MSH|^~\&|ADM|ARH|||201912041114||ADT^A08|4123251|D|2.2|||AL|NE
EVN|A08|201912041114||||
PID|1|FHATVIG0003229|AB00007326|AB7364|PCSTEST^BABY^SIDHU||20180513|F|||0 STREET^^ABBOTSFORD^BC^V0V 0Y0|||||||AB000162/18|9876080559
PV1|1|I|AB-4YNICU^ABNICU-03^3|EL|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||PEDM||||||||IN|||||||||||||||||||||ARH|||||201805141458|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||2.648||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||53.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170409||||||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|Ac00000300^Parent interaction details^ADM||1^Feeding||||||F
OBX|9|CE|Ac00000500^Clinical update method^ADM||3^In person||||||F
OBX|10|CE|Ac00000700^Upper body washing support provided^ADM||8^Independent||||||F
OBX|11|CE|Ac00001000^Grooming support provided^ADM||8^Independent||||||F
OBX|12|CE|Ac00003100^Upper body dressing support required^ADM||8^Independent||||||F
OBX|13|CE|Ac00003200^Lower body dressing support required^ADM||8^Independent||||||F
OBX|14|CE|Ac00003400^Stair support required^ADM||8^Independent||||||F
OBX|15|TX|Ac00003500^Other pre-hospitalization comments^ADM||test||||||F
OBX|16|TX|Ac00003800^IADL support required prior to hospitalization^ADM||test||||||F
OBX|17|CE|Ac00005200^Oral care support required^ADM||8^Independent||||||F
OBX|18|TX|AdADMDAT01^Admission date^ADM||20190506||||||F
OBX|19|TX|AdADMRSN00^Reason for admission^ADM||reason for admission from Admission hx record NICU||||||F
OBX|20|TX|AdADMTIM00^Admission time^ADM||0645||||||F
OBX|21|CE|AdARRMOD01^Mode of arrival^ADM||9^Cot||||||F
OBX|22|CE|AdASEVRD00^As evidenced by^ADM||16^Decr interest in food||||||F
OBX|23|CE|AdBIRTH000^Birth place^ADM||1^Hospital||||||F
OBX|24|TX|AdBIRTH010^Expected date of delivery^ADM||20190529||||||F
OBX|25|CE|AdBIRTH021^Delivery presentation^ADM||1^Cephalic||||||F
OBX|26|CE|AdBIRTH030^Single/Multiple births^ADM||1^Singleton||||||F
OBX|27|CE|AdBIRTH040^Birth gender^ADM||1^Male||||||F
OBX|28|TX|AdBIRTH050^Birth complications^ADM||birth complications from newborn birth history - MAT||||||F
OBX|29|TX|AdBIRTH060^Meconium present at delivery^ADM||N||||||F
OBX|30|CE|AdBIRTH070^Substance exposure^ADM||1^Tobacco~2^Alcohol~3^Drugs||||||F
OBX|31|TX|AdBIRTH080^Substance exposure other^ADM||substance exposure other Newborn birth history||||||F
OBX|32|TX|AdBIRTH090^Substance exposure comments^ADM||substance exposure comments newborn birth history||||||F
OBX|33|CE|AdBIRTH100^Group B Strep exposure^ADM||1^Yes||||||F
OBX|34|TX|AdBIRTH110^Group B Strep prophylaxis followed^ADM||Y||||||F
OBX|35|CE|AdBIRTH120^Hepatitis B exposure^ADM||2^No||||||F
OBX|36|TX|AdBIRTH140^Other newborn birth history comments^ADM||newborn birth history comments||||||F
OBX|37|TX|AdCARELB00^Caregiver language barrier^ADM||N||||||F
OBX|38|CE|AdDISCAS01^Discharge from caseload reason^ADM||1^Plan in place||||||F
OBX|39|CE|AdGOSTRD00^Goal status^ADM||3^Met||||||F
OBX|40|TX|AdGOTDRD00^Goal target date^ADM||20191214||||||F
OBX|41|TX|AdHXCOND00^History of presenting condition^ADM||history of presenting condition from Admission History Record - NICU||||||F
OBX|42|CE|AdINVARD00^Interventions to address problem^ADM||8^Feeding neonate/infant||||||F
OBX|43|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|44|CE|AdNEWBO301^Cry description^ADM||1^Absent||||||F
OBX|45|CE|AdNICUA130^General skin appearance^ADM||4^Pink||||||F
OBX|46|CE|AdNICUA160^Admitted additional warming techniques^ADM||1^Warming mattress||||||F
OBX|47|CE|AdNICUAD11^Admitted bed type^ADM||2^Cot||||||F
OBX|48|TX|AdNICUAD50^MRSA initial screening date^ADM||20190508||||||F
OBX|49|TX|AdNICUAD60^MRSA repeat screening needed^ADM||N||||||F
OBX|50|TX|AdNICUAD70^MRSA repeat screening date^ADM||||||||F
OBX|51|TX|AdNICUAD80^Admitted from^ADM||Admitted from other facility||||||F
OBX|52|CE|AdNICUAD90^Additional warming techniques^ADM||1^Warming mattress||||||F
OBX|53|CE|AdPROBRD00^Problem identified^ADM||43^Growth rate below||||||F
OBX|54|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|55|TX|AdREPRFR01^Report received from^ADM||RN||||||F
OBX|56|CE|AdRETORD00^Related to^ADM||4^Chewing/Swallowing||||||F
OBX|57|CE|CaCA000100^Capillary refill^ADM||1^Less than 3 seconds||||||F
OBX|58|TX|CaHS000300^Heart sounds murmur^ADM||Y||||||F
OBX|59|TX|CaPLDATE00^PIV Insertion date^ADM||20190504||||||F
OBX|60|TX|CmCARLAN00^Caregiver primary language^ADM||English||||||F
OBX|61|CE|GiABPALP02^Abdominal palpation^ADM||1^Soft||||||F
OBX|62|CE|GiABSHAP00^Abdominal shape^ADM||1^Flat||||||F
OBX|63|TX|GiENTINS01^Initial tube length^ADM||30.0||||||F
OBX|64|TX|GiETINDA00^Insertion date^ADM||20190503||||||F
OBX|65|CE|GiETINSI00^Enteral feeding tube insertion site^ADM||2^Left nare||||||F
OBX|66|TX|GiETINTI00^Enteral feeding tube insertion time^ADM||1300||||||F
OBX|67|TX|GiETSIZE00^Enteral feeding tube size^ADM||6.0||||||F
OBX|68|CE|GiGTSITE00^Gastric tube site^ADM||2^Left nare||||||F
OBX|69|CE|GiNICU0080^Insertion site^ADM||3^Orogastric||||||F
OBX|70|TX|HxCORAGE10^Corrected age^ADM||0 month, 2 weeks||||||F
OBX|71|TX|HxIICPMA02^Postmenstrual age^ADM||64 weeks 2 days||||||F
OBX|72|TX|HxIIDATE01^Date of birth^ADM||20190501||||||F
OBX|73|TX|HxIIGAWD00^Gestational age^ADM||33 weeks 2 days||||||F
OBX|74|TX|HxIIGEDA00^Gestational age in days^ADM||2||||||F
OBX|75|TX|HxIIGEWE00^Gestational age in weeks^ADM||33||||||F
OBX|76|TX|HxIISCO100^Apgar score at 1 min^ADM||6||||||F
OBX|77|TX|HxIISCO200^Apgar score at 5 mins^ADM||7||||||F
OBX|78|TX|HxIISCO300^Apgar score at 10 mins^ADM||9||||||F
OBX|79|TX|HxIITIME00^Infant time of birth^ADM||2010||||||F
OBX|80|TX|HxIITOTA01^Total days of life^ADM||217||||||F
OBX|81|TX|HxMEASUR00^Weight change from previous measurement^ADM||11 grams over the past 1 days||||||F
OBX|82|TX|HxMEASUR10^Percent weight change since birth^ADM||40.52%  weight gain||||||F
OBX|83|CE|InPHOT0020^Phototherapy number of devices^ADM||2^Double||||||F
OBX|84|TX|InPHOT0170^Bed type^ADM||bed type other from neonatal care record||||||F
OBX|85|TX|InPTDIDA01^Phototherapy discontinued date^ADM||20190507||||||F
OBX|86|TX|InPTINDA00^Phototherapy initiated date^ADM||20190505||||||F
OBX|87|TX|InPTINTI00^Phototherapy initiated time^ADM||1452||||||F
OBX|88|TX|IvCVCINS00^CVC insertion date^ADM||20190505||||||F
OBX|89|CE|IvLINETY00^Line type^ADM||4^PICC||||||F
OBX|90|CE|IvLOCATI00^Location^ADM||6^Femoral||||||F
OBX|91|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|92|CE|IvLOCATM01^Location Modifier^ADM||1^Right||||||F
OBX|93|CE|IvPIVLOC00^Location^ADM||2^Lower arm PIV||||||F
OBX|94|TX|IvPIVNIC00^PIV insertion time^ADM||0922||||||F
OBX|95|CE|IvPL000700^Initial management^ADM||1^Infusion||||||F
OBX|96|TX|IvSIZE0000^Size^ADM||12||||||F
OBX|97|CE|Mo00000500^Ambulation support provided^ADM||8^Independent||||||F
OBX|98|TX|Mo00002300^Independent with mobility and ADLs prior to hospitalization^ADM||N||||||F
OBX|99|CE|Mo00002500^Ambulation support required^ADM||8^Independent||||||F
OBX|100|CE|MoTRSUP002^Transfer support provided^ADM||8^Independent||||||F
OBX|101|CE|NeNICUN010^Location^ADM||1^Right upper limb||||||F
OBX|102|CE|NeNICUN020^Artery^ADM||1^Radial||||||F
OBX|103|CE|NeNICUN070^Pulse strength^ADM||2^Full||||||F
OBX|104|CE|NeNICUN090^Colour^ADM||2^Cyanotic||||||F
OBX|105|CE|NeNICUN110^Temperature^ADM||1^Hot||||||F
OBX|106|TX|NmPRECAR00^Prenatal care^ADM||||||||F
OBX|107|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||Y||||||F
OBX|108|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||Y||||||F
OBX|109|CE|NuANTHR000^Birth weight classification^ADM||1^LBW (less than 2500g)||||||F
OBX|110|CE|NuANTHR010^Size for length of gestation^ADM||1^SGA||||||F
OBX|111|CE|NuANTHR020^Birth weight percentile^ADM||15^Greater than 97th||||||F
OBX|112|CE|NuANTHR030^Birth length percentile^ADM||14^90th||||||F
OBX|113|CE|NuANTHR040^Birth head circumference percentile^ADM||10^97th||||||F
OBX|114|CE|NuANTHR050^Weight for age percentile^ADM||10^97th||||||F
OBX|115|CE|NuANTHR070^Weight for length percentile^ADM||12^50th||||||F
OBX|116|CE|NuANTHR080^Head circumference for age percentile^ADM||14^90th||||||F
OBX|117|TX|NuANTHR090^Comparison weight date^ADM||20190426||||||F
OBX|118|TX|NuANTHR100^Comparison weight^ADM||3.510||||||F
OBX|119|TX|NuANTHR110^Days since comparison weight^ADM||7||||||F
OBX|120|TX|NuANTHR140^Average weight change^ADM||13 g/day over 7 days||||||F
OBX|121|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||||||||F
OBX|122|CE|NuANTHR160^Average weight gain goal^ADM||4^25-35 g/day||||||F
OBX|123|CE|NuANTHR170^Growth rate evaluation^ADM||1^Below expected||||||F
OBX|124|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||1^Yes||||||F
OBX|125|TX|NuDIETFU00^Dietitian follow-up required^ADM||N||||||F
OBX|126|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||3^In 5-7 days||||||F
OBX|127|CE|NuDIFUIM02^Dietitian follow up items to monitor^ADM||1^Intakes~4^Weight~7^Growth||||||F
OBX|128|CE|NuMIVITA00^Vitamin or mineral supplements^ADM||1^Multivitamin and minerals||||||F
OBX|129|CE|NuNICUF282^Nipple type used^ADM||3^Extra slow flow nipple||||||F
OBX|130|CE|NuNICUF311^Parental feeding goals^ADM||2^Mixed feeding||||||F
OBX|131|TX|NuNICUF391^Current feeding plan^ADM||EBM with FS HMF 2 PO:1 NG||||||F
OBX|132|TX|NuNICUFE30^Patient NPO^ADM||N||||||F
OBX|133|CE|NuNPGISS00^Nutrition focused GI signs or symptoms^ADM||1^No symptoms||||||F
OBX|134|CE|NuNPOVER00^Nutrition focused physical findings^ADM||5^Subcutaneous fat excess||||||F
OBX|135|TX|NuONINTA00^Oral nutrition current food intake^ADM||poor intake||||||F
OBX|136|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital||||||F
OBX|137|TX|OEDIAG^Diagnosis:^ADM||premature||||||F
OBX|138|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|139|TX|PdOBFEED01^Bottle feeding^ADM||||||||F
OBX|140|TX|PdOBGNAM01^Baby's given name^ADM||Sunshine||||||F
OBX|141|TX|PdOBLESA01^BLES^ADM||||||||F
OBX|142|TX|PdOBRFEE01^Breastfeeding^ADM||||||||F
OBX|143|TX|PdODPLAN01^Discharge plan^ADM||||||||F
OBX|144|TX|PdOLABDA01^Last ABD^ADM||||||||F
OBX|145|TX|PdORDCOM01^RD comments^ADM||Education completed||||||F
OBX|146|TX|PdORDEEE01^RD^ADM||Y||||||F
OBX|147|TX|PsCAREDA00^Date of care conference^ADM||20190508||||||F
OBX|148|TX|PsCAREDE00^Care conference details^ADM||care conference details from MICY Care conferenced||||||F
OBX|149|TX|PsCLIFAM00^Clinical update provided to visitor(s)^ADM||Y||||||F
OBX|150|TX|PsCOMMBR00^Communication barriers with caregiver^ADM||communication barriers with caregiver from Admission History Record - NICU||||||F
OBX|151|TX|PsMAT00000^Ministry of Children and Family Development alert^ADM||Y||||||F
OBX|152|CE|PsNICPTF00^Caregiver^ADM||1^Mother~2^Father||||||F
OBX|153|TX|PsPATCON00^Patient/Family concerns^ADM||patient / Family concerns from Care update/conference MICY||||||F
OBX|154|TX|RDOTCMST00^Outcome status^ADM||In progress||||||F
OBX|155|TX|ReENDDAT00^Endotracheal removal date^ADM||20190506||||||F
OBX|156|TX|ReFRINOX01^Fraction of inspired oxygen (FiO2)^ADM||0.26||||||F
OBX|157|TX|ReINSDAT00^Endotracheal tube insertion date^ADM||20190504||||||F
OBX|158|CE|ReOXYTHE05^Oxygen therapy delivery method^ADM||5^Nasal cannula||||||F
OBX|159|CE|ReOXYUOM00^Oxygen units of measure^ADM||2^mL/min||||||F
OBX|160|CE|ReVE000303^Ventilator mode^ADM||12^SIMV+VG||||||F
OBX|161|CE|ReVE012802^Non-invasive ventilation mode^ADM||6^Biphasic||||||F
OBX|162|CE|RpDE000100^Delivery type^ADM||1^SVD~3^Vacuum assisted||||||F
OBX|163|TX|RpMATHX000^Relevant maternal history^ADM||relevant maternal history form Admission hx record - NICU||||||F
OBX|164|TX|RpPR000200^Pregnancy history gravida^ADM||||||||F
OBX|165|TX|RpPR000300^Pregnancy history term^ADM||||||||F
OBX|166|TX|RpPR000400^Pregnancy history preterm^ADM||||||||F
OBX|167|TX|RpPR000500^Pregnancy history abortion^ADM||||||||F
OBX|168|TX|RpPR000600^Pregnancy history living children^ADM||||||||F
OBX|169|TX|SpCARSEA00^Car seat challenge date^ADM||20190509||||||F
OBX|170|CE|SpCSRESU00^Car seat challenge result^ADM||1^Pass||||||F
OBX|171|TX|SpTCNICU01^Ordered total fluid intake^ADM||130||||||F
OBX|172|CE|SpTCNICU10^Ordered dosing weight source^ADM||1^Birth weight||||||F
OBX|173|TX|SpTCNICU21^Dosing weight for calculation^ADM||1.256||||||F
OBX|174|TX|SpTCNICU31^Calculated total fluid intake required^ADM||6.80||||||F
OBX|175|TX|SpTCNICU41^Actual fluid intake amount^ADM||160.00||||||F
OBX|176|TX|SpTCNICU50^Actual fluid intake received per hour^ADM||6.67 mL/hour over 24 hours||||||F
OBX|177|TX|SpTCNICU60^Actual fluid intake interval^ADM||24||||||F
OBX|178|TX|SpTCNICU70^Actual total fluid intake received^ADM||127 mL/kg/day||||||F
OBX|179|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|180|CE|VsABD00010^Monitoring used^ADM||2^Oximetry||||||F
OBX|181|TX|VsDAPRWT00^Date of previous weight^ADM||20190502||||||F
OBX|182|CE|VsGROCHA02^Growth chart reference^ADM||2^Fenton||||||F
OBX|183|CE|VsGROCHA03^Birth growth chart reference^ADM||2^Fenton||||||F
OBX|184|TX|VsHECIRC00^Head circumference^ADM||38.0||||||F
OBX|185|TX|VsHTCM0100^Current height^ADM||53.0||||||F
OBX|186|TX|VsOXDRAD02^Oxygen therapy delivery rate^ADM||20||||||F
OBX|187|TX|VsWT000101^Current Weight^ADM||2.648||||||F
OBX|188|TX|VsWT001701^Birth weight^ADM||1.256||||||F
OBX|189|TX|VsWT005000^Birth height or length^ADM||42.00||||||F
OBX|190|TX|VsWT007700^Birth head circumference^ADM||34.50||||||F
OBX|191|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||2648.000||||||F
OBX|192|TX|VsWTPREV02^Previous weight^ADM||3.589||||||F
OBX|193|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

