MSH|^~\&|ADM|ARH|||201911181021||ADT^A08|4106784|D|2.2|||AL|NE
EVN|A08|201911181021||||
PID|1|FHATVIG0007885|AB00007898|AB7856|EMRTEST^NORTH^BEACH||19881212|M|||TEST^^TEST^BC^V2B 2E2|||||||AB001020/18|
PV1|1|P|AB.ERZ1||||||#ACMC1^Centre^#All^Care Medical^^^^^^^^^XX|||||||||ER|||||||||||||||||||||ARH|||||201902200825|
PV2|||
OBX|1|ST|1010.1^WEIGHT^CPT4||100.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||5.0||||||F
OBX|3|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|4|TX|AdADMDAT01^Admission date^ADM||20191118||||||F
OBX|5|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|6|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|7|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F
OBX|8|TX|AdADMRSN00^Reason for admission^ADM||TEST||||||F
OBX|9|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F
OBX|10|TX|AdADMTIM00^Admission time^ADM||0700||||||F
OBX|11|TX|AdALLERB00^Allergy band checked^ADM||N||||||F
OBX|12|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|13|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|14|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||N||||||F
OBX|15|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F
OBX|16|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F
OBX|17|CE|AdINFSOU00^Information source^ADM||1^Patient||||||F
OBX|18|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|19|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F
OBX|20|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|21|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|22|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|23|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||N||||||F
OBX|24|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F
OBX|25|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|26|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|27|TX|EDMCHIEF^Chief Complaint^ADM||CCPCARDHX||||||F
OBX|28|CE|EDMPRIOR^Triage Level^ADM||2^CTAS Level 2||||||F
OBX|29|TX|EDSCHOOL^How many days away from school?^ADM||3||||||F
OBX|30|TX|EDWORK^How many days off work?^ADM||3||||||F
OBX|31|TX|EdICCOUG00^Cough^ADM||N||||||F
OBX|32|TX|EdICDIAR00^Diarrhea or vomiting^ADM||N||||||F
OBX|33|TX|EdICFEVE00^Fever and rash^ADM||N||||||F
OBX|34|TX|EdICIMMU00^Immuno-compromised^ADM||N||||||F
OBX|35|TX|EdINSOUR01^Is there a suspected source of infection?^ADM||N||||||F
OBX|36|TX|HX.PSY.RT^Hx Recent Travel^ADM||N||||||F
OBX|37|CE|Hx00000100^Previously healthy^ADM||1^Yes||||||F
OBX|38|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||N||||||F
OBX|39|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|40|TX|NEURO.PS1^Pain Scale^ADM||1||||||F
OBX|41|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||1^4- Spontaneous||||||F
OBX|42|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||1^6- Obeys commands||||||F
OBX|43|TX|NeGCSSCR01^GCS score^ADM||15||||||F
OBX|44|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|45|CE|OhIN000300^Information source^ADM||1^Patient~15^Significant other||||||F
OBX|46|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|47|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F
OBX|48|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F
OBX|49|TX|PsCAGEA303^Ever felt bad or guilty about your  drinking or drug use^ADM||N||||||F
OBX|50|TX|PsCAGEA403^Ever had a drink or used drugs first thing  in the morning^ADM||N||||||F
OBX|51|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F
OBX|52|TX|PsCLB00000^Communication language barrier^ADM||N||||||F
OBX|53|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|54|TX|RESP.RA^On Room Air^ADM||N||||||F
OBX|55|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F
OBX|56|TX|TR.AGG^Aggressive Behaviour^ADM||N||||||F
OBX|57|CE|TR.AIRW^Airway^ADM||1^Adequate||||||F
OBX|58|CE|TR.BR^Breathing^ADM||2^No||||||F
OBX|59|TX|TR.CC^History of Chief Complaint^ADM||Sun Burn||||||F
OBX|60|CE|TR.CIRC2^Appearance^ADM||2^Looks well||||||F
OBX|61|CE|TR.DIS2^Disability LOC^ADM||1^Baseline for patient||||||F
OBX|62|CE|TR.PM^Pertinent Medications^ADM||1^None||||||F
OBX|63|CE|TR.PROT3^Emergency RN initiated orders^ADM||NA^Not Applicable||||||F
OBX|64|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|65|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|66|TX|VsBPDIAO01^Blood pressure diastolic^ADM||82||||||F
OBX|67|TX|VsBPSYSO01^Blood pressure systolic^ADM||120||||||F
OBX|68|TX|VsHRADLT01^Heart rate^ADM||90||||||F
OBX|69|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|70|CE|VsHRRHYM00^Heart rate rhythm^ADM||1^Regular||||||F
OBX|71|TX|VsHTCM0100^Current height^ADM||5.0||||||F
OBX|72|TX|VsPEWMAP10^Mean arterial pressure^ADM||||||||F
OBX|73|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||98||||||F
OBX|74|CE|VsRESP0001^Respiratory effort^ADM||1^Non-laboured||||||F
OBX|75|TX|VsRESP0100^Oxygen applied^ADM||N||||||F
OBX|76|TX|VsRESPAD03^Respiratory rate^ADM||18||||||F
OBX|77|CE|VsTPSORC02^Temperature Source^ADM||1^Oral||||||F
OBX|78|TX|VsTPTEMPO2^Temperature^ADM||38.0||||||F
OBX|79|TX|VsWT000101^Current Weight^ADM||100.000||||||F
OBX|80|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||100000.000||||||F
AL1|1|DA|F001000476^Penicillins|SV|Anaphylaxis           *AL|20190322
AL1|2|DA|F006000841^zinc|MO|Hives/Urticaria       *AL|20190220
ZFD||||||||#ACMC1^Centre^#All^Care Medical^^^^^LOCATION|
ZFH|LUMED|201902200835|2|CCPCARDHX|Chest Pain, Cardiac Feature||

