MSH|^~\&|ADM|ARH|||201910161227||ADT^A08|4080246|D|2.2|||AL|NE
EVN|A08|201910161227||||
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||48.056||||||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|AdNEWBO330^Skin comments^ADM||test||||||F
OBX|46|TX|AdODISPC00^Other discharge planning comments^ADM||Brother can stay with client at discharge to help for 3 weeks.||||||F
OBX|47|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||barriers OT||||||F
OBX|48|TX|AdOTCPDE00^Problem details^ADM||detaiils||||||F
OBX|49|TX|AdOTCPED00^Equipment in place for discharge^ADM||Y||||||F
OBX|50|TX|AdOTCPEQ00^Sources of equipment recommended for discharge^ADM||sources of equipment||||||F
OBX|51|TX|AdOTCPGD00^Goal target date^ADM||20190830||||||F
OBX|52|TX|AdOTCPGO00^Goal^ADM||goal||||||F
OBX|53|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F
OBX|54|CE|AdOTCPID01^Problem identified^ADM||5^Ability to manage iADLS||||||F
OBX|55|TX|AdOTCPIN00^1. Intervention to address problem^ADM||int 1||||||F
OBX|56|TX|AdOTCPIN01^2. Intervention to address problem^ADM||int 2||||||F
OBX|57|TX|AdOTCPIN02^3. Intervention to address problem^ADM||int 3||||||F
OBX|58|TX|AdOTCPIN03^4. Intervention to address problem^ADM||int 4||||||F
OBX|59|TX|AdOTCPIN04^5. Intervention to address problem^ADM||int 5||||||F
OBX|60|CE|AdOTPREF01^Outpatient/Community referral(s) sent to^ADM||5^Addiction services~14^Geriatric nurse clinician~19^Occupational therapist||||||F
OBX|61|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||outpatient||||||F
OBX|62|TX|AdPRED0001^Other pre-admission data^ADM||test||||||F
OBX|63|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|64|TX|AdPROBDS00^Problem detail^ADM||problem 2 other||||||F
OBX|65|CE|AdPROBID20^Problem identified^ADM||16^Cardiac rhythm||||||F
OBX|66|CE|AdPROBRD00^Problem identified^ADM||26^Inadequate oral intake||||||F
OBX|67|TX|AdPTA06000^Communication impairment prior to admission^ADM||test~ ~ ~test||||||F
OBX|68|CE|AdPTA06700^Diet tolerance prior to admission^ADM||1^No concerns||||||F
OBX|69|TX|AdPTA06801^Pre-admission diet tolerance other^ADM||test||||||F
OBX|70|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||pat fam goals||||||F
OBX|71|CE|AdRETORD00^Related to^ADM||5^Increased energy needs||||||F
OBX|72|TX|AdRHD00000^Transportation services referral completed^ADM||N||||||F
OBX|73|CE|AdSLPREF00^SLP referral source^ADM||1^Physician||||||F
OBX|74|TX|AdSLPROT00^SLP referral source other^ADM||test||||||F
OBX|75|TX|AdSTRECO01^Reason EDD changed other^ADM||edd other||||||F
OBX|76|TX|AdTRINFO01^Information faxed to care facility^ADM||Y||||||F
OBX|77|CE|Ca00000100^Right radial pulse^ADM||1^Doppler||||||F
OBX|78|CE|Ca00000200^Right ulnar pulse^ADM||1^Doppler||||||F
OBX|79|CE|Ca00000400^Left radial pulse^ADM||1^Doppler||||||F
OBX|80|CE|Ca00000500^Left ulnar pulse^ADM||1^Doppler||||||F
OBX|81|CE|Ca00000700^Right dorsalis pedis pulse^ADM||1^Doppler||||||F
OBX|82|CE|Ca00000800^Right post tibial pulse^ADM||1^Doppler||||||F
OBX|83|CE|Ca00000900^Right popliteal pulse^ADM||1^Doppler||||||F
OBX|84|CE|Ca00001000^Left dorsalis pedis pulse^ADM||1^Doppler||||||F
OBX|85|CE|Ca00001100^Left post tibial pulse^ADM||1^Doppler||||||F
OBX|86|CE|Ca00001200^Left popliteal pulse^ADM||1^Doppler||||||F
OBX|87|CE|Ca00001300^Right femoral pulse^ADM||1^Doppler||||||F
OBX|88|CE|Ca00001400^Left femoral pulse^ADM||1^Doppler||||||F
OBX|89|TX|Ca00001800^Cardiovascular pre-hospital baseline^ADM||test||||||F
OBX|90|CE|Ca00001900^Cardiovascular assessment^ADM||1^Within defined parameters||||||F
OBX|91|TX|CaCAVASC00^Other cardiovascular comments^ADM||test||||||F
OBX|92|CE|CaCRFOLE01^Capillary refill left foot^ADM||1^Less than 3 seconds||||||F
OBX|93|CE|CaCRFORI01^Capillary refill right foot^ADM||1^Less than 3 seconds||||||F
OBX|94|CE|CaCRHALE00^Capillary refill left hand^ADM||1^Less than 3 seconds||||||F
OBX|95|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|96|TX|CaCY000000^Skin cyanosis other^ADM||test||||||F
OBX|97|CE|CaCYANOS00^Cyanosis^ADM||1^None||||||F
OBX|98|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|99|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||||||||F
OBX|100|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|101|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||2^Bilateral||||||F
OBX|102|TX|CmPREVCM01^Previous communication assessment^ADM||test||||||F
OBX|103|TX|CmREPDEF00^Patient or family report of communication difficulty^ADM||test||||||F
OBX|104|TX|EcGLUCRT00^Glucometer reading time^ADM||1530||||||F
OBX|105|TX|Gi00000600^Maintaining baseline stool pattern^ADM||N||||||F
OBX|106|TX|Gi00001400^Gastrointestinal pre-hospital baseline^ADM||Hx of UC||||||F
OBX|107|CE|Gi00001500^Gastrointestinal assessment^ADM||3^At pre-hospital baseline||||||F
OBX|108|TX|Gi00001600^Genitourinary pre-hospital baseline^ADM||test||||||F
OBX|109|CE|Gi00001700^Genitourinary assessment^ADM||1^Within defined parameters||||||F
OBX|110|TX|Gi00001800^Bladder scan comments^ADM||test||||||F
OBX|111|TX|GiABAPGE00^Abdominal general appearance^ADM||test||||||F
OBX|112|TX|GiABGIRT00^Abdomen abdominal girth^ADM||192.00||||||F
OBX|113|CE|GiABPALP02^Abdominal palpation^ADM||2^Tender||||||F
OBX|114|TX|GiABPAOT00^Abdominal palpation findings other^ADM||test||||||F
OBX|115|CE|GiABSHAP00^Abdominal shape^ADM||1^Flat||||||F
OBX|116|TX|GiBMINTC01^Bowel movement level of intervention comments^ADM||test||||||F
OBX|117|CE|GiBMINTE01^Bowel movement level of intervention^ADM||2^Disimpaction||||||F
OBX|118|TX|GiBMINTO00^Bowel movement level of intervention other^ADM||test||||||F
OBX|119|CE|GiBOFLAT00^Bowel flatus present^ADM||1^Absent||||||F
OBX|120|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||35.0||||||F
OBX|121|CE|GiBOWELLLQ^Bowel sounds lower left quadrant^ADM||1^Active||||||F
OBX|122|CE|GiBOWELLRQ^Bowel sounds lower right quadrant^ADM||1^Active||||||F
OBX|123|CE|GiBOWELULQ^Bowel sounds upper left quadrant^ADM||1^Active||||||F
OBX|124|CE|GiBOWELURQ^Bowel sounds upper right quadrant^ADM||1^Active||||||F
OBX|125|CE|GiBSACTI01^Bowel sounds active in all four quadrants^ADM||1^Yes||||||F
OBX|126|TX|GiCONSTI00^Patient experiencing constipation^ADM||N||||||F
OBX|127|TX|GiDIARRH00^Patient experiencing diarrhea^ADM||N||||||F
OBX|128|CE|GiEFT00500^Exudate description^ADM||1^Serous||||||F
OBX|129|CE|GiETSYST00^Enteral feeding tube system^ADM||1^Open||||||F
OBX|130|TX|GiNAUSVO00^Patient experiencing nausea/vomiting^ADM||N||||||F
OBX|131|TX|GiSKINNT00^Surrounding skin intact^ADM||Y||||||F
OBX|132|TX|Gu00000000^Genitalia/Perineum concerns^ADM||test||||||F
OBX|133|TX|GuAFBA0000^Arteriovenous fistula bruit audible^ADM||Y||||||F
OBX|134|CE|GuAFLOC000^Arteriovenous fistula location^ADM||1^Right arm||||||F
OBX|135|TX|GuAFTP0000^Arteriovenous fistula thrill palpable^ADM||Y||||||F
OBX|136|TX|GuBDSVA000^Bladder scan volume^ADM||500||||||F
OBX|137|TX|GuBDURSO00^Urinary retention signs and symptoms other^ADM||test||||||F
OBX|138|CE|GuBDURSS01^Urinary retention signs and symptoms^ADM||1^None||||||F
OBX|139|TX|GuBDUTIO00^Urinary tract infections signs and symptoms other^ADM||test||||||F
OBX|140|CE|GuBDUTIS00^Urinary tract infection signs and symptoms^ADM||1^None||||||F
OBX|141|CE|GuDI000100^Dialysis type^ADM||1^Hemodialysis||||||F
OBX|142|TX|GuPD000100^Dialysate 1 volume^ADM||10000||||||F
OBX|143|TX|GuPD000200^Dialysate 2 volume^ADM||5000||||||F
OBX|144|TX|GuPD000300^Dialysate 3 volume^ADM||2000||||||F
OBX|145|CE|GuPD000401^Prescription verified^ADM||2^On initiation||||||F
OBX|146|CE|GuPD000500^Dialysate 1 type^ADM||1^Dextrose||||||F
OBX|147|CE|GuPD000600^Dialysate 1 concentration^ADM||1^1.5%||||||F
OBX|148|CE|GuPD000700^Dialysate 2 type^ADM||1^Dextrose||||||F
OBX|149|CE|GuPD000800^Dialysate 2 concentration^ADM||3^2.5%||||||F
OBX|150|CE|GuPD000900^Dialysate 3 type^ADM||1^Dextrose||||||F
OBX|151|CE|GuPD001000^Dialysate 3 concentration^ADM||5^4.25%||||||F
OBX|152|CE|GuPD001100^Dialysate last fill type^ADM||3^Icodextrin||||||F
OBX|153|CE|GuPD001200^Dialysate last fill concentration^ADM||1^7.5%||||||F
OBX|154|TX|GuPD001300^Dialysate last fill volume^ADM||2000||||||F
OBX|155|TX|GuPD001400^Time continuous cycling peritoneal dialysis initiated^ADM||1800||||||F
OBX|156|TX|GuPD001500^Output, Peritoneal Dialysate Initial Drain Amount^ADM||1998||||||F
OBX|157|TX|GuPD001700^Dwell average time^ADM||120||||||F
OBX|158|TX|GuPD001800^Dwell added time^ADM||0||||||F
OBX|159|TX|GuPD001900^Dwell lost time^ADM||0||||||F
OBX|160|TX|GuPD002000^Dwell comments^ADM||test||||||F
OBX|161|TX|GuPD002200^Number of alarm(s) during therapy^ADM||1||||||F
OBX|162|TX|GuPD002300^Type of alarm(s) during therapy other^ADM||test||||||F
OBX|163|TX|GuPD002400^Alarm(s) comments^ADM||test||||||F
OBX|164|TX|GuPD002500^Intake, Peritoneal Dialysate Last Fill Amount^ADM||2000||||||F
OBX|165|CE|GuPD002600^Type of alarm(s) during therapy^ADM||1^Check drain line||||||F
OBX|166|TX|GuPDCEDO00^Peritoneal dialysis catheter exit site drainage other^ADM||test||||||F
OBX|167|CE|GuPDCESA00^Peritoneal dialysis catheter exit site appearance^ADM||1^Satisfactory||||||F
OBX|168|CE|GuPDCESD00^Peritoneal dialysis catheter exit site drainage^ADM||1^None||||||F
OBX|169|TX|GuPDCESO00^Peritoneal dialysis catheter exit site appearance other^ADM||test||||||F
OBX|170|CE|GuPDCLOC00^Peritoneal dialysis catheter location^ADM||3^Right upper quadrant||||||F
OBX|171|TX|GuPDCMT000^Other peritoneal dialysis comments^ADM||test||||||F
OBX|172|CE|GuPDDCL000^Peritoneal dialysis dialysate clarity^ADM||1^Clear||||||F
OBX|173|TX|GuPDDCLO00^Peritoneal dialysis dialysate clarity other^ADM||test||||||F
OBX|174|TX|GuPDDVOL00^Peritoneal dialysis drain volume^ADM||1888||||||F
OBX|175|TX|GuPDEXFB00^Exchange fluid balance^ADM||112||||||F
OBX|176|TX|GuPDFLS000^Fluid leakage from site^ADM||Y||||||F
OBX|177|TX|GuPDFVOL00^Peritoneal dialysis fill volume^ADM||2000||||||F
OBX|178|TX|GuPDMAD000^Peritoneal dialysis medications added to dialysate^ADM||Y||||||F
OBX|179|TX|GuPDPFVO00^Previous dialysate fill volume^ADM||2000||||||F
OBX|180|CE|GuPDSDIU01^Peritoneal dialysis securement device in use^ADM||1^Tape||||||F
OBX|181|TX|GuUCB00000^Skin care management^ADM||test||||||F
OBX|182|TX|GuUCB00010^Other gastrointestinal/genitourinary comments^ADM||test||||||F
OBX|183|TX|GuUCINS000^Urinary catheter in situ and patent^ADM||N||||||F
OBX|184|TX|GuUCRCMT00^Urinary catheter removal comments^ADM||test||||||F
OBX|185|TX|GuUCRDT000^Urinary catheter removal date^ADM||20191018||||||F
OBX|186|TX|GuUCRFCO00^Reason for urinary catheter continued use other^ADM||test||||||F
OBX|187|CE|GuUCRFCU00^Reason for urinary catheter continued use^ADM||1^Unrelieved retention||||||F
OBX|188|TX|GuUCSDU000^Urinary catheter securement device in use^ADM||N||||||F
OBX|189|CE|He00000001^Anterior cranial sutures^ADM||1^Approximated||||||F
OBX|190|CE|He00000101^Posterior cranial sutures^ADM||1^Approximated||||||F
OBX|191|CE|He00000200^Anterior fontanelle^ADM||1^Soft||||||F
OBX|192|TX|He00000300^Anterior fontanelle other^ADM||test||||||F
OBX|193|CE|He00000400^Posterior fontanelle^ADM||1^Soft||||||F
OBX|194|TX|He00000500^Posterior fontanelle other^ADM||test||||||F
OBX|195|TX|HeSL000100^Medications relevant to SLP intervention^ADM||test||||||F
OBX|196|TX|HeSL000400^Investigations relevant to Speech-Language Pathologists^ADM||test||||||F
OBX|197|TX|HeSL000800^Previous swallow assessment^ADM||test||||||F
OBX|198|CE|HeSL001002^Reason for SLP referral^ADM||5^Concerns with aspiration||||||F
OBX|199|TX|HeSL001100^Reason for SLP referral other^ADM||test||||||F
OBX|200|CE|HeSL006803^Diet recommendations^ADM||1^NPO||||||F
OBX|201|TX|HeSL006901^Diet recommendations other^ADM||test||||||F
OBX|202|TX|HeSL007001^Plan of care indicates eating at risk^ADM||Y||||||F
OBX|203|TX|HeSL007100^SLP summary oral diet at risk details^ADM||test||||||F
OBX|204|TX|HeSL007200^Ice chips permitted between meals after oral care^ADM||Y||||||F
OBX|205|TX|HeSL007301^Teaspoons of water permitted between meals after oral care^ADM||Y||||||F
OBX|206|CE|HeSL007501^Medication administration form recommendations^ADM||1^Give pills one at a time||||||F
OBX|207|CE|HeSL007601^Medication administration delivery recommendations^ADM||1^Sips of liquid before||||||F
OBX|208|CE|HeSL007800^Dry mouth recommendations^ADM||1^Frequent sips of fluid||||||F
OBX|209|TX|HeSL007900^Dry mouth recommendations other^ADM||test||||||F
OBX|210|CE|HeSL008000^Oral care recommendations for independent patients^ADM||1^Brush teeth twice/day||||||F
OBX|211|TX|HeSL008100^Oral care recommendations for independent patients other^ADM||test||||||F
OBX|212|CE|HeSL008701^Oral care recommendations for dependent patients^ADM||1^Oral care every 4 hours||||||F
OBX|213|TX|HeSL008800^Oral care recommendations for dependent patients other^ADM||test||||||F
OBX|214|TX|HeSL044000^SLP referral comment^ADM||test||||||F
OBX|215|TX|HeSLP07001^Sips of water permitted between meals after oral care^ADM||Y||||||F
OBX|216|TX|HeSLP07201^Medication administration form recommendations other^ADM||test||||||F
OBX|217|TX|HeSLP07301^Medication administration delivery recommendations other^ADM||test||||||F
OBX|218|CE|HeSLP09100^Swallow strategy assistance^ADM||1^Assistance needed||||||F
OBX|219|CE|HeSLP09301^Mealtime strategy recommendations^ADM||1^Eat/Feed slowly||||||F
OBX|220|TX|HeSLP09400^Mealtime strategy recommendations other^ADM||test||||||F
OBX|221|CE|HeSLP09500^Compensatory strategy recommendations^ADM||6^Smaller bolus size||||||F
OBX|222|TX|HeSLP09600^Compensatory strategy recommendations other^ADM||test||||||F
OBX|223|TX|HeSLP09701^Swallow strategy recommendations comments^ADM||test||||||F
OBX|224|TX|HeSLP12000^Patient or family report of swallowing difficulties^ADM||test||||||F
OBX|225|TX|HeSLRECC00^Dysphagia recommendations comments^ADM||test~ ~ ~ ~test||||||F
OBX|226|CE|HeSW000100^Swallowing concerns identified with solids^ADM||1^No obvious concerns||||||F
OBX|227|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||1^No obvious concerns||||||F
OBX|228|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||4^Coughing||||||F
OBX|229|TX|HeSW000700^Eat at risk order in place^ADM||Y||||||F
OBX|230|CE|HeSW001800^Swallowing concerns intervention^ADM||2^Swallow ax referral||||||F
OBX|231|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|232|TX|HxIICPMA02^Postmenstrual age^ADM||35 weeks 0 days||||||F
OBX|233|TX|HxIIDATE01^Date of birth^ADM||20190402||||||F
OBX|234|TX|HxIIGAWD00^Gestational age^ADM||33 weeks 4 days||||||F
OBX|235|TX|HxIIGEDA00^Gestational age in days^ADM||4||||||F
OBX|236|TX|HxIIGEWE00^Gestational age in weeks^ADM||33||||||F
OBX|237|TX|HxIITOTA01^Total days of life^ADM||10||||||F
OBX|238|TX|HxRESPIR00^Respiratory status^ADM||test||||||F
OBX|239|TX|HxSPTCHX01^Pertinent clinical history^ADM||test||||||F
OBX|240|CE|HxTABUL002^Used tobacco or nicotine vapour products in the last 30 days^ADM||2^No||||||F
OBX|241|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|242|TX|In00000000^Dressing type^ADM||test||||||F
OBX|243|TX|In00000600^Skin pre-hospital baseline^ADM||test||||||F
OBX|244|CE|In00000700^Skin assessment^ADM||1^Skin intact||||||F
OBX|245|TX|In00000800^Specialty mattress^ADM||test||||||F
OBX|246|TX|In00000900^Wound dressing dry and intact^ADM||Y||||||F
OBX|247|CE|In00001000^Skin description^ADM||2^Excoriated||||||F
OBX|248|TX|In00001100^Wound dressing change details^ADM||test||||||F
OBX|249|TX|In00001200^Drain dressing present^ADM||N||||||F
OBX|250|TX|In00001300^Drain dressing changed details^ADM||test||||||F
OBX|251|CE|In00001600^Skin appearance^ADM||1^Redness||||||F
OBX|252|TX|In00001700^Skin appearance other^ADM||test||||||F
OBX|253|TX|InDR000200^Type of dressing applied^ADM||test||||||F
OBX|254|CE|InDRADDE00^Drain drainage description^ADM||1^Serous||||||F
OBX|255|CE|InDRALBD00^Drain location body site^ADM||1^Head||||||F
OBX|256|CE|InDRALBS00^Drain location body site modifier^ADM||1^Right||||||F
OBX|257|TX|InDRASEC00^Drain securement device dry and intact^ADM||Y||||||F
OBX|258|CE|InDRATYE00^Drainage type^ADM||1^Serous||||||F
OBX|259|CE|InDRATYP00^Drain type^ADM||1^Negative pressure device||||||F
OBX|260|TX|InDRCMT000^Other drain comments^ADM||test||||||F
OBX|261|CE|InDREWOU00^Wound cleansing solution^ADM||1^Sterile normal saline||||||F
OBX|262|CE|InEDEMAS00^Edema severity^ADM||1^+1||||||F
OBX|263|TX|InEDEMCM00^Edema comments^ADM||test||||||F
OBX|264|TX|InEDEMLB01^Edema location^ADM||test||||||F
OBX|265|CE|InEDEMLM00^Edema location modifier^ADM||3^Right||||||F
OBX|266|CE|InEDEMTP00^Edema type^ADM||1^Pitting||||||F
OBX|267|TX|InINDRES00^Dressing dry and intact^ADM||N||||||F
OBX|268|CE|InPOSI0001^Immobilization/positioning device type^ADM||1^Cast||||||F
OBX|269|TX|InPOSI0002^Immobilization/positioning device type other^ADM||test||||||F
OBX|270|TX|InPOSI0004^Immobilization/positioning device comments^ADM||test||||||F
OBX|271|CE|InSA001500^Heel pressure relief method^ADM||1^Elevated||||||F
OBX|272|TX|InSA001902^Additional pressure relief methods comments^ADM||test||||||F
OBX|273|TX|InSKCOOT00^Other integumentary comments^ADM||test||||||F
OBX|274|CE|InSKGNTM00^Generalized skin temperature^ADM||1^Hot||||||F
OBX|275|TX|InSKIAPO00^Skin appearance other^ADM||test||||||F
OBX|276|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F
OBX|277|TX|InSKIDEO00^Skin description other^ADM||test||||||F
OBX|278|CE|InSKIMOD01^Skin and wound modifier^ADM||5^Central||||||F
OBX|279|CE|InSKIMOI02^Skin moisture^ADM||1^Dry||||||F
OBX|280|CE|InSKITEM00^Skin temperature^ADM||1^Hot||||||F
OBX|281|CE|InWNDLOC02^Wound location^ADM||25^Ear||||||F
OBX|282|CE|InWNDMOD00^Wound location modifier^ADM||2^Left||||||F
OBX|283|CE|InWNDTYM00^Wound type^ADM||1^Surgical||||||F
OBX|284|CE|InWOULOC02^Skin or wound location^ADM||5^Shoulder||||||F
OBX|285|TX|IoNICUIN20^Location^ADM||left arm||||||F
OBX|286|CE|IoSOLUMA00^Solution^ADM||4^D5W||||||F
OBX|287|TX|IvRATE0000^Rate^ADM||40.00||||||F
OBX|288|TX|MhADMIS006^Released on Extended Leave^ADM||Y||||||F
OBX|289|TX|MhDISCHA01^Referred to Mental Health Services^ADM||Y||||||F
OBX|290|CE|MhDISCHA02^Location of Mental Health Services referred to^ADM||1^Abbotsford||||||F
OBX|291|CE|MhDISCHA04^MHSU programs/services referred to^ADM||6^Older adults~11^Group therapy||||||F
OBX|292|TX|MhMHCER000^Certification and MHSU programs/services comments^ADM||cert and MHSU||||||F
OBX|293|TX|MhMHPSR000^MHSU programs/services referred to other^ADM||MHSU other referrals||||||F
OBX|294|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|295|TX|MsEM000700^Transportation mode post discharge other^ADM||discharge mode||||||F
OBX|296|TX|MsEM000801^Supports in place to assist upon discharge^ADM||Y||||||F
OBX|297|TX|MsHK001100^Home set-up requirements reviewed^ADM||N||||||F
OBX|298|TX|MsPTSMRT00^PT SMART goals^ADM||test test for Brock.||||||F
OBX|299|TX|NeGLBLGU00^Glucometer blood glucose^ADM||12.9||||||F
OBX|300|CE|NeICDSCC01^ICDSC altered level of consciousness^ADM||1^1||||||F
OBX|301|CE|NeICDSCD01^ICDSC disorientation^ADM||1^1||||||F
OBX|302|CE|NeICDSCF01^ICDSC symptom fluctuation^ADM||0^0||||||F
OBX|303|CE|NeICDSCH01^ICDSC hallucination, delusion or psychosis^ADM||1^1||||||F
OBX|304|CE|NeICDSCI01^ICDSC inattention^ADM||1^1||||||F
OBX|305|CE|NeICDSCP01^ICDSC psychomotor agitation or retardation^ADM||1^1||||||F
OBX|306|TX|NeICDSCR00^ICDSC score^ADM||6||||||F
OBX|307|CE|NeICDSCS01^ICDSC inappropriate speech or mood^ADM||1^1||||||F
OBX|308|CE|NeICDSCW03^ICDSC sleep/wake cycle disturbance^ADM||0^0||||||F
OBX|309|CE|NeRASS0000^RASS score^ADM||4^+1 Restless||||||F
OBX|310|TX|NmSPSKPP00^Skin beneath cervical collar assessed for pressure points^ADM||Y||||||F
OBX|311|TX|Nu00000200^Oral nutrition amount of meal consumed comments^ADM||diet tech came to see patient to have meal prefs taken||||||F
OBX|312|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||N||||||F
OBX|313|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||N||||||F
OBX|314|CE|Nu00015500^Patient's position during breakfast^ADM||2^Edge of bed||||||F
OBX|315|CE|Nu00015600^Patient's position during lunch^ADM||2^Edge of bed||||||F
OBX|316|CE|Nu00015700^Patient's position during dinner^ADM||3^Bedside chair||||||F
OBX|317|CE|Nu00016400^Insulin injection site^ADM||1^Right upper arm||||||F
OBX|318|TX|NuANTHR020^Birth weight percentile^ADM||birth weight percentile||||||F
OBX|319|TX|NuANTHR050^Weight for age percentile^ADM||wt for age percentile||||||F
OBX|320|TX|NuANTHR090^Comparison weight date^ADM||20190407||||||F
OBX|321|TX|NuANTHR100^Comparison weight^ADM||2.502||||||F
OBX|322|TX|NuANTHR110^Days since comparison weight^ADM||5||||||F
OBX|323|TX|NuANTHR140^Average weight change^ADM||11 g/day over 5 days||||||F
OBX|324|TX|NuANTHR150^Average weight change (g/kg/day)^ADM||4 g/kg/day over the past 5 days||||||F
OBX|325|CE|NuANTHR160^Average weight gain goal^ADM||4^25-35 g/day||||||F
OBX|326|CE|NuANTHR170^Growth rate evaluation^ADM||1^Below expected||||||F
OBX|327|TX|NuAPWECH01^Percent weight loss^ADM||Incomplete||||||F
OBX|328|CE|NuBRAMCO02^Breakfast amount consumed^ADM||02^25%||||||F
OBX|329|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||2^No||||||F
OBX|330|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|331|CE|NuDIAMCO02^Dinner amount consumed^ADM||03^50%||||||F
OBX|332|TX|NuDIETFU00^Dietitian follow-up required^ADM||Y||||||F
OBX|333|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||2^In 2-3 days||||||F
OBX|334|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|335|TX|NuIATIME00^Insulin administration time^ADM||1540||||||F
OBX|336|TX|NuIDOSSA01^Short acting insulin dose^ADM||4.00||||||F
OBX|337|CE|NuLUAMCO02^Lunch amount consumed^ADM||03^50%||||||F
OBX|338|CE|NuMSTDAP01^Been eating poorly because of a decreased appetite^ADM||2^Yes||||||F
OBX|339|CE|NuMSTLWT02^Have you lost weight recently without trying^ADM||3^Yes||||||F
OBX|340|TX|NuMSTSCR01^Malnutrition Screening Tool score^ADM||4||||||F
OBX|341|CE|NuMSTWTL01^If yes, how much have you lost^ADM||3^11-15 kg (24-33 lbs)||||||F
OBX|342|TX|NuNICUF134^Prepared Amount: Formula^ADM||20.0||||||F
OBX|343|TX|NuNICUF142^Formula type^ADM||Prem 24 kcal/oz high protein||||||F
OBX|344|TX|NuNICUF152^Additives^ADM||HMF 1pkg: 25mL EBM||||||F
OBX|345|TX|NuNICUF200^Duration of bottle feed^ADM||20||||||F
OBX|346|CE|NuNICUF270^Bottle feeding observations^ADM||2^Moderate suck||||||F
OBX|347|CE|NuNICUF282^Nipple type used^ADM||2^Slow flow nipple||||||F
OBX|348|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||25.0||||||F
OBX|349|TX|NuNICUFE92^Prepared Amount:  Mother's EBM^ADM||40.0||||||F
OBX|350|TX|NuNM000100^Nothing by mouth^ADM||N||||||F
OBX|351|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital||||||F
OBX|352|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|353|CE|NuSGA01800^SGA rating^ADM||3^C= Severely malnourished||||||F
OBX|354|TX|NuSLPDR000^Diet restrictions^ADM||test||||||F
OBX|355|CE|NuSNAMCO02^Snack amount consumed^ADM||03^50%||||||F
OBX|356|CE|NuWTCH0000^Weight change calculation based on^ADM||2^Estimated dry weight||||||F
OBX|357|TX|NuWTGAIN00^Percent weight gain^ADM||Incomplete||||||F
OBX|358|TX|OEDIAG^Diagnosis:^ADM||Diagnosis from PDS screen 10/04/19||||||F
OBX|359|TX|OEEDD^Estimated Discharge Date:^ADM||20190426||||||F
OBX|360|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|361|TX|OELANG^Language:^ADM||ENG||||||F
OBX|362|TX|OEORDATE^OR Date:^ADM||20190408||||||F
OBX|363|TX|OESURGERY^Surgery/Procedure:^ADM||Surgical procedure April 10, 2019 SS||||||F
OBX|364|TX|Oh00000000^Additional information^ADM||test||||||F
OBX|365|CE|Oh00000800^Care plan^ADM||1^Initiated||||||F
OBX|366|TX|OhEDIT0000^Reason for edit^ADM||test||||||F
OBX|367|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|368|TX|OhOTSMRT00^OT SMART goals^ADM||OT smart goals||||||F
OBX|369|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F
OBX|370|TX|PaCOMMEN00^Pain comments^ADM||test||||||F
OBX|371|CE|PaCPOTBO00^CPOT body movements^ADM||2^1-Protection||||||F
OBX|372|CE|PaCPOTFA00^CPOT facial expression^ADM||1^0-Relaxed, neutral||||||F
OBX|373|CE|PaCPOTMU00^CPOT muscle tension^ADM||2^1-Tense, rigid||||||F
OBX|374|TX|PaCPOTSC00^CPOT score^ADM||3||||||F
OBX|375|CE|PaCPOTVV00^CPOT compliance with the ventilator or vocalization^ADM||3^1-Coughing but tolerating||||||F
OBX|376|CE|PaFREQ0000^Pain frequency^ADM||3^Constant||||||F
OBX|377|CE|PaLOCBDS02^Location^ADM||32^Nipple||||||F
OBX|378|TX|PaNBCATH00^Catheter distal tip intact with removal^ADM||N||||||F
OBX|379|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F
OBX|380|CE|PaPAINAS00^Pain assessed^ADM||1^At rest||||||F
OBX|381|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|382|CE|PaPAQUAL01^Pain quality^ADM||3^Dull||||||F
OBX|383|CE|PaPASCL000^Pain scale used^ADM||7^Verbal descriptors||||||F
OBX|384|CE|PaPASCLE00^Pain scale used^ADM||1^Numeric||||||F
OBX|385|TX|PaPASCRE01^Pain score^ADM||9.00||||||F
OBX|386|TX|PsAG000100^Adult guardianship concern(s) identified for investigation^ADM||Y||||||F
OBX|387|TX|PsCOMPRL00^Communication primary language^ADM||test||||||F
OBX|388|TX|PsSWEMER00^Subject to s.59 emergency assistance^ADM||Y||||||F
OBX|389|CE|PsSWREPO01^Report received under s.46 of Adult Guardianship Act^ADM||1^Do not disclose/release||||||F
OBX|390|TX|RDOTCMST00^Outcome status^ADM||Unmet||||||F
OBX|391|TX|Re00000000^Respiratory pre-hospital baseline^ADM||Hx of COPD.  Short of breath on exertion||||||F
OBX|392|CE|Re00000100^Respiratory assessment^ADM||3^At pre-hospital baseline||||||F
OBX|393|TX|ReABNORM00^Abnormal findings comments^ADM||test||||||F
OBX|394|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|395|CE|ReAUAIRE01^Air entry^ADM||4^Diminished||||||F
OBX|396|CE|ReAUBTHS02^Breath sounds^ADM||6^Crackles||||||F
OBX|397|CE|ReAULOCT00^Auscultation location^ADM||8^Left apical||||||F
OBX|398|CE|ReAULOMO00^Auscultation location modifier^ADM||2^Posterior||||||F
OBX|399|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F
OBX|400|TX|ReBRESOU00^Breath sounds other^ADM||test||||||F
OBX|401|CE|ReCGDESC01^Cough description^ADM||2^Congested||||||F
OBX|402|TX|ReCGDESO00^Cough description other^ADM||test||||||F
OBX|403|TX|ReCGPROD00^Cough productive^ADM||N||||||F
OBX|404|CE|ReCGSTGH00^Cough strength^ADM||2^Moderate||||||F
OBX|405|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|406|TX|ReDISTRE00^Respiratory distress comments^ADM||test||||||F
OBX|407|TX|ReFIND0000^Other respiratory findings^ADM||test||||||F
OBX|408|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|409|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|410|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|411|TX|ReREDISO00^Respiratory distress indicators other^ADM||test||||||F
OBX|412|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|413|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|414|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|415|CE|ReSCCOLR00^Secretions colour^ADM||1^Clear||||||F
OBX|416|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid||||||F
OBX|417|TX|ReSCDESO00^Secretions description other^ADM||test||||||F
OBX|418|CE|ReSE000100^Secretion source^ADM||3^Oropharyngeal||||||F
OBX|419|TX|ReSECCOM00^Secretions comments^ADM||test||||||F
OBX|420|TX|ReSECMET00^Secretions collection method other^ADM||test||||||F
OBX|421|CE|ReSECRET00^Secretions source^ADM||1^Suctioned||||||F
OBX|422|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F
OBX|423|TX|SpCONCOM01^Consent comments^ADM||test||||||F
OBX|424|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|425|TX|SpCONOTH00^Assessment/Treatment benefits and risks explained to other^ADM||test||||||F
OBX|426|CE|SpCONPAT00^Consent received from patient^ADM||2^Gesture||||||F
OBX|427|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|428|TX|SpCONREC01^Consent received from^ADM||testtesttesttesttesttest||||||F
OBX|429|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|430|CE|SpCONTYP00^Consent received for^ADM||1^Assessment~2^Treatment plan||||||F
OBX|431|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|432|TX|TeSL001300^Communication SMART goals^ADM||SLP communication smart goals||||||F
OBX|433|TX|TeSLPCOM00^SLP Dysphagia SMART goals^ADM||test~ ~ ~test||||||F
OBX|434|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F
OBX|435|TX|VsHTCM0100^Current height^ADM||166.6||||||F
OBX|436|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||4^Usual/Previous weight||||||F
OBX|437|TX|VsWT000101^Current Weight^ADM||91.000||||||F
OBX|438|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|439|TX|VsWT001701^Birth weight^ADM||2.445||||||F
OBX|440|TX|VsWT002701^Usual/Previous weight^ADM||2.055||||||F
OBX|441|TX|VsWT003100^Prepregnancy weight^ADM||86.2||||||F
OBX|442|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|443|TX|VsWT003500^Goal/target weight^ADM||89.000||||||F
OBX|444|TX|VsWT004400^Pregnancy weight gain calculated^ADM||-83.64||||||F
OBX|445|TX|VsWT005300^Body mass index^ADM||0.7||||||F
OBX|446|TX|VsWT005400^Prepregnancy body mass index^ADM||31.1||||||F
OBX|447|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||65000.000||||||F
OBX|448|CE|zCBREFSLP^Referral to SLP^ADM||1^Yes||||||F
OBX|449|TX|zCWCPGOAL^Goal^ADM||Wants to be upto the chair and practice sit to stand||||||F
OBX|450|TX|zCWCPGOAL2^Goal^ADM||Brush teeth||||||F
OBX|451|CE|zCWDOMAIN^Domain of concern^ADM||28^Pain||||||F
OBX|452|TX|zCWINTADD1^Intervention to address problem^ADM||Stroke a cat||||||F
OBX|453|TX|zCWINTADD2^Intervention to address problem^ADM||Mwah ha ha||||||F
OBX|454|TX|zCWINTADD3^Intervention to address problem^ADM||Be all evil and stuff||||||F
OBX|455|TX|zCWINTADD4^Intervention to address problem^ADM||Sit on a cool chair with label of name under L arm||||||F
OBX|456|TX|zCWINTADDR^Interventions to address problem^ADM||avoid red colours||||||F
OBX|457|TX|zCWPROBDIS^Problem is a barrier to discharge^ADM||N||||||F
OBX|458|TX|zCWPROBLEM^Problem identified^ADM||test PT||||||F
OBX|459|CE|zCWPROVIDE^Care provider type^ADM||4^PT||||||F
OBX|460|CE|zCWSTATSGL^Status of goal^ADM||2^Partially met||||||F
OBX|461|TX|zCWTARGTDT^Target date^ADM||20190430||||||F
OBX|462|TX|zSEPSISM00^Sepsis screen^ADM||Severe Sepsis Risk||||||F
OBX|463|CE|zSEPSISM01^Sepsis action taken^ADM||4^APP notified||||||F
OBX|464|TX|zSEPSISM02^Name of provider notified^ADM||test||||||F
OBX|465|CE|zSEPSISM15^Infection criteria present^ADM||1^Suspected new infection||||||F
OBX|466|CE|zSEPSISM18^SIRS criteria present^ADM||1^Pulse > 90 bpm~3^RR > 20/min||||||F
OBX|467|CE|zSEPSISM19^Organ dysfunction criteria present^ADM||5^Urine Output <0.5 ml/kg/h~10^Bld glucose > 14.0 mmol/L||||||F
OBX|468|TX|zSEPSISM43^Risk for sepsis identified^ADM||Y||||||F
OBX|469|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||||||

