MSH|^~\&|ADM|ARH|||201912111422||ADT^A03|4127553|D|2.2|||AL|NE
EVN|A03|201912111422||||201912111422
PID|1|FHATVIG0005352|AB00007567|AB7601|ORMSX^ARCADE||18700101|F|||123 AAAA^^SURREY^BC^V2V 0G7|||||||AB000543/18|9875838789
PV1|1|I|AB-4CHEAM^AB4C-C4022^1|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||OBS||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||ARH|||||201809131030|201912111422
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||66.000||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20180912||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|7|CE|AcHD000100^Hand dominance^ADM||1^Right||||||F
OBX|8|CE|AdDISCAS01^Discharge from caseload reason^ADM||1^Plan in place||||||F
OBX|9|CE|AdDISCHA30^Discharge destination^ADM||1^Home||||||F
OBX|10|TX|AdDISCOM02^Discharge from caseload comments^ADM||test||||||F
OBX|11|TX|AdESTDTD00^Estimated date of discharge^ADM||20191025||||||F
OBX|12|TX|AdGOALCP00^Goal^ADM||4/10 with movemnt||||||F
OBX|13|TX|AdGOALDT00^Goal target date^ADM||20191024||||||F
OBX|14|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|15|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||8^Occupational therapist||||||F
OBX|16|TX|AdINVANR00^1. Intervention to address problem^ADM||prn meds||||||F
OBX|17|TX|AdINVANR01^2. Intervention to address problem^ADM||encourage movement||||||F
OBX|18|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|19|TX|AdPROBDS00^Problem detail^ADM||rt shoulder 8/10 with movem||||||F
OBX|20|CE|AdPROBID20^Problem identified^ADM||4^Pain||||||F
OBX|21|TX|CmASPARO01^Treatment participation other^ADM||test||||||F
OBX|22|CE|CmASPART01^Treatment participation^ADM||4^Fatigued easily||||||F
OBX|23|CE|CmAUDITO00^Auditory comprehension^ADM||1^Within functional limits||||||F
OBX|24|CE|CmCOGNIT00^Cognitive communication^ADM||2^Needs further assessment||||||F
OBX|25|TX|CmCOMIMP00^Functional impact of communication impairment^ADM||test c||||||F
OBX|26|TX|CmCOMPRF00^Communication treatment performance^ADM||test ccc||||||F
OBX|27|CE|CmPHOBV000^Phonation observations via^ADM||1^Informal observations~6^Standardized Ax tool||||||F
OBX|28|TX|CmPHOBVO00^Phonation observations via other^ADM||test||||||F
OBX|29|CE|CmREADIN00^Reading comprehension^ADM||1^Within functional limits||||||F
OBX|30|CE|CmSL002000^Non-verbal communication observations via^ADM||1^Informal observations~5^Standardized Ax tool||||||F
OBX|31|TX|CmSL002100^Non-verbal communication observations via other^ADM||non||||||F
OBX|32|CE|CmSL003000^Alternative augmentative communication system trialed^ADM||1^Picture system~5^Text to speech||||||F
OBX|33|TX|CmSL003100^Alternative augmentative communication system other^ADM||test||||||F
OBX|34|CE|CmSL003300^Alternative augmentative communication access method used^ADM||1^Direct selection||||||F
OBX|35|CE|CmSL003500^Alternative augmentative communication positioning^ADM||1^At patient's midline~2^At patient's eye level||||||F
OBX|36|TX|CmSL003700^Alternative augmentative communication positioning other^ADM||test||||||F
OBX|37|CE|CmSL003800^Patient's ability to use AAC^ADM||1^No concerns||||||F
OBX|38|TX|CmSL003900^Alternative augmentative communication comment^ADM||a test||||||F
OBX|39|TX|CmSL005101^Reading comprehension task comment^ADM||test 2||||||F
OBX|40|TX|CmSL005200^Visual deficits suspected^ADM||Y||||||F
OBX|41|TX|CmSL005300^Visual deficits impacting performance^ADM||Y||||||F
OBX|42|TX|CmSL005400^Visual deficits comment^ADM||test||||||F
OBX|43|CE|CmSPVOIC00^Speech/Voice^ADM||2^Needs further assessment||||||F
OBX|44|TX|CmVEEXCO00^Verbal expression task comments^ADM||tst 3||||||F
OBX|45|CE|CmVERBEX00^Verbal expression^ADM||1^Within functional limits||||||F
OBX|46|CE|CmWRITTE00^Written expression^ADM||2^Needs further assessment||||||F
OBX|47|CE|HeAXPAR000^Assessment participation^ADM||1^No concerns~4^Fatigued easily||||||F
OBX|48|CE|HeAXPAR001^Assessment participation^ADM||1^No concerns||||||F
OBX|49|TX|HeAXPARC01^Assessment participation comments^ADM||no concerns||||||F
OBX|50|TX|HeAXPARO01^Assessment participation other^ADM||ok||||||F
OBX|51|TX|HeDYSPRF00^Dysphagia treatment performance^ADM||test ddddddddd||||||F
OBX|52|CE|HeINCASP00^Patient factors that increase the risk of aspiration^ADM||1^Confirmed aspiration~16^Cough: weak||||||F
OBX|53|TX|HeINCASP01^Patient factors that increase the risk of aspiration other^ADM||test||||||F
OBX|54|CE|HeREDASP00^Patient factors that reduce their risk of aspiration^ADM||2^Adheres to safe swallow~7^Few comorbidities||||||F
OBX|55|CE|HeSL006401^Overall dysphagia impairment severity^ADM||2^Mild-Moderate||||||F
OBX|56|TX|HeSL006502^Functional impact of dysphagia^ADM||test d||||||F
OBX|57|TX|HeTYAXME00^Standardized assessment tool used^ADM||verbal||||||F
OBX|58|CE|IvLOCATM00^Location modifier^ADM||1^Right||||||F
OBX|59|TX|IvRATE0000^Rate^ADM||75.00||||||F
OBX|60|TX|MhADMIS007^Released on extended leave^ADM||N||||||F
OBX|61|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|62|TX|NuOURINE00^Output - urine^ADM||35.00||||||F
OBX|63|TX|OhFCPCRN00^Family/Care provider concerns^ADM||test||||||F
OBX|64|TX|OhOTHUAP00^Other update, analysis and plan comments^ADM||none||||||F
OBX|65|TX|OhPT000101^Treatment analysis^ADM||anaylsis slp||||||F
OBX|66|TX|OhPT000202^Patient's subjective report^ADM||test||||||F
OBX|67|TX|OhPTSTUP00^Patient status update^ADM||test||||||F
OBX|68|TX|OtADINFO00^Additional information^ADM||none||||||F
OBX|69|TX|OtOTFURQ01^Follow-up required^ADM||Y||||||F
OBX|70|CE|OtSLP00100^Overall oral mechanism impairment severity^ADM||2^Mild||||||F
OBX|71|CE|OtSLP00400^Overall non-verbal communication impairment severity^ADM||6^Mild-Moderate||||||F
OBX|72|CE|OtSLP00900^Overall cognitive communication impairment severity^ADM||4^Severe||||||F
OBX|73|CE|PaLOCBDS02^Location^ADM||1^Head||||||F
OBX|74|TX|PaPAGOAL02^Pain goal^ADM||3||||||F
OBX|75|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|76|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||3^Agitated~4^Cries~6^Grimaces~9^Moans~10^Guarding||||||F
OBX|77|CE|PaPAQUAL01^Pain quality^ADM||1^Sharp~5^Burning||||||F
OBX|78|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|79|TX|PaPASCRE01^Pain score^ADM||8.00||||||F
OBX|80|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|81|CE|PaPNMGTT00^Pain management techniques^ADM||1^Medication~5^Positioning||||||F
OBX|82|TX|PhHEMOCN00^Hemodynamic concentration^ADM||32MG/500ML||||||F
OBX|83|TX|PhHEMODS01^Hemodynamic dose^ADM||4.000||||||F
OBX|84|CE|PhHEMOIN01^Hemodynamic infusion^ADM||15^Norepinephrine||||||F
OBX|85|TX|PhHEMORT02^Hemodynamic rate^ADM||10.000||||||F
OBX|86|CE|PhINFDOS00^Hemodynamic infusion dosage units^ADM||5^mcg/min||||||F
OBX|87|TX|PsACCOMM01^Auditory comprehension comments^ADM||test 4||||||F
OBX|88|CE|PsCCIMP000^Cognitive communication impairments^ADM||4^Memory~5^Organization||||||F
OBX|89|TX|PsCCIMPO00^Cognitive communication impairments other^ADM||test||||||F
OBX|90|TX|PsNVCCOM01^Non-verbal communication comments^ADM||non verbal test||||||F
OBX|91|CE|PsNVCDRA00^Nonverbal communication - drawing^ADM||2^Attempts with cues||||||F
OBX|92|CE|PsNVCSOG00^Nonverbal communication - social gestures (waving, pointing)^ADM||1^Uses||||||F
OBX|93|CE|PsNVCSYG00^Nonverbal communication - symbolic gestures (i.e. drinking)^ADM||3^Not using||||||F
OBX|94|CE|PsNVFAEX00^Nonverbal communication - facial expression^ADM||1^Uses||||||F
OBX|95|CE|PsOLACIM00^Overall auditory comprehension impairment severity^ADM||6^Mild-Moderate||||||F
OBX|96|TX|PsRCCOCO01^Cognitive communication comments^ADM||test 5||||||F
OBX|97|CE|PsRCOLRI01^Overall reading comprehension impairment severity^ADM||7^Moderate-Severe||||||F
OBX|98|CE|PsSOLOSI01^Overall speech/voice impairment severity^ADM||1^No observable impairment||||||F
OBX|99|CE|PsVEOLVE00^Overall verbal expression impairment severity^ADM||2^Mild||||||F
OBX|100|TX|PsWECOMM00^Written expression comment^ADM||test 1||||||F
OBX|101|CE|PsWEHUDA00^Hand use during assessment^ADM||2^Left||||||F
OBX|102|CE|PsWELDHA01^Legibility dominant hand^ADM||1^Good||||||F
OBX|103|CE|PsWELNDH01^Legibility nondominant hand^ADM||3^Poor||||||F
OBX|104|CE|ReVE000302^Ventilator mode^ADM||1^AC volume||||||F
OBX|105|TX|ReVE000902^Respiratory rate (set)^ADM||10||||||F
OBX|106|TX|ReVE001101^Adult ventilation set tidal volume^ADM||600||||||F
OBX|107|TX|ReVE001201^Adult ventilation effective tidal volume^ADM||458||||||F
OBX|108|TX|ReVE002001^Adult ventilation pressure control level^ADM||14||||||F
OBX|109|TX|ReVE002101^Adult ventilation pressure support level^ADM||10||||||F
OBX|110|TX|ReVE012101^FiO2 (set)^ADM||0.45||||||F
OBX|111|TX|SpCONCOM01^Consent comments^ADM||tste||||||F
OBX|112|TX|SpCONOTH00^Assessment/Treatment benefits and risks explained to other^ADM||est||||||F
OBX|113|CE|SpCONPAT00^Consent received from patient^ADM||1^Verbal||||||F
OBX|114|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|115|CE|SpCONSIG00^Consent for treatment received from^ADM||1^Parent||||||F
OBX|116|CE|SpCONTYP00^Consent received for^ADM||1^Assessment~2^Treatment plan||||||F
OBX|117|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|118|TX|TeSL001300^Communication SMART goals^ADM||test cccccccccccccccccccccccccccccccccccc~test~test~test ccc||||||F
OBX|119|TX|TeSLPCOM00^SLP Dysphagia SMART goals^ADM||test ddd||||||F
OBX|120|TX|TeSLPPLN00^SLP plan^ADM||to see||||||F
OBX|121|TX|UPI ISO^^ADM||CAN||||||F
OBX|122|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|123|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|124|TX|VsBPDIAO01^Blood pressure diastolic^ADM||45||||||F
OBX|125|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||50||||||F
OBX|126|CE|VsBPPOST02^Patient position^ADM||2^Supine||||||F
OBX|127|TX|VsBPSYSO01^Blood pressure systolic^ADM||98||||||F
OBX|128|TX|VsHRADLT01^Heart rate^ADM||72||||||F
OBX|129|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|130|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|131|CE|VsHRMETH00^Heart rate method used^ADM||1^Palpation||||||F
OBX|132|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|133|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||93||||||F
OBX|134|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F
OBX|135|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|136|TX|VsPROREP00^Probe repositioned^ADM||N||||||F
OBX|137|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F
OBX|138|TX|VsRESPAD03^Respiratory rate^ADM||10||||||F
OBX|139|TX|VsSECTEM00^Secondary temperature^ADM||36.4||||||F
OBX|140|CE|VsSECTES01^Secondary temperature source^ADM||2^Oral||||||F
OBX|141|CE|VsTPSORC03^Temperature source^ADM||1^Forehead||||||F
OBX|142|TX|VsTPTEMPO2^Temperature^ADM||36.5||||||F
OBX|143|TX|VsWT000101^Current Weight^ADM||66.000||||||F
OBX|144|TX|VsWT000700^Weight measurement method^ADM||EMR||||||F
OBX|145|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||66000.000||||||F
OBX|146|CE|zMGIVLOC1^Location^ADM||2^Lower arm||||||F
OBX|147|CE|zMGLT^Line Type^ADM||1^PIV||||||F
OBX|148|CE|zMGSOL1^Solution^ADM||1^NS||||||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||||||

MSH|^~\&|ADM|ARH|||201912111423||ADT^A04|4127560|D|2.2|||AL|NE
EVN|A04|201912111423||||201912111422
PID|1|FHATVIG0012701|AB00008405|RC7706|CPATEST^SNOW||19881221|F|||682 HOUSE ST^^VANCOUVER^BC^V8U 3R5|||||||AB000768/19|9874798589
PV1|1|E|AB.ER||||ORMDOC^ORMDOC^TESTSURG^^^^^^^^^^XX|||||||||||ER|||||||||||||||||||||ARH|||||201912111422|
PV2|||
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191203||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|TX|ADM PRERE^Previous Address if less than 6 months at current^ADM||N||||||F
OBX|7|TX|UPI ISO^^ADM||CAN||||||F
OBX|8|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|.UNATTACH^Unattach^^^^^^^OTH||ORMDOC^ORMDOC^TESTSURG^^^^^123456^DOC|
ZFH|LUMED||||||

