MSH|^~\&|ADM|ARH|||201910291243||ADT^A08|4092934|D|2.2|||AL|NE
EVN|A08|201910291243||||
PID|1|FHATVIG0009952|AB00008079|AB8026|PCSTEST^CPTEST||19400711|F|||1345 LAITY WAY^^MAPLE RIDGE^BC^V4T 5Y6|||||||AB000259/19|
PV1|1|I|AB-2CHEAMA^AB2C-C2029^1|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201907110751|
PV2||P^Private - Non-Solicited|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20140118||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|6|CE|Ac00000700^Upper body washing support provided^ADM||2^Supervision||||||F
OBX|7|CE|Ac00001000^Grooming support provided^ADM||2^Supervision||||||F
OBX|8|CE|Ac00001700^Housing considerations prior to hospitalization^ADM||1^Stairs||||||F
OBX|9|TX|Ac00001800^Housing considerations prior to hospitalization other^ADM||test||||||F
OBX|10|CE|Ac00001900^Community supports utilized prior to hospitalization^ADM||1^None||||||F
OBX|11|TX|Ac00002000^Community supports utilized prior to hospitalization other^ADM||test||||||F
OBX|12|TX|Ac00002100^Community supports utilized comments^ADM||test||||||F
OBX|13|CE|Ac00002200^Respiratory equipment used prior to hospitalization^ADM||1^Home oxygen||||||F
OBX|14|TX|Ac00002300^Respiratory equipment used prior to hospitalization other^ADM||test||||||F
OBX|15|TX|Ac00002400^Respiratory equipment used prior to hospitalization comments^ADM||test||||||F
OBX|16|CE|Ac00002500^Equipment/Aids used prior to hospitalization^ADM||1^No aid used||||||F
OBX|17|TX|Ac00002600^Equipment/Aids used prior to hospitalization other^ADM||test||||||F
OBX|18|TX|Ac00002900^Recent falls prior to hospitalization^ADM||Y||||||F
OBX|19|TX|Ac00003000^Mobility and falls prior to hospitalization comments^ADM||test||||||F
OBX|20|CE|Ac00003100^Upper body dressing support required^ADM||2^Supervision||||||F
OBX|21|CE|Ac00003200^Lower body dressing support required^ADM||8^Independent||||||F
OBX|22|CE|Ac00003400^Stair support required^ADM||8^Independent||||||F
OBX|23|TX|Ac00003500^Other pre-hospitalization comments^ADM||test||||||F
OBX|24|TX|Ac00003600^Home oxygen provider/company^ADM||test||||||F
OBX|25|TX|Ac00003800^IADL support required prior to hospitalization^ADM||test||||||F
OBX|26|TX|Ac00005100^Equipment/Aids used comments^ADM||test||||||F
OBX|27|CE|Ac00005200^Oral care support required^ADM||2^Supervision||||||F
OBX|28|CE|AcHEHT0M00^Home environment - housing type^ADM||1^House||||||F
OBX|29|TX|AcHOCOMM00^Housing prior to admission comments^ADM||test||||||F
OBX|30|TX|AcLIVOTH00^Living with others prior to admission^ADM||N||||||F
OBX|31|CE|AdASEVRD00^As evidenced by^ADM||14^Energy and protein intake||||||F
OBX|32|TX|AdDCBACL00^Discharge barriers identified by child life specialist^ADM||d/c barriers identified||||||F
OBX|33|TX|AdDCBARD00^Discharge barriers identified by dietitian^ADM||discharge barriers identified by RD||||||F
OBX|34|TX|AdDCBNUR00^Discharge barriers identified by nursing^ADM||D/C comments||||||F
OBX|35|TX|AdDCCOMP00^Discharge plan complete^ADM||Y||||||F
OBX|36|CE|AdDISCHA00^Destination^ADM||1^Home||||||F
OBX|37|TX|AdDRVRES00^Aware of driving restrictions^ADM||Y||||||F
OBX|38|TX|AdESTDTD00^Estimated date of discharge^ADM||20190830||||||F
OBX|39|TX|AdESTPTF00^Patient/Family informed of estimated date of discharge^ADM||Y||||||F
OBX|40|CE|AdESTREA03^Reason EDD changed^ADM||4^Pending lab/consults||||||F
OBX|41|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||Referral reason||||||F
OBX|42|TX|AdGOALCP00^Goal^ADM||Mend heart||||||F
OBX|43|TX|AdGOALDT00^Goal target date^ADM||20190725||||||F
OBX|44|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|45|TX|AdGOCPPT00^Goal^ADM||yay||||||F
OBX|46|TX|AdGOCPRD00^Goal^ADM||adequate intake||||||F
OBX|47|CE|AdGOSTPT00^Goal status^ADM||1^In progress||||||F
OBX|48|CE|AdGOSTRD00^Goal status^ADM||4^Unmet||||||F
OBX|49|TX|AdGOSTRD10^Goal status comments^ADM||no longer appropriate||||||F
OBX|50|TX|AdGOTDPT00^Goal target date^ADM||20191011||||||F
OBX|51|TX|AdGOTDRD00^Goal target date^ADM||20190830||||||F
OBX|52|TX|AdINFNAM00^Name of information source^ADM||test||||||F
OBX|53|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||5^Home health liaison~10^Dietitian~18^Social worker||||||F
OBX|54|CE|AdINPTRF02^Inpatient referral(s) sent to^ADM||1^SLP||||||F
OBX|55|TX|AdINVADD20^Intervention to address problem^ADM||Tape||||||F
OBX|56|TX|AdINVADD30^Intervention to address problem^ADM||Glue||||||F
OBX|57|TX|AdINVAPT00^1. Intervention to address problem^ADM||this is a problem||||||F
OBX|58|CE|AdINVARD00^Interventions to address problem^ADM||1^Meals and snacks||||||F
OBX|59|TX|AdINVNUR10^Intervention to address problem^ADM||Sutures||||||F
OBX|60|CE|AdOTPREF00^Outpatient/Community referral(s) sent to^ADM||22^Geriatric nurse clinician~24^Senior's clinic||||||F
OBX|61|CE|AdOTPREF03^Outpatient/Community referral(s) sent to^ADM||2^Dietitian||||||F
OBX|62|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|63|TX|AdPROBDS00^Problem detail^ADM||testing with communication slp||||||F
OBX|64|CE|AdPROBID20^Problem identified^ADM||2^Communication||||||F
OBX|65|CE|AdPROBPT00^Problem identified^ADM||5^Activity tolerance||||||F
OBX|66|CE|AdPROBRD00^Problem identified^ADM||35^Inadequate protein-E||||||F
OBX|67|TX|AdPRODPT00^Problem detail^ADM||asdfasdf||||||F
OBX|68|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||independent with ADLs||||||F
OBX|69|CE|AdRETORD00^Related to^ADM||2^Inadequate energy intake||||||F
OBX|70|TX|AdRHD00000^Transportation services referral completed^ADM||Y||||||F
OBX|71|TX|AdSLPCPD00^Problem detail^ADM||related to||||||F
OBX|72|TX|AdSLPCPG00^Goal^ADM||goal||||||F
OBX|73|TX|AdSLPCPI00^Problem identified^ADM||food knowledge deficit||||||F
OBX|74|TX|AdSLPCPP00^Interventions to address problem^ADM||education||||||F
OBX|75|CE|AdSLPCPS00^Goal status^ADM||2^Partially met||||||F
OBX|76|TX|AdSLPCPT00^Goal target date^ADM||20190727||||||F
OBX|77|TX|AdSTRECO01^Reason EDD changed other^ADM||Issues with housing now resolved||||||F
OBX|78|TX|CmCOTRIA01^Compensatory strategies trialled details^ADM||test||||||F
OBX|79|CE|CmCTRIAL00^Compensatory strategies trialled^ADM||6^Smaller bolus size||||||F
OBX|80|TX|CmCTRIAL01^Compensatory strategies trialled other^ADM||test||||||F
OBX|81|TX|GuBDSVA000^Bladder scan volume^ADM||500||||||F
OBX|82|CE|He00001500^Oral location modifier^ADM||3^Upper~4^Lower||||||F
OBX|83|CE|He00001600^Oral location^ADM||2^Gums||||||F
OBX|84|CE|He00001700^Oral condition^ADM||2^Red~14^Inflamed~15^Bleeding||||||F
OBX|85|CE|HeBOLUSP00^Bolus preparation^ADM||1^Within functional limits||||||F
OBX|86|CE|HeBOLUSR00^Bolus retrieval^ADM||1^Within functional limits||||||F
OBX|87|TX|HeSECMGT00^Secretion management comments^ADM||test||||||F
OBX|88|CE|HeSL003300^Oral trials feeding^ADM||1^Full assist||||||F
OBX|89|CE|HeSL003500^Oral trials positioning^ADM||1^Upright in bed||||||F
OBX|90|CE|HeSL004604^Oral residue^ADM||1^Trace/None||||||F
OBX|91|TX|HeSL004800^Pharyngeal phase nasal regurgitation^ADM||N||||||F
OBX|92|TX|HeSL004902^Pharyngeal phase swallow initiation^ADM||test||||||F
OBX|93|TX|HeSL005102^Pharyngeal phase laryngeal excursion^ADM||test||||||F
OBX|94|CE|HeSL005301^Signs consistent with esophageal dysphagia or reflux^ADM||5^Reported food sticking||||||F
OBX|95|TX|HeSL005400^Esophageal phase comment^ADM||test||||||F
OBX|96|CE|HeSL005502^Swallowing assessment mealtime behaviours observed^ADM||1^Functional||||||F
OBX|97|TX|HeSL005601^Swallowing assessment mealtime behaviours observed other^ADM||test||||||F
OBX|98|TX|HeSL005701^Swallowing assessment mealtime behaviours observed comments^ADM||est||||||F
OBX|99|CE|HeSL005801^Signs/Symptoms of aspiration observed with^ADM||1^Ice chips||||||F
OBX|100|TX|HeSL006001^Signs/Symptoms of aspiration comments^ADM||test||||||F
OBX|101|CE|HeSL013001^Oral cavity hygiene^ADM||4^Poor||||||F
OBX|102|CE|HeSL013800^Secretions management^ADM||1^No concerns||||||F
OBX|103|CE|HeSL018600^Bolus control^ADM||1^Within functional limits||||||F
OBX|104|CE|HeSL020202^Oral transfer^ADM||1^Within functional limits||||||F
OBX|105|TX|HeSL023000^Signs/Symptoms of aspiration other^ADM||test||||||F
OBX|106|TX|HeSL023100^Signs consistent with esophageal dysphagia or reflux other^ADM||test||||||F
OBX|107|TX|HeSL034800^Oropharyngeal phases other observations^ADM||test||||||F
OBX|108|TX|HeSL035100^Bolus retrieval other^ADM||test||||||F
OBX|109|TX|HeSL035200^Bolus control other^ADM||test||||||F
OBX|110|TX|HeSL035300^Bolus preparation other^ADM||test||||||F
OBX|111|TX|HeSL036100^Pre-trials suctioning provided^ADM||Y||||||F
OBX|112|TX|HeSL039400^Oral residue other^ADM||test||||||F
OBX|113|TX|HeSL040100^Oral secretions management other^ADM||test||||||F
OBX|114|CE|HeSL041000^Textures/Consistencies dyed blue/green^ADM||1^Ice chips||||||F
OBX|115|TX|HeSL041100^Textures/Consistencies dyed blue/green other^ADM||test||||||F
OBX|116|TX|HeSL041300^Signs/Symptoms of aspiration observed with other^ADM||test||||||F
OBX|117|CE|HeSLP06001^Throat clear strength^ADM||1^Strong||||||F
OBX|118|TX|HeSLP06100^Laryngeal function comment^ADM||test||||||F
OBX|119|TX|HeSLPCOM00^Textures/Consistencies trialled comments^ADM||test||||||F
OBX|120|CE|HeSLPTCT00^Textures/Consistencies trialled^ADM||1^Ice chips||||||F
OBX|121|TX|HeSLPTCT01^Textures/Consistencies trialled other^ADM||test||||||F
OBX|122|CE|HeSSASPR00^Signs/Symptoms of aspiration^ADM||9^Cough post-swallow||||||F
OBX|123|TX|HeTRCDYS00^Other trach dysphagia assessment comments^ADM||test||||||F
OBX|124|CE|HeVO000100^Voice quality^ADM||2^Hoarse/Rough||||||F
OBX|125|TX|HeVO000200^Voice quality other^ADM||test||||||F
OBX|126|CE|InWNDTYM00^Wound type^ADM||4^Skin tear||||||F
OBX|127|TX|IoNICUIN20^Location^ADM||hand||||||F
OBX|128|TX|MhADMIS006^Released on Extended Leave^ADM||Y||||||F
OBX|129|TX|MhDISCHA01^Referred to Mental Health Services^ADM||N||||||F
OBX|130|CE|MhDISCHA02^Location of Mental Health Services referred to^ADM||6^Agassiz||||||F
OBX|131|CE|MhREST0001^Reason for restraint use^ADM||1^Harm to self~2^Harm to others||||||F
OBX|132|TX|MhSECRIP01^Patient/Family consulted and Informed Consent obtained^ADM||Y||||||F
OBX|133|CE|Mo00000500^Ambulation support provided^ADM||2^Supervision||||||F
OBX|134|TX|Mo00002300^Independent with mobility and ADLs prior to hospitalization^ADM||N||||||F
OBX|135|CE|Mo00002500^Ambulation support required^ADM||8^Independent||||||F
OBX|136|CE|MoMOTYPE00^Mobility type^ADM||1^Bed mobility||||||F
OBX|137|CE|MoRECAID00^Recommended aid^ADM||10^Walker: 4 wheeled||||||F
OBX|138|CE|MoRECEQP00^Recommended equipment^ADM||16^Mechanical lift||||||F
OBX|139|CE|MoSUPPRV00^Recommended support provided^ADM||6^1 person assist||||||F
OBX|140|CE|MoTRSUP002^Transfer support provided^ADM||8^Independent||||||F
OBX|141|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family~3^Transportation services||||||F
OBX|142|TX|MsMECHOI00^Mechanism of injury^ADM||fall||||||F
OBX|143|TX|MsPTSMRT00^PT SMART goals^ADM||no goals in mind||||||F
OBX|144|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||1^4- Spontaneous||||||F
OBX|145|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||1^6- Obeys commands||||||F
OBX|146|TX|NeGCSSCR01^GCS score^ADM||15||||||F
OBX|147|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|148|TX|NmBRLESB00^Bilateral brachial plexus lesions present^ADM||Y||||||F
OBX|149|CE|NuCNMETH00^Nutrition status assessment method^ADM||2^Usual body weight||||||F
OBX|150|CE|NuDICONI00^Consent for nutrition intervention received from^ADM||1^Patient||||||F
OBX|151|CE|NuENENAS00^Estimated energy assessment method^ADM||1^kcal/kg||||||F
OBX|152|TX|NuENENCK00^Energy estimated needs (kcal/kg)^ADM||1960.000||||||F
OBX|153|CE|NuENKCKG00^Energy kcal/kg/day factor^ADM||1^35 kcal/kg||||||F
OBX|154|CE|NuINTSTR02^Food and nutrient delivery intervention^ADM||1^Meals and snacks||||||F
OBX|155|CE|NuNIADEQ00^Nutrient intake adequacy^ADM||2^Inadequate||||||F
OBX|156|CE|NuNPGISS00^Nutrition focused GI signs or symptoms^ADM||2^Nausea~5^Vomiting||||||F
OBX|157|CE|NuNPOVER00^Nutrition focused physical findings^ADM||3^Peripheral edema||||||F
OBX|158|CE|NuNPSKIN00^Nutrition focused skin concerns^ADM||2^Breakdown||||||F
OBX|159|CE|NuNUTPRO00^Nutrition problem(s)^ADM||6^Malnutrition~23^Inadequate oral intake||||||F
OBX|160|CE|NuNUTUBW01^Nutrition status based on usual body weight^ADM||3^Moderately malnourished||||||F
OBX|161|CE|NuOIINET02^Inadequate oral intake related to^ADM||1^Increased nutrient needs||||||F
OBX|162|CE|NuOIINSS02^Inadequate oral intake as evidenced by^ADM||1^Weight||||||F
OBX|163|TX|NuONINTA00^Oral nutrition current food intake^ADM||taking 50% of meals as per nursing||||||F
OBX|164|TX|NuPRESTN00^Protein estimated needs number 2^ADM||67.20||||||F
OBX|165|TX|NuPRFWTK00^Protein factor for weight number 2^ADM||1.2||||||F
OBX|166|CE|NuRDIPTR00^Dietitian intervention target^ADM||1^Food/Nutrient delivery||||||F
OBX|167|TX|NuWT000000^Weight used for energy calculation^ADM||56.000||||||F
OBX|168|TX|NuWT000100^Weight used for protein calculation^ADM||56.000||||||F
OBX|169|TX|OhEDIT0000^Reason for edit^ADM||test||||||F
OBX|170|CE|OhIN000300^Information source^ADM||1^Patient||||||F
OBX|171|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|172|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||Y||||||F
OBX|173|CE|PsFIMS0002^Marital status^ADM||1^Single||||||F
OBX|174|TX|PsSTAND190^Primary contact person^ADM||primary from standard Ax over 19- SW||||||F
OBX|175|TX|PsSTAND200^Temporary substitute decision maker^ADM||TSDM from standard Ax over 19||||||F
OBX|176|TX|PsSWSTDC00^Dependents comments^ADM||test||||||F
OBX|177|TX|RDOTCMST00^Outcome status^ADM||In progress||||||F
OBX|178|CE|ReCGSTGH00^Cough strength^ADM||1^Strong||||||F
OBX|179|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|180|CE|ReDO000100^Digital occlusion reason for trial failure^ADM||1^Patient anxiety||||||F
OBX|181|TX|ReOCCCOM00^Digital occlusion comments^ADM||test||||||F
OBX|182|CE|ReSCAMNT00^Secretions amount^ADM||1^None||||||F
OBX|183|CE|ReSCCOLR00^Secretions colour^ADM||6^Pink||||||F
OBX|184|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid||||||F
OBX|185|TX|ReSCDESO00^Secretions description other^ADM||test||||||F
OBX|186|TX|ReSECMET00^Secretions collection method other^ADM||test||||||F
OBX|187|TX|ReSPEAKV00^Speaking valve comments^ADM||test||||||F
OBX|188|CE|ReSV000100^Speaking valve reason for trial failure^ADM||1^Patient anxiety||||||F
OBX|189|TX|ReTRCORO00^Digital occlusion trial length^ADM||12||||||F
OBX|190|CE|ReTRCUST00^Tracheostomy cuff status^ADM||1^Cuff up||||||F
OBX|191|TX|ReTRSVTL00^Speaking valve trial length^ADM||23||||||F
OBX|192|TX|ReTRTB000^Tracheostomy tube brand^ADM||test||||||F
OBX|193|TX|ReTRTTO00^Tracheostomy tube type other^ADM||test||||||F
OBX|194|CE|ReTRTUSI02^Tracheostomy tube size^ADM||1^4.0 mm||||||F
OBX|195|CE|ReTRTYP00^Tracheostomy type^ADM||1^Cuffed||||||F
OBX|196|CE|SpCONFOR00^Consent for intervention^ADM||1^Verbal||||||F
OBX|197|CE|SpCONPAT00^Consent received from patient^ADM||1^Verbal||||||F
OBX|198|CE|SpCONREC00^Consent received from^ADM||1^Patient||||||F
OBX|199|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|200|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|201|CE|zCBLINE1^Line type^ADM||2^PICC||||||F
OBX|202|CE|zCBREFHH^Referral to Home Health^ADM||1^Yes||||||F
OBX|203|CE|zCBSOL1^Solution^ADM||4^D5W||||||F
OBX|204|CE|zLANACREF1^Community Care Referral to:^ADM||4^Community Nursing||||||F
OBX|205|TX|zLANACREF3^Is Community Care already involved?^ADM||N||||||F
OBX|206|TX|zLANACREF6^Cognitive imparement?^ADM||Y||||||F
OBX|207|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F001000476^Penicillins|MO|Dizziness             ADR|20190711
AL1|2|FA|F006002473^peanut oil|SV|Anaphylaxis           *AL|20190711
AL1|3|DA|F006007687^abacavir||Hallucinations        ADR|20191029
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC|
ZFH|LUMED||||||

