MSH|^~\&|ADM|ARH|||202002061425||ADT^A03|4163479|D|2.2|||AL|NE
EVN|A03|202002061425||||202002061425
PID|1|FHATVIG0003422|AB00007331|AB7375|EMRTEST^AVENGERS^TEST||19880517|M|||12 345 Marvel Street^^Langley^BC^1234|||||||AB000174/18|
PV1|1|I|AB-3BAKER^AB3B-B3112^1|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX||.GENSURG^Surgery^General^^^^^^^^^^XX~DOCT^DOC^TEST^A^^^^^^^^^XX|SURG||||||||IN||||||||||||||||||EXPIRED|||ARH|||||201805171350|202002061425
PV2||P^Private - Non-Solicited|ABDO PAIN
OBX|1|ST|1010.1^WEIGHT^CPT4||72.000||||||F
OBX|2|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20150821||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCCOP^BC CareCard \T\ Other Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|Ac00000700^Upper body washing support provided^ADM||2^Supervision||||||F
OBX|9|CE|Ac00000900^Mouth care support provided^ADM||2^Supervision||||||F
OBX|10|CE|Ac00001000^Grooming support provided^ADM||3^Set-up||||||F
OBX|11|CE|Ac00001100^Toileting hygiene ability^ADM||2^Supervision||||||F
OBX|12|CE|Ac00003700^Lower body washing support provided^ADM||2^Supervision||||||F
OBX|13|CE|AcADLWAT00^Wash type performed^ADM||2^Bedside with basin||||||F
OBX|14|CE|AcFTTYPE00^Footwear type^ADM||3^Shoes||||||F
OBX|15|TX|AcHMRF0001^Falls since admission^ADM||Y||||||F
OBX|16|TX|AcHMTFD001^Falls since admission details^ADM||Fell in bathroom||||||F
OBX|17|CE|AcMOCAPE00^Mouth care performed^ADM||5^Chlorhexidine oral rinse||||||F
OBX|18|TX|AdALERGI00^ID and allergy band(s) applied^ADM||Y||||||F
OBX|19|TX|AdCDCCOM00^Other care and discharge planning comments^ADM||test||||||F
OBX|20|TX|AdDCBNUR00^Discharge barriers identified by nursing^ADM||test||||||F
OBX|21|TX|AdDCCOMP01^Discharge plan complete^ADM||Y||||||F
OBX|22|CE|AdDISCHA30^Discharge destination^ADM||1^Home||||||F
OBX|23|TX|AdDRVPLA00^Driving restrictions in place^ADM||Y||||||F
OBX|24|TX|AdDRVRES00^Aware of driving restrictions^ADM||Y||||||F
OBX|25|TX|AdDUEDAT00^Pregnancy due date^ADM||20180810||||||F
OBX|26|TX|AdEDCC0000^Chief Complaint^ADM||Abdominal Pain||||||F
OBX|27|TX|AdESTDTD00^Estimated date of discharge^ADM||20191005||||||F
OBX|28|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity||||||F
OBX|29|TX|AdFACINA01^Name of facility^ADM||test||||||F
OBX|30|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||test||||||F
OBX|31|TX|AdGOALCP00^Goal^ADM||BP within normal limits||||||F
OBX|32|TX|AdGOALDT00^Goal target date^ADM||20190926||||||F
OBX|33|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F
OBX|34|CE|AdGOSTRD00^Goal status^ADM||2^Partially met||||||F
OBX|35|TX|AdHHL00700^Home First screen completed^ADM||Y||||||F
OBX|36|TX|AdHHL00800^Home First score^ADM||2||||||F
OBX|37|TX|AdHHL00901^Case reviewed with interprofessional team^ADM||N||||||F
OBX|38|TX|AdHHL01300^Alternate living environment progress notes^ADM||9||||||F
OBX|39|TX|AdHHL01600^Recommended for alternate living environment^ADM||N||||||F
OBX|40|TX|AdHHL03390^Long-term care access policy discussed and booklet provided^ADM||Y||||||F
OBX|41|TX|AdHHL03400^First Appropriate Bed Policy reviewed and booklet provided^ADM||N||||||F
OBX|42|TX|AdHHL03500^30 day grace period and rate reviewed^ADM||Y||||||F
OBX|43|CE|AdHHL03600^Transportation preference^ADM||1^Family/friend||||||F
OBX|44|TX|AdHHL03700^Medical equipment needs reviewed and OT notified of same^ADM||N||||||F
OBX|45|TX|AdHHL03800^Patient aware of MRP change upon discharge^ADM||Y||||||F
OBX|46|TX|AdHHL03900^Copy of Power of Attorney form obtained^ADM||N||||||F
OBX|47|TX|AdHHL04000^Copy of latest Notice of Assessment from CRA obtained^ADM||Y||||||F
OBX|48|TX|AdHHL04100^Client Consent and Signature Form for Home Health completed^ADM||N||||||F
OBX|49|TX|AdHHL04200^Consent sent to^ADM||4||||||F
OBX|50|TX|AdHHL04300^Minimal Date Sheet-Home Care completed^ADM||Y||||||F
OBX|51|TX|AdHHL04400^Financial profile and calculation sheet completed^ADM||N||||||F
OBX|52|TX|AdHHL04500^Alternate Living Environment Tool result^ADM||5||||||F
OBX|53|TX|AdHHL04600^Tuberculosis screening completed^ADM||Y||||||F
OBX|54|TX|AdHHL04700^Veterans Affairs, initial PAB form faxed^ADM||N||||||F
OBX|55|TX|AdHHL04901^Community Access referral sent^ADM||N||||||F
OBX|56|TX|AdHHL04910^Date suitable provider list provided to client/family^ADM||20191018||||||F
OBX|57|TX|AdHHL04911^Preferred long-term care home choices verified in strata^ADM||Y||||||F
OBX|58|TX|AdHHL04912^Reviewed client with community access coordinator^ADM||N||||||F
OBX|59|TX|AdHHL05000^Alternate level of care designation changed^ADM||Y||||||F
OBX|60|TX|AdHHL05100^FH accounts notified of ALC status and billing contact^ADM||N||||||F
OBX|61|TX|AdHHL05202^Bed match: Long-term care home name^ADM||6||||||F
OBX|62|TX|AdHHL05303^Bed match: Long-term care home contact name/number^ADM||7||||||F
OBX|63|TX|AdHHL05400^Bed match: Patient/Support network notified^ADM||8||||||F
OBX|64|TX|AdHHL05500^Bed match: PCC/Unit notified^ADM||Y||||||F
OBX|65|TX|AdHHL05600^Bed match: Planned date of transport^ADM||20191019||||||F
OBX|66|TX|AdHHL05700^Bed match: Planned time of transport^ADM||1000||||||F
OBX|67|TX|AdHHL05900^Veterans Affairs, Minimal Date Sheet - Home Care form faxed^ADM||N||||||F
OBX|68|TX|AdHHL06000^Veterans Affairs PAB form faxed to Community Access^ADM||Y||||||F
OBX|69|TX|AdHHL06200^Interprofessional team discussion^ADM||3||||||F
OBX|70|TX|AdHXCOND00^History of presenting condition^ADM||Fell and fractured hip||||||F
OBX|71|CE|AdINFSOU00^Information source^ADM||1^Patient||||||F
OBX|72|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||test||||||F
OBX|73|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||1^Audiologist||||||F
OBX|74|CE|AdINSM0000^Information source^ADM||1^Patient||||||F
OBX|75|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|76|TX|AdINVANR00^1. Intervention to address problem^ADM||Liaise with MRP||||||F
OBX|77|TX|AdINVANR01^2. Intervention to address problem^ADM||Administer medication||||||F
OBX|78|CE|AdMRPNMD00^MRP or physician notification method^ADM||1^In person||||||F
OBX|79|TX|AdOTCPDE01^Problem detail^ADM||Unable to dress LE||||||F
OBX|80|TX|AdOTCPGD00^Goal target date^ADM||20191101||||||F
OBX|81|TX|AdOTCPGO00^Goal^ADM||Ind LE dressing||||||F
OBX|82|CE|AdOTCPGS00^Goal status^ADM||3^Met||||||F
OBX|83|CE|AdOTCPID01^Problem identified^ADM||1^Ability to complete ADLs||||||F
OBX|84|TX|AdOTCPIN00^1. Intervention to address problem^ADM||Teach dressing techniques||||||F
OBX|85|TX|AdOTCPIN01^2. Intervention to address problem^ADM||Trial dressing aids||||||F
OBX|86|TX|AdOTCPIN02^3. Intervention to address problem^ADM||Assign dressing practice to RA||||||F
OBX|87|TX|AdOTCPIN03^4. Intervention to address problem^ADM||Teach family member to assist||||||F
OBX|88|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||test||||||F
OBX|89|CE|AdOUTM0000^Outpatient/Community referral(s) sent to^ADM||1^Acquired brain injury||||||F
OBX|90|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||N||||||F
OBX|91|TX|AdPROBDS00^Problem detail^ADM||difficulty managing medications||||||F
OBX|92|CE|AdPROBID20^Problem identified^ADM||5^Self-care||||||F
OBX|93|CE|AdPROBRD00^Problem identified^ADM||33^Swallowing difficulty||||||F
OBX|94|CE|AdPTA05200^Assistive devices used prior to admission^ADM||2^Glasses||||||F
OBX|95|TX|AdPTA12900^Recent falls prior to admission^ADM||Y||||||F
OBX|96|TX|AdPTA13000^Recent falls prior to admission details^ADM||In bathroom||||||F
OBX|97|TX|AdPTFAMY01^Patient/Family goals for discharge^ADM||test||||||F
OBX|98|TX|AdSTRECO01^Reason EDD changed other^ADM||test||||||F
OBX|99|TX|AdTRINFO01^Information faxed to care facility^ADM||Y||||||F
OBX|100|CE|CaCA000100^Capillary refill^ADM||1^Less than 3 seconds||||||F
OBX|101|TX|CaCWMSSF10^CWMS satisfactory to all limbs^ADM||Y||||||F
OBX|102|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F
OBX|103|CE|CaHS000200^Heart sounds quality^ADM||1^Normal||||||F
OBX|104|CE|CaHS000700^Heart sounds audible^ADM||1^S1~3^S2||||||F
OBX|105|TX|CaPLDATE00^PIV Insertion date^ADM||20191119||||||F
OBX|106|TX|CaPLNEED00^Peripheral line daily assessment ongoing need reviewed^ADM||Y||||||F
OBX|107|TX|CaTELERQ00^Cardiac monitoring required^ADM||Y||||||F
OBX|108|TX|EDMCHIEF^Chief Complaint^ADM||GIABDPPERV||||||F
OBX|109|CE|EDMPRIOR^Triage Level^ADM||2^CTAS Level 2||||||F
OBX|110|TX|EnITEMCO00^Item(s) of concern^ADM||reported 12/10 pain||||||F
OBX|111|TX|EnITEMRP01^Item(s) of concern reported to (name and designation)^ADM||PT/RN||||||F
OBX|112|CE|GEN.MOA3^Mode of Arrival^ADM||1^Walking||||||F
OBX|113|CE|GEN.PL1^Primary Language^ADM||1^English||||||F
OBX|114|CE|GiAB000400^Abdomen description^ADM||3^Distended||||||F
OBX|115|TX|GiAB000500^Abdomen description other^ADM||Patient is 7 months pregnant.||||||F
OBX|116|CE|GiABPALP04^Abdominal palpation^ADM||2^Tender~3^Guarding||||||F
OBX|117|TX|GiABPAOT00^Abdominal palpation findings other^ADM||BS x 4 audible.||||||F
OBX|118|CE|GiBM000000^Bowel movement method^ADM||2^Bed pan||||||F
OBX|119|TX|GiBMINCO00^Bowel movement incontinence^ADM||Y||||||F
OBX|120|TX|GiBO000301^Last bowel movement date as reported by patient^ADM||20180514||||||F
OBX|121|TX|GiGICOMO50^Gastrointestinal complaints other^ADM||Right side of abdomen tender. Pain 8/10.||||||F
OBX|122|CE|GiGICOMP00^Gastrointestinal complaints^ADM||5^Pain~4^Nausea~7^Vomiting||||||F
OBX|123|TX|GuBDINCO00^Bladder incontinence^ADM||Y||||||F
OBX|124|TX|GuBDSVA000^Bladder scan volume^ADM||250||||||F
OBX|125|CE|GuBDVM0002^Voiding method^ADM||6^Bed pan||||||F
OBX|126|CE|GuURCMR100^Urinary complaints^ADM||4^Dysuria||||||F
OBX|127|TX|GuURCMR200^Urinary complaints other^ADM||Patient has dysuria with no complaints of burning sensations.||||||F
OBX|128|CE|GuURCMR300^Genitalia complaints^ADM||1^None||||||F
OBX|129|TX|HX.PSY.RT^Hx Recent Travel^ADM||N||||||F
OBX|130|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|131|CE|Hx00000100^Previously healthy^ADM||2^No||||||F
OBX|132|TX|HxSPTCHX00^Summary of patient's clinical history^ADM||High cholesterol and smoker for 10 years.||||||F
OBX|133|TX|HxSPTCHX01^Pertinent clinical history^ADM||Diabetes, Cancer, High BP||||||F
OBX|134|TX|HxTABCOM00^Tobacco use comments^ADM||Patient used to smoke 10-12 cigarettes/day before pregnancy. Patient only smokes~3-4 cigarettes/day.||||||F
OBX|135|TX|HxTABCU000^Tobacco use current use^ADM||Y||||||F
OBX|136|CE|HxVACUTD00^Tetanus immunization up to date^ADM||1^Up To Date||||||F
OBX|137|TX|IDS-Cough^Cough^ADM||N||||||F
OBX|138|TX|IDS-Diar^Diarrhea or Vomiting^ADM||Y||||||F
OBX|139|TX|IDS-Fever^Fever and Rash^ADM||N||||||F
OBX|140|TX|IDS-Immune^Immuno-compromised^ADM||N||||||F
OBX|141|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F
OBX|142|CE|InISGR0000^infiltration Scale Grade^ADM||1^0||||||F
OBX|143|TX|InMMHYD010^Hydration status^ADM||Mucous membrane pink/moist.||||||F
OBX|144|CE|InPESIDE00^Peripheral line site description^ADM||1^Satisfactory||||||F
OBX|145|TX|InPESIDO00^Peripheral line site description other^ADM||test 3||||||F
OBX|146|CE|InSK000150^Skin cyanosis^ADM||1^None||||||F
OBX|147|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F
OBX|148|CE|InSKIMOI01^Skin moisture^ADM||1^Dry||||||F
OBX|149|CE|InSKITEM00^Skin temperature^ADM||2^Warm||||||F
OBX|150|CE|InWNDLOC02^Wound location^ADM||15^Back||||||F
OBX|151|CE|InWNDMOD00^Wound location modifier^ADM||4^Lower||||||F
OBX|152|CE|IoSOLUMA00^Solution^ADM||26^Propofol||||||F
OBX|153|CE|IoSOLUMA02^Solution^ADM||1^NS||||||F
OBX|154|TX|IvCAPCIV00^PIV cap change next due^ADM||20191121||||||F
OBX|155|TX|IvDRECHG00^Dressing change^ADM||test 2||||||F
OBX|156|CE|IvFLUSHS01^Flush solution^ADM||1^Normal saline||||||F
OBX|157|CE|IvFLUSHV00^Flush volume^ADM||1^3 mL||||||F
OBX|158|TX|IvINSERT00^Insertion details^ADM||test 1||||||F
OBX|159|CE|IvINVLOC00^Location^ADM||3^Hand||||||F
OBX|160|TX|IvLINCAO00^Line care other^ADM||test||||||F
OBX|161|CE|IvLINECA01^Line care^ADM||1^Capped||||||F
OBX|162|CE|IvLINECA02^Saline lock care^ADM||1^Flush||||||F
OBX|163|CE|IvLOCATM00^Location modifier^ADM||1^Right||||||F
OBX|164|CE|IvLOCATM01^Location Modifier^ADM||1^Right||||||F
OBX|165|TX|IvNXTDRS00^Next dressing change due^ADM||20191120||||||F
OBX|166|CE|IvPIVLOC00^Location^ADM||5^Hand PIV||||||F
OBX|167|TX|IvPIVNIC00^PIV insertion time^ADM||0800||||||F
OBX|168|CE|IvPL000700^Initial management^ADM||1^Infusion||||||F
OBX|169|CE|IvPS000100^Phlebitis scale grade^ADM||2^+1||||||F
OBX|170|TX|IvRATE0000^Rate^ADM||10.00||||||F
OBX|171|TX|IvREMOTI00^Removal time^ADM||0900||||||F
OBX|172|TX|IvREMOVD00^Removal date^ADM||20191122||||||F
OBX|173|CE|IvREMOVE00^Removal reason^ADM||1^No longer needed||||||F
OBX|174|TX|IvSIZE0000^Size^ADM||5||||||F
OBX|175|TX|IvTUBCHA00^Next tubing change due^ADM||20191124||||||F
OBX|176|CE|MhADVFIS01^Vocational/financial status^ADM||2^Retired||||||F
OBX|177|TX|MhALERT017^Date alert reviewed^ADM||20191001||||||F
OBX|178|TX|MhALERTE00^Alert criteria met^ADM||Y||||||F
OBX|179|CE|MhALERTP00^Alert protocol assessment^ADM||01^Initiated||||||F
OBX|180|TX|MhAVBACI00^Alert components initiated^ADM||Y||||||F
OBX|181|TX|MhAVBADI00^Date alert initiated^ADM||20191001||||||F
OBX|182|TX|MhAVBALC00^Alert reason comments^ADM||test||||||F
OBX|183|CE|MhAVBALR01^Alert reason^ADM||01^Harm||||||F
OBX|184|CE|MhAVBALT00^Aggressive violent behaviour identified^ADM||01^History of aggression||||||F
OBX|185|TX|MhAVBHXR01^All historical documentation reviewed^ADM||N||||||F
OBX|186|TX|MhAVBMCB00^Pre-existing medical conditions contributing to behaviour^ADM||est||||||F
OBX|187|TX|MhAVBOUC00^Outcome of review comments^ADM||test||||||F
OBX|188|CE|MhAVBOUT00^Outcome of review^ADM||01^Alert continued||||||F
OBX|189|TX|MhAVBSAC00^Other AVB screening and alert comments^ADM||test||||||F
OBX|190|CE|MhAVBSFT00^Safety risks^ADM||01^Agitated||||||F
OBX|191|TX|MhAVBTMR00^Team members involved in review^ADM||test||||||F
OBX|192|CE|MhBEHAV100^Behaviour^ADM||2^Agitated||||||F
OBX|193|CE|MhBEHIN002^Response to non-restraint interventions^ADM||3^Behaviour escalating||||||F
OBX|194|CE|MhBHBEHA00^Behaviour^ADM||2^Wandering~5^Purposeful~6^Erratic~9^Pacing||||||F
OBX|195|TX|MhBHBEHC01^Behaviour other^ADM||test||||||F
OBX|196|CE|MhBHCFAC01^Behaviour contributing factors^ADM||01^Sleep deprivation~06^Impaired communication~09^Inadequate hydration~10^Impaired cognition||||||F
OBX|197|TX|MhBHCFCC01^Behaviour contributing factors other^ADM||test||||||F
OBX|198|TX|MhBHCWOC01^Other behaviour management/code white comments^ADM||test||||||F
OBX|199|TX|MhBHMGTD00^Behaviour management interventions details^ADM||est||||||F
OBX|200|CE|MhBHMGTI01^Behaviour management interventions^ADM||01^Decr environmental stim~04^Deep breathing/relaxation~07^NRT provided~13^Validated pt concerns~14^Meals/Snacks provided||||||F
OBX|201|TX|MhBHMGTO00^Behaviour management interventions other^ADM||testt||||||F
OBX|202|TX|MhCODEWC00^Code white called^ADM||Y||||||F
OBX|203|TX|MhCODEWT00^Code white call time^ADM||1000||||||F
OBX|204|CE|MhMSCON000^Mental status concerns identified^ADM||1^No concerns||||||F
OBX|205|TX|MhPATBE001^Behaviour observed^ADM||test||||||F
OBX|206|CE|Mo00000100^Repositioning support provided^ADM||2^Supervision||||||F
OBX|207|CE|Mo00000200^Transfer support provided for bed to chair transfer^ADM||6^1 person assist||||||F
OBX|208|CE|Mo00000300^Transfer support provided for chair to bed transfer^ADM||2^Supervision||||||F
OBX|209|CE|Mo00000400^Transfer support provided for toilet transfer^ADM||6^1 person assist||||||F
OBX|210|CE|Mo00000500^Ambulation support provided^ADM||7^2 person assist||||||F
OBX|211|CE|Mo00000501^Ambulation support provided^ADM||2^Supervision||||||F
OBX|212|CE|Mo00000600^Upper body dressing support provided^ADM||2^Supervision||||||F
OBX|213|CE|Mo00000800^Lower body dressing support provided^ADM||2^Supervision||||||F
OBX|214|CE|Mo00001200^Dressing support provided (footwear)^ADM||2^Supervision||||||F
OBX|215|CE|Mo00001300^Wheelchair propulsion^ADM||2^Supervision||||||F
OBX|216|CE|MoADAPTV00^Adaptive aids^ADM||1^None||||||F
OBX|217|CE|MoAIDAMB00^Ambulation aid^ADM||10^Walker: 4 wheeled||||||F
OBX|218|CE|MoAIDAMB01^Ambulation aid^ADM||8^Hemi walker||||||F
OBX|219|CE|MoAIDBED01^Bed mobility aid^ADM||6^Positioning sling||||||F
OBX|220|CE|MoAIDBED02^Bed mobility aid^ADM||10^Ceiling lift||||||F
OBX|221|CE|MoAIDDST00^Dynamic standing aid^ADM||6^Gutter crutch||||||F
OBX|222|CE|MoAIDDST01^Dynamic standing aid^ADM||8^Hemi walker||||||F
OBX|223|CE|MoAIDSST00^Static standing aid^ADM||6^Gutter crutch||||||F
OBX|224|CE|MoAIDSST01^Static standing aid^ADM||6^Crutches: forearm||||||F
OBX|225|CE|MoAIDSTA00^Stairs aid^ADM||5^Crutches: forearm||||||F
OBX|226|CE|MoAIDSTA01^Stairs aid^ADM||5^Crutches: axillary||||||F
OBX|227|CE|MoAIDSTS00^Sit to stand aid^ADM||9^Walker: 2 wheeled||||||F
OBX|228|CE|MoAIDSTS01^Sit to stand aid^ADM||6^Crutches: forearm||||||F
OBX|229|CE|MoAIDTRA00^Transfer aid^ADM||5^Crutches: forearm||||||F
OBX|230|CE|MoAIDTRA01^Transfer aid^ADM||7^Gutter crutch||||||F
OBX|231|CE|MoAMASST00^Ambulation assistance required^ADM||1^1 person||||||F
OBX|232|CE|MoAMASST02^Ambulation assistance required^ADM||2^1 person||||||F
OBX|233|CE|MoAMASTN03^Assistance required for ambulation^ADM||3^1 person assist||||||F
OBX|234|CE|MoAMBABI03^Ambulation ability^ADM||1^Complete independence||||||F
OBX|235|CE|MoAMBACT00^Ambulation activity^ADM||2^Ambulation in hall||||||F
OBX|236|CE|MoAMBACT01^Ambulation activity^ADM||2^Ambulation in hall||||||F
OBX|237|CE|MoAMBBRE00^Ambulation breaks^ADM||2^Two||||||F
OBX|238|CE|MoAMBLOC00^Ambulation location^ADM||2^Within ward||||||F
OBX|239|TX|MoAMCMTS00^Ambulation comment^ADM||test||||||F
OBX|240|TX|MoAMDIST01^Ambulation distance^ADM||20.0||||||F
OBX|241|TX|MoAMGAIT00^Ambulation gait comment^ADM||test||||||F
OBX|242|CE|MoAMGASZ00^Ambulation size of gait aid used^ADM||3^Adult||||||F
OBX|243|CE|MoAMGTAD01^Ambulation gait aid^ADM||7^2 wheeled walker||||||F
OBX|244|CE|MoAMLFNC00^Ambulation level of function^ADM||3^Moderate assist||||||F
OBX|245|CE|MoAMMBAD00^Mobility aid used for ambulation^ADM||2^2 wheeled walker||||||F
OBX|246|CE|MoAMRMWD00^Ambulation^ADM||1^Within room||||||F
OBX|247|CE|MoAOMRPO00^Most responsible practitioner's activity order^ADM||1^Activity as tolerated||||||F
OBX|248|TX|MoAOTABR00^Breaks for ambulation assigned^ADM||as needed||||||F
OBX|249|CE|MoAOTAID01^Aid for ambulation assigned^ADM||10^Walker: 2 wheeled||||||F
OBX|250|CE|MoAOTAMF00^Frequency of ambulation assigned^ADM||3^3x/week||||||F
OBX|251|CE|MoAOTAO000^Ambulation outcome^ADM||2^Completed in part||||||F
OBX|252|TX|MoAOTAOC00^Ambulation outcome comments^ADM||only walked 15m||||||F
OBX|253|CE|MoAOTDIS00^Distance of ambulation assigned^ADM||4^50 - 100 m||||||F
OBX|254|TX|MoAOTEPR00^Exercise programs assigned^ADM||SAIL level 2 x 10 reps each with close supervision||||||F
OBX|255|CE|MoAOTLOC00^Location of ambulation assigned^ADM||2^Hallway||||||F
OBX|256|CE|MoAOTPO000^Exercise program outcome^ADM||1^Completed as assigned||||||F
OBX|257|CE|MoBCASST00^Bed to chair transfer assistance required^ADM||1^1 person||||||F
OBX|258|TX|MoBCCMTS00^Bed to chair transfer comment^ADM||test||||||F
OBX|259|CE|MoBCEQPT02^Transfer equipment^ADM||14^2 wheeled walker||||||F
OBX|260|CE|MoBCLFNC00^Bed to chair transfer level of function^ADM||6^Minimal assist||||||F
OBX|261|CE|MoBCTFTO01^Transfer to^ADM||2^Chair||||||F
OBX|262|CE|MoBCTTFR01^Transfer from^ADM||8^Floor||||||F
OBX|263|CE|MoBDABIL01^Bed mobility level of ability^ADM||2^Supervision||||||F
OBX|264|CE|MoBDASSR01^Bed mobility assistance required^ADM||2^2 person||||||F
OBX|265|CE|MoBDASSR02^Bed mobility assistance required^ADM||2^1 person||||||F
OBX|266|CE|MoBDASTD00^Mobility in bed assistive devices^ADM||2^Sliding sheet||||||F
OBX|267|TX|MoCHTIME00^Duration of time up in chair^ADM||1.0||||||F
OBX|268|TX|MoCHTIME04^Duration of time up in chair^ADM||20.0000000000||||||F
OBX|269|CE|MoDSABIL00^Dynamic sitting level of ability^ADM||1^Complete independence||||||F
OBX|270|CE|MoDSASST00^Dynamic sitting assistance required^ADM||1^1 person||||||F
OBX|271|CE|MoDSASST01^Dynamic sitting assistance required^ADM||2^1 person||||||F
OBX|272|TX|MoDSCMTS00^Dynamic sitting comment^ADM||test||||||F
OBX|273|CE|MoDSLFNC00^Dynamic sitting level of function^ADM||6^Minimal assist||||||F
OBX|274|CE|MoDSTABI00^Dynamic standing level of ability^ADM||1^Complete independence||||||F
OBX|275|CE|MoDSTAST00^Dynamic standing assistance required^ADM||1^1 person||||||F
OBX|276|CE|MoDSTAST01^Dynamic standing assistance required^ADM||2^1 person||||||F
OBX|277|TX|MoDSTCMT00^Dynamic standing comment^ADM||Requires constant cueing||||||F
OBX|278|CE|MoDSTEQP01^Dynamic standing equipment^ADM||3^Standard walker||||||F
OBX|279|CE|MoDSTLFN00^Dynamic standing level of function^ADM||6^Minimal assist||||||F
OBX|280|CE|MoEQSTST00^Sit to stand equipment^ADM||3^Floor to ceiling pole||||||F
OBX|281|CE|MoEQSTST01^Sit to stand equipment^ADM||2^No equipment used||||||F
OBX|282|CE|MoEQUITR01^Transfer equipment^ADM||13^Grab bars: shower||||||F
OBX|283|CE|MoEQUTRA00^Transfer equipment^ADM||6^Grab bars: shower||||||F
OBX|284|CE|MoEXERB00^Exercises in bed^ADM||2^LE ROM||||||F
OBX|285|TX|MoEXERBC00^Bed exercises completed^ADM||N||||||F
OBX|286|TX|MoEXERO00^Exercises other^ADM||test||||||F
OBX|287|CE|MoFA000000^Fall prevention strategy^ADM||1^Fall Precautions/SAFE||||||F
OBX|288|CE|MoFA000001^Fall prevention strategies^ADM||14^Mobility aid accessible||||||F
OBX|289|CE|MoFA000003^Fall prevention strategies^ADM||1^Universal~7^Move beside nrsg station~10^Hip protectors~14^Mobility aid accessible||||||F
OBX|290|CE|MoMOTYPE00^Mobility type^ADM||1^Bed mobility||||||F
OBX|291|CE|MoMOTYPT00^Mobility type^ADM||6^Ambulation||||||F
OBX|292|CE|MoMOVEDR00^Movement direction^ADM||1^Moving up in bed||||||F
OBX|293|TX|MoOTHMOB00^Other mobilization comments^ADM||test||||||F
OBX|294|TX|MoPTPLAN00^PT plan^ADM|| ||||||F
OBX|295|TX|MoRASCPL00^RA supervision and communication plan^ADM||Weekly||||||F
OBX|296|CE|MoRECAID02^Recommended aid^ADM||10^Walker: 2 wheeled||||||F
OBX|297|CE|MoRECEQP02^Recommended equipment^ADM||17^Mechanical lift||||||F
OBX|298|CE|MoRPASDV02^Assistive equipment^ADM||2^Bed rail||||||F
OBX|299|CE|MoRPASST00^Repositioning in bed assistance required^ADM||2^2 person||||||F
OBX|300|TX|MoRPCMTS00^Repositioning in bed comment^ADM||test||||||F
OBX|301|CE|MoRPLFNC00^Repositioning in bed level of function^ADM||3^Moderate assist||||||F
OBX|302|CE|MoSASGTP00^Stairs ascending gait pattern^ADM||2^Non-reciprocal~3^Leading right||||||F
OBX|303|CE|MoSASGTP01^Stairs ascending gait pattern^ADM||1^Reciprocal leading left||||||F
OBX|304|CE|MoSDSGTP00^Stairs descending gait pattern^ADM||2^Non-reciprocal~4^Leading left||||||F
OBX|305|CE|MoSDSGTP01^Stairs descending gait pattern^ADM||1^Reciprocal leading left||||||F
OBX|306|CE|MoSRASST00^Stairs assistance required^ADM||1^1 person||||||F
OBX|307|CE|MoSRASST01^Stairs assistance required^ADM||2^1 person||||||F
OBX|308|TX|MoSRCMTS00^Stairs comment^ADM||test||||||F
OBX|309|CE|MoSRGTAD01^Stairs gait aid^ADM||4^Cane||||||F
OBX|310|CE|MoSRHRAL00^Stairs hand rail used^ADM||3^Holding both sides||||||F
OBX|311|CE|MoSRHRAL01^Hand rail used for stairs^ADM||2^Left going up||||||F
OBX|312|CE|MoSRLFNC00^Stairs level of function^ADM||6^Minimal assist||||||F
OBX|313|TX|MoSRSTEP00^Stairs number of steps^ADM||8||||||F
OBX|314|TX|MoSRSTEP01^Stairs number of steps^ADM||2||||||F
OBX|315|CE|MoSSASST00^Static sitting assistance required^ADM||1^1 person||||||F
OBX|316|CE|MoSSASST01^Static sitting assistance required^ADM||2^1 person||||||F
OBX|317|TX|MoSSCMTS00^Static sitting comment^ADM||test||||||F
OBX|318|CE|MoSSLEAB00^Static sitting level of ability^ADM||5^Modified independence||||||F
OBX|319|CE|MoSSLFNC00^Static sitting level of function^ADM||6^Minimal assist||||||F
OBX|320|CE|MoSSTABI00^Static standing level of ability^ADM||2^Supervision||||||F
OBX|321|CE|MoSSTAST00^Static standing assistance required^ADM||1^1 person||||||F
OBX|322|CE|MoSSTAST01^Static standing assistance required^ADM||2^1 person||||||F
OBX|323|TX|MoSSTCMT00^Static standing comment^ADM||test||||||F
OBX|324|CE|MoSSTEQP01^Static standing equipment^ADM||7^2 wheeled walker||||||F
OBX|325|CE|MoSSTLFN00^Static standing level of function^ADM||6^Minimal assist||||||F
OBX|326|CE|MoSTAABI00^Stairs level of ability^ADM||5^Modified independence||||||F
OBX|327|CE|MoSTSABI00^Sit to stand level of ability^ADM||1^Complete independence||||||F
OBX|328|CE|MoSTSAST00^Sit to stand assistance required^ADM||1^1 person||||||F
OBX|329|CE|MoSTSAST01^Sit to stand assistance required^ADM||2^1 person||||||F
OBX|330|TX|MoSTSCMT01^Sit to stand comments^ADM||test||||||F
OBX|331|CE|MoSTSEQP01^Sit to stand equipment^ADM||1^No equipment used||||||F
OBX|332|CE|MoSTSLFN00^Sit to stand level of function^ADM||3^Moderate assist||||||F
OBX|333|CE|MoSUPPPT01^Recommended support provided^ADM||2^Supervision||||||F
OBX|334|CE|MoSUPPRV01^Recommended support provided^ADM||7^2 person assist||||||F
OBX|335|CE|MoTFCAST03^Assistance required for transfer^ADM||3^1 person assist||||||F
OBX|336|CE|MoTFCHAD00^Mobility aid used for transfer to chair^ADM||2^2 wheeled walker||||||F
OBX|337|CE|MoTRAAST00^Transfer assistance required^ADM||2^1 person||||||F
OBX|338|CE|MoTRABIL00^Transfer level of ability^ADM||2^Supervision||||||F
OBX|339|TX|MoTRANCO00^Transfer comments^ADM||test||||||F
OBX|340|CE|MoTRANSF00^Transfer from^ADM||4^Toilet||||||F
OBX|341|CE|MoTRANST02^Transfer to^ADM||8^Floor||||||F
OBX|342|CE|MoTRSEMR00^Transfer support provided^ADM||2^Supervision||||||F
OBX|343|CE|MoTRSUP001^Transfer support provided^ADM||7^2 person assist||||||F
OBX|344|CE|MoTRSUP002^Transfer support provided^ADM||1^None||||||F
OBX|345|CE|MoWBOLLE00^Weight bearing order left lower extremity^ADM||2^Toe touch weight bearing||||||F
OBX|346|CE|MoWBOLUE00^Weight bearing order left upper extremity^ADM||2^Partial weight bearing||||||F
OBX|347|CE|MoWBORLE00^Weight bearing order right lower extremity^ADM||2^Toe touch weight bearing||||||F
OBX|348|CE|MoWBORUE00^Weight bearing order right upper extremity^ADM||2^Partial weight bearing||||||F
OBX|349|TX|MsCS000500^C-spine immobilized prior to arrival^ADM||N||||||F
OBX|350|CE|MsCS000600^C-spine management^ADM||1^None||||||F
OBX|351|TX|MsCSPROM00^Cervical spine ROM^ADM||WFL||||||F
OBX|352|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F
OBX|353|TX|MsEM000700^Transportation mode post discharge other^ADM||test||||||F
OBX|354|TX|MsGPC00001^General physical assessment^ADM||test||||||F
OBX|355|TX|MsGRPST110^Grip strength trial 1^ADM||5.5||||||F
OBX|356|TX|MsGRPST210^Grip strength trial 2^ADM||5.0||||||F
OBX|357|TX|MsGRPST310^Grip strength trial 3^ADM||6.0||||||F
OBX|358|TX|MsGRPSTA00^Grip strength average^ADM||5.50||||||F
OBX|359|CE|MsHANDAX00^Hand assessed^ADM||1^Right||||||F
OBX|360|CE|MsHEACTI00^i. Performing heavy activities around your home^ADM||1^1||||||F
OBX|361|CE|MsHOPPIN00^s. Hopping^ADM||2^2||||||F
OBX|362|CE|MsHRSUSU00^b. Your usual hobbies, recreational, or sporting activities^ADM||3^3||||||F
OBX|363|CE|MsINOCAR00^j. Getting into or out of a car^ADM||3^3||||||F
OBX|364|CE|MsIOBATH00^c. Getting into or out of the bath^ADM||3^3||||||F
OBX|365|TX|MsLEFSPE00^Percentage LEF scale^ADM||68.7||||||F
OBX|366|TX|MsLEFSTO00^Total LEF Scale^ADM||55||||||F
OBX|367|CE|MsLIACTI00^h. Performing light activities around your home^ADM||3^3||||||F
OBX|368|CE|MsLIFTFF00^g. Lifting an object, like a bag of groceries from the floor^ADM||2^2||||||F
OBX|369|TX|MsLPTRAV00^Lateral pinch average^ADM||3.16||||||F
OBX|370|TX|MsLPTRL110^Lateral pinch trial 1^ADM||4.0||||||F
OBX|371|TX|MsLPTRL210^Lateral pinch trial 2^ADM||3.0||||||F
OBX|372|TX|MsLPTRL310^Lateral pinch trial 3^ADM||2.5||||||F
OBX|373|TX|MsLSPRPM00^Lumbar spine ROM^ADM||Stiff||||||F
OBX|374|CE|MsMSABMM00^Abduction manual muscle testing^ADM||3^2/5||||||F
OBX|375|CE|MsMSDFMM00^Dorsiflexion manual muscle testing^ADM||3^2/5||||||F
OBX|376|CE|MsMSERMM00^External rotation manual muscle testing^ADM||7^1/5||||||F
OBX|377|CE|MsMSFLMM00^Flexion manual muscle testing^ADM||3^2/5||||||F
OBX|378|TX|MsMSKCR400^Musculoskeletal concerns identified^ADM||Y||||||F
OBX|379|TX|MsMSKFDT00^Functional deficit^ADM||Can't sit in WC comfortably||||||F
OBX|380|CE|MsMSKINJ10^Musculoskeletal injury type^ADM||2^Pain||||||F
OBX|381|TX|MsMSKINJ20^Musculoskeletal injury type other^ADM||5 to 6 out of 10 pain.||||||F
OBX|382|CE|MsMSLOCA01^Muscle strength location^ADM||7^Ankle||||||F
OBX|383|CE|MsMSLOCM00^Muscle strength location modifier^ADM||2^Left||||||F
OBX|384|CE|MsMSPFMM00^Plantar flexion manual muscle testing^ADM||10^3/5||||||F
OBX|385|CE|MsORTH0001^Supportive orthosis for mobilization^ADM||3^Air cast||||||F
OBX|386|TX|MsORTH0002^Supportive orthosis for mobilization other^ADM||test||||||F
OBX|387|CE|MsORTH0003^Supportive orthosis for mobilization^ADM||2^Back brace||||||F
OBX|388|TX|MsPPTRAV00^Pulp pinch average^ADM||7.06||||||F
OBX|389|TX|MsPPTRL110^Pulp pinch trial 1^ADM||10.0||||||F
OBX|390|TX|MsPPTRL210^Pulp pinch trial 2^ADM||4.5||||||F
OBX|391|TX|MsPPTRL310^Pulp pinch trial 3^ADM||6.7||||||F
OBX|392|TX|MsPTSMRT00^PT SMART goals^ADM|| ||||||F
OBX|393|CE|MsROLLBE00^t. Rolling over in bed^ADM||2^2||||||F
OBX|394|TX|MsROMABE00^Abduction end ROM measurement^ADM||76||||||F
OBX|395|TX|MsROMERE00^External rotation end ROM measurement^ADM||10||||||F
OBX|396|TX|MsROMEXE00^Extension end ROM measurement^ADM||20||||||F
OBX|397|TX|MsROMFLE00^Flexion end ROM measurement^ADM||5||||||F
OBX|398|CE|MsROMJAB00^Abduction joint end feel^ADM||3^Empty feel||||||F
OBX|399|CE|MsROMJER00^External rotation joint end feel^ADM||6^Capsular feel||||||F
OBX|400|CE|MsROMJEX00^Extension joint end feel^ADM||1^Normal||||||F
OBX|401|CE|MsROMJFL00^Flexion joint end feel^ADM||6^Capsular feel||||||F
OBX|402|CE|MsROMTR000^Range of motion - type of range^ADM||2^Active assisted||||||F
OBX|403|CE|MsRUNEVE00^p. Running on even ground^ADM||4^4||||||F
OBX|404|CE|MsRUNFAS00^r. Making sharp turns while running fast^ADM||4^4||||||F
OBX|405|CE|MsRUNUNE00^q. Running on uneven ground^ADM||4^4||||||F
OBX|406|CE|MsSHOSOC00^e. Putting on your shoes or socks^ADM||4^4||||||F
OBX|407|CE|MsSITHOU00^o. Sitting for 1 hour^ADM||1^1||||||F
OBX|408|CE|MsSPIN001^Spinal precautions current management^ADM||5^Reverse trendelenburg~7^Log rolling||||||F
OBX|409|CE|MsSQUATI00^f. Squatting^ADM||3^3||||||F
OBX|410|CE|MsSTAHOU00^n. Standing for 1 hour^ADM||2^2||||||F
OBX|411|TX|MsTPTRAV00^Tripod pinch average^ADM||4.00||||||F
OBX|412|TX|MsTPTRL110^Tripod pinch trial 1^ADM||2.0||||||F
OBX|413|TX|MsTPTRL210^Tripod pinch trial 2^ADM||6.0||||||F
OBX|414|TX|MsTPTRL310^Tripod pinch trial 3^ADM||4.0||||||F
OBX|415|TX|MsTSPROM00^Thoracic spine ROM^ADM||Stiff||||||F
OBX|416|CE|MsUDSTAI00^m. Going up or down 10 stairs (about 1 flight of stairs)^ADM||3^3||||||F
OBX|417|CE|MsWALKMI00^l. Walking a mile^ADM||3^3||||||F
OBX|418|CE|MsWALKRO00^d. Walking between rooms^ADM||4^4||||||F
OBX|419|CE|MsWALKTW00^k. Walking 2 blocks^ADM||2^2||||||F
OBX|420|CE|MsWHSUSU00^a. Any of your usual work, housework, or school activities^ADM||2^2||||||F
OBX|421|TX|NEURO.PS1^Pain Scale^ADM||8||||||F
OBX|422|CE|NeARMDRF00^Arm drift present^ADM||1^None||||||F
OBX|423|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||1^4- Spontaneous||||||F
OBX|424|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||1^6- Obeys commands||||||F
OBX|425|TX|NeGCSSCR01^GCS score^ADM||15||||||F
OBX|426|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||1^5- Oriented||||||F
OBX|427|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|428|CE|NeORIENT00^Oriented^ADM||1^To person~2^To place~3^To time~4^To situation||||||F
OBX|429|CE|NePURXNL00^Pupil reaction to light^ADM||1^Brisk||||||F
OBX|430|CE|NePUSHPE00^Pupil shape^ADM||1^Round||||||F
OBX|431|CE|NePUSIDE00^Pupil side^ADM||2^Right||||||F
OBX|432|TX|NePUSIZE00^Pupil size^ADM||3||||||F
OBX|433|CE|NmEX007800^Range of motion specific joint^ADM||4^Fingers||||||F
OBX|434|CE|NmEX007902^Range of motion specific joints side to perform range^ADM||1^Right||||||F
OBX|435|TX|NmEX009500^Tasks assigned to rehabilitation assistant^ADM||test||||||F
OBX|436|TX|NmEX009800^Exercise program patient to complete independently^ADM||SAIL||||||F
OBX|437|TX|NmEX009900^Exercise program patient to complete with family assistance^ADM||SAIL 2||||||F
OBX|438|TX|NmEX010000^Home exercise program^ADM||SAIL 3||||||F
OBX|439|CE|NmHNDGR100^Handgrip right^ADM||1^Strong||||||F
OBX|440|CE|NmHNDGR200^Handgrip left^ADM||1^Strong||||||F
OBX|441|CE|NmJSCWFL01^AROM within functional range^ADM||2^Right shoulder~9^Right hip||||||F
OBX|442|TX|NmJSWFLO01^AROM within functional range other^ADM||Cx, Lx||||||F
OBX|443|CE|NmLEGST100^Leg strength right^ADM||1^Strong||||||F
OBX|444|CE|NmLEGST200^Leg strength left^ADM||1^Strong||||||F
OBX|445|TX|NmMR001400^Motor strength satisfactory^ADM||Y||||||F
OBX|446|CE|NmMSSWFL01^Muscle strength within functional limits^ADM||6^Left knee~9^Right hip~16^Left elbow||||||F
OBX|447|TX|NmRASACP00^RA supervision and communication plan^ADM||test||||||F
OBX|448|CE|NmSBSFPC02^Spinal brace safety measures^ADM||1^Wrench||||||F
OBX|449|TX|NmSBSKCR00^Spinal brace skin care provided^ADM||Y||||||F
OBX|450|TX|NmSBTYPE01^Spinal brace type^ADM||full||||||F
OBX|451|CE|NmSP000000^Spinal precaution initiated^ADM||1^By EHS||||||F
OBX|452|TX|NmSPDTCL00^Date spinal precautions cleared^ADM||20190725||||||F
OBX|453|TX|NmSPSKCC00^Skin care performed under collar^ADM||Y||||||F
OBX|454|TX|NmSPSKPP00^Skin beneath cervical collar assessed for pressure points^ADM||Y||||||F
OBX|455|TX|NmSPTMCL00^Time spinal precautions cleared^ADM||0800||||||F
OBX|456|CE|NmSPTYPE01^Spinal precautions type^ADM||1^Full spinal||||||F
OBX|457|CE|NmSPTYPE02^Spinal precautions type^ADM||2^Cervical||||||F
OBX|458|TX|NuANTHR020^Birth weight percentile^ADM||Brock 11||||||F
OBX|459|TX|NuANTHR030^Birth length percentile^ADM||Brock 11||||||F
OBX|460|TX|NuANTHR050^Weight for age percentile^ADM||Other test||||||F
OBX|461|TX|NuANTHR060^Height/Length for age percentile^ADM||Brock 11||||||F
OBX|462|TX|NuANTHR210^Body mass index for age percentile^ADM||Brock 11||||||F
OBX|463|TX|NuCLIJUD00^Clinical judgement factors other^ADM||brock||||||F
OBX|464|TX|NuCNJUDG00^Nutrition status based on clinical judgement^ADM||Brock 11||||||F
OBX|465|TX|NuDIETFU00^Dietitian follow-up required^ADM||||||||F
OBX|466|TX|NuDPMEHX00^Clinical history relevant to dietitian plan^ADM||Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1~Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1~Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1||||||F
OBX|467|TX|NuENINTA01^Estimated energy intake needs NICU^ADM||Brock 11||||||F
OBX|468|TX|NuENPNST00^Enteral/Parenteral nutrition stage^ADM||Brock 11||||||F
OBX|469|TX|NuENTYPE01^Formula or solution type^ADM||Brock 11||||||F
OBX|470|TX|NuFADIHX00^Diet history relevant to dietitian plan^ADM||Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1~Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1~Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1||||||F
OBX|471|TX|NuFAFTTY00^Current feeding tube type^ADM||Brock 11||||||F
OBX|472|TX|NuHXNICU00^Nutrition history relevant to dietitian plan^ADM||Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1~Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1~Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1 Brock 1||||||F
OBX|473|TX|NuINTAK081^Protein estimated needs^ADM||Brock 11||||||F
OBX|474|TX|NuPAICSC00^Initial core solution customization^ADM||Brock 11||||||F
OBX|475|TX|NuPARICS00^Initial core solution^ADM||Brock 11||||||F
OBX|476|TX|NuPNLIDE00^Lipid emulsion 20% delivery schedule^ADM||Brock 11||||||F
OBX|477|CE|NuSTRATE03^Meal and snacks strategy^ADM||1^Diet~2^Oral supplement~5^Calorie count||||||F
OBX|478|CE|OEISO^Infection Control:^ADM||D^Droplet||||||F
OBX|479|CE|OhIN000300^Information source^ADM||1^Patient~15^Significant other||||||F
OBX|480|CE|OhINTE0001^Type of interpreter^ADM||1^Interpreter Services||||||F
OBX|481|TX|OhMEDRE000^Medications reviewed^ADM||N||||||F
OBX|482|TX|OhPLNDET00^Plan details^ADM||Review next week||||||F
OBX|483|TX|OhPT000300^Exercise tolerance^ADM||test||||||F
OBX|484|CE|OhPT001800^Booklet language^ADM||1^English||||||F
OBX|485|TX|OhPT001900^Planned duration of session in minutes^ADM||30||||||F
OBX|486|TX|OhPT002000^Frequency^ADM||3x/week||||||F
OBX|487|TX|OhPT002100^Assistance required^ADM||supervision||||||F
OBX|488|CE|OhPT002500^Level 1: Total arm stretch^ADM||1^Repeat 2 times||||||F
OBX|489|CE|OhPT002600^Level 1: Shoulder shrug^ADM||2^Not prescribed||||||F
OBX|490|CE|OhPT002700^Level 1: The twist^ADM||1^Repeat 5 times each side||||||F
OBX|491|CE|OhPT002800^Level 1: Hand and wrist stretch^ADM||1^Repeat 5 times each side||||||F
OBX|492|CE|OhPT002900^Level 1: Push-ups^ADM||2^Not prescribed||||||F
OBX|493|CE|OhPT003000^Level 1: One arm push-ups^ADM||1^Repeat 10 times||||||F
OBX|494|CE|OhPT003100^Level 1: Arm to the front^ADM||1^2 sets of 5 repetitions||||||F
OBX|495|CE|OhPT003200^Level 1: Arm to the side^ADM||2^3 sets of 5 repetitions||||||F
OBX|496|CE|OhPT003300^Level 1: Elbow exercises^ADM||2^3 sets of 5 repetitions||||||F
OBX|497|CE|OhPT003400^Level 1: Wrist exercises ? part 1^ADM||1^2 sets of 5 repetitions||||||F
OBX|498|CE|OhPT003500^Level 1: Wrist exercises ? part 2^ADM||1^2 sets of 5 repetitions||||||F
OBX|499|CE|OhPT003600^Level 1: Grip power^ADM||1^2 sets of 5 repetitions||||||F
OBX|500|CE|OhPT003700^Level 1: Squeeze^ADM||2^3 sets of 5 repetitions||||||F
OBX|501|CE|OhPT003800^Level 1: Finger power^ADM||2^Not prescribed||||||F
OBX|502|CE|OhPT003900^Level 1: Waiter - bean bag^ADM||2^Not prescribed||||||F
OBX|503|CE|OhPT004000^Level 1: Waiter - cup^ADM||1^Repeat 3 times||||||F
OBX|504|CE|OhPT004100^Level 1: Start the ball rolling with a partner^ADM||1^Catch the ball 20 times||||||F
OBX|505|CE|OhPT004200^Level 1: Start the ball rolling no partner^ADM||1^Catch the ball 20 times||||||F
OBX|506|CE|OhPT004300^Level 1: Start the ball rolling advanced^ADM||2^Not prescribed||||||F
OBX|507|CE|OhPT004400^Level 1: Wash cloth^ADM||4^Not prescribed||||||F
OBX|508|TX|OhPTSTUP00^Patient status update^ADM||OT patient status update test 1||||||F
OBX|509|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||Y||||||F
OBX|510|TX|OtRAMBLO01^Recommendations for ambulation other^ADM||Wear sling on left arm||||||F
OBX|511|CE|OtRAMBLT01^Recommendations for ambulation^ADM||6^Supervision~9^2 wheeled walker||||||F
OBX|512|CE|OtRBEDMB01^Recommendations for bed mobility^ADM||5^Supervision~6^Roll to either direction||||||F
OBX|513|TX|OtRBEDMO01^Recommendations for bed mobility other^ADM||Protect left arm||||||F
OBX|514|CE|OtRCHTRF01^Recommendations for chair transfer^ADM||6^Supervision||||||F
OBX|515|TX|OtRCHTRO01^Recommendations for chair transfer other^ADM||Protect left arm||||||F
OBX|516|TX|OtRPOSBD00^Recommendations for positioning in bed^ADM||Head of bed up 30 degrees, supported by pillows||||||F
OBX|517|TX|OtRSEATG00^Recommendations for seating^ADM||up 3x/day for 30 mins or as tolerated||||||F
OBX|518|CE|OtRSITTL00^Recommendation for sitting tolerance^ADM||2^1 hour||||||F
OBX|519|CE|OtRTLTRF01^Recommendations for toilet transfer^ADM||7^To right side only||||||F
OBX|520|TX|OtRTLTRO01^Recommendations for toilet transfer other^ADM||protect left arm||||||F
OBX|521|TX|PCS MED1^Medication Name^ADM||Atorvastatin 10 mg OD po~Nicotine patch 7mg prn||||||F
OBX|522|TX|PaMSKFDT00^Functional Deficit^ADM||Can't bend elbow enough to touch top of head||||||F
OBX|523|TX|PaMSKFDT01^Functional deficit^ADM||None||||||F
OBX|524|TX|PsCI000000^Communication impairment^ADM||slurred speech||||||F
OBX|525|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|526|CE|PsFIMS0001^Family information marital status^ADM||3^Married||||||F
OBX|527|TX|RESP.RA^On Room Air^ADM||N||||||F
OBX|528|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|529|CE|ReAUAIRE01^Air entry^ADM||4^Diminished||||||F
OBX|530|CE|ReAUBTHS02^Breath sounds^ADM||2^Wheezes||||||F
OBX|531|CE|ReAULOCT00^Auscultation location^ADM||7^Left lung||||||F
OBX|532|CE|ReAULOMO00^Auscultation location modifier^ADM||3^Lateral||||||F
OBX|533|CE|ReAW000200^Airway findings^ADM||1^Maintains own and clear||||||F
OBX|534|TX|ReAW000360^Airway on arrival comments^ADM||None needed.||||||F
OBX|535|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||N||||||F
OBX|536|TX|ReBRESOU00^Breath sounds other^ADM||A/E audible throughout lung fields. Diminished to bases bilaterally.||||||F
OBX|537|CE|ReBROA0000^Breathing status on arrival^ADM||1^Spontaneous||||||F
OBX|538|CE|ReCGDESC01^Cough description^ADM||1^Normal~2^Congested||||||F
OBX|539|TX|ReCGPROD00^Cough productive^ADM||Y||||||F
OBX|540|TX|ReMEDGIV00^Inhalers/Nebulizers given^ADM||N||||||F
OBX|541|CE|ReNRDISI03^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|542|TX|ReOXTHAP00^Oxygen therapy applied^ADM||Y||||||F
OBX|543|CE|RePHASE000^Phase^ADM||1^Inspiration||||||F
OBX|544|CE|ReREDPTH00^Respiratory depth^ADM||2^Shallow||||||F
OBX|545|CE|ReRPNM0000^Respiratory pattern^ADM||2^Tachypneic||||||F
OBX|546|TX|ReRTCONS00^Respiratory therapist consulted^ADM||N||||||F
OBX|547|CE|ReSCCOLR00^Secretions colour^ADM||3^Yellow||||||F
OBX|548|CE|RpFR000100^Female reproductive complaints^ADM||4^Pregnancy concerns||||||F
OBX|549|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F
OBX|550|CE|RpPRPREG00^Pregnant^ADM||1^Yes||||||F
OBX|551|TX|SpCECOTY00^Type of cervical collar^ADM||aspen||||||F
OBX|552|TX|SpCONRA000^Patient consented to RA session^ADM||Y||||||F
OBX|553|TX|SpCONREA00^Patient consented to assignment of tasks to RA^ADM||Y||||||F
OBX|554|TX|SpLRRAOL00^Location behaviour occurred^ADM||test||||||F
OBX|555|TX|SpPERSA100^Is anyone hurting/threatening you or making you feel afraid^ADM||N||||||F
OBX|556|TX|SpSLEAID00^Sleep aid PRN given^ADM||Y||||||F
OBX|557|TX|SpUPAICM02^Fall prevention comments^ADM||test||||||F
OBX|558|TX|SpUPINOT01^Fall prevention strategy other^ADM||test||||||F
OBX|559|TX|TR.AF1^Triage Assessment^ADM||Patient clutching on abdo area and stated 8/10 pain. ++ nausea and vomitting.||||||F
OBX|560|TX|TR.AGG^Aggressive Behaviour^ADM||N||||||F
OBX|561|CE|TR.AIRW^Airway^ADM||1^Adequate||||||F
OBX|562|CE|TR.BR^Breathing^ADM||1^Spontaneous||||||F
OBX|563|TX|TR.CC^History of Chief Complaint^ADM||Patient woke up on 05/16/2018 at 0300 and stated "right side of stomach was~hurting badly".~Had ++ nausea/vomitting. Threw up moderate amount of food from dinner.||||||F
OBX|564|CE|TR.CIRC2^Appearance^ADM||2^Looks well||||||F
OBX|565|CE|TR.DIS1^Disability LOC^ADM||1^Normal Baseline for Pt.||||||F
OBX|566|CE|TR.PM^Pertinent Medications^ADM||3^See Med Rec Form||||||F
OBX|567|CE|TR.PMHGR5^Past Medical History^ADM||10^High Cholesterol~20^Smoker||||||F
OBX|568|CE|TR.PROT2^Emergency RN Initiated Orders^ADM||AP^Abdominal Pain~BBW^Basic Blood Work||||||F
OBX|569|TX|TeEDINTR00^Interpreter utilized^ADM||Y||||||F
OBX|570|TX|TeRETHTA00^Report on therapy and tasks completed^ADM||test 2||||||F
OBX|571|TX|TeSLTHTC00^Dysphagia therapy and tasks completed^ADM||test 2||||||F
OBX|572|TX|TeTHTACO00^Therapy and tasks completed^ADM||Test||||||F
OBX|573|TX|VsBPDIAO01^Blood pressure diastolic^ADM||95||||||F
OBX|574|TX|VsBPSYSO01^Blood pressure systolic^ADM||150||||||F
OBX|575|TX|VsHRADLT01^Heart rate^ADM||90||||||F
OBX|576|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|577|CE|VsHRRHYM00^Heart rate rhythm^ADM||1^Regular||||||F
OBX|578|TX|VsPEWMAP10^Mean arterial pressure^ADM||70||||||F
OBX|579|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||98||||||F
OBX|580|TX|VsPU001400^Pulse location^ADM||Right radial||||||F
OBX|581|CE|VsPULSTR10^Pulse strength^ADM||5^+3||||||F
OBX|582|CE|VsRESP0001^Respiratory effort^ADM||2^Laboured||||||F
OBX|583|TX|VsRESP0100^Oxygen applied^ADM||Y||||||F
OBX|584|TX|VsRESPAD03^Respiratory rate^ADM||22||||||F
OBX|585|CE|VsTPSORC02^Temperature Source^ADM||1^Oral||||||F
OBX|586|TX|VsTPTEMPO2^Temperature^ADM||37.5||||||F
OBX|587|TX|VsWT000101^Current Weight^ADM||72.000||||||F
OBX|588|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||72000.000||||||F
OBX|589|CE|VsWTSRC000^Weight source^ADM||1^Stated||||||F
ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|.ERGP^Generic^ER^Physician^^^^^OTH||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC||.GENSURG^Surgery^General^^^^^^OTH~DOCT^DOC^TEST^A^^^^0006^DOC|
ZFH|LUMED|201805171244|2|GIABDPPERV|Abd Pain, Sev,Persist+/-Vomt|||||ENDISIN

