MSH|^~\&|ADM|ARH|||201910221012||ADT^A08|4087452|D|2.2|||AL|NE
EVN|A08|201910221012||||
PID|1|FHATVIG0012081|AB00008299|AB8206|PCSTEST^REPORT2||19731021|M|||236 BOWSER ST^^VANCOUVER^BC^V5U8H0|||||||AB000581/19|
PV1|1|I|AB-2BAKER^AB2B-B2109^1|EL|||ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201910211152|
PV2||P^Private - Non-Solicited|
OBX|1|ST|1010.1^WEIGHT^CPT4||1.235||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||182.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20170125||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other 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|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|9|TX|AdAC000100^Accompanied by other^ADM||wife Margaret||||||F
OBX|10|TX|AdADMDAT01^Admission date^ADM||20191008||||||F
OBX|11|CE|AdADMFRO01^Admitted from^ADM||2^Home||||||F
OBX|12|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||Y||||||F
OBX|13|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||Y||||||F
OBX|14|TX|AdADMRSN00^Reason for admission^ADM||reason for admission||||||F
OBX|15|TX|AdADMTIM00^Admission time^ADM||1200||||||F
OBX|16|TX|AdADMTRA00^Name of other unit/site^ADM||name of other unit/site admitted||||||F
OBX|17|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F
OBX|18|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|19|CE|AdARRMOD00^Mode of arrival^ADM||3^Walking||||||F
OBX|20|CE|AdASEVRD00^As evidenced by^ADM||2^Diagnosis or treatment||||||F
OBX|21|TX|AdBIRTH010^Expected date of delivery^ADM||20200124||||||F
OBX|22|TX|AdCOMDIF00^Communication difficulties^ADM||Y||||||F
OBX|23|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F
OBX|24|TX|AdDCBARD00^Discharge barriers identified by dietitian^ADM||discharge barriers identified by RD||||||F
OBX|25|TX|AdDCCOMP01^Discharge plan complete^ADM||N||||||F
OBX|26|CE|AdDISCHA30^Discharge destination^ADM||1^Home||||||F
OBX|27|TX|AdESTDTD00^Estimated date of discharge^ADM||20191108||||||F
OBX|28|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity||||||F
OBX|29|CE|AdGOSTRD00^Goal status^ADM||2^Partially met||||||F
OBX|30|TX|AdHXCOND00^History of presenting condition^ADM||history of presenting condition||||||F
OBX|31|TX|AdINFNAM00^Name of information source^ADM||name of info source||||||F
OBX|32|TX|AdINFOTH00^Information source other^ADM||info source other||||||F
OBX|33|CE|AdINPTRF03^Inpatient referral(s) sent to^ADM||4^Dietitian||||||F
OBX|34|TX|AdINTNEE00^Interpreter needed^ADM||Y||||||F
OBX|35|CE|AdINVARD00^Interventions to address problem^ADM||1^Meals and snacks~2^Enteral nutrition~4^Vitamin/Mineral suppl~10^Coordination of care||||||F
OBX|36|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F
OBX|37|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|38|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|39|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|40|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||N||||||F
OBX|41|TX|AdPRLANG00^Primary language spoken^ADM||primary language spokent||||||F
OBX|42|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|43|CE|AdPROBRD00^Problem identified^ADM||35^Inadequate protein-E||||||F
OBX|44|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|45|TX|AdREPRFR01^Report received from^ADM||report received from||||||F
OBX|46|CE|AdRETORD00^Related to^ADM||1^Altered GI function||||||F
OBX|47|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||lines tubes other||||||F
OBX|48|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|49|TX|HxIICPMA02^Postmenstrual age^ADM||26 weeks 4 days||||||F
OBX|50|TX|HxIIDATE01^Date of birth^ADM||20191003||||||F
OBX|51|TX|HxIIGAWD00^Gestational age^ADM||23 weeks 6 days||||||F
OBX|52|TX|HxIIGEDA00^Gestational age in days^ADM||6||||||F
OBX|53|TX|HxIIGEWE00^Gestational age in weeks^ADM||23||||||F
OBX|54|TX|HxIITIME00^Infant time of birth^ADM||1422||||||F
OBX|55|TX|HxIITOTA01^Total days of life^ADM||19||||||F
OBX|56|TX|HxMEASUR00^Weight change from previous measurement^ADM||35 grams over the past 1 days||||||F
OBX|57|TX|HxMEASUR10^Percent weight change since birth^ADM||||||||F
OBX|58|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||Y||||||F
OBX|59|TX|HxSPTCHX01^Pertinent clinical history^ADM||pertinent clinical history||||||F
OBX|60|CE|HxWHX00002^Weight change prior to admission weight history^ADM||2^Unintentional loss||||||F
OBX|61|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|62|TX|MoPTPLAN00^PT plan^ADM||Pt  plan from UAP - PT||||||F
OBX|63|TX|NuAPWECH01^Percent weight loss^ADM||10.2||||||F
OBX|64|CE|NuAPWELO01^Dietitian weight loss assessment^ADM||3^Severe loss||||||F
OBX|65|CE|NuBMIIBW01^Method used to calculate ideal body weight^ADM||1^Body mass index of 25||||||F
OBX|66|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|67|TX|NuDIETFU00^Dietitian follow-up required^ADM||Y||||||F
OBX|68|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||2^In 2-3 days||||||F
OBX|69|CE|NuDIFUIM02^Dietitian follow up items to monitor^ADM||1^Intakes~4^Weight||||||F
OBX|70|TX|NuSGA00100^SGA weight change - overall loss in past 6 months^ADM||10.000||||||F
OBX|71|TX|NuSGA00200^SGA percentage weight loss^ADM||10.00||||||F
OBX|72|CE|NuSGA00300^SGA weight change in past 2 weeks^ADM||3^Decrease||||||F
OBX|73|CE|NuSGA01800^SGA rating^ADM||2^B= Malnourished||||||F
OBX|74|CE|NuWTCH0000^Weight change calculation based on^ADM||1^Usual/Previous weight||||||F
OBX|75|TX|OEDIAG^Diagnosis:^ADM||diagnosis from PDS screen||||||F
OBX|76|TX|OEDOC^Physician Name:^ADM||DAHLSTRD||||||F
OBX|77|TX|OEEQLOAN01^Equipment on loan^ADM||Equipment on load~line 2~line 3||||||F
OBX|78|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|79|CE|OhIN000300^Information source^ADM||9^Nurse~15^Significant other||||||F
OBX|80|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|81|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|82|TX|OhPLNDET00^Plan details^ADM||Plan details from UAP - OT||||||F
OBX|83|TX|OhPTSTUP00^Patient status update^ADM||patient status update from UAP - PT||||||F
OBX|84|TX|OtPDABTR00^Appointments, booking and transportation ? ? ^ADM||appointments, booking and~transportation PDS screen||||||F
OBX|85|TX|OtPDCAR00^Consults and referrals^ADM||consults and referrals PDS screen||||||F
OBX|86|TX|OtPDCCOU00^Calorie count^ADM||calorie count PDS||||||F
OBX|87|TX|OtPDDLWO00^Daily lab work^ADM||daily lab work PDS||||||F
OBX|88|TX|OtPDGLIN00^Fluid intake/restrictions^ADM||fluid intake/restrictions PDS||||||F
OBX|89|TX|OtPDGLUC00^Glucometer frequency^ADM||glucometer frequency PDS||||||F
OBX|90|TX|OtPDOLWO00^Other lab work^ADM||other lab work PDS||||||F
OBX|91|TX|OtPDOTES00^Other tests^ADM||other tests PDS||||||F
OBX|92|TX|OtPDPCCN00^PCC notes^ADM||PCC notes from PDS screen~line 2~line 3 PDS||||||F
OBX|93|TX|OtPDRTCO00^RT comments^ADM||RT comments from PDS screen~line2~line3||||||F
OBX|94|TX|OtPDSEFO00^4^ADM||keynotes 4 PDS||||||F
OBX|95|TX|OtPDSEON00^1^ADM||keynotes 1 PDS||||||F
OBX|96|TX|OtPDSETH00^3^ADM||keynotes 3 PDS||||||F
OBX|97|TX|OtPDSETW00^2^ADM||keynotes 2 PDS||||||F
OBX|98|TX|OtPDSPDO00^Surgery/Procedure 1 date^ADM||20191017||||||F
OBX|99|TX|OtPDSPDT00^Surgery/Procedure 2 date^ADM||20191019||||||F
OBX|100|TX|OtPDSPON00^Surgery/Procedure 1^ADM||Right below knee amputation||||||F
OBX|101|TX|OtPDSPTW00^Surgery/Procedure 2^ADM||debridement||||||F
OBX|102|TX|OtPDSSUM00^Shift summary^ADM||shift summary from PDS screen~line 2~line 3||||||F
OBX|103|TX|OtPDVSIG00^Vital signs frequency^ADM||vital signs frequency PDS||||||F
OBX|104|TX|OtPDWEIG00^Weight frequency^ADM||weight frequency PDS||||||F
OBX|105|TX|PdOBTEST01^Diagnostic tests^ADM||diagnositic tests PDS||||||F
OBX|106|TX|PdOOTCOM01^OT comments^ADM||OT comments from PDS screen~line 2~line 3||||||F
OBX|107|TX|PdORDCOM01^RD comments^ADM||NAS 1 / PIC 1 from PDS screen comments~line 2~line 3||||||F
OBX|108|TX|PdOSLPCO01^SLP comments^ADM||SLP comments on PDS screen~line 2~line 3||||||F
OBX|109|TX|PdOSWCOM01^SW comments^ADM||SW comments from PDS screen~line 2~line 3||||||F
OBX|110|TX|PdPTCOMM01^PT comments^ADM||PT comments from PDS screen~line 2~line 3||||||F
OBX|111|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F
OBX|112|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F
OBX|113|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||N||||||F
OBX|114|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||N||||||F
OBX|115|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F
OBX|116|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|117|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|118|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|119|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|120|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|121|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|122|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|123|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|124|TX|VsDAPRWT00^Date of previous weight^ADM||20191021||||||F
OBX|125|TX|VsHTCM0100^Current height^ADM||182.0||||||F
OBX|126|TX|VsIDEALW00^Ideal body weight^ADM||82.8||||||F
OBX|127|TX|VsMISPAR00^Miscellaneous parameter name and goal^ADM||misc parameter name and goal PDS||||||F
OBX|128|TX|VsSOXYGE00^Oxygen saturation (O2) goal^ADM||O2 sat goal PDS||||||F
OBX|129|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||1^Current weight||||||F
OBX|130|TX|VsWT000101^Current Weight^ADM||1.235||||||F
OBX|131|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|132|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|133|TX|VsWT002701^Usual/Previous weight^ADM||96.000||||||F
OBX|134|TX|VsWT003100^Prepregnancy weight^ADM||88.0||||||F
OBX|135|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|136|TX|VsWT004400^Pregnancy weight gain calculated^ADM||7.00||||||F
OBX|137|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|138|TX|VsWT005300^Body mass index^ADM||28.7||||||F
OBX|139|TX|VsWT005400^Prepregnancy body mass index^ADM||26.6||||||F
OBX|140|TX|VsWT006000^Weight change time frame^ADM||6 months||||||F
OBX|141|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||1235.000||||||F
OBX|142|TX|VsWTPREV02^Previous weight^ADM||1.200||||||F
OBX|143|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|FA|F006007877^banana|MI|stuffy nose|20191022
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||||||

