MSH|^~\&|ADM|ARH|||202002030849||ADT^A03|4159716|D|2.2|||AL|NE
EVN|A03|202002030849||||202002030849
PID|1|FHATVIG0012166|AB00008305|AB8213|IVTEST^ALICE||19891028|F|||111111^^SURREY^BC^V1W 2W3|||||||AB000632/19|
PV1|1|I|AB-ERIN1^ABERINZ1-2^C05|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||EMED||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||ARH|||||201910311053|202002030849
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190411||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|TX|AdNEWBO330^Skin comments^ADM||skin cmmnts||||||F
OBX|7|CE|Ca00000100^Right radial pulse^ADM||1^Doppler||||||F
OBX|8|CE|Ca00000200^Right ulnar pulse^ADM||2^0||||||F
OBX|9|CE|Ca00000400^Left radial pulse^ADM||3^+1||||||F
OBX|10|CE|Ca00000500^Left ulnar pulse^ADM||4^+2||||||F
OBX|11|CE|Ca00000700^Right dorsalis pedis pulse^ADM||5^+3||||||F
OBX|12|CE|Ca00000800^Right post tibial pulse^ADM||6^+4||||||F
OBX|13|CE|Ca00000900^Right popliteal pulse^ADM||5^+3||||||F
OBX|14|CE|Ca00001000^Left dorsalis pedis pulse^ADM||3^+1||||||F
OBX|15|CE|Ca00001100^Left post tibial pulse^ADM||2^0||||||F
OBX|16|CE|Ca00001200^Left popliteal pulse^ADM||1^Doppler||||||F
OBX|17|CE|Ca00001300^Right femoral pulse^ADM||4^+2||||||F
OBX|18|CE|Ca00001400^Left femoral pulse^ADM||2^0||||||F
OBX|19|TX|Ca00001800^Cardiovascular pre-hospital baseline^ADM||card pre-hosp bsl||||||F
OBX|20|CE|Ca00001900^Cardiovascular assessment^ADM||1^Within defined parameters||||||F
OBX|21|TX|CaCAVASC00^Other cardiovascular comments^ADM||other card commnts||||||F
OBX|22|CE|CaCRFOLE01^Capillary refill left foot^ADM||2^3 seconds or longer||||||F
OBX|23|CE|CaCRFORI01^Capillary refill right foot^ADM||1^Less than 3 seconds||||||F
OBX|24|CE|CaCRHALE00^Capillary refill left hand^ADM||2^3 seconds or longer||||||F
OBX|25|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F
OBX|26|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|27|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||N||||||F
OBX|28|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F
OBX|29|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||2^Bilateral||||||F
OBX|30|CE|CoNOVECO00^Nonverbal communication^ADM||1^Not interacting~6^Facial expressions||||||F
OBX|31|TX|CoNOVEOO00^Nonverbal communication other^ADM||nonveb comm oth||||||F
OBX|32|TX|EnHOSP0000^Physical comfort^ADM||phy comf||||||F
OBX|33|TX|EnHOSP0010^Social comfort^ADM||soc comf||||||F
OBX|34|TX|EnHOSP0020^Psychological comfort^ADM||psych comf||||||F
OBX|35|TX|EnHOSP0030^Spiritual comfort^ADM||spirit comf||||||F
OBX|36|TX|EnHOSP0040^Planning for end of life^ADM||planning eol||||||F
OBX|37|TX|EnHOSP0050^Sense of completion/closure^ADM||sense compl||||||F
OBX|38|TX|EnHOSP0060^Other quality of dying experience summary comments^ADM||other quality||||||F
OBX|39|TX|Gi00001400^Gastrointestinal pre-hospital baseline^ADM||GI pre-hosp bsl||||||F
OBX|40|CE|Gi00001500^Gastrointestinal assessment^ADM||1^Within defined parameters||||||F
OBX|41|TX|Gi00001600^Genitourinary pre-hospital baseline^ADM||gen prehos bsl||||||F
OBX|42|CE|Gi00001700^Genitourinary assessment^ADM||1^Within defined parameters||||||F
OBX|43|TX|Gi00001800^Bladder scan comments^ADM||blad sc cmnnts||||||F
OBX|44|CE|GiABPALP02^Abdominal palpation^ADM||1^Soft||||||F
OBX|45|TX|GiABPAOT00^Abdominal palpation findings other^ADM||abds pal oth||||||F
OBX|46|CE|GiABSHAP00^Abdominal shape^ADM||6^Taut~7^Obese||||||F
OBX|47|TX|GiABSHOT00^Abdominal shape other^ADM||abd desc oth||||||F
OBX|48|TX|GiADULPH01^Gastric tube pH adult^ADM||3.0||||||F
OBX|49|TX|GiBMINTC01^Bowel movement level of intervention comments^ADM||bwl mvmt int cmm||||||F
OBX|50|CE|GiBMINTE01^Bowel movement level of intervention^ADM||1^Digital rectal check||||||F
OBX|51|TX|GiBMINTO00^Bowel movement level of intervention other^ADM||bwl mvmt oth||||||F
OBX|52|CE|GiBS000100^Bowel sounds frequency^ADM||1^Active||||||F
OBX|53|CE|GiCNMETH00^Feeding tube placement confirmation method^ADM||1^Radiology report||||||F
OBX|54|TX|GiEFT00101^pH duodenal tube^ADM||7.0||||||F
OBX|55|TX|GiEFT00200^Enteral feeding tube confirmed length^ADM||60.00||||||F
OBX|56|TX|GiENTINS00^Enteral feeding tube length at insertion^ADM||60||||||F
OBX|57|TX|GiETDEVI01^Enteral feeding tube securement device intact^ADM||Y||||||F
OBX|58|TX|GiETINAT00^Enteral feeding tube insertion attempts^ADM||1||||||F
OBX|59|TX|GiETSIZE00^Enteral feeding tube size^ADM||6.0||||||F
OBX|60|TX|GiFART0001^Flatus^ADM||Y||||||F
OBX|61|CE|GiFTTYPE00^Feeding tube type^ADM||1^Small bore weighted||||||F
OBX|62|TX|GiGT000300^Enteral feeding tube current length^ADM||60.0||||||F
OBX|63|TX|GiNOINDT00^Nasal/Oral feeding tube insertion date^ADM||20191218||||||F
OBX|64|CE|GiNSORAL01^Feeding tube insertion site^ADM||1^Right nare||||||F
OBX|65|CE|GiREPORT01^Enteral feeding tube reported placement^ADM||1^Gastric||||||F
OBX|66|TX|Gu00000000^Genitalia/Perineum concerns^ADM||genit perin concerns||||||F
OBX|67|TX|GuAFBA0000^Arteriovenous fistula bruit audible^ADM||Y||||||F
OBX|68|CE|GuAFLOC000^Arteriovenous fistula location^ADM||1^Right arm||||||F
OBX|69|TX|GuAFTP0000^Arteriovenous fistula thrill palpable^ADM||Y||||||F
OBX|70|TX|GuBDSVA000^Bladder scan volume^ADM||200||||||F
OBX|71|TX|GuBDURSO00^Urinary retention signs and symptoms other^ADM||ur ret signs||||||F
OBX|72|CE|GuBDURSS01^Urinary retention signs and symptoms^ADM||2^Palpable bladder~4^Increased blood pressure||||||F
OBX|73|TX|GuBDUTIO00^Urinary tract infections signs and symptoms other^ADM||ur tract signs||||||F
OBX|74|CE|GuBDUTIS00^Urinary tract infection signs and symptoms^ADM||2^Fever above 38||||||F
OBX|75|CE|GuDI000100^Dialysis type^ADM||1^Hemodialysis||||||F
OBX|76|TX|GuUCB00000^Skin care management^ADM||skin care mgmt||||||F
OBX|77|TX|GuUCB00010^Other gastrointestinal/genitourinary comments^ADM||oth gi gu cmmnts||||||F
OBX|78|TX|HeCO000200^Verbal communication^ADM||verb comm oth||||||F
OBX|79|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|80|TX|In00000000^Dressing type^ADM||drss type||||||F
OBX|81|TX|In00000600^Skin pre-hospital baseline^ADM||skin pre-hosp bsl||||||F
OBX|82|CE|In00000700^Skin assessment^ADM||2^At pre-hospital baseline||||||F
OBX|83|TX|In00000800^Specialty mattress^ADM||spec matt||||||F
OBX|84|TX|In00000900^Wound dressing dry and intact^ADM||Y||||||F
OBX|85|CE|In00001000^Skin description^ADM||1^Flaky||||||F
OBX|86|TX|In00001100^Wound dressing change details^ADM||wnd dress change||||||F
OBX|87|CE|InEDEMAS00^Edema severity^ADM||2^+2||||||F
OBX|88|TX|InEDEMCM00^Edema comments^ADM||edm cmmnts||||||F
OBX|89|CE|InEDEMLB01^Edema location^ADM||1^Generalized||||||F
OBX|90|CE|InEDEMLM00^Edema location modifier^ADM||3^Right||||||F
OBX|91|CE|InEDEMTP00^Edema type^ADM||1^Pitting||||||F
OBX|92|CE|InSA001500^Heel pressure relief method^ADM||1^Elevated||||||F
OBX|93|TX|InSA001902^Additional pressure relief methods comments^ADM||addtt prd relf||||||F
OBX|94|TX|InSKCOOT00^Other integumentary comments^ADM||oth integ cmmnts||||||F
OBX|95|CE|InSKGNTM00^Generalized skin temperature^ADM||1^Hot||||||F
OBX|96|TX|InSKIAPO00^Skin appearance other^ADM||gen skin appr oth||||||F
OBX|97|CE|InSKIAPP01^Skin appearance^ADM||1^Normal~3^Pale||||||F
OBX|98|TX|InSKIDEO00^Skin description other^ADM||sin desc oth||||||F
OBX|99|CE|InSKIMOD01^Skin and wound modifier^ADM||2^Right~5^Central||||||F
OBX|100|CE|InSKIMOI02^Skin moisture^ADM||1^Dry||||||F
OBX|101|CE|InSKITEM00^Skin temperature^ADM||1^Hot||||||F
OBX|102|CE|InWNDLOC02^Wound location^ADM||4^Hip||||||F
OBX|103|CE|InWNDMOD00^Wound location modifier^ADM||1^Right||||||F
OBX|104|CE|InWNDTYM00^Wound type^ADM||12^Rash/Redness||||||F
OBX|105|CE|InWOULOC02^Skin or wound location^ADM||5^Shoulder||||||F
OBX|106|TX|IoNICUIN30^Intake, IV Amount^ADM||400.00||||||F
OBX|107|TX|IvLINCAO00^Line care other^ADM||DC||||||F
OBX|108|CE|IvLINECA01^Line care^ADM||2^IV tubing change||||||F
OBX|109|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|110|CE|IvPORT0100^Infusion port^ADM||1^Distal||||||F
OBX|111|TX|IvRATE0000^Rate^ADM||75.00||||||F
OBX|112|TX|IvTUBCHA00^Next tubing change due^ADM||20191104||||||F
OBX|113|CE|MhAFFECT01^Affect^ADM||1^Appropriate~2^Flat||||||F
OBX|114|TX|MhBEHAVI00^Behaviour other^ADM||beh oth||||||F
OBX|115|TX|MhESAFFE02^Affect other^ADM||affct oth||||||F
OBX|116|TX|MhESMOOD04^Mood^ADM||mood comment box||||||F
OBX|117|CE|MhPED00100^Behaviour^ADM||1^Relaxed~10^Wandering||||||F
OBX|118|TX|Ne00005000^Neurological pre-hospital baseline^ADM||neuro prehosp bsl||||||F
OBX|119|CE|Ne00005100^Neurological assessment^ADM||1^Within defined parameters||||||F
OBX|120|TX|Ne00005200^Seizure activity^ADM||N||||||F
OBX|121|TX|Ne00005300^Seizure precautions in place^ADM||N||||||F
OBX|122|CE|Ne00005400^Verbal communication^ADM||1^No obvious concerns~2^Slurred||||||F
OBX|123|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||1^4- Spontaneous||||||F
OBX|124|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||6^3- Abnormal flexion||||||F
OBX|125|TX|NeGCSSCR01^GCS score^ADM||12||||||F
OBX|126|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|127|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|128|TX|NeMRARMD00^Arm drift^ADM||N||||||F
OBX|129|TX|NeMRPAIN01^Response to painful stimuli^ADM||resp pain stim||||||F
OBX|130|TX|NeNEFI0000^Other neurological findings/complaints^ADM||oth neuro cmmnts||||||F
OBX|131|CE|NeORIENT01^Oriented to^ADM||2^Person~3^Place||||||F
OBX|132|CE|NePOSC0000^POSS score^ADM||1^1 - Awake and alert||||||F
OBX|133|CE|NePUEYED01^Eye deviation^ADM||2^Left||||||F
OBX|134|CE|NePURXNL00^Pupil reaction to light^ADM||2^Sluggish||||||F
OBX|135|CE|NePUSHPE00^Pupil shape^ADM||1^Round||||||F
OBX|136|CE|NePUSIDE00^Pupil side^ADM||2^Right||||||F
OBX|137|TX|NePUSIZE00^Pupil size^ADM||6||||||F
OBX|138|CE|NmARMST100^Arm strength right^ADM||1^Strong||||||F
OBX|139|CE|NmARMST200^Arm strength left^ADM||2^Moderate||||||F
OBX|140|CE|NmCSPARS00^Current state post activity response^ADM||4^Sedated||||||F
OBX|141|CE|NmHNDGR100^Handgrip right^ADM||1^Strong||||||F
OBX|142|CE|NmHNDGR200^Handgrip left^ADM||2^Moderate||||||F
OBX|143|CE|NmLEGST100^Leg strength right^ADM||1^Strong||||||F
OBX|144|CE|NmLEGST200^Leg strength left^ADM||2^Moderate||||||F
OBX|145|TX|NmREINCO00^Infant consolable^ADM||Y||||||F
OBX|146|CE|Oh00000801^Care plan^ADM||1^Initiated||||||F
OBX|147|TX|Pa00000000^Pain pre-hospital baseline^ADM||pain pre-hosp bl||||||F
OBX|148|CE|Pa00000100^Pain assessment^ADM||2^At pre-hospital baseline||||||F
OBX|149|TX|Pa00000200^Pain description^ADM||pain desc 2||||||F
OBX|150|TX|PaCOMMEN00^Pain comments^ADM||oth pn commnt||||||F
OBX|151|CE|PaLOCBDS02^Location^ADM||18^Buttock||||||F
OBX|152|CE|PaPALOCM00^Pain location modifier^ADM||1^Left||||||F
OBX|153|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||6^Grimaces~10^Guarding~12^Restless||||||F
OBX|154|TX|PaPANVBO00^Pain non-verbal behaviours other^ADM||non-verb be oth 2||||||F
OBX|155|CE|PaPASCL000^Pain scale used^ADM||2^Faces||||||F
OBX|156|TX|PaPASCRE01^Pain score^ADM||6.00||||||F
OBX|157|TX|PaPAVRDS00^Pain verbal descriptors scale^ADM||verb desc 2||||||F
OBX|158|TX|PaPNMGTO00^Pain management techniques other^ADM||pn mgmt oth||||||F
OBX|159|CE|PaPNMGTT00^Pain management techniques^ADM||1^Medication~6^Cold~11^Massage||||||F
OBX|160|TX|Re00000000^Respiratory pre-hospital baseline^ADM||resp prehosp bsl||||||F
OBX|161|CE|Re00000100^Respiratory assessment^ADM||1^Within defined parameters||||||F
OBX|162|TX|ReABNORM00^Abnormal findings comments^ADM||abn finsings cmmnts 2||||||F
OBX|163|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|164|CE|ReAUAIRE01^Air entry^ADM||3^Absent||||||F
OBX|165|CE|ReAUBTHS02^Breath sounds^ADM||10^Pleural friction rub||||||F
OBX|166|CE|ReAULOCT00^Auscultation location^ADM||7^Left lung||||||F
OBX|167|CE|ReAULOMO00^Auscultation location modifier^ADM||1^Anterior||||||F
OBX|168|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F
OBX|169|TX|ReBRESOU00^Breath sounds other^ADM||brth snds other 2||||||F
OBX|170|CE|ReCGDESC01^Cough description^ADM||1^Normal||||||F
OBX|171|TX|ReCGDESO00^Cough description other^ADM||cgh desp other||||||F
OBX|172|TX|ReCGPROD00^Cough productive^ADM||N||||||F
OBX|173|CE|ReCGSTGH00^Cough strength^ADM||1^Strong||||||F
OBX|174|CE|ReCOLMET01^Secretions collection method^ADM||1^Closed/Inline suction||||||F
OBX|175|TX|ReDISTRE00^Respiratory distress comments^ADM||resp cmmn||||||F
OBX|176|TX|ReFIND0000^Other respiratory findings^ADM||othr resp comnts||||||F
OBX|177|CE|ReNRDISI02^Respiratory distress indicators^ADM||1^Grunting||||||F
OBX|178|CE|RePHASE000^Phase^ADM||2^Expiration||||||F
OBX|179|CE|ReRECHEX01^Chest expansion^ADM||2^Right greater than left~3^Right flail||||||F
OBX|180|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use~2^Audible wheeze||||||F
OBX|181|TX|ReREDISO00^Respiratory distress indicators other^ADM||resp dis ind other||||||F
OBX|182|CE|ReREDPTH00^Respiratory depth^ADM||1^Normal||||||F
OBX|183|CE|ReRESPSU00^Respiratory support in use^ADM||1^Non-invasive ventilation||||||F
OBX|184|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F
OBX|185|CE|ReSCAMNT00^Secretions amount^ADM||1^None||||||F
OBX|186|CE|ReSCCOLR00^Secretions colour^ADM||6^Pink||||||F
OBX|187|CE|ReSCDESC02^Secretions description^ADM||1^Mucoid~2^Sanguineous/bloody||||||F
OBX|188|TX|ReSCDESO00^Secretions description other^ADM||sec desc oth||||||F
OBX|189|CE|ReSE000100^Secretion source^ADM||2^Tracheostomy||||||F
OBX|190|TX|ReSECCOM00^Secretions comments^ADM||sec cmmnts||||||F
OBX|191|TX|ReSECMET00^Secretions collection method other^ADM||suct meth other||||||F
OBX|192|CE|ReSECRET00^Secretions source^ADM||1^Suctioned||||||F
OBX|193|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F
OBX|194|CE|VsBPCFLP01^Blood pressure cuff location^ADM||4^Left arm||||||F
OBX|195|TX|VsBPDIAO01^Blood pressure diastolic^ADM||75||||||F
OBX|196|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||90||||||F
OBX|197|TX|VsBPSYSO01^Blood pressure systolic^ADM||125||||||F
OBX|198|CE|zMGIVLOC1^Location^ADM||3^Hand||||||F
OBX|199|CE|zMGLT^Line Type^ADM||1^PIV||||||F
OBX|200|CE|zMGSOL1^Solution^ADM||1^NS||||||F
ZFD|.ERGP^Generic^ER^Physician^^^^^OTH||||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED|||||||||ENDISIN

MSH|^~\&|ADM|ARH|||202002030856||ADT^A03|4159724|D|2.2|||AL|NE
EVN|A03|202002030855||||202002030855
PID|1|FHATVIG0012178|AB00008308|AB8216|IVTEST^BOB||19891028|M|||111111^^Surrey^BC^V3S 7V2|||||||AB000633/19|
PV1|1|I|AB-ERIN1^ABERINZ1-2^C02|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX|||EMED||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||ARH|||||201910311054|202002030855
PV2||W^Ward|
OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20190411||||||F
OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|6|TX|IoNICUIN30^Intake, IV Amount^ADM||145.00||||||F
OBX|7|CE|IvLINECA01^Line care^ADM||2^IV tubing change||||||F
OBX|8|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|9|CE|IvPORT0100^Infusion port^ADM||7^Proximal||||||F
OBX|10|TX|IvRATE0000^Rate^ADM||10.00||||||F
OBX|11|TX|IvTUBCHA00^Next tubing change due^ADM||20191104||||||F
OBX|12|CE|zMGIVLOC1^Location^ADM||8^Jugular||||||F
OBX|13|CE|zMGLT^Line Type^ADM||3^CVC||||||F
OBX|14|CE|zMGSOL1^Solution^ADM||1^NS||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED|||||||||ENDISIN

