MSH|^~\&|ADM|ARH|||201912300911||ADT^A08|4136897|D|2.2|||AL|NE
EVN|A08|201912300911||||
PID|1|FHATVIG0000094|AB00006622|AB6621|TEST^BAT||19810926|F|||GFWDG^FEWF^FEWFEW^BC^B3B 3B3|||||||AB000025/17|
PV1|1|I|AB-2BAKER^AB2B-B2107^1|UE|||OEDOCN^Oedoc^Nancytrain^^^^MD^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201707130858|
PV2||W^Ward|ASTHMA.
OBX|1|ST|1010.1^WEIGHT^CPT4||65.230||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||122.0||||||F
OBX|3|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|4|CE|ADM CCI1^CCI#1^ADM||DNA^DNA-Do Not Acknowledge||||||F
OBX|5|TX|ADM CCI2^CCI#2^ADM||||||||F
OBX|6|TX|ADM CCI3^CCI#3^ADM||||||||F
OBX|7|TX|ADM CCI4^ARO - Antibiotic Resistant Organisms^ADM||||||||F
OBX|8|TX|ADM CCI5^DNA - Do Not Acknowledge^ADM||||||||F
OBX|9|TX|ADM CCI6^AVB - Aggressive/Violent Behaviour^ADM||||||||F
OBX|10|TX|ADM CCI7^MDR - Multiple Drug Resistant Organisms^ADM||||||||F
OBX|11|TX|ADM CCI7a^          **or**^ADM||||||||F
OBX|12|TX|ADM CCICO1^Comments:^ADM||||||||F
OBX|13|TX|ADM CCICO2^:^ADM||||||||F
OBX|14|TX|ADM CCICO3^:^ADM||||||||F
OBX|15|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20141018||||||F
OBX|16|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|17|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|18|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|19|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|20|CE|Ac00000700^Upper body washing support provided^ADM||3^Set-up||||||F
OBX|21|CE|Ac00000900^Mouth care support provided^ADM||3^Set-up||||||F
OBX|22|CE|Ac00001000^Grooming support provided^ADM||3^Set-up||||||F
OBX|23|CE|Ac00001100^Toileting hygiene ability^ADM||6^1 person assist||||||F
OBX|24|CE|Ac00003700^Lower body washing support provided^ADM||3^Set-up||||||F
OBX|25|CE|AcADLWAP01^Wash products/skin protectant used^ADM||2^Protective skin wipes||||||F
OBX|26|CE|AcADLWAT00^Wash type performed^ADM||4^Partial bed bath/Pericare||||||F
OBX|27|CE|AcCLTYPE00^Clothing type^ADM||1^Hospital gown||||||F
OBX|28|CE|AcDRASST02^Dressing assistance^ADM||1^Unassisted||||||F
OBX|29|CE|AcHAIWAS00^Hair wash performed^ADM||1^With hair cap||||||F
OBX|30|CE|AcHEHT0000^Home environment - housing type^ADM||4^Apartment||||||F
OBX|31|TX|AcHOCOMM00^Housing prior to admission comments^ADM||finacial issues, might lose home||||||F
OBX|32|CE|AcMOCAPE00^Mouth care performed^ADM||2^Antibacterial oral rinse~7^Teeth brushing~8^Dentures cleansed||||||F
OBX|33|CE|AcMOCARE03^Mouth care assistance^ADM||1^Unassisted||||||F
OBX|34|TX|AcPERSCC00^Personal care comments^ADM||needs set up with personal care because of bilateral arm casts||||||F
OBX|35|TX|AcSHAGIV00^Shave given^ADM||N||||||F
OBX|36|CE|AcTOASST02^Toileting assistance^ADM||1^Unassisted||||||F
OBX|37|CE|AcWAASST03^Washing assistance^ADM||1^Unassisted||||||F
OBX|38|CE|Ad00000500^Mode of travel^ADM||4^Walking||||||F
OBX|39|CE|Ad00000600^Transportation^ADM||1^Car||||||F
OBX|40|CE|Ad00000800^Paperwork provided^ADM||2^Discharge summary~3^Referral information~6^Discharge plan||||||F
OBX|41|TX|AdAC000100^Accompanied by other^ADM||daughter||||||F
OBX|42|CE|AdACCINM02^Accompanying individuals^ADM||3^Family||||||F
OBX|43|TX|AdACINDO00^Accompanying individuals other^ADM||daughter||||||F
OBX|44|TX|AdADMDAT01^Admission date^ADM||20180321||||||F
OBX|45|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|46|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|47|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F
OBX|48|TX|AdADMRSN00^Reason for admission^ADM||agressive, mentally unstable||||||F
OBX|49|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||Y||||||F
OBX|50|TX|AdADMTIM00^Admission time^ADM||1400||||||F
OBX|51|TX|AdAGMDFO00^Against medical advice form signed^ADM||N||||||F
OBX|52|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|53|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|54|TX|AdAMA00000^Left hospital without any notification^ADM||N||||||F
OBX|55|CE|AdARRMOD00^Mode of arrival^ADM||2^Wheelchair||||||F
OBX|56|CE|AdASEVRD00^As evidenced by^ADM||14^Energy and protein intake~22^Decreased intake~33^Weight loss||||||F
OBX|57|TX|AdBIRTH010^Expected date of delivery^ADM||20180706||||||F
OBX|58|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F
OBX|59|CE|AdCSUM0000^Community supports utilized prior to admission^ADM||2^Family||||||F
OBX|60|CE|AdDISCHA00^Destination^ADM||1^Home||||||F
OBX|61|TX|AdDISTIM00^Discharge time^ADM||1429||||||F
OBX|62|TX|AdESTDTD00^Estimated date of discharge^ADM||20180322||||||F
OBX|63|TX|AdFUAPCO03^Services and appointments arranged comments^ADM||Refered to psychiatrist near patients home||||||F
OBX|64|CE|AdFUAPPT02^Follow-up appointments arranged^ADM||2^Outpatient~5^Private psychiatrist||||||F
OBX|65|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|66|TX|AdGOCPRD00^Goal^ADM||increase intake||||||F
OBX|67|CE|AdGOSTRD00^Goal status^ADM||3^Met||||||F
OBX|68|TX|AdGOTDRD00^Goal target date^ADM||20190816||||||F
OBX|69|CE|AdHCPNTM00^Notification method^ADM||1^In person||||||F
OBX|70|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||N||||||F
OBX|71|TX|AdHXCOND00^History of presenting condition^ADM||seizures||||||F
OBX|72|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F
OBX|73|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F
OBX|74|TX|AdINFNAM00^Name of information source^ADM||daughter, ED nurse||||||F
OBX|75|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|76|TX|AdINVANR00^1. Intervention to address problem^ADM||sdsd||||||F
OBX|77|TX|AdINVANR01^2. Intervention to address problem^ADM||sdsd||||||F
OBX|78|TX|AdINVANR02^3. Intervention to address problem^ADM||sdsd||||||F
OBX|79|CE|AdINVARD00^Interventions to address problem^ADM||1^Meals and snacks~2^Enteral nutrition||||||F
OBX|80|CE|AdMODETM00^Mode of travel^ADM||3^Wheelchair||||||F
OBX|81|TX|AdMRPNTE00^MRP notified^ADM||Y||||||F
OBX|82|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|83|TX|AdNOKIDA00^Next of kin/individual notified date^ADM||20180321||||||F
OBX|84|TX|AdNOKINA00^Name of next of kin/individual notified^ADM||orange||||||F
OBX|85|TX|AdNOKINN00^Next of kin/individual notified^ADM||Y||||||F
OBX|86|TX|AdNOKITI00^Next of kin/individual notified time^ADM||1353||||||F
OBX|87|TX|AdNOTIFA01^Site transfer comments^ADM||restraints are with patient (just in case)||||||F
OBX|88|TX|AdPRLANG00^Primary language spoken^ADM||english||||||F
OBX|89|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|90|TX|AdPROBDS00^Problem detail^ADM||sdsds||||||F
OBX|91|CE|AdPROBID20^Problem identified^ADM||2^Communication||||||F
OBX|92|CE|AdPROBRD00^Problem identified^ADM||1^Altered GI function||||||F
OBX|93|TX|AdREPGIT00^Report given to^ADM||LAMA||||||F
OBX|94|CE|AdREPGIV00^Report given^ADM||1^In person||||||F
OBX|95|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|96|TX|AdREPRFR01^Report received from^ADM||myself||||||F
OBX|97|CE|AdRETORD00^Related to^ADM||4^Chewing/Swallowing||||||F
OBX|98|CE|AdSERVAR00^Services arranged^ADM||1^None required||||||F
OBX|99|TX|AdSITTSF00^Patient Belongings Record updated^ADM||N||||||F
OBX|100|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|101|TX|AdSLPCPG00^Goal^ADM||meet needs||||||F
OBX|102|TX|AdSLPCPI00^Problem identified^ADM||inadequate oral intake||||||F
OBX|103|CE|AdSLPCPS00^Goal status^ADM||1^In progress||||||F
OBX|104|TX|AdSLPCPT00^Goal target date^ADM||20190726||||||F
OBX|105|TX|AdSWCPDE00^Problem detail^ADM||agl||||||F
OBX|106|TX|AdSWCPGD00^Goal target date^ADM||20190822||||||F
OBX|107|TX|AdSWCPGO00^Goal^ADM||ASSESSMENT||||||F
OBX|108|CE|AdSWCPID00^Problem identified^ADM||1^Accessing services||||||F
OBX|109|TX|AdTIMELS00^Time left/last seen^ADM||1429||||||F
OBX|110|TX|AdTRANDA00^Transfer date^ADM||20180321||||||F
OBX|111|TX|AdTRANDE00^Transfer destination^ADM||HIGH acuity||||||F
OBX|112|TX|AdTRANTI00^Transfer time^ADM||1352||||||F
OBX|113|TX|AdTWPAID01^Two patient identifiers checked^ADM||Y||||||F
OBX|114|CE|Ca00000000^Pre-existing pain concerns^ADM||1^No concerns identified||||||F
OBX|115|CE|Ca00000001^Pre-existing medication concerns^ADM||2^Concerns identified||||||F
OBX|116|CE|Ca00000002^Pre-existing nutrition/hydration concerns^ADM||1^No concerns identified||||||F
OBX|117|CE|Ca00000004^Pre-existing cognitive concerns^ADM||2^Concerns identified||||||F
OBX|118|CE|Ca00000005^Pre-existing mobility concerns^ADM||1^No concerns identified||||||F
OBX|119|CE|Ca00000100^Right radial pulse^ADM||1^Doppler||||||F
OBX|120|CE|Ca00000200^Right ulnar pulse^ADM||1^Doppler||||||F
OBX|121|CE|Ca00000400^Left radial pulse^ADM||1^Doppler||||||F
OBX|122|CE|Ca00000500^Left ulnar pulse^ADM||2^0||||||F
OBX|123|CE|Ca00000700^Right dorsalis pedis pulse^ADM||1^Doppler||||||F
OBX|124|CE|Ca00000800^Right post tibial pulse^ADM||2^0||||||F
OBX|125|CE|Ca00000900^Right popliteal pulse^ADM||2^0||||||F
OBX|126|CE|Ca00001000^Left dorsalis pedis pulse^ADM||5^+3||||||F
OBX|127|CE|Ca00001100^Left post tibial pulse^ADM||5^+3||||||F
OBX|128|CE|Ca00001200^Left popliteal pulse^ADM||5^+3||||||F
OBX|129|CE|Ca00001300^Right femoral pulse^ADM||2^0||||||F
OBX|130|CE|Ca00001400^Left femoral pulse^ADM||5^+3||||||F
OBX|131|TX|Ca00001800^Cardiovascular pre-hospital baseline^ADM||fdsaf||||||F
OBX|132|CE|Ca00001900^Cardiovascular assessment^ADM||1^Within defined parameters||||||F
OBX|133|TX|CaCAVASC00^Other cardiovascular comments^ADM||test||||||F
OBX|134|CE|CaCRFOLE01^Capillary refill left foot^ADM||1^Less than 3 seconds||||||F
OBX|135|CE|CaCRFORI01^Capillary refill right foot^ADM||1^Less than 3 seconds||||||F
OBX|136|CE|CaCRHALE00^Capillary refill left hand^ADM||1^Less than 3 seconds||||||F
OBX|137|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|138|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|139|CE|CaHS000700^Heart sounds audible^ADM||1^S1||||||F
OBX|140|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||Y||||||F
OBX|141|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|142|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||1^None||||||F
OBX|143|TX|EnITEMCO00^Item(s) of concern^ADM||jjj||||||F
OBX|144|TX|EnITEMRP02^Name of clinician notified^ADM||g||||||F
OBX|145|CE|GiBM000000^Bowel movement method^ADM||5^Commode||||||F
OBX|146|CE|GiBM000100^Bowel movement colour^ADM||3^Brown||||||F
OBX|147|CE|GiBMAMT201^Bowel movement amount^ADM||3^Large (480 mL)||||||F
OBX|148|TX|GiBMINCO00^Bowel movement incontinence^ADM||N||||||F
OBX|149|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||25.0||||||F
OBX|150|TX|GiBSST0001^Bristol Chart stool consistency^ADM||5||||||F
OBX|151|CE|GiHSMODE00^Hypoglycemia signs and symptoms, moderate^ADM||7^Headache||||||F
OBX|152|TX|GiNICU0010^Duration of breastfeed^ADM||15||||||F
OBX|153|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||2^Significant findings||||||F
OBX|154|TX|GuBDINCO00^Bladder incontinence^ADM||Y||||||F
OBX|155|CE|GuBDPAT001^Bladder pattern^ADM||6^Nocturia||||||F
OBX|156|TX|GuBDPATO00^Bladder pattern other^ADM||fine||||||F
OBX|157|CE|GuBDVM0002^Voiding method^ADM||5^Commode||||||F
OBX|158|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|159|TX|Hx486PRO00^Pre-admission screening questionnaire provided^ADM||N||||||F
OBX|160|TX|HxCORAGE10^Corrected age^ADM||1 month, 1 week||||||F
OBX|161|TX|HxIICPMA02^Postmenstrual age^ADM||45 weeks 3 days||||||F
OBX|162|TX|HxIIDATE01^Date of birth^ADM||20180511||||||F
OBX|163|TX|HxIIGAWD00^Gestational age^ADM||31 weeks 3 days||||||F
OBX|164|TX|HxIIGEDA00^Gestational age in days^ADM||3||||||F
OBX|165|TX|HxIIGEWE00^Gestational age in weeks^ADM||31||||||F
OBX|166|TX|HxIITOTA01^Total days of life^ADM||98||||||F
OBX|167|TX|HxMEDREC00^Medication reconciliation form present^ADM||Y||||||F
OBX|168|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||N||||||F
OBX|169|TX|HxPRVSM000^Tobacco use previous smoker^ADM||N||||||F
OBX|170|TX|HxSPTCHX00^Summary of patient's clinical history^ADM||seizures, has been admitted prior for agression and anxiety||||||F
OBX|171|TX|HxSPTFHX00^Summary of patient's family history^ADM||husband has been abusive before||||||F
OBX|172|TX|HxTABCU000^Tobacco use current use^ADM||N||||||F
OBX|173|CE|HxWHX00001^Weight change prior to admission weight history^ADM||1^Stable||||||F
OBX|174|CE|HxWHX00002^Weight change prior to admission weight history^ADM||2^Unintentional loss||||||F
OBX|175|TX|HxWTHX0000^Weight history details^ADM||weight history details fomr Anthro 2-19||||||F
OBX|176|TX|ITSFNSTXT^Food and Nutrition Text^ADM||ITS data for PCSTEST, BANANA on 17-Aug||||||F
OBX|177|CE|InEDEMAS00^Edema severity^ADM||1^+1||||||F
OBX|178|TX|InEDEMCM00^Edema comments^ADM||test||||||F
OBX|179|CE|InEDEMLB01^Edema location^ADM||8^Hand||||||F
OBX|180|CE|InEDEMLM00^Edema location modifier^ADM||2^Left||||||F
OBX|181|CE|InEDEMTP00^Edema type^ADM||2^Non-pitting||||||F
OBX|182|TX|InEYECAR00^Eye care^ADM||N||||||F
OBX|183|CE|InPESIDE00^Peripheral line site description^ADM||2^Redness||||||F
OBX|184|TX|InSKIAPO00^Skin appearance other^ADM||test||||||F
OBX|185|CE|InSKIAPP01^Skin appearance^ADM||1^Normal~6^Mottled||||||F
OBX|186|CE|InSKIMOI02^Skin moisture^ADM||1^Dry||||||F
OBX|187|CE|InSKITEM00^Skin temperature^ADM||1^Hot||||||F
OBX|188|CE|IvIN000600^Glycemic management sample source^ADM||1^Capillary||||||F
OBX|189|TX|IvIN001200^Lab result comparison within 20% of capillary result^ADM||N||||||F
OBX|190|CE|IvPIVLOC00^Location^ADM||5^Hand PIV||||||F
OBX|191|CE|IvPL000700^Initial management^ADM||2^Saline lock||||||F
OBX|192|TX|IvREMOTI00^Removal time^ADM||0200||||||F
OBX|193|TX|IvREMOVD00^Removal date^ADM||20191217||||||F
OBX|194|CE|IvREMOVE00^Removal reason^ADM||1^No longer needed||||||F
OBX|195|CE|MHCYSA0011^Code yellow stage activated^ADM||02^Pre-code||||||F
OBX|196|CE|MHTHNKTD00^Take Home Naloxone kit dispensed^ADM||03^Not applicable||||||F
OBX|197|CE|Mh00000100^Speech rate^ADM||5^Rapid||||||F
OBX|198|CE|MhAD000100^Admission status^ADM||1^Voluntary||||||F
OBX|199|TX|MhADLIVP00^Living with others prior to admission^ADM||Y||||||F
OBX|200|CE|MhADLPAD00^Activities of daily living prior to admission^ADM||1^No concerns identified||||||F
OBX|201|TX|MhADMIS006^Released on Extended Leave^ADM||N||||||F
OBX|202|CE|MhADRGSR00^Aware drug screen may be required upon return^ADM||01^Yes||||||F
OBX|203|CE|MhAFFECT01^Affect^ADM||12^Anxious||||||F
OBX|204|CE|MhAGGRRF00^Aggression/Harm to others: Risk factors^ADM||02^Aggressive physical bx~05^Aggressive verbal bx||||||F
OBX|205|TX|MhALERT017^Date alert reviewed^ADM||20180321||||||F
OBX|206|CE|MhALERTP00^Alert protocol assessment^ADM||02^Continued||||||F
OBX|207|CE|MhAPPPAD00^Appetite prior to admission^ADM||1^No concerns identified||||||F
OBX|208|TX|MhAVBACI00^Alert components initiated^ADM||Y||||||F
OBX|209|TX|MhAVBADI00^Date alert initiated^ADM||20180321||||||F
OBX|210|TX|MhAVBALC00^Alert reason comments^ADM||Aggressive towards care team and family||||||F
OBX|211|CE|MhAVBALR01^Alert reason^ADM||02^Aggression||||||F
OBX|212|CE|MhAVBALT00^Aggressive violent behaviour identified^ADM||01^History of aggression~02^Physically aggressive||||||F
OBX|213|TX|MhAVBHXR01^All historical documentation reviewed^ADM||Y||||||F
OBX|214|CE|MhAVBOUT00^Outcome of review^ADM||01^Alert continued||||||F
OBX|215|CE|MhAVBSFT00^Safety risks^ADM||01^Agitated||||||F
OBX|216|TX|MhAVBTMR00^Team members involved in review^ADM||Dr. Harry||||||F
OBX|217|TX|MhAXPLIC00^Initial Psychiatric Liaison Intake Assessment complete^ADM||Y||||||F
OBX|218|CE|MhBEHIN002^Response to non-restraint interventions^ADM||1^Behaviour resolving||||||F
OBX|219|TX|MhBEHIN004^Response to interventions comments^ADM||Patient is less aggresive||||||F
OBX|220|CE|MhBELCKR00^Aware belongings will be checked upon return^ADM||01^Yes||||||F
OBX|221|CE|MhBHBEHA00^Behaviour^ADM||11^Agitated||||||F
OBX|222|TX|MhBHCFCC01^Behaviour contributing factors other^ADM||Financial struggles,||||||F
OBX|223|TX|MhBHCWOC01^Other behaviour management/code white comments^ADM||patient was calmed down by food.||||||F
OBX|224|CE|MhBHEYEC01^Eye contact^ADM||3^Intense||||||F
OBX|225|TX|MhBHMGTD00^Behaviour management interventions details^ADM||Physical restraints used on abdomen||||||F
OBX|226|CE|MhBHMGTI01^Behaviour management interventions^ADM||11^Pt belongings searched||||||F
OBX|227|CE|MhBHPMAO00^Psychomotor activity^ADM||2^Hyperactive||||||F
OBX|228|CE|MhCOATTS01^Attention/Concentration^ADM||2^Fair||||||F
OBX|229|TX|MhCODEWC00^Code white called^ADM||N||||||F
OBX|230|TX|MhCODEWT00^Code white call time^ADM||1345||||||F
OBX|231|CE|MhCOGIMP00^Cognitively impaired^ADM||02^No||||||F
OBX|232|CE|MhCOINSI01^Insight^ADM||2^Partial||||||F
OBX|233|CE|MhCOJUDG01^Judgement^ADM||2^Limited||||||F
OBX|234|CE|MhCOMEMO01^Memory^ADM||1^Immediate/Recall intact||||||F
OBX|235|CE|MhCOORIE01^Oriented to^ADM||1^Date/Time~2^Person~3^Place||||||F
OBX|236|TX|MhCOYE0014^Search discontinued^ADM||N||||||F
OBX|237|TX|MhCOYE0019^Date code yellow stage activated^ADM||20180321||||||F
OBX|238|TX|MhCOYE0020^Time code yellow stage activated^ADM||1433||||||F
OBX|239|TX|MhCOYE0022^Patient status comments^ADM||Patient was in the lobby waiting to||||||F
OBX|240|TX|MhCOYE0023^Patient returned to unit^ADM||Y||||||F
OBX|241|CE|MhCOYEOO21^Patient status^ADM||01^Patient found||||||F
OBX|242|TX|MhCPPAXO00^Other care providers present during assessment^ADM||N||||||F
OBX|243|TX|MhCY001000^Other AWOL/code yellow comments^ADM|| ~ ~patient is still able to be discharged||||||F
OBX|244|TX|MhCYDET010^Details leading up to AWOL/code yellow^ADM|| ~Patient was getting ready to be discharged, agression had subsided and~violent comments stopped||||||F
OBX|245|TX|MhCYNSE010^AWOL/Code yellow interventions^ADM||Notify Psych ward||||||F
OBX|246|TX|MhCYPRC010^Patient risk factors identified comments^ADM||Patient previously attempted to strike Dr. Harry. Agression subsided but~could reappear||||||F
OBX|247|CE|MhCYPRF010^Patient risk factors identified^ADM||1^Cognitive impairment~5^Risk of harm to others||||||F
OBX|248|CE|MhDAGGBH00^Currently demonstrating aggressive behaviour^ADM||01^Yes||||||F
OBX|249|TX|MhDISCHA01^Referred to Mental Health Services^ADM||N||||||F
OBX|250|CE|MhDISCHA04^MHSU programs/services referred to^ADM||1^Adult intake||||||F
OBX|251|CE|MhEDLEVC00^Highest level of education completed^ADM||2^Secondary||||||F
OBX|252|TX|MhEDPHAD00^Assessed by ED Physician date^ADM||20180321||||||F
OBX|253|TX|MhEDPHAN00^Assessed by ED Physician name^ADM||Dr. Harry||||||F
OBX|254|TX|MhEDPHAT00^Assessed by ED Physician time^ADM||1323||||||F
OBX|255|TX|MhEDPINT00^Interpreter required^ADM||N||||||F
OBX|256|TX|MhEDPMHA00^Patient brought under Section 28^ADM||Y||||||F
OBX|257|CE|MhEDPSER00^Reason for visit^ADM||01^Aggression~02^Family/Marital stressors~06^Financial stressors||||||F
OBX|258|TX|MhEDPSRC00^Referral source comments^ADM||Daughter brought patient in||||||F
OBX|259|CE|MhEDPSRS00^Referral source^ADM||05^Family||||||F
OBX|260|TX|MhEDPSYI00^Assessment date^ADM||20180321||||||F
OBX|261|TX|MhEDPSYI01^Patient admitted prior to assessment^ADM||N||||||F
OBX|262|TX|MhEDPSYI02^Repeat patient^ADM||Y||||||F
OBX|263|TX|MhEDPSYT00^Assessment time^ADM||1314||||||F
OBX|264|TX|MhEL000400^Date last seen^ADM||20180321||||||F
OBX|265|TX|MhEL000500^Time last seen^ADM||1415||||||F
OBX|266|TX|MhEL000601^Location last seen^ADM||room||||||F
OBX|267|TX|MhEL000700^Description of appearance^ADM||130 cm, 60 kg, blonde/grey hair, hair is wet from shower, frail arms, blue~eyes||||||F
OBX|268|TX|MhEL002100^Form 21 faxed to police^ADM||N||||||F
OBX|269|TX|MhEL003000^Date of return^ADM||20180321||||||F
OBX|270|TX|MhEL003100^Time of return^ADM||1435||||||F
OBX|271|CE|MhELOPRF00^Elopement: Risk factors^ADM||01^Not at risk||||||F
OBX|272|CE|MhEMSTRF00^Emotional states: Risk factors^ADM||04^Angry/Agitated||||||F
OBX|273|TX|MhESMOOD04^Mood^ADM||hungry||||||F
OBX|274|CE|MhETOHT000^Alcohol type used^ADM||2^Wine||||||F
OBX|275|TX|MhEX000100^Extended leave recall^ADM||N||||||F
OBX|276|CE|MhEXPSYC00^Experiencing psychosis^ADM||02^No||||||F
OBX|277|CE|MhEXSHSO00^Expressing any thoughts of harm to self or others^ADM||02^No||||||F
OBX|278|CE|MhFALLPA00^Recent falls prior to admission^ADM||1^No concerns identified||||||F
OBX|279|CE|MhFOLLUP00^Follow-up recommendations^ADM||1^Family physician~2^Private counsellor~4^Mental health services||||||F
OBX|280|TX|MhHXABUS00^History of vulnerability to abuse^ADM||Y||||||F
OBX|281|TX|MhHXADLS00^History of unable to perform activities of daily living^ADM||N||||||F
OBX|282|TX|MhHXDEPR00^Hx depression^ADM||N||||||F
OBX|283|TX|MhHXDOMV00^Hx domestic violence^ADM||Y||||||F
OBX|284|TX|MhHXELOA00^Hx elopement attempt^ADM||N||||||F
OBX|285|TX|MhHXELOP00^Hx elopement^ADM||N||||||F
OBX|286|TX|MhHXFALL00^Hx falls^ADM||N||||||F
OBX|287|TX|MhHXFIRE00^Hx fire setting behaviour^ADM||N||||||F
OBX|288|TX|MhHXFRTX00^History of forensic treatment^ADM||N||||||F
OBX|289|TX|MhHXFVBH00^Hx family violent behaviour^ADM||Y||||||F
OBX|290|TX|MhHXONEG00^Hx neglect^ADM||N||||||F
OBX|291|TX|MhHXPDDO00^History of personality disorder^ADM||Y||||||F
OBX|292|TX|MhHXPSYD00^Hx psychotic disorder^ADM||Y||||||F
OBX|293|TX|MhHXSEIZ00^Hx seizures^ADM||Y||||||F
OBX|294|TX|MhHXSUIA00^Hx suicide attempt^ADM||N||||||F
OBX|295|TX|MhHXSUID00^Hx suicidal ideation^ADM||N||||||F
OBX|296|TX|MhHXSUIF00^Hx family suicide^ADM||N||||||F
OBX|297|TX|MhHXVBEH00^Hx violent behaviour^ADM||Y||||||F
OBX|298|TX|MhIMPFOR00^Impression/Formulation^ADM||Patient is needing assistance in controlling agression. Has been in care~for 60 mins and still is agressive.||||||F
OBX|299|CE|MhINCSOU00^Source(s) of income^ADM||1^Employment income||||||F
OBX|300|CE|MhINFOSC00^Information source^ADM||1^Patient~3^Family||||||F
OBX|301|CE|MhINSTRP00^Instructions provided^ADM||03^Not applicable||||||F
OBX|302|CE|MhLOBMT001^Level of observation maintained^ADM||2^Level 2||||||F
OBX|303|TX|MhLVEADD00^Address^ADM||Breakfast at Denny's||||||F
OBX|304|CE|MhMEDCPA00^Medical considerations prior to admission^ADM||4^Seizure disorder||||||F
OBX|305|CE|MhMEDIRF00^Medical instability: Risk factors^ADM||01^Not at risk||||||F
OBX|306|TX|MhMHINVT00^Currently involved with mental health team^ADM||Y||||||F
OBX|307|CE|MhMHSPAD02^Mental health services utilized prior to admission^ADM||06^Group therapy services||||||F
OBX|308|TX|MhMRSAMD00^MRSA/MDRO swabs collected^ADM||N||||||F
OBX|309|CE|MhMSEAS015^Thought process^ADM||7^Incoherent~9^Fragmentation||||||F
OBX|310|CE|MhMSEATT01^Attitude^ADM||5^Passive~9^Guarded||||||F
OBX|311|TX|MhMSEGAP02^General appearance^ADM||bruises on arm and abdomen, may not have showered recently, dirty hair and~body||||||F
OBX|312|CE|MhNRESI001^Type(s) of non-restraint interventions used^ADM||02^De-escalation techniques~07^Code white team||||||F
OBX|313|TX|MhPATBE001^Behaviour observed^ADM||patient did not want to go back to room, thought she was already discharged||||||F
OBX|314|TX|MhPATMPN00^Patient's main phone number^ADM||3300000020||||||F
OBX|315|CE|MhPERDIS00^Perceptual disturbances^ADM||1^No problem identified||||||F
OBX|316|TX|MhPLANGC01^Plan G completed by MRP^ADM||Y||||||F
OBX|317|TX|MhPLANGF01^Plan G faxed to appropriate Mental Health Services^ADM||Y||||||F
OBX|318|CE|MhPLINPA00^Pleasure and interest prior to admission^ADM||1^No concerns identified||||||F
OBX|319|TX|MhPSYCON00^Consulted with Psychiatrist^ADM||N||||||F
OBX|320|CE|MhPTSUAC00^Patient/Supervising person aware they may contact unit^ADM||01^Yes||||||F
OBX|321|CE|MhPTSUAR00^Patient/Supervising person aware they may return anytime^ADM||01^Yes||||||F
OBX|322|CE|MhPXMEDD00^Prescribed medication dispensed with dosing information^ADM||03^Not applicable||||||F
OBX|323|CE|MhREFFTO00^Referred to^ADM||1^Community agency||||||F
OBX|324|TX|MhRESAFE01^Secure room safe to enter^ADM||Y||||||F
OBX|325|CE|MhREST0001^Reason for restraint use^ADM||2^Harm to others||||||F
OBX|326|TX|MhREST0008^Personal items/valuables removed and stored^ADM||Y||||||F
OBX|327|CE|MhRESTBP01^Body location physical restraint applied to^ADM||07^Pelvic/Lap||||||F
OBX|328|TX|MhRESTDC01^Restraint use discontinuation comments^ADM||patient is no longer wanting to harm others||||||F
OBX|329|TX|MhRESTDD01^Date restraint use discontinued^ADM||20180321||||||F
OBX|330|TX|MhRESTDT01^Time restraint use discontinued^ADM||1343||||||F
OBX|331|TX|MhRESTE029^Date restraint use initiated^ADM||20180321||||||F
OBX|332|TX|MhRESTE030^Time restraint use initiated^ADM||1440||||||F
OBX|333|TX|MhRESTE031^Team present during restraint use initiation^ADM||Dr. Harry||||||F
OBX|334|TX|MhRESTE032^Event details during restraint use initiation^ADM||Patient was not coping well with physical restraints. Tried to escape and~was not calming||||||F
OBX|335|TX|MhRESTEV01^Evaluation for continued restraint use assessed/reassessed^ADM||Y||||||F
OBX|336|CE|MhRESTPE01^Equipment physical restraint applied to^ADM||01^Stretcher||||||F
OBX|337|CE|MhRESTPT01^Type of physical restraint used^ADM||05^Soft belt||||||F
OBX|338|TX|MhRESTSC01^Physical restraint monitoring/safety check tool in use^ADM||N||||||F
OBX|339|CE|MhRESTUP01^Restraint use plan^ADM||01^Restraint continued||||||F
OBX|340|TX|MhSAFEIC00^Safety interventions comments^ADM||Belongings contained sharp potentially harmful objects||||||F
OBX|341|CE|MhSAFEIN01^Emergency department safety interventions^ADM||3^Placed in hospital attire~4^Pt. belongings locked||||||F
OBX|342|TX|MhSECRIP01^Patient/Family consulted and Informed Consent obtained^ADM||Y||||||F
OBX|343|TX|MhSECRIP02^Interprofessional team members consulted^ADM||Dr. Harry||||||F
OBX|344|TX|MhSECRIP03^Consent for restraint use comments^ADM||Daughter was notified||||||F
OBX|345|TX|MhSIPROT02^Protective factors comments^ADM||daughter is supportive||||||F
OBX|346|CE|MhSIPROT05^Protective factors^ADM||3^Ability to access help~7^Positive support system||||||F
OBX|347|CE|MhSIRISK04^Suicidal ideation: Assessment confidence^ADM||1^High confidence||||||F
OBX|348|CE|MhSLPATP00^Sleep pattern prior to admission^ADM||1^No concerns identified||||||F
OBX|349|CE|MhSOCSRF00^Social situations: Risk factors^ADM||01^Financial difficulties~10^Family conflict||||||F
OBX|350|CE|MhSPAMOT01^Speech amount^ADM||5^Normal||||||F
OBX|351|CE|MhSPTONE05^Speech tone^ADM||1^Normal||||||F
OBX|352|CE|MhSPVOLU01^Speech volume^ADM||6^Loud||||||F
OBX|353|TX|MhSRENT001^Date secure room entered^ADM||20180321||||||F
OBX|354|TX|MhSRMSC001^Secure room monitoring/safety check tool in use^ADM||||||||F
OBX|355|TX|MhSRTEA001^Team present during patient care^ADM||Dr. Harry||||||F
OBX|356|TX|MhSRTEN001^Time secure room entered^ADM||1442||||||F
OBX|357|CE|MhSUICRF00^Suicide/Self harm: Risk factors^ADM||01^Not at risk||||||F
OBX|358|CE|MhSUIDC001^Current suicidal ideation^ADM||01^None reported by patient||||||F
OBX|359|CE|MhSUIDCH01^Suicidal ideation: Changeability^ADM||02^High risk/changeability||||||F
OBX|360|TX|MhSUPMPN00^Supervising person's main phone number^ADM||45500039442||||||F
OBX|361|CE|MhSUSS0027^Alcohol use^ADM||2^History of use||||||F
OBX|362|CE|MhSUSS0028^Drug use^ADM||1^Does not use||||||F
OBX|363|CE|MhSUSS0034^Tobacco/Nicotine use^ADM||5^Unknown||||||F
OBX|364|TX|MhTLDOPD01^Date of departure^ADM||20180322||||||F
OBX|365|TX|MhTLEDPR01^Expected date of return^ADM||20180322||||||F
OBX|366|TX|MhTLETPR01^Expected time of return^ADM||1600||||||F
OBX|367|CE|MhTLSIOU02^Signed out on form^ADM||02^No||||||F
OBX|368|TX|MhTLTOPD01^Time of departure^ADM||0800||||||F
OBX|369|CE|MhTLTYPE01^Type of leave^ADM||1^Accompanied||||||F
OBX|370|CE|MhTPCONT02^Thought content^ADM||9^Paranoid thoughts||||||F
OBX|371|CE|MhTXMGPL00^Intervention method/services provided^ADM||1^Brief therapy/counselling~2^Crisis stabilization~3^Inpatient care~6^Family support~7^Medication review||||||F
OBX|372|CE|MhUNITPN00^Unit phone number provided^ADM||01^Yes||||||F
OBX|373|CE|Mo00000100^Repositioning support provided^ADM||8^Independent||||||F
OBX|374|CE|Mo00000200^Transfer support provided for bed to chair transfer^ADM||6^1 person assist||||||F
OBX|375|CE|Mo00000300^Transfer support provided for chair to bed transfer^ADM||6^1 person assist||||||F
OBX|376|CE|Mo00000400^Transfer support provided for toilet transfer^ADM||6^1 person assist||||||F
OBX|377|CE|Mo00000500^Ambulation support provided^ADM||2^Supervision||||||F
OBX|378|CE|Mo00000600^Upper body dressing support provided^ADM||6^1 person assist||||||F
OBX|379|TX|Mo00000700^Dressing comments^ADM||goal is for independence||||||F
OBX|380|CE|Mo00000800^Lower body dressing support provided^ADM||6^1 person assist||||||F
OBX|381|CE|Mo00001200^Dressing support provided (footwear)^ADM||2^Supervision||||||F
OBX|382|TX|Mo00001300^Wheelchair propulsion^ADM||N/A||||||F
OBX|383|CE|MoAIDAMB01^Ambulation aid^ADM||3^Cane||||||F
OBX|384|CE|MoAIDBED02^Bed mobility aid^ADM||1^No aid used||||||F
OBX|385|CE|MoAIDDST01^Dynamic standing aid^ADM||2^No aid used||||||F
OBX|386|CE|MoAIDSST01^Static standing aid^ADM||2^No aid used||||||F
OBX|387|CE|MoAIDSTA01^Stairs aid^ADM||2^No aid used||||||F
OBX|388|CE|MoAIDTRA01^Transfer aid^ADM||6^Crutches: forearm||||||F
OBX|389|CE|MoAMASST02^Ambulation assistance required^ADM||2^1 person||||||F
OBX|390|CE|MoAMBABI03^Ambulation ability^ADM||1^Complete independence||||||F
OBX|391|CE|MoAMBACT01^Ambulation activity^ADM||1^Ambulation in room||||||F
OBX|392|CE|MoAMGASZ00^Ambulation size of gait aid used^ADM||1^Pediatric||||||F
OBX|393|CE|MoBCTFTO01^Transfer to^ADM||5^Wheelchair||||||F
OBX|394|CE|MoBCTTFR01^Transfer from^ADM||1^Bed||||||F
OBX|395|CE|MoBDABIL01^Bed mobility level of ability^ADM||2^Supervision||||||F
OBX|396|TX|MoBDACMT00^Mobility in bed assistance required comment^ADM||Needed help changing bed angle||||||F
OBX|397|CE|MoBDASSR02^Bed mobility assistance required^ADM||2^1 person||||||F
OBX|398|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||1^Unassisted||||||F
OBX|399|CE|MoDSASST01^Dynamic sitting assistance required^ADM||2^1 person||||||F
OBX|400|CE|MoDSTABI00^Dynamic standing level of ability^ADM||1^Complete independence||||||F
OBX|401|CE|MoDSTAST01^Dynamic standing assistance required^ADM||1^None||||||F
OBX|402|CE|MoEQSTST01^Sit to stand equipment^ADM||2^No equipment used||||||F
OBX|403|CE|MoEQUITR01^Transfer equipment^ADM||2^No equipment used||||||F
OBX|404|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal~10^Hip protectors||||||F
OBX|405|CE|MoMOTYPE00^Mobility type^ADM||6^Ambulation||||||F
OBX|406|TX|MoMOTYPT00^Mobility type^ADM||repositioning||||||F
OBX|407|CE|MoMOVEDR00^Movement direction^ADM||2^Turning side to side||||||F
OBX|408|CE|MoPOBDPO01^Bed position^ADM||3^Fowlers (45-60 deg)||||||F
OBX|409|CE|MoRECAID02^Recommended aid^ADM||1^No aid recommended||||||F
OBX|410|CE|MoSRASST01^Stairs assistance required^ADM||1^None||||||F
OBX|411|CE|MoSSASST01^Static sitting assistance required^ADM||2^1 person||||||F
OBX|412|CE|MoSSTABI00^Static standing level of ability^ADM||1^Complete independence||||||F
OBX|413|CE|MoSSTAST01^Static standing assistance required^ADM||2^1 person||||||F
OBX|414|CE|MoSTAABI00^Stairs level of ability^ADM||1^Complete independence||||||F
OBX|415|CE|MoSTSABI00^Sit to stand level of ability^ADM||2^Supervision||||||F
OBX|416|CE|MoSTSAST01^Sit to stand assistance required^ADM||2^1 person||||||F
OBX|417|CE|MoSUPPPT01^Recommended support provided^ADM||1^None||||||F
OBX|418|CE|MoSUPPRV01^Recommended support provided^ADM||2^Supervision||||||F
OBX|419|CE|MoTRAAST00^Transfer assistance required^ADM||2^1 person||||||F
OBX|420|CE|MoTRABIL00^Transfer level of ability^ADM||3^Moderate assist||||||F
OBX|421|TX|MoTRANCO00^Transfer comments^ADM||goal is for independence with 2 wheeled walker||||||F
OBX|422|TX|NUOTCMST00^Outcome status^ADM||In progress||||||F
OBX|423|TX|NeGLBLGU00^Glucometer blood glucose^ADM||5.2||||||F
OBX|424|CE|NeICDSCC01^ICDSC altered level of consciousness^ADM||1^1||||||F
OBX|425|CE|NeICDSCD01^ICDSC disorientation^ADM||0^0||||||F
OBX|426|CE|NeICDSCF01^ICDSC symptom fluctuation^ADM||0^0||||||F
OBX|427|CE|NeICDSCH01^ICDSC hallucination, delusion or psychosis^ADM||0^0||||||F
OBX|428|CE|NeICDSCI01^ICDSC inattention^ADM||1^1||||||F
OBX|429|CE|NeICDSCO00^Contraindication to ICDSC screening^ADM||2^Neurological barrier||||||F
OBX|430|CE|NeICDSCP01^ICDSC psychomotor agitation or retardation^ADM||0^0||||||F
OBX|431|TX|NeICDSCR00^ICDSC score^ADM||4||||||F
OBX|432|CE|NeICDSCS01^ICDSC inappropriate speech or mood^ADM||1^1||||||F
OBX|433|CE|NeICDSCW03^ICDSC sleep/wake cycle disturbance^ADM||1^1||||||F
OBX|434|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|435|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||1^Within defined parameters||||||F
OBX|436|CE|NePOSC0000^POSS score^ADM||4^4 - Somnolent||||||F
OBX|437|CE|NuANTHR020^Birth weight percentile^ADM||15^Greater than 97th||||||F
OBX|438|CE|NuANTHR050^Weight for age percentile^ADM||5^90-97th||||||F
OBX|439|TX|NuANTHR090^Comparison weight date^ADM||20180810||||||F
OBX|440|TX|NuANTHR100^Comparison weight^ADM||59.982||||||F
OBX|441|TX|NuANTHR110^Days since comparison weight^ADM||7||||||F
OBX|442|TX|NuANTHR140^Average weight change^ADM||3 g/day over 7 days||||||F
OBX|443|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||||||||F
OBX|444|TX|NuANTHR260^Weight change^ADM||increase||||||F
OBX|445|TX|NuCALTAR00^Target calories per day^ADM||1700 kcal/day||||||F
OBX|446|CE|NuCNFEED00^Current nutrition status refeeding concern^ADM||2^Possible risk||||||F
OBX|447|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|448|TX|NuDIETFU00^Dietitian follow-up required^ADM||N||||||F
OBX|449|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||8^Monthly||||||F
OBX|450|CE|NuDIFUIM02^Dietitian follow up items to monitor^ADM||3^EN initiation/tolerance||||||F
OBX|451|TX|NuDIFUMO00^Dietitian follow-up items to monitor other^ADM||items to monitor other||||||F
OBX|452|TX|NuDPMEHX00^Clinical history relevant to dietitian plan^ADM||nutrition history from Nutrition History - RD||||||F
OBX|453|CE|NuENENAS00^Estimated energy assessment method^ADM||1^kcal/kg||||||F
OBX|454|TX|NuENENCK00^Energy estimated needs (kcal/kg)^ADM||1686.900||||||F
OBX|455|CE|NuENKCKG00^Energy kcal/kg/day factor^ADM||5^30 kcal/kg||||||F
OBX|456|TX|NuNICUF200^Duration of bottle feed^ADM||15||||||F
OBX|457|CE|NuNICUF250^Breastfeeding observations^ADM||3^Strong latch||||||F
OBX|458|CE|NuNICUF260^Breastfeeding assistance^ADM||1^Independent||||||F
OBX|459|TX|NuNICUF351^Intake, Breastfeeding Amount^ADM||35.0||||||F
OBX|460|TX|NuNICUF360^Nipple shield in use^ADM||N||||||F
OBX|461|TX|NuPEDFEE60^Number breastfeedings^ADM||1||||||F
OBX|462|TX|NuRDDCBR00^Dietitian discharge barriers^ADM||dietitian discharge barriers from D/C planning - RD||||||F
OBX|463|TX|NuSGA00100^SGA weight change - overall loss in past 6 months^ADM||23.000||||||F
OBX|464|TX|NuSGA00200^SGA percentage weight loss^ADM||14.00||||||F
OBX|465|CE|NuSGA00400^SGA dietary intake change^ADM||1^No change||||||F
OBX|466|TX|NuSGA00501^SGA intake change duration^ADM||6 weeks||||||F
OBX|467|CE|NuSGA00600^SGA intake change type^ADM||1^Suboptimal solid diet||||||F
OBX|468|CE|NuSGA00700^SGA gastrointestinal symptoms^ADM||2^Nausea~3^Vomiting~4^Diarrhea~5^Anorexia||||||F
OBX|469|CE|NuSGA00800^SGA functional capacity^ADM||2^Dysfunction||||||F
OBX|470|TX|NuSGA00901^SGA dysfunction duration^ADM||3 weeks||||||F
OBX|471|CE|NuSGA01000^SGA dysfunction type^ADM||2^Ambulatory||||||F
OBX|472|TX|NuSGA01100^SGA primary diagnosis (specify)^ADM||cancer||||||F
OBX|473|CE|NuSGA01200^SGA metabolic demand (stress)^ADM||4^High stress||||||F
OBX|474|CE|NuSGA01300^SGA loss of subcutaneous fat^ADM||3^2+ = moderate||||||F
OBX|475|CE|NuSGA01400^SGA muscle wasting^ADM||3^2+ = moderate||||||F
OBX|476|CE|NuSGA01500^SGA ankle edema^ADM||3^2+ = moderate||||||F
OBX|477|CE|NuSGA01600^SGA sacral edema^ADM||1^0 = normal||||||F
OBX|478|CE|NuSGA01700^SGA ascites^ADM||1^0 = normal||||||F
OBX|479|CE|NuSGA01800^SGA rating^ADM||3^C= Severely malnourished||||||F
OBX|480|TX|NuWT000000^Weight used for energy calculation^ADM||56.230||||||F
OBX|481|CE|NuWTCH0000^Weight change calculation based on^ADM||1^Usual/Previous weight||||||F
OBX|482|TX|NuWTGAIN00^Percent weight gain^ADM||11.7||||||F
OBX|483|CE|Oh00000800^Care plan^ADM||1^Initiated||||||F
OBX|484|TX|OhEDIT0000^Reason for edit^ADM||test||||||F
OBX|485|TX|OhFACNOD00^Facility/Hospital notified date^ADM||20180321||||||F
OBX|486|TX|OhFACNOT00^Facility/Hospital notified time^ADM||1354||||||F
OBX|487|CE|OhIN000300^Information source^ADM||1^Patient~2^Health record review~6^Family~9^Nurse||||||F
OBX|488|TX|OhNO000101^Facility or hospital notified^ADM||Y||||||F
OBX|489|TX|OhNOTCOM00^Name of facility contact person notified^ADM||Grape||||||F
OBX|490|TX|OtOTRXIN00^OT therapy program to be completed independently^ADM||TESTING NOTE FOR CARE PROVIDER TYPE||||||F
OBX|491|TX|OtPDOPCO00^OT/PT comments^ADM||OT/PT comments from baker~2 eKardex||||||F
OBX|492|TX|OtPDSPDO00^Surgery/Procedure 1 date^ADM||20180516||||||F
OBX|493|TX|OtPDSPDT00^Surgery/Procedure 2 date^ADM||20180518||||||F
OBX|494|TX|OtPDSPON00^Surgery/Procedure 1^ADM||surgery procedure 1 from pds screen||||||F
OBX|495|TX|OtPDSPTW00^Surgery/Procedure 2^ADM||surg/proc 2 from pds screen||||||F
OBX|496|TX|OtPDSWCO00^Social work comments^ADM||Social work comments from~PDS screen and i'm pretty~sure that this should be~the same query but not~totally sure uggh if it~isn't||||||F
OBX|497|CE|OtRAMBLT01^Recommendations for ambulation^ADM||1^Independent||||||F
OBX|498|CE|OtRBEDMB01^Recommendations for bed mobility^ADM||1^Independent||||||F
OBX|499|CE|OtRCHTRF01^Recommendations for chair transfer^ADM||1^Independent||||||F
OBX|500|CE|OtRDGLOF00^Recommendations for dressing level of function^ADM||3^Set up||||||F
OBX|501|CE|OtRFLPRV00^Recommendations for falls prevention^ADM||1^Hip protectors||||||F
OBX|502|CE|OtRGROMG00^Recommendations for grooming^ADM||3^Set up||||||F
OBX|503|CE|OtRSITTL00^Recommendation for sitting tolerance^ADM||1^30 mins||||||F
OBX|504|CE|OtRTLTRF01^Recommendations for toilet transfer^ADM||11^1 person assist||||||F
OBX|505|CE|OtRWASHG00^Recommendations for washing^ADM||3^Set up||||||F
OBX|506|TX|PaDBLEOL00^Double check^ADM||shelley rn||||||F
OBX|507|CE|PaLOCBDS02^Location^ADM||1^Head||||||F
OBX|508|CE|PaPALOCM00^Pain location modifier^ADM||1^Left~9^Medial||||||F
OBX|509|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||3^Agitated~9^Moans~10^Guarding~13^Retracts body part||||||F
OBX|510|CE|PaPARAMR00^Pain defined parameters^ADM||2^Significant findings||||||F
OBX|511|CE|PaPASCLE01^Pain scale used^ADM||2^Faces||||||F
OBX|512|TX|PaPASCRE01^Pain score^ADM||6.00||||||F
OBX|513|TX|PhHEMODS01^Hemodynamic dose^ADM||4.000||||||F
OBX|514|CE|PhHEMOIN01^Hemodynamic infusion^ADM||4^Dopamine||||||F
OBX|515|TX|PhHEMORT02^Hemodynamic rate^ADM||20.000||||||F
OBX|516|CE|PhINFDOS00^Hemodynamic infusion dosage units^ADM||3^mg/kg/min||||||F
OBX|517|TX|PhLIDOBD00^Lidocaine bolus dose^ADM||20.00||||||F
OBX|518|CE|PhLIDOCO01^Lidocaine infusion concentration^ADM||1^4 mg/ml (0.4%)||||||F
OBX|519|TX|PhLIDODD00^Lidocaine infusion discontinuation date^ADM||20191214||||||F
OBX|520|TX|PhLIDODI00^Lidocaine infusion initiation date^ADM||20191213||||||F
OBX|521|TX|PhLIDODT00^Lidocaine infusion discontinuation time^ADM||0400||||||F
OBX|522|CE|PhLIDODU00^Lidocaine ordered duration^ADM||3^48 hours||||||F
OBX|523|TX|PhLIDOID01^Lidocaine infusion dose^ADM||20.00||||||F
OBX|524|TX|PhLIDOIR00^Lidocaine infusion rate^ADM||200.00||||||F
OBX|525|TX|PhLIDOIT00^Lidocaine infusion initiation time^ADM||0300||||||F
OBX|526|TX|PhLIDOLD00^Lidocaine loading dose initiation date^ADM||20191214||||||F
OBX|527|TX|PhLIDOLT00^Lidocaine loading dose initiation time^ADM||0200||||||F
OBX|528|TX|PhLIDOSC00^Lidocaine scheduled end time^ADM||0400 date||||||F
OBX|529|CE|PhLIDOSE03^Lidocaine infusion side effects^ADM||9^Nausea/vomiting||||||F
OBX|530|TX|PhLIDOTT03^Lidocaine infused total time^ADM|| hours,  minutes||||||F
OBX|531|TX|PsBITPLA00^Plan^ADM||Plan from AGA intervention report - SW||||||F
OBX|532|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F
OBX|533|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F
OBX|534|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||N||||||F
OBX|535|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||N||||||F
OBX|536|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F
OBX|537|TX|PsCAREDA00^Date of care conference^ADM||20180321||||||F
OBX|538|TX|PsCAREDE00^Care conference details^ADM||Dr. Harry told daughter to stay and watch patient for a week||||||F
OBX|539|TX|PsCAREIN00^Individuals involved in care conference^ADM||Dr. Harry, Patient's daughter||||||F
OBX|540|TX|PsCARETI00^Time of care conference^ADM||1415||||||F
OBX|541|TX|PsCLB00000^Communication language barrier^ADM||N||||||F
OBX|542|TX|PsMAT00000^Ministry of Children and Family Development alert^ADM||N||||||F
OBX|543|TX|PsSTAND190^Primary contact person^ADM||primary contact standard Ax over 19||||||F
OBX|544|TX|PsSTAND200^Temporary substitute decision maker^ADM||TSDM standard Ax over 19||||||F
OBX|545|CE|PsSU000000^Substance use^ADM||1^Alcohol||||||F
OBX|546|TX|PsSU000100^Substance use other^ADM||Likes to drink wine||||||F
OBX|547|TX|PsSWAADA00^Date investigation initiated^ADM||20180514||||||F
OBX|548|TX|PsSWAADC01^Date investigation closed^ADM||20180524||||||F
OBX|549|CE|PsSWEMPL02^Employment^ADM||6^Part-time||||||F
OBX|550|TX|PsSWPUIN00^Purpose of social work involvement^ADM||||||||F
OBX|551|TX|PsSWSTPL00^Plan^ADM||standard assessment over 19 plan and then some more planning is going to~ ~yes it does wrap||||||F
OBX|552|TX|PsSWSTRW00^Reported to child welfare agency^ADM||||||||F
OBX|553|CE|PsSWSTST02^Citizenship status^ADM||1^Canadian citizen||||||F
OBX|554|TX|ReFRINOX01^Fraction of inspired oxygen (FiO2)^ADM||0.40||||||F
OBX|555|TX|ReOXINDA00^Oximetry initiation date^ADM||20171004||||||F
OBX|556|TX|ReOXINTI00^Oximetry initiation time^ADM||0800||||||F
OBX|557|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||9^Simple mask||||||F
OBX|558|CE|RePARAMR00^Respiratory defined parameters^ADM||1^Within defined parameters||||||F
OBX|559|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|560|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|561|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|562|CE|ReSMCEIN03^Smoking cessation interventions offered^ADM||1^Not applicable||||||F
OBX|563|CE|ReVE000302^Ventilator mode^ADM||1^AC volume||||||F
OBX|564|TX|ReVE000902^Respiratory rate (set)^ADM||10||||||F
OBX|565|TX|ReVE001000^Adult ventilation total respiratory rate^ADM||16||||||F
OBX|566|TX|ReVE001101^Adult ventilation set tidal volume^ADM||450||||||F
OBX|567|TX|ReVE001201^Adult ventilation effective tidal volume^ADM||500||||||F
OBX|568|TX|ReVE005200^Adult ventilation end tidal carbon dioxide (CO2)^ADM||46.0||||||F
OBX|569|TX|ReVE012101^FiO2 (set)^ADM||0.40||||||F
OBX|570|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F
OBX|571|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|572|TX|SWOTCMST00^Outcome status^ADM||In progress||||||F
OBX|573|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|574|CE|SpCONREC00^Consent received from^ADM||2^Parent||||||F
OBX|575|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||2^Parent||||||F
OBX|576|TX|SpERPCHA00^Changed into hospital attire^ADM||Y||||||F
OBX|577|TX|SpERPIRS00^Informed of reason for restraint use and process^ADM||Y||||||F
OBX|578|TX|SpERSRCO00^Secure room contents other^ADM||lamp, cords||||||F
OBX|579|CE|SpLRRAOL00^Location behaviour occurred^ADM||1^Common area||||||F
OBX|580|TX|SpOSPATT01^Observed sleep pattern^ADM||slept well overnight||||||F
OBX|581|TX|SpREPSLE00^Reported sleep pattern^ADM||slept horribly - person in bed next to her was snoring||||||F
OBX|582|TX|SpSLEAID00^Sleep aid PRN given^ADM||N||||||F
OBX|583|TX|SpUPAICM01^Fall prevention comments^ADM||refusing to wear hip protectors||||||F
OBX|584|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|585|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|586|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|587|TX|VsBPDIAO01^Blood pressure diastolic^ADM||55||||||F
OBX|588|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||44||||||F
OBX|589|CE|VsBPPOST02^Patient position^ADM||3^Sitting||||||F
OBX|590|TX|VsBPSYSO01^Blood pressure systolic^ADM||90||||||F
OBX|591|CE|VsGROCHA00^Growth chart reference^ADM||1^World Health Organization||||||F
OBX|592|CE|VsGROCHA02^Growth chart reference^ADM||1^World Health Organization||||||F
OBX|593|CE|VsGROCHA03^Birth growth chart reference^ADM||1^World Health Organization||||||F
OBX|594|TX|VsHRADLT01^Heart rate^ADM||153||||||F
OBX|595|CE|VsHRLOCA02^Heart rate location^ADM||3^Apical||||||F
OBX|596|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|597|CE|VsHRMETH00^Heart rate method used^ADM||2^Auscultation||||||F
OBX|598|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|599|TX|VsHTCM0100^Current height^ADM||122.0||||||F
OBX|600|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||5||||||F
OBX|601|TX|VsPOONRA00^Pulse oximetry on room air^ADM||N||||||F
OBX|602|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||95||||||F
OBX|603|CE|VsPRLOMO00^Probe location modifier^ADM||2^Left||||||F
OBX|604|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|605|TX|VsPROREP00^Probe repositioned^ADM||Y||||||F
OBX|606|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F
OBX|607|TX|VsRESPAD03^Respiratory rate^ADM||28||||||F
OBX|608|CE|VsTPSORC01^Temperature source^ADM||1^Oral||||||F
OBX|609|TX|VsTPTEMPO2^Temperature^ADM||39.6||||||F
OBX|610|TX|VsWT000101^Current Weight^ADM||65.230||||||F
OBX|611|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|612|TX|VsWT000500^Visibly fluid overloaded^ADM||Y||||||F
OBX|613|TX|VsWT000600^Severely dehydrated^ADM||N||||||F
OBX|614|CE|VsWT000700^Weight measurement method^ADM||2^Bed scale||||||F
OBX|615|TX|VsWT000901^Dry weight^ADM||60.00||||||F
OBX|616|TX|VsWT001200^Preoperative weight^ADM||65.00||||||F
OBX|617|TX|VsWT001701^Birth weight^ADM||5.365||||||F
OBX|618|TX|VsWT002701^Usual/Previous weight^ADM||58.20||||||F
OBX|619|TX|VsWT003100^Prepregnancy weight^ADM||58.2||||||F
OBX|620|TX|VsWT003500^Goal/target weight^ADM||60.000||||||F
OBX|621|CE|VsWT004301^Adjusted body weight reason(s)^ADM||1^Obesity||||||F
OBX|622|TX|VsWT004400^Pregnancy weight gain calculated^ADM||6.80||||||F
OBX|623|CE|VsWT004900^Height or length source^ADM||3^Stated||||||F
OBX|624|TX|VsWT005000^Birth height or length^ADM||44.00||||||F
OBX|625|TX|VsWT005300^Body mass index^ADM||43.8||||||F
OBX|626|TX|VsWT005400^Prepregnancy body mass index^ADM||21.4||||||F
OBX|627|TX|VsWT006000^Weight change time frame^ADM||wt change time frame from Anthro 2-19||||||F
OBX|628|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||65230.000||||||F
OBX|629|TX|zSEPSISM00^Sepsis screen^ADM||Sepsis Risk||||||F
OBX|630|CE|zSEPSISM01^Sepsis action taken^ADM||1^Physician notified||||||F
OBX|631|TX|zSEPSISM02^Name of provider notified^ADM||test||||||F
OBX|632|CE|zSEPSISM15^Infection criteria present^ADM||2^Documented infection||||||F
OBX|633|CE|zSEPSISM18^SIRS criteria present^ADM||2^Temp > 38C~8^Bands > 10%||||||F
OBX|634|CE|zSEPSISM19^Organ dysfunction criteria present^ADM||14^None||||||F
OBX|635|TX|zSEPSISM43^Risk for sepsis identified^ADM||Y||||||F
OBX|636|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCP^Oedoc^Petertrain^^^^MD^50004^DOC|2222 Main Street^^Vancouver^BC^V3V 1Z1|||OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

