MSH|^~\&|ADM|ARH|||201912031616||ADT^A08|4122797|D|2.2|||AL|NE
EVN|A08|201912031616||||
PID|1|FHATVIG0012499|AB00008363|AB8279|PCSTEST^Report4||19861121|F|||443 High St^^Moose Jaw^SK^S6H 3O9|||||||AB000689/19|
PV1|1|I|AB-1BAKER^AB1B-B107^1|UE|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||PSYC||||||||IN|||||||||||||||||||||ARH|||||201911210723|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||83.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||178.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181119||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||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|TX|Ac00000800^Bathing support comment^ADM||bathing comments||||||F
OBX|10|CE|Ac00000900^Mouth care support provided^ADM||8^Independent||||||F
OBX|11|CE|Ac00001000^Grooming support provided^ADM||8^Independent||||||F
OBX|12|CE|Ac00001100^Toileting hygiene ability^ADM||2^Supervision||||||F
OBX|13|CE|Ac00001900^Community supports utilized prior to hospitalization^ADM||3^Private home support||||||F
OBX|14|TX|Ac00002100^Community supports utilized comments^ADM||once/week for supervised bathing||||||F
OBX|15|CE|Ac00002500^Equipment/Aids used prior to hospitalization^ADM||8^Cane||||||F
OBX|16|TX|Ac00002900^Recent falls prior to hospitalization^ADM||Y||||||F
OBX|17|TX|Ac00003000^Mobility and falls prior to hospitalization comments^ADM||Independent||||||F
OBX|18|CE|Ac00003700^Lower body washing support provided^ADM||6^1 person assist||||||F
OBX|19|TX|Ac00003800^IADL support required prior to hospitalization^ADM|| ~ ~ ~Independent with medication management||||||F
OBX|20|TX|Ac00003900^Bathing assistance required^ADM||test||||||F
OBX|21|TX|Ac00004000^Grooming comments^ADM||test||||||F
OBX|22|CE|Ac00004100^Grooming assistance required^ADM||7^2 person assist||||||F
OBX|23|TX|Ac00004200^Activity tolerance comments^ADM||test||||||F
OBX|24|CE|Ac00004300^Upper extremity dressing assistance required^ADM||6^1 person assist||||||F
OBX|25|CE|Ac00004400^Upper extremity dressing level of ability^ADM||1^Complete independence||||||F
OBX|26|TX|Ac00004500^Upper extremity dressing comments^ADM||test||||||F
OBX|27|CE|Ac00004600^Lower extremity dressing assistance required^ADM||6^1 person assist||||||F
OBX|28|CE|Ac00004700^Lower extremity dressing level of ability^ADM||1^Complete independence||||||F
OBX|29|TX|Ac00004800^Lower extremity dressing comments^ADM||test||||||F
OBX|30|CE|Ac00004900^Toileting assistance required^ADM||7^2 person assist||||||F
OBX|31|TX|Ac00005000^Toileting comments^ADM||test||||||F
OBX|32|TX|Ac00005100^Equipment/Aids used comments^ADM||occasionally||||||F
OBX|33|CE|Ac00006000^Bathing support provided^ADM||6^1 person assist||||||F
OBX|34|TX|Ac00006100^Specialty skin product used^ADM||Y||||||F
OBX|35|TX|AcADLCOMOH^Other activities of daily living comments^ADM||test||||||F
OBX|36|CE|AcADLWAT01^Wash type performed^ADM||1^Full bed bath||||||F
OBX|37|CE|AcHEHT0M00^Home environment - housing type^ADM||1^House||||||F
OBX|38|TX|AcLIVOTH00^Living with others prior to admission^ADM||N||||||F
OBX|39|CE|AcOT000100^Washing location^ADM||1^In bed||||||F
OBX|40|CE|AcOT000200^Washing adaptive aids^ADM||2^Tub transfer bench||||||F
OBX|41|TX|AcOT000300^Washing adaptive aids other^ADM||bathing adaptive aids other||||||F
OBX|42|CE|AcOT000400^Washing level of function^ADM||3^Supervision||||||F
OBX|43|TX|AcOT000700^Washing time taken to complete^ADM||5 min||||||F
OBX|44|CE|AcOT000800^Grooming location^ADM||2^Sitting at edge of bed||||||F
OBX|45|CE|AcOT000900^Grooming level of function^ADM||1^Complete independence||||||F
OBX|46|TX|AcOT001200^Grooming time taken to complete^ADM||15 minutes||||||F
OBX|47|TX|AcOT001550^Upper extremity dressing time taken to complete^ADM||6 min||||||F
OBX|48|CE|AcOT001700^Lower extremity dressing adaptive aids^ADM||2^Long handled reacher||||||F
OBX|49|TX|AcOT001800^Lower extremity dressing adaptive aids other^ADM||test||||||F
OBX|50|TX|AcOT002100^Lower extremity dressing time taken to complete^ADM||15 min||||||F
OBX|51|CE|AcOT003000^Toileting level of function^ADM||3^Supervision||||||F
OBX|52|TX|AcOT003300^Toileting time taken to complete^ADM||5 min||||||F
OBX|53|TX|AcTOASST02^Toileting assistance^ADM||1 person standby||||||F
OBX|54|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|55|TX|Ad00002900^Personal aids present^ADM||Y||||||F
OBX|56|TX|Ad00003100^New identification band applied^ADM||Y||||||F
OBX|57|TX|AdADMDAT01^Admission date^ADM||20191121||||||F
OBX|58|CE|AdADMFRO01^Admitted from^ADM||4^Other site||||||F
OBX|59|TX|AdADMRSN00^Reason for admission^ADM||TEST from ADM HX-MH||||||F
OBX|60|TX|AdADMTIM00^Admission time^ADM||0700||||||F
OBX|61|TX|AdADMTRA00^Name of other unit/site^ADM||TEST from ADM HX-MH||||||F
OBX|62|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|63|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|64|TX|AdCRSTAT00^Current problem status^ADM||2 PA with 2 ww; transfers standby 1 person; full weight bearing||||||F
OBX|65|TX|AdDCBNUR00^Discharge barriers identified by nursing^ADM||test from care and d/c plan-mh test from care and d/c plan-mh||||||F
OBX|66|CE|AdDISCHA30^Discharge destination^ADM||3^Assisted living||||||F
OBX|67|TX|AdESTDTD00^Estimated date of discharge^ADM||20191129||||||F
OBX|68|CE|AdESTREA03^Reason EDD changed^ADM||9^ALC designation||||||F
OBX|69|TX|AdFACINA01^Name of facility^ADM||test from care and d/c plan-mh||||||F
OBX|70|TX|AdGOALCP00^Goal^ADM||free from pain||||||F
OBX|71|TX|AdGOALDT00^Goal target date^ADM||20191129||||||F
OBX|72|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|73|TX|AdHXCOND00^History of presenting condition^ADM||TEST from ADM HX-MH  TEST from ADM HX-MH TEST from ADM HX-MH TEST from ADM~HX-MH TEST from ADM HX-MH TEST from ADM HX-MH TEST from ADM HX-MH||||||F
OBX|74|TX|AdINVANR00^1. Intervention to address problem^ADM||bed alarm when in bed||||||F
OBX|75|TX|AdINVANR01^2. Intervention to address problem^ADM||hip protectors  - pt refusing even after education||||||F
OBX|76|TX|AdINVANR02^3. Intervention to address problem^ADM||universal falls precautions||||||F
OBX|77|TX|AdINVANR03^4. Intervention to address problem^ADM||constant reminder to call for assistance||||||F
OBX|78|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F
OBX|79|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|80|TX|AdPROBDS00^Problem detail^ADM||history of falls||||||F
OBX|81|CE|AdPROBID20^Problem identified^ADM||29^Risk: falls||||||F
OBX|82|CE|AdPTA05600^Diet type prior to admission^ADM||1^General||||||F
OBX|83|TX|AdPTA14000^Sleep pattern prior to admission^ADM||Difficulty falling asleep since hip fracture related to spasms in left hip~and thigh||||||F
OBX|84|CE|AdREPREF00^Report received^ADM||2^By telephone||||||F
OBX|85|TX|AdREPRFR01^Report received from^ADM||Wanda Smith RN||||||F
OBX|86|TX|AdSTRECO01^Reason EDD changed other^ADM||test from care and d/c plan-mh||||||F
OBX|87|TX|CS VCRRFP^Family Physician:^ADM||TEST FROM PDSTEST FROM PDSTEST FROM PDSTEST FROM PDSTEST FROM PDS||||||F
OBX|88|CE|Ca00000700^Right dorsalis pedis pulse^ADM||5^+3||||||F
OBX|89|CE|Ca00001000^Left dorsalis pedis pulse^ADM||5^+3||||||F
OBX|90|CE|Ca00001900^Cardiovascular assessment^ADM||2^Significant findings||||||F
OBX|91|TX|Ca00002100^Circulation satisfactory^ADM||Y||||||F
OBX|92|CE|CaEDEMA000^Edema^ADM||2^Present||||||F
OBX|93|TX|Ec00000000^History of diabetes^ADM||N||||||F
OBX|94|TX|EcGLUCRT00^Glucometer reading time^ADM||||||||F
OBX|95|CE|Gi00001500^Gastrointestinal assessment^ADM||1^Within defined parameters||||||F
OBX|96|TX|Gi00001600^Genitourinary pre-hospital baseline^ADM||Issues with frequency||||||F
OBX|97|CE|Gi00001700^Genitourinary assessment^ADM||3^At pre-hospital baseline||||||F
OBX|98|CE|Gi00001900^Care plan^ADM||1^Initiated||||||F
OBX|99|CE|GiBM000000^Bowel movement method^ADM||1^Toilet||||||F
OBX|100|CE|GiBMAMT201^Bowel movement amount^ADM||2^Medium (240 mL)||||||F
OBX|101|TX|GiBMINCO00^Bowel movement incontinence^ADM||N||||||F
OBX|102|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20191123||||||F
OBX|103|CE|GiBS000100^Bowel sounds frequency^ADM||1^Active||||||F
OBX|104|TX|GiBSST0001^Bristol Chart stool consistency^ADM||4||||||F
OBX|105|CE|GiCNMETH00^Feeding tube placement confirmation method^ADM||1^Radiology report||||||F
OBX|106|TX|GiETSIZE00^Enteral feeding tube size^ADM||12.0||||||F
OBX|107|CE|GiFTTYPE00^Feeding tube type^ADM||1^Small bore weighted||||||F
OBX|108|CE|GiNSORAL01^Feeding tube insertion site^ADM||1^Right nare||||||F
OBX|109|TX|GuBDINCO00^Bladder incontinence^ADM||Y||||||F
OBX|110|CE|GuBDURSS01^Urinary retention signs and symptoms^ADM||1^None||||||F
OBX|111|CE|GuBDVM0002^Voiding method^ADM||1^Toilet||||||F
OBX|112|TX|GuOTDAYC00^Day continence^ADM||Y||||||F
OBX|113|TX|GuOTNGTC00^Night continence^ADM||N||||||F
OBX|114|TX|HxSPTCHX01^Pertinent clinical history^ADM||TEST from ADM HX-MH TEST from ADM HX-MH TEST from ADM HX-MH TEST from ADM~HX-MH TEST from ADM HX-MH TEST from ADM HX-MH TEST from ADM HX-MH||||||F
OBX|115|CE|In00000700^Skin assessment^ADM||1^Skin intact||||||F
OBX|116|TX|In00000900^Wound dressing dry and intact^ADM||Y||||||F
OBX|117|CE|In00001000^Skin description^ADM||8^Bruised||||||F
OBX|118|CE|InBSACTV00^Braden Scale activity^ADM||3^3-Walks occasionally||||||F
OBX|119|CE|InBSFRSH00^Braden Scale friction and shear^ADM||2^2-Potential problem||||||F
OBX|120|CE|InBSMOBI01^Braden Scale mobility^ADM||3^3-Slightly limited||||||F
OBX|121|CE|InBSMOIS00^Braden Scale moisture^ADM||3^3-Occasionally moist||||||F
OBX|122|CE|InBSNUTR00^Braden Scale nutrition^ADM||3^3-Adequate||||||F
OBX|123|TX|InBSRISK01^Braden Scale risk level^ADM||Low||||||F
OBX|124|TX|InBSSCOR00^Braden Skin Risk Assessment Score^ADM||17||||||F
OBX|125|CE|InBSSPER00^Braden Scale sensory perception^ADM||3^3-Slightly limited||||||F
OBX|126|CE|InEDEMLB01^Edema location^ADM||12^Foot||||||F
OBX|127|CE|InEDEMLM00^Edema location modifier^ADM||2^Left||||||F
OBX|128|CE|InEDEMTP00^Edema type^ADM||2^Non-pitting||||||F
OBX|129|TX|InSKIAPO00^Skin appearance other^ADM||staples removed the day||||||F
OBX|130|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F
OBX|131|CE|InSKIMOD01^Skin and wound modifier^ADM||1^Left~9^Medial||||||F
OBX|132|CE|InWNDLOC02^Wound location^ADM||31^Buttock||||||F
OBX|133|CE|InWNDMOD00^Wound location modifier^ADM||1^Right||||||F
OBX|134|CE|InWNDTYM00^Wound type^ADM||14^Pressure||||||F
OBX|135|CE|InWOULOC02^Skin or wound location^ADM||18^Thigh||||||F
OBX|136|CE|IvIN000600^Glycemic management sample source^ADM||1^Capillary||||||F
OBX|137|CE|IvIN020200^Insulin route^ADM||1^Subcutaneous||||||F
OBX|138|CE|MhAD000100^Admission status^ADM||1^Voluntary||||||F
OBX|139|CE|MhAGGRRF00^Aggression/Harm to others: Risk factors^ADM||01^Not at risk||||||F
OBX|140|TX|MhALERTE00^Alert criteria met^ADM||N||||||F
OBX|141|TX|MhAPPTMD00^Appointments made^ADM||TEST FROM PDSTEST FROM PDSTEST FROM PDS test from pds test from pds test fr||||||F
OBX|142|TX|MhDENTUR00^Dentures^ADM||N||||||F
OBX|143|CE|MhELOPRF00^Elopement: Risk factors^ADM||01^Not at risk||||||F
OBX|144|TX|MhEYECOL00^Eye colour^ADM||TEST FROM||||||F
OBX|145|CE|MhEYETYP02^Type of eyewear^ADM||1^Glasses||||||F
OBX|146|TX|MhGLACON00^Glasses/Contacts^ADM||Y||||||F
OBX|147|TX|MhHAIRCO00^Hair colour^ADM||TEST FROM||||||F
OBX|148|TX|MhHEARAD00^Hearing aid^ADM||N||||||F
OBX|149|TX|MhHXABUS00^History of vulnerability to abuse^ADM||N||||||F
OBX|150|TX|MhHXADLS00^History of unable to perform activities of daily living^ADM||N||||||F
OBX|151|TX|MhHXDEPR00^Hx depression^ADM||N||||||F
OBX|152|TX|MhHXDOMV00^Hx domestic violence^ADM||N||||||F
OBX|153|TX|MhHXELOA00^Hx elopement attempt^ADM||Y||||||F
OBX|154|TX|MhHXELOP00^Hx elopement^ADM||Y||||||F
OBX|155|TX|MhHXFALL00^Hx falls^ADM||Y||||||F
OBX|156|TX|MhHXFIRE00^Hx fire setting behaviour^ADM||N||||||F
OBX|157|TX|MhHXFRTX00^History of forensic treatment^ADM||N||||||F
OBX|158|TX|MhHXFVBH00^Hx family violent behaviour^ADM||Y||||||F
OBX|159|TX|MhHXONEG00^Hx neglect^ADM||N||||||F
OBX|160|TX|MhHXPDDO00^History of personality disorder^ADM||N||||||F
OBX|161|TX|MhHXPSYD00^Hx psychotic disorder^ADM||Y||||||F
OBX|162|TX|MhHXSEIZ00^Hx seizures^ADM||N||||||F
OBX|163|TX|MhHXSUIA00^Hx suicide attempt^ADM||Y||||||F
OBX|164|TX|MhHXSUID00^Hx suicidal ideation^ADM||Y||||||F
OBX|165|TX|MhHXSUIF00^Hx family suicide^ADM||Y||||||F
OBX|166|TX|MhHXVBEH00^Hx violent behaviour^ADM||Y||||||F
OBX|167|CE|MhINFOSC00^Information source^ADM||1^Patient~7^Nurse~9^Health record review~10^Previous facility||||||F
OBX|168|TX|MhITEINS01^Inspected all items brought in and checked for sharps^ADM||Y||||||F
OBX|169|CE|MhLOBMT001^Level of observation maintained^ADM||0^Constant||||||F
OBX|170|CE|MhMEDAD001^Medication adherence^ADM||02^Concerns identified||||||F
OBX|171|CE|MhMEDIRF00^Medical instability: Risk factors^ADM||01^Not at risk||||||F
OBX|172|TX|MhMEDS003^Date of last given long-acting injectable medication^ADM||20191111||||||F
OBX|173|TX|MhMEDS004^Date of next due long-acting injectable medication^ADM||20191118||||||F
OBX|174|TX|MhMHINCM00^Current mental health team case manager^ADM||TEST FROM ADM AND CLINICAL HX||||||F
OBX|175|TX|MhMHINVP00^Current mental health team psychiatrist^ADM||TEST FROM ADM AND CLINICAL HX||||||F
OBX|176|TX|MhMHINVT00^Currently involved with mental health team^ADM||Y||||||F
OBX|177|TX|MhMRSAMD00^MRSA/MDRO swabs collected^ADM||Y||||||F
OBX|178|TX|MhMUNICP00^Municipality^ADM||TEST FROM PDS||||||F
OBX|179|CE|MhPBDEND01^Disposition of dentures^ADM||3^Kept/Sent with patient||||||F
OBX|180|CE|MhPBGLAD01^Disposition of eyewear^ADM||3^Kept/Sent with patient||||||F
OBX|181|TX|MhPBOAID02^Other personal aids^ADM||cane||||||F
OBX|182|TX|MhPDESC001^Physical description^ADM||TEST FROM PDSTEST FROM PDSTEST FROM PDSTEST FROM PDSTEST FROM PDS||||||F
OBX|183|TX|MhPDSECT00^ECT^ADM||TEST FROM PDS||||||F
OBX|184|TX|MhPERAID01^Personal aids present^ADM||Y||||||F
OBX|185|TX|MhPRNMED00^PRN medications^ADM||TEST FROM PDS||||||F
OBX|186|TX|MhRCTCOM00^RecT comments^ADM||TEST FROM PDS||||||F
OBX|187|TX|MhRIGHT005^Using hospital grounds^ADM||Y||||||F
OBX|188|TX|MhSCTATT00^Scars/Tattoos^ADM||Y||||||F
OBX|189|CE|MhSIRISK02^Suicide risk level/Degree of risk^ADM||3^Moderate risk||||||F
OBX|190|CE|MhSUICRF00^Suicide/Self harm: Risk factors^ADM||02^Passive suicidal ideation||||||F
OBX|191|CE|MhSUIDC001^Current suicidal ideation^ADM||03^Active ideation||||||F
OBX|192|CE|Mo00000100^Repositioning support provided^ADM||8^Independent||||||F
OBX|193|CE|Mo00000200^Transfer support provided for bed to chair transfer^ADM||6^1 person assist||||||F
OBX|194|CE|Mo00000300^Transfer support provided for chair to bed transfer^ADM||6^1 person assist||||||F
OBX|195|CE|Mo00000400^Transfer support provided for toilet transfer^ADM||6^1 person assist||||||F
OBX|196|CE|Mo00000500^Ambulation support provided^ADM||6^1 person assist||||||F
OBX|197|CE|Mo00000600^Upper body dressing support provided^ADM||8^Independent||||||F
OBX|198|CE|Mo00000800^Lower body dressing support provided^ADM||6^1 person assist||||||F
OBX|199|CE|Mo00001200^Dressing support provided (footwear)^ADM||6^1 person assist||||||F
OBX|200|CE|Mo00001300^Wheelchair propulsion^ADM||8^Independent||||||F
OBX|201|TX|Mo00002300^Independent with mobility and ADLs prior to hospitalization^ADM||Y||||||F
OBX|202|CE|MoAIDAMB01^Ambulation aid^ADM||10^Walker: 2 wheeled||||||F
OBX|203|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal~9^Bed alarm~10^Hip protectors||||||F
OBX|204|CE|MoMOTYPE00^Mobility type^ADM||1^Bed mobility||||||F
OBX|205|CE|MoRECAID02^Recommended aid^ADM||7^Gutter crutch||||||F
OBX|206|CE|MoRECEQP02^Recommended equipment^ADM||1^No equipment recommended||||||F
OBX|207|CE|MoRECTEC00^Recommended mobility technique^ADM||1^To right side||||||F
OBX|208|CE|MoSUPPRV01^Recommended support provided^ADM||2^Supervision||||||F
OBX|209|TX|MoTHERPY00^Therapy recommendations comments^ADM||therapy recommendations||||||F
OBX|210|CE|Ne00005100^Neurological assessment^ADM||1^Within defined parameters||||||F
OBX|211|TX|Ne00005500^Pain reported^ADM||Y||||||F
OBX|212|TX|Ne00005600^Orientation checks complete^ADM||Y||||||F
OBX|213|TX|Ne00005800^History of seizure^ADM||N||||||F
OBX|214|CE|NeCATLOC03^5. Altered level of consciousness^ADM||1^Alert||||||F
OBX|215|CE|NeCDIFFA02^3. Inattention^ADM||2^No||||||F
OBX|216|TX|NeCDIORE01^CAM result^ADM||Delirium not suspected||||||F
OBX|217|CE|NeCEACMS02^1. Acute onset^ADM||2^No||||||F
OBX|218|CE|NeCFBDPD02^2. Fluctuating course^ADM||2^No||||||F
OBX|219|CE|NeCSPDSI02^4. Disorganized thinking^ADM||2^No||||||F
OBX|220|TX|NeGLBLGU00^Glucometer blood glucose^ADM||12.2||||||F
OBX|221|CE|NeLECONS01^Level of consciousness^ADM||1^Alert||||||F
OBX|222|CE|NeMCACTL00^Activity tolerance^ADM||1^Within functional limits||||||F
OBX|223|CE|NeORIENT01^Oriented to^ADM||1^All domains||||||F
OBX|224|CE|NePURXNL00^Pupil reaction to light^ADM||1^Brisk||||||F
OBX|225|CE|NePUSIDE00^Pupil side^ADM||3^Bilateral||||||F
OBX|226|TX|NePUSIZE00^Pupil size^ADM||2||||||F
OBX|227|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||Y||||||F
OBX|228|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||Y||||||F
OBX|229|CE|Nu00016400^Insulin injection site^ADM||1^Right upper arm||||||F
OBX|230|CE|NuBRAMCO02^Breakfast amount consumed^ADM||03^50%||||||F
OBX|231|TX|NuCALTAR00^Target calories per day^ADM||target calories per day||||||F
OBX|232|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||1^Yes||||||F
OBX|233|CE|NuDIAMCO02^Dinner amount consumed^ADM||03^50%||||||F
OBX|234|TX|NuIDOSSA01^Short acting insulin dose^ADM||2.00||||||F
OBX|235|TX|NuITYPSA00^Short acting insulin type^ADM||novarapid||||||F
OBX|236|CE|NuLUAMCO02^Lunch amount consumed^ADM||02^25%||||||F
OBX|237|TX|NuNIFLUI00^Nutrient intake fluid^ADM||1500||||||F
OBX|238|TX|NuNINIEN00^Energy estimated intake^ADM||2000||||||F
OBX|239|TX|NuNIPTEI00^Protein estimated intake^ADM||95||||||F
OBX|240|TX|NuOGRETU01^Output, Gastric Drainage Amount^ADM||50.00||||||F
OBX|241|CE|NuSGA01800^SGA rating^ADM||3^C= Severely malnourished||||||F
OBX|242|CE|NuSNAMCO02^Snack amount consumed^ADM||03^50%||||||F
OBX|243|TX|OEDIAG^Diagnosis:^ADM||Schizophrenia||||||F
OBX|244|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|245|CE|Oh00000801^Care plan^ADM||1^Initiated||||||F
OBX|246|TX|Oh00000900^Patient stated rehab goals^ADM||Independent with ADLs, ambulation w/ or without aid and stair management||||||F
OBX|247|TX|Oh00001000^Reported bedtime^ADM||0000||||||F
OBX|248|TX|Oh00001100^Reported wake time^ADM||0800||||||F
OBX|249|TX|Oh00001200^Number naps during day^ADM||1||||||F
OBX|250|TX|OhMOSTST00^MOST status reviewed^ADM||Y||||||F
OBX|251|TX|OtPDMCON00^Medical considerations^ADM||TEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDSTEST FROM PDSTEST FROM~PDS||||||F
OBX|252|TX|OtPDPCCN00^PCC notes^ADM||TEST FROM PDSTEST FROM PDS||||||F
OBX|253|TX|OtPDRAPI00^Restrictions and privileges^ADM||TEST FROM PDS||||||F
OBX|254|TX|OtPDSEON00^1^ADM||TEST FROM PDS||||||F
OBX|255|TX|OtPDSETH00^3^ADM||TEST FROM PDS||||||F
OBX|256|TX|OtPDSETW00^2^ADM||TEST FROM PDS||||||F
OBX|257|TX|OtPDSSUM00^Shift summary^ADM||TEST FROM PDS||||||F
OBX|258|CE|Pa00000100^Pain assessment^ADM||3^Pain present||||||F
OBX|259|CE|PaLOCBDS02^Location^ADM||23^Thigh||||||F
OBX|260|CE|PaPALOCM00^Pain location modifier^ADM||1^Left||||||F
OBX|261|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|262|TX|PaPASCRE01^Pain score^ADM||6.00||||||F
OBX|263|CE|PaPNMGTT00^Pain management techniques^ADM||1^Medication||||||F
OBX|264|TX|PdOOTCOM01^OT comments^ADM||TEST FROM PDS||||||F
OBX|265|TX|PdORDCOM01^RD comments^ADM||TEST FROM PDS TEST FROM PDSTEST FROM PDSTEST FROM PDSTEST FROM PDS||||||F
OBX|266|TX|PdOSWCOM01^SW comments^ADM||TEST FROM PDS||||||F
OBX|267|TX|PdPTCOMM01^PT comments^ADM||TEST FROM PDS TEST FROM PDSTEST FROM PDSTEST FROM PDSTEST FROM PDS||||||F
OBX|268|CE|PsFIMS0002^Marital status^ADM||1^Single||||||F
OBX|269|CE|Re00000100^Respiratory assessment^ADM||2^Significant findings||||||F
OBX|270|TX|Re00000200^Airway stable^ADM||Y||||||F
OBX|271|TX|Re00000300^Breathing easy^ADM||Y||||||F
OBX|272|CE|ReAUBTHS02^Breath sounds^ADM||6^Crackles||||||F
OBX|273|CE|ReAULOCT00^Auscultation location^ADM||5^Right base||||||F
OBX|274|CE|ReAULOMO00^Auscultation location modifier^ADM||1^Anterior||||||F
OBX|275|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|276|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|277|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|278|TX|SpUPAICM01^Fall prevention comments^ADM||refusing bed alarm and hip protectors||||||F
OBX|279|CE|TeEDFORM00^Education format^ADM||1^One on one||||||F
OBX|280|CE|TeEDFURQ00^Education follow up required^ADM||3^Reinforcement||||||F
OBX|281|CE|TeEDMETH00^Education method^ADM||1^Discussion||||||F
OBX|282|CE|TeEDOUTM00^Learning outcome^ADM||1^Shows understanding~3^Reinforcement needed||||||F
OBX|283|CE|TeEDPRVD00^Education provided to^ADM||1^Patient||||||F
OBX|284|TX|TeEDTOPC00^Topics of education^ADM||Hip protectors||||||F
OBX|285|TX|VsBPDIAO01^Blood pressure diastolic^ADM||73||||||F
OBX|286|TX|VsBPSYSO01^Blood pressure systolic^ADM||125||||||F
OBX|287|TX|VsHRADLT01^Heart rate^ADM||85||||||F
OBX|288|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|289|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|290|CE|VsHRMETH00^Heart rate method used^ADM||3^Pulse Oximetry||||||F
OBX|291|TX|VsHTCM0100^Current height^ADM||178.0||||||F
OBX|292|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||95||||||F
OBX|293|TX|VsRESPAD03^Respiratory rate^ADM||16||||||F
OBX|294|TX|VsTPTEMPO2^Temperature^ADM||36.7||||||F
OBX|295|TX|VsWT000101^Current Weight^ADM||83.000||||||F
OBX|296|CE|VsWT000700^Weight measurement method^ADM||2^Bed scale||||||F
OBX|297|CE|VsWT004900^Height or length source^ADM||3^Stated||||||F
OBX|298|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||83000.000||||||F
AL1|1|FA|F006009637^strawberry|MI|hives|20191203
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED||||||

