MSH|^~\&|ADM|ARH|||201910101547||ADT^A08|4074262|D|2.2|||AL|NE
EVN|A08|201910101547||||
PID|1|FHATVIG0007385|AB00007814|AB7767|PCSTEST^JACK||19850116|M|||2347 WHATCHYAWANT DR^^SURREY^BC^V3L 9H5|||||||AB000909/18|
PV1|1|I|AB-3BAKER^AB3B-B3138^2|UE|||OEDOCN^Oedoc^Nancytrain^^^^MD^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||ARH|||||201901161023|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||91.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||166.6||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160730||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|TX|AcEQUPCC02^Equipment recommended for discharge comments^ADM|| ~ ~equiptment recommened||||||F
OBX|9|CE|AcEQUPDC11^Equipment recommended for discharge^ADM||25^Commode: wheeled~33^Crutches: forearm||||||F
OBX|10|TX|AcEQUPDO01^Equipment recommended for discharge other^ADM||equipment||||||F
OBX|11|TX|AcOTSPRC01^Recommended supports for discharge comments^ADM||suports d/c comments||||||F
OBX|12|TX|AcOTSPRO00^Recommended supports for discharge other^ADM||supports other||||||F
OBX|13|CE|AcOTSPRT01^Recommended supports for discharge^ADM||1^Washing~2^Dressing~5^Medication management||||||F
OBX|14|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|15|CE|AdASEVRD00^As evidenced by^ADM||2^Diagnosis or treatment~33^Weight loss||||||F
OBX|16|TX|AdDATAB000^Database comments^ADM||test||||||F
OBX|17|TX|AdDCBNUR00^Discharge barriers identified by nursing^ADM||discharge barriers nursing||||||F
OBX|18|TX|AdDCCOMP00^Discharge plan complete^ADM||Y||||||F
OBX|19|TX|AdDIETYP03^Pre-admission diet type other^ADM||test||||||F
OBX|20|CE|AdDISCHA00^Destination^ADM||3^Residential care||||||F
OBX|21|TX|AdDRVRES00^Aware of driving restrictions^ADM||N||||||F
OBX|22|TX|AdESTDTD00^Estimated date of discharge^ADM||20190831||||||F
OBX|23|TX|AdESTPTF00^Patient/Family informed of estimated date of discharge^ADM||Y||||||F
OBX|24|CE|AdESTREA03^Reason EDD changed^ADM||4^Pending lab/consults~7^Financial/Housing issues||||||F
OBX|25|TX|AdFACINA01^Name of facility^ADM||name of fac||||||F
OBX|26|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||details||||||F
OBX|27|TX|AdGOALCP00^Goal^ADM||goal||||||F
OBX|28|TX|AdGOALDT00^Goal target date^ADM||20190830||||||F
OBX|29|CE|AdGOALST00^Goal status^ADM||3^Met||||||F
OBX|30|TX|AdGOCPRD00^Goal^ADM||intake greater than 75% of trays||||||F
OBX|31|CE|AdGOSTRD00^Goal status^ADM||3^Met||||||F
OBX|32|TX|AdGOTDRD00^Goal target date^ADM||20190816||||||F
OBX|33|TX|AdHXCOND00^History of presenting condition^ADM||test||||||F
OBX|34|TX|AdINFNAM00^Name of information source^ADM||test||||||F
OBX|35|TX|AdINFOTH00^Information source other^ADM||test||||||F
OBX|36|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||referral other||||||F
OBX|37|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||4^Child life specialist~14^Palliative care||||||F
OBX|38|CE|AdINSM0000^Information source^ADM||3^Family||||||F
OBX|39|TX|AdINVANR00^1. Intervention to address problem^ADM||int 1b||||||F
OBX|40|TX|AdINVANR01^2. Intervention to address problem^ADM||int 1b||||||F
OBX|41|TX|AdINVANR02^3. Intervention to address problem^ADM||int 3b||||||F
OBX|42|TX|AdINVANR03^4. Intervention to address problem^ADM||int 4||||||F
OBX|43|TX|AdINVANR04^5. Intervention to address problem^ADM||int 5||||||F
OBX|44|CE|AdINVARD00^Interventions to address problem^ADM||1^Meals and snacks~4^Vitamin/Mineral suppl||||||F
OBX|45|TX|AdODISPC00^Other discharge planning comments^ADM||Brother can stay with client at discharge to help for 3 weeks.||||||F
OBX|46|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||barriers OT||||||F
OBX|47|TX|AdOTCPDE00^Problem details^ADM||detaiils||||||F
OBX|48|TX|AdOTCPED00^Equipment in place for discharge^ADM||Y||||||F
OBX|49|TX|AdOTCPEQ00^Sources of equipment recommended for discharge^ADM||sources of equipment||||||F
OBX|50|TX|AdOTCPGD00^Goal target date^ADM||20190830||||||F
OBX|51|TX|AdOTCPGO00^Goal^ADM||goal||||||F
OBX|52|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|53|CE|AdOTCPID01^Problem identified^ADM||5^Ability to manage iADLS||||||F
OBX|54|TX|AdOTCPIN00^1. Intervention to address problem^ADM||int 1||||||F
OBX|55|TX|AdOTCPIN01^2. Intervention to address problem^ADM||int 2||||||F
OBX|56|TX|AdOTCPIN02^3. Intervention to address problem^ADM||int 3||||||F
OBX|57|TX|AdOTCPIN03^4. Intervention to address problem^ADM||int 4||||||F
OBX|58|TX|AdOTCPIN04^5. Intervention to address problem^ADM||int 5||||||F
OBX|59|CE|AdOTPREF01^Outpatient/Community referral(s) sent to^ADM||5^Addiction services~14^Geriatric nurse clinician~19^Occupational therapist||||||F
OBX|60|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||outpatient||||||F
OBX|61|TX|AdPRED0001^Other pre-admission data^ADM||test||||||F
OBX|62|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|63|TX|AdPROBDS00^Problem detail^ADM||problem 2 other||||||F
OBX|64|CE|AdPROBID20^Problem identified^ADM||16^Cardiac rhythm||||||F
OBX|65|CE|AdPROBRD00^Problem identified^ADM||26^Inadequate oral intake||||||F
OBX|66|TX|AdPTA06000^Communication impairment prior to admission^ADM||test~ ~ ~test||||||F
OBX|67|CE|AdPTA06700^Diet tolerance prior to admission^ADM||1^No concerns||||||F
OBX|68|TX|AdPTA06801^Pre-admission diet tolerance other^ADM||test||||||F
OBX|69|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||pat fam goals||||||F
OBX|70|CE|AdRETORD00^Related to^ADM||5^Increased energy needs||||||F
OBX|71|TX|AdRHD00000^Transportation services referral completed^ADM||N||||||F
OBX|72|CE|AdSLPREF00^SLP referral source^ADM||1^Physician||||||F
OBX|73|TX|AdSLPROT00^SLP referral source other^ADM||test||||||F
OBX|74|TX|AdSTRECO01^Reason EDD changed other^ADM||edd other||||||F
OBX|75|TX|AdTRINFO01^Information faxed to care facility^ADM||Y||||||F
OBX|76|TX|CmPREVCM01^Previous communication assessment^ADM||test||||||F
OBX|77|TX|CmREPDEF00^Patient or family report of communication difficulty^ADM||test||||||F
OBX|78|TX|EcGLUCRT00^Glucometer reading time^ADM||1530||||||F
OBX|79|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||35.0||||||F
OBX|80|CE|GiETSYST00^Enteral feeding tube system^ADM||1^Open||||||F
OBX|81|CE|He00000001^Anterior cranial sutures^ADM||1^Approximated||||||F
OBX|82|CE|He00000101^Posterior cranial sutures^ADM||1^Approximated||||||F
OBX|83|CE|He00000200^Anterior fontanelle^ADM||1^Soft||||||F
OBX|84|TX|He00000300^Anterior fontanelle other^ADM||test||||||F
OBX|85|CE|He00000400^Posterior fontanelle^ADM||1^Soft||||||F
OBX|86|TX|He00000500^Posterior fontanelle other^ADM||test||||||F
OBX|87|TX|HeSL000100^Medications relevant to SLP intervention^ADM||test||||||F
OBX|88|TX|HeSL000400^Investigations relevant to Speech-Language Pathologists^ADM||test||||||F
OBX|89|TX|HeSL000800^Previous swallow assessment^ADM||test||||||F
OBX|90|CE|HeSL001002^Reason for SLP referral^ADM||5^Concerns with aspiration||||||F
OBX|91|TX|HeSL001100^Reason for SLP referral other^ADM||test||||||F
OBX|92|CE|HeSL006803^Diet recommendations^ADM||1^NPO~9^Clear fluids||||||F
OBX|93|TX|HeSL044000^SLP referral comment^ADM||test||||||F
OBX|94|TX|HeSLP12000^Patient or family report of swallowing difficulties^ADM||test||||||F
OBX|95|CE|HeSW000100^Swallowing concerns identified with solids^ADM||1^No obvious concerns||||||F
OBX|96|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||1^No obvious concerns||||||F
OBX|97|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||4^Coughing||||||F
OBX|98|TX|HeSW000700^Eat at risk order in place^ADM||N||||||F
OBX|99|CE|HeSW001800^Swallowing concerns intervention^ADM||2^Swallow ax referral||||||F
OBX|100|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|101|TX|HxIICPMA02^Postmenstrual age^ADM||35 weeks 0 days||||||F
OBX|102|TX|HxIIDATE01^Date of birth^ADM||20190402||||||F
OBX|103|TX|HxIIGAWD00^Gestational age^ADM||33 weeks 4 days||||||F
OBX|104|TX|HxIIGEDA00^Gestational age in days^ADM||4||||||F
OBX|105|TX|HxIIGEWE00^Gestational age in weeks^ADM||33||||||F
OBX|106|TX|HxIITOTA01^Total days of life^ADM||10||||||F
OBX|107|TX|HxRESPIR00^Respiratory status^ADM||test||||||F
OBX|108|TX|HxSPTCHX01^Pertinent clinical history^ADM||test||||||F
OBX|109|CE|HxTABUL002^Used tobacco or nicotine vapour products in the last 30 days^ADM||2^No||||||F
OBX|110|TX|ITSFNSTXT^Food and Nutrition Text^ADM||this is from food and nutrition text in ITS notes i remember it wrapping~before but we will test and see that it wraps again.  I cannot use PCS PDS~notes because there is no PDS in test for some reason will have to chat~with team when that happens.||||||F
OBX|111|TX|IoNICUIN20^Location^ADM||left arm||||||F
OBX|112|CE|IoSOLUMA00^Solution^ADM||4^D5W||||||F
OBX|113|TX|IvRATE0000^Rate^ADM||40.00||||||F
OBX|114|TX|MhADMIS006^Released on Extended Leave^ADM||Y||||||F
OBX|115|TX|MhDISCHA01^Referred to Mental Health Services^ADM||Y||||||F
OBX|116|CE|MhDISCHA02^Location of Mental Health Services referred to^ADM||1^Abbotsford||||||F
OBX|117|CE|MhDISCHA04^MHSU programs/services referred to^ADM||6^Older adults~11^Group therapy||||||F
OBX|118|TX|MhMHCER000^Certification and MHSU programs/services comments^ADM||cert and MHSU||||||F
OBX|119|TX|MhMHPSR000^MHSU programs/services referred to other^ADM||MHSU other referrals||||||F
OBX|120|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|121|TX|MsEM000700^Transportation mode post discharge other^ADM||discharge mode||||||F
OBX|122|TX|MsEM000801^Supports in place to assist upon discharge^ADM||Y||||||F
OBX|123|TX|MsHK001100^Home set-up requirements reviewed^ADM||N||||||F
OBX|124|TX|MsPTSMRT00^PT SMART goals^ADM||test test for Brock.||||||F
OBX|125|TX|NeGLBLGU00^Glucometer blood glucose^ADM||12.9||||||F
OBX|126|CE|NeICDSCC01^ICDSC altered level of consciousness^ADM||1^1||||||F
OBX|127|CE|NeICDSCD01^ICDSC disorientation^ADM||1^1||||||F
OBX|128|CE|NeICDSCF01^ICDSC symptom fluctuation^ADM||0^0||||||F
OBX|129|CE|NeICDSCH01^ICDSC hallucination, delusion or psychosis^ADM||1^1||||||F
OBX|130|CE|NeICDSCI01^ICDSC inattention^ADM||1^1||||||F
OBX|131|CE|NeICDSCP01^ICDSC psychomotor agitation or retardation^ADM||1^1||||||F
OBX|132|TX|NeICDSCR00^ICDSC score^ADM||6||||||F
OBX|133|CE|NeICDSCS01^ICDSC inappropriate speech or mood^ADM||1^1||||||F
OBX|134|CE|NeICDSCW03^ICDSC sleep/wake cycle disturbance^ADM||0^0||||||F
OBX|135|CE|NeRASS0000^RASS score^ADM||4^+1 Restless||||||F
OBX|136|TX|Nu00000200^Oral nutrition amount of meal consumed comments^ADM||diet tech came to see patient to have meal prefs taken||||||F
OBX|137|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||N||||||F
OBX|138|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||N||||||F
OBX|139|CE|Nu00015500^Patient's position during breakfast^ADM||2^Edge of bed||||||F
OBX|140|CE|Nu00015600^Patient's position during lunch^ADM||2^Edge of bed||||||F
OBX|141|CE|Nu00015700^Patient's position during dinner^ADM||3^Bedside chair||||||F
OBX|142|CE|Nu00016400^Insulin injection site^ADM||1^Right upper arm||||||F
OBX|143|TX|NuANTHR020^Birth weight percentile^ADM||birth weight percentile||||||F
OBX|144|TX|NuANTHR050^Weight for age percentile^ADM||wt for age percentile||||||F
OBX|145|TX|NuANTHR090^Comparison weight date^ADM||20190407||||||F
OBX|146|TX|NuANTHR100^Comparison weight^ADM||2.502||||||F
OBX|147|TX|NuANTHR110^Days since comparison weight^ADM||5||||||F
OBX|148|TX|NuANTHR140^Average weight change^ADM||11 g/day over 5 days||||||F
OBX|149|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||4 g/kg/day over the past 5 days||||||F
OBX|150|CE|NuANTHR160^Average weight gain goal^ADM||4^25-35 g/day||||||F
OBX|151|CE|NuANTHR170^Growth rate evaluation^ADM||1^Below expected||||||F
OBX|152|TX|NuAPWECH01^Percent weight loss^ADM||Incomplete||||||F
OBX|153|CE|NuBRAMCO02^Breakfast amount consumed^ADM||02^25%||||||F
OBX|154|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||2^No||||||F
OBX|155|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|156|CE|NuDIAMCO02^Dinner amount consumed^ADM||03^50%||||||F
OBX|157|TX|NuDIETFU00^Dietitian follow-up required^ADM||Y||||||F
OBX|158|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||2^In 2-3 days||||||F
OBX|159|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|160|TX|NuIATIME00^Insulin administration time^ADM||1540||||||F
OBX|161|TX|NuIDOSSA01^Short acting insulin dose^ADM||4.00||||||F
OBX|162|CE|NuLUAMCO02^Lunch amount consumed^ADM||03^50%||||||F
OBX|163|CE|NuMSTDAP01^Been eating poorly because of a decreased appetite^ADM||2^Yes||||||F
OBX|164|CE|NuMSTLWT02^Have you lost weight recently without trying^ADM||3^Yes||||||F
OBX|165|TX|NuMSTSCR01^Malnutrition Screening Tool score^ADM||4||||||F
OBX|166|CE|NuMSTWTL01^If yes, how much have you lost^ADM||3^11-15 kg (24-33 lbs)||||||F
OBX|167|TX|NuNICUF134^Prepared Amount: Formula^ADM||20.0||||||F
OBX|168|TX|NuNICUF142^Formula type^ADM||Prem 24 kcal/oz high protein||||||F
OBX|169|TX|NuNICUF152^Additives^ADM||HMF 1pkg: 25mL EBM||||||F
OBX|170|TX|NuNICUF200^Duration of bottle feed^ADM||20||||||F
OBX|171|CE|NuNICUF270^Bottle feeding observations^ADM||2^Moderate suck||||||F
OBX|172|CE|NuNICUF282^Nipple type used^ADM||2^Slow flow nipple||||||F
OBX|173|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||25.0||||||F
OBX|174|TX|NuNICUFE92^Prepared Amount:  Mother's EBM^ADM||40.0||||||F
OBX|175|TX|NuNM000100^Nothing by mouth^ADM||N||||||F
OBX|176|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital||||||F
OBX|177|TX|NuRDDCBR00^Dietitian discharge barriers^ADM||dietitian discharge barriers from 12/04/19~second line in discharge barriers~third line in discharge barriers||||||F
OBX|178|CE|NuSGA01800^SGA rating^ADM||3^C= Severely malnourished||||||F
OBX|179|CE|NuSNAMCO02^Snack amount consumed^ADM||03^50%||||||F
OBX|180|CE|NuWTCH0000^Weight change calculation based on^ADM||2^Estimated dry weight||||||F
OBX|181|TX|NuWTGAIN00^Percent weight gain^ADM||Incomplete||||||F
OBX|182|TX|OEDIAG^Diagnosis:^ADM||Diagnosis from PDS screen 10/04/19||||||F
OBX|183|TX|OEEDD^Estimated Discharge Date:^ADM||20190426||||||F
OBX|184|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|185|TX|OELANG^Language:^ADM||ENG||||||F
OBX|186|TX|OEORDATE^OR Date:^ADM||20190408||||||F
OBX|187|TX|OESURGERY^Surgery/Procedure:^ADM||Surgical procedure April 10, 2019 SS||||||F
OBX|188|TX|Oh00000000^Additional information^ADM||test||||||F
OBX|189|CE|Oh00000800^Care plan^ADM||1^Initiated||||||F
OBX|190|TX|OhEDIT0000^Reason for edit^ADM||edity||||||F
OBX|191|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|192|TX|OhOTSMRT00^OT SMART goals^ADM||OT smart goals||||||F
OBX|193|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F
OBX|194|TX|PaCOMMEN00^Pain comments^ADM||test||||||F
OBX|195|CE|PaCPOTBO00^CPOT body movements^ADM||2^1-Protection||||||F
OBX|196|CE|PaCPOTFA00^CPOT facial expression^ADM||1^0-Relaxed, neutral||||||F
OBX|197|CE|PaCPOTMU00^CPOT muscle tension^ADM||2^1-Tense, rigid||||||F
OBX|198|TX|PaCPOTSC00^CPOT score^ADM||3||||||F
OBX|199|CE|PaCPOTVV00^CPOT compliance with the ventilator or vocalization^ADM||3^1-Coughing but tolerating||||||F
OBX|200|CE|PaFREQ0000^Pain frequency^ADM||3^Constant||||||F
OBX|201|CE|PaLOCBDS02^Location^ADM||32^Nipple||||||F
OBX|202|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F
OBX|203|CE|PaPAINAS00^Pain assessed^ADM||1^At rest||||||F
OBX|204|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|205|CE|PaPAQUAL01^Pain quality^ADM||3^Dull||||||F
OBX|206|CE|PaPASCL000^Pain scale used^ADM||7^Verbal descriptors||||||F
OBX|207|CE|PaPASCLE00^Pain scale used^ADM||1^Numeric||||||F
OBX|208|TX|PaPASCRE01^Pain score^ADM||9.00||||||F
OBX|209|TX|PsAG000100^Adult guardianship concern(s) identified for investigation^ADM||Y||||||F
OBX|210|TX|PsCOMPRL00^Communication primary language^ADM||test||||||F
OBX|211|TX|PsSWEMER00^Subject to s.59 emergency assistance^ADM||Y||||||F
OBX|212|CE|PsSWREPO01^Report received under s.46 of Adult Guardianship Act^ADM||1^Do not disclose/release||||||F
OBX|213|TX|RDOTCMST00^Outcome status^ADM||Unmet||||||F
OBX|214|TX|Re00000000^Respiratory pre-hospital baseline^ADM||Hx of COPD.  Short of breath on exertion||||||F
OBX|215|CE|Re00000100^Respiratory assessment^ADM||3^At pre-hospital baseline||||||F
OBX|216|TX|ReABNORM00^Abnormal findings comments^ADM||test||||||F
OBX|217|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|218|CE|ReAUAIRE01^Air entry^ADM||4^Diminished||||||F
OBX|219|CE|ReAUBTHS02^Breath sounds^ADM||6^Crackles||||||F
OBX|220|CE|ReAULOCT00^Auscultation location^ADM||8^Left apical||||||F
OBX|221|CE|ReAULOMO00^Auscultation location modifier^ADM||2^Posterior||||||F
OBX|222|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F
OBX|223|TX|ReBRESOU00^Breath sounds other^ADM||test||||||F
OBX|224|CE|ReCGDESC01^Cough description^ADM||2^Congested||||||F
OBX|225|TX|ReCGDESO00^Cough description other^ADM||test||||||F
OBX|226|TX|ReCGPROD00^Cough productive^ADM||N||||||F
OBX|227|CE|ReCGSTGH00^Cough strength^ADM||2^Moderate||||||F
OBX|228|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|229|TX|ReDISTRE00^Respiratory distress comments^ADM||test||||||F
OBX|230|TX|ReFIND0000^Other respiratory findings^ADM||test||||||F
OBX|231|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|232|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|233|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|234|TX|ReREDISO00^Respiratory distress indicators other^ADM||test||||||F
OBX|235|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|236|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|237|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|238|CE|ReSCCOLR00^Secretions colour^ADM||1^Clear||||||F
OBX|239|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid||||||F
OBX|240|TX|ReSCDESO00^Secretions description other^ADM||test||||||F
OBX|241|CE|ReSE000100^Secretion source^ADM||3^Oropharyngeal||||||F
OBX|242|TX|ReSECCOM00^Secretions comments^ADM||test||||||F
OBX|243|TX|ReSECMET00^Secretions collection method other^ADM||test||||||F
OBX|244|CE|ReSECRET00^Secretions source^ADM||1^Suctioned||||||F
OBX|245|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F
OBX|246|TX|SpCONCOM01^Consent comments^ADM||test||||||F
OBX|247|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|248|TX|SpCONOTH00^Assessment/Treatment benefits and risks explained to other^ADM||test||||||F
OBX|249|CE|SpCONPAT00^Consent received from patient^ADM||2^Gesture||||||F
OBX|250|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|251|TX|SpCONREC01^Consent received from^ADM||testtesttesttesttesttest||||||F
OBX|252|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|253|CE|SpCONTYP00^Consent received for^ADM||1^Assessment~2^Treatment plan||||||F
OBX|254|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|255|TX|TeSL001300^Communication SMART goals^ADM||SLP communication smart goals||||||F
OBX|256|TX|TeSLPCOM00^SLP Dysphagia SMART goals^ADM||dysphagia smart goals||||||F
OBX|257|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F
OBX|258|TX|VsHTCM0100^Current height^ADM||166.6||||||F
OBX|259|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||4^Usual/Previous weight||||||F
OBX|260|TX|VsWT000101^Current Weight^ADM||65.000||||||F
OBX|261|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|262|TX|VsWT001701^Birth weight^ADM||2.445||||||F
OBX|263|TX|VsWT002701^Usual/Previous weight^ADM||2.055||||||F
OBX|264|TX|VsWT003100^Prepregnancy weight^ADM||86.2||||||F
OBX|265|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|266|TX|VsWT004400^Pregnancy weight gain calculated^ADM||-83.64||||||F
OBX|267|TX|VsWT005300^Body mass index^ADM||0.7||||||F
OBX|268|TX|VsWT005400^Prepregnancy body mass index^ADM||31.1||||||F
OBX|269|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||65000.000||||||F
OBX|270|CE|zCBREFSLP^Referral to SLP^ADM||1^Yes||||||F
OBX|271|TX|zCWCPGOAL^Goal^ADM||Wants to be upto the chair and practice sit to stand||||||F
OBX|272|TX|zCWCPGOAL2^Goal^ADM||Brush teeth||||||F
OBX|273|CE|zCWDOMAIN^Domain of concern^ADM||28^Pain||||||F
OBX|274|TX|zCWINTADD1^Intervention to address problem^ADM||Stroke a cat||||||F
OBX|275|TX|zCWINTADD2^Intervention to address problem^ADM||Mwah ha ha||||||F
OBX|276|TX|zCWINTADD3^Intervention to address problem^ADM||Be all evil and stuff||||||F
OBX|277|TX|zCWINTADD4^Intervention to address problem^ADM||Sit on a cool chair with label of name under L arm||||||F
OBX|278|TX|zCWINTADDR^Interventions to address problem^ADM||avoid red colours||||||F
OBX|279|TX|zCWPROBDIS^Problem is a barrier to discharge^ADM||N||||||F
OBX|280|TX|zCWPROBLEM^Problem identified^ADM||test PT||||||F
OBX|281|CE|zCWPROVIDE^Care provider type^ADM||4^PT||||||F
OBX|282|CE|zCWSTATSGL^Status of goal^ADM||2^Partially met||||||F
OBX|283|TX|zCWTARGTDT^Target date^ADM||20190430||||||F
OBX|284|TX|zSEPSISM00^Sepsis screen^ADM||Severe Sepsis Risk||||||F
OBX|285|CE|zSEPSISM01^Sepsis action taken^ADM||4^APP notified||||||F
OBX|286|TX|zSEPSISM02^Name of provider notified^ADM||test||||||F
OBX|287|CE|zSEPSISM15^Infection criteria present^ADM||1^Suspected new infection||||||F
OBX|288|CE|zSEPSISM18^SIRS criteria present^ADM||1^Pulse > 90 bpm~3^RR > 20/min||||||F
OBX|289|CE|zSEPSISM19^Organ dysfunction criteria present^ADM||5^Urine Output <0.5 ml/kg/h~10^Bld glucose > 14.0 mmol/L||||||F
OBX|290|TX|zSEPSISM43^Risk for sepsis identified^ADM||Y||||||F
OBX|291|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F001900388^No Known Allergies|||20190116
AL1|2|FA|F006007877^banana|MO||20190410
AL1|3||ORANGES|MI||20190410
AL1|4||PEANUT|SV||20190410
AL1|5||POLLEN|MI||20190410
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||201910101553||ADT^A08|4074269|D|2.2|||AL|NE
EVN|A08|201910101553||||
PID|1|FHATVIG0007385|AB00007814|AB7767|PCSTEST^JACK||19850116|M|||2347 WHATCHYAWANT DR^^SURREY^BC^V3L 9H5|||||||AB000909/18|
PV1|1|I|AB-3BAKER^AB3B-B3138^2|UE|||OEDOCN^Oedoc^Nancytrain^^^^MD^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||ARH|||||201901161023|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||91.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||166.6||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160730||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|TX|AcEQUPCC02^Equipment recommended for discharge comments^ADM|| ~ ~equiptment recommened||||||F
OBX|9|CE|AcEQUPDC11^Equipment recommended for discharge^ADM||25^Commode: wheeled~33^Crutches: forearm||||||F
OBX|10|TX|AcEQUPDO01^Equipment recommended for discharge other^ADM||equipment||||||F
OBX|11|TX|AcOTSPRC01^Recommended supports for discharge comments^ADM||suports d/c comments||||||F
OBX|12|TX|AcOTSPRO00^Recommended supports for discharge other^ADM||supports other||||||F
OBX|13|CE|AcOTSPRT01^Recommended supports for discharge^ADM||1^Washing~2^Dressing~5^Medication management||||||F
OBX|14|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|15|CE|AdASEVRD00^As evidenced by^ADM||2^Diagnosis or treatment~33^Weight loss||||||F
OBX|16|TX|AdDATAB000^Database comments^ADM||test||||||F
OBX|17|TX|AdDCBNUR00^Discharge barriers identified by nursing^ADM||discharge barriers nursing||||||F
OBX|18|TX|AdDCCOMP00^Discharge plan complete^ADM||Y||||||F
OBX|19|TX|AdDIETYP03^Pre-admission diet type other^ADM||test||||||F
OBX|20|CE|AdDISCHA00^Destination^ADM||3^Residential care||||||F
OBX|21|TX|AdDRVRES00^Aware of driving restrictions^ADM||N||||||F
OBX|22|TX|AdESTDTD00^Estimated date of discharge^ADM||20190831||||||F
OBX|23|TX|AdESTPTF00^Patient/Family informed of estimated date of discharge^ADM||Y||||||F
OBX|24|CE|AdESTREA03^Reason EDD changed^ADM||4^Pending lab/consults~7^Financial/Housing issues||||||F
OBX|25|TX|AdFACINA01^Name of facility^ADM||name of fac||||||F
OBX|26|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||details||||||F
OBX|27|TX|AdGOALCP00^Goal^ADM||goal||||||F
OBX|28|TX|AdGOALDT00^Goal target date^ADM||20190830||||||F
OBX|29|CE|AdGOALST00^Goal status^ADM||3^Met||||||F
OBX|30|TX|AdGOCPRD00^Goal^ADM||intake greater than 75% of trays||||||F
OBX|31|CE|AdGOSTRD00^Goal status^ADM||3^Met||||||F
OBX|32|TX|AdGOTDRD00^Goal target date^ADM||20190816||||||F
OBX|33|TX|AdHXCOND00^History of presenting condition^ADM||test||||||F
OBX|34|TX|AdINFNAM00^Name of information source^ADM||test||||||F
OBX|35|TX|AdINFOTH00^Information source other^ADM||test||||||F
OBX|36|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||referral other||||||F
OBX|37|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||4^Child life specialist~14^Palliative care||||||F
OBX|38|CE|AdINSM0000^Information source^ADM||3^Family||||||F
OBX|39|TX|AdINVANR00^1. Intervention to address problem^ADM||int 1b||||||F
OBX|40|TX|AdINVANR01^2. Intervention to address problem^ADM||int 1b||||||F
OBX|41|TX|AdINVANR02^3. Intervention to address problem^ADM||int 3b||||||F
OBX|42|TX|AdINVANR03^4. Intervention to address problem^ADM||int 4||||||F
OBX|43|TX|AdINVANR04^5. Intervention to address problem^ADM||int 5||||||F
OBX|44|CE|AdINVARD00^Interventions to address problem^ADM||1^Meals and snacks~4^Vitamin/Mineral suppl||||||F
OBX|45|TX|AdODISPC00^Other discharge planning comments^ADM||Brother can stay with client at discharge to help for 3 weeks.||||||F
OBX|46|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||barriers OT||||||F
OBX|47|TX|AdOTCPDE00^Problem details^ADM||detaiils||||||F
OBX|48|TX|AdOTCPED00^Equipment in place for discharge^ADM||Y||||||F
OBX|49|TX|AdOTCPEQ00^Sources of equipment recommended for discharge^ADM||sources of equipment||||||F
OBX|50|TX|AdOTCPGD00^Goal target date^ADM||20190830||||||F
OBX|51|TX|AdOTCPGO00^Goal^ADM||goal||||||F
OBX|52|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|53|CE|AdOTCPID01^Problem identified^ADM||5^Ability to manage iADLS||||||F
OBX|54|TX|AdOTCPIN00^1. Intervention to address problem^ADM||int 1||||||F
OBX|55|TX|AdOTCPIN01^2. Intervention to address problem^ADM||int 2||||||F
OBX|56|TX|AdOTCPIN02^3. Intervention to address problem^ADM||int 3||||||F
OBX|57|TX|AdOTCPIN03^4. Intervention to address problem^ADM||int 4||||||F
OBX|58|TX|AdOTCPIN04^5. Intervention to address problem^ADM||int 5||||||F
OBX|59|CE|AdOTPREF01^Outpatient/Community referral(s) sent to^ADM||5^Addiction services~14^Geriatric nurse clinician~19^Occupational therapist||||||F
OBX|60|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||outpatient||||||F
OBX|61|TX|AdPRED0001^Other pre-admission data^ADM||test||||||F
OBX|62|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|63|TX|AdPROBDS00^Problem detail^ADM||problem 2 other||||||F
OBX|64|CE|AdPROBID20^Problem identified^ADM||16^Cardiac rhythm||||||F
OBX|65|CE|AdPROBRD00^Problem identified^ADM||26^Inadequate oral intake||||||F
OBX|66|TX|AdPTA06000^Communication impairment prior to admission^ADM||test~ ~ ~test||||||F
OBX|67|CE|AdPTA06700^Diet tolerance prior to admission^ADM||1^No concerns||||||F
OBX|68|TX|AdPTA06801^Pre-admission diet tolerance other^ADM||test||||||F
OBX|69|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||pat fam goals||||||F
OBX|70|CE|AdRETORD00^Related to^ADM||5^Increased energy needs||||||F
OBX|71|TX|AdRHD00000^Transportation services referral completed^ADM||N||||||F
OBX|72|CE|AdSLPREF00^SLP referral source^ADM||1^Physician||||||F
OBX|73|TX|AdSLPROT00^SLP referral source other^ADM||test||||||F
OBX|74|TX|AdSTRECO01^Reason EDD changed other^ADM||edd other||||||F
OBX|75|TX|AdTRINFO01^Information faxed to care facility^ADM||Y||||||F
OBX|76|TX|CmPREVCM01^Previous communication assessment^ADM||test||||||F
OBX|77|TX|CmREPDEF00^Patient or family report of communication difficulty^ADM||test||||||F
OBX|78|TX|EcGLUCRT00^Glucometer reading time^ADM||1530||||||F
OBX|79|TX|GiABGIRT00^Abdomen abdominal girth^ADM||192.00||||||F
OBX|80|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||35.0||||||F
OBX|81|CE|GiETSYST00^Enteral feeding tube system^ADM||1^Open||||||F
OBX|82|TX|GuPD000100^Dialysate 1 volume^ADM||10000||||||F
OBX|83|TX|GuPD000200^Dialysate 2 volume^ADM||5000||||||F
OBX|84|TX|GuPD000300^Dialysate 3 volume^ADM||2000||||||F
OBX|85|CE|GuPD000401^Prescription verified^ADM||2^On initiation||||||F
OBX|86|CE|GuPD000500^Dialysate 1 type^ADM||1^Dextrose||||||F
OBX|87|CE|GuPD000600^Dialysate 1 concentration^ADM||1^1.5%||||||F
OBX|88|CE|GuPD000700^Dialysate 2 type^ADM||1^Dextrose||||||F
OBX|89|CE|GuPD000800^Dialysate 2 concentration^ADM||3^2.5%||||||F
OBX|90|CE|GuPD000900^Dialysate 3 type^ADM||1^Dextrose||||||F
OBX|91|CE|GuPD001000^Dialysate 3 concentration^ADM||5^4.25%||||||F
OBX|92|CE|GuPD001100^Dialysate last fill type^ADM||3^Icodextrin||||||F
OBX|93|CE|GuPD001200^Dialysate last fill concentration^ADM||1^7.5%||||||F
OBX|94|TX|GuPD001300^Dialysate last fill volume^ADM||2000||||||F
OBX|95|TX|GuPD001400^Time continuous cycling peritoneal dialysis initiated^ADM||1800||||||F
OBX|96|TX|GuPD001500^Output, Peritoneal Dialysate Initial Drain Amount^ADM||1998||||||F
OBX|97|TX|GuPD001700^Dwell average time^ADM||120||||||F
OBX|98|TX|GuPD001800^Dwell added time^ADM||0||||||F
OBX|99|TX|GuPD001900^Dwell lost time^ADM||0||||||F
OBX|100|TX|GuPD002000^Dwell comments^ADM||test||||||F
OBX|101|TX|GuPD002200^Number of alarm(s) during therapy^ADM||1||||||F
OBX|102|TX|GuPD002300^Type of alarm(s) during therapy other^ADM||test||||||F
OBX|103|TX|GuPD002400^Alarm(s) comments^ADM||test||||||F
OBX|104|TX|GuPD002500^Intake, Peritoneal Dialysate Last Fill Amount^ADM||2000||||||F
OBX|105|CE|GuPD002600^Type of alarm(s) during therapy^ADM||1^Check drain line||||||F
OBX|106|TX|GuPDCEDO00^Peritoneal dialysis catheter exit site drainage other^ADM||test||||||F
OBX|107|CE|GuPDCESA00^Peritoneal dialysis catheter exit site appearance^ADM||1^Satisfactory||||||F
OBX|108|CE|GuPDCESD00^Peritoneal dialysis catheter exit site drainage^ADM||1^None||||||F
OBX|109|TX|GuPDCESO00^Peritoneal dialysis catheter exit site appearance other^ADM||test||||||F
OBX|110|CE|GuPDCLOC00^Peritoneal dialysis catheter location^ADM||3^Right upper quadrant||||||F
OBX|111|TX|GuPDCMT000^Other peritoneal dialysis comments^ADM||test||||||F
OBX|112|CE|GuPDDCL000^Peritoneal dialysis dialysate clarity^ADM||1^Clear||||||F
OBX|113|TX|GuPDDCLO00^Peritoneal dialysis dialysate clarity other^ADM||test||||||F
OBX|114|TX|GuPDFLS000^Fluid leakage from site^ADM||Y||||||F
OBX|115|TX|GuPDMAD000^Peritoneal dialysis medications added to dialysate^ADM||Y||||||F
OBX|116|CE|GuPDSDIU01^Peritoneal dialysis securement device in use^ADM||1^Tape||||||F
OBX|117|CE|He00000001^Anterior cranial sutures^ADM||1^Approximated||||||F
OBX|118|CE|He00000101^Posterior cranial sutures^ADM||1^Approximated||||||F
OBX|119|CE|He00000200^Anterior fontanelle^ADM||1^Soft||||||F
OBX|120|TX|He00000300^Anterior fontanelle other^ADM||test||||||F
OBX|121|CE|He00000400^Posterior fontanelle^ADM||1^Soft||||||F
OBX|122|TX|He00000500^Posterior fontanelle other^ADM||test||||||F
OBX|123|TX|HeSL000100^Medications relevant to SLP intervention^ADM||test||||||F
OBX|124|TX|HeSL000400^Investigations relevant to Speech-Language Pathologists^ADM||test||||||F
OBX|125|TX|HeSL000800^Previous swallow assessment^ADM||test||||||F
OBX|126|CE|HeSL001002^Reason for SLP referral^ADM||5^Concerns with aspiration||||||F
OBX|127|TX|HeSL001100^Reason for SLP referral other^ADM||test||||||F
OBX|128|CE|HeSL006803^Diet recommendations^ADM||1^NPO~9^Clear fluids||||||F
OBX|129|TX|HeSL044000^SLP referral comment^ADM||test||||||F
OBX|130|TX|HeSLP12000^Patient or family report of swallowing difficulties^ADM||test||||||F
OBX|131|CE|HeSW000100^Swallowing concerns identified with solids^ADM||1^No obvious concerns||||||F
OBX|132|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||1^No obvious concerns||||||F
OBX|133|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||4^Coughing||||||F
OBX|134|TX|HeSW000700^Eat at risk order in place^ADM||N||||||F
OBX|135|CE|HeSW001800^Swallowing concerns intervention^ADM||2^Swallow ax referral||||||F
OBX|136|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|137|TX|HxIICPMA02^Postmenstrual age^ADM||35 weeks 0 days||||||F
OBX|138|TX|HxIIDATE01^Date of birth^ADM||20190402||||||F
OBX|139|TX|HxIIGAWD00^Gestational age^ADM||33 weeks 4 days||||||F
OBX|140|TX|HxIIGEDA00^Gestational age in days^ADM||4||||||F
OBX|141|TX|HxIIGEWE00^Gestational age in weeks^ADM||33||||||F
OBX|142|TX|HxIITOTA01^Total days of life^ADM||10||||||F
OBX|143|TX|HxRESPIR00^Respiratory status^ADM||test||||||F
OBX|144|TX|HxSPTCHX01^Pertinent clinical history^ADM||test||||||F
OBX|145|CE|HxTABUL002^Used tobacco or nicotine vapour products in the last 30 days^ADM||2^No||||||F
OBX|146|TX|ITSFNSTXT^Food and Nutrition Text^ADM||this is from food and nutrition text in ITS notes i remember it wrapping~before but we will test and see that it wraps again.  I cannot use PCS PDS~notes because there is no PDS in test for some reason will have to chat~with team when that happens.||||||F
OBX|147|TX|InDR000200^Type of dressing applied^ADM||test||||||F
OBX|148|CE|InDRATYE00^Drainage type^ADM||1^Serous||||||F
OBX|149|CE|InDREWOU00^Wound cleansing solution^ADM||1^Sterile normal saline||||||F
OBX|150|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F
OBX|151|TX|IoNICUIN20^Location^ADM||left arm||||||F
OBX|152|CE|IoSOLUMA00^Solution^ADM||4^D5W||||||F
OBX|153|TX|IvRATE0000^Rate^ADM||40.00||||||F
OBX|154|TX|MhADMIS006^Released on Extended Leave^ADM||Y||||||F
OBX|155|TX|MhDISCHA01^Referred to Mental Health Services^ADM||Y||||||F
OBX|156|CE|MhDISCHA02^Location of Mental Health Services referred to^ADM||1^Abbotsford||||||F
OBX|157|CE|MhDISCHA04^MHSU programs/services referred to^ADM||6^Older adults~11^Group therapy||||||F
OBX|158|TX|MhMHCER000^Certification and MHSU programs/services comments^ADM||cert and MHSU||||||F
OBX|159|TX|MhMHPSR000^MHSU programs/services referred to other^ADM||MHSU other referrals||||||F
OBX|160|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|161|TX|MsEM000700^Transportation mode post discharge other^ADM||discharge mode||||||F
OBX|162|TX|MsEM000801^Supports in place to assist upon discharge^ADM||Y||||||F
OBX|163|TX|MsHK001100^Home set-up requirements reviewed^ADM||N||||||F
OBX|164|TX|MsPTSMRT00^PT SMART goals^ADM||test test for Brock.||||||F
OBX|165|TX|NeGLBLGU00^Glucometer blood glucose^ADM||12.9||||||F
OBX|166|CE|NeICDSCC01^ICDSC altered level of consciousness^ADM||1^1||||||F
OBX|167|CE|NeICDSCD01^ICDSC disorientation^ADM||1^1||||||F
OBX|168|CE|NeICDSCF01^ICDSC symptom fluctuation^ADM||0^0||||||F
OBX|169|CE|NeICDSCH01^ICDSC hallucination, delusion or psychosis^ADM||1^1||||||F
OBX|170|CE|NeICDSCI01^ICDSC inattention^ADM||1^1||||||F
OBX|171|CE|NeICDSCP01^ICDSC psychomotor agitation or retardation^ADM||1^1||||||F
OBX|172|TX|NeICDSCR00^ICDSC score^ADM||6||||||F
OBX|173|CE|NeICDSCS01^ICDSC inappropriate speech or mood^ADM||1^1||||||F
OBX|174|CE|NeICDSCW03^ICDSC sleep/wake cycle disturbance^ADM||0^0||||||F
OBX|175|CE|NeRASS0000^RASS score^ADM||4^+1 Restless||||||F
OBX|176|TX|Nu00000200^Oral nutrition amount of meal consumed comments^ADM||diet tech came to see patient to have meal prefs taken||||||F
OBX|177|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||N||||||F
OBX|178|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||N||||||F
OBX|179|CE|Nu00015500^Patient's position during breakfast^ADM||2^Edge of bed||||||F
OBX|180|CE|Nu00015600^Patient's position during lunch^ADM||2^Edge of bed||||||F
OBX|181|CE|Nu00015700^Patient's position during dinner^ADM||3^Bedside chair||||||F
OBX|182|CE|Nu00016400^Insulin injection site^ADM||1^Right upper arm||||||F
OBX|183|TX|NuANTHR020^Birth weight percentile^ADM||birth weight percentile||||||F
OBX|184|TX|NuANTHR050^Weight for age percentile^ADM||wt for age percentile||||||F
OBX|185|TX|NuANTHR090^Comparison weight date^ADM||20190407||||||F
OBX|186|TX|NuANTHR100^Comparison weight^ADM||2.502||||||F
OBX|187|TX|NuANTHR110^Days since comparison weight^ADM||5||||||F
OBX|188|TX|NuANTHR140^Average weight change^ADM||11 g/day over 5 days||||||F
OBX|189|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||4 g/kg/day over the past 5 days||||||F
OBX|190|CE|NuANTHR160^Average weight gain goal^ADM||4^25-35 g/day||||||F
OBX|191|CE|NuANTHR170^Growth rate evaluation^ADM||1^Below expected||||||F
OBX|192|TX|NuAPWECH01^Percent weight loss^ADM||Incomplete||||||F
OBX|193|CE|NuBRAMCO02^Breakfast amount consumed^ADM||02^25%||||||F
OBX|194|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||2^No||||||F
OBX|195|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|196|CE|NuDIAMCO02^Dinner amount consumed^ADM||03^50%||||||F
OBX|197|TX|NuDIETFU00^Dietitian follow-up required^ADM||Y||||||F
OBX|198|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||2^In 2-3 days||||||F
OBX|199|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|200|TX|NuIATIME00^Insulin administration time^ADM||1540||||||F
OBX|201|TX|NuIDOSSA01^Short acting insulin dose^ADM||4.00||||||F
OBX|202|CE|NuLUAMCO02^Lunch amount consumed^ADM||03^50%||||||F
OBX|203|CE|NuMSTDAP01^Been eating poorly because of a decreased appetite^ADM||2^Yes||||||F
OBX|204|CE|NuMSTLWT02^Have you lost weight recently without trying^ADM||3^Yes||||||F
OBX|205|TX|NuMSTSCR01^Malnutrition Screening Tool score^ADM||4||||||F
OBX|206|CE|NuMSTWTL01^If yes, how much have you lost^ADM||3^11-15 kg (24-33 lbs)||||||F
OBX|207|TX|NuNICUF134^Prepared Amount: Formula^ADM||20.0||||||F
OBX|208|TX|NuNICUF142^Formula type^ADM||Prem 24 kcal/oz high protein||||||F
OBX|209|TX|NuNICUF152^Additives^ADM||HMF 1pkg: 25mL EBM||||||F
OBX|210|TX|NuNICUF200^Duration of bottle feed^ADM||20||||||F
OBX|211|CE|NuNICUF270^Bottle feeding observations^ADM||2^Moderate suck||||||F
OBX|212|CE|NuNICUF282^Nipple type used^ADM||2^Slow flow nipple||||||F
OBX|213|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||25.0||||||F
OBX|214|TX|NuNICUFE92^Prepared Amount:  Mother's EBM^ADM||40.0||||||F
OBX|215|TX|NuNM000100^Nothing by mouth^ADM||N||||||F
OBX|216|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital||||||F
OBX|217|TX|NuRDDCBR00^Dietitian discharge barriers^ADM||dietitian discharge barriers from 12/04/19~second line in discharge barriers~third line in discharge barriers||||||F
OBX|218|CE|NuSGA01800^SGA rating^ADM||3^C= Severely malnourished||||||F
OBX|219|CE|NuSNAMCO02^Snack amount consumed^ADM||03^50%||||||F
OBX|220|CE|NuWTCH0000^Weight change calculation based on^ADM||2^Estimated dry weight||||||F
OBX|221|TX|NuWTGAIN00^Percent weight gain^ADM||Incomplete||||||F
OBX|222|TX|OEDIAG^Diagnosis:^ADM||Diagnosis from PDS screen 10/04/19||||||F
OBX|223|TX|OEEDD^Estimated Discharge Date:^ADM||20190426||||||F
OBX|224|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|225|TX|OELANG^Language:^ADM||ENG||||||F
OBX|226|TX|OEORDATE^OR Date:^ADM||20190408||||||F
OBX|227|TX|OESURGERY^Surgery/Procedure:^ADM||Surgical procedure April 10, 2019 SS||||||F
OBX|228|TX|Oh00000000^Additional information^ADM||test||||||F
OBX|229|CE|Oh00000800^Care plan^ADM||1^Initiated||||||F
OBX|230|TX|OhEDIT0000^Reason for edit^ADM||edity||||||F
OBX|231|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|232|TX|OhOTSMRT00^OT SMART goals^ADM||OT smart goals||||||F
OBX|233|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F
OBX|234|TX|PaCOMMEN00^Pain comments^ADM||test||||||F
OBX|235|CE|PaCPOTBO00^CPOT body movements^ADM||2^1-Protection||||||F
OBX|236|CE|PaCPOTFA00^CPOT facial expression^ADM||1^0-Relaxed, neutral||||||F
OBX|237|CE|PaCPOTMU00^CPOT muscle tension^ADM||2^1-Tense, rigid||||||F
OBX|238|TX|PaCPOTSC00^CPOT score^ADM||3||||||F
OBX|239|CE|PaCPOTVV00^CPOT compliance with the ventilator or vocalization^ADM||3^1-Coughing but tolerating||||||F
OBX|240|CE|PaFREQ0000^Pain frequency^ADM||3^Constant||||||F
OBX|241|CE|PaLOCBDS02^Location^ADM||32^Nipple||||||F
OBX|242|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F
OBX|243|CE|PaPAINAS00^Pain assessed^ADM||1^At rest||||||F
OBX|244|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|245|CE|PaPAQUAL01^Pain quality^ADM||3^Dull||||||F
OBX|246|CE|PaPASCL000^Pain scale used^ADM||7^Verbal descriptors||||||F
OBX|247|CE|PaPASCLE00^Pain scale used^ADM||1^Numeric||||||F
OBX|248|TX|PaPASCRE01^Pain score^ADM||9.00||||||F
OBX|249|TX|PsAG000100^Adult guardianship concern(s) identified for investigation^ADM||Y||||||F
OBX|250|TX|PsCOMPRL00^Communication primary language^ADM||test||||||F
OBX|251|TX|PsSWEMER00^Subject to s.59 emergency assistance^ADM||Y||||||F
OBX|252|CE|PsSWREPO01^Report received under s.46 of Adult Guardianship Act^ADM||1^Do not disclose/release||||||F
OBX|253|TX|RDOTCMST00^Outcome status^ADM||Unmet||||||F
OBX|254|TX|Re00000000^Respiratory pre-hospital baseline^ADM||Hx of COPD.  Short of breath on exertion||||||F
OBX|255|CE|Re00000100^Respiratory assessment^ADM||3^At pre-hospital baseline||||||F
OBX|256|TX|ReABNORM00^Abnormal findings comments^ADM||test||||||F
OBX|257|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|258|CE|ReAUAIRE01^Air entry^ADM||4^Diminished||||||F
OBX|259|CE|ReAUBTHS02^Breath sounds^ADM||6^Crackles||||||F
OBX|260|CE|ReAULOCT00^Auscultation location^ADM||8^Left apical||||||F
OBX|261|CE|ReAULOMO00^Auscultation location modifier^ADM||2^Posterior||||||F
OBX|262|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F
OBX|263|TX|ReBRESOU00^Breath sounds other^ADM||test||||||F
OBX|264|CE|ReCGDESC01^Cough description^ADM||2^Congested||||||F
OBX|265|TX|ReCGDESO00^Cough description other^ADM||test||||||F
OBX|266|TX|ReCGPROD00^Cough productive^ADM||N||||||F
OBX|267|CE|ReCGSTGH00^Cough strength^ADM||2^Moderate||||||F
OBX|268|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|269|TX|ReDISTRE00^Respiratory distress comments^ADM||test||||||F
OBX|270|TX|ReFIND0000^Other respiratory findings^ADM||test||||||F
OBX|271|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|272|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|273|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|274|TX|ReREDISO00^Respiratory distress indicators other^ADM||test||||||F
OBX|275|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|276|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|277|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|278|CE|ReSCCOLR00^Secretions colour^ADM||1^Clear||||||F
OBX|279|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid||||||F
OBX|280|TX|ReSCDESO00^Secretions description other^ADM||test||||||F
OBX|281|CE|ReSE000100^Secretion source^ADM||3^Oropharyngeal||||||F
OBX|282|TX|ReSECCOM00^Secretions comments^ADM||test||||||F
OBX|283|TX|ReSECMET00^Secretions collection method other^ADM||test||||||F
OBX|284|CE|ReSECRET00^Secretions source^ADM||1^Suctioned||||||F
OBX|285|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F
OBX|286|TX|SpCONCOM01^Consent comments^ADM||test||||||F
OBX|287|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|288|TX|SpCONOTH00^Assessment/Treatment benefits and risks explained to other^ADM||test||||||F
OBX|289|CE|SpCONPAT00^Consent received from patient^ADM||2^Gesture||||||F
OBX|290|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|291|TX|SpCONREC01^Consent received from^ADM||testtesttesttesttesttest||||||F
OBX|292|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|293|CE|SpCONTYP00^Consent received for^ADM||1^Assessment~2^Treatment plan||||||F
OBX|294|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|295|TX|TeSL001300^Communication SMART goals^ADM||SLP communication smart goals||||||F
OBX|296|TX|TeSLPCOM00^SLP Dysphagia SMART goals^ADM||dysphagia smart goals||||||F
OBX|297|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F
OBX|298|TX|VsHTCM0100^Current height^ADM||166.6||||||F
OBX|299|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||4^Usual/Previous weight||||||F
OBX|300|TX|VsWT000101^Current Weight^ADM||91.000||||||F
OBX|301|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|302|TX|VsWT001701^Birth weight^ADM||2.445||||||F
OBX|303|TX|VsWT002701^Usual/Previous weight^ADM||2.055||||||F
OBX|304|TX|VsWT003100^Prepregnancy weight^ADM||86.2||||||F
OBX|305|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|306|TX|VsWT003500^Goal/target weight^ADM||89.000||||||F
OBX|307|TX|VsWT004400^Pregnancy weight gain calculated^ADM||-83.64||||||F
OBX|308|TX|VsWT005300^Body mass index^ADM||0.7||||||F
OBX|309|TX|VsWT005400^Prepregnancy body mass index^ADM||31.1||||||F
OBX|310|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||65000.000||||||F
OBX|311|CE|zCBREFSLP^Referral to SLP^ADM||1^Yes||||||F
OBX|312|TX|zCWCPGOAL^Goal^ADM||Wants to be upto the chair and practice sit to stand||||||F
OBX|313|TX|zCWCPGOAL2^Goal^ADM||Brush teeth||||||F
OBX|314|CE|zCWDOMAIN^Domain of concern^ADM||28^Pain||||||F
OBX|315|TX|zCWINTADD1^Intervention to address problem^ADM||Stroke a cat||||||F
OBX|316|TX|zCWINTADD2^Intervention to address problem^ADM||Mwah ha ha||||||F
OBX|317|TX|zCWINTADD3^Intervention to address problem^ADM||Be all evil and stuff||||||F
OBX|318|TX|zCWINTADD4^Intervention to address problem^ADM||Sit on a cool chair with label of name under L arm||||||F
OBX|319|TX|zCWINTADDR^Interventions to address problem^ADM||avoid red colours||||||F
OBX|320|TX|zCWPROBDIS^Problem is a barrier to discharge^ADM||N||||||F
OBX|321|TX|zCWPROBLEM^Problem identified^ADM||test PT||||||F
OBX|322|CE|zCWPROVIDE^Care provider type^ADM||4^PT||||||F
OBX|323|CE|zCWSTATSGL^Status of goal^ADM||2^Partially met||||||F
OBX|324|TX|zCWTARGTDT^Target date^ADM||20190430||||||F
OBX|325|TX|zSEPSISM00^Sepsis screen^ADM||Severe Sepsis Risk||||||F
OBX|326|CE|zSEPSISM01^Sepsis action taken^ADM||4^APP notified||||||F
OBX|327|TX|zSEPSISM02^Name of provider notified^ADM||test||||||F
OBX|328|CE|zSEPSISM15^Infection criteria present^ADM||1^Suspected new infection||||||F
OBX|329|CE|zSEPSISM18^SIRS criteria present^ADM||1^Pulse > 90 bpm~3^RR > 20/min||||||F
OBX|330|CE|zSEPSISM19^Organ dysfunction criteria present^ADM||5^Urine Output <0.5 ml/kg/h~10^Bld glucose > 14.0 mmol/L||||||F
OBX|331|TX|zSEPSISM43^Risk for sepsis identified^ADM||Y||||||F
OBX|332|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F001900388^No Known Allergies|||20190116
AL1|2|FA|F006007877^banana|MO||20190410
AL1|3||ORANGES|MI||20190410
AL1|4||PEANUT|SV||20190410
AL1|5||POLLEN|MI||20190410
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|
ZFH|LUMED||||||

