MSH|^~\&|ADM|ARH|||201911221607||ADT^A02|4111883|D|2.2|||AL|NE
EVN|A02|201911221607||||201911221607
PID|1|FHATVIG0012308|AB00008340|AB8242|PCSTEST^CLOVERDALE|PCSTEST,MOMPAM|20191102|F|||8765 ABC St^^Abbotsford^BC^BC|||||||AB000637/19|9874905389
PV1|1|I|AB-4YNICU^ABNICU-03^8|NB||AB-NUR^ABNUR-01^36|OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||NEON||||||||IN|||||||||||||||||||||ARH|||||201911041425|
PV2||W^Ward|Baby not breathing well
OBX|1|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|2|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20191103||||||F
OBX|3|CE|ADM IDSOUR^SOURCE OF ID^ADM||ONID^Other (No Photo ID)||||||F
OBX|4|CE|ADM MDRO2^Canada in the last 12 months?^ADM||Y^YES||||||F
OBX|5|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||Y^YES||||||F
OBX|7|TX|AdNICUA110^Central capillary refill^ADM||3||||||F
OBX|8|TX|AdNICUA120^Peripheral capillary refill^ADM||5||||||F
OBX|9|CE|Ca00000300^Right brachial pulse^ADM||12^Strong||||||F
OBX|10|CE|Ca00000600^Left brachial pulse^ADM||11^Weak||||||F
OBX|11|CE|Ca00001300^Right femoral pulse^ADM||1^Doppler||||||F
OBX|12|CE|Ca00001400^Left femoral pulse^ADM||11^Weak||||||F
OBX|13|CE|CaBTCPRD00^Blood transfusion component/product^ADM||1^Red blood cells||||||F
OBX|14|TX|CaBTSERI00^Blood transfusion serial number^ADM||1234||||||F
OBX|15|TX|CaCAVASC00^Other cardiovascular comments^ADM||testing1||||||F
OBX|16|TX|CaCONSEN00^Transfusion consent confirmed^ADM||Y||||||F
OBX|17|CE|CaEDEMA000^Edema^ADM||2^Present||||||F
OBX|18|TX|CaHS000300^Heart sounds murmur^ADM||Y||||||F
OBX|19|CE|CaHS000700^Heart sounds audible^ADM||1^S1~3^S2||||||F
OBX|20|CE|CaNICUCA20^Edema severity^ADM||1^Mild||||||F
OBX|21|CE|He00000001^Anterior cranial sutures^ADM||1^Approximated||||||F
OBX|22|CE|He00000101^Posterior cranial sutures^ADM||3^Separated||||||F
OBX|23|CE|He00000200^Anterior fontanelle^ADM||6^Depressed||||||F
OBX|24|TX|He00000300^Anterior fontanelle other^ADM||TESTING1||||||F
OBX|25|CE|He00000400^Posterior fontanelle^ADM||3^Full||||||F
OBX|26|TX|He00000500^Posterior fontanelle other^ADM||TESTING1||||||F
OBX|27|CE|He00000700^Eye interventions^ADM||2^Ducts massaged||||||F
OBX|28|TX|He00000800^Eye interventions other^ADM||TESTING1||||||F
OBX|29|TX|He00001400^Nasal interventions^ADM||testing1||||||F
OBX|30|CE|He00001500^Oral location modifier^ADM||1^Right~5^Anterior||||||F
OBX|31|CE|He00001600^Oral location^ADM||3^Inner cheek||||||F
OBX|32|CE|He00001700^Oral condition^ADM||15^Bleeding||||||F
OBX|33|TX|He00001800^Oral condition other^ADM||testing1||||||F
OBX|34|CE|HeEY000600^Sclera colour^ADM||2^Red||||||F
OBX|35|CE|HeEY001001^Eye discharge description^ADM||2^Serous||||||F
OBX|36|TX|HeEY001101^Eye discharge description other^ADM||TESTING1||||||F
OBX|37|CE|HeEYEDRA00^Eye drainage amount^ADM||5^Large||||||F
OBX|38|TX|HeHE000302^Head description other^ADM||TESTING1||||||F
OBX|39|CE|HeHEENT040^Head description^ADM||2^Moulding||||||F
OBX|40|TX|HeHEENTT00^Head, eyes, ears, nose and throat comments^ADM||testing1||||||F
OBX|41|CE|HeLI000100^Lips colour^ADM||1^Pink||||||F
OBX|42|CE|HeLI000201^Lip condition^ADM||6^Dry||||||F
OBX|43|TX|HeLI000300^Lips appearance other^ADM||testing1||||||F
OBX|44|CE|HeNO000601^Nose discharge consistency^ADM||4^Crusty||||||F
OBX|45|CE|HeNO000701^Nasal discharge description^ADM||1^Mucous||||||F
OBX|46|TX|HeNO000801^Nasal discharge description other^ADM||testing1||||||F
OBX|47|CE|HeNOSEDR00^Nose drainage amount^ADM||4^Moderate||||||F
OBX|48|CE|HeOC000100^Oral cavity mucosa colour^ADM||4^White patches||||||F
OBX|49|TX|HeOC000200^Oral cavity mucosa colour other^ADM||testing1||||||F
OBX|50|CE|HeSLTC0000^Tongue Motor CN12 and Sensory CN5 tongue colour^ADM||2^Red||||||F
OBX|51|TX|HeSLTCO000^Tongue Motor CN12 and Sensory CN5 tongue colour other^ADM||testing1||||||F
OBX|52|CE|HeTO000201^Tongue condition^ADM||1^Moist||||||F
OBX|53|TX|HeTO000300^Tongue signs and symptoms other^ADM||testing1||||||F
OBX|54|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|55|CE|HxTABUL002^Used tobacco or nicotine vapour products in the last 30 days^ADM||2^No||||||F
OBX|56|TX|InEDEMCM00^Edema comments^ADM||testing1||||||F
OBX|57|CE|InEDEMLB01^Edema location^ADM||1^Generalized||||||F
OBX|58|CE|InEDEMLM00^Edema location modifier^ADM||1^Bilateral||||||F
OBX|59|CE|InEDEMTP00^Edema type^ADM||2^Non-pitting||||||F
OBX|60|CE|InMMOT0000^Mucous membranes^ADM||1^Moist||||||F
OBX|61|CE|NePUSIDE00^Pupil side^ADM||1^Left||||||F
OBX|62|TX|OECONPH^Attending/Most Responsible Physician:^ADM||OEDOCN||||||F
OBX|63|TX|OEDIAG^Diagnosis:^ADM||Baby not breathing well||||||F
OBX|64|TX|OEDIAG2^Concurrent Dx:^ADM||Respiratory Failure||||||F
OBX|65|CE|OEISO^Infection Control:^ADM||A/C^Airborne \T\ Contact||||||F
OBX|66|TX|OENRT^NRT:^ADM||N||||||F
OBX|67|TX|ReABNORM00^Abnormal findings comments^ADM||testing1||||||F
OBX|68|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|69|CE|ReAUAIRE01^Air entry^ADM||4^Diminished||||||F
OBX|70|CE|ReAUBTHS02^Breath sounds^ADM||2^Wheezes~9^Stridor||||||F
OBX|71|CE|ReAULOCT00^Auscultation location^ADM||2^Right lung||||||F
OBX|72|CE|ReAULOMO00^Auscultation location modifier^ADM||1^Anterior||||||F
OBX|73|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||N||||||F
OBX|74|TX|ReBRESOU00^Breath sounds other^ADM||testing1||||||F
OBX|75|CE|ReNRDISI02^Respiratory distress indicators^ADM||1^Grunting~5^Intercostal indrawing~7^Audible wheeze~10^Audible stridor||||||F
OBX|76|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|77|CE|ReRECHEX01^Chest expansion^ADM||5^Left greater than right||||||F
OBX|78|TX|ReREDISO00^Respiratory distress indicators other^ADM||testing1||||||F
OBX|79|CE|ReREDPTH00^Respiratory depth^ADM||2^Shallow||||||F
OBX|80|CE|ReRPNM0000^Respiratory pattern^ADM||2^Tachypneic||||||F
OBX|81|CE|ReWRKBRE00^Work of breathing^ADM||3^Moderate||||||F
OBX|82|TX|RpNEWBO060^Ear comments^ADM||testing1||||||F
OBX|83|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
OBX|84|TX|BAR MSP NM^Care Card Name LASTNAME,FIRSTNAME MIDDLE^INS||PCSTEST,CLOVERDALE||||||F
OBX|85|TX|INS MSPDOB^Date of Birth^INS||20191102||||||F
ZFD|#AHC^Centre^#Abbotsford^Health^^^^^LOCATION|33634 Busby Road^^Abbotsford^BC^V2S 1V2|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED|201911041425|2|PSTRIAC|Stridor, Airway Comp (PED)||

