MSH|^~\&|ADM|ARH|||202001301049||ADT^A08|4158407|D|2.2|||AL|NE
EVN|A08|202001301049||||
PID|1|FHATVIG0001624|AB00007053|AB7038|PCSTEST^SPECIALPANEL||19830126|M|||123 Rainbow Lane^^Abbotsford^BC^V6Y J84|||||||AB002061/17|
PV1|1|I|AB-4YHAU^ABHA-Y4207^1|UE|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||HA||||||||IN|||||||||||||||||||||ARH|||||201801261409|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||87.300||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||180.0||||||F
OBX|3|TX|ADM CCI1^CCI#1^ADM||||||||F
OBX|4|TX|ADM CCI2^CCI#2^ADM||||||||F
OBX|5|TX|ADM CCI3^CCI#3^ADM||||||||F
OBX|6|TX|ADM CCI4^ARO - Antibiotic Resistant Organisms^ADM||||||||F
OBX|7|TX|ADM CCI5^DNA - Do Not Acknowledge^ADM||||||||F
OBX|8|TX|ADM CCI6^AVB - Aggressive/Violent Behaviour^ADM||||||||F
OBX|9|TX|ADM CCI7^MDR - Multiple Drug Resistant Organisms^ADM||||||||F
OBX|10|TX|ADM CCI7a^          **or**^ADM||||||||F
OBX|11|TX|ADM CCICO1^Comments:^ADM||TEST CCI||||||F
OBX|12|TX|ADM CCICO2^:^ADM||TEST CONDITION||||||F
OBX|13|TX|ADM CCICO3^:^ADM||TEST CODE||||||F
OBX|14|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20150126||||||F
OBX|15|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|16|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|17|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|18|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|19|TX|AcDAIL0003^Current RASS goal^ADM||0||||||F
OBX|20|CE|AcDRASST02^Dressing assistance^ADM||1^Unassisted||||||F
OBX|21|CE|AcFTTYPE00^Footwear type^ADM||1^Non slip socks||||||F
OBX|22|CE|AcGRASST03^Grooming assistance^ADM||4^1 person assist||||||F
OBX|23|CE|AcMOCARE03^Mouth care assistance^ADM||4^1 person assist||||||F
OBX|24|CE|AcNEOC0160^Reflexes assessed^ADM||3^Grasping||||||F
OBX|25|TX|AcPERSCC00^Personal care comments^ADM||Soft restraints applied as confused on awakening.  Reaching for ETT||||||F
OBX|26|CE|AcPRUSED00^Physical restraint used^ADM||1^Soft Velcro||||||F
OBX|27|CE|AcTOASST02^Toileting assistance^ADM||1^Unassisted||||||F
OBX|28|CE|AcTOEQ0000^Equipment used for toileting^ADM||1^None||||||F
OBX|29|TX|AcTOEQO000^Equipment used for toileting other^ADM||Great||||||F
OBX|30|CE|AcWAASST03^Washing assistance^ADM||4^1 person assist||||||F
OBX|31|CE|AcWAMETH00^Wash method^ADM||1^Bed bath||||||F
OBX|32|CE|Ad00001000^Lines/Tubes in situ^ADM||4^CVC~5^PIV~8^Urinary catheter||||||F
OBX|33|TX|AdAC000100^Accompanied by other^ADM||GREAT||||||F
OBX|34|TX|AdADMDAT01^Admission date^ADM||20180304||||||F
OBX|35|CE|AdADMFRO01^Admitted from^ADM||2^Home||||||F
OBX|36|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||Y||||||F
OBX|37|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||Y||||||F
OBX|38|TX|AdADMRSN00^Reason for admission^ADM||reason for admission PDS||||||F
OBX|39|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||Y||||||F
OBX|40|TX|AdADMTIM00^Admission time^ADM||2000||||||F
OBX|41|TX|AdADMTRA00^Name of other unit/site^ADM||GREAT||||||F
OBX|42|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|43|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|44|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|45|CE|AdARRMOD01^Mode of arrival^ADM||9^Cot||||||F
OBX|46|CE|AdBIRTH000^Birth place^ADM||1^Hospital||||||F
OBX|47|TX|AdBIRTH010^Expected date of delivery^ADM||20180425||||||F
OBX|48|CE|AdBIRTH020^Delivery presentation^ADM||1^Cephalic||||||F
OBX|49|CE|AdBIRTH030^Single/Multiple births^ADM||1^Singleton||||||F
OBX|50|CE|AdBIRTH040^Birth gender^ADM||1^Male||||||F
OBX|51|TX|AdBIRTH050^Birth complications^ADM||GREAT||||||F
OBX|52|TX|AdBIRTH060^Meconium present at delivery^ADM||Y||||||F
OBX|53|CE|AdBIRTH070^Substance exposure^ADM||1^Tobacco||||||F
OBX|54|TX|AdBIRTH080^Substance exposure other^ADM||GREAT||||||F
OBX|55|TX|AdBIRTH090^Substance exposure comments^ADM||GREAT||||||F
OBX|56|CE|AdBIRTH100^Group B Strep exposure^ADM||2^No||||||F
OBX|57|TX|AdBIRTH110^Group B Strep prophylaxis followed^ADM||Y||||||F
OBX|58|CE|AdBIRTH120^Hepatitis B exposure^ADM||1^Yes||||||F
OBX|59|TX|AdBIRTH130^Hepatitis B prophylaxis followed^ADM||Y||||||F
OBX|60|TX|AdCARELB00^Caregiver language barrier^ADM||Y||||||F
OBX|61|CE|AdCCCARE01^Level of care^ADM||2^1b||||||F
OBX|62|TX|AdCOMDIF00^Communication difficulties^ADM||Y||||||F
OBX|63|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||Y||||||F
OBX|64|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||Y||||||F
OBX|65|TX|AdHXCOND00^History of presenting condition^ADM||GREAT||||||F
OBX|66|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||Y||||||F
OBX|67|CE|AdHXRUBB00^Hx of sensitivity to materials containing rubber^ADM||1^Rubber gloves~6^Diaphragms||||||F
OBX|68|TX|AdHXRUBO00^Hx of sensitivity to materials containing rubber other^ADM||GREAT||||||F
OBX|69|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||Y||||||F
OBX|70|TX|AdINFNAM00^Name of information source^ADM||GREAT||||||F
OBX|71|TX|AdINFOTH00^Information source other^ADM||Feeding Support Provided (DIETITIAN)||||||F
OBX|72|CE|AdINSM0000^Information source^ADM||10^Nurse||||||F
OBX|73|TX|AdINTNEE00^Interpreter needed^ADM||Y||||||F
OBX|74|CE|AdLINESM00^Lines/Tubes in situ^ADM||2^NG/OG||||||F
OBX|75|CE|AdLITUBE01^Lines/Tubes in situ^ADM||1^CVC~2^NG/OG~8^Urinary catheter||||||F
OBX|76|TX|AdMEAOTH00^Other age, level of care and measurement comments^ADM||GREAT||||||F
OBX|77|TX|AdMELOCR00^Level of care reason^ADM||GREAT||||||F
OBX|78|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|79|TX|AdNEWBO001^Chest appearance^ADM||GREAT||||||F
OBX|80|CE|AdNEWBO010^Atypical heart sounds^ADM||2^Irregular rhythm||||||F
OBX|81|TX|AdNEWBO020^Atypical heart sounds other^ADM||GREAT||||||F
OBX|82|TX|AdNEWBO030^Cardiorespiratory comments^ADM||GREAT||||||F
OBX|83|CE|AdNEWBO041^Abdomen defined parameters^ADM||2^Significant findings||||||F
OBX|84|TX|AdNEWBO051^Abdomen comments^ADM||GREAT||||||F
OBX|85|CE|AdNEWBO061^Umbilicus defined parameters^ADM||1^Within defined parameters||||||F
OBX|86|CE|AdNEWBO071^Skin defined parameters^ADM||1^Within defined parameters||||||F
OBX|87|CE|AdNEWBO091^Skeletal/Extremities defined parameters^ADM||2^Significant findings||||||F
OBX|88|CE|AdNEWBO101^Extremities appearance^ADM||2^Unequal limb movement||||||F
OBX|89|CE|AdNEWBO120^Posture at rest^ADM||2^Legs flexed||||||F
OBX|90|TX|AdNEWBO130^Posture at rest other^ADM||GREAT||||||F
OBX|91|CE|AdNEWBO140^Skeletal/Extremities abnormalities^ADM||2^Poor range of motion||||||F
OBX|92|TX|AdNEWBO150^Skeletal/Extremities abnormalities other^ADM||GREAT||||||F
OBX|93|CE|AdNEWBO160^Spine appearance^ADM||2^Non-intact spine||||||F
OBX|94|TX|AdNEWBO170^Spine appearance other^ADM||GREAT||||||F
OBX|95|TX|AdNEWBO181^Skeletal/Extremities comments^ADM||GREAT||||||F
OBX|96|CE|AdNEWBO191^Neuromuscular defined parameters^ADM||2^Significant findings||||||F
OBX|97|CE|AdNEWBO200^Muscle tone^ADM||2^Jittery||||||F
OBX|98|TX|AdNEWBO210^Reflexes assessed other^ADM||GREAT||||||F
OBX|99|TX|AdNEWBO220^Seizure activity^ADM||Y||||||F
OBX|100|CE|AdNEWBO230^Jitteriness causes identified^ADM||2^Substance withdrawal||||||F
OBX|101|TX|AdNEWBO240^Jitteriness causes identified other^ADM||GREAT||||||F
OBX|102|TX|AdNEWBO250^Neuromuscular comments^ADM||GREAT||||||F
OBX|103|CE|AdNEWBO261^Genitalia defined parameters^ADM||1^Within defined parameters||||||F
OBX|104|CE|AdNEWBO271^Behaviour defined parameters^ADM||2^Significant findings||||||F
OBX|105|CE|AdNEWBO281^Current behaviour^ADM||9^Irritable||||||F
OBX|106|TX|AdNEWBO290^Current behaviour other^ADM||GREAT||||||F
OBX|107|CE|AdNEWBO300^Crying^ADM||2^Grimace||||||F
OBX|108|TX|AdNEWBO310^Behaviour comments^ADM||GREAT||||||F
OBX|109|CE|AdNEWBO320^Pupil appearance^ADM||1^Unequal||||||F
OBX|110|TX|AdNEWBO330^Skin comments^ADM||GREAT||||||F
OBX|111|CE|AdNEWBO350^Right scleral appearance^ADM||1^White||||||F
OBX|112|CE|AdNEWBO360^Left scleral appearance^ADM||1^White||||||F
OBX|113|CE|AdNEWBO391^Right eye discharge description^ADM||1^Scant||||||F
OBX|114|CE|AdNEWBO401^Left eye discharge description^ADM||1^Scant||||||F
OBX|115|TX|AdNEWBO450^Chest expansion other^ADM||GREAT||||||F
OBX|116|TX|AdNEWBO460^Bowel sounds active in all four quadrants^ADM||Y||||||F
OBX|117|TX|AdNEWBO470^Apgar score comment^ADM||GREAT||||||F
OBX|118|TX|AdNEWBO480^Extremities appearance other^ADM||GREAT||||||F
OBX|119|CE|AdNEWBOR02^Cardiorespiratory defined parameters^ADM||2^Significant findings||||||F
OBX|120|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||Y||||||F
OBX|121|TX|AdPRLANG00^Primary language spoken^ADM||GREAT||||||F
OBX|122|TX|AdPROBDS00^Problem detail^ADM||Murmur noted||||||F
OBX|123|CE|AdPROBNI20^Problem identified^ADM||5^Cardiovascular||||||F
OBX|124|CE|AdRC000400^Outreach referral criteria^ADM||1^Ward staff concerned~5^Increased O2 requirements||||||F
OBX|125|TX|AdRC000500^Outreach referral criteria other^ADM||GREAT||||||F
OBX|126|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|127|TX|AdREPRFR01^Report received from^ADM||GREAT||||||F
OBX|128|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||GREAT||||||F
OBX|129|TX|AdSLATEX01^Suspected latex allergy^ADM||Y||||||F
OBX|130|TX|AdTWPAID01^Two patient identifiers checked^ADM||Y||||||F
OBX|131|TX|CaACDATR01^Arterial catheter removal date^ADM||20190529||||||F
OBX|132|TX|CaACDRSG00^Arterial catheter dressing dry and intact^ADM||Y||||||F
OBX|133|TX|CaACLEZE00^Arterial catheter levelled and zeroed^ADM||Y||||||F
OBX|134|CE|CaACSQWA00^Arterial catheter square wave assessment^ADM||1^Optimally dampened||||||F
OBX|135|TX|CaACTIMR01^Arterial catheter removal time^ADM||1400||||||F
OBX|136|CE|CaARCAIN00^Arterial catheter inserted by^ADM||2^Physician||||||F
OBX|137|CE|CaARTM0000^Arterial catheter insertion site^ADM||1^Right radial||||||F
OBX|138|TX|CaBLSRCL00^Source of blood loss^ADM||somewhere||||||F
OBX|139|CE|CaBTCPRD00^Blood transfusion component/product^ADM||1^Red blood cells||||||F
OBX|140|CE|CaBTRHFA00^Blood transfusion Rh factor^ADM||1^Positive||||||F
OBX|141|TX|CaBTSERI00^Blood transfusion serial number^ADM||12345||||||F
OBX|142|CE|CaBTTYPE00^Blood transfusion blood type^ADM||1^O||||||F
OBX|143|TX|CaBTVINF00^Intake, Blood transfusion volume infused^ADM||250.00||||||F
OBX|144|TX|CaBTVOLU00^Blood transfusion volume^ADM||300||||||F
OBX|145|TX|CaCA000200^Cardiac rhythm Previous QTc^ADM||0.0||||||F
OBX|146|TX|CaCA000300^Cardiac rhythm analysis other^ADM||Great||||||F
OBX|147|CE|CaCA000352^Electrocardiogram rhythm^ADM||1^Sinus rhythm||||||F
OBX|148|TX|CaCA000400^Cardiac rhythm RR segment^ADM||750||||||F
OBX|149|TX|CaCAARIC00^Cardiac intervention comment^ADM||Great||||||F
OBX|150|CE|CaCAARIN00^Investigations done^ADM||1^Blood work||||||F
OBX|151|TX|CaCAARIO00^Cardiac intervention other^ADM||Great||||||F
OBX|152|CE|CaCAARIT00^Cardiac interventions^ADM||2^Magnesium||||||F
OBX|153|CE|CaCAARNO00^Cardiac arrhythmia noted^ADM||2^Atrial flutter||||||F
OBX|154|TX|CaCAMCM000^Other cardiac monitoring comments^ADM||Great||||||F
OBX|155|TX|CaCAMOAL00^Individualized alarms for cardiac monitoring^ADM||Y||||||F
OBX|156|TX|CaCAMODA00^Date cardiac monitoring initiated^ADM||20190521||||||F
OBX|157|TX|CaCAMODD00^Date cardiac monitoring discontinued^ADM||20180220||||||F
OBX|158|TX|CaCAMODT00^Time cardiac monitoring discontinued^ADM||0800||||||F
OBX|159|CE|CaCAMOLE00^Cardiac monitoring lead placement^ADM||1^EASI||||||F
OBX|160|CE|CaCAMOQT00^Continuous cardiac QT monitoring turned on^ADM||1^Yes||||||F
OBX|161|TX|CaCAMOST00^Continuous cardiac ST monitoring turned on^ADM||Y||||||F
OBX|162|TX|CaCAMOTI00^Time cardiac monitoring initiated^ADM||1012||||||F
OBX|163|CE|CaCAMOTY00^Cardiac monitoring type^ADM||1^Bedside monitor||||||F
OBX|164|TX|CaCAMQT000^Cardiac monitoring QT segment^ADM||0.01||||||F
OBX|165|TX|CaCAMQT001^Cardiac monitoring QT segment^ADM||420||||||F
OBX|166|TX|CaCAPTCO00^Patient condition comments^ADM||Great||||||F
OBX|167|TX|CaCAQTC000^Cardiac monitoring QTc result^ADM||0||||||F
OBX|168|TX|CaCAQTC001^Cardiac monitoring QTc result^ADM||484||||||F
OBX|169|TX|CaCAQTCB00^Cardiac rhythm initial/baseline QTc^ADM||427||||||F
OBX|170|TX|CaCAQTCH00^Change from initial/baseline QTc^ADM||0||||||F
OBX|171|CE|CaCARHAN00^Cardiac rhythm analysis^ADM||1^Reg. sinus bradycardia~2^Sinus rhythm~3^Sinus tachycardia~10^Atrial pacing||||||F
OBX|172|TX|CaCARHCO00^Cardiac rhythm ectopy comment^ADM||Great||||||F
OBX|173|CE|CaCARHEC00^Cardiac rhythm ectopy^ADM||3^PJC||||||F
OBX|174|CE|CaCARHEC10^Cardiac ectopy^ADM||1^PAC||||||F
OBX|175|TX|CaCARHEO01^Cardiac rhythm ectopy other^ADM||Great||||||F
OBX|176|TX|CaCASYAN03^Cardiovascular system analysis^ADM||GREAT||||||F
OBX|177|TX|CaCAVASC00^Other cardiovascular comments^ADM||GREAT||||||F
OBX|178|CE|CaCCRT0005^CRRT Preblood pump solution^ADM||3^Citrate||||||F
OBX|179|TX|CaCCRT0019^CRRT Hourly goal removal^ADM||50||||||F
OBX|180|TX|CaCCRT0021^CRRT target patient fluid removal^ADM||Incomplete||||||F
OBX|181|TX|CaCCRT0027^CRRT Initiation date^ADM||20190530||||||F
OBX|182|CE|CaCD002400^Chest discomfort quality^ADM||7^Pressure||||||F
OBX|183|CE|CaCD002600^Chest discomfort location^ADM||1^Epigastric||||||F
OBX|184|CE|CaCD002800^Chest discomfort radiation^ADM||1^None||||||F
OBX|185|CE|CaCD003000^Chest discomfort frequency^ADM||2^Continuous||||||F
OBX|186|CE|CaCD003102^Chest discomfort duration^ADM||1^Less than 15 minutes||||||F
OBX|187|TX|CaCR000300^Cardiac rhythm change in QTc^ADM||0||||||F
OBX|188|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|189|TX|CaCV000100^Central venous pressure^ADM||20||||||F
OBX|190|TX|CaCVNEED00^Central venous catheter ongoing need reviewed^ADM||Y||||||F
OBX|191|TX|CaCY000000^Skin cyanosis other^ADM||Great||||||F
OBX|192|CE|CaCYANOS00^Cyanosis^ADM||1^None||||||F
OBX|193|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|194|CE|CaHS000200^Heart sounds quality^ADM||1^Normal||||||F
OBX|195|TX|CaHS000300^Heart sounds murmur^ADM||Y||||||F
OBX|196|TX|CaHS000500^Heart sounds rub^ADM||Y||||||F
OBX|197|TX|CaHS000600^Heart sounds mechanical valve click^ADM||Y||||||F
OBX|198|CE|CaHS000700^Heart sounds audible^ADM||1^S1||||||F
OBX|199|TX|CaMSRBLL00^Measured blood loss^ADM||100.00||||||F
OBX|200|CE|CaPACETY50^Pacemaker type^ADM||1^Permanent||||||F
OBX|201|TX|CaPLDATE00^PIV Insertion date^ADM||20190726||||||F
OBX|202|TX|CaPLNEED00^Peripheral line daily assessment ongoing need reviewed^ADM||Y||||||F
OBX|203|CE|CaPULEDP00^Pulses left dorsalis pedis^ADM||6^Doppler||||||F
OBX|204|CE|CaPULERA00^Pulses left radial^ADM||6^Doppler||||||F
OBX|205|CE|CaPURIRA00^Pulses right radial^ADM||6^Doppler||||||F
OBX|206|TX|CaSITESA00^Site satisfactory^ADM||Y||||||F
OBX|207|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||Y||||||F
OBX|208|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|209|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||1^None||||||F
OBX|210|TX|CmASPARO01^Treatment participation other^ADM||test participation other||||||F
OBX|211|CE|CmASPART01^Treatment participation^ADM||2^Unable to remain alert~4^Fatigued easily||||||F
OBX|212|TX|CmCARLAN00^Caregiver primary language^ADM||GREAT||||||F
OBX|213|CE|CmCPROCM00^Care provider communication method^ADM||2^By phone||||||F
OBX|214|TX|CmCPROCO00^Care provider communication outcome^ADM||coming to assess pt.||||||F
OBX|215|CE|CmCPRODE00^Care provider contact details^ADM||1^Contact made||||||F
OBX|216|TX|CmCPROVD00^Care provider communication date^ADM||20191203||||||F
OBX|217|TX|CmCPROVR00^Care provider communication reason^ADM|| ~ ~notified of pre/post ductal sat difference and chest xray complete||||||F
OBX|218|TX|CmCPROVT00^Care provider communication time^ADM||1200||||||F
OBX|219|CE|CoNOVECO00^Nonverbal communication^ADM||1^Not interacting~5^Writing||||||F
OBX|220|TX|CoNOVEOO00^Nonverbal communication other^ADM||Great||||||F
OBX|221|TX|EcGLUCRT00^Glucometer reading time^ADM||0830||||||F
OBX|222|CE|EnES000401^Nausea severity^ADM||2^Mild||||||F
OBX|223|TX|Gi00000000^Hyperglycemia signs and symptoms^ADM||GREAT||||||F
OBX|224|CE|Gi00000800^Enteral feeding tube unclogging method^ADM||1^Warm water||||||F
OBX|225|TX|Gi00000900^Tube description^ADM||entroflex||||||F
OBX|226|TX|Gi00001100^Enteral feeding tube change next due^ADM||20180221||||||F
OBX|227|TX|Gi00001300^Urine mixed with stool^ADM||Y||||||F
OBX|228|CE|GiABPALP02^Abdominal palpation^ADM||3^Guarding||||||F
OBX|229|TX|GiABPAOT00^Abdominal palpation findings other^ADM||GREAT||||||F
OBX|230|CE|GiABSHAP00^Abdominal shape^ADM||3^Concave||||||F
OBX|231|TX|GiABSHOT00^Abdominal shape other^ADM||GREAT||||||F
OBX|232|CE|GiBM000000^Bowel movement method^ADM||1^Toilet||||||F
OBX|233|CE|GiBM000100^Bowel movement colour^ADM||1^Yellow||||||F
OBX|234|TX|GiBM000400^Number bowel movement diapers^ADM||3||||||F
OBX|235|CE|GiBMAMT100^Bowel movement amount Peds^ADM||4^Moderate||||||F
OBX|236|CE|GiBMAMT200^Bowel movement amount^ADM||1^Small (less than 120 mL)||||||F
OBX|237|CE|GiBMCOLO01^Bowel movement colour^ADM||1^Brown||||||F
OBX|238|TX|GiBMCOOT00^Bowel movement colour other^ADM||colour other||||||F
OBX|239|TX|GiBMINCO00^Bowel movement incontinence^ADM||Y||||||F
OBX|240|TX|GiBMINTC01^Bowel movement level of intervention comments^ADM||GREAT||||||F
OBX|241|CE|GiBMINTE01^Bowel movement level of intervention^ADM||1^Digital rectal check~4^Rectal stimulation||||||F
OBX|242|TX|GiBMINTO00^Bowel movement level of intervention other^ADM||GREAT||||||F
OBX|243|TX|GiBMMEOT00^Bowel movement method other^ADM||GREAT||||||F
OBX|244|CE|GiBMMETH01^Bowel movement method^ADM||1^Toilet~4^Disposable brief~8^Fecal management system||||||F
OBX|245|TX|GiBMOTHC00^Other bowel movement comments^ADM||GREAT||||||F
OBX|246|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20190902||||||F
OBX|247|TX|GiBO000302^Last bowel movement date as reported by patient^ADM||20180220||||||F
OBX|248|TX|GiBOTTLC01^Bottle feeding observations other^ADM||GREAT||||||F
OBX|249|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||20.0||||||F
OBX|250|CE|GiBS000100^Bowel sounds frequency^ADM||1^Active||||||F
OBX|251|TX|GiBSST0001^Bristol Chart stool consistency^ADM||5||||||F
OBX|252|CE|GiEFT00000^Tube type^ADM||1^Short term enteral tube||||||F
OBX|253|TX|GiEFT00100^pH duodenal tube^ADM||7||||||F
OBX|254|TX|GiEFT00200^Enteral feeding tube confirmed length^ADM||58.00||||||F
OBX|255|CE|GiEFT00300^Site appearance^ADM||1^Redness||||||F
OBX|256|TX|GiEFT00400^Site appearance other^ADM||GREAT||||||F
OBX|257|CE|GiEFT00500^Exudate description^ADM||1^Serous||||||F
OBX|258|TX|GiEFT00600^Balloon gastrostomy device rotated^ADM||Y||||||F
OBX|259|TX|GiEFT00700^Balloon volume removed^ADM||5||||||F
OBX|260|TX|GiEFT00800^Balloon volume filled^ADM||5||||||F
OBX|261|TX|GiEMAMME00^Emesis amount measured^ADM||200||||||F
OBX|262|TX|GiEMAMT000^Emesis approximate amount^ADM||GREAT||||||F
OBX|263|CE|GiEMDESC04^Emesis description^ADM||1^Clear||||||F
OBX|264|CE|GiEMFREQ00^Emesis frequency^ADM||1^Intermittent||||||F
OBX|265|TX|GiEMWDIA00^Emesis accompanied with diarrhea^ADM||Y||||||F
OBX|266|TX|GiENTINS01^Initial tube length^ADM||60.0||||||F
OBX|267|TX|GiETCLON01^Enteral feeding tube number of unclogging attempts^ADM||5||||||F
OBX|268|TX|GiETCLOT00^Enteral feeding tube unclogging method other^ADM||GREAT||||||F
OBX|269|TX|GiETCOMM01^Other enteral nutrition comments^ADM||GREAT||||||F
OBX|270|TX|GiETCOMM02^Other enteral feeding tube comments^ADM||GREAT||||||F
OBX|271|CE|GiETDEDE00^Enteral feeding tube delivery service^ADM||1^Gravity||||||F
OBX|272|TX|GiETDEVI00^Enteral feeding tube securement device intact^ADM||Y||||||F
OBX|273|TX|GiETINDA00^Insertion date^ADM||20190722||||||F
OBX|274|CE|GiETINSI00^Enteral feeding tube insertion site^ADM||1^Right nare||||||F
OBX|275|TX|GiETREMD00^Enteral feeding tube removal date^ADM||20180220||||||F
OBX|276|CE|GiETREMR02^Enteral feeding tube removal reason^ADM||3^Pulled or fell out||||||F
OBX|277|TX|GiETREOT01^Tube removal reason other^ADM||GREAT||||||F
OBX|278|TX|GiETSIZE00^Enteral feeding tube size^ADM||10.0||||||F
OBX|279|CE|GiETSYST00^Enteral feeding tube system^ADM||1^Open||||||F
OBX|280|TX|GiFART0001^Flatus^ADM||Y||||||F
OBX|281|TX|GiGRESVL00^Gastric residual volume^ADM||120||||||F
OBX|282|TX|GiGRESVL01^Gastric residual volume^ADM||5||||||F
OBX|283|TX|GiGT000000^Gastric tube confirmed length^ADM||2.00||||||F
OBX|284|CE|GiGT000100^Gastric tube reason for clamping^ADM||1^Medication absorption||||||F
OBX|285|TX|GiGT000200^Gastric tube current length^ADM||45.00||||||F
OBX|286|TX|GiGT000300^Enteral feeding tube current length^ADM||5.0||||||F
OBX|287|CE|GiGT000400^Placement verification method^ADM||2^External measurement||||||F
OBX|288|TX|GiGT000500^Placement verification method other^ADM||GREAT||||||F
OBX|289|TX|GiGT000600^Suction level^ADM||22||||||F
OBX|290|TX|GiGT000700^Other insertion comments^ADM||GREAT||||||F
OBX|291|TX|GiGT000800^Confirmed by X-ray^ADM||Y||||||F
OBX|292|CE|GiGT000900^Gastric tube port status^ADM||1^Draining to gravity||||||F
OBX|293|TX|GiGTDEVI00^Gastric tube securement device intact^ADM||Y||||||F
OBX|294|CE|GiGTET0100^Placement verification method^ADM||1^Gastric pH||||||F
OBX|295|TX|GiGTET0200^Placement verification method other^ADM||GREAT||||||F
OBX|296|TX|GiGTINAT00^Gastric tube insertion attempts^ADM||5||||||F
OBX|297|TX|GiGTINDA00^Insertion date^ADM||20180220||||||F
OBX|298|CE|GiGTIRRI00^Gastric tube irrigation solution^ADM||1^Water||||||F
OBX|299|TX|GiGTLAIN01^Initial tube length^ADM||20.00||||||F
OBX|300|TX|GiGTREAD00^Gastric return characteristics other^ADM||GREAT||||||F
OBX|301|TX|GiGTREAD01^Gastric drainage description other^ADM||GREAT||||||F
OBX|302|CE|GiGTRECH00^Gastric return characteristics^ADM||1^Green~7^Cloudy||||||F
OBX|303|CE|GiGTREMR00^Gastric tube removal reason^ADM||1^No longer required||||||F
OBX|304|TX|GiGTREOT00^Gastric tube insertion reason other^ADM||GREAT||||||F
OBX|305|CE|GiGTSITE00^Gastric tube site^ADM||1^Right nare||||||F
OBX|306|CE|GiGTSTAT00^Tube status^ADM||1^Low intermittent suction||||||F
OBX|307|TX|GiGTSZ0101^Tube size^ADM||5||||||F
OBX|308|TX|GiGTUBEC00^Gastric tube comments^ADM||GREAT||||||F
OBX|309|CE|GiHSMODE00^Hypoglycemia signs and symptoms, moderate^ADM||1^Difficulty concentrating||||||F
OBX|310|CE|GiHSSEVE00^Hypoglycemia signs and symptoms, severe^ADM||1^Agitated, uncooperative||||||F
OBX|311|CE|GiHSSYMP00^Hypoglycemia signs and symptoms, mild^ADM||1^Trembling||||||F
OBX|312|CE|GiHTINTE00^Hypoglycemic event intervention^ADM||1^Dextrose or glucose tabs||||||F
OBX|313|TX|GiHTMEAL00^Hypoglycemia treatment snack or meal given^ADM||GREAT||||||F
OBX|314|TX|GiHYPO0000^Hypoglycemia signs and symptoms other^ADM||GREAT||||||F
OBX|315|TX|GiIAPMIP00^Intra-abdominal pressure^ADM||50||||||F
OBX|316|CE|GiNAFREQ00^Nausea frequency^ADM||1^Intermittent||||||F
OBX|317|TX|GiNAVOMC00^Other nausea and vomiting comments^ADM||GREAT||||||F
OBX|318|TX|GiNEWBO380^Emesis present^ADM||Y||||||F
OBX|319|TX|GiNICU0010^Duration of breastfeed^ADM||20||||||F
OBX|320|CE|GiNICU0020^Activity during feeding^ADM||2^Skin to skin~3^Held||||||F
OBX|321|TX|GiNICU0030^Activity during feeding other^ADM||GREAT||||||F
OBX|322|TX|GiNICU0040^Additional feeding comments^ADM||GREAT||||||F
OBX|323|TX|GiNICUPH01^pH gastric tube^ADM||5.0||||||F
OBX|324|CE|GiOCCULT00^Bedside occult stool^ADM||2^Negative||||||F
OBX|325|CE|GiOSSTHE00^Ostomy stoma height^ADM||1^Budded||||||F
OBX|326|CE|GiOSSTLO00^Ostomy stoma location^ADM||1^Right upper quadrant||||||F
OBX|327|CE|GiOSSTT000^Ostomy stoma tissue^ADM||1^Moist||||||F
OBX|328|CE|GiOSTYPE00^Ostomy type^ADM||2^Colostomy||||||F
OBX|329|TX|GiRTINSI00^Rectal tube in situ^ADM||Y||||||F
OBX|330|CE|GiRTRETU01^Rectal tube returns^ADM||1^Flatus||||||F
OBX|331|TX|GiRTRETU02^Rectal tube returns other^ADM||GREAT||||||F
OBX|332|CE|GoOSSTCO00^Ostomy stoma colour^ADM||1^Red or pink||||||F
OBX|333|TX|GuAFBA0000^Arteriovenous fistula bruit audible^ADM||Y||||||F
OBX|334|CE|GuAFLOC000^Arteriovenous fistula location^ADM||1^Right arm||||||F
OBX|335|TX|GuAFTP0000^Arteriovenous fistula thrill palpable^ADM||Y||||||F
OBX|336|TX|GuBDINCO00^Bladder incontinence^ADM||Y||||||F
OBX|337|CE|GuBDPAT000^Bladder pattern^ADM||1^Normal~6^Nocturia||||||F
OBX|338|TX|GuBDPATO00^Bladder pattern other^ADM||Great||||||F
OBX|339|TX|GuBDSVA000^Bladder scan volume^ADM||20||||||F
OBX|340|CE|GuBDUIT000^Urinary incontinence type^ADM||1^Total||||||F
OBX|341|TX|GuBDURSO00^Urinary retention signs and symptoms other^ADM||Great||||||F
OBX|342|CE|GuBDURSS01^Urinary retention signs and symptoms^ADM||1^None~4^Increased blood pressure~7^Change in voiding pattern~10^Unable to void on sensing||||||F
OBX|343|TX|GuBDUTIO00^Urinary tract infections signs and symptoms other^ADM||Great||||||F
OBX|344|CE|GuBDUTIS00^Urinary tract infection signs and symptoms^ADM||1^None~5^Dysuria||||||F
OBX|345|CE|GuBDVM0001^Voiding method^ADM||1^Toilet~5^Commode||||||F
OBX|346|CE|GuBDVM0002^Voiding method^ADM||1^Toilet||||||F
OBX|347|TX|GuBDVMO000^Voiding method other^ADM||Great||||||F
OBX|348|TX|GuCMMNTO00^Other genitourinary comments^ADM||Great||||||F
OBX|349|TX|GuCONLIN00^Control line present^ADM||Y||||||F
OBX|350|CE|GuDI000100^Dialysis type^ADM||2^Peritoneal dialysis||||||F
OBX|351|TX|GuDIAP0000^Number urine diapers^ADM||1||||||F
OBX|352|TX|GuDICMT000^Dialysis comments^ADM||Great||||||F
OBX|353|TX|GuGE000100^Location on genitalia^ADM||Great||||||F
OBX|354|CE|GuGE000200^Genitalia other findings^ADM||1^Bleeding||||||F
OBX|355|TX|GuGE000300^Genitalia other findings other comment^ADM||Great||||||F
OBX|356|CE|GuGTCID000^Genitalia concerns identified^ADM||1^No concerns~6^Ulceration(s)||||||F
OBX|357|CE|GuGTCID001^Genitalia concerns identified^ADM||3^Unequal scrotal size~9^Undifferentiated||||||F
OBX|358|TX|GuGTCIDC00^Genitalia concerns identified comments^ADM||Great||||||F
OBX|359|TX|GuGTCIDI00^Genitalia concerns identified other^ADM||GREAT||||||F
OBX|360|TX|GuOTHUDC00^Other urine dipstick comments^ADM||test||||||F
OBX|361|TX|GuPVRVOL01^Post void residual volume^ADM||20||||||F
OBX|362|TX|GuUCB00030^Interval urine output^ADM||10.0||||||F
OBX|363|TX|GuUCB00040^Interval time^ADM||1.0||||||F
OBX|364|TX|GuUCB00050^Calculated urine output^ADM||6.4 ml/kg/hr over 1.0 hours||||||F
OBX|365|TX|GuUCB00060^Other genitalia comments^ADM||GREAT||||||F
OBX|366|TX|GuUCINS000^Urinary catheter in situ and patent^ADM||Y||||||F
OBX|367|TX|GuUCRCMT00^Urinary catheter removal comments^ADM||Great||||||F
OBX|368|TX|GuUCRDT000^Urinary catheter removal date^ADM||20180219||||||F
OBX|369|TX|GuUCRFCO00^Reason for urinary catheter continued use other^ADM||Great||||||F
OBX|370|CE|GuUCRFCU00^Reason for urinary catheter continued use^ADM||1^Unrelieved retention~4^Advanced pressure ulcer||||||F
OBX|371|TX|GuUCSDU000^Urinary catheter securement device in use^ADM||Y||||||F
OBX|372|CE|GuUDGLUC00^Urine dipstick glucose^ADM||2^+1||||||F
OBX|373|CE|GuUDKT0000^Urine dipstick ketones^ADM||2^+1||||||F
OBX|374|CE|GuUDLEUK00^Urine dipstick leukocytes^ADM||2^+1||||||F
OBX|375|CE|GuUDNIT000^Urine dipstick nitrites^ADM||2^Positive||||||F
OBX|376|CE|GuUDPROT00^Urine dipstick protein^ADM||2^+1||||||F
OBX|377|CE|GuUR000600^Urine blood^ADM||2^+1||||||F
OBX|378|CE|GuUR000700^Urine hemoglobin^ADM||2^+2||||||F
OBX|379|CE|GuURCLR000^Urine clarity^ADM||1^Clear||||||F
OBX|380|TX|GuURCLRO00^Urine clarity other^ADM||urine clarity other||||||F
OBX|381|CE|GuURCOL001^Urine colour^ADM||1^Yellow||||||F
OBX|382|CE|GuURCOL002^Urine colour^ADM||1^Yellow||||||F
OBX|383|TX|GuUROA0000^Urine output adequate^ADM||Y||||||F
OBX|384|CE|GuUROD0000^Urine odour^ADM||1^None||||||F
OBX|385|TX|GuURODO000^Urine odour other^ADM||odour other||||||F
OBX|386|TX|GuURPH0000^Urine pH^ADM||5.0||||||F
OBX|387|CE|GuURPREG01^Urine pregnancy test results^ADM||2^Positive||||||F
OBX|388|CE|He00000001^Anterior cranial sutures^ADM||1^Approximated||||||F
OBX|389|CE|He00000101^Posterior cranial sutures^ADM||1^Approximated||||||F
OBX|390|CE|He00000200^Anterior fontanelle^ADM||1^Soft||||||F
OBX|391|TX|He00000300^Anterior fontanelle other^ADM||GREAT||||||F
OBX|392|CE|He00000400^Posterior fontanelle^ADM||1^Soft||||||F
OBX|393|TX|He00000500^Posterior fontanelle other^ADM||GREAT||||||F
OBX|394|CE|He00000700^Eye interventions^ADM||2^Ducts massaged||||||F
OBX|395|TX|He00000800^Eye interventions other^ADM||GREAT||||||F
OBX|396|CE|HeCO000100^Verbal communication^ADM||1^No obvious concerns~6^Non-verbal||||||F
OBX|397|TX|HeCO000200^Verbal communication^ADM||Great||||||F
OBX|398|CE|HeEARAP000^Ear appearance^ADM||2^Asymmetrical||||||F
OBX|399|TX|HeEY001101^Eye discharge description other^ADM||GREAT||||||F
OBX|400|TX|HeHEENT010^Ear appearance other^ADM||GREAT||||||F
OBX|401|CE|HeLI000100^Lips colour^ADM||2^Red||||||F
OBX|402|CE|HeLI000201^Lip condition^ADM||2^Smooth||||||F
OBX|403|TX|HeLI000300^Lips appearance other^ADM||GREAT||||||F
OBX|404|CE|HeNO000200^Nasal septum^ADM||1^Midline||||||F
OBX|405|CE|HeNO000601^Nose discharge consistency^ADM||1^Thin||||||F
OBX|406|CE|HeNO000701^Nasal discharge description^ADM||1^Mucous||||||F
OBX|407|TX|HeNO000801^Nasal discharge description other^ADM||GREAT||||||F
OBX|408|CE|HeNOSEDR00^Nose drainage amount^ADM||2^Scant||||||F
OBX|409|CE|HeOC000301^Oral cavity mucosa appearance^ADM||4^Lesion||||||F
OBX|410|TX|HeOC000400^Oral cavity mucosa appearance other^ADM||GREAT||||||F
OBX|411|TX|HeSL009401^Further SLP recommendations^ADM|| ~ ~test further slp recommendations||||||F
OBX|412|CE|HeSLTC0000^Tongue Motor CN12 and Sensory CN5 tongue colour^ADM||3^White coating||||||F
OBX|413|TX|HeSLTCO000^Tongue Motor CN12 and Sensory CN5 tongue colour other^ADM||GREAT||||||F
OBX|414|CE|HeTO000201^Tongue condition^ADM||5^Dry||||||F
OBX|415|TX|HeTO000300^Tongue signs and symptoms other^ADM||GREAT||||||F
OBX|416|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|417|CE|HxAB000300^First nations status^ADM||1^Non-status||||||F
OBX|418|CE|HxAB000400^First nations on reserve^ADM||1^Mainly lives on reserve||||||F
OBX|419|TX|HxCIGPH000^Tobacco use cigarette pack year history^ADM||30.00||||||F
OBX|420|TX|HxCORAGE10^Corrected age^ADM||Use PMA||||||F
OBX|421|TX|HxDAIASS00^Intensive Care Unit day^ADM||2||||||F
OBX|422|CE|HxETOHT000^Alcohol use alcohol type^ADM||2^Beer||||||F
OBX|423|CE|HxHCDMAD01^Healthcare decision making advanced directives^ADM||1^Living Will||||||F
OBX|424|TX|HxHCDMAO01^Healthcare decision making advanced directives other^ADM||GREAT||||||F
OBX|425|TX|HxIICPMA02^Postmenstrual age^ADM||6 weeks 6 days||||||F
OBX|426|TX|HxIIDATE01^Date of birth^ADM||20180220||||||F
OBX|427|TX|HxIIGAWD00^Gestational age^ADM||32 weeks 3 days||||||F
OBX|428|TX|HxIIGEDA00^Gestational age in days^ADM||3||||||F
OBX|429|TX|HxIIGEWE00^Gestational age in weeks^ADM||32||||||F
OBX|430|TX|HxIISCO100^Apgar score at 1 min^ADM||2||||||F
OBX|431|TX|HxIISCO200^Apgar score at 5 mins^ADM||2||||||F
OBX|432|TX|HxIISCO300^Apgar score at 10 mins^ADM||2||||||F
OBX|433|TX|HxIITIME00^Infant time of birth^ADM||0200||||||F
OBX|434|TX|HxIITOTA01^Total days of life^ADM||1||||||F
OBX|435|TX|HxIMMUTD00^Immunizations up to date^ADM||Y||||||F
OBX|436|TX|HxMEDHOT00^Communicable disease history^ADM||GREAT||||||F
OBX|437|TX|HxMEDREC00^Medication reconciliation form present^ADM||Y||||||F
OBX|438|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||Y||||||F
OBX|439|TX|HxNCIGD000^Tobacco use number of cigarettes per day^ADM||40||||||F
OBX|440|TX|HxNUMY0000^Tobacco use number of years^ADM||15||||||F
OBX|441|TX|HxPRVSM000^Tobacco use previous smoker^ADM||Y||||||F
OBX|442|TX|HxSPTCHX00^Summary of patient's clinical history^ADM||GREAT||||||F
OBX|443|TX|HxSPTFHX00^Summary of patient's family history^ADM||GREAT||||||F
OBX|444|TX|HxTABCU000^Tobacco use current use^ADM||Y||||||F
OBX|445|CE|HxTABTY000^Tobacco use type^ADM||1^Cigarettes||||||F
OBX|446|TX|HxTD000010^Surrogate healthcare decision maker/TSDM name and phone^ADM||GREAT||||||F
OBX|447|TX|HxTSDMR001^Surrogate healthcare decision maker/TSDM required^ADM||Y||||||F
OBX|448|CE|HxVIOL0000^Current violent or homicidal ideation^ADM||1^None reported by patient||||||F
OBX|449|TX|HxVIOL0010^Violent or homicidal ideation details^ADM||GREAT||||||F
OBX|450|CE|HxWHX00002^Weight change prior to admission weight history^ADM||1^Stable||||||F
OBX|451|TX|HxWTHX0000^Weight history details^ADM||Great||||||F
OBX|452|CE|IVLNFEAT00^Line features^ADM||1^Open ended||||||F
OBX|453|TX|In00000000^Dressing type^ADM||GREAT||||||F
OBX|454|TX|InABDDCO00^Abdominal dressing intervention comments^ADM||GREAT||||||F
OBX|455|CE|InABDDIN00^Abdominal dressing intervention^ADM||2^Changed||||||F
OBX|456|CE|InABDDR000^Abdominal dressing type^ADM||2^NPWT||||||F
OBX|457|CE|InABDINA00^Abdominal incision appearance^ADM||2^Dry||||||F
OBX|458|TX|InABDINC00^Abdominal incision comments^ADM||GREAT||||||F
OBX|459|CE|InCESIDE01^Central venous catheter line site description^ADM||2^Redness~3^Drainage||||||F
OBX|460|CE|InCSOLU000^Abdominal incision cleansing solution^ADM||2^Sterile normal saline||||||F
OBX|461|TX|InDR000100^Dressing change packing type^ADM||Great||||||F
OBX|462|TX|InDR000200^Type of dressing applied^ADM||Great||||||F
OBX|463|TX|InDRAAPO00^Drain site appearance other^ADM||Great||||||F
OBX|464|CE|InDRAAPP00^Drain site appearance^ADM||1^Redness||||||F
OBX|465|TX|InDRACDT00^Drain clamped date^ADM||20180220||||||F
OBX|466|CE|InDRACON00^Drainage consistency^ADM||1^Watery||||||F
OBX|467|TX|InDRACOO00^Drainage consistency other^ADM||Great||||||F
OBX|468|TX|InDRACTI00^Drain clamped time^ADM||0200||||||F
OBX|469|CE|InDRADDE00^Drain drainage description^ADM||1^Serous||||||F
OBX|470|CE|InDRAINA00^Abdominal incision drainage amount^ADM||2^Scant||||||F
OBX|471|TX|InDRAIRA00^Name of antiseptic irrigation solution used^ADM||Great||||||F
OBX|472|CE|InDRAIRS00^Drain irrigation solution^ADM||1^Sterile normal saline||||||F
OBX|473|CE|InDRALBD00^Drain location body site^ADM||14^Flank||||||F
OBX|474|CE|InDRALBS00^Drain location body site modifier^ADM||6^Posterior||||||F
OBX|475|TX|InDRAPAT00^Drain patent^ADM||Y||||||F
OBX|476|TX|InDRARDT00^Drain removal date^ADM||20180220||||||F
OBX|477|TX|InDRARTI00^Drain removal time^ADM||1000||||||F
OBX|478|TX|InDRASED00^Drain securement device in use^ADM||Y||||||F
OBX|479|TX|InDRASUT00^Drain sutured^ADM||Y||||||F
OBX|480|CE|InDRATYE00^Drainage type^ADM||1^Serous||||||F
OBX|481|CE|InDRATYP00^Drain type^ADM||6^T-tube||||||F
OBX|482|TX|InDRCHGD00^Dressing change next due^ADM||Great||||||F
OBX|483|TX|InDRCMT000^Other drain comments^ADM||Great||||||F
OBX|484|TX|InDRDCMT00^Drainage description comments^ADM||Great||||||F
OBX|485|TX|InDRDECT00^Chest tube dressing description^ADM||Great||||||F
OBX|486|TX|InDRDESC00^Wound dressing description^ADM||Great||||||F
OBX|487|TX|InDREANC00^Name of antiseptic cleansing solution used^ADM||Great||||||F
OBX|488|TX|InDREANT00^Name of antiseptic irrigation solution used during dressing^ADM||Great||||||F
OBX|489|CE|InDREDRD00^External dressing drainage description^ADM||1^Serous||||||F
OBX|490|CE|InDREDRE00^External dressing drainage amount^ADM||1^None/scant||||||F
OBX|491|CE|InDREIRR00^Dressing change irrigation solution^ADM||1^Sterile normal saline||||||F
OBX|492|CE|InDREPAC00^Packing solution used^ADM||1^Sterile normal saline||||||F
OBX|493|TX|InDREPAS00^Name of antiseptic packing solution used^ADM||Great||||||F
OBX|494|TX|InDRERIN00^Ribbon or gauze inserted^ADM||2||||||F
OBX|495|TX|InDRERRE00^Ribbon or gauze removed^ADM||2||||||F
OBX|496|TX|InDRETYP00^Dressing type^ADM||Mepore||||||F
OBX|497|CE|InDREWOU00^Wound cleansing solution^ADM||1^Sterile normal saline||||||F
OBX|498|TX|InECUTYC00^Exudate type comment^ADM||Great||||||F
OBX|499|CE|InEDEMAS00^Edema severity^ADM||1^+1||||||F
OBX|500|TX|InEDEMCM00^Edema comments^ADM||GREAT||||||F
OBX|501|CE|InEDEMLB01^Edema location^ADM||1^Generalized||||||F
OBX|502|CE|InEDEMLM00^Edema location modifier^ADM||3^Right||||||F
OBX|503|CE|InEDEMTP00^Edema type^ADM||1^Pitting||||||F
OBX|504|TX|InEDEMWP00^Edema weeping^ADM||Y||||||F
OBX|505|CE|InEXDRND00^Abdominal incision drainage description^ADM||2^Serosanguineous||||||F
OBX|506|CE|InEXDRSS00^Abdominal incision dressing saturation^ADM||2^25%||||||F
OBX|507|CE|InEXUAMO00^Exudate amount^ADM||1^Nil||||||F
OBX|508|TX|InEXUOAC00^Odour present after cleansing^ADM||Y||||||F
OBX|509|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F
OBX|510|CE|InISGR0000^infiltration Scale Grade^ADM||1^0||||||F
OBX|511|TX|InLAPICM00^Laparascopic incision comments^ADM||Great||||||F
OBX|512|TX|InLAPINC00^Number of laparoscopic incisions^ADM||5||||||F
OBX|513|CE|InMMOT0000^Mucous membranes^ADM||2^Dry||||||F
OBX|514|TX|InNAREIN00^Nares skin intact^ADM||Y||||||F
OBX|515|TX|InNEPRFP00^NPWT number of foam pieces inserted^ADM||5||||||F
OBX|516|TX|InNEPRFR00^NPWT number of foam pieces removed^ADM||5||||||F
OBX|517|TX|InNEPRID01^Negative pressure wound therapy interface dressing^ADM||Great||||||F
OBX|518|TX|InNEPRIS00^Negative pressure wound therapy instillation solution^ADM||Y||||||F
OBX|519|TX|InNEPRIT00^Irrigation solution type^ADM||Great||||||F
OBX|520|TX|InNEPRSY02^Negative pressure wound therapy system type^ADM||Great||||||F
OBX|521|CE|InNEPRTS00^Negative pressure wound therapy setting^ADM||1^Continuous||||||F
OBX|522|TX|InNPWTAP00^NPWT applied^ADM||Y||||||F
OBX|523|TX|InNPWTDO00^NPWT dressing supplies used other^ADM||Great||||||F
OBX|524|CE|InNPWTDS00^Negative pressure wound therapy dressing supplies used^ADM||1^Black foam||||||F
OBX|525|TX|InNPWTSP01^NPWT skin protectant^ADM||Great||||||F
OBX|526|TX|InNPWTSX01^Negative pressure therapy suction level^ADM||55||||||F
OBX|527|TX|InPEBIIS00^Abdominal, breast, stump, and pelvic binder in situ^ADM||Y||||||F
OBX|528|CE|InPESIDE00^Peripheral line site description^ADM||1^Satisfactory||||||F
OBX|529|CE|InPHOT0020^Phototherapy number of devices^ADM||1^Single||||||F
OBX|530|CE|InPHOT0030^Phototherapy device A^ADM||1^Overhead light source||||||F
OBX|531|TX|InPHOT0040^Device A - photometer measurement^ADM||20||||||F
OBX|532|TX|InPHOT0050^Device A - distance from newborn^ADM||20||||||F
OBX|533|CE|InPHOT0060^Phototherapy device B^ADM||1^Overhead light source||||||F
OBX|534|TX|InPHOT0070^Device B - photometer measurement^ADM||20||||||F
OBX|535|TX|InPHOT0080^Device B - distance from newborn^ADM||20||||||F
OBX|536|CE|InPHOT0090^Phototherapy device C^ADM||1^Overhead light source||||||F
OBX|537|TX|InPHOT0100^Device C - photometer measurement^ADM||20||||||F
OBX|538|TX|InPHOT0110^Device C - distance from newborn^ADM||20||||||F
OBX|539|TX|InPHOT0120^Current bed temperature^ADM||36.0||||||F
OBX|540|TX|InPHOT0130^Other phototherapy comments^ADM||GREAT||||||F
OBX|541|TX|InPHOT0141^Temperature setting adjusted^ADM||Y||||||F
OBX|542|TX|InPHOT0150^Transcutaneous bilirubin hours of age^ADM||20||||||F
OBX|543|TX|InPHOT0160^Transcutaneous bilirubin level^ADM||20||||||F
OBX|544|CE|InPHOT0170^Bed type^ADM||2^Incubator||||||F
OBX|545|CE|InPOSI0001^Immobilization/positioning device type^ADM||1^Cast||||||F
OBX|546|TX|InPOSI0002^Immobilization/positioning device type other^ADM||Great||||||F
OBX|547|TX|InPOSI0003^Immobilization/positioning device location^ADM||Great||||||F
OBX|548|TX|InPOSI0004^Immobilization/positioning device comments^ADM||Great||||||F
OBX|549|TX|InPOSI0006^Immobilization/positioning device donning/doffing schedule^ADM||Great||||||F
OBX|550|CE|InPRWOST00^Pressure wound stage^ADM||1^Stage 1||||||F
OBX|551|TX|InPTDIDA01^Phototherapy discontinued date^ADM||20180220||||||F
OBX|552|TX|InPTDITI00^Phototherapy discontinued time^ADM||2000||||||F
OBX|553|TX|InPTESON01^Eye shield on and secure during therapy^ADM||Y||||||F
OBX|554|TX|InPTINDA00^Phototherapy initiated date^ADM||20180220||||||F
OBX|555|TX|InPTINTI00^Phototherapy initiated time^ADM||0800||||||F
OBX|556|TX|InPTRESP00^Patient's response to procedure^ADM||Great||||||F
OBX|557|CE|InSA000600^Skin condition^ADM||1^Intact||||||F
OBX|558|TX|InSA000700^Skin condition other^ADM||Great||||||F
OBX|559|TX|InSA000800^Skin condition comment^ADM||Great||||||F
OBX|560|CE|InSA001300^Mattress type^ADM||1^Non mechanical therapy||||||F
OBX|561|TX|InSA001400^Mattress type comment^ADM||Great||||||F
OBX|562|CE|InSA001500^Heel pressure relief method^ADM||1^Elevated||||||F
OBX|563|TX|InSA001601^Heel pressure relief method comments^ADM||Great||||||F
OBX|564|CE|InSA001700^Additional pressure relief methods^ADM||1^Untuck blankets||||||F
OBX|565|TX|InSA001800^Additional pressure relief methods other^ADM||Great||||||F
OBX|566|TX|InSA001902^Additional pressure relief methods comments^ADM||Great||||||F
OBX|567|TX|InSKCOOT00^Other integumentary comments^ADM||Great||||||F
OBX|568|CE|InSKGNTM00^Generalized skin temperature^ADM||1^Hot||||||F
OBX|569|TX|InSKIAPO00^Skin appearance other^ADM||TEST||||||F
OBX|570|CE|InSKIAPP00^Skin appearance^ADM||1^Normal||||||F
OBX|571|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F
OBX|572|TX|InSKIDEC00^Skin description comment^ADM||Great||||||F
OBX|573|TX|InSKIDEO00^Skin description other^ADM||Great||||||F
OBX|574|CE|InSKIDES00^Skin description^ADM||1^Dry||||||F
OBX|575|CE|InSKIDES03^Skin description^ADM||13^Blister||||||F
OBX|576|CE|InSKIMOD01^Skin and wound modifier^ADM||2^Right||||||F
OBX|577|CE|InSKIMOI00^Skin moisture^ADM||1^Dry||||||F
OBX|578|CE|InSKIMOI01^Skin moisture^ADM||1^Dry||||||F
OBX|579|CE|InSKITEM00^Skin temperature^ADM||1^Hot||||||F
OBX|580|CE|InSKTURG00^Skin turgor^ADM||2^Turgor non-elastic||||||F
OBX|581|TX|InSU000100^Sutured^ADM||N||||||F
OBX|582|TX|InUCCLRE00^Umbilical cord clamp removed^ADM||Y||||||F
OBX|583|CE|InUCSTAT01^Umbilical cord status^ADM||2^Unclamped||||||F
OBX|584|TX|InUCSTOT00^Umbilical cord stump other^ADM||GREAT||||||F
OBX|585|CE|InUCSTUM00^Umbilical cord stump^ADM||2^Dry||||||F
OBX|586|TX|InUMBCDC00^Additional umbilical cord comments^ADM||GREAT||||||F
OBX|587|TX|InUMBCLN00^Umbilicus cleansed^ADM||Y||||||F
OBX|588|CE|InWCREM000^Abdominal incision closure(s) removed^ADM||2^Sutures||||||F
OBX|589|TX|InWCREMC00^Abdominal incision closure(s) removed comments^ADM||GREAT||||||F
OBX|590|TX|InWCREMOH0^Abdominal incision closure(s) removed other^ADM||GREAT||||||F
OBX|591|CE|InWCTYPE00^Abdominal incision closure type^ADM||2^Sutures||||||F
OBX|592|TX|InWDRDRY00^Wound dressing dry and intact^ADM||Y||||||F
OBX|593|TX|InWM000100^Wound measurement sinus tract^ADM||Great||||||F
OBX|594|TX|InWM000200^Wound measurement undermining^ADM||Great||||||F
OBX|595|CE|InWNDLOC01^Wound location^ADM||26^Abdomen||||||F
OBX|596|CE|InWNDLOC02^Wound location^ADM||42^Abdomen||||||F
OBX|597|CE|InWNDMOD00^Wound location modifier^ADM||7^Central||||||F
OBX|598|CE|InWNDTYM00^Wound type^ADM||1^Surgical||||||F
OBX|599|CE|InWNDTYP00^Wound type^ADM||1^Surgical||||||F
OBX|600|TX|InWOMEDE00^Wound depth^ADM||2||||||F
OBX|601|TX|InWOMELE00^Wound length^ADM||2||||||F
OBX|602|TX|InWOMEWI00^Wound width^ADM||2||||||F
OBX|603|TX|InWOUCOM00^Wound bed comments^ADM||Great||||||F
OBX|604|TX|InWOUCRC00^Wound closure removal comments^ADM||Great||||||F
OBX|605|CE|InWOUCRM00^Wound closure(s) removed^ADM||1^Staples||||||F
OBX|606|TX|InWOUCRO00^Wound closure(s) removed other^ADM||Great||||||F
OBX|607|CE|InWOUCT000^Wound closure type^ADM||1^Staples||||||F
OBX|608|TX|InWOUEDC00^Edge appearance comments^ADM||Great||||||F
OBX|609|CE|InWOUEDG01^Wound edge appearance^ADM||1^Attached||||||F
OBX|610|TX|InWOUEDO00^Wound edge appearance other^ADM||Great||||||F
OBX|611|TX|InWOUESC00^Wound bed eschar^ADM||5||||||F
OBX|612|TX|InWOUFOR01^Wound bed foreign body^ADM||5||||||F
OBX|613|TX|InWOUGRA00^Wound bed granulation^ADM||25||||||F
OBX|614|CE|InWOULOC01^Skin or wound location^ADM||29^Generalized||||||F
OBX|615|CE|InWOULOC02^Skin or wound location^ADM||29^Generalized||||||F
OBX|616|TX|InWOUN0002^Wound closure type other^ADM||Great||||||F
OBX|617|TX|InWOUN0100^Other wound comments^ADM||Great||||||F
OBX|618|TX|InWOUNOV00^Wound bed not visible^ADM||5||||||F
OBX|619|TX|InWOUPEO00^Periwound appearance other^ADM||Great||||||F
OBX|620|CE|InWOUPER00^Periwound appearance^ADM||1^Dry and intact~5^Hypergranulation||||||F
OBX|621|TX|InWOUPIN00^Wound bed pink/red^ADM||50||||||F
OBX|622|TX|InWOURTS00^Number of retention sutures^ADM||5||||||F
OBX|623|TX|InWOUSLO00^Wound bed slough^ADM||5||||||F
OBX|624|TX|InWOUTOT00^Wound bed total^ADM||100||||||F
OBX|625|TX|InWOUUST00^Wound bed underlying structures^ADM||5||||||F
OBX|626|CE|IoNICUIN10^Solution^ADM||25^Insulin||||||F
OBX|627|TX|IoNICUIN20^Location^ADM||Lt hand||||||F
OBX|628|TX|IoNICUIN30^Intake, IV Amount^ADM||100.00||||||F
OBX|629|TX|IoNICUIN50^Intake, Free Water Amount^ADM||100.00||||||F
OBX|630|TX|IvCAPCCV00^CVC cap change next due^ADM||20191103||||||F
OBX|631|TX|IvCRNTLN00^Current length^ADM||55.0||||||F
OBX|632|TX|IvCVCINS00^CVC insertion date^ADM||20190516||||||F
OBX|633|TX|IvCVCLEN00^CVC length on insertion^ADM||45.0||||||F
OBX|634|CE|IvIN000600^Glycemic management sample source^ADM||2^Arterial||||||F
OBX|635|CE|IvIN000700^Glycemic management insulin concentration^ADM||1^100 units in 100 mL||||||F
OBX|636|TX|IvIN000800^Glycemic management infusion dosage^ADM||3.0||||||F
OBX|637|TX|IvIN021400^IV Intake Amount^ADM||50||||||F
OBX|638|CE|IvININST00^Insulin infusion type^ADM||1^Regular||||||F
OBX|639|CE|IvINVLOC00^Location^ADM||3^Hand||||||F
OBX|640|CE|IvINVTYP01^Line type^ADM||1^PIV||||||F
OBX|641|CE|IvLINECA01^Line care^ADM||2^IV tubing change||||||F
OBX|642|CE|IvLINECO01^Line care^ADM||2^Cap change||||||F
OBX|643|CE|IvLINETY00^Line type^ADM||7^Hemodialysis||||||F
OBX|644|TX|IvLNETYO00^Line type other^ADM||Testing Line type other in Left subclavian||||||F
OBX|645|TX|IvLNFEAO01^Line features other^ADM||Line features other - test 1||||||F
OBX|646|CE|IvLOCATI00^Location^ADM||6^Femoral||||||F
OBX|647|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|648|CE|IvLOCATM01^Location Modifier^ADM||5^Left||||||F
OBX|649|CE|IvLUMLOC02^Lumen^ADM||2^Grey||||||F
OBX|650|TX|IvNXTDRS00^Next dressing change due^ADM||20191107||||||F
OBX|651|CE|IvPIVLOC00^Location^ADM||5^Hand PIV||||||F
OBX|652|TX|IvPIVNIC00^PIV insertion time^ADM||1029||||||F
OBX|653|CE|IvPL000700^Initial management^ADM||1^Infusion||||||F
OBX|654|CE|IvPS000100^Phlebitis scale grade^ADM||1^0||||||F
OBX|655|TX|IvRATE0000^Rate^ADM||75.00||||||F
OBX|656|TX|IvSITCAR00^Site care^ADM||Dressing change||||||F
OBX|657|TX|IvSIZE0000^Size^ADM||20||||||F
OBX|658|TX|IvSOLINF00^Solution infusing^ADM||Normal saline||||||F
OBX|659|TX|IvTUBCHA00^Next tubing change due^ADM||20180415||||||F
OBX|660|CE|IvVERIFI00^Verification of placement^ADM||1^Confirmed by physician||||||F
OBX|661|CE|Mh00000100^Speech rate^ADM||3^Normal||||||F
OBX|662|CE|MhAD000100^Admission status^ADM||1^Voluntary||||||F
OBX|663|CE|MhADABI001^Aboriginal identity^ADM||01^Not applicable||||||F
OBX|664|TX|MhADLEGC01^Legal status comments^ADM||great||||||F
OBX|665|TX|MhADLEGO01^Legal status other^ADM||Great||||||F
OBX|666|CE|MhADLEGS02^Legal status^ADM||1^No legal issues||||||F
OBX|667|CE|MhADRISK01^Risk to self^ADM||1^Not at risk~6^Suicide ideation||||||F
OBX|668|TX|MhADRISKC0^Risk to self comment^ADM||Great||||||F
OBX|669|TX|MhADRISO01^Risk to self other^ADM||Great||||||F
OBX|670|CE|MhAFFECT01^Affect^ADM||1^Appropriate~7^Blunted||||||F
OBX|671|TX|MhBEHAVI00^Behaviour other^ADM||Great||||||F
OBX|672|CE|MhBEHIN002^Response to non-restraint interventions^ADM||1^Behaviour resolving||||||F
OBX|673|TX|MhBEHINC02^Preventative strategies other^ADM||Great||||||F
OBX|674|TX|MhBHATTC01^Attitude other^ADM||Great||||||F
OBX|675|CE|MhBHATTI01^Behaviour attitude^ADM||8^Pleasant||||||F
OBX|676|TX|MhBHATTI02^Attitude and behaviour comments^ADM||Great||||||F
OBX|677|CE|MhBHBEHA00^Behaviour^ADM||4^Verbally aggressive~7^Resistive~8^Combative||||||F
OBX|678|TX|MhBHBEHC01^Behaviour other^ADM||GREAT||||||F
OBX|679|CE|MhBHCFAC01^Behaviour contributing factors^ADM||01^Sleep deprivation||||||F
OBX|680|CE|MhBHEYEC01^Eye contact^ADM||1^Adequate||||||F
OBX|681|CE|MhBHMGTI01^Behaviour management interventions^ADM||01^Decr environmental stim~05^One to one discussion~09^Active listening||||||F
OBX|682|CE|MhBHPMAO00^Psychomotor activity^ADM||1^No problem identified~6^Restless||||||F
OBX|683|TX|MhBHPMAO01^Psychomotor activity other^ADM||Great||||||F
OBX|684|TX|MhCERTC001^Certification status comments^ADM||GREAT||||||F
OBX|685|CE|MhCOATTS01^Attention/Concentration^ADM||2^Fair||||||F
OBX|686|TX|MhCOCONT01^Cognition content comments^ADM||GREAT||||||F
OBX|687|TX|MhCODEWC00^Code white called^ADM||N||||||F
OBX|688|CE|MhCOINSI01^Insight^ADM||1^Accurate||||||F
OBX|689|CE|MhCOJUDG01^Judgement^ADM||1^Good||||||F
OBX|690|CE|MhCOMEMO01^Memory^ADM||1^Immediate/Recall intact||||||F
OBX|691|CE|MhCOORIE01^Oriented to^ADM||3^Place||||||F
OBX|692|TX|MhDA000101^Date initial Form 4 completed^ADM||20180220||||||F
OBX|693|TX|MhDA000201^Date second Form 4 completed^ADM||20180220||||||F
OBX|694|CE|MhDENTYP02^Type of dentures^ADM||1^Upper||||||F
OBX|695|TX|MhESAFFE02^Affect other^ADM||Great||||||F
OBX|696|TX|MhESMOOD03^Mood rate/level^ADM||5.0||||||F
OBX|697|TX|MhESMOOD04^Mood^ADM||Great||||||F
OBX|698|TX|MhEX000100^Extended leave recall^ADM||Y||||||F
OBX|699|CE|MhEYETYP02^Type of eyewear^ADM||1^Glasses||||||F
OBX|700|CE|MhHEATYP01^Type of hearing aids^ADM||1^Right||||||F
OBX|701|TX|MhHOIDEA00^Homicidal ideation present^ADM||Y||||||F
OBX|702|TX|MhIDEATI00^Suicidal/Homicidal ideation comments^ADM||Great||||||F
OBX|703|TX|MhITEINO01^Other handover/initial check-in comments^ADM||GREAT||||||F
OBX|704|TX|MhITEINS01^Inspected all items brought in and checked for sharps^ADM||Y||||||F
OBX|705|TX|MhITRESP01^Notified of personal responsibility for items kept^ADM||N||||||F
OBX|706|TX|MhITSHPE01^Items sent home with appropriate person(s)^ADM||N||||||F
OBX|707|TX|MhLOBCO001^Level of observation comments^ADM||GREAT||||||F
OBX|708|CE|MhLOBSA101^Current level of observation^ADM||0^Constant||||||F
OBX|709|CE|MhLRA00003^Physical warning signs^ADM||1^Fist clenching~2^Flushed face||||||F
OBX|710|TX|MhLRA00005^Physical warning signs other^ADM||Great||||||F
OBX|711|CE|MhMEDAD001^Medication adherence^ADM||01^No concerns identified||||||F
OBX|712|TX|MhMEDADC01^Medication adherence comments^ADM||GREAT||||||F
OBX|713|TX|MhMEDS002^Medication comments^ADM||GREAT||||||F
OBX|714|TX|MhMEDS003^Date of last given long-acting injectable medication^ADM||20180220||||||F
OBX|715|TX|MhMEDS004^Date of next due long-acting injectable medication^ADM||20180220||||||F
OBX|716|TX|MhMEDS005^Long-acting injectable medication comments^ADM||GREAT||||||F
OBX|717|TX|MhMHAFCO00^Mental Health Act forms comments^ADM||Great||||||F
OBX|718|CE|MhMSEAS015^Thought process^ADM||1^Organized~6^Logical||||||F
OBX|719|TX|MhMSEAS022^Thought process other^ADM||Great||||||F
OBX|720|CE|MhMSEATT01^Attitude^ADM||2^Positive||||||F
OBX|721|TX|MhMSECOM01^Other mental status comments^ADM||Great||||||F
OBX|722|TX|MhMSEGAP02^General appearance^ADM||Great||||||F
OBX|723|TX|MhMSETPE00^Thoughts and perception comments^ADM||Great||||||F
OBX|724|TX|MhPATBE001^Behaviour observed^ADM||lkjdsfaljfdsl;dsaj||||||F
OBX|725|TX|MhPBAIDC01^Personal aids comments^ADM||test||||||F
OBX|726|TX|MhPBCOM001^Other patient belongings comments^ADM||test||||||F
OBX|727|CE|MhPBDEND01^Disposition of dentures^ADM||1^None present||||||F
OBX|728|CE|MhPBGLAD01^Disposition of eyewear^ADM||1^None present||||||F
OBX|729|CE|MhPBHEAD01^Disposition of hearing aids^ADM||1^None present||||||F
OBX|730|TX|MhPBIDII01^Items for disposal comments^ADM||test||||||F
OBX|731|TX|MhPBIDIP01^Permission given for disposal of items^ADM||N||||||F
OBX|732|TX|MhPBITSC01^Items kept/sent with patient comments^ADM||test||||||F
OBX|733|TX|MhPBIUNC01^Items stored on unit comments^ADM||test||||||F
OBX|734|TX|MhPBLIST01^Items sent home^ADM||test||||||F
OBX|735|TX|MhPBNARA01^Name and relationship of person aids sent home with^ADM||test||||||F
OBX|736|TX|MhPBOAID02^Other personal aids^ADM||test||||||F
OBX|737|TX|MhPBVALC01^Valuables in safekeeping comments^ADM||est||||||F
OBX|738|CE|MhPED00100^Behaviour^ADM||1^Relaxed~3^Purposeful~9^Pacing||||||F
OBX|739|TX|MhPEPEC100^Perceptual disturbances other^ADM||Great||||||F
OBX|740|TX|MhPERAID01^Personal aids present^ADM||Y||||||F
OBX|741|CE|MhPERDIS00^Perceptual disturbances^ADM||1^No problem identified||||||F
OBX|742|TX|MhPO000100^Current police involvement^ADM||Y||||||F
OBX|743|TX|MhPO000200^Police file number^ADM||graet||||||F
OBX|744|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|745|CE|MhREST0001^Reason for restraint use^ADM||1^Harm to self||||||F
OBX|746|TX|MhRISKOT00^Risk reduction other^ADM||Great||||||F
OBX|747|TX|MhSIPROT02^Protective factors comments^ADM||GREAT||||||F
OBX|748|TX|MhSIPROT03^Protective factors other^ADM||GREAT||||||F
OBX|749|CE|MhSIPROT05^Protective factors^ADM||1^Effective coping~5^Effective problem solving||||||F
OBX|750|CE|MhSIRISK02^Suicide risk level/Degree of risk^ADM||1^No (forseeable) risk||||||F
OBX|751|CE|MhSIRISK04^Suicidal ideation: Assessment confidence^ADM||1^High confidence||||||F
OBX|752|CE|MhSISAFE09^Environmental risk reduction strategies^ADM||1^Glass items removed||||||F
OBX|753|CE|MhSPAMOT01^Speech amount^ADM||5^Normal||||||F
OBX|754|TX|MhSPCON001^Speech content comments^ADM||GREAT||||||F
OBX|755|CE|MhSPTONE05^Speech tone^ADM||1^Normal||||||F
OBX|756|CE|MhSPVOLU01^Speech volume^ADM||5^Normal||||||F
OBX|757|CE|MhSUIDC001^Current suicidal ideation^ADM||05^Not applicable||||||F
OBX|758|CE|MhSUIDCH01^Suicidal ideation: Changeability^ADM||01^Low risk/changeability||||||F
OBX|759|TX|MhSUIDEA00^Suicidal ideation present^ADM||Y||||||F
OBX|760|TX|MhSUIDIL01^Suicidal ideation: Intent and lethality^ADM||GREAT||||||F
OBX|761|TX|MhTPCONC01^Thought content other^ADM||Great||||||F
OBX|762|CE|MhTPCONT02^Thought content^ADM||1^No problem identified||||||F
OBX|763|TX|MhUPSACC01^Communication^ADM||10||||||F
OBX|764|TX|MhUPSAFN01^Finance^ADM||20||||||F
OBX|765|TX|MhUPSAPL01^Comprehension and Planning^ADM||10||||||F
OBX|766|TX|MhUPSASK01^Household Skills^ADM||20||||||F
OBX|767|TX|MhUPSATL01^Total Score^ADM||70 Patient unlikely able to live independently||||||F
OBX|768|TX|MhUPSATR01^Transportation^ADM||10||||||F
OBX|769|TX|MhVALKEE01^Valuables documented and placed in Safekeeping Envelope^ADM||N||||||F
OBX|770|CE|MhVALLOC01^Location of valuables in Safekeeping Envelope^ADM||1^Cashier's Office||||||F
OBX|771|CE|MoADAPTV00^Adaptive aids^ADM||1^None||||||F
OBX|772|CE|MoAIDUSE00^Aid used for independent ambulation^ADM||1^Standard walker||||||F
OBX|773|CE|MoAMASST00^Ambulation assistance required^ADM||1^1 person||||||F
OBX|774|CE|MoAMASTN02^Assistance required for ambulation^ADM||2^Supervision||||||F
OBX|775|CE|MoAMBABI00^Ambulation ability^ADM||2^Independent with aid||||||F
OBX|776|CE|MoAMBACT00^Ambulation activity^ADM||1^Ambulation in room||||||F
OBX|777|TX|MoAMCMTS00^Ambulation comment^ADM||GREAT||||||F
OBX|778|TX|MoAMGAIT00^Ambulation gait comment^ADM||test||||||F
OBX|779|CE|MoAMGTAD01^Ambulation gait aid^ADM||1^No aid used||||||F
OBX|780|CE|MoAMLFNC00^Ambulation level of function^ADM||2^Supervision||||||F
OBX|781|CE|MoAMMBAD00^Mobility aid used for ambulation^ADM||8^Quad cane||||||F
OBX|782|CE|MoAMRMWD00^Ambulation^ADM||2^Within ward||||||F
OBX|783|CE|MoBCASST00^Bed to chair transfer assistance required^ADM||1^1 person||||||F
OBX|784|TX|MoBCCMTS00^Bed to chair transfer comment^ADM||TEST||||||F
OBX|785|CE|MoBCEQPT02^Transfer equipment^ADM||1^None||||||F
OBX|786|CE|MoBCLFNC00^Bed to chair transfer level of function^ADM||1^Complete independence||||||F
OBX|787|CE|MoBCTFTO01^Transfer to^ADM||2^Chair||||||F
OBX|788|CE|MoBCTTFR01^Transfer from^ADM||1^Bed||||||F
OBX|789|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||1^Unassisted||||||F
OBX|790|CE|MoBDIN0000^In bed mobilization^ADM||1^Positioned in bed||||||F
OBX|791|TX|MoCHTIME00^Duration of time up in chair^ADM||5.0||||||F
OBX|792|CE|MoFALPRE00^Fall prevention strategy^ADM||1^Fall Precautions/SAFE~4^Hip protectors||||||F
OBX|793|TX|MoINDAMB00^Independent ambulation comments^ADM||GREAT||||||F
OBX|794|CE|MoMOVEDR00^Movement direction^ADM||1^Moving up in bed||||||F
OBX|795|TX|MoOTHMOB00^Other mobilization comments^ADM||GREAT||||||F
OBX|796|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|797|CE|MoPOSRBM00^Positioning side rails bottom^ADM||3^Both down||||||F
OBX|798|CE|MoPOSRTP00^Positioning side rails top^ADM||2^Both up||||||F
OBX|799|CE|MoRPASDV02^Assistive equipment^ADM||1^No equipment used||||||F
OBX|800|CE|MoRPASST00^Repositioning in bed assistance required^ADM||1^1 person||||||F
OBX|801|CE|MoRPLFNC00^Repositioning in bed level of function^ADM||2^Supervision||||||F
OBX|802|CE|MoTFCAST03^Assistance required for transfer^ADM||1^Unassisted||||||F
OBX|803|CE|MoTFCHAD00^Mobility aid used for transfer to chair^ADM||2^2 wheeled walker||||||F
OBX|804|CE|MoTFCHAR00^Mobilized to chair^ADM||2^Sit to stand lift||||||F
OBX|805|TX|MoTRANCO00^Transfer comments^ADM||GREAT||||||F
OBX|806|CE|MoTRANST00^Transfer to^ADM||1^Chair||||||F
OBX|807|TX|MsMECHOI00^Mechanism of injury^ADM||Great||||||F
OBX|808|CE|MsORTH0001^Supportive orthosis for mobilization^ADM||1^Cervical Collar||||||F
OBX|809|TX|MsORTH0002^Supportive orthosis for mobilization other^ADM||GREAT||||||F
OBX|810|TX|NeCHECKN00^Neurovascular check satisfactory^ADM||Y||||||F
OBX|811|TX|NeCIRE0002^CIWA-Ar Alcohol Withdrawal Score^ADM||4||||||F
OBX|812|CE|NeCIWA1000^Headache, fullness in head^ADM||1^0||||||F
OBX|813|CE|NeCIWAA100^Nausea and vomiting^ADM||1^0||||||F
OBX|814|CE|NeCIWAA200^Tremor^ADM||5^1||||||F
OBX|815|CE|NeCIWAA300^Paroxysmal sweats^ADM||1^0||||||F
OBX|816|CE|NeCIWAA400^Anxiety^ADM||5^1||||||F
OBX|817|CE|NeCIWAA500^Agitation^ADM||5^1||||||F
OBX|818|CE|NeCIWAA600^Orientation^ADM||2^1||||||F
OBX|819|CE|NeCIWAA700^Tactile disturbances^ADM||1^0||||||F
OBX|820|CE|NeCIWAA800^Auditory disturbances^ADM||1^0||||||F
OBX|821|CE|NeCIWAA900^Visual disturbances^ADM||1^0||||||F
OBX|822|CE|NeCOAFFE01^Cognition - Affect^ADM||5^Labile||||||F
OBX|823|TX|NeDEMEDO00^Miscellaneous infusion dose^ADM||6.000||||||F
OBX|824|CE|NeDEMEDS00^Miscellaneous infusion type^ADM||1^Dexmedetomidine||||||F
OBX|825|CE|NeDEMEDU00^Miscellaneous infusion dosage units^ADM||1^mcg/kg/hour||||||F
OBX|826|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||4^3- To sound||||||F
OBX|827|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||2^4- Normal flexion||||||F
OBX|828|TX|NeGCSSCR01^GCS score^ADM||12||||||F
OBX|829|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|830|TX|NeGLBLGU00^Glucometer blood glucose^ADM||9.6||||||F
OBX|831|CE|NeICDSCC01^ICDSC altered level of consciousness^ADM||1^1||||||F
OBX|832|CE|NeICDSCD01^ICDSC disorientation^ADM||1^1||||||F
OBX|833|CE|NeICDSCF01^ICDSC symptom fluctuation^ADM||1^1||||||F
OBX|834|CE|NeICDSCH01^ICDSC hallucination, delusion or psychosis^ADM||0^0||||||F
OBX|835|CE|NeICDSCI01^ICDSC inattention^ADM||0^0||||||F
OBX|836|CE|NeICDSCO00^Contraindication to ICDSC screening^ADM||2^Neurological barrier||||||F
OBX|837|CE|NeICDSCP01^ICDSC psychomotor agitation or retardation^ADM||0^0||||||F
OBX|838|TX|NeICDSCR00^ICDSC score^ADM||4||||||F
OBX|839|CE|NeICDSCS01^ICDSC inappropriate speech or mood^ADM||0^0||||||F
OBX|840|CE|NeICDSCW03^ICDSC sleep/wake cycle disturbance^ADM||1^1||||||F
OBX|841|CE|NeLECONS00^Level of consciousness^ADM||2^Drowsy||||||F
OBX|842|CE|NeLECONS01^Level of consciousness^ADM||1^Alert||||||F
OBX|843|TX|NeMONTES00^Monofilament testing results^ADM||GREAT||||||F
OBX|844|TX|NeMRARMD00^Arm drift^ADM||||||||F
OBX|845|TX|NeMRPAIN01^Response to painful stimuli^ADM||Great||||||F
OBX|846|CE|NeNCBEHV00^Neurological complaint behaviour^ADM||1^Cooperative||||||F
OBX|847|TX|NeNEFI0000^Other neurological findings/complaints^ADM||Great||||||F
OBX|848|TX|NeNESYAN02^Neurological system analysis^ADM||GREAT||||||F
OBX|849|CE|NeNV000902^Right popliteal pulse^ADM||6^Doppler||||||F
OBX|850|CE|NeORIENT00^Oriented^ADM||1^To person~2^To place||||||F
OBX|851|CE|NePOSC0000^POSS score^ADM||2^2 - Slightly drowsy||||||F
OBX|852|CE|NePUEYED01^Eye deviation^ADM||1^Right||||||F
OBX|853|CE|NePURXNL00^Pupil reaction to light^ADM||2^Sluggish||||||F
OBX|854|CE|NePUSHPE00^Pupil shape^ADM||1^Round||||||F
OBX|855|CE|NePUSIDE00^Pupil side^ADM||1^Left||||||F
OBX|856|TX|NePUSIZE00^Pupil size^ADM||5||||||F
OBX|857|CE|NeRASS0000^RASS score^ADM||4^+1 Restless||||||F
OBX|858|CE|NeRFCRNL00^Corneal reflex left^ADM||1^Present||||||F
OBX|859|CE|NeRFCRNR00^Corneal reflex right^ADM||1^Present||||||F
OBX|860|CE|NeRFGAGR00^Gag reflex^ADM||1^Present||||||F
OBX|861|TX|NeSEIZ0000^Seizure duration minutes^ADM||1||||||F
OBX|862|TX|NeSEIZ0100^Seizure duration seconds^ADM||30||||||F
OBX|863|TX|NeSZDATE00^Seizure onset date^ADM||20180129||||||F
OBX|864|TX|NeSZDESC00^Seizure description^ADM||Twitching of right arm.  Eyes deviated to left||||||F
OBX|865|TX|NeSZTIME00^Seizure onset time^ADM||1127||||||F
OBX|866|CE|NeSZTRIG00^Seizure triggers^ADM||5^Alcohol withdrawal||||||F
OBX|867|TX|NeTWPODI00^Two point discrimination results^ADM||GREAT||||||F
OBX|868|TX|NeVCCMET00^Valid consent criteria met^ADM||N||||||F
OBX|869|TX|NeVCCNMC00^Valid consent criteria not met comment^ADM||test||||||F
OBX|870|CE|NeVCOBTN00^Valid consent obtained through^ADM||1^Verbal||||||F
OBX|871|CE|NeVCPROV00^Valid consent provided by^ADM||1^Patient||||||F
OBX|872|CE|NmARMST100^Arm strength right^ADM||1^Strong||||||F
OBX|873|CE|NmARMST200^Arm strength left^ADM||1^Strong||||||F
OBX|874|CE|NmHNDGR100^Handgrip right^ADM||1^Strong||||||F
OBX|875|CE|NmHNDGR200^Handgrip left^ADM||1^Strong||||||F
OBX|876|CE|NmLEGST100^Leg strength right^ADM||1^Strong||||||F
OBX|877|CE|NmLEGST200^Leg strength left^ADM||1^Strong||||||F
OBX|878|TX|NmMSTONC00^Muscle tone comment^ADM||GREAT||||||F
OBX|879|TX|NmORANAC00^Orofacial anatomical anomalies comment^ADM||GREAT||||||F
OBX|880|CE|NmORANAN02^Orofacial anatomical anomalies^ADM||3^Cleft lip||||||F
OBX|881|TX|NmORANAO00^Orofacial anatomical anomalies other^ADM||GREAT||||||F
OBX|882|CE|NmPT002101^Area of sensation tested^ADM||1^Right upper limb||||||F
OBX|883|CE|NmPT002201^Type of sensation tested^ADM||1^Light touch||||||F
OBX|884|CE|NmPT002300^Sensation findings^ADM||1^Intact||||||F
OBX|885|TX|NmPT002500^Sensation findings comment^ADM||GREAT||||||F
OBX|886|CE|Nu00000100^Oral nutrition amount of meal consumed^ADM||2^50 %||||||F
OBX|887|TX|Nu00000200^Oral nutrition amount of meal consumed comments^ADM||GREAT||||||F
OBX|888|CE|Nu00000301^Enteral nutrition hold reasons^ADM||1^Medication||||||F
OBX|889|TX|Nu00000400^Enteral nutrition hold reasons other^ADM||GREAT||||||F
OBX|890|TX|Nu00000600^Parenteral nutrition core solution infusion rate^ADM||83.6||||||F
OBX|891|TX|Nu00000700^Parenteral nutrition lipid infusion rate^ADM||10||||||F
OBX|892|CE|Nu00015500^Patient's position during breakfast^ADM||1^High fowlers||||||F
OBX|893|CE|Nu00015600^Patient's position during lunch^ADM||1^High fowlers||||||F
OBX|894|CE|Nu00015700^Patient's position during dinner^ADM||1^High fowlers||||||F
OBX|895|TX|Nu00015800^Liquid intake type^ADM||GREAT||||||F
OBX|896|TX|Nu00016000^Patient able to tolerate diet^ADM||Y||||||F
OBX|897|TX|Nu00016100^Other oral nutrition comments^ADM||Great||||||F
OBX|898|CE|NuANTHR000^Birth weight classification^ADM||1^LBW (less than 2500g)||||||F
OBX|899|CE|NuANTHR010^Size for length of gestation^ADM||1^SGA||||||F
OBX|900|CE|NuANTHR020^Birth weight percentile^ADM||1^Less than 3rd||||||F
OBX|901|CE|NuANTHR030^Birth length percentile^ADM||6^3rd||||||F
OBX|902|CE|NuANTHR040^Birth head circumference percentile^ADM||1^Less than 3rd||||||F
OBX|903|CE|NuANTHR050^Weight for age percentile^ADM||6^3rd||||||F
OBX|904|CE|NuANTHR060^Height/Length for age percentile^ADM||11^3-10th||||||F
OBX|905|CE|NuANTHR070^Weight for length percentile^ADM||6^3rd||||||F
OBX|906|CE|NuANTHR080^Head circumference for age percentile^ADM||11^3-10th||||||F
OBX|907|TX|NuANTHR090^Comparison weight date^ADM||20180220||||||F
OBX|908|TX|NuANTHR100^Comparison weight^ADM||10.000||||||F
OBX|909|TX|NuANTHR110^Days since comparison weight^ADM||0||||||F
OBX|910|TX|NuANTHR140^Average weight change^ADM|| g/day over 0 days||||||F
OBX|911|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||||||||F
OBX|912|CE|NuANTHR160^Average weight gain goal^ADM||1^15-20 g/kg/day||||||F
OBX|913|CE|NuANTHR170^Growth rate evaluation^ADM||1^Below expected||||||F
OBX|914|TX|NuANTHR180^Dietitian growth comment^ADM||GREAT||||||F
OBX|915|CE|NuANTHR190^Birth weight for length percentile^ADM||1^Less than 3rd||||||F
OBX|916|CE|NuAPWELO01^Dietitian weight loss assessment^ADM||1^Non-significant loss||||||F
OBX|917|CE|NuBMIIBW01^Method used to calculate ideal body weight^ADM||1^Body mass index of 25||||||F
OBX|918|CE|NuBRAMCO01^Breakfast amount consumed^ADM||1^25%||||||F
OBX|919|TX|NuBTMAHR00^Maximum body temperature in last 24 hours^ADM||15.0||||||F
OBX|920|TX|NuCALADJ00^Calorie adjustment^ADM||Great||||||F
OBX|921|CE|NuCALARE00^Calorie adjustment reason^ADM||1^Refeeding syndrome risk||||||F
OBX|922|TX|NuCALTAR00^Target calories per day^ADM||1750 kcal/day||||||F
OBX|923|TX|NuCLIJUD00^Clinical judgement factors other^ADM||GREAT||||||F
OBX|924|TX|NuCNCOMM00^Current nutrition status concern comment^ADM||GREAT||||||F
OBX|925|CE|NuCNFEED00^Current nutrition status refeeding concern^ADM||2^Possible risk||||||F
OBX|926|CE|NuCNJUCO00^Current nutrition status based on clinical judgement^ADM||2^Physical assessment||||||F
OBX|927|CE|NuCNJUDG00^Nutrition status based on clinical judgement^ADM||2^Malnourished||||||F
OBX|928|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|929|CE|NuDIAMCO01^Dinner amount consumed^ADM||1^25%||||||F
OBX|930|TX|NuDODRAI00^Drain output^ADM||30.00||||||F
OBX|931|TX|NuDPMEHX00^Clinical history relevant to dietitian plan^ADM||Great||||||F
OBX|932|TX|NuDPSOHX00^Social history relevant to dietitian plan^ADM||Great||||||F
OBX|933|CE|NuDRREAS05^Reason for dietitian assessment^ADM||1^Assess diet||||||F
OBX|934|TX|NuDRREOT01^Reason for dietitian assessment other^ADM||Great||||||F
OBX|935|TX|NuEG000000^Energy estimated needs other^ADM||100||||||F
OBX|936|TX|NuEN000200^Enteral nutrition hold date^ADM||20180220||||||F
OBX|937|TX|NuEN000300^Enteral nutrition hold time^ADM||1000||||||F
OBX|938|TX|NuEN000400^Enteral nutrition resume date^ADM||20180220||||||F
OBX|939|TX|NuEN000500^Enteral nutrition resume time^ADM||1100||||||F
OBX|940|CE|NuENDELI00^Enteral nutrition delivery schedule^ADM||1^Continuous||||||F
OBX|941|TX|NuENEASM00^Energy assessment method other^ADM||Great||||||F
OBX|942|CE|NuENENAS00^Estimated energy assessment method^ADM||1^kcal/kg||||||F
OBX|943|CE|NuENENAS02^Estimated energy assessment method^ADM||1^kcal/kg||||||F
OBX|944|TX|NuENENCK00^Energy estimated needs (kcal/kg)^ADM||1750.000||||||F
OBX|945|TX|NuENENCK01^Energy estimated needs (kcal/kg)^ADM||250||||||F
OBX|946|TX|NuENENME00^Estimated energy assessment comment^ADM||Great||||||F
OBX|947|TX|NuENERHT00^Energy for height^ADM||50||||||F
OBX|948|TX|NuENFETU00^Enteral feeding tube description^ADM||Great||||||F
OBX|949|TX|NuENFLFR00^Feeding tube flush frequency^ADM||GREAT||||||F
OBX|950|CE|NuENFLME01^Fluid assessment method^ADM||1^1 mL/kcal||||||F
OBX|951|CE|NuENFLME03^Fluid assessment method^ADM||1^125-160 mL/kg||||||F
OBX|952|CE|NuENFLPO03^Feeding tube flush purpose^ADM||1^Hydration~2^Tube patency||||||F
OBX|953|TX|NuENFLPU02^Feeding tube flush purpose^ADM||GREAT||||||F
OBX|954|TX|NuENFLUN00^Fluid estimated needs^ADM||1750||||||F
OBX|955|CE|NuENFLUS01^Feeding tube flush type^ADM||1^Water||||||F
OBX|956|CE|NuENKCKG00^Energy kcal/kg/day factor^ADM||1^35 kcal/kg||||||F
OBX|957|TX|NuENOTHE00^Other nutrients estimated needs^ADM||Great||||||F
OBX|958|TX|NuENPNNU00^Enteral/Parenteral details^ADM||Great||||||F
OBX|959|TX|NuENRATE00^Enteral nutrition current rate^ADM||5||||||F
OBX|960|TX|NuENRGAF00^Energy estimated needs activity factor^ADM||2.0||||||F
OBX|961|TX|NuENRGSF00^Energy estimated needs stress factor^ADM||20.0||||||F
OBX|962|TX|NuENSOLU00^Enteral nutrition formula or solution^ADM||GREAT||||||F
OBX|963|TX|NuFA000000^Fluid assessment comment^ADM||Great||||||F
OBX|964|TX|NuFAALLE00^Food allergies affecting enteral nutrition formula choice^ADM||Y||||||F
OBX|965|CE|NuFACFTR00^Current feeding tube route^ADM||1^Nasal||||||F
OBX|966|TX|NuFACULT01^Cultural food restrictions^ADM||Great||||||F
OBX|967|TX|NuFADIHX00^Diet history relevant to dietitian plan^ADM||Great||||||F
OBX|968|CE|NuFAFTTY00^Current feeding tube type^ADM||1^Small bore feeding tube||||||F
OBX|969|CE|NuFAI00100^Feeding assistance strategy^ADM||1^Meal set-up||||||F
OBX|970|TX|NuFAI00200^Feeding assistance strategy other^ADM||Great||||||F
OBX|971|TX|NuFAI00300^Feeding assistance strategy details^ADM||Great||||||F
OBX|972|TX|NuFAINTO01^Food intolerances^ADM||Great||||||F
OBX|973|CE|NuFDSTRG02^Feeding strategy^ADM||1^Fortification||||||F
OBX|974|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|975|CE|NuFFCONC03^Breast milk substitute concentration and type^ADM||1^20 kcal/30 mL||||||F
OBX|976|TX|NuFKCONC01^Nutrition knowledge/adherence comments^ADM||Great||||||F
OBX|977|CE|NuFKLEVE00^Food and nutrition knowledge level^ADM||1^Deficit||||||F
OBX|978|TX|NuFNVMSO00^Vitamin/Mineral supplements other^ADM||Great||||||F
OBX|979|TX|NuFOALPL00^Food allergies affecting parenteral nutrition lipid use^ADM||Y||||||F
OBX|980|TX|NuFOBEAT00^Food and nutrition beliefs and attitudes^ADM||Great||||||F
OBX|981|TX|NuFQ000301^Feeding frequency strategy details^ADM||Great||||||F
OBX|982|TX|NuGLROUT00^Glucometer result out of range^ADM||GREAT||||||F
OBX|983|TX|NuICYNU001^Physical activity coefficient^ADM||5.00||||||F
OBX|984|TX|NuICYNU010^Weight age^ADM||Great||||||F
OBX|985|TX|NuICYNU020^Calories required for weight age^ADM||5||||||F
OBX|986|TX|NuICYNU030^Ideal weight for current age^ADM||50.000||||||F
OBX|987|TX|NuICYNU040^Energy for weight (catch-up growth)^ADM||5||||||F
OBX|988|TX|NuICYNU050^Energy estimated needs (kcal/cm)^ADM||1000||||||F
OBX|989|CE|NuICYNU090^Protein assessment method^ADM||1^g/kg||||||F
OBX|990|TX|NuICYNU100^Protein assessment method other^ADM||Great||||||F
OBX|991|TX|NuICYNU120^Protein estimated needs^ADM||2500||||||F
OBX|992|TX|NuICYNU130^Energy for weight^ADM||5||||||F
OBX|993|TX|NuICYNU140^Energy needs activity/stress factor^ADM||5.00||||||F
OBX|994|TX|NuICYNU151^Catch-up growth method comment^ADM||Great||||||F
OBX|995|TX|NuICYNU160^Protein for weight^ADM||50.00||||||F
OBX|996|TX|NuICYNU170^Protein estimated needs other^ADM||50.00||||||F
OBX|997|TX|NuICYNU180^Protein required for weight age^ADM||5.00||||||F
OBX|998|TX|NuIEFTFL01^Free water intake^ADM||100.00||||||F
OBX|999|TX|NuIENUTR01^Tube feed intake^ADM||20.00||||||F
OBX|1000|TX|NuIOAMOU01^Intake, Other Amount^ADM||100.00||||||F
OBX|1001|TX|NuIONUTR00^Intake - oral nutrition^ADM||20.00||||||F
OBX|1002|TX|NuIPBAAC00^Intake - parenteral nutrition amino acids^ADM||20.00||||||F
OBX|1003|TX|NuIPNLIP00^Intake - parenteral nutrition lipids^ADM||20.00||||||F
OBX|1004|TX|NuIRDRAI00^Irrigation - drain^ADM||50.00||||||F
OBX|1005|CE|NuKNOW0001^Knowledge assessment of^ADM||1^Patient||||||F
OBX|1006|TX|NuKNOW0010^Knowledge assessment of other^ADM||Great||||||F
OBX|1007|TX|NuKNOW0020^Name of person if other than patient^ADM||Great||||||F
OBX|1008|TX|NuKNOW0030^Nutrition behaviour/patterns^ADM||Great||||||F
OBX|1009|CE|NuLUAMCO01^Lunch amount consumed^ADM||1^25%||||||F
OBX|1010|TX|NuMIOTHE00^Other micronutrients/herbals/complementary medicine products^ADM||Great||||||F
OBX|1011|CE|NuMIVITA00^Vitamin or mineral supplements^ADM||1^Multivitamin and minerals||||||F
OBX|1012|TX|NuNIADCO00^Nutrition intake adequacy comment^ADM||Great||||||F
OBX|1013|CE|NuNIADEQ00^Nutrient intake adequacy^ADM||1^Adequate||||||F
OBX|1014|TX|NuNICFE100^Breast milk substitute strategy details^ADM||Great||||||F
OBX|1015|TX|NuNICFE140^Feeding method strategy details^ADM||Great||||||F
OBX|1016|TX|NuNICFE150^Other feeding strategy details^ADM||Great||||||F
OBX|1017|TX|NuNICFE160^Projected nutrient intakes based on^ADM||Great||||||F
OBX|1018|TX|NuNICFE170^Total energy provided^ADM||100||||||F
OBX|1019|TX|NuNICFE180^Total protein provided^ADM||10.0||||||F
OBX|1020|TX|NuNICFE190^Total fluid provided^ADM||100||||||F
OBX|1021|TX|NuNICFE200^Total other nutrients provided^ADM||Great||||||F
OBX|1022|TX|NuNICFE210^Totals provided by feeding intervention comment^ADM||Great||||||F
OBX|1023|TX|NuNICFE220^Microlipid amount^ADM||Great||||||F
OBX|1024|TX|NuNICFE230^Feeding volume details^ADM||Great||||||F
OBX|1025|TX|NuNICFE240^Total vitamin A provided^ADM||10||||||F
OBX|1026|TX|NuNICFE250^Total vitamin D provided^ADM||10||||||F
OBX|1027|TX|NuNICFEE00^Feeding strategy other^ADM||Great||||||F
OBX|1028|CE|NuNICFEE10^Supplement type^ADM||1^Human milk fortifier||||||F
OBX|1029|TX|NuNICFEE20^Feeding strategy comments^ADM||Great||||||F
OBX|1030|CE|NuNICFEE30^Supplement human milk fortifier^ADM||1^1 pack per 25 mL EBM||||||F
OBX|1031|TX|NuNICFEE40^Fortification type other amount^ADM||Great||||||F
OBX|1032|TX|NuNICFEE50^Liquid protein fortifier amount^ADM||Great||||||F
OBX|1033|TX|NuNICFEE60^Breast milk substitute amount^ADM||Great||||||F
OBX|1034|TX|NuNICFEE70^Medium chain triglyceride oil amount^ADM||Great||||||F
OBX|1035|TX|NuNICFEE80^Supplement strategy comments^ADM||Great||||||F
OBX|1036|TX|NuNICFEE90^Infant formula feeding^ADM||Great||||||F
OBX|1037|TX|NuNICUF100^Mom's own milk additives^ADM||GREAT||||||F
OBX|1038|TX|NuNICUF110^Feeding contents - donor EBM amount^ADM||20||||||F
OBX|1039|TX|NuNICUF120^Donor EBM additives^ADM||GREAT||||||F
OBX|1040|TX|NuNICUF130^Feeding contents - formula amount^ADM||20||||||F
OBX|1041|TX|NuNICUF140^Formula type^ADM||GREAT||||||F
OBX|1042|TX|NuNICUF150^Formula additives^ADM||GREAT||||||F
OBX|1043|TX|NuNICUF180^Trophic feed amount^ADM||20.0||||||F
OBX|1044|TX|NuNICUF200^Duration of bottle feed^ADM||20||||||F
OBX|1045|CE|NuNICUF210^Alternate feeding method^ADM||1^Supplemental nrsg system||||||F
OBX|1046|CE|NuNICUF250^Breastfeeding observations^ADM||3^Strong latch||||||F
OBX|1047|CE|NuNICUF260^Breastfeeding assistance^ADM||2^Minimal assistance||||||F
OBX|1048|CE|NuNICUF270^Bottle feeding observations^ADM||3^Strong suck||||||F
OBX|1049|CE|NuNICUF280^Nipple used^ADM||2^Slow flow nipple||||||F
OBX|1050|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||100.0||||||F
OBX|1051|CE|NuNICUF310^Parental feeding goals^ADM||1^Exclusive  breast milk||||||F
OBX|1052|TX|NuNICUF320^Current feeding plan^ADM||GREAT||||||F
OBX|1053|TX|NuNICUF330^Breast milk double checked by^ADM||GREAT||||||F
OBX|1054|TX|NuNICUF340^Breastfeeding observations other^ADM||GREAT||||||F
OBX|1055|TX|NuNICUF351^Intake, Breastfeeding Amount^ADM||20.0||||||F
OBX|1056|TX|NuNICUF360^Nipple shield in use^ADM||Y||||||F
OBX|1057|TX|NuNICUF370^Intake, Oral Amount^ADM||100.0||||||F
OBX|1058|TX|NuNICUFE00^Feeding goal revised^ADM||20180220||||||F
OBX|1059|TX|NuNICUFE10^Mom pumping^ADM||Y||||||F
OBX|1060|TX|NuNICUFE20^Mom hand-expressing^ADM||Y||||||F
OBX|1061|TX|NuNICUFE30^Patient NPO^ADM||Y||||||F
OBX|1062|CE|NuNICUFE60^Revised feeding goal^ADM||2^Mixed feeding||||||F
OBX|1063|TX|NuNICUFE70^Reason oral feeding held^ADM||GREAT||||||F
OBX|1064|TX|NuNICUFE90^Feeding contents - mom's own milk amount^ADM||20||||||F
OBX|1065|CE|NuNIFLSO00^Nutrient intake fluid sources considered^ADM||1^Oral fluids||||||F
OBX|1066|TX|NuNIFLUI00^Nutrient intake fluid^ADM||2000||||||F
OBX|1067|TX|NuNIFSCO00^Fluid sources considered other^ADM||Great||||||F
OBX|1068|TX|NuNIINTA00^Nutrient intake in general^ADM||Great||||||F
OBX|1069|TX|NuNINIEN00^Energy estimated intake^ADM||2533||||||F
OBX|1070|CE|NuNINSCO00^Nutrient sources considered^ADM||1^Meals||||||F
OBX|1071|TX|NuNINSCT00^Nutrient sources considered other^ADM||Great||||||F
OBX|1072|TX|NuNIOTHE00^Other nutrient(s) estimated intake^ADM||Great||||||F
OBX|1073|TX|NuNIPTEI00^Protein estimated intake^ADM||105||||||F
OBX|1074|TX|NuNIPTWI01^Estimated protein intake for weight^ADM||100.00||||||F
OBX|1075|TX|NuNIWGEI00^Estimated energy intake for weight^ADM||100||||||F
OBX|1076|TX|NuNM000100^Nothing by mouth^ADM||Y||||||F
OBX|1077|CE|NuNUTUBW01^Nutrition status based on usual body weight^ADM||2^Mildly malnourished||||||F
OBX|1078|TX|NuOCTUBE00^Output - chest tube^ADM||5||||||F
OBX|1079|TX|NuOCTUBE01^Output, Chest Tube Drainage Amount^ADM||30||||||F
OBX|1080|TX|NuOGRETU00^Output - gastric returns^ADM||5.00||||||F
OBX|1081|CE|NuONAPPE00^Oral nutrition appetite^ADM||1^No change||||||F
OBX|1082|TX|NuONBACO00^Oral nutrition barriers to eating comment^ADM||Great||||||F
OBX|1083|TX|NuONBAOT00^Oral nutrition barriers to eating other^ADM||Great||||||F
OBX|1084|CE|NuONBARR01^Barriers to eating^ADM||1^Poor appetite||||||F
OBX|1085|TX|NuONINTA00^Oral nutrition current food intake^ADM||Great||||||F
OBX|1086|CE|NuONMEAL00^Oral nutrition meal^ADM||1^Breakfast||||||F
OBX|1087|TX|NuONORDI01^Oral diet type^ADM||Great||||||F
OBX|1088|TX|NuONOROT01^Other oral supplements^ADM||Great||||||F
OBX|1089|TX|NuONSOOT00^Oral nutrition food source other^ADM||Great||||||F
OBX|1090|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital||||||F
OBX|1091|TX|NuONSUPP00^Oral nutrition supplement drink^ADM||Great||||||F
OBX|1092|TX|NuONTOCO00^Oral nutrition diet tolerance comment^ADM||Great||||||F
OBX|1093|CE|NuONTOLE00^Oral nutrition diet tolerance^ADM||1^No concerns||||||F
OBX|1094|TX|NuOSTOOL00^Output - stool^ADM||200.00||||||F
OBX|1095|TX|NuOURINE00^Output - urine^ADM||50.00||||||F
OBX|1096|TX|NuPHACDI00^Physical function relevant to dietitian plan^ADM||Great||||||F
OBX|1097|TX|NuPNESNR00^Nutrition requirements for parenteral nutrition comment^ADM||Great||||||F
OBX|1098|TX|NuPNHIKT00^High potassium target for parenteral nutrition^ADM||100||||||F
OBX|1099|TX|NuPNHINA00^High sodium target for parenteral nutrition^ADM||100||||||F
OBX|1100|TX|NuPNLOKT00^Low potassium target for parenteral nutrition^ADM||100||||||F
OBX|1101|TX|NuPNLONA00^Low sodium target for parenteral nutrition^ADM||100||||||F
OBX|1102|TX|NuPNMAXC00^Maximum carbohydrate for parenteral nutrition^ADM||100||||||F
OBX|1103|TX|NuPNMAXF00^Maximum fat for parenteral nutrition^ADM||100||||||F
OBX|1104|TX|NuPRESTN00^Protein estimated needs number 2^ADM||75.00||||||F
OBX|1105|TX|NuPRFWTK00^Protein factor for weight number 2^ADM||1.5||||||F
OBX|1106|TX|NuPROT0000^Protein assessment comment^ADM||Great||||||F
OBX|1107|TX|NuSGA00100^SGA weight change - overall loss in past 6 months^ADM||5.000||||||F
OBX|1108|TX|NuSGA00200^SGA percentage weight loss^ADM||2.00||||||F
OBX|1109|CE|NuSGA00300^SGA weight change in past 2 weeks^ADM||1^Increase||||||F
OBX|1110|CE|NuSGA00400^SGA dietary intake change^ADM||1^No change||||||F
OBX|1111|TX|NuSGA00501^SGA intake change duration^ADM||GREAT||||||F
OBX|1112|CE|NuSGA00600^SGA intake change type^ADM||1^Suboptimal solid diet||||||F
OBX|1113|CE|NuSGA00700^SGA gastrointestinal symptoms^ADM||1^None||||||F
OBX|1114|CE|NuSGA00800^SGA functional capacity^ADM||1^No dysfunction||||||F
OBX|1115|TX|NuSGA00901^SGA dysfunction duration^ADM||GREAT||||||F
OBX|1116|CE|NuSGA01000^SGA dysfunction type^ADM||1^Working suboptimally||||||F
OBX|1117|TX|NuSGA01100^SGA primary diagnosis (specify)^ADM||GREAT||||||F
OBX|1118|CE|NuSGA01200^SGA metabolic demand (stress)^ADM||1^No stress||||||F
OBX|1119|CE|NuSGA01300^SGA loss of subcutaneous fat^ADM||2^1+ = mild||||||F
OBX|1120|CE|NuSGA01400^SGA muscle wasting^ADM||2^1+ = mild||||||F
OBX|1121|CE|NuSGA01500^SGA ankle edema^ADM||2^1+ = mild||||||F
OBX|1122|CE|NuSGA01600^SGA sacral edema^ADM||2^1+ = mild||||||F
OBX|1123|CE|NuSGA01700^SGA ascites^ADM||2^1+ = mild||||||F
OBX|1124|CE|NuSGA01800^SGA rating^ADM||2^B= Malnourished||||||F
OBX|1125|CE|NuSNAMCO01^Snack amount consumed^ADM||1^25%||||||F
OBX|1126|TX|NuSPTYPO00^Supplement type other^ADM||Great||||||F
OBX|1127|TX|NuTEEDCO00^Nutrition education content (specify)^ADM||Great||||||F
OBX|1128|TX|NuVITMIN00^Vitamin/Mineral supplements details^ADM||Great||||||F
OBX|1129|TX|NuWT000000^Weight used for energy calculation^ADM||50.000||||||F
OBX|1130|TX|NuWT000100^Weight used for protein calculation^ADM||50.000||||||F
OBX|1131|CE|NuWTCH0000^Weight change calculation based on^ADM||1^Usual/Previous weight||||||F
OBX|1132|TX|NuWTGAIN00^Percent weight gain^ADM||66.7||||||F
OBX|1133|TX|OEDIAG^Diagnosis:^ADM||testing diagnosis field from PDS||||||F
OBX|1134|CE|OEISO^Infection Control:^ADM||CP^Contact Plus||||||F
OBX|1135|TX|OhCMNT0000^Other comments^ADM||GREAT||||||F
OBX|1136|TX|OhEDIT0000^Reason for edit^ADM||Incorrect dose entered||||||F
OBX|1137|CE|OhIN000300^Information source^ADM||1^Patient||||||F
OBX|1138|CE|OhINFOSR00^Information source if reported^ADM||1^Patient||||||F
OBX|1139|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|1140|TX|OhLABMED00^Medications and labs^ADM||GREAT||||||F
OBX|1141|TX|PaANCONC00^Analgesia infusion concentration^ADM||100/100||||||F
OBX|1142|TX|PaANDOSE00^Analgesia infusion dose^ADM||3.000||||||F
OBX|1143|CE|PaANDOSU00^Analgesia infusion dosage units^ADM||1^mg/hr||||||F
OBX|1144|CE|PaANTYPE00^Analgesic infusion type^ADM||4^Morphine||||||F
OBX|1145|TX|PaCOMMEN00^Pain comments^ADM||GREAT||||||F
OBX|1146|CE|PaCPOTBO00^CPOT body movements^ADM||2^1-Protection||||||F
OBX|1147|CE|PaCPOTFA00^CPOT facial expression^ADM||2^1-Tense||||||F
OBX|1148|CE|PaCPOTMU00^CPOT muscle tension^ADM||2^1-Tense, rigid||||||F
OBX|1149|TX|PaCPOTSC00^CPOT score^ADM||4||||||F
OBX|1150|CE|PaCPOTVV00^CPOT compliance with the ventilator or vocalization^ADM||3^1-Coughing but tolerating||||||F
OBX|1151|TX|PaEPCADI00^Epidural catheter date inserted^ADM||20190723||||||F
OBX|1152|TX|PaEPCATI00^Epidural catheter time inserted^ADM||0800||||||F
OBX|1153|TX|PaEPCONR00^Continuous epidural infusion rate^ADM||4||||||F
OBX|1154|CE|PaEPCONT00^Continuous epidural infusion^ADM||1^Infusing||||||F
OBX|1155|TX|PaEPDATI00^Date epidural infusion initiated^ADM||20190723||||||F
OBX|1156|CE|PaEPSOLU00^Epidural solution^ADM||1^bup 0.0625% - fent 2 mcg||||||F
OBX|1157|TX|PaEPTIMI00^Time infusion initiated^ADM||0830||||||F
OBX|1158|CE|PaFINN0000^Cry^ADM||1^Excessive cry (2)||||||F
OBX|1159|CE|PaFINN0010^Sleep^ADM||1^< 1 hr post feed (3)||||||F
OBX|1160|CE|PaFINN0020^Moro reflex^ADM||1^Hyperactive (2)||||||F
OBX|1161|CE|PaFINN0030^Tremors^ADM||1^Mild disturbed (1)||||||F
OBX|1162|CE|PaFINN0040^Increased muscle tone^ADM||1^Yes (2)||||||F
OBX|1163|CE|PaFINN0050^Excoriation^ADM||1^Yes (1)||||||F
OBX|1164|TX|PaFINN0060^Excoriation comment^ADM||Great||||||F
OBX|1165|CE|PaFINN0070^Myoclonic jerks^ADM||1^Yes (3)||||||F
OBX|1166|CE|PaFINN0080^Generalized convulsions^ADM||1^Yes (5)||||||F
OBX|1167|CE|PaFINN0090^Sweating^ADM||1^Yes (1)||||||F
OBX|1168|CE|PaFINN0100^Fever^ADM||1^37.2 - 38.3 C (1)||||||F
OBX|1169|CE|PaFINN0110^Frequent yawning^ADM||1^Yes (1)||||||F
OBX|1170|CE|PaFINN0120^Mottling^ADM||1^Yes (1)||||||F
OBX|1171|CE|PaFINN0130^Nasal stuffiness^ADM||1^Yes (1)||||||F
OBX|1172|CE|PaFINN0140^Sneezing^ADM||1^Yes (1)||||||F
OBX|1173|CE|PaFINN0150^Nasal flaring^ADM||1^Yes (2)||||||F
OBX|1174|CE|PaFINN0160^Respiratory rate^ADM||1^>60/min (1)||||||F
OBX|1175|CE|PaFINN0170^Excessive sucking^ADM||1^Yes (1)||||||F
OBX|1176|CE|PaFINN0180^Poor feeding^ADM||1^Yes (2)||||||F
OBX|1177|CE|PaFINN0190^Regurgitation^ADM||1^Yes (2)||||||F
OBX|1178|CE|PaFINN0200^Projectile vomiting^ADM||1^Yes (3)||||||F
OBX|1179|CE|PaFINN0210^Loose stools^ADM||1^Yes (2)||||||F
OBX|1180|CE|PaFINN0220^Watery stools^ADM||1^Yes (3)||||||F
OBX|1181|TX|PaFINN0230^Neonatal Abstinence Score^ADM||41||||||F
OBX|1182|CE|PaFREQ0000^Pain frequency^ADM||1^At rest||||||F
OBX|1183|CE|PaLOCBDS01^Location^ADM||11^Chest||||||F
OBX|1184|CE|PaLOCBDS02^Location^ADM||11^Chest||||||F
OBX|1185|TX|PaNBCATH00^Catheter distal tip intact with removal^ADM||Y||||||F
OBX|1186|CE|PaNEON1000^Sedation - Facial expression^ADM||1^-1||||||F
OBX|1187|CE|PaNEON1100^Sedation - Extremities tone^ADM||1^-1||||||F
OBX|1188|CE|PaNEON1200^Sedation - Vital signs (HR, RR, BP, SaO2)^ADM||1^-1||||||F
OBX|1189|TX|PaNEON1300^Sedation scale score^ADM||-5||||||F
OBX|1190|CE|PaNEON1400^N-PASS other considerations^ADM||1^Tested at rest||||||F
OBX|1191|CE|PaNEONP100^Pain - Crying/Irritability^ADM||2^1||||||F
OBX|1192|CE|PaNEONP200^Pain - Behaviour state^ADM||2^1||||||F
OBX|1193|CE|PaNEONP300^Pain - Facial expression^ADM||2^1||||||F
OBX|1194|CE|PaNEONP400^Pain - Extremities tone^ADM||2^1||||||F
OBX|1195|CE|PaNEONP500^Pain - Vital signs (HR, RR, BP, SaO2)^ADM||2^1||||||F
OBX|1196|CE|PaNEONP600^Pain - Less than 30 weeks gestation/corrected age^ADM||1^Yes||||||F
OBX|1197|TX|PaNEONP700^Pain scale score^ADM||6||||||F
OBX|1198|CE|PaNEONP800^Sedation - Crying/Irritability^ADM||1^-1||||||F
OBX|1199|CE|PaNEONP900^Sedation - Behaviour state^ADM||1^-1||||||F
OBX|1200|CE|PaPAAGFA00^Pain aggravating factors^ADM||1^Movement~4^Palpation~7^Eating~10^Deep breathing||||||F
OBX|1201|TX|PaPAAGFO00^Pain aggravating factors other^ADM||GREAT||||||F
OBX|1202|TX|PaPAALFC00^Pain alleviating factors comments^ADM||GREAT||||||F
OBX|1203|TX|PaPAGOAL02^Pain goal^ADM||GREAT||||||F
OBX|1204|CE|PaPAIASS00^Pain assessment^ADM||1^Pain not reported||||||F
OBX|1205|CE|PaPAINAS00^Pain assessed^ADM||1^At rest||||||F
OBX|1206|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|1207|TX|PaPAMEAD01^Medication provided by nursing^ADM||Y||||||F
OBX|1208|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||1^Calm~5^Decreased activity~9^Moans~18^Able to DB+C||||||F
OBX|1209|TX|PaPANVBO00^Pain non-verbal behaviours other^ADM||GREAT||||||F
OBX|1210|CE|PaPAQUAL01^Pain quality^ADM||1^Sharp~5^Burning~9^Pins and needles||||||F
OBX|1211|TX|PaPARADI00^Pain radiating^ADM||Y||||||F
OBX|1212|TX|PaPARADL00^Pain radiating location^ADM||GREAT||||||F
OBX|1213|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|1214|CE|PaPASCLE00^Pain scale used^ADM||6^CPOT||||||F
OBX|1215|TX|PaPASCOR00^Pain score^ADM||6||||||F
OBX|1216|TX|PaPASCRE01^Pain score^ADM||5.00||||||F
OBX|1217|TX|PaPATIME00^Time of pain onset^ADM||0800||||||F
OBX|1218|TX|PaPATMDE00^Pain timing details^ADM||GREAT||||||F
OBX|1219|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|1220|TX|PaPAVRDS00^Pain verbal descriptors scale^ADM||GREAT||||||F
OBX|1221|TX|PaPNMGTO00^Pain management techniques other^ADM||GREAT||||||F
OBX|1222|CE|PaPNMGTT00^Pain management techniques^ADM||1^Medication~2^Ice pack~5^Positioning~6^Cold~10^Heat~14^Imagery||||||F
OBX|1223|TX|PaQU000100^Pain quality other^ADM||GREAT||||||F
OBX|1224|TX|PaSDCONC00^Sedation infusion concentration^ADM||100/100||||||F
OBX|1225|TX|PaSDDOSE00^Sedation infusion dose^ADM||3.000||||||F
OBX|1226|CE|PaSDDOSU00^Sedation infusion dosage units^ADM||1^mg/hr||||||F
OBX|1227|TX|PhAN000100^Analgesic bolus given^ADM||Y||||||F
OBX|1228|TX|PhDBLCHK00^Double check by^ADM||Jane Smith RN||||||F
OBX|1229|TX|PhHEMOCN00^Hemodynamic concentration^ADM||450 in 250||||||F
OBX|1230|TX|PhHEMODS01^Hemodynamic dose^ADM||7.000||||||F
OBX|1231|CE|PhHEMOIN01^Hemodynamic infusion^ADM||1^Amiodarone||||||F
OBX|1232|TX|PhHEMOIN02^Hemodynamic infusion^ADM||Norepinephrine||||||F
OBX|1233|TX|PhHEMORT02^Hemodynamic rate^ADM||0.500||||||F
OBX|1234|CE|PhINFDOS00^Hemodynamic infusion dosage units^ADM||1^u/min||||||F
OBX|1235|CE|PhSDTYPE01^Sedation infusion type^ADM||3^Midazolam||||||F
OBX|1236|TX|PhSE000100^Sedative bolus given^ADM||Y||||||F
OBX|1237|TX|PsCAREDA00^Date of care conference^ADM||20180312||||||F
OBX|1238|TX|PsCAREDE00^Care conference details^ADM||testing care conference details||||||F
OBX|1239|TX|PsCAREIN00^Individuals involved in care conference^ADM||Son and daughter||||||F
OBX|1240|TX|PsCARETI00^Time of care conference^ADM||1028||||||F
OBX|1241|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|1242|TX|PsCOMMBR00^Communication barriers with caregiver^ADM||GREAT||||||F
OBX|1243|TX|PsFID00000^Family information dependants^ADM||GREAT||||||F
OBX|1244|CE|PsFIMS0001^Family information marital status^ADM||1^Single||||||F
OBX|1245|TX|PsFIPNS001^Spokesperson/Person to notify name and phone^ADM||GREAT||||||F
OBX|1246|TX|PsSTAND200^Temporary substitute decision maker^ADM||TSDM Jane 555-555||||||F
OBX|1247|TX|PsSWSTLB00^Language barrier^ADM||Y||||||F
OBX|1248|TX|ReABNORM00^Abnormal findings comments^ADM||Great||||||F
OBX|1249|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|1250|TX|ReARTIND01^Arterial catheter insertion date^ADM||20190522||||||F
OBX|1251|TX|ReARTINT01^Arterial catheter insertion time^ADM||1008||||||F
OBX|1252|CE|ReAUAIRE01^Air entry^ADM||3^Absent||||||F
OBX|1253|CE|ReAUBTHS02^Breath sounds^ADM||6^Crackles||||||F
OBX|1254|CE|ReAULOCT00^Auscultation location^ADM||2^Right lung||||||F
OBX|1255|CE|ReAULOMO00^Auscultation location modifier^ADM||1^Anterior||||||F
OBX|1256|TX|ReAVDASC02^SBT screening performed^ADM||Y||||||F
OBX|1257|CE|ReAVNTCR02^SBT screen fail reasons^ADM||5^Hemodynamics unstable||||||F
OBX|1258|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F
OBX|1259|TX|ReBRESOU00^Breath sounds other^ADM||Great||||||F
OBX|1260|CE|ReCGDESC01^Cough description^ADM||1^Normal||||||F
OBX|1261|TX|ReCGDESO00^Cough description other^ADM||test||||||F
OBX|1262|TX|ReCGPROD00^Cough productive^ADM||Y||||||F
OBX|1263|CE|ReCGREFL00^Cough reflex^ADM||1^Strong||||||F
OBX|1264|CE|ReCGSTGH00^Cough strength^ADM||1^Strong||||||F
OBX|1265|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|1266|CE|ReCOLMET03^Suctioning method^ADM||1^Closed/Inline suction||||||F
OBX|1267|TX|ReCT000301^Chest tubes type^ADM||Great||||||F
OBX|1268|TX|ReCT000400^Chest tubes size^ADM||12||||||F
OBX|1269|TX|ReCT000800^Any tubes connected via y-site^ADM||Y||||||F
OBX|1270|TX|ReCT000900^Tubes connected via y-site^ADM||Great||||||F
OBX|1271|TX|ReCT001001^Chest tubes drainage system^ADM||Great||||||F
OBX|1272|CE|ReCT001100^Chest tubes drainage method^ADM||1^Suction||||||F
OBX|1273|TX|ReCT001201^Chest tubes suction level^ADM||2.0||||||F
OBX|1274|TX|ReCT001300^Chest tube clamped^ADM||Y||||||F
OBX|1275|TX|ReCT001500^Chest tube clamp air leak present^ADM||Y||||||F
OBX|1276|TX|ReCT001700^Chest tube air leak meter reading^ADM||Great||||||F
OBX|1277|TX|ReCT001800^Subcutaneous emphysema present^ADM||Y||||||F
OBX|1278|TX|ReCT001900^Subcutaneous emphysema location^ADM||Great||||||F
OBX|1279|CE|ReCT002101^Chest tube drainage description^ADM||1^Serous||||||F
OBX|1280|TX|ReCT002901^Chest tube system tubing patent/connections secure^ADM||Y||||||F
OBX|1281|TX|ReCT003101^Chest tube removal date^ADM||20180220||||||F
OBX|1282|TX|ReCT003200^Chest tube removal time^ADM||1000||||||F
OBX|1283|CE|ReCT003500^Purse string sutures tied^ADM||1^Yes||||||F
OBX|1284|TX|ReCT003800^Chest tube flush volume^ADM||5||||||F
OBX|1285|CE|ReCT003900^Chest tube flush solution^ADM||1^Normal saline||||||F
OBX|1286|CE|ReCT004300^Chest tubes air leak frequency^ADM||1^Intermittent||||||F
OBX|1287|TX|ReCT004600^Chest tubes clamped date^ADM||20180220||||||F
OBX|1288|TX|ReCT004700^Chest tubes clamped time^ADM||0200||||||F
OBX|1289|CE|ReCT005000^Chest tube safety equipment^ADM||1^2 alcohol swab~4^4x4 gauze||||||F
OBX|1290|TX|ReCT005100^Chest tube removal dressing description^ADM||Great||||||F
OBX|1291|TX|ReCT005200^Tunnelled chest tube capped and dressed^ADM||Y||||||F
OBX|1292|TX|ReCTCMT000^Other chest tube comments^ADM||Great||||||F
OBX|1293|TX|ReCTDATE00^Chest tube insertion date^ADM||20180220||||||F
OBX|1294|CE|ReCTLOCM00^Chest tubes insertion site modifier^ADM||2^Left||||||F
OBX|1295|CE|ReCTLOCN00^Chest tubes insertion site^ADM||2^Anterior||||||F
OBX|1296|TX|ReCTREMO00^Chest tube removed by^ADM||Great||||||F
OBX|1297|TX|ReDE000103^Decannulation tolerance of procedure^ADM||GREAT||||||F
OBX|1298|TX|ReDESCOM00^Description other^ADM||GREAT||||||F
OBX|1299|TX|ReDISTRE00^Respiratory distress comments^ADM||test||||||F
OBX|1300|TX|ReEMPHYS00^Subcutaneous emphysema^ADM||Y||||||F
OBX|1301|TX|ReENDDAT00^Endotracheal removal date^ADM||20180129||||||F
OBX|1302|TX|ReENDTIM00^Endotracheal removal time^ADM||1154||||||F
OBX|1303|CE|ReENTRTU00^ETT tube location^ADM||1^Oral||||||F
OBX|1304|CE|ReENTUSI02^Endotracheal tube size^ADM||10^7.5 mm||||||F
OBX|1305|TX|ReETTBPO05^ETT current position^ADM||22.0||||||F
OBX|1306|CE|ReETTBSZ02^Endotracheal tube size^ADM||7^2.5 mm||||||F
OBX|1307|CE|ReETTBTY03^Endotracheal tube type^ADM||1^Evac||||||F
OBX|1308|CE|ReETTCUL00^Endotracheal tube cuff leak^ADM||1^Intermittent||||||F
OBX|1309|TX|ReETTCUP01^Endotracheal tube cuff pressure^ADM||25||||||F
OBX|1310|TX|ReETTNIC10^Endotracheal tube current position^ADM||5.0||||||F
OBX|1311|TX|ReEVPRRE01^Events leading up to referral^ADM||GREAT||||||F
OBX|1312|CE|ReEXTREA00^Reason for extubation^ADM||1^Elective||||||F
OBX|1313|TX|ReFIND0000^Other respiratory findings^ADM||test~ ~ ~ ~test||||||F
OBX|1314|TX|ReFRINOX01^Fraction of inspired oxygen (FiO2)^ADM||0.25||||||F
OBX|1315|TX|ReHFBPWC02^High flow based on patient weight^ADM||5.00||||||F
OBX|1316|TX|ReHUMTEM00^Humidifier temperature^ADM||39.0||||||F
OBX|1317|TX|ReIN000102^ETT confirmed position^ADM||22.0||||||F
OBX|1318|TX|ReINSDAT00^Endotracheal tube insertion date^ADM||20180129||||||F
OBX|1319|TX|ReINSTIM00^Endotracheal tube insertion time^ADM||1000||||||F
OBX|1320|TX|ReMEDGIV00^Inhalers/Nebulizers given^ADM||Y||||||F
OBX|1321|TX|ReMIVOES01^Minute volume (estimate)^ADM||5.0||||||F
OBX|1322|CE|ReNACAIT02^Type of heated high flow system^ADM||5^Small adult||||||F
OBX|1323|CE|ReNACARE03^Primary reason for initiating heated high flow^ADM||1^High FiO2 requirements||||||F
OBX|1324|TX|ReNICVEN20^Peak inspiratory pressure (set)^ADM||20||||||F
OBX|1325|TX|ReNICVEN30^Peak inspiratory pressure (measured)^ADM||20||||||F
OBX|1326|TX|ReNIVENT08^Transcutaneous PCO2^ADM||5||||||F
OBX|1327|CE|ReNRDISI02^Respiratory distress indicators^ADM||1^Grunting~4^Head bobbing~10^Audible stridor||||||F
OBX|1328|TX|ReO2000100^Oxygen L/minute to maintain SpO2 greater than 96%^ADM||30.00||||||F
OBX|1329|TX|ReOTASCO00^Other assessment comments^ADM||GREAT||||||F
OBX|1330|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||5^Nasal cannula||||||F
OBX|1331|CE|ReOXYTHE05^Oxygen therapy delivery method^ADM||5^Nasal cannula||||||F
OBX|1332|CE|ReOXYUOM00^Oxygen units of measure^ADM||1^L/min||||||F
OBX|1333|TX|RePEEXPO01^Peak expiratory flow rate (post best of three)^ADM||2||||||F
OBX|1334|TX|RePEEXPR01^Peak expiratory flow rate (pre best of three)^ADM||20||||||F
OBX|1335|TX|RePEEXRC00^Peak expiratory flow rate comments^ADM||Great||||||F
OBX|1336|CE|RePEWSSO00^Supplemental oxygen delivered^ADM||1^< 3L or 30%||||||F
OBX|1337|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|1338|TX|RePHASE010^Phase other^ADM||GREAT||||||F
OBX|1339|TX|ReRECHEO00^Chest expansion other^ADM||GREAT||||||F
OBX|1340|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|1341|TX|ReREDISC00^Respiratory distress indicators comment^ADM||GREAT||||||F
OBX|1342|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|1343|TX|ReREDISO00^Respiratory distress indicators other^ADM||test||||||F
OBX|1344|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|1345|CE|ReREPTRN01^Respiratory pattern^ADM||6^Tachypneic||||||F
OBX|1346|CE|ReREPTRN02^Respiratory pattern^ADM||1^Normal||||||F
OBX|1347|CE|ReRERTCO01^RT consult type^ADM||1^Initial referral||||||F
OBX|1348|TX|ReRESYAN02^Respiratory system^ADM||GREAT||||||F
OBX|1349|CE|ReRPNM0000^Respiratory pattern^ADM||2^Tachypneic||||||F
OBX|1350|CE|ReSBTRTI00^SBT time trial length^ADM||1^5 minutes||||||F
OBX|1351|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|1352|CE|ReSCCOLR00^Secretions colour^ADM||1^Clear||||||F
OBX|1353|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid||||||F
OBX|1354|TX|ReSCDESO00^Secretions description other^ADM||test||||||F
OBX|1355|CE|ReSE000100^Secretion source^ADM||1^Endotracheal||||||F
OBX|1356|CE|ReSE000102^Secretions source^ADM||1^Endotracheal||||||F
OBX|1357|TX|ReSECCOM00^Secretions comments^ADM||test||||||F
OBX|1358|TX|ReSECMET00^Secretions collection method other^ADM||Great||||||F
OBX|1359|CE|ReSECOMT00^Secretions collection method^ADM||1^Suctioned||||||F
OBX|1360|CE|ReSECRET00^Secretions source^ADM||1^Suctioned||||||F
OBX|1361|TX|ReSTDRPR00^Stridor present^ADM||Y||||||F
OBX|1362|TX|ReSUBCUC00^Subcutaneous emphysema comments^ADM||test||||||F
OBX|1363|TX|ReTORERA00^Respiratory rate (total)^ADM||14||||||F
OBX|1364|TX|ReTR000100^Tracheostomy cuff pressure^ADM||22||||||F
OBX|1365|CE|ReTR000200^Tracheostomy cuff leak^ADM||1^Intermittent||||||F
OBX|1366|TX|ReTR000400^Tracheostomy cuff leak intervention^ADM||test||||||F
OBX|1367|TX|ReTRASDA00^Assess need for tracheostomy date^ADM||12 Feb 2018||||||F
OBX|1368|TX|ReTRCHDT00^Tracheostomy change date^ADM||11 Apr 2018||||||F
OBX|1369|CE|ReTRCHIN02^Reason for trach insertion^ADM||1^Facilitate weaning||||||F
OBX|1370|TX|ReTRCOR01^Tracheostomy corked^ADM||Y||||||F
OBX|1371|TX|ReTRCP00^Tracheostomy care performed^ADM||Y||||||F
OBX|1372|CE|ReTRCUST00^Tracheostomy cuff status^ADM||1^Cuff up||||||F
OBX|1373|TX|ReTRDCDT01^Decannulation date^ADM||20180322||||||F
OBX|1374|TX|ReTRDCTM01^Decannulation time^ADM||1000||||||F
OBX|1375|CE|ReTRIC00^Tracheostomy inner cannula^ADM||1^Checked||||||F
OBX|1376|TX|ReTRIID01^Tracheostomy tube insertion date^ADM||20180322||||||F
OBX|1377|CE|ReTRPSIN00^Tracheostomy peristomal skin integrity^ADM||1^Intact||||||F
OBX|1378|TX|ReTRPSIO00^Tracheostomy peristomal skin integrity other^ADM||GREAT||||||F
OBX|1379|CE|ReTRSTI01^Tracheostomy stoma integrity^ADM||1^Intact||||||F
OBX|1380|TX|ReTRSTIO00^Tracheostomy stoma integrity other^ADM||GREAT||||||F
OBX|1381|TX|ReTRSV0000^Tracheostomy speaking valve^ADM||Y||||||F
OBX|1382|TX|ReTRTB000^Tracheostomy tube brand^ADM||test||||||F
OBX|1383|TX|ReTRTC00^Tracheostomy ties changed^ADM||Y||||||F
OBX|1384|CE|ReTRTUSI02^Tracheostomy tube size^ADM||1^4.0 mm||||||F
OBX|1385|TX|ReTRTYO00^Tracheostomy type other^ADM||test||||||F
OBX|1386|CE|ReTRTYP00^Tracheostomy type^ADM||1^Cuffed||||||F
OBX|1387|CE|ReTUPOMO01^Endotracheal tube oral position^ADM||1^Centre||||||F
OBX|1388|TX|ReVE000201^Adult ventilation ventilator type^ADM||840||||||F
OBX|1389|TX|ReVE000211^Adult ventilation ventilator type^ADM||840||||||F
OBX|1390|CE|ReVE000302^Ventilator mode^ADM||1^AC volume||||||F
OBX|1391|CE|ReVE000303^Ventilator mode^ADM||1^AC volume||||||F
OBX|1392|TX|ReVE000602^Ventilator change due date^ADM||28 Feb 2018||||||F
OBX|1393|TX|ReVE000902^Respiratory rate (set)^ADM||12||||||F
OBX|1394|TX|ReVE001000^Adult ventilation total respiratory rate^ADM||24||||||F
OBX|1395|TX|ReVE001001^Respiratory rate (total)^ADM||20||||||F
OBX|1396|TX|ReVE001101^Adult ventilation set tidal volume^ADM||600||||||F
OBX|1397|TX|ReVE001102^Tidal volume (set)^ADM||20||||||F
OBX|1398|TX|ReVE001201^Adult ventilation effective tidal volume^ADM||327||||||F
OBX|1399|TX|ReVE001202^Tidal volume (effective)^ADM||20||||||F
OBX|1400|TX|ReVE001300^Adult ventilation spontaneous tidal volume^ADM||360||||||F
OBX|1401|TX|ReVE001500^Adult ventilation expired minute volume^ADM||11.70||||||F
OBX|1402|TX|ReVE001803^Positive end expiratory pressure (PEEP)^ADM||8||||||F
OBX|1403|TX|ReVE001900^Adult ventilation auto positive end expiratory pressure^ADM||8||||||F
OBX|1404|TX|ReVE002001^Adult ventilation pressure control level^ADM||20||||||F
OBX|1405|TX|ReVE002101^Adult ventilation pressure support level^ADM||15||||||F
OBX|1406|TX|ReVE002102^Pressure support level^ADM||2||||||F
OBX|1407|TX|ReVE002200^Adult ventilation peak airway pressure^ADM||38||||||F
OBX|1408|TX|ReVE002301^Adult ventilation plateau pressure^ADM||36||||||F
OBX|1409|TX|ReVE002400^Adult ventilation mean airway pressure^ADM||25.0||||||F
OBX|1410|TX|ReVE003500^Adult ventilation water bag check^ADM||Y||||||F
OBX|1411|TX|ReVE003700^Adult ventilation evac patency and vacuum pressure checked^ADM||Y||||||F
OBX|1412|TX|ReVE003801^Adult ventilation frequency to tidal volume ratio (F/VT)^ADM||85||||||F
OBX|1413|TX|ReVE003901^Adult ventilation rapid shallow breathing index (RSBI)^ADM||80||||||F
OBX|1414|TX|ReVE004000^Adult ventilation static compliance^ADM||75.0||||||F
OBX|1415|TX|ReVE004100^Adult ventilation resistance^ADM||8||||||F
OBX|1416|TX|ReVE005101^Equipment safety check^ADM||Y||||||F
OBX|1417|TX|ReVE005200^Adult ventilation end tidal carbon dioxide (CO2)^ADM||26.0||||||F
OBX|1418|TX|ReVE005201^Adult ventilation end tidal carbon dioxide (CO2)^ADM||5.0||||||F
OBX|1419|TX|ReVE005901^Anticipated trial length^ADM||3||||||F
OBX|1420|TX|ReVE006201^Number of trials planned^ADM||2||||||F
OBX|1421|TX|ReVE007300^Adult ventilation spontaneous breathing passed^ADM||N||||||F
OBX|1422|CE|ReVE007402^SBT fail reasons^ADM||1^RR > 35 bpm for 5 minutes||||||F
OBX|1423|TX|ReVE008102^IPAP^ADM||18||||||F
OBX|1424|TX|ReVE008202^EPAP^ADM||8||||||F
OBX|1425|TX|ReVE012101^FiO2 (set)^ADM||0.50||||||F
OBX|1426|TX|ReVE012200^Adult ventilation fraction of inspired oxygen (measured)^ADM||0.40||||||F
OBX|1427|CE|ReVE012801^Non-invasive ventilation mode^ADM||1^BiPAP (ST)||||||F
OBX|1428|TX|ReVE017002^NAVA level^ADM||5.0||||||F
OBX|1429|TX|ReVE030001^Adult ventilation PAV+ parameters percentage of support^ADM||80||||||F
OBX|1430|TX|ReVE042000^Adult ventilation esophageal balloon PTP plateau^ADM||21||||||F
OBX|1431|TX|ReVE043000^Adult ventilation esophageal balloon Ptp PEEP^ADM||-5||||||F
OBX|1432|TX|ReVE050002^Tidal volume in mL/kg^ADM||6.0||||||F
OBX|1433|TX|ReVEDATE01^Ventilator discontinuation date^ADM||20180130||||||F
OBX|1434|TX|ReVENINI00^Date ventilation initiated^ADM||20180129||||||F
OBX|1435|TX|ReVENTTI01^Ventilator discontinuation time^ADM||1458||||||F
OBX|1436|CE|ReWEANME03^Weaning method^ADM||1^PSV||||||F
OBX|1437|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F
OBX|1438|TX|RpBLDL0000^Estimated blood loss amount^ADM||20||||||F
OBX|1439|TX|RpBLDL0200^Postpartum hemorrhage comments^ADM||GREAT||||||F
OBX|1440|CE|RpDE000100^Delivery type^ADM||1^SVD||||||F
OBX|1441|TX|RpDE000200^Delivery type other^ADM||GREAT||||||F
OBX|1442|TX|RpDE000600^Delivery type comments^ADM||GREAT||||||F
OBX|1443|CE|RpFU000100^Fundus location^ADM||2^Deviated right||||||F
OBX|1444|CE|RpFU000301^Fundus tone^ADM||2^Firm with massage||||||F
OBX|1445|CE|RpFUNHEI00^Fundal height^ADM||1^Umbilicus||||||F
OBX|1446|TX|RpMATHX000^Relevant maternal history^ADM||GREAT||||||F
OBX|1447|CE|RpNEWBO001^Head and neck defined parameters^ADM||1^Within defined parameters||||||F
OBX|1448|TX|RpNEWBO010^Head and neck comments^ADM||GREAT||||||F
OBX|1449|CE|RpNEWBO021^Eyes defined parameters^ADM||1^Within defined parameters||||||F
OBX|1450|TX|RpNEWBO030^Eyes comments^ADM||GREAT||||||F
OBX|1451|CE|RpNEWBO041^Ears defined parameters^ADM||1^Within defined parameters||||||F
OBX|1452|CE|RpNEWBO050^Affected ear(s)^ADM||1^Right||||||F
OBX|1453|TX|RpNEWBO060^Ear comments^ADM||GREAT||||||F
OBX|1454|CE|RpNEWBO071^Nose defined parameters^ADM||1^Within defined parameters||||||F
OBX|1455|TX|RpNEWBO081^Nasal interventions^ADM||GREAT||||||F
OBX|1456|TX|RpNEWBO090^Nose comments^ADM||GREAT||||||F
OBX|1457|CE|RpNEWBO101^Oral defined parameters^ADM||1^Within defined parameters||||||F
OBX|1458|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|1459|CE|RpPERAPP00^Perineum appearance^ADM||1^Intact||||||F
OBX|1460|CE|RpPERCM000^Perineum comfort measures used^ADM||2^Tea pads||||||F
OBX|1461|TX|RpPERCOM00^Perineum comments^ADM||GREAT||||||F
OBX|1462|CE|RpPERCON00^Perineum condition^ADM||2^Tenderness||||||F
OBX|1463|TX|RpPERCONOH^Perineum condition other^ADM||GREAT||||||F
OBX|1464|CE|RpPEREPI00^Perineum episiotomy type^ADM||2^Midline||||||F
OBX|1465|CE|RpPERLAC00^Perineum laceration degree^ADM||2^2 degree||||||F
OBX|1466|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|1467|CE|RpRPASSE00^Lochia amount^ADM||1^Nil||||||F
OBX|1468|CE|RpRPASSE11^Lochia description^ADM||1^Rubra||||||F
OBX|1469|TX|RpRPASSE30^Clots present^ADM||Y||||||F
OBX|1470|CE|RpRPASSE40^Lochia odour^ADM||1^None||||||F
OBX|1471|TX|RpRPASSE50^Lochia comments^ADM||GREAT||||||F
OBX|1472|TX|RpRPASSE60^Abdominal incision antiseptic cleansing solution^ADM||GREAT||||||F
OBX|1473|TX|RpSYSCOM00^Other reproductive system comments^ADM||GREAT||||||F
OBX|1474|CE|RpUC001300^Umbilical cord fetal cord vessel number^ADM||2^2||||||F
OBX|1475|TX|SpCONCOM00^Consent comment^ADM||test||||||F
OBX|1476|TX|SpCONREA00^Patient consented to assignment of tasks to RA^ADM||Y||||||F
OBX|1477|CE|SpDAPTID00^Two patient identifiers checked^ADM||1^Name band~2^Health record~3^MAR||||||F
OBX|1478|TX|SpDAPTIF00^Infusion concentrations and pump settings  reviewed^ADM||N||||||F
OBX|1479|CE|SpHANDG00^Handover given^ADM||1^In person||||||F
OBX|1480|CE|SpHANDOV00^Handover received^ADM||2^Taped||||||F
OBX|1481|CE|SpIPRATI02^Isolation precautions rationale suspected/confirmed^ADM||1^Clostridium difficile||||||F
OBX|1482|CE|SpLRAPST00^Preventative strategies^ADM||1^Promoted rest periods~8^Bed alarm~13^Routine toileting~19^Bowel protocol||||||F
OBX|1483|TX|SpOB000300^Observation record initiated^ADM||Y||||||F
OBX|1484|TX|SpOSPATT01^Observed sleep pattern^ADM||Sleeping intermittently||||||F
OBX|1485|TX|SpOTRCC00^Other transition of care comments^ADM||test||||||F
OBX|1486|TX|SpPDSREV00^Patient data screen reviewed^ADM||Y||||||F
OBX|1487|TX|SpPDSUPD00^Patient data screen updated^ADM||Y||||||F
OBX|1488|CE|SpPRSCHE00^Physical restraint safety checks^ADM||2^Skin intact~3^Sensation normal~4^Body in alignment~6^Circulation satisfactory~7^Range of motion performed~8^Remains safely secured||||||F
OBX|1489|CE|SpRESTRA00^Physical restraint location^ADM||1^Right wrist~2^Left wrist||||||F
OBX|1490|TX|SpRIREQU00^Reverse isolation required^ADM||N||||||F
OBX|1491|TX|SpSLEAID00^Sleep aid PRN given^ADM||Y||||||F
OBX|1492|TX|SpSP000400^Splinting skin check completed^ADM||Great||||||F
OBX|1493|TX|SpTRANS340^Patient identification number programmed into IV pump(s)^ADM||Y||||||F
OBX|1494|TX|SpUPAICM01^Fall prevention comments^ADM||GREAT||||||F
OBX|1495|TX|SpUPINOT01^Fall prevention strategy other^ADM||GREAT||||||F
OBX|1496|TX|SpWALKD00^Walkabout done^ADM||Y||||||F
OBX|1497|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|1498|TX|Total iron^Total iron provided^ADM||1.00||||||F
OBX|1499|TX|VsABD00030^Apneic duration^ADM||8||||||F
OBX|1500|TX|VsABD00041^Bradycardia duration^ADM||10||||||F
OBX|1501|CE|VsABD00050^Apnea, bradycardia \T\ desat intervention^ADM||1^IPPV~2^Suction~4^Mild tactile stimulation||||||F
OBX|1502|TX|VsABD00060^Apnea, bradycardia \T\ desat intervention other^ADM||TEST||||||F
OBX|1503|CE|VsABD00090^Position during episode^ADM||1^Right||||||F
OBX|1504|CE|VsABDACT00^Activity^ADM||1^In bed||||||F
OBX|1505|TX|VsABDAPN00^Apnea^ADM||Y||||||F
OBX|1506|TX|VsACITIO00^Activity at start of event other^ADM||TEST||||||F
OBX|1507|TX|VsAGEOOO00^Age^ADM||50||||||F
OBX|1508|TX|VsBEDHUM00^Bed humidity^ADM||50||||||F
OBX|1509|TX|VsBEDTEM00^Bed temperature^ADM||36.0||||||F
OBX|1510|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|1511|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|1512|TX|VsBPDIAO01^Blood pressure diastolic^ADM||54||||||F
OBX|1513|TX|VsBPDIAO03^Blood pressure diastolic^ADM||80||||||F
OBX|1514|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||62||||||F
OBX|1515|TX|VsBPMAPA05^Blood pressure mean arterial pressure^ADM||65||||||F
OBX|1516|CE|VsBPPOST02^Patient position^ADM||1^Right side lying||||||F
OBX|1517|TX|VsBPSYSO01^Blood pressure systolic^ADM||87||||||F
OBX|1518|TX|VsBPSYSO03^Blood pressure systolic^ADM||120||||||F
OBX|1519|TX|VsDAPRWT00^Date of previous weight^ADM||20180219||||||F
OBX|1520|TX|VsFRINOX01^Fraction of inspired oxygen (FiO2)^ADM||0.4||||||F
OBX|1521|CE|VsGENDER00^Gender^ADM||1^Male||||||F
OBX|1522|CE|VsGENDER01^Gender^ADM||1^Male||||||F
OBX|1523|CE|VsGROCHA02^Growth chart reference^ADM||1^World Health Organization||||||F
OBX|1524|CE|VsGROCHA03^Birth growth chart reference^ADM||1^World Health Organization||||||F
OBX|1525|TX|VsHECIRC00^Head circumference^ADM||2.0||||||F
OBX|1526|TX|VsHRADEL00^Electrical heart rate^ADM||80||||||F
OBX|1527|TX|VsHRADLT01^Heart rate^ADM||87||||||F
OBX|1528|TX|VsHRADLT04^Pulse rate^ADM||145||||||F
OBX|1529|CE|VsHRLOCA02^Heart rate location^ADM||3^Apical||||||F
OBX|1530|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|1531|CE|VsHRMETH00^Heart rate method used^ADM||4^Monitor||||||F
OBX|1532|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|1533|TX|VsHTCM0100^Current height^ADM||180.0||||||F
OBX|1534|TX|VsHTMM0000^Height measurement method comment^ADM||Great||||||F
OBX|1535|TX|VsIDEALW00^Ideal body weight^ADM||55||||||F
OBX|1536|TX|VsLNGTH000^Length measurement method comment^ADM||GREAT||||||F
OBX|1537|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||20||||||F
OBX|1538|TX|VsOXDRAD02^Oxygen therapy delivery rate^ADM||5||||||F
OBX|1539|TX|VsPEW00000^Respiratory rate score^ADM||2||||||F
OBX|1540|TX|VsPEW00100^Pulse rate PEWS score^ADM||3||||||F
OBX|1541|CE|VsPEWBEM01^Bronchodilator every 20 minutes^ADM||1^Yes||||||F
OBX|1542|CE|VsPEWCRT00^Capillary refill time^ADM||1^1-2 seconds||||||F
OBX|1543|TX|VsPEWDBP00^Diastolic^ADM||30||||||F
OBX|1544|TX|VsPEWDBP20^Diastolic^ADM||20||||||F
OBX|1545|TX|VsPEWMAP02^Mean arterial pressure^ADM||50||||||F
OBX|1546|TX|VsPEWMAP20^Mean arterial pressure^ADM||35||||||F
OBX|1547|TX|VsPEWPFC00^Patient/Family/Caregiver concern^ADM||Y||||||F
OBX|1548|CE|VsPEWPVS00^Persistent vomiting following surgery^ADM||1^Yes||||||F
OBX|1549|CE|VsPEWSBE00^Behaviour^ADM||1^Playing/Appropriate||||||F
OBX|1550|TX|VsPEWSBP01^Systolic^ADM||90||||||F
OBX|1551|TX|VsPEWSBP20^Systolic^ADM||50||||||F
OBX|1552|TX|VsPEWSCB00^Communication breakdown^ADM||Y||||||F
OBX|1553|TX|VsPEWSCR01^Total PEWS score^ADM||9||||||F
OBX|1554|TX|VsPEWSFC00^PEWS score for cardiovascular^ADM||3||||||F
OBX|1555|TX|VsPEWSGE00^PEWS score greater/equal 2^ADM||Y||||||F
OBX|1556|TX|VsPEWSPR00^Pulse rate^ADM||150||||||F
OBX|1557|TX|VsPEWSPR20^Pulse rate^ADM||30||||||F
OBX|1558|CE|VsPEWSRD00^Respiratory distress^ADM||2^Mild||||||F
OBX|1559|TX|VsPEWSRR00^Respiratory rate^ADM||35||||||F
OBX|1560|TX|VsPEWSRR20^Respiratory rate^ADM||55||||||F
OBX|1561|TX|VsPEWSSB00^PEWS score for behaviour^ADM||0||||||F
OBX|1562|CE|VsPEWSSC01^Skin colour^ADM||2^Pale||||||F
OBX|1563|TX|VsPEWSSR00^PEWS score for respiratory^ADM||2||||||F
OBX|1564|TX|VsPEWSWP00^Watcher patient^ADM||Y||||||F
OBX|1565|TX|VsPEWTEM00^Temperature^ADM||39.0||||||F
OBX|1566|TX|VsPEWUNT00^Unusual therapy^ADM||Y||||||F
OBX|1567|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||60||||||F
OBX|1568|TX|VsPOOSAD02^Pulse oximetry oxygen saturation^ADM||90||||||F
OBX|1569|TX|VsPOOSAD10^Secondary pulse oximetry^ADM||96||||||F
OBX|1570|TX|VsPOOSAD11^Secondary pulse oximetry^ADM||20||||||F
OBX|1571|CE|VsPRBLOC00^Probe location^ADM||2^Hand||||||F
OBX|1572|CE|VsPRBLOC10^Secondary probe location^ADM||4^Foot||||||F
OBX|1573|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F
OBX|1574|CE|VsPRLOMO10^Secondary probe location modifier^ADM||2^Left||||||F
OBX|1575|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|1576|TX|VsPROREP00^Probe repositioned^ADM||N||||||F
OBX|1577|CE|VsPULSTR00^Pulse strength on palpation^ADM||1^Weak||||||F
OBX|1578|TX|VsPUOXCO00^Pulse oximetry comment^ADM||Sedation Scale Score (PAIN)||||||F
OBX|1579|TX|VsRESPAD03^Respiratory rate^ADM||14||||||F
OBX|1580|TX|VsRESPAD04^Respiratory rate^ADM||52||||||F
OBX|1581|TX|VsSECTEM00^Secondary temperature^ADM||36||||||F
OBX|1582|TX|VsSECTEM01^Secondary temperature^ADM||36.0||||||F
OBX|1583|CE|VsSECTES00^Secondary temperature source^ADM||4^Axillary||||||F
OBX|1584|TX|VsTEMPCM01^Temperature comments^ADM||GREAT||||||F
OBX|1585|CE|VsTPSORC01^Temperature source^ADM||1^Oral||||||F
OBX|1586|CE|VsTPSORC03^Temperature source^ADM||8^Axillary||||||F
OBX|1587|TX|VsTPTEMPO2^Temperature^ADM||39.4||||||F
OBX|1588|TX|VsTPTEMPO4^Temperature^ADM||37.5||||||F
OBX|1589|TX|VsVISICO00^Vital Signs comments^ADM||Sedation Scale Score (PAIN)||||||F
OBX|1590|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||1^Current weight||||||F
OBX|1591|TX|VsWT000101^Current Weight^ADM||87.300||||||F
OBX|1592|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|1593|TX|VsWT000500^Visibly fluid overloaded^ADM||Y||||||F
OBX|1594|TX|VsWT000600^Severely dehydrated^ADM||Y||||||F
OBX|1595|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|1596|TX|VsWT000901^Dry weight^ADM||50.00||||||F
OBX|1597|TX|VsWT001200^Preoperative weight^ADM||50.00||||||F
OBX|1598|TX|VsWT001701^Birth weight^ADM||5.000||||||F
OBX|1599|TX|VsWT002701^Usual/Previous weight^ADM||30.000||||||F
OBX|1600|TX|VsWT003100^Prepregnancy weight^ADM||60.0||||||F
OBX|1601|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|1602|TX|VsWT003500^Goal/target weight^ADM||50.000||||||F
OBX|1603|TX|VsWT004100^Predicted weight^ADM||74.84||||||F
OBX|1604|TX|VsWT004200^Adjusted weight^ADM||53.0||||||F
OBX|1605|CE|VsWT004301^Adjusted body weight reason(s)^ADM||1^Obesity||||||F
OBX|1606|TX|VsWT004400^Pregnancy weight gain calculated^ADM||-10.00||||||F
OBX|1607|TX|VsWT004500^Pregnancy weight gain stated^ADM||5.0||||||F
OBX|1608|TX|VsWT004703^Current height^ADM||5.00||||||F
OBX|1609|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|1610|TX|VsWT005000^Birth height or length^ADM||50.00||||||F
OBX|1611|TX|VsWT005300^Body mass index^ADM||200.0||||||F
OBX|1612|TX|VsWT005400^Prepregnancy body mass index^ADM||240.0||||||F
OBX|1613|TX|VsWT006000^Weight change time frame^ADM||Great||||||F
OBX|1614|TX|VsWT007700^Birth head circumference^ADM||50.00||||||F
OBX|1615|TX|VsWT009100^Weight^ADM||1.552||||||F
OBX|1616|TX|VsWTADOT00^Adjusted body weight reason(s) other^ADM||Great||||||F
OBX|1617|TX|VsWTCHNG00^Weight change since last weighed^ADM||0 grams over the past 1 days||||||F
OBX|1618|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||87300.000||||||F
OBX|1619|TX|VsWTMEMC01^Weight measurement method comment^ADM||Great||||||F
OBX|1620|TX|VsWTPREV02^Previous weight^ADM||5.000||||||F
OBX|1621|TX|zNICDARP00^NICU DARP Notes^ADM||consistent 5% difference between pre/post ductal sats. Xray complete. Dr.~H notified of above, coming in to assess patient. PCC aware of same.||||||F
OBX|1622|TX|zNICUACT1^Action^ADM||Dr. H aware and assessed pt at bedside||||||F
OBX|1623|TX|zNICUACT2^Action^ADM||Dr. H phoned||||||F
OBX|1624|TX|zNICUACT3^Action^ADM||Chest xray and 4 limb BP ordered, pre/post ductal sats on||||||F
OBX|1625|TX|zNICUNAM00^Name of person notified^ADM||Dr. H||||||F
OBX|1626|CE|zNICUNO00^Person notified^ADM||1^MRP||||||F
OBX|1627|TX|zNICUPLAN0^Plan^ADM||continue to monitor, notify Dr. when xray complete||||||F
OBX|1628|TX|zNICURES00^Response^ADM||consistent 5% difference between pre/post ductal sats||||||F
OBX|1629|TX|zSEPSISM00^Sepsis screen^ADM||Severe Sepsis Risk||||||F
OBX|1630|CE|zSEPSISM01^Sepsis action taken^ADM||1^Physician notified||||||F
OBX|1631|TX|zSEPSISM02^Name of provider notified^ADM||TEST||||||F
OBX|1632|CE|zSEPSISM15^Infection criteria present^ADM||1^Suspected new infection||||||F
OBX|1633|CE|zSEPSISM18^SIRS criteria present^ADM||1^Pulse > 90 bpm~7^WBC > 12.0||||||F
OBX|1634|CE|zSEPSISM19^Organ dysfunction criteria present^ADM||6^Lactate > 2 mmol/L||||||F
OBX|1635|TX|zSEPSISM43^Risk for sepsis identified^ADM||Y||||||F
OBX|1636|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC||||ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||DNA-ARH-22/02/18|||NMIHGTWGT

