MSH|^~\&|ADM|ARH|||201910231152||ADT^A08|4088029|D|2.2|||AL|NE
EVN|A08|201910231152||||
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||1.268||||||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|CE|AdBIRTH000^Birth place^ADM||1^Hospital||||||F
OBX|22|TX|AdBIRTH010^Expected date of delivery^ADM||20200124||||||F
OBX|23|CE|AdBIRTH021^Delivery presentation^ADM||1^Cephalic||||||F
OBX|24|CE|AdBIRTH030^Single/Multiple births^ADM||1^Singleton||||||F
OBX|25|TX|AdCOMDIF00^Communication difficulties^ADM||Y||||||F
OBX|26|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F
OBX|27|TX|AdDCBARD00^Discharge barriers identified by dietitian^ADM||discharge barriers identified by RD need||||||F
OBX|28|TX|AdDCCOMP01^Discharge plan complete^ADM||N||||||F
OBX|29|CE|AdDISCHA30^Discharge destination^ADM||5^Long-term care home||||||F
OBX|30|TX|AdESTDTD00^Estimated date of discharge^ADM||20191108||||||F
OBX|31|CE|AdESTREA03^Reason EDD changed^ADM||5^Supplies/Equipment needs||||||F
OBX|32|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||BC CA||||||F
OBX|33|CE|AdGOSTRD00^Goal status^ADM||3^Met||||||F
OBX|34|TX|AdHXCOND00^History of presenting condition^ADM||history of presenting condition||||||F
OBX|35|TX|AdINFNAM00^Name of information source^ADM||name of info source||||||F
OBX|36|TX|AdINFOTH00^Information source other^ADM||info source other||||||F
OBX|37|CE|AdINPTRF03^Inpatient referral(s) sent to^ADM||4^Dietitian||||||F
OBX|38|TX|AdINTNEE00^Interpreter needed^ADM||Y||||||F
OBX|39|CE|AdINVARD00^Interventions to address problem^ADM||1^Meals and snacks~2^Enteral nutrition~4^Vitamin/Mineral suppl~10^Coordination of care||||||F
OBX|40|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F
OBX|41|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|42|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|43|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|44|CE|AdOUTS0100^Outpatient/Community referral(s) sent to^ADM||7^Dietitian||||||F
OBX|45|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||N||||||F
OBX|46|TX|AdPRLANG00^Primary language spoken^ADM||primary language spokent||||||F
OBX|47|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F
OBX|48|CE|AdPROBRD00^Problem identified^ADM||35^Inadequate protein-E||||||F
OBX|49|TX|AdPTFAMY01^Patient/Family goals for discharge^ADM||CHECK Here||||||F
OBX|50|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|51|TX|AdREPRFR01^Report received from^ADM||report received from||||||F
OBX|52|CE|AdRETORD00^Related to^ADM||1^Altered GI function||||||F
OBX|53|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||lines tubes other||||||F
OBX|54|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|55|TX|HxIICPMA02^Postmenstrual age^ADM||26 weeks 5 days||||||F
OBX|56|TX|HxIIDATE01^Date of birth^ADM||20191003||||||F
OBX|57|TX|HxIIGAWD00^Gestational age^ADM||23 weeks 6 days||||||F
OBX|58|TX|HxIIGEDA00^Gestational age in days^ADM||6||||||F
OBX|59|TX|HxIIGEWE00^Gestational age in weeks^ADM||23||||||F
OBX|60|TX|HxIISCO100^Apgar score at 1 min^ADM||5||||||F
OBX|61|TX|HxIISCO200^Apgar score at 5 mins^ADM||7||||||F
OBX|62|TX|HxIISCO300^Apgar score at 10 mins^ADM||9||||||F
OBX|63|TX|HxIITIME00^Infant time of birth^ADM||1422||||||F
OBX|64|TX|HxIITOTA01^Total days of life^ADM||20||||||F
OBX|65|TX|HxMEASUR00^Weight change from previous measurement^ADM||33 grams over the past 1 days||||||F
OBX|66|TX|HxMEASUR10^Percent weight change since birth^ADM||2.67%  weight gain||||||F
OBX|67|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||Y||||||F
OBX|68|TX|HxSPTCHX01^Pertinent clinical history^ADM||pertinent clinical history||||||F
OBX|69|CE|HxWHX00002^Weight change prior to admission weight history^ADM||2^Unintentional loss||||||F
OBX|70|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|71|TX|MoAOCMTS02^Order details^ADM||order details - Medical Orders PT||||||F
OBX|72|CE|MoAOMRPO00^Most responsible practitioner's activity order^ADM||1^Activity as tolerated||||||F
OBX|73|TX|MoPTPLAN00^PT plan^ADM||Pt  plan from UAP - PT||||||F
OBX|74|TX|MoWBOLLE00^Weight bearing order left lower extremity^ADM||LLE weight bearing order - MO PT||||||F
OBX|75|TX|MoWBOLUE00^Weight bearing order left upper extremity^ADM||LUE wt bearing order - MO PT||||||F
OBX|76|TX|MoWBORLE00^Weight bearing order right lower extremity^ADM||RLE wt bearing order - MO PT||||||F
OBX|77|TX|MoWBORUE00^Weight bearing order right upper extremity^ADM||RUE wt bearing order - MO PT||||||F
OBX|78|CE|MsSPIN001^Spinal precautions current management^ADM||1^Hard collar||||||F
OBX|79|TX|MsSPIN002^Spinal precautions current management other^ADM||current mgmt other  MO-PT||||||F
OBX|80|TX|NmSBTYPE02^Spinal brace type^ADM||spinal brace type MO-PT||||||F
OBX|81|TX|NmSPDRCL03^Name of clearing physician^ADM||name of clearing physicin||||||F
OBX|82|TX|NmSPDTCL01^Date spinal precautions cleared^ADM||20191014||||||F
OBX|83|CE|NmSPTYPE01^Spinal precautions type^ADM||1^Full spinal||||||F
OBX|84|TX|NuANTHR020^Birth weight percentile^ADM||BW percentile Neo-24Mo||||||F
OBX|85|TX|NuANTHR050^Weight for age percentile^ADM||wt for age %ile Neo-24 Mo||||||F
OBX|86|TX|NuAPWECH01^Percent weight loss^ADM||10.2||||||F
OBX|87|CE|NuAPWELO01^Dietitian weight loss assessment^ADM||3^Severe loss||||||F
OBX|88|CE|NuBMIIBW01^Method used to calculate ideal body weight^ADM||1^Body mass index of 25||||||F
OBX|89|CE|NuCNMETH00^Nutrition status assessment method^ADM||1^Subjective Global Ax||||||F
OBX|90|TX|NuDIETFU00^Dietitian follow-up required^ADM||Y||||||F
OBX|91|CE|NuDIFOTF02^Dietitian follow-up time frame^ADM||2^In 2-3 days||||||F
OBX|92|CE|NuDIFUIM02^Dietitian follow up items to monitor^ADM||1^Intakes~4^Weight||||||F
OBX|93|TX|NuSGA00100^SGA weight change - overall loss in past 6 months^ADM||10.000||||||F
OBX|94|TX|NuSGA00200^SGA percentage weight loss^ADM||10.00||||||F
OBX|95|CE|NuSGA00300^SGA weight change in past 2 weeks^ADM||3^Decrease||||||F
OBX|96|CE|NuSGA01800^SGA rating^ADM||2^B= Malnourished||||||F
OBX|97|CE|NuWTCH0000^Weight change calculation based on^ADM||1^Usual/Previous weight||||||F
OBX|98|TX|OEDIAG^Diagnosis:^ADM||diagnosis from PDS screen||||||F
OBX|99|TX|OEDOC^Physician Name:^ADM||DAHLSTRD||||||F
OBX|100|TX|OEEQLOAN01^Equipment on loan^ADM||Equipment on load~line 2~line 3||||||F
OBX|101|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|102|CE|OhIN000300^Information source^ADM||9^Nurse~15^Significant other||||||F
OBX|103|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|104|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|105|TX|OhPLNDET00^Plan details^ADM||Plan details from UAP - OT||||||F
OBX|106|TX|OhPT000400^Precautions and contraindications^ADM||precautions and contraindications - Medical Orders - PT||||||F
OBX|107|TX|OhPTSTUP00^Patient status update^ADM||patient status update from UAP - PT||||||F
OBX|108|TX|OtPDABTR00^Appointments, booking and transportation ? ? ^ADM||appointments, booking and~transportation PDS screen||||||F
OBX|109|TX|OtPDCAR00^Consults and referrals^ADM||consults and referrals PDS screen||||||F
OBX|110|TX|OtPDCCOU00^Calorie count^ADM||calorie count PDS||||||F
OBX|111|TX|OtPDDLWO00^Daily lab work^ADM||daily lab work PDS||||||F
OBX|112|TX|OtPDGLIN00^Fluid intake/restrictions^ADM||fluid intake/restrictions PDS||||||F
OBX|113|TX|OtPDGLUC00^Glucometer frequency^ADM||glucometer frequency PDS||||||F
OBX|114|TX|OtPDOLWO00^Other lab work^ADM||other lab work PDS||||||F
OBX|115|TX|OtPDOTES00^Other tests^ADM||other tests PDS||||||F
OBX|116|TX|OtPDPCCN00^PCC notes^ADM||PCC notes from PDS screen~line 2~line 3 PDS||||||F
OBX|117|TX|OtPDRTCO00^RT comments^ADM||RT comments from PDS screen~line2~line3||||||F
OBX|118|TX|OtPDSEFO00^4^ADM||keynotes 4 PDS||||||F
OBX|119|TX|OtPDSEON00^1^ADM||keynotes 1 PDS||||||F
OBX|120|TX|OtPDSETH00^3^ADM||keynotes 3 PDS||||||F
OBX|121|TX|OtPDSETW00^2^ADM||keynotes 2 PDS||||||F
OBX|122|TX|OtPDSPDO00^Surgery/Procedure 1 date^ADM||20191017||||||F
OBX|123|TX|OtPDSPDT00^Surgery/Procedure 2 date^ADM||20191019||||||F
OBX|124|TX|OtPDSPON00^Surgery/Procedure 1^ADM||Right below knee amputation||||||F
OBX|125|TX|OtPDSPTW00^Surgery/Procedure 2^ADM||debridement||||||F
OBX|126|TX|OtPDSSUM00^Shift summary^ADM||shift summary from PDS screen~line 2~line 3||||||F
OBX|127|TX|OtPDVSIG00^Vital signs frequency^ADM||vital signs frequency PDS||||||F
OBX|128|TX|OtPDWEIG00^Weight frequency^ADM||weight frequency PDS||||||F
OBX|129|TX|PdOBTEST01^Diagnostic tests^ADM||diagnositic tests PDS||||||F
OBX|130|TX|PdOOTCOM01^OT comments^ADM||OT comments from PDS screen~line 2~line 3||||||F
OBX|131|TX|PdORDCOM01^RD comments^ADM||NAS 1 / PIC 1 from PDS screen comments~line 2~line 3||||||F
OBX|132|TX|PdOSLPCO01^SLP comments^ADM||SLP comments on PDS screen~line 2~line 3||||||F
OBX|133|TX|PdOSWCOM01^SW comments^ADM||SW comments from PDS screen~line 2~line 3||||||F
OBX|134|TX|PdPTCOMM01^PT comments^ADM||PT comments from PDS screen~line 2~line 3||||||F
OBX|135|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F
OBX|136|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F
OBX|137|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||N||||||F
OBX|138|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||N||||||F
OBX|139|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F
OBX|140|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|141|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|142|CE|RpDE000100^Delivery type^ADM||1^SVD||||||F
OBX|143|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|144|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|145|TX|SpCECOTY01^Type of cervical collar^ADM||cervical collar MO-PT||||||F
OBX|146|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|147|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|148|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|149|TX|SpMEDOTH00^Other medical orders comments^ADM||other medical orders comments - MO-PT||||||F
OBX|150|TX|SpWTBOTF00^Weight bearing order time frame comment^ADM||weight bearing order - MO PT~ ~weight bearing order time frame comment MO - PT||||||F
OBX|151|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|152|TX|VsDAPRWT00^Date of previous weight^ADM||20191022||||||F
OBX|153|CE|VsHEADCI01^Head circumference frequency^ADM||1^Weekly||||||F
OBX|154|TX|VsHECIRC00^Head circumference^ADM||35.0||||||F
OBX|155|TX|VsHTCM0100^Current height^ADM||182.0||||||F
OBX|156|TX|VsIDEALW00^Ideal body weight^ADM||82.8||||||F
OBX|157|TX|VsMISPAR00^Miscellaneous parameter name and goal^ADM||misc parameter name and goal PDS||||||F
OBX|158|TX|VsSOXYGE00^Oxygen saturation (O2) goal^ADM||O2 sat goal PDS||||||F
OBX|159|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||1^Current weight||||||F
OBX|160|TX|VsWT000101^Current Weight^ADM||1.268||||||F
OBX|161|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|162|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|163|TX|VsWT001701^Birth weight^ADM||1.235||||||F
OBX|164|TX|VsWT002701^Usual/Previous weight^ADM||96.000||||||F
OBX|165|TX|VsWT003100^Prepregnancy weight^ADM||88.0||||||F
OBX|166|CE|VsWT003300^Prepregnancy weight source^ADM||1^Stated||||||F
OBX|167|TX|VsWT004400^Pregnancy weight gain calculated^ADM||7.00||||||F
OBX|168|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|169|TX|VsWT005000^Birth height or length^ADM||42.60||||||F
OBX|170|TX|VsWT005300^Body mass index^ADM||28.7||||||F
OBX|171|TX|VsWT005400^Prepregnancy body mass index^ADM||26.6||||||F
OBX|172|TX|VsWT006000^Weight change time frame^ADM||6 months||||||F
OBX|173|TX|VsWT007700^Birth head circumference^ADM||45.90||||||F
OBX|174|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||1268.000||||||F
OBX|175|TX|VsWTPREV02^Previous weight^ADM||1.235||||||F
OBX|176|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||||||

