MSH|^~\&|ADM|ARH|||202002031544||ADT^A08|4160756|D|2.2|||AL|NE
EVN|A08|202002031544||||
PID|1|FHATVIG0013174|AB00008542|AB8404|PCSTEST^SPECIALPANEL^OR SOMET||19370130|F|||123 State st^^Moose Jaw^SK^S6H 8J9|||||||AB001082/19|
PV1|1|I|AB-2CHEAMB^AB2C-C2054^1|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||INTM||||||||IN|||||||||||||||||||||ARH|||||202001300805|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||70.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||178.0||||||F
OBX|3|TX|ADM CCI2^CCI#2^ADM||||||||F
OBX|4|TX|ADM CCI3^CCI#3^ADM||||||||F
OBX|5|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20171121||||||F
OBX|6|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F
OBX|7|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|9|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|10|CE|Ac00001200^Oral care support provided^ADM||1^None||||||F
OBX|11|CE|Ac00001300^Dressing support provided^ADM||2^Supervision||||||F
OBX|12|CE|Ac00006000^Bathing support provided^ADM||2^Supervision||||||F
OBX|13|TX|AcDAIL0003^Current RASS goal^ADM||0||||||F
OBX|14|CE|AcTOASST02^Toileting assistance^ADM||2^Supervision||||||F
OBX|15|TX|AdADMRSN00^Reason for admission^ADM||dwindles||||||F
OBX|16|CE|AdASEVRD00^As evidenced by^ADM||4^Avoidance of foods~18^Prolonged feeding time||||||F
OBX|17|TX|AdBIRTH010^Expected date of delivery^ADM||20200209||||||F
OBX|18|CE|AdCCCARE01^Level of care^ADM||2^1b||||||F
OBX|19|TX|AdCRSTAT00^Current problem status^ADM||unable to weightbear for longer than 10 minutes||||||F
OBX|20|TX|AdCRSTCL00^Current problem status^ADM||Patient upset over lack on control||||||F
OBX|21|TX|AdCRSTHH00^Current problem status^ADM||Unable to shower alone due to pain||||||F
OBX|22|TX|AdCRSTOT00^Current problem status^ADM||Unable to stand to have a shower||||||F
OBX|23|TX|AdCRSTPT00^Current problem status^ADM||Limited mobility due to left knee pain||||||F
OBX|24|TX|AdCRSTRC00^Current problem status^ADM||Stressed out with functional limits||||||F
OBX|25|TX|AdCRSTRT00^Current problem status^ADM||Needs oxygen for walking, not needed previously||||||F
OBX|26|TX|AdCRSTSL00^Current problem status^ADM||Takes multiple swallows to clear fluid||||||F
OBX|27|TX|AdCRSTSW00^Current problem status^ADM||Patient struggling with lack of control||||||F
OBX|28|TX|AdESTDTD00^Estimated date of discharge^ADM||20200205||||||F
OBX|29|TX|AdGOALCP00^Goal^ADM||to be able to walk to the store and back||||||F
OBX|30|TX|AdGOALDT00^Goal target date^ADM||20200207||||||F
OBX|31|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|32|TX|AdINVANR00^1. Intervention to address problem^ADM||Continue work with PT||||||F
OBX|33|TX|AdINVANR01^2. Intervention to address problem^ADM||Continue with pain medications||||||F
OBX|34|TX|AdINVANR02^3. Intervention to address problem^ADM||Bed exercises||||||F
OBX|35|TX|AdOTCPDE01^Problem detail^ADM||Limited due to pain||||||F
OBX|36|CE|AdOTCPID01^Problem identified^ADM||1^Ability to complete ADLs||||||F
OBX|37|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F
OBX|38|CE|AdPROBCL00^Problem identified^ADM||1^Adjustment/Transition||||||F
OBX|39|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|40|TX|AdPROBDS00^Problem detail^ADM||limited mobility due to pain||||||F
OBX|41|CE|AdPROBHH01^Problem identified^ADM||9^Personal care||||||F
OBX|42|CE|AdPROBID20^Problem identified^ADM||13^Mobility||||||F
OBX|43|CE|AdPROBPT00^Problem identified^ADM||7^Pain||||||F
OBX|44|CE|AdPROBRD00^Problem identified^ADM||33^Swallowing difficulty||||||F
OBX|45|CE|AdPROBRT01^Problem identified^ADM||4^Shortness of breath||||||F
OBX|46|TX|AdPRODCL01^Problem detail^ADM||Parent's going through a divorce||||||F
OBX|47|TX|AdPRODHH00^Problem detail^ADM||Needs assistance with personal care||||||F
OBX|48|TX|AdPRODPT00^Problem detail^ADM||Arthritic left knee||||||F
OBX|49|TX|AdPRODRT01^Problem detail^ADM||SOBOE||||||F
OBX|50|TX|AdRECPDE01^Problem details^ADM||Limited function d/t pain||||||F
OBX|51|CE|AdRECPID00^Problem identified^ADM||3^Functional change||||||F
OBX|52|CE|AdRETORD00^Related to^ADM||10^Food aversion||||||F
OBX|53|TX|AdSLPCPD01^Problem detail^ADM||Difficulty with thin fluids||||||F
OBX|54|CE|AdSLPCPI01^Problem identified^ADM||8^Swallowing||||||F
OBX|55|TX|AdSWCPDE00^Problem detail^ADM||Divorce||||||F
OBX|56|CE|AdSWCPID01^Problem identified^ADM||5^Adjustment/Transition||||||F
OBX|57|CE|CP TH ADCT^Admission Category:^ADM||C UNK^Condition Unknown||||||F
OBX|58|TX|CaACDATR01^Arterial catheter removal date^ADM||20200203||||||F
OBX|59|TX|CaACLEZE00^Arterial catheter levelled and zeroed^ADM||Y||||||F
OBX|60|CE|CaACSQWA00^Arterial catheter square wave assessment^ADM||1^Optimally dampened||||||F
OBX|61|CE|CaARTM0000^Arterial catheter insertion site^ADM||1^Right radial||||||F
OBX|62|TX|CaAT000700^Infused autotransfusion volume^ADM||500||||||F
OBX|63|CE|CaBL000301^Estimated blood loss^ADM||1^Less than 500 mL||||||F
OBX|64|TX|CaBLSRCL00^Source of blood loss^ADM||test||||||F
OBX|65|TX|CaBTV00100^Blood intake^ADM||500.00||||||F
OBX|66|CE|CaCA000352^Electrocardiogram rhythm^ADM||17^Atrial fibrillation||||||F
OBX|67|TX|CaCA000400^Cardiac rhythm RR segment^ADM||705||||||F
OBX|68|CE|CaCAARIN00^Investigations done^ADM||1^Blood work~2^12 lead ECG||||||F
OBX|69|CE|CaCAARIT00^Cardiac interventions^ADM||1^Antiarrhythmic~4^Pacing||||||F
OBX|70|CE|CaCADTYP01^Cardiac device type^ADM||1^Pacemaker||||||F
OBX|71|TX|CaCAMQT001^Cardiac monitoring QT segment^ADM||500||||||F
OBX|72|CE|CaCAPEPA01^Pacemaker mode^ADM||1^AAI||||||F
OBX|73|TX|CaCAQTC001^Cardiac monitoring QTc result^ADM||595||||||F
OBX|74|TX|CaCAQTCB00^Cardiac rhythm initial/baseline QTc^ADM||450||||||F
OBX|75|TX|CaCAQTCH00^Change from initial/baseline QTc^ADM||145||||||F
OBX|76|CE|CaCARHEC10^Cardiac ectopy^ADM||2^PVC||||||F
OBX|77|TX|CaCCRT0117^Output, CRRT Ultrafiltration Amount^ADM||50||||||F
OBX|78|CE|CaCD002200^Chest discomfort precipitating factors^ADM||2^Coughing~3^Eating||||||F
OBX|79|CE|CaCD002400^Chest discomfort quality^ADM||2^Constricting~7^Pressure||||||F
OBX|80|CE|CaCD002600^Chest discomfort location^ADM||2^Left chest||||||F
OBX|81|CE|CaCD002800^Chest discomfort radiation^ADM||7^Right arm~8^Right jaw||||||F
OBX|82|CE|CaCD003102^Chest discomfort duration^ADM||4^15-30 minutes||||||F
OBX|83|CE|CaCD003901^Chest discomfort alleviating factors^ADM||2^Rest||||||F
OBX|84|CE|CaCHDISF01^Chest discomfort associated symptoms^ADM||1^Shortness of breath~6^Faintness||||||F
OBX|85|TX|CaCV000100^Central venous pressure^ADM||6||||||F
OBX|86|CE|CaHS000200^Heart sounds quality^ADM||1^Normal||||||F
OBX|87|TX|CaHS000300^Heart sounds murmur^ADM||Y||||||F
OBX|88|CE|CaHS000400^Heart sounds murmur^ADM||1^Systole||||||F
OBX|89|CE|CaHS000700^Heart sounds audible^ADM||1^S1~3^S2||||||F
OBX|90|TX|CaMSRBLL00^Measured blood loss^ADM||20.00||||||F
OBX|91|TX|CaPACAI000^Cardiac index^ADM||3.6||||||F
OBX|92|TX|CaPACAO000^Cardiac output^ADM||6.0||||||F
OBX|93|CE|CaPACAOM00^Cardiac output method^ADM||1^Intermittent||||||F
OBX|94|CE|CaPACETY50^Pacemaker type^ADM||1^Permanent||||||F
OBX|95|TX|CaPADIA000^Pulmonary artery diastolic pressure^ADM||11||||||F
OBX|96|TX|CaPAMEAN00^Pulmonary artery mean pressure^ADM||9||||||F
OBX|97|TX|CaPAMVOS00^Mixed venous oxygen saturation^ADM||50||||||F
OBX|98|TX|CaPAPAWP00^Pulmonary artery wedge pressure^ADM||6||||||F
OBX|99|TX|CaPAPVR000^Pulmonary vascular resistance^ADM||66||||||F
OBX|100|TX|CaPAPVRI00^Pulmonary vascular resistance index^ADM||333||||||F
OBX|101|TX|CaPASTV000^Stroke volume^ADM||66||||||F
OBX|102|TX|CaPASTVI00^Stroke volume index^ADM||40||||||F
OBX|103|TX|CaPASVR000^Systemic vascular resistance^ADM||300||||||F
OBX|104|TX|CaPASVRI00^Systemic vascular resistance index^ADM||3000||||||F
OBX|105|TX|CaPASYS000^Pulmonary artery systolic pressure^ADM||16||||||F
OBX|106|TX|CaSB000100^Shortness of breath reported history^ADM||Y||||||F
OBX|107|TX|CaSB001500^Jugular venous measurement^ADM||3||||||F
OBX|108|TX|CaTPOUTP00^Transcutaneous pacing set output^ADM||85||||||F
OBX|109|TX|CaTPRATE00^Transcutaneous pacing set rate^ADM||62||||||F
OBX|110|TX|CaTPSENS02^Transcutaneous pacing sensing appropriately^ADM||Y||||||F
OBX|111|TX|CaTRLESR00^Transvenous pacemaker set rate^ADM||100||||||F
OBX|112|TX|CaTRLESR01^Pacemaker set rate^ADM||78||||||F
OBX|113|TX|CaTRPAOU01^Transvenous pacemaker output^ADM||4.0||||||F
OBX|114|TX|CaTRPASA04^Pacemaker sensing appropriately^ADM||Y||||||F
OBX|115|TX|CaTRPASE01^Transvenous pacemaker sensitivity^ADM||2.5||||||F
OBX|116|CE|CaTRPSPD00^Pacing dependence^ADM||2^Partial||||||F
OBX|117|CE|EnES000401^Nausea severity^ADM||3^Moderate||||||F
OBX|118|TX|EnGLYC0000^Glucometer blood glucose^ADM||6.2||||||F
OBX|119|TX|GiABGIRT00^Abdomen abdominal girth^ADM||120.00||||||F
OBX|120|CE|GiABSHAP00^Abdominal shape^ADM||2^Rounded~4^Distended||||||F
OBX|121|CE|GiBM000000^Bowel movement method^ADM||1^Toilet||||||F
OBX|122|CE|GiBM000100^Bowel movement colour^ADM||3^Brown||||||F
OBX|123|TX|GiBM000400^Number bowel movement diapers^ADM||1||||||F
OBX|124|CE|GiBMAMT201^Bowel movement amount^ADM||2^Medium (240 mL)||||||F
OBX|125|TX|GiBMINCO00^Bowel movement incontinence^ADM||N||||||F
OBX|126|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20200203||||||F
OBX|127|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||30.0||||||F
OBX|128|TX|GiBSST0001^Bristol Chart stool consistency^ADM||3||||||F
OBX|129|TX|GiEMAMME00^Emesis amount measured^ADM||125||||||F
OBX|130|CE|GiEMDESC04^Emesis description^ADM||3^Green||||||F
OBX|131|CE|GiEMFREQ00^Emesis frequency^ADM||2^Continuous||||||F
OBX|132|CE|GiETDEDE00^Enteral feeding tube delivery service^ADM||2^Pump||||||F
OBX|133|TX|GiETSIZE00^Enteral feeding tube size^ADM||10.0||||||F
OBX|134|TX|GiFART0001^Flatus^ADM||Y||||||F
OBX|135|CE|GiFTTYPE00^Feeding tube type^ADM||3^Gastrostomy||||||F
OBX|136|TX|GiGT000600^Suction level^ADM||25||||||F
OBX|137|CE|GiGTRECH00^Gastric return characteristics^ADM||1^Green~4^Clear||||||F
OBX|138|CE|GiGTSTAT02^Gastric tube status^ADM||4^Low continuous suction||||||F
OBX|139|TX|GiIAPMIP00^Intra-abdominal pressure^ADM||18||||||F
OBX|140|CE|GiNAFREQ00^Nausea frequency^ADM||2^Continuous||||||F
OBX|141|TX|GiNICU0010^Duration of breastfeed^ADM||25||||||F
OBX|142|CE|GiOSTYPE00^Ostomy type^ADM||2^Colostomy||||||F
OBX|143|TX|GuBDINCO00^Bladder incontinence^ADM||N||||||F
OBX|144|TX|GuBDSVA000^Bladder scan volume^ADM||450||||||F
OBX|145|CE|GuBDVM0002^Voiding method^ADM||1^Toilet||||||F
OBX|146|TX|GuDIAP0000^Number urine diapers^ADM||2||||||F
OBX|147|TX|GuHEMORP00^Hemodialysis reported fluid removal^ADM||20.00||||||F
OBX|148|TX|GuPDDVOL00^Peritoneal dialysis drain volume^ADM||550||||||F
OBX|149|TX|GuPDEXFB00^Exchange fluid balance^ADM||-50||||||F
OBX|150|TX|GuPDPFVO00^Previous dialysate fill volume^ADM||500||||||F
OBX|151|TX|GuPVRVOL01^Post void residual volume^ADM||100||||||F
OBX|152|CE|GuURCLR000^Urine clarity^ADM||4^Sediments||||||F
OBX|153|CE|GuURCOL002^Urine colour^ADM||1^Yellow||||||F
OBX|154|CE|He00000200^Anterior fontanelle^ADM||1^Soft~3^Full||||||F
OBX|155|CE|He00000400^Posterior fontanelle^ADM||1^Soft~3^Full||||||F
OBX|156|CE|HeEY000600^Sclera colour^ADM||3^Pink||||||F
OBX|157|CE|HeEY001001^Eye discharge description^ADM||2^Serous||||||F
OBX|158|CE|HeINCASP00^Patient factors that increase the risk of aspiration^ADM||2^Decreased LOC~16^Cough: weak||||||F
OBX|159|CE|HeREDASP00^Patient factors that reduce their risk of aspiration^ADM||6^Adheres to dysphagia diet~8^Healthy oral cavity||||||F
OBX|160|CE|HeSL006401^Overall dysphagia impairment severity^ADM||2^Mild-Moderate||||||F
OBX|161|CE|HeSL006803^Diet recommendations^ADM||6^Dysphagia nectar thick||||||F
OBX|162|CE|HeSLP09100^Swallow strategy assistance^ADM||1^Assistance needed||||||F
OBX|163|CE|HeSLP09301^Mealtime strategy recommendations^ADM||1^Eat/Feed slowly~7^Small bites/sips||||||F
OBX|164|CE|HeSLP09500^Compensatory strategy recommendations^ADM||12^Adaptive feeding tool~17^Multiple swallows||||||F
OBX|165|CE|HeSSASPR00^Signs/Symptoms of aspiration^ADM||5^Cough during swallow~7^Tearing eyes||||||F
OBX|166|CE|HeSW000100^Swallowing concerns identified with solids^ADM||5^Throat clearing||||||F
OBX|167|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||9^Wet/gurgly sounding voice||||||F
OBX|168|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||6^Drooling||||||F
OBX|169|CE|HeSW001800^Swallowing concerns intervention^ADM||1^Completed SST~2^Swallow ax referral~3^Diet changed||||||F
OBX|170|TX|HxIICPMA02^Postmenstrual age^ADM||38 weeks 4 days||||||F
OBX|171|TX|HxIIDATE01^Date of birth^ADM||20200128||||||F
OBX|172|TX|HxIIGAWD00^Gestational age^ADM||38 weeks 2 days||||||F
OBX|173|TX|HxIIGEDA00^Gestational age in days^ADM||2||||||F
OBX|174|TX|HxIIGEWE00^Gestational age in weeks^ADM||38||||||F
OBX|175|TX|HxIITOTA01^Total days of life^ADM||2||||||F
OBX|176|TX|HxMEASUR00^Weight change from previous measurement^ADM||100 grams over the past 1 days||||||F
OBX|177|TX|HxMEASUR10^Percent weight change since birth^ADM||14.29%  weight gain||||||F
OBX|178|TX|HxPHCP0000^History of chest pain^ADM||Y||||||F
OBX|179|TX|HxSPTCHX01^Pertinent clinical history^ADM||Testing pertinent clinical history to see how it appears when there are~more than two lines documented on one patient.  This is a test to see how~the text displays.||||||F
OBX|180|CE|InBSACTV00^Braden Scale activity^ADM||2^2-Chairfast||||||F
OBX|181|CE|InBSFRSH00^Braden Scale friction and shear^ADM||1^1-Problem||||||F
OBX|182|CE|InBSMOBI01^Braden Scale mobility^ADM||3^3-Slightly limited||||||F
OBX|183|CE|InBSMOIS00^Braden Scale moisture^ADM||1^1-Constantly moist||||||F
OBX|184|CE|InBSNUTR00^Braden Scale nutrition^ADM||2^2-Probably inadequate||||||F
OBX|185|TX|InBSRISK01^Braden Scale risk level^ADM||High||||||F
OBX|186|TX|InBSSCOR00^Braden Skin Risk Assessment Score^ADM||11||||||F
OBX|187|CE|InBSSPER00^Braden Scale sensory perception^ADM||2^2-Very limited||||||F
OBX|188|CE|InDRALBD00^Drain location body site^ADM||13^Abdomen||||||F
OBX|189|CE|InDRALBS00^Drain location body site modifier^ADM||1^Right||||||F
OBX|190|TX|InDRASED00^Drain securement device in use^ADM||Y||||||F
OBX|191|CE|InDRATYP00^Drain type^ADM||1^Negative pressure device||||||F
OBX|192|CE|InEDEMAS00^Edema severity^ADM||2^+2||||||F
OBX|193|CE|InEDEMLB01^Edema location^ADM||13^Up to ankle||||||F
OBX|194|CE|InEDEMLM00^Edema location modifier^ADM||3^Right||||||F
OBX|195|CE|InWNDLOC02^Wound location^ADM||40^Great toe||||||F
OBX|196|CE|InWNDMOD00^Wound location modifier^ADM||2^Left||||||F
OBX|197|CE|InWNDTYM00^Wound type^ADM||14^Pressure||||||F
OBX|198|TX|IoNICUIN30^Intake, IV Amount^ADM||1000.00||||||F
OBX|199|TX|IoNICUIN51^Intake, Free Water Amount^ADM||50.00||||||F
OBX|200|CE|IoSOLUMA02^Solution^ADM||1^NS||||||F
OBX|201|TX|IvCAPCCV00^CVC cap change next due^ADM||20200131||||||F
OBX|202|CE|IvINVTYP01^Line type^ADM||1^PIV||||||F
OBX|203|CE|IvLINETY00^Line type^ADM||1^Single lumen||||||F
OBX|204|CE|IvLOCATI00^Location^ADM||1^Jugular||||||F
OBX|205|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|206|CE|IvLOCATM01^Location Modifier^ADM||1^Right||||||F
OBX|207|CE|IvPIVLOC00^Location^ADM||2^Lower arm PIV||||||F
OBX|208|CE|IvPL000700^Initial management^ADM||1^Infusion||||||F
OBX|209|TX|IvRATE0000^Rate^ADM||75.00||||||F
OBX|210|TX|IvSIZE0000^Size^ADM||20||||||F
OBX|211|CE|MhAFFECT01^Affect^ADM||1^Appropriate||||||F
OBX|212|CE|MhBHBEHA00^Behaviour^ADM||1^Relaxed~5^Purposeful||||||F
OBX|213|CE|MhMSEATT01^Attitude^ADM||3^Approachable~7^Pleasant||||||F
OBX|214|CE|MhRESTPT01^Type of physical restraint used^ADM||02^Velcro~04^Disposable/Quick release||||||F
OBX|215|CE|Mo00000500^Ambulation support provided^ADM||6^1 person assist||||||F
OBX|216|CE|MoAIDAMB01^Ambulation aid^ADM||10^Walker: 2 wheeled||||||F
OBX|217|CE|MoAIDTRA01^Transfer aid^ADM||10^Walker: 2 wheeled||||||F
OBX|218|CE|MoEQUITR01^Transfer equipment^ADM||2^No equipment used||||||F
OBX|219|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal~3^Monitor while toileting~18^Monitor while mobilizing||||||F
OBX|220|CE|MoMOBKEY00^Mobility type^ADM||4^Toilet transfer||||||F
OBX|221|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|222|CE|MoSUPPPV03^Recommended support provided^ADM||2^Supervision||||||F
OBX|223|CE|MoTRSEMR00^Transfer support provided^ADM||2^Supervision||||||F
OBX|224|TX|MsMECHOI00^Mechanism of injury^ADM||sheets on bed||||||F
OBX|225|CE|NeCATLOC03^5. Altered level of consciousness^ADM||2^Vigilant||||||F
OBX|226|CE|NeCDIFFA02^3. Inattention^ADM||1^Yes||||||F
OBX|227|TX|NeCDIORE01^CAM result^ADM||Delirium Suspected||||||F
OBX|228|CE|NeCEACMS02^1. Acute onset^ADM||2^No||||||F
OBX|229|CE|NeCFBDPD02^2. Fluctuating course^ADM||1^Yes||||||F
OBX|230|TX|NeCIRE0002^CIWA-Ar Alcohol Withdrawal Score^ADM||23||||||F
OBX|231|CE|NeCIWA1000^Headache, fullness in head^ADM||6^3||||||F
OBX|232|CE|NeCIWAA100^Nausea and vomiting^ADM||2^2||||||F
OBX|233|CE|NeCIWAA200^Tremor^ADM||2^2||||||F
OBX|234|CE|NeCIWAA300^Paroxysmal sweats^ADM||2^2||||||F
OBX|235|CE|NeCIWAA400^Anxiety^ADM||3^4||||||F
OBX|236|CE|NeCIWAA500^Agitation^ADM||2^2||||||F
OBX|237|CE|NeCIWAA600^Orientation^ADM||2^1||||||F
OBX|238|CE|NeCIWAA700^Tactile disturbances^ADM||6^3||||||F
OBX|239|CE|NeCIWAA800^Auditory disturbances^ADM||2^2||||||F
OBX|240|CE|NeCIWAA900^Visual disturbances^ADM||2^2||||||F
OBX|241|CE|NeCSPDSI02^4. Disorganized thinking^ADM||1^Yes||||||F
OBX|242|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||1^4- Spontaneous||||||F
OBX|243|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||1^6- Obeys commands||||||F
OBX|244|TX|NeGCSSCR01^GCS score^ADM||15||||||F
OBX|245|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|246|CE|NeICDSCC01^ICDSC altered level of consciousness^ADM||1^1||||||F
OBX|247|CE|NeICDSCD01^ICDSC disorientation^ADM||1^1||||||F
OBX|248|CE|NeICDSCF01^ICDSC symptom fluctuation^ADM||1^1||||||F
OBX|249|CE|NeICDSCH01^ICDSC hallucination, delusion or psychosis^ADM||0^0||||||F
OBX|250|CE|NeICDSCI01^ICDSC inattention^ADM||1^1||||||F
OBX|251|CE|NeICDSCP01^ICDSC psychomotor agitation or retardation^ADM||1^1||||||F
OBX|252|TX|NeICDSCR00^ICDSC score^ADM||5||||||F
OBX|253|CE|NeICDSCS01^ICDSC inappropriate speech or mood^ADM||0^0||||||F
OBX|254|CE|NeICDSCW03^ICDSC sleep/wake cycle disturbance^ADM||0^0||||||F
OBX|255|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|256|CE|NeORIENT01^Oriented to^ADM||2^Person~3^Place~5^Situation||||||F
OBX|257|CE|NePOSC0000^POSS score^ADM||2^2 - Slightly drowsy||||||F
OBX|258|CE|NePURXNL00^Pupil reaction to light^ADM||2^Sluggish||||||F
OBX|259|CE|NePUSIDE00^Pupil side^ADM||1^Left||||||F
OBX|260|TX|NePUSIZE00^Pupil size^ADM||5||||||F
OBX|261|CE|NeRASS0000^RASS score^ADM||3^+2 Agitated||||||F
OBX|262|TX|NeSEIZ0000^Seizure duration minutes^ADM||1||||||F
OBX|263|TX|NeSEIZ0100^Seizure duration seconds^ADM||30||||||F
OBX|264|TX|NeSZDESC00^Seizure description^ADM||Started with the patient staring off into space and then the arms starting~shaking followed by the whole body||||||F
OBX|265|TX|NeSZTIME00^Seizure onset time^ADM||0835||||||F
OBX|266|CE|NuBMIIBW01^Method used to calculate ideal body weight^ADM||1^Body mass index of 25||||||F
OBX|267|CE|NuBRAMCO02^Breakfast amount consumed^ADM||02^25%||||||F
OBX|268|CE|NuDIAMCO02^Dinner amount consumed^ADM||04^75%||||||F
OBX|269|TX|NuDODRAI00^Drain output^ADM||20.00||||||F
OBX|270|TX|NuENSOLU02^Enteral nutrition formula or solution^ADM||Isosource||||||F
OBX|271|CE|NuFEEASS01^Feeding assistance^ADM||2^Supervision||||||F
OBX|272|TX|NuIEFTFL10^Intake, Enteral Flush Amount^ADM||20.00||||||F
OBX|273|TX|NuINTAK090^Fluid estimated intakes^ADM||30||||||F
OBX|274|TX|NuIOAMOU01^Intake, Other Amount^ADM||1000.00||||||F
OBX|275|TX|NuIOTHER01^Other intake description^ADM||NS bolus||||||F
OBX|276|TX|NuIPBAAC01^Intake - parenteral nutrition amino acids^ADM||250.00||||||F
OBX|277|TX|NuIPNLIP00^Intake - parenteral nutrition lipids^ADM||200.00||||||F
OBX|278|TX|NuIRDRAI01^Intake, Drain Flush Amount^ADM||20.00||||||F
OBX|279|CE|NuLUAMCO02^Lunch amount consumed^ADM||03^50%||||||F
OBX|280|TX|NuNICUF200^Duration of bottle feed^ADM||20||||||F
OBX|281|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||100.0||||||F
OBX|282|TX|NuNICUF351^Intake, Breastfeeding Amount^ADM||50.0||||||F
OBX|283|TX|NuNICUF370^Intake, Oral Amount^ADM||200.0||||||F
OBX|284|TX|NuNICUF490^Tube feed current rate^ADM||20.0||||||F
OBX|285|TX|NuNIPTWI01^Estimated protein intake for weight^ADM||2.00||||||F
OBX|286|TX|NuOCTUBE01^Output, Chest Tube Drainage Amount^ADM||10||||||F
OBX|287|TX|NuOEVDRA01^Output, Cerebrospinal Fluid Amount^ADM||20.00||||||F
OBX|288|TX|NuOGRETU01^Output, Gastric Drainage Amount^ADM||10.00||||||F
OBX|289|TX|NuOSTOOL00^Output - stool^ADM||100.00||||||F
OBX|290|TX|NuOURINE00^Output - urine^ADM||500.00||||||F
OBX|291|TX|NuOUSMIX00^Output - urine/stool mix^ADM||350.00||||||F
OBX|292|TX|NuPEDFEE60^Number breastfeedings^ADM||2||||||F
OBX|293|CE|NuSGA01801^SGA Rating^ADM||2^B= Malnourished||||||F
OBX|294|CE|NuSNAMCO02^Snack amount consumed^ADM||05^100%||||||F
OBX|295|CE|NuWTCH0000^Weight change calculation based on^ADM||1^Usual/Previous weight||||||F
OBX|296|TX|NuWTGAIN00^Percent weight gain^ADM||2.9||||||F
OBX|297|TX|OEDIAG^Diagnosis:^ADM||Failure to thrive||||||F
OBX|298|CE|OEISO^Infection Control:^ADM||C^Contact||||||F
OBX|299|TX|OhCAREUP50^Substitute decision maker^ADM||Carol, Friend||||||F
OBX|300|TX|OhCLUPDA10^Care conference details^ADM||testing for special panels||||||F
OBX|301|TX|OhOUTOTM00^Other measure output^ADM||50.00||||||F
OBX|302|TX|OhOUTSRC00^Source of other measured output^ADM||test||||||F
OBX|303|CE|PaAITYPE01^Analgesia medication location^ADM||1^CSCI||||||F
OBX|304|TX|PaAMINSM00^Ambulatory infusion system infusion type^ADM||Hydromorphone||||||F
OBX|305|CE|PaAN000000^Analgesia medication concentration^ADM||1^1:1||||||F
OBX|306|CE|PaAN000101^Analgesia medication concentration units^ADM||1^mg/mL||||||F
OBX|307|CE|PaCPOTBO00^CPOT body movements^ADM||2^1-Protection||||||F
OBX|308|CE|PaCPOTFA00^CPOT facial expression^ADM||2^1-Tense||||||F
OBX|309|CE|PaCPOTMU00^CPOT muscle tension^ADM||2^1-Tense, rigid||||||F
OBX|310|TX|PaCPOTSC00^CPOT score^ADM||4||||||F
OBX|311|CE|PaCPOTVV00^CPOT compliance with the ventilator or vocalization^ADM||4^1-Sighing, moaning||||||F
OBX|312|TX|PaEPCONR00^Continuous epidural infusion rate^ADM||2||||||F
OBX|313|CE|PaEPCONT00^Continuous epidural infusion^ADM||1^Infusing||||||F
OBX|314|CE|PaEPSOLU00^Epidural solution^ADM||1^bup 0.0625% - fent 2 mcg||||||F
OBX|315|TX|PaEPVOLM00^Epidural volume administered in 12 hours^ADM||50.00||||||F
OBX|316|CE|PaFINN0010^Sleep^ADM||1^< 1 hr post feed (3)||||||F
OBX|317|CE|PaFINN0020^Moro reflex^ADM||1^Hyperactive (2)||||||F
OBX|318|CE|PaFINN0051^Excoriation^ADM||1^Yes (1)||||||F
OBX|319|CE|PaFINN0091^Sweating^ADM||1^Yes (1)||||||F
OBX|320|CE|PaFINN0100^Fever^ADM||1^37.2 - 38.3 C (1)||||||F
OBX|321|CE|PaFINN0111^Frequent yawning^ADM||1^Yes (1)||||||F
OBX|322|CE|PaFINN0131^Nasal stuffiness^ADM||1^Yes (1)||||||F
OBX|323|CE|PaFINN0141^Sneezing^ADM||1^Yes (1)||||||F
OBX|324|CE|PaFINN0160^Respiratory rate^ADM||1^>60/min (1)||||||F
OBX|325|CE|PaFINN0171^Excessive sucking^ADM||1^Yes (1)||||||F
OBX|326|CE|PaFINN0181^Poor feeding^ADM||1^Yes (2)||||||F
OBX|327|CE|PaFINN0211^Loose stools^ADM||1^Yes (2)||||||F
OBX|328|TX|PaFINN0230^Neonatal Abstinence Score^ADM||21||||||F
OBX|329|CE|PaFINN0240^Tremors disturbed^ADM||1^Mild (1)||||||F
OBX|330|CE|PaFINN0250^Tremors undisturbed^ADM||1^Mild (3)||||||F
OBX|331|CE|PaFREQ0000^Pain frequency^ADM||2^With movement||||||F
OBX|332|CE|PaLOCBDS02^Location^ADM||24^Knee||||||F
OBX|333|TX|PaNASFIN00^Concerns identified^ADM||Y||||||F
OBX|334|TX|PaPAGOAL02^Pain goal^ADM||2/10||||||F
OBX|335|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|336|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||6^Grimaces~12^Restless~14^Sighs||||||F
OBX|337|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|338|CE|PaPASCLE00^Pain scale used^ADM||6^CPOT||||||F
OBX|339|TX|PaPASCRE01^Pain score^ADM||8.00||||||F
OBX|340|TX|PaPCAVOL00^PCA volume administered^ADM||20.00||||||F
OBX|341|TX|PaPCBLMC00^Patient controlled analgesia bolus dose^ADM||15||||||F
OBX|342|TX|PaPCBLMG00^Patient controlled analgesia bolus dose^ADM||0.5||||||F
OBX|343|TX|PaPCDSMG00^Patient controlled analgesia dose^ADM||1.00||||||F
OBX|344|TX|PaPCLOCK00^Patient controlled analgesia lockout interval^ADM||30||||||F
OBX|345|TX|PaPCMAXL00^Patient controlled analgesia max limit^ADM||2||||||F
OBX|346|CE|PaPCMEDA00^Patient controlled analgesia medication ordered^ADM||2^Hydromorphone||||||F
OBX|347|TX|PaPCTOMC00^Patient controlled analgesia total drug^ADM||15.00||||||F
OBX|348|TX|PaPCTOMG00^Patient controlled analgesia total drug^ADM||12.50||||||F
OBX|349|TX|PaPCTOTD00^Patient controlled analgesia total demands^ADM||8||||||F
OBX|350|TX|PhHEMOCN00^Hemodynamic concentration^ADM||20||||||F
OBX|351|TX|PhHEMODS01^Hemodynamic dose^ADM||2.000||||||F
OBX|352|CE|PhHEMOIN01^Hemodynamic infusion^ADM||4^Dopamine||||||F
OBX|353|CE|PhINFDOS00^Hemodynamic infusion dosage units^ADM||2^mg/min||||||F
OBX|354|TX|PsPATCON00^Patient/Family concerns^ADM||Family concerned about patient's mood.  They said patient has changed~significantly since admission.||||||F
OBX|355|TX|ReARTIND01^Arterial catheter insertion date^ADM||20200201||||||F
OBX|356|CE|ReCGDESC01^Cough description^ADM||2^Congested~3^Bronchospastic~5^Barking||||||F
OBX|357|CE|ReCGSTGH00^Cough strength^ADM||3^Weak||||||F
OBX|358|TX|ReCHDRSG00^Chest tube dressing dry and intact^ADM||Y||||||F
OBX|359|TX|ReCT000400^Chest tubes size^ADM||6||||||F
OBX|360|CE|ReCTLOCM00^Chest tubes insertion site modifier^ADM||1^Right||||||F
OBX|361|CE|ReCTLOCN00^Chest tubes insertion site^ADM||2^Anterior||||||F
OBX|362|TX|ReENDDAT00^Endotracheal removal date^ADM||20200203||||||F
OBX|363|TX|ReENDTIM00^Endotracheal removal time^ADM||1330||||||F
OBX|364|TX|ReINSDAT00^Endotracheal tube insertion date^ADM||20200201||||||F
OBX|365|TX|ReINSTIM00^Endotracheal tube insertion time^ADM||2050||||||F
OBX|366|TX|ReNIVENT16^Pressure high - flow rate^ADM||8.0||||||F
OBX|367|TX|ReNIVENT17^Pressure low - flow rate^ADM||9.0||||||F
OBX|368|CE|ReOX000100^Oximetry signal quality indicator^ADM||1^1 green||||||F
OBX|369|TX|ReOX000200^Oximetric monitor recalibrated^ADM||Y||||||F
OBX|370|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||5^Nasal cannula||||||F
OBX|371|CE|ReOXYTHE05^Oxygen therapy delivery method^ADM||3^Heated high flow cannula||||||F
OBX|372|CE|ReOXYUOM00^Oxygen units of measure^ADM||1^L/min||||||F
OBX|373|TX|RePEEXPR01^Peak expiratory flow rate (pre best of three)^ADM||66||||||F
OBX|374|CE|ReRECHEX01^Chest expansion^ADM||2^Right greater than left~4^Paradoxical||||||F
OBX|375|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use~4^Active exhalation||||||F
OBX|376|CE|ReREDPTH00^Respiratory depth^ADM||2^Shallow||||||F
OBX|377|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|378|TX|ReTRASDA00^Assess need for tracheostomy date^ADM||15 Feb 2020||||||F
OBX|379|TX|ReTRDCDT01^Decannulation date^ADM||20200201||||||F
OBX|380|TX|ReTRIID01^Tracheostomy tube insertion date^ADM||20200129||||||F
OBX|381|CE|ReTRTUSI02^Tracheostomy tube size^ADM||2^5.0 mm||||||F
OBX|382|CE|ReTRTYP00^Tracheostomy type^ADM||1^Cuffed~5^Extra length distal||||||F
OBX|383|CE|ReVE000302^Ventilator mode^ADM||1^AC volume||||||F
OBX|384|TX|ReVE000602^Ventilator change due date^ADM||2 Mar 2020||||||F
OBX|385|TX|ReVE000902^Respiratory rate (set)^ADM||22||||||F
OBX|386|TX|ReVE001000^Adult ventilation total respiratory rate^ADM||23||||||F
OBX|387|TX|ReVE001101^Adult ventilation set tidal volume^ADM||24||||||F
OBX|388|TX|ReVE001201^Adult ventilation effective tidal volume^ADM||25||||||F
OBX|389|TX|ReVE001300^Adult ventilation spontaneous tidal volume^ADM||26||||||F
OBX|390|TX|ReVE001500^Adult ventilation expired minute volume^ADM||24.00||||||F
OBX|391|TX|ReVE001803^Positive end expiratory pressure (PEEP)^ADM||28||||||F
OBX|392|TX|ReVE002001^Adult ventilation pressure control level^ADM||20||||||F
OBX|393|TX|ReVE002101^Adult ventilation pressure support level^ADM||21||||||F
OBX|394|TX|ReVE002200^Adult ventilation peak airway pressure^ADM||27||||||F
OBX|395|TX|ReVE005200^Adult ventilation end tidal carbon dioxide (CO2)^ADM||30.0||||||F
OBX|396|TX|ReVE012101^FiO2 (set)^ADM||0.33||||||F
OBX|397|TX|ReVE012600^Adult non-invasive ventilation respiratory rate total^ADM||18||||||F
OBX|398|TX|ReVE017002^NAVA level^ADM||10.0||||||F
OBX|399|TX|ReVE030001^Adult ventilation PAV+ parameters percentage of support^ADM||22||||||F
OBX|400|TX|ReVEDATE01^Ventilator discontinuation date^ADM||20200203||||||F
OBX|401|TX|ReVENINI00^Date ventilation initiated^ADM||20200201||||||F
OBX|402|TX|ReVENTTI01^Ventilator discontinuation time^ADM||1330||||||F
OBX|403|CE|ReWRKBRE00^Work of breathing^ADM||2^Mild||||||F
OBX|404|CE|RpFU000100^Fundus location^ADM||1^Central||||||F
OBX|405|CE|RpFU000301^Fundus tone^ADM||3^Boggy||||||F
OBX|406|CE|RpFUNHEI00^Fundal height^ADM||2^1 cm above umbilicus||||||F
OBX|407|CE|RpRPASSE00^Lochia amount^ADM||4^Moderate||||||F
OBX|408|CE|RpRPASSE11^Lochia description^ADM||1^Rubra||||||F
OBX|409|TX|SpOSPATT01^Observed sleep pattern^ADM||slept well||||||F
OBX|410|TX|SpREPSLE00^Reported sleep pattern^ADM||had a restful sleep||||||F
OBX|411|TX|VsABD00030^Apneic duration^ADM||66||||||F
OBX|412|TX|VsABD00041^Bradycardia duration^ADM||55||||||F
OBX|413|TX|VsABD00042^Desaturation duration^ADM||33||||||F
OBX|414|TX|VsABDAPN00^Apnea^ADM||Y||||||F
OBX|415|TX|VsBEDHUM00^Bed humidity^ADM||15||||||F
OBX|416|TX|VsBEDTEM00^Bed temperature^ADM||20.0||||||F
OBX|417|CE|VsBPPOST02^Patient position^ADM||1^Right side lying||||||F
OBX|418|TX|VsDAPRWT00^Date of previous weight^ADM||20200129||||||F
OBX|419|TX|VsHECIRC00^Head circumference^ADM||31.0||||||F
OBX|420|TX|VsHRADEL00^Electrical heart rate^ADM||85||||||F
OBX|421|TX|VsHTCM0100^Current height^ADM||178.0||||||F
OBX|422|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||2||||||F
OBX|423|TX|VsOXDRAD02^Oxygen therapy delivery rate^ADM||2||||||F
OBX|424|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||98||||||F
OBX|425|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F
OBX|426|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|427|TX|VsPROREP00^Probe repositioned^ADM||Y||||||F
OBX|428|TX|VsRESPAD03^Respiratory rate^ADM||16||||||F
OBX|429|CE|VsTPSORC03^Temperature source^ADM||2^Oral||||||F
OBX|430|TX|VsTPTEMPO2^Temperature^ADM||38.2||||||F
OBX|431|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||1^Current weight||||||F
OBX|432|TX|VsWT000101^Current Weight^ADM||70.000||||||F
OBX|433|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|434|TX|VsWT000500^Visibly fluid overloaded^ADM||N||||||F
OBX|435|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|436|TX|VsWT001701^Birth weight^ADM||2.800||||||F
OBX|437|TX|VsWT002701^Usual/Previous weight^ADM||68.000||||||F
OBX|438|TX|VsWT003500^Goal/target weight^ADM||74.000||||||F
OBX|439|TX|VsWT005000^Birth height or length^ADM||48.00||||||F
OBX|440|TX|VsWT005300^Body mass index^ADM||22.1||||||F
OBX|441|TX|VsWT007700^Birth head circumference^ADM||30.00||||||F
OBX|442|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||70000.000||||||F
OBX|443|TX|VsWTPREV02^Previous weight^ADM||3.100||||||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|||||||||NMIHGTWGT

MSH|^~\&|ADM|PAH|||202002031544||ADT^A05|4160757|D|2.2|||AL|NE
EVN|A05|202002031544||||202002101600
PID|1|FHATVIG0011467|PA00002870|LM5289|ADMTEST^MUFFINS^BA||19820507|M|||1234 CHERRY LANE^^LANGLEY^BC^V3A 4T4|||||||PA000199/19|9875024271
PV1|1|P|PA.CNCL/O||||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^^^^^^XX|||||||||||CLI|||||||||||||||||||||PAH|||||202002101600|
PV2|||TEST - PRE/POST SPIRMENTRY
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20010101||||||F
OBX|2|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F
OBX|3|TX|ADM RESQDD^DATE ASKED^ADM||20191009||||||F
OBX|4|CE|TR.PMHGR5^Past Medical History^ADM||20^Smoker||||||F
OBX|5|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
GT1|1||ADMTEST^MUFFINS^BA||1234 CHERRY LANE^^LANGLEY^BC^V3A 4T4||||||SP
ZFD|SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|123 ROAD^^SURREY^BC^V2V 0A0|||SEUSST^SEUSS *TEST^THEODORE^*TEST* G^^^^12^DOC|
ZFH|LUMED|||||||||ENPRECLI

