MSH|^~\&|ADM|ARH|||201912030844||ADT^A08|4122235|D|2.2|||AL|NE
EVN|A08|201912030844||||
PID|1|FHATVIG0010763|AB00008224|AB8112|PCSTEST^IPOC4||19430826|F|||1111111^^ABBOTSFORD^BC^V1W 3E4|||||||AB000456/19|
PV1|1|I|AB-2BAKER^AB2B-FLO^G|EL|||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201908261545|
PV2||W^Ward|FAILURE TO THRIVE
OBX|1|ST|1010.1^WEIGHT^CPT4||50.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||50.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181030||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With 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|CE|AcADL00200^Mobility aids used prior to admission^ADM||1^None||||||F
OBX|9|CE|AcHEHNIL00^Home environment - housing number of internal levels^ADM||1^Single level||||||F
OBX|10|CE|AcHEHT0M00^Home environment - housing type^ADM||1^House||||||F
OBX|11|TX|AcHESI0000^Home environment - stairs internal^ADM||4 steps without rail (wall only)||||||F
OBX|12|TX|AcLIVOTH00^Living with others prior to admission^ADM||Y||||||F
OBX|13|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|14|TX|AdAC000100^Accompanied by other^ADM||Porter||||||F
OBX|15|TX|AdADMDAT01^Admission date^ADM||20191113||||||F
OBX|16|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|17|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|18|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F
OBX|19|TX|AdADMRSN00^Reason for admission^ADM||Small bowel obstruction||||||F
OBX|20|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F
OBX|21|TX|AdADMTIM00^Admission time^ADM||2200||||||F
OBX|22|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|23|CE|AdARRMOD00^Mode of arrival^ADM||2^Wheelchair||||||F
OBX|24|TX|AdBIRTH010^Expected date of delivery^ADM||20181228||||||F
OBX|25|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F
OBX|26|CE|AdDISCHA30^Discharge destination^ADM||1^Home||||||F
OBX|27|TX|AdESTDTD00^Estimated date of discharge^ADM||20191129||||||F
OBX|28|TX|AdGOCPPT00^Goal^ADM||Ind ambulation with aid x 100m||||||F
OBX|29|CE|AdGOSTPT00^Goal status^ADM||1^In progress||||||F
OBX|30|TX|AdGOTDPT00^Goal target date^ADM||20191202||||||F
OBX|31|TX|AdHXCOND00^History of presenting condition^ADM|| ~Elective Rt hip arthroplasty on April 11/19 secondary to OA~Diagnostic findings reviewed||||||F
OBX|32|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|33|TX|AdINVAPT00^1. Intervention to address problem^ADM||Exercise||||||F
OBX|34|TX|AdINVAPT01^2. Intervention to address problem^ADM||Mobilize||||||F
OBX|35|CE|AdLITUBE01^Lines/Tubes in situ^ADM||2^NG/OG~4^PIV||||||F
OBX|36|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|37|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|38|TX|AdOTCPED00^Equipment in place for discharge^ADM||Y||||||F
OBX|39|TX|AdOTRERF00^Reason for referral^ADM||save history test||||||F
OBX|40|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||Y||||||F
OBX|41|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F
OBX|42|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|43|CE|AdPROBPT00^Problem identified^ADM||9^Ambulation||||||F
OBX|44|TX|AdPRODPT00^Problem detail^ADM||Decreased endurance||||||F
OBX|45|CE|AdPTA00300^Equipment used prior to admission^ADM||1^None||||||F
OBX|46|CE|AdPTA13300^Level of mobility prior to admission^ADM||1^No limitation||||||F
OBX|47|TX|AdPTFAMY01^Patient/Family goals for discharge^ADM||Functional mobility at home||||||F
OBX|48|CE|AdREPREF00^Report received^ADM||3^By fax||||||F
OBX|49|TX|AdREPRFR01^Report received from^ADM||lfdj;lsa||||||F
OBX|50|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|51|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||2^Significant findings||||||F
OBX|52|CE|CmCPROCM00^Care provider communication method^ADM||3^In rounds||||||F
OBX|53|CE|CmCPRODE00^Care provider contact details^ADM||3^Message left||||||F
OBX|54|TX|CmCPROVD00^Care provider communication date^ADM||20190829||||||F
OBX|55|TX|CmCPROVN00^Care provider name and designation^ADM||me||||||F
OBX|56|TX|CmCPROVT00^Care provider communication time^ADM||1437||||||F
OBX|57|TX|CoAGICON00^Patient demonstrating agitation and/or confusion^ADM||Y||||||F
OBX|58|TX|EnHOSP0000^Physical comfort^ADM||test1||||||F
OBX|59|TX|EnHOSP0010^Social comfort^ADM||test2||||||F
OBX|60|TX|EnHOSP0020^Psychological comfort^ADM||test3||||||F
OBX|61|TX|EnHOSP0030^Spiritual comfort^ADM||test4||||||F
OBX|62|TX|EnHOSP0040^Planning for end of life^ADM||test5||||||F
OBX|63|TX|EnHOSP0050^Sense of completion/closure^ADM||test6||||||F
OBX|64|TX|EnHOSP0060^Other quality of dying experience summary comments^ADM||test7||||||F
OBX|65|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20191112||||||F
OBX|66|TX|GiGT000000^Gastric tube confirmed length^ADM||50.00||||||F
OBX|67|TX|GiGTDEVI00^Gastric tube securement device intact^ADM||Y||||||F
OBX|68|TX|GiGTINDA00^Insertion date^ADM||20191113||||||F
OBX|69|CE|GiGTINS000^Gastric tube insertion site^ADM||1^Right nare||||||F
OBX|70|TX|GiGTLAIN01^Initial tube length^ADM||50.00||||||F
OBX|71|CE|GiGTRECH00^Gastric return characteristics^ADM||1^Green||||||F
OBX|72|CE|GiGTSTAT02^Gastric tube status^ADM||1^Low intermittent suction||||||F
OBX|73|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||2^Significant findings||||||F
OBX|74|CE|GuPARAMR00^Genitourinary defined parameters^ADM||2^Significant findings||||||F
OBX|75|TX|HxCORAGE10^Corrected age^ADM||11 months, 1 week||||||F
OBX|76|TX|HxIICPMA02^Postmenstrual age^ADM||11 weeks 2 days||||||F
OBX|77|TX|HxIIDATE01^Date of birth^ADM||20191201||||||F
OBX|78|TX|HxIIGAWD00^Gestational age^ADM||11 weeks 1 days||||||F
OBX|79|TX|HxIIGEDA00^Gestational age in days^ADM||1||||||F
OBX|80|TX|HxIIGEWE00^Gestational age in weeks^ADM||11||||||F
OBX|81|TX|HxIITOTA01^Total days of life^ADM||1||||||F
OBX|82|TX|HxSPTCHX01^Pertinent clinical history^ADM||From chart review: arthrocscopy of his knee, mastoid surgery||||||F
OBX|83|CE|HxWHX00002^Weight change prior to admission weight history^ADM||6^Intentional gain||||||F
OBX|84|TX|HxWTHX0000^Weight history details^ADM||Brock 4||||||F
OBX|85|TX|INSKCLIC01^Skin cleaned and skin integrity check completed comment^ADM||Save history test||||||F
OBX|86|TX|InNAREIN00^Nares skin intact^ADM||Y||||||F
OBX|87|CE|InPARAMR00^Integumentary defined parameters^ADM||2^Significant findings||||||F
OBX|88|CE|InSA000600^Skin condition^ADM||7^Intact blister||||||F
OBX|89|TX|InSA000700^Skin condition other^ADM||Save history test||||||F
OBX|90|TX|InSKCLIN00^Skin cleaned and skin integrity check completed^ADM||Y||||||F
OBX|91|CE|MhAFFECT01^Affect^ADM||2^Flat||||||F
OBX|92|CE|MhBHCFAC01^Behaviour contributing factors^ADM||01^Sleep deprivation~09^Inadequate hydration||||||F
OBX|93|CE|MhMSEATT01^Attitude^ADM||4^Suspicious||||||F
OBX|94|TX|MhPATBE001^Behaviour observed^ADM||aggressive||||||F
OBX|95|CE|MhPED00100^Behaviour^ADM||8^Restless||||||F
OBX|96|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|97|CE|MoAIDAMB01^Ambulation aid^ADM||10^Walker: 2 wheeled||||||F
OBX|98|CE|MoAIDBED02^Bed mobility aid^ADM||7^Bed rail||||||F
OBX|99|CE|MoAIDTRA01^Transfer aid^ADM||10^Walker: 2 wheeled||||||F
OBX|100|CE|MoAMASST02^Ambulation assistance required^ADM||1^None||||||F
OBX|101|CE|MoAMBABI03^Ambulation ability^ADM||5^Modified independence||||||F
OBX|102|CE|MoAMBACT01^Ambulation activity^ADM||2^Ambulation in hall||||||F
OBX|103|TX|MoAMDIST01^Ambulation distance^ADM||5.0||||||F
OBX|104|TX|MoAMGAIT00^Ambulation gait comment^ADM||2 sets||||||F
OBX|105|CE|MoAMGASZ00^Ambulation size of gait aid used^ADM||3^Adult||||||F
OBX|106|TX|MoAOCMTS02^Order details^ADM||Physiotherapy.~Dr. blank||||||F
OBX|107|CE|MoAOMRPO00^Most responsible practitioner's activity order^ADM||1^Activity as tolerated||||||F
OBX|108|CE|MoAOTABR00^Breaks for ambulation assigned^ADM||2^2||||||F
OBX|109|CE|MoAOTAID01^Aid for ambulation assigned^ADM||12^Walker: platform||||||F
OBX|110|CE|MoAOTAMF00^Frequency of ambulation assigned^ADM||2^2x/week||||||F
OBX|111|CE|MoAOTAO000^Ambulation outcome^ADM||1^Completed as assigned||||||F
OBX|112|TX|MoAOTATM01^Duration of ambulation assigned^ADM||10||||||F
OBX|113|TX|MoAOTEPR00^Exercise programs assigned^ADM||SAIL Level 2 #'s 1-6 x 10 reps with close supervision 2x/week||||||F
OBX|114|CE|MoAOTLOC00^Location of ambulation assigned^ADM||2^Hallway||||||F
OBX|115|CE|MoAOTPO000^Exercise program outcome^ADM||1^Completed as assigned||||||F
OBX|116|TX|MoAOTSE000^Seated exercises assigned^ADM||Bilaterally:~  Hip flex x 10~  Knee ext'n x 10~  Ankle pumping x 10||||||F
OBX|117|CE|MoAOTSEF00^Frequency of seated exercises assigned^ADM||2^2x/week||||||F
OBX|118|CE|MoAOTSEO00^Seated exercises outcome^ADM||1^Completed as assigned||||||F
OBX|119|CE|MoAOTTR002^Reviewed assignment of task^ADM||1^Assignment of task~2^Clinical history~3^Mobility recommendations~4^Infection control~5^Weight bearing order||||||F
OBX|120|TX|MoBCCMTS00^Bed to chair transfer comment^ADM||Step transfer||||||F
OBX|121|CE|MoBCTFTO01^Transfer to^ADM||2^Chair||||||F
OBX|122|CE|MoBCTTFR01^Transfer from^ADM||1^Bed||||||F
OBX|123|CE|MoBDABIL01^Bed mobility level of ability^ADM||5^Modified independence||||||F
OBX|124|CE|MoBDASSR02^Bed mobility assistance required^ADM||1^None||||||F
OBX|125|TX|MoEXCPRE00^Exercises prescribed^ADM||Hip exer 1-7~In standing with 2ww: heel raises and march on spot~Ambulate to practice toilet transfer||||||F
OBX|126|CE|MoMOVEDR00^Movement direction^ADM||5^Lie to sit||||||F
OBX|127|TX|MoPHYSIO00^Physiotherapy treatment^ADM||Mobility as per assessment.~Education re: FWB, precautions, activity moderation, elevation, ice,~outpatient process~Gait: high march, step thru, heel/toe||||||F
OBX|128|TX|MoPTPLAN00^PT plan^ADM||Liase with team~Assess stairs~Progress mobility, strength, ROM~Discharge planning||||||F
OBX|129|TX|MoRASCPL00^RA supervision and communication plan^ADM||weekly||||||F
OBX|130|TX|MoRPCMTS00^Repositioning in bed comment^ADM||slow, but manages||||||F
OBX|131|CE|MoSTSABI00^Sit to stand level of ability^ADM||1^Complete independence||||||F
OBX|132|CE|MoSTSAST01^Sit to stand assistance required^ADM||1^None||||||F
OBX|133|TX|MoSTSCMT01^Sit to stand comments^ADM||Ind from bed, chair, and toilet||||||F
OBX|134|CE|MoTRAAST00^Transfer assistance required^ADM||1^None||||||F
OBX|135|CE|MoTRABIL00^Transfer level of ability^ADM||5^Modified independence||||||F
OBX|136|CE|MoWBORLE00^Weight bearing order right lower extremity^ADM||4^Full weight bearing||||||F
OBX|137|CE|MsCALOMO00^Joint casted location modifier^ADM||2^Left||||||F
OBX|138|CE|MsCARIFA00^Casting identified risk factors^ADM||1^Deep vein thrombosis||||||F
OBX|139|TX|MsCARIFC00^Casting identified risk factors comment^ADM||Save history test||||||F
OBX|140|TX|MsCARIFO00^Casting identified risk factors other^ADM||Save history test||||||F
OBX|141|TX|MsCASDEG00^Degree at which the joint was casted^ADM||20||||||F
OBX|142|TX|MsCASFIT00^Cast fit^ADM|| ~Save history test||||||F
OBX|143|TX|MsCASGLO00^Casting goals other^ADM||Save history test||||||F
OBX|144|CE|MsCASGOA00^Casting goals^ADM||1^Prevent contractures||||||F
OBX|145|CE|MsCASTYP00^Cast type^ADM||2^Bivalved||||||F
OBX|146|TX|MsDILIMC00^Distal limb colour^ADM||Save history test||||||F
OBX|147|TX|MsDILIMT00^Distal limb temperature^ADM||Save history test||||||F
OBX|148|CE|MsDONDOFF0^Donning and doffing bivalved cast assigned to^ADM||1^Rehabilitation assistant||||||F
OBX|149|TX|MsDONDOO00^Donning and doffing bivalved cast assigned to other^ADM||Save history test||||||F
OBX|150|TX|MsHK001100^Home set-up requirements reviewed^ADM||Y||||||F
OBX|151|CE|MsJOICAS00^Joint casted^ADM||3^Hand||||||F
OBX|152|TX|MsMDSPPO00^Modifications made to splint post skin check^ADM||Y||||||F
OBX|153|TX|MsMOPRSP00^Modification of prefabricated splint details^ADM||save history test||||||F
OBX|154|CE|MsMSABMM00^Abduction manual muscle testing^ADM||3^2/5||||||F
OBX|155|CE|MsMSEXMM00^Extension manual muscle testing^ADM||11^4/5||||||F
OBX|156|CE|MsMSFLMM00^Flexion manual muscle testing^ADM||9^2+/5||||||F
OBX|157|CE|MsMSLOCA01^Muscle strength location^ADM||5^Hip||||||F
OBX|158|CE|MsMSLOCM00^Muscle strength location modifier^ADM||2^Left||||||F
OBX|159|CE|MsNECHCK00^Neurovascular check completed^ADM||1^Pre-casting||||||F
OBX|160|CE|MsNEUSTA00^Neurovascular status^ADM||1^Decreased sensation||||||F
OBX|161|TX|MsNEUSTO00^Neurovascular status other^ADM||Save history test||||||F
OBX|162|TX|MsPOJOCA00^Position of the joint casted^ADM||Save history test||||||F
OBX|163|TX|MsPTSMRT00^PT SMART goals^ADM||Independent bed mobility without rails in 1/7~Independent step transfers and ambulation with 2ww in 1/7~Independent stairs with can or forearm crutch and wall in 2/7||||||F
OBX|164|TX|MsROMABE00^Abduction end ROM measurement^ADM||77||||||F
OBX|165|TX|MsROMERE00^External rotation end ROM measurement^ADM||20||||||F
OBX|166|TX|MsROMFLE00^Flexion end ROM measurement^ADM||95||||||F
OBX|167|CE|MsROMTR000^Range of motion - type of range^ADM||3^Active||||||F
OBX|168|CE|MsSPAPAT00^Spasticity pattern^ADM||1^Flexor tone||||||F
OBX|169|CE|MsSPAPRE01^Spasticity presentation^ADM||2^Multifocal||||||F
OBX|170|TX|MsSPAPTO00^Spasticity pattern other^ADM||Save history test||||||F
OBX|171|TX|MsSPFADE00^Splint fabrication details^ADM||save history test||||||F
OBX|172|CE|MsSPLCMO00^Splinting location modifier^ADM||1^Right||||||F
OBX|173|CE|MsSPLOCA00^Splinting location^ADM||1^Elbow||||||F
OBX|174|CE|MsSPLPOS00^Recommended position of patient when wearing splint^ADM||1^Sitting||||||F
OBX|175|CE|MsSPLTYP00^Splint type^ADM||1^Static||||||F
OBX|176|TX|MsSPMATR00^Spasticity management trialled^ADM||Save history test||||||F
OBX|177|TX|MsSPPOCOM0^Recommended position of patient when wearing splint comment^ADM||save history test||||||F
OBX|178|TX|MsSPSKPO00^Skin concerns identified pre-splinting other^ADM||save history test||||||F
OBX|179|CE|MsSPSKPR00^Skin concerns identified pre-splinting^ADM||1^None||||||F
OBX|180|TX|MsSPSKSO00^Skin concerns identified post-splinting other^ADM||save history test||||||F
OBX|181|CE|MsSPSKST00^Skin concerns identified post-splinting^ADM||1^None||||||F
OBX|182|TX|MsSPTYCO00^Splint type comment^ADM||save history test||||||F
OBX|183|TX|MsSPWESC00^Splint wearing schedule^ADM||save history test||||||F
OBX|184|CE|MsSTSPTY00^Static splint type^ADM||4^Cone||||||F
OBX|185|CE|MsTREGOA00^Splinting treatment goals^ADM||4^Pressure redistribution||||||F
OBX|186|TX|MsTRGOCC00^Splinting treatment goals other^ADM||save history test||||||F
OBX|187|TX|MsTRGOCO00^Splinting treatment goals comment^ADM||save history test||||||F
OBX|188|CE|NeLECONS00^Level of consciousness^ADM||2^Drowsy||||||F
OBX|189|CE|NeORIENT01^Oriented to^ADM||2^Person||||||F
OBX|190|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||2^Significant findings||||||F
OBX|191|CE|NePOSC0000^POSS score^ADM||1^1 - Awake and alert||||||F
OBX|192|CE|NmEX007800^Range of motion specific joint^ADM||1^Shoulder||||||F
OBX|193|CE|NmEX007902^Range of motion specific joints side to perform range^ADM||1^Right||||||F
OBX|194|CE|NuANTHR020^Birth weight percentile^ADM||8^50-85th||||||F
OBX|195|CE|NuANTHR030^Birth length percentile^ADM||8^50-85th||||||F
OBX|196|CE|NuANTHR050^Weight for age percentile^ADM||15^Greater than 97th||||||F
OBX|197|CE|NuANTHR060^Height/Length for age percentile^ADM||4^85th||||||F
OBX|198|CE|NuANTHR170^Growth rate evaluation^ADM||3^Exceeds expected||||||F
OBX|199|TX|NuANTHR180^Dietitian growth comment^ADM||Brock 5||||||F
OBX|200|CE|NuANTHR210^Body mass index for age percentile^ADM||10^Greater than 99.9th||||||F
OBX|201|TX|NuAPGROW00^Dietitian growth comments^ADM||Brock 6||||||F
OBX|202|CE|NuAPWELO01^Dietitian weight loss assessment^ADM||1^Non-significant loss||||||F
OBX|203|CE|NuCNJUCO00^Current nutrition status based on clinical judgement^ADM||1^Usual intake~2^Physical assessment||||||F
OBX|204|CE|NuCNJUDG00^Nutrition status based on clinical judgement^ADM||3^Severely malnourished||||||F
OBX|205|TX|NuDPMEDS00^Medication(s) relevant to dietitian plan^ADM||Brock 7||||||F
OBX|206|TX|NuDPMEHX00^Clinical history relevant to dietitian plan^ADM||Brock 1||||||F
OBX|207|TX|NuDPTEST01^Lab/Test/Procedure results relevant to dietitian plan^ADM||Brock 8||||||F
OBX|208|TX|NuENFETU00^Enteral feeding tube description^ADM||Brock 2||||||F
OBX|209|TX|NuENPNNU00^Enteral/Parenteral details^ADM||Brock 1||||||F
OBX|210|CE|NuENPNST00^Enteral/Parenteral nutrition stage^ADM||1^Initial||||||F
OBX|211|CE|NuFACFTR00^Current feeding tube route^ADM||2^Oral||||||F
OBX|212|TX|NuFADIHX00^Diet history relevant to dietitian plan^ADM||Brock 2||||||F
OBX|213|CE|NuFAFTTY00^Current feeding tube type^ADM||2^Gastrostomy tube||||||F
OBX|214|TX|NuHXNICU00^Nutrition history relevant to dietitian plan^ADM||Brock 3||||||F
OBX|215|TX|NuNPOVCO00^Nutrition focused physical findings comment^ADM||Brock 9||||||F
OBX|216|CE|NuNUTUBW01^Nutrition status based on usual body weight^ADM||2^Mildly malnourished||||||F
OBX|217|TX|NuONBACO00^Oral nutrition barriers to eating comment^ADM||Brock 0||||||F
OBX|218|TX|NuONINTA00^Oral nutrition current food intake^ADM||Brock 3||||||F
OBX|219|TX|NuONORDI01^Oral diet type^ADM||Current nutrition?||||||F
OBX|220|TX|NuONOROT01^Other oral supplements^ADM||Brock 2||||||F
OBX|221|TX|NuONSUPP00^Oral nutrition supplement drink^ADM||Brock 1||||||F
OBX|222|CE|NuSGA01801^SGA Rating^ADM||2^B= Malnourished||||||F
OBX|223|TX|NuVITMIN00^Vitamin/Mineral supplements details^ADM||Brock 3||||||F
OBX|224|CE|OhIN000300^Information source^ADM||1^Patient~2^Health record review||||||F
OBX|225|TX|OhMEDRE000^Medications reviewed^ADM||Y||||||F
OBX|226|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|227|TX|OhPROCTO00^Patient's tolerance of procedure comment^ADM||save history test||||||F
OBX|228|TX|OhPT000101^Treatment analysis^ADM||Although not at baseline mobility (ambulating without aids) he is~progressing as expected post THR and his mobility should be sufficient to~manage at home with the established mobility aids in the next day||||||F
OBX|229|TX|OhPT000201^Patient's concerns^ADM||Increased pain with movement||||||F
OBX|230|TX|OhPT000400^Precautions and contraindications^ADM||standard hip||||||F
OBX|231|TX|OhPTSTUP00^Patient status update^ADM||Grin Grin Grin Grin||||||F
OBX|232|TX|OhRE000200^Referral source^ADM||save history test||||||F
OBX|233|CE|PaFREQ0000^Pain frequency^ADM||1^At rest||||||F
OBX|234|CE|PaLOCBDS02^Location^ADM||13^Abdomen||||||F
OBX|235|TX|PaPAGOAL02^Pain goal^ADM||2/10||||||F
OBX|236|CE|PaPALOCM00^Pain location modifier^ADM||1^Left~4^Lower||||||F
OBX|237|CE|PaPAQUAL01^Pain quality^ADM||1^Sharp~5^Burning||||||F
OBX|238|CE|PaPARAMR00^Pain defined parameters^ADM||2^Significant findings||||||F
OBX|239|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|240|TX|PaPASCRE01^Pain score^ADM||6.00||||||F
OBX|241|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|242|TX|PaQU000100^Pain quality other^ADM||Tenderness||||||F
OBX|243|TX|PsCLB00000^Communication language barrier^ADM||N||||||F
OBX|244|CE|PsFIMS0001^Family information marital status^ADM||3^Married||||||F
OBX|245|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||2^Significant findings||||||F
OBX|246|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|247|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|248|CE|RePARAMR00^Respiratory defined parameters^ADM||2^Significant findings||||||F
OBX|249|TX|SpBICAMO00^Bivalve cast modified^ADM||Y||||||F
OBX|250|TX|SpCASCHA00^Serial cast change schedule^ADM||Save history test||||||F
OBX|251|TX|SpCASCHC00^Cast check comment^ADM||Save history test||||||F
OBX|252|TX|SpCASMAT00^Casting materials used^ADM||Save history test||||||F
OBX|253|TX|SpCASSCH00^Bivalved cast wear schedule^ADM||Save history test||||||F
OBX|254|TX|SpCOMREC00^Compliance with weight bearing/other restrictions comment^ADM||Save history test||||||F
OBX|255|TX|SpCOMRES00^Compliance with weight bearing/other restrictions^ADM||Y||||||F
OBX|256|CE|SpCONPAT00^Consent received from patient^ADM||1^Verbal||||||F
OBX|257|TX|SpCONRA000^Patient consented to RA session^ADM||Y||||||F
OBX|258|TX|SpCONREA00^Patient consented to assignment of tasks to RA^ADM||Y||||||F
OBX|259|CE|SpCONRIS00^Assessment/Treatment benefits and risks explained to^ADM||1^Patient||||||F
OBX|260|CE|SpCONTYP00^Consent received for^ADM||1^Assessment~2^Treatment plan||||||F
OBX|261|TX|SpINDASS00^Name of individual who assisted with casting^ADM||Save history test||||||F
OBX|262|TX|SpLOMAPL00^Long term management plan^ADM||Save history test||||||F
OBX|263|CE|SpLRRAOL00^Location behaviour occurred^ADM||2^Bedside||||||F
OBX|264|CE|SpOVEBED00^Overbed signs posted^ADM||2^Donning/doffing procedure||||||F
OBX|265|TX|SpOVEBEO00^Overbed signs posted other^ADM||Save history test||||||F
OBX|266|CE|SpPATPOS00^Patient position during cast application^ADM||1^Sitting||||||F
OBX|267|TX|SpSEFCAC00^Able to self monitor issues related to casting comment^ADM||Save history test||||||F
OBX|268|TX|SpSEFCAS00^Able to self monitor issues related to casting^ADM||Y||||||F
OBX|269|CE|SpSP000100^Splinting overbed signs posted^ADM||1^Wear schedule||||||F
OBX|270|TX|SpSP000200^Splinting overbed signs posted comment^ADM||save history test||||||F
OBX|271|CE|SpSP000300^Splinting donning and doffing splint assigned to^ADM||1^Rehabilitation assistant||||||F
OBX|272|TX|SpSPDDAO00^Splinting donning and doffing splint assigned to other^ADM||save history test||||||F
OBX|273|TX|SpSPOVBE00^Splinting overbed signs posted other^ADM||save history test||||||F
OBX|274|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|275|CE|VsBPDEUS00^Device used^ADM||2^Manual cuff||||||F
OBX|276|TX|VsBPDIAO01^Blood pressure diastolic^ADM||88||||||F
OBX|277|TX|VsBPSYSO01^Blood pressure systolic^ADM||155||||||F
OBX|278|TX|VsHRADLT01^Heart rate^ADM||98||||||F
OBX|279|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|280|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|281|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F
OBX|282|TX|VsHTCM0100^Current height^ADM||50.0||||||F
OBX|283|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||94||||||F
OBX|284|CE|VsPRLOMO00^Probe location modifier^ADM||2^Left||||||F
OBX|285|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|286|TX|VsRESPAD03^Respiratory rate^ADM||18||||||F
OBX|287|CE|VsWGCBMI01^Weight used to calculate body mass index^ADM||1^Current weight||||||F
OBX|288|TX|VsWT000101^Current Weight^ADM||50.000||||||F
OBX|289|CE|VsWT000700^Weight measurement method^ADM||2^Bed scale||||||F
OBX|290|TX|VsWT001701^Birth weight^ADM||2.000||||||F
OBX|291|TX|VsWT003500^Goal/target weight^ADM||60.000||||||F
OBX|292|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|293|TX|VsWT005000^Birth height or length^ADM||50.00||||||F
OBX|294|TX|VsWT005300^Body mass index^ADM||200.0||||||F
OBX|295|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||50000.000||||||F
GT1|1||PCSTEST^IPOC4||1111111^^ABBOTSFORD^BC^V1W 3E4||||||SP
ZFD|.HOSPITAL^Hospitalist^.^^^^^^HOS||||.HOSPITAL^Hospitalist^.^^^^^^HOS|.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||

