1^Hot||||||F
OBX|253|CE|InWNDLOC02^Wound location^ADM||1^Head||||||F
OBX|254|CE|InWNDMOD00^Wound location modifier^ADM||1^Right||||||F
OBX|255|CE|InWNDTYM00^Wound type^ADM||1^Surgical||||||F
OBX|256|CE|InWOULOC02^Skin or wound location^ADM||6^Arm||||||F
OBX|257|TX|IoNICUIN20^Location^ADM||PIV||||||F
OBX|258|TX|IoNICUIN30^Intake, IV Amount^ADM||200.00||||||F
OBX|259|CE|IoSOLUMA00^Solution^ADM||4^D5W||||||F
OBX|260|CE|MhAFFECT01^Affect^ADM||1^Appropriate||||||F
OBX|261|CE|MhBHBEHA00^Behaviour^ADM||3^Intrusive~10^Isolative||||||F
OBX|262|TX|MhESAFFE02^Affect other^ADM||other affect||||||F
OBX|263|TX|MhESMOOD04^Mood^ADM||mood descriptions||||||F
OBX|264|CE|MhPED00100^Behaviour^ADM||1^Relaxed||||||F
OBX|265|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|266|CE|MhREST0001^Reason for restraint use^ADM||2^Harm to others||||||F
OBX|267|TX|MhREST0002^Reason for restraint use other^ADM||test||||||F
OBX|268|TX|MhRESTEV01^Evaluation for continued restraint use assessed/reassessed^ADM||N||||||F
OBX|269|CE|Mo00000100^Repositioning support provided^ADM||8^Independent||||||F
OBX|270|CE|Mo00000200^Transfer support provided for bed to chair transfer^ADM||2^Supervision||||||F
OBX|271|CE|Mo00000300^Transfer support provided for chair to bed transfer^ADM||2^Supervision||||||F
OBX|272|CE|Mo00000400^Transfer support provided for toilet transfer^ADM||8^Independent||||||F
OBX|273|CE|Mo00000500^Ambulation support provided^ADM||7^2 person assist||||||F
OBX|274|CE|Mo00000600^Upper body dressing support provided^ADM||2^Supervision||||||F
OBX|275|CE|Mo00000800^Lower body dressing support provided^ADM||3^Set-up||||||F
OBX|276|CE|Mo00001200^Dressing support provided (footwear)^ADM||2^Supervision||||||F
OBX|277|CE|Mo00001300^Wheelchair propulsion^ADM||8^Independent||||||F
OBX|278|CE|Mo00002500^Ambulation support required^ADM||6^1 person assist||||||F
OBX|279|CE|MoAIDAMB01^Ambulation aid^ADM||11^Walker: 4 wheeled||||||F
OBX|280|CE|MoAIDBED02^Bed mobility aid^ADM||1^No aid used||||||F
OBX|281|CE|MoAIDDST01^Dynamic standing aid^ADM||7^Gutter crutch||||||F
OBX|282|CE|MoAIDSST01^Static standing aid^ADM||7^Gutter crutch||||||F
OBX|283|CE|MoAIDSTA01^Stairs aid^ADM||3^Cane||||||F
OBX|284|CE|MoAIDSTS01^Sit to stand aid^ADM||5^Crutches: axillary||||||F
OBX|285|TX|MoAIDTRA01^Transfer aid^ADM||xxxxxxxxxxxxxxxxxxxxxxxxx||||||F
OBX|286|CE|MoAMASST02^Ambulation assistance required^ADM||2^1 person||||||F
OBX|287|CE|MoAMBACT01^Ambulation activity^ADM||2^Ambulation in hall||||||F
OBX|288|CE|MoAMBBRE00^Ambulation breaks^ADM||2^Two||||||F
OBX|289|CE|MoAMBLOC00^Ambulation location^ADM||2^Within ward||||||F
OBX|290|TX|MoAMCMTS00^Ambulation comment^ADM||ambulation comments||||||F
OBX|291|TX|MoAMDIST01^Ambulation distance^ADM||25.0||||||F
OBX|292|CE|MoAMGASZ00^Ambulation size of gait aid used^ADM||2^Junior||||||F
OBX|293|TX|MoAOCMTS02^Order details^ADM||order details - Medical Orders PT||||||F
OBX|294|CE|MoAOMRPO00^Most responsible practitioner's activity order^ADM||1^Activity as tolerated||||||F
OBX|295|CE|MoBCTFTO01^Transfer to^ADM||3^Commode||||||F
OBX|296|CE|MoBCTTFR01^Transfer from^ADM||7^Shower||||||F
OBX|297|CE|MoBDABIL01^Bed mobility level of ability^ADM||2^Supervision||||||F
OBX|298|TX|MoBDACMT00^Mobility in bed assistance required comment^ADM||test||||||F
OBX|299|CE|MoBDASSR02^Bed mobility assistance required^ADM||1^None||||||F
OBX|300|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||2^Supervision||||||F
OBX|301|CE|MoBDASTD00^Mobility in bed assistive devices^ADM||3^Mechanical lift||||||F
OBX|302|CE|MoBDIN0000^In bed mobilization^ADM||2^Cardiac chair positioning||||||F
OBX|303|TX|MoCHTIME04^Duration of time up in chair^ADM||15||||||F
OBX|304|CE|MoDSABIL00^Dynamic sitting level of ability^ADM||5^Modified independence||||||F
OBX|305|CE|MoDSASST01^Dynamic sitting assistance required^ADM||3^2 person||||||F
OBX|306|CE|MoDSTABI00^Dynamic standing level of ability^ADM||2^Supervision||||||F
OBX|307|CE|MoDSTAST01^Dynamic standing assistance required^ADM||2^1 person||||||F
OBX|308|CE|MoEQSTST01^Sit to stand equipment^ADM||12^Floor to ceiling pole||||||F
OBX|309|TX|MoEQUITR01^Transfer equipment^ADM||xxxxxxxxxxxxxxxxxxxxxxxxx||||||F
OBX|310|CE|MoEXERB00^Exercises in bed^ADM||2^LE ROM||||||F
OBX|311|TX|MoEXERBC00^Bed exercises completed^ADM||Y||||||F
OBX|312|TX|MoEXERO00^Exercises other^ADM||exercises other||||||F
OBX|313|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal||||||F
OBX|314|CE|MoMOTYPE00^Mobility type^ADM||1^Bed mobility||||||F
OBX|315|CE|MoMOTYPT00^Mobility type^ADM||6^Ambulation||||||F
OBX|316|CE|MoMOVEDR00^Movement direction^ADM||3^Rolling to right||||||F
OBX|317|TX|MoOTHMOB00^Other mobilization comments^ADM||other mobilization comments||||||F
OBX|318|CE|MoPOBDPO01^Bed position^ADM||1^Flat||||||F
OBX|319|CE|MoPOSRBM00^Positioning side rails bottom^ADM||2^Both up||||||F
OBX|320|CE|MoPOSRTP00^Positioning side rails top^ADM||2^Both up||||||F
OBX|321|TX|MoPTPLAN00^PT plan^ADM||PT plan from UAP - PT~line 2~line 3||||||F
OBX|322|CE|MoRECAID02^Recommended aid^ADM||12^Walker: platform||||||F
OBX|323|CE|MoRECEQP02^Recommended equipment^ADM||28^Transfer board||||||F
OBX|324|CE|MoRECTEC00^Recommended mobility technique^ADM||3^To either direction||||||F
OBX|325|CE|MoSASGTP01^Stairs ascending gait pattern^ADM||1^Reciprocal leading left||||||F
OBX|326|CE|MoSDSGTP01^Stairs descending gait pattern^ADM||2^Reciprocal leading right||||||F
OBX|327|CE|MoSRASST01^Stairs assistance required^ADM||2^1 person||||||F
OBX|328|CE|MoSRHRAL01^Hand rail used for stairs^ADM||2^Left going up||||||F
OBX|329|CE|MoSSASST01^Static sitting assistance required^ADM||2^1 person||||||F
OBX|330|CE|MoSSLEAB00^Static sitting level of ability^ADM||1^Complete independence||||||F
OBX|331|CE|MoSSTABI00^Static standing level of ability^ADM||2^Supervision||||||F
OBX|332|CE|MoSSTAST01^Static standing assistance required^ADM||2^1 person||||||F
OBX|333|CE|MoSTAABI00^Stairs level of ability^ADM||5^Modified independence||||||F
OBX|334|CE|MoSTSABI00^Sit to stand level of ability^ADM||1^Complete independence||||||F
OBX|335|CE|MoSTSAST01^Sit to stand assistance required^ADM||2^1 person||||||F
OBX|336|CE|MoSUPPPT01^Recommended support provided^ADM||7^2 person assist||||||F
OBX|337|CE|MoSUPPRV01^Recommended support provided^ADM||2^Supervision||||||F
OBX|338|CE|MoTRAAST00^Transfer assistance required^ADM||2^1 person||||||F
OBX|339|CE|MoTRABIL00^Transfer level of ability^ADM||1^Complete independence||||||F
OBX|340|TX|MoTRANCO00^Transfer comments^ADM||test||||||F
OBX|341|CE|MoTRANSF00^Transfer from^ADM||1^Bed||||||F
OBX|342|CE|MoTRANST02^Transfer to^ADM||2^Chair||||||F
OBX|343|TX|MoTRSEMR00^Transfer support provided^ADM||xxxxxxxxxxxxxxxxxxxxxxxxx||||||F
OBX|344|CE|MoTRSUP002^Transfer support provided^ADM||2^Supervision||||||F
OBX|345|TX|MoWBOLLE00^Weight bearing order left lower extremity^ADM||left LE weight bearing order||||||F
OBX|346|CE|MoWBOLUE00^Weight bearing order left upper extremity^ADM||2^Partial weight bearing||||||F
OBX|347|CE|MoWBORLE00^Weight bearing order right lower extremity^ADM||4^Full weight bearing||||||F
OBX|348|CE|MoWBORUE00^Weight bearing order right upper extremity^ADM||2^Partial weight bearing||||||F
OBX|349|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|350|TX|MsEM000700^Transportation mode post discharge other^ADM||test||||||F
OBX|351|TX|MsHK001100^Home set-up requirements reviewed^ADM||Y||||||F
OBX|352|CE|MsORTH0003^Supportive orthosis for mobilization^ADM||1^Aspen collar||||||F
OBX|353|TX|MsPTSMRT00^PT SMART goals^ADM||PT SMART goals - from Care and discharge plan - PT||||||F
OBX|354|CE|MsSPIN001^Spinal precautions current management^ADM||1^Hard collar||||||F
OBX|355|TX|MsSPIN002^Spinal precautions current management other^ADM||current mgmt NUR||||||F
OBX|356|CE|MsSPLCMO00^Splinting location modifier^ADM||2^Left||||||F
OBX|357|CE|MsSPLOCA00^Splinting location^ADM||1^Elbow||||||F
OBX|358|CE|MsSPLTYP00^Splint type^ADM||1^Static||||||F
OBX|359|CE|MsSPSKPR00^Skin concerns identified pre-splinting^ADM||2^Laceration||||||F
OBX|360|CE|MsSTSPTY00^Static splint type^ADM||4^Cone||||||F
OBX|361|TX|Ne00005000^Neurological pre-hospital baseline^ADM||baseline neuro||||||F
OBX|362|CE|Ne00005100^Neurological assessment^ADM||3^At pre-hospital baseline||||||F
OBX|363|TX|Ne00005200^Seizure activity^ADM||Y||||||F
OBX|364|TX|Ne00005300^Seizure precautions in place^ADM||Y||||||F
OBX|365|CE|Ne00005400^Verbal communication^ADM||1^No obvious concerns||||||F
OBX|366|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||1^4- Spontaneous||||||F
OBX|367|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||1^6- Obeys commands||||||F
OBX|368|TX|NeGCSSCR01^GCS score^ADM||15||||||F
OBX|369|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|370|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|371|TX|NeMCACM000^Activity tolerance comment^ADM||activity tolerance comments~ ~ ~ ~activity tolerance comments||||||F
OBX|372|CE|NeMCACTL00^Activity tolerance^ADM||1^Within functional limits||||||F
OBX|373|TX|NeMRARMD00^Arm drift^ADM||Y||||||F
OBX|374|TX|NeMRPAIN01^Response to painful stimuli^ADM||painful stimuli||||||F
OBX|375|TX|NeNEFI0000^Other neurological findings/complaints^ADM||other neuro||||||F
OBX|376|CE|NeORIENT01^Oriented to^ADM||1^All domains||||||F
OBX|377|CE|NePUEYED01^Eye deviation^ADM||1^Right||||||F
OBX|378|CE|NePURXNL00^Pupil reaction to light^ADM||1^Brisk||||||F
OBX|379|CE|NePUSHPE00^Pupil shape^ADM||1^Round||||||F
OBX|380|CE|NePUSIDE00^Pupil side^ADM||1^Left||||||F
OBX|381|TX|NePUSIZE00^Pupil size^ADM||4||||||F
OBX|382|CE|NmARMST100^Arm strength right^ADM||1^Strong||||||F
OBX|383|CE|NmARMST200^Arm strength left^ADM||1^Strong||||||F
OBX|384|TX|NmBRCCHG00^Spinal precautions maintained for brace change^ADM||N||||||F
OBX|385|CE|NmBRSTAT00^Spinal brace status^ADM||4^Removed||||||F
OBX|386|CE|NmCCSTAT00^Cervical collar status^ADM||5^Removed||||||F
OBX|387|TX|NmCOLBRC00^Collar/Brace care comments^ADM||spinal precautions cleared||||||F
OBX|388|TX|NmCOLCHG00^Spinal precautions maintained for collar change^ADM||N||||||F
OBX|389|CE|NmHNDGR100^Handgrip right^ADM||1^Strong||||||F
OBX|390|CE|NmHNDGR200^Handgrip left^ADM||1^Strong||||||F
OBX|391|CE|NmLEGST100^Leg strength right^ADM||1^Strong||||||F
OBX|392|CE|NmLEGST200^Leg strength left^ADM||1^Strong||||||F
OBX|393|TX|NmSBTYPE02^Spinal brace type^ADM||spinal brace from NUR||||||F
OBX|394|TX|NmSKNSAT00^Skin and pressure areas satisfactory^ADM||Y||||||F
OBX|395|TX|NmSPDRCL03^Name of clearing physician^ADM||clear MRP nur||||||F
OBX|396|TX|NmSPDTCL01^Date spinal precautions cleared^ADM||20191120||||||F
OBX|397|TX|NmSPRE0001^Other spinal precautions comments^ADM||other spinal~other spinal line 2||||||F
OBX|398|TX|NmSPTMCL01^Time spinal precautions cleared^ADM||1200||||||F
OBX|399|TX|NmSPTYPE01^Spinal precautions type^ADM||spinal prec type 2019/11/||||||F
OBX|400|CE|NmSPTYPE02^Spinal precautions type^ADM||4^Lumbar||||||F
OBX|401|TX|NmSUPDEV00^Supportive device required for mobilization^ADM||Y||||||F
OBX|402|TX|NuANTHR020^Birth weight percentile^ADM||BW %ile from athro Ax Neo to 24Mo||||||F
OBX|403|TX|NuANTHR030^Birth length percentile^ADM||BL %ile from Neo to 24 MO||||||F
OBX|404|TX|NuANTHR040^Birth head circumference percentile^ADM||Bhead Circ from neo to 24 mon||||||F
OBX|405|TX|NuANTHR050^Weight for age percentile^ADM||wt for age %ile current||||||F
OBX|406|TX|NuANTHR060^Height/Length for age percentile^ADM||length for age %ile current||||||F
OBX|407|TX|NuANTHR070^Weight for length percentile^ADM||weight for length current||||||F
OBX|408|TX|NuANTHR080^Head circumference for age percentile^ADM||head circ current||||||F
OBX|409|TX|NuANTHR090^Comparison weight date^ADM||20191122||||||F
OBX|410|TX|NuANTHR100^Comparison weight^ADM||84.659||||||F
OBX|411|TX|NuANTHR110^Days since comparison weight^ADM||7||||||F
OBX|412|TX|NuANTHR140^Average weight change^ADM||49 g/day over 7 days||||||F
OBX|413|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||||||||F
OBX|414|CE|NuANTHR160^Average weight gain goal^ADM||4^25-35 g/day||||||F
OBX|415|CE|NuANTHR170^Growth rate evaluation^ADM||3^Exceeds expected||||||F
OBX|416|TX|NuANTHR180^Dietitian growth comment^ADM||growth assessment comments from anthro neo to 24 mon~line 2~line 3||||||F
OBX|417|TX|NuANTHR190^Birth weight for length percentile^ADM||BW/L %ile from Neo to 24 Mo||||||F
OBX|418|TX|NuAPWECH01^Percent weight loss^ADM||10.5||||||F
OBX|419|CE|NuAPWELO01^Dietitian weight loss assessment^ADM||3^Severe loss||||||F
OBX|420|CE|NuBMIIBW01^Method used to calculate ideal body weight^ADM||1^Body mass index of 25||||||F
OBX|421|CE|NuCNJUCO00^Current nutrition status based on clinical judgement^ADM||1^Usual intake~2^Physical assessment||||||F
OBX|422|CE|NuCNJUDG00^Nutrition status based on clinical judgement^ADM||3^Severely malnourished||||||F
OBX|423|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|424|TX|NuDIETFU00^Dietitian follow-up required^ADM||Y||||||F
OBX|425|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||2^In 2-3 days||||||F
OBX|426|CE|NuDIFUIM02^Dietitian follow up items to monitor^ADM||1^Intakes~4^Weight||||||F
OBX|427|TX|NuDPMEDS00^Medication(s) relevant to dietitian plan^ADM||medications relevent to RD plan~line 2~line 3||||||F
OBX|428|TX|NuDPMEHX00^Clinical history relevant to dietitian plan^ADM||clinical hx relevant to RD plan from RD NI~line 2 RD NI~line 3 RD NI||||||F
OBX|429|TX|NuDPTEST01^Lab/Test/Procedure results relevant to dietitian plan^ADM||labs/procedure relevant~line 2~line 3||||||F
OBX|430|CE|NuENENAS02^Estimated energy assessment method^ADM||1^kcal/kg||||||F
OBX|431|TX|NuENFETU00^Enteral feeding tube description^ADM||EN tube description 16F mic key||||||F
OBX|432|CE|NuENFLME01^Fluid assessment method^ADM||1^1 mL/kcal||||||F
OBX|433|TX|NuENFLUN00^Fluid estimated needs^ADM||1234||||||F
OBX|434|TX|NuENPNNU00^Enteral/Parenteral details^ADM||EN/PN details line 1~EN/PN details line 2~EN/PN details line 3||||||F
OBX|435|TX|NuENPNST00^Enteral/Parenteral nutrition stage^ADM||EN/PN nutritoin stage||||||F
OBX|436|TX|NuFA000000^Fluid assessment comment^ADM||fluid needs comment||||||F
OBX|437|CE|NuFACFTR00^Current feeding tube route^ADM||1^Nasal||||||F
OBX|438|TX|NuFADIHX00^Diet history relevant to dietitian plan^ADM||diet history relevant to RD plan~line 2~line 3||||||F
OBX|439|CE|NuFAFTTY00^Current feeding tube type^ADM||1^Small bore feeding tube||||||F
OBX|440|TX|NuHXNICU00^Nutrition history relevant to dietitian plan^ADM||nutritoin history relevant to RD plan RD NI~RD NI line 2~RD NI line 3||||||F
OBX|441|CE|NuICYNU090^Protein assessment method^ADM||1^g/kg||||||F
OBX|442|TX|NuICYNU120^Protein estimated needs^ADM||1190||||||F
OBX|443|TX|NuICYNU160^Protein for weight^ADM||85.00||||||F
OBX|444|TX|NuNIADCO00^Nutrition intake adequacy comment^ADM||adequacy comments||||||F
OBX|445|CE|NuNIADEQ00^Nutrient intake adequacy^ADM||2^Inadequate||||||F
OBX|446|TX|NuNIINTA00^Nutrient intake in general^ADM||nutrition intake evaluation~line 2~line 3 eval||||||F
OBX|447|TX|NuNPOVCO00^Nutrition focused physical findings comment^ADM||physical findings~line 2~line 3||||||F
OBX|448|CE|NuNPOVER00^Nutrition focused physical findings^ADM||1^No concerns~2^Subcutaneous fat loss~3^Peripheral edema~4^Muscle mass wasting~5^Subcutaneous fat excess~6^Generalized edema~7^Sarcopenia~8^Low fat stores~9^Ascites||||||F
OBX|449|CE|NuNUTUBW01^Nutrition status based on usual body weight^ADM||4^Severely malnourished||||||F
OBX|450|TX|NuONBACO00^Oral nutrition barriers to eating comment^ADM||barriers to intake comment line 1~line 2 barriers~line 3 barriers||||||F
OBX|451|TX|NuONINTA00^Oral nutrition current food intake^ADM||oral intake details~line 2 intake details~line 3 intake details||||||F
OBX|452|TX|NuONORDI01^Oral diet type^ADM||oral diet type~line 2~line 3||||||F
OBX|453|TX|NuONOROT01^Other oral supplements^ADM||other oral suppl line 1~other line 2~other line 3||||||F
OBX|454|TX|NuONSUPP00^Oral nutrition supplement drink^ADM||supplement drink type~line 2~line 3||||||F
OBX|455|TX|NuOUSMIX00^Output - urine/stool mix^ADM||200.00||||||F
OBX|456|TX|NuPRESTN00^Protein estimated needs number 2^ADM||102.00||||||F
OBX|457|TX|NuPRFWTK00^Protein factor for weight number 2^ADM||1.2||||||F
OBX|458|TX|NuPROT0000^Protein assessment comment^ADM||protein comments||||||F
OBX|459|TX|NuSGA00100^SGA weight change - overall loss in past 6 months^ADM||10.000||||||F
OBX|460|TX|NuSGA00200^SGA percentage weight loss^ADM||10.00||||||F
OBX|461|CE|NuSGA00300^SGA weight change in past 2 weeks^ADM||3^Decrease||||||F
OBX|462|CE|NuSGA01800^SGA rating^ADM||2^B= Malnourished||||||F
OBX|463|CE|NuSGA01801^SGA Rating^ADM||3^C= Severely malnourished||||||F
OBX|464|TX|NuVITMIN00^Vitamin/Mineral supplements details^ADM||vitamin/mineral supplement details line 1~line 2~line 3||||||F
OBX|465|TX|NuWT000000^Weight used for energy calculation^ADM||14.000||||||F
OBX|466|TX|NuWT000100^Weight used for protein calculation^ADM||85.000||||||F
OBX|467|CE|NuWTCH0000^Weight change calculation based on^ADM||1^Usual/Previous weight||||||F
OBX|468|TX|OEDIAG^Diagnosis:^ADM||dx updated PDS 26/11/2019||||||F
OBX|469|TX|OEDOC^Physician Name:^ADM||DAHLSTRD||||||F
OBX|470|TX|OEEQLOAN01^Equipment on loan^ADM||Equipment on load~line 2~line 3||||||F
OBX|471|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|472|CE|Oh00000801^Care plan^ADM||1^Initiated||||||F
OBX|473|TX|OhEDIT0000^Reason for edit^ADM||asdfds||||||F
OBX|474|CE|OhIN000300^Information source^ADM||9^Nurse~15^Significant other||||||F
OBX|475|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|476|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|477|TX|OhPLNDET00^Plan details^ADM||Patient plan from UAP OT~line 2~line 3||||||F
OBX|478|TX|OhPT000400^Precautions and contraindications^ADM||precautions and contraindications - Medical Orders - PT||||||F
OBX|479|TX|OhPTSTUP00^Patient status update^ADM||Chocolate chocolate Chocolate chocolate Chocolate chocolate Chocolate||||||F
OBX|480|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||Y||||||F
OBX|481|TX|OtPDABTR00^Appointments, booking and transportation ? ? ^ADM||appointments, booking and~transportation PDS screen~line 2 of appointments~booking etc||||||F
OBX|482|TX|OtPDCAR00^Consults and referrals^ADM||line 1 for consults and referrals~consults and referrals PDS screen||||||F
OBX|483|TX|OtPDCCOU00^Calorie count^ADM||calorie count PDS||||||F
OBX|484|TX|OtPDDLWO00^Daily lab work^ADM||daily lab work PDS||||||F
OBX|485|TX|OtPDGLIN00^Fluid intake/restrictions^ADM||fluid intake/restrictions PDS||||||F
OBX|486|TX|OtPDGLUC00^Glucometer frequency^ADM||glucometer frequency PDS||||||F
OBX|487|TX|OtPDOLWO00^Other lab work^ADM||other lab work PDS||||||F
OBX|488|TX|OtPDOTES00^Other tests^ADM||other tests PDS||||||F
OBX|489|TX|OtPDPCCN00^PCC notes^ADM||PCC notes from PDS screen~line 2~line 3 PDS||||||F
OBX|490|TX|OtPDRTCO00^RT comments^ADM||RT comments from PDS screen~line2~line3||||||F
OBX|491|TX|OtPDSEFO00^4^ADM||keynotes 4 PDS||||||F
OBX|492|TX|OtPDSEON00^1^ADM||keynotes 1 PDS||||||F
OBX|493|TX|OtPDSETH00^3^ADM||keynotes 3 PDS||||||F
OBX|494|TX|OtPDSETW00^2^ADM||keynotes 2 PDS||||||F
OBX|495|TX|OtPDSPDO00^Surgery/Procedure 1 date^ADM||20191017||||||F
OBX|496|TX|OtPDSPDT00^Surgery/Procedure 2 date^ADM||20191019||||||F
OBX|497|TX|OtPDSPON00^Surgery/Procedure 1^ADM||Right below knee amputation||||||F
OBX|498|TX|OtPDSPTW00^Surgery/Procedure 2^ADM||debridement||||||F
OBX|499|TX|OtPDSSUM00^Shift summary^ADM||Updating shift summary nov 28~ssss~ssss~ssss||||||F
OBX|500|TX|OtPDVSIG00^Vital signs frequency^ADM||vital signs frequency PDS||||||F
OBX|501|TX|OtPDWEIG00^Weight frequency^ADM||weight frequency PDS||||||F
OBX|502|TX|PaPAGOAL02^Pain goal^ADM||this pain goal||||||F
OBX|503|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F
OBX|504|TX|PdDGFQ0000^Dressing change frequency^ADM||Dressing change PDS||||||F
OBX|505|TX|PdOBTEST01^Diagnostic tests^ADM||diagnositic tests PDS||||||F
OBX|506|TX|PdOIOUTP01^Intake/Output^ADM||Y||||||F
OBX|507|TX|PdOOTCOM01^OT comments^ADM||OT comments from PDS screen~line 2~line 3 on 11/13/2019||||||F
OBX|508|TX|PdORDCOM01^RD comments^ADM||NAS 1 / PIC 1 from PDS screen comments~line 2~line 3 26/11/2019||||||F
OBX|509|TX|PdOSLPCO01^SLP comments^ADM||SLP comments on PDS screen~line 2~line 3||||||F
OBX|510|TX|PdOSWCOM01^SW comments^ADM||SW comments from PDS screen~line 2~line 3||||||F
OBX|511|TX|PdPCCCN000^PCC/CN notes^ADM||updating PCC notes nov 28~zzzz~zzzz~zzzz||||||F
OBX|512|TX|PdPTCOMM01^PT comments^ADM||PT comments from PDS screen - only showing one line~line 2~line 3on 11/13/2019||||||F
OBX|513|TX|PdTUBDRN00^Tubes/Drains/Lines^ADM||Tubes/Drains/lines from PDS||||||F
OBX|514|TX|PsAG000100^Adult guardianship concern(s) identified for investigation^ADM||Y||||||F
OBX|515|TX|PsAG000200^Adult guardianship investigation closed^ADM||N||||||F
OBX|516|TX|PsBITPLA00^Plan^ADM||Plan from AGA Intervetnion Report - SW||||||F
OBX|517|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F
OBX|518|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F
OBX|519|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||N||||||F
OBX|520|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||N||||||F
OBX|521|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F
OBX|522|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|523|TX|PsMAT00000^Ministry of Children and Family Development alert^ADM||Y||||||F
OBX|524|TX|PsSTAND190^Primary contact person^ADM||Primary contact person from Intervention report - SW||||||F
OBX|525|TX|PsSTAND200^Temporary substitute decision maker^ADM||TSDM from Intervention Report - SW||||||F
OBX|526|TX|PsSTANDR10^Patient able to consent to health care^ADM||N||||||F
OBX|527|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|528|TX|PsSW000101^Social work outcome^ADM||Outcome from AGA intervention report - SW||||||F
OBX|529|TX|PsSWAADA00^Date investigation initiated^ADM||20191008||||||F
OBX|530|TX|PsSWAADC01^Date investigation closed^ADM||20191019||||||F
OBX|531|TX|PsSWCLDI01^Clinical impression/Social work diagnosis^ADM||Clinical impression / Social work diagnosis||||||F
OBX|532|TX|PsSWCOCO01^Consent obtained for social work involvement comment^ADM||consent comments||||||F
OBX|533|CE|PsSWCONS01^Consent obtained for social work involvement^ADM||3^Not required||||||F
OBX|534|TX|PsSWCUSI00^Current situation^ADM||Current situation from AGA Intervention - SW||||||F
OBX|535|TX|PsSWEMAS01^S.59 emergency assistance still in effect^ADM||Y||||||F
OBX|536|TX|PsSWEMER00^Subject to s.59 emergency assistance^ADM||||||||F
OBX|537|TX|PsSWPFPE00^Patient/Family perspective^ADM||Patient / Family perspective from AGA SW||||||F
OBX|538|TX|PsSWPUIN00^Purpose of social work involvement^ADM||purpose of SW involvement||||||F
OBX|539|CE|PsSWREPO01^Report received under s.46 of Adult Guardianship Act^ADM||1^Do not disclose/release||||||F
OBX|540|TX|PsSWSTCH00^Clinical history relevant to social work plan^ADM||clinical hx relevant to SW - from standard Ax under 19 SW||||||F
OBX|541|TX|PsSWSTCS00^Current situation^ADM||current situation - SW||||||F
OBX|542|TX|PsSWSTDA00^Date reported^ADM||20191019||||||F
OBX|543|TX|PsSWSTDT00^Duty to report - need for protection^ADM||Y||||||F
OBX|544|CE|PsSWSTLG00^Legal guardian^ADM||1^Mother(s)||||||F
OBX|545|TX|PsSWSTPL00^Plan^ADM||plan from standard Ax under 19 - SW||||||F
OBX|546|CE|PsSWSTRR00^Reason for referral^ADM||1^Safety/Risk||||||F
OBX|547|TX|PsSWSTRW00^Reported to child welfare agency^ADM||Y||||||F
OBX|548|TX|PsSWTHIN00^Summary of therapeutic interventions^ADM||Therapeutic interventoin - AGA intervetnion report - SW||||||F
OBX|549|TX|Re00000000^Respiratory pre-hospital baseline^ADM||prehosptal respiratory||||||F
OBX|550|CE|Re00000100^Respiratory assessment^ADM||1^Within defined parameters||||||F
OBX|551|TX|ReABNORM00^Abnormal findings comments^ADM||other||||||F
OBX|552|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|553|CE|ReAUAIRE01^Air entry^ADM||3^Absent||||||F
OBX|554|CE|ReAUBTHS02^Breath sounds^ADM||6^Crackles||||||F
OBX|555|CE|ReAULOCT00^Auscultation location^ADM||3^Right apical||||||F
OBX|556|CE|ReAULOMO00^Auscultation location modifier^ADM||1^Anterior||||||F
OBX|557|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F
OBX|558|TX|ReBRESOU00^Breath sounds other^ADM||other||||||F
OBX|559|CE|ReCGDESC01^Cough description^ADM||1^Normal||||||F
OBX|560|TX|ReCGDESO00^Cough description other^ADM||other||||||F
OBX|561|TX|ReCGPROD00^Cough productive^ADM||Y||||||F
OBX|562|CE|ReCGSTGH00^Cough strength^ADM||2^Moderate||||||F
OBX|563|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|564|TX|ReDISTRE00^Respiratory distress comments^ADM||rear||||||F
OBX|565|TX|ReFIND0000^Other respiratory findings^ADM||other commetns||||||F
OBX|566|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|567|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|568|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|569|TX|ReREDISO00^Respiratory distress indicators other^ADM||rear||||||F
OBX|570|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|571|TX|ReRPNM0000^Respiratory pattern^ADM||adsfdsads||||||F
OBX|572|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|573|CE|ReSCCOLR00^Secretions colour^ADM||2^White||||||F
OBX|574|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid||||||F
OBX|575|TX|ReSCDESO00^Secretions description other^ADM||other||||||F
OBX|576|CE|ReSE000100^Secretion source^ADM||2^Tracheostomy||||||F
OBX|577|TX|ReSECCOM00^Secretions comments^ADM||other||||||F
OBX|578|TX|ReSECMET00^Secretions collection method other^ADM||other||||||F
OBX|579|CE|ReSECRET00^Secretions source^ADM||1^Suctioned||||||F
OBX|580|CE|ReWRKBRE00^Work of breathing^ADM||2^Mild||||||F
OBX|581|CE|RpDE000100^Delivery type^ADM||1^SVD||||||F
OBX|582|TX|RpDE000400^Delivery date^ADM||20191021||||||F
OBX|583|TX|RpDE000500^Delivery time^ADM||1200||||||F
OBX|584|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|585|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|586|TX|SWOTCMST00^Outcome status^ADM||Partially met||||||F
OBX|587|TX|SpCECOTY01^Type of cervical collar^ADM||spinal mgmt from NUR||||||F
OBX|588|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|589|TX|SpCONREA00^Patient consented to assignment of tasks to RA^ADM||N||||||F
OBX|590|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|591|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|592|TX|SpMEDOTH00^Other medical orders comments^ADM||other medical orders comments - MO-PT||||||F
OBX|593|TX|SpOSPATT01^Observed sleep pattern^ADM||sleep pattern||||||F
OBX|594|CE|SpPRSCHE00^Physical restraint safety checks^ADM||1^Magnetic locks checked||||||F
OBX|595|TX|SpPRSCOT00^Physical restraint safety checks other^ADM||test||||||F
OBX|596|TX|SpREPSLE00^Reported sleep pattern^ADM||reported sleep pattern||||||F
OBX|597|TX|SpREST0001^Family informed of need for restraint measures^ADM||N||||||F
OBX|598|TX|SpSLEAID00^Sleep aid PRN given^ADM||N||||||F
OBX|599|TX|SpUPAICM01^Fall prevention comments^ADM||est||||||F
OBX|600|TX|SpUPAICM02^Fall prevention comments^ADM||fall prevention comments||||||F
OBX|601|TX|SpUPINOT01^Fall prevention strategy other^ADM||test||||||F
OBX|602|TX|SpWTBOTF00^Weight bearing order time frame comment^ADM||pull last entry currently pulling ALL and show multiple lines~line 2~line 3||||||F
OBX|603|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|604|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F
OBX|605|CE|VsBPPOST02^Patient position^ADM||4^Left side lying||||||F
OBX|606|TX|VsDAPRWT00^Date of previous weight^ADM||20191031||||||F
OBX|607|CE|VsGROCHA02^Growth chart reference^ADM||2^Fenton||||||F
OBX|608|CE|VsGROCHA03^Birth growth chart reference^ADM||2^Fenton||||||F
OBX|609|CE|VsHEADCI01^Head circumference frequency^ADM||1^Weekly||||||F
OBX|610|TX|VsHECIRC00^Head circumference^ADM||35.0||||||F
OBX|611|TX|VsHRADLT01^Heart rate^ADM||32||||||F
OBX|612|CE|VsHRLOCA02^Heart rate location^ADM||2^Brachial||||||F
OBX|613|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|614|CE|VsHRMETH00^Heart rate method used^ADM||2^Auscultation||||||F
OBX|615|CE|VsHRRHYM02^Pulse rhythm^ADM||2^Irregular||||||F
OBX|616|TX|VsHTCM0100^Current height^ADM||184.0||||||F
OBX|617|TX|VsIDEALW00^Ideal body weight^ADM||82.8||||||F
OBX|618|TX|VsMISPAR00^Miscellaneous parameter name and goal^ADM||misc parameter name and goal PDS||||||F
OBX|619|TX|VsSOXYGE00^Oxygen saturation (O2) goal^ADM||O2 sat goal PDS||||||F
OBX|620|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||1^Current weight||||||F
OBX|621|TX|VsWT000101^Current Weight^ADM||85.000||||||F
OBX|622|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|623|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|624|TX|VsWT001701^Birth weight^ADM||2.365||||||F
OBX|625|TX|VsWT002701^Usual/Previous weight^ADM||95.000||||||F
OBX|626|TX|VsWT003100^Prepregnancy weight^ADM||88.0||||||F
OBX|627|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|628|TX|VsWT003500^Goal/target weight^ADM||90.000||||||F
OBX|629|TX|VsWT004400^Pregnancy weight gain calculated^ADM||7.00||||||F
OBX|630|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|631|TX|VsWT005000^Birth height or length^ADM||42.60||||||F
OBX|632|TX|VsWT005300^Body mass index^ADM||25.1||||||F
OBX|633|TX|VsWT005400^Prepregnancy body mass index^ADM||26.6||||||F
OBX|634|TX|VsWT006000^Weight change time frame^ADM||3 months||||||F
OBX|635|TX|VsWT007700^Birth head circumference^ADM||45.90||||||F
OBX|636|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||85000.000||||||F
OBX|637|TX|VsWTPREV02^Previous weight^ADM||1.268||||||F
OBX|638|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|FA|F006007877^banana|MI|stuffy nose|20191022
AL1|2|FA|F006009637^strawberry|MO||20191115
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

