MSH|^~\&|ITS||||201912051136||ORU^R01|4123966|D|2.3|||AL|NE
PID|1|FHATVIG0007391|LM00005039|LM4924|VCFERDIG^PLIS||19830926|F||||||||||LM000528/18|9698689076
PV1|1|I
OBR|1|||||201912051134|201912051134|201912051134||||||||||||AUD|PROGRESS||||S||||||
OBX|1|TX|||          \H\NAME\N\:   VCFERDIG,PLIS           
OBX|2|TX|||         \H\ACCT#\N\:   LM000528/18    \H\UNIT#\N\:  LM00005039     
OBX|3|TX|||         \H\ADM DT\N\:   11/01/19    \H\PHN\N\:  9698689076     
OBX|4|TX|||\H\Audiology\N\         \H\LOC\N\:   LM-AP    \H\RM/B\N\:  LMAP-08-1     
OBX|5|TX|||\H\Progress Notes\N\         \H\DOB\N\:   26/09/1983    \H\A/S\N\:  36 F     
OBX|6|TX|||         \H\REG CAT\N\:   L.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   SEUSS *TEST,THEODORE *TEST* G           
OBX|8|TX|||         \H\FAM DR\N\:   SEUSS *TEST,THEODORE *TEST* G           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\H\ AUDIOLOGY PROGRESS NOTES  
OBX|11|TX|||\N\  
OBX|12|TX|||Date:\H\ \N\05/12/19  
OBX|13|TX|||  
OBX|14|TX|||\ZHU\Data (D)\N\: [*]  
OBX|15|TX|||  
OBX|16|TX|||\ZHU\Action (A)\N\: [*]  
OBX|17|TX|||  
OBX|18|TX|||\ZHU\Response (R)\N\: [*]  
OBX|19|TX|||  
OBX|20|TX|||\ZHU\Plan (P)\N\: [*]  
OBX|21|TX|||  
OBX|22|TX|||UCI TEST MT_ITS_TS_13  
OBX|23|TX|||  
OBX|24|TX|||\ZI\Brianne Bourdon,\N\ [*g AUDSIG1]  
OBX|25|TX|||Date/Time:  \ZU\05/12/19\N\  \ZU\1134  

MSH|^~\&|ITS||||201912051140||ORU^R01|4123996|D|2.3|||AL|NE
PID|1|FHATVIG0012611|LM00005473|LM5306|LUMEDTEST^TEST^EMERG||19880608|F||||||||||LM000642/19|9874826735
PV1|1|I
ORC||4928.002LMH
OBR|1|PT4928.002LMH||PT^REF^Physiotherapy Referral^N/A^Physical Therapy Bal/Mobil Assess.||201912050000|201912050835|201912050843||||||||||||PT|FH-COVS||||S||||||
OBX|1|TX|||          \H\NAME\N\:   LUMEDTEST,TEST EMERG           
OBX|2|TX|||         \H\ACCT#\N\:   LM000642/19    \H\UNIT#\N\:  LM00005473     
OBX|3|TX|||         \H\ADM DT\N\:   27/11/19    \H\PHN\N\:  9874826735     
OBX|4|TX|||\H\Physical Therapy\N\         \H\LOC\N\:   LM-ERIN1    \H\RM/B\N\:  LMERINZ1-3-F9     
OBX|5|TX|||\H\Clinical Outcome Variables\N\         \H\DOB\N\:   08/06/1988    \H\A/S\N\:  31 F     
OBX|6|TX|||         \H\REG CAT\N\:   L.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   TEST,TRANS MD           
OBX|8|TX|||         \H\FAM DR\N\:   Unattach           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\H\CLINICAL OUTCOME VARIABLES SCALE \N\  
OBX|11|TX|||\H\Date: \N\05/12/19  
OBX|12|TX|||\H\____________________________________ \N\  
OBX|13|TX|||\H\1a.  Roll to right side in bed: \N\1                
OBX|14|TX|||\H\1b.  Roll to left side in bed: \N\1                
OBX|15|TX|||\H\2.    Sitting position from supine: \N\1                
OBX|16|TX|||\H\3.    Sitting balance: \N\1                
OBX|17|TX|||\H\4a.  Horizontal transfer: \N\1                
OBX|18|TX|||\H\4b.  Vertical transfer: \N\1                
OBX|19|TX|||\H\5.    Ambulation: \N\1                
OBX|20|TX|||\H\6.    Ambulation - aids: \N\1                
OBX|21|TX|||\H\7.    Ambulation - endurance: \N\1                
OBX|22|TX|||\H\8.    Ambulation - velocity: \N\1                
OBX|23|TX|||\H\9.    Wheelchair mobility: \N\1                
OBX|24|TX|||\H\10a. Arm function - right arm: \N\1                
OBX|25|TX|||\H\10b. Arm function - left arm: \N\1                
OBX|26|TX|||\H\____________________________________ \N\  
OBX|27|TX|||\H\Total: \N\13  
OBX|28|TX|||\H\/ \N\91  
OBX|29|TX|||  
OBX|30|TX|||  
OBX|31|TX|||\H\CLINICAL OUTCOME VARIABLES SCALE - LEGEND  
OBX|32|TX|||\ZU\  
OBX|33|TX||| 3  
OBX|34|TX|||  
OBX|35|TX|||\H\ 1a/b.  Roll Rt/Lt side in bed  
OBX|36|TX|||\N\ 1   Dependent  
OBX|37|TX||| 2   1P assist (with/without device)  
OBX|38|TX||| 4   Rolls by self but needs  
OBX|39|TX|||      assistance for final position  
OBX|40|TX|||      (getting comfortable)  
OBX|41|TX||| 5   Independent with device  
OBX|42|TX||| 6   Independent without device but  
OBX|43|TX|||      slow, awkward, requires more  
OBX|44|TX|||      effort  
OBX|45|TX||| 7   Normal \H\ 2. Sitting from supine lying in bed  
OBX|46|TX||| \N\1\H\   \N\Dependent  
OBX|47|TX||| 2   1P assist (with/without device)  
OBX|48|TX||| 4   Supervision/Instr. for safety  or  
OBX|49|TX|||      verbal cueing  
OBX|50|TX||| 5   Independent with device  
OBX|51|TX||| 6   Independent without device but  
OBX|52|TX|||      slow, awkward, requires more  
OBX|53|TX|||      effort  
OBX|54|TX||| 7   Normal \H\ 3. Sitting Balance  
OBX|55|TX||| \N\1\H\   \N\Not able to sit unsupported  
OBX|56|TX||| 2   No displacement tolerated  
OBX|57|TX||| 3   Move within base  
OBX|58|TX||| 5   Move beyond base and return  
OBX|59|TX||| 6   Tolerates quick push beyond  
OBX|60|TX|||      base  
OBX|61|TX||| 7   Normal  
OBX|62|TX|||   
OBX|63|TX|||\H\ 4a. Horizontal Transfer  
OBX|64|TX||| \N\1   Dependent  
OBX|65|TX||| 2   1 person assist and a device  
OBX|66|TX||| 3   1 person assist without device  
OBX|67|TX||| 4   Supervision, with or without  
OBX|68|TX|||      device  
OBX|69|TX||| 5   Independent with device  
OBX|70|TX||| 6   Independent without device but  
OBX|71|TX|||      slow, awkward, requires more  
OBX|72|TX|||      effort  
OBX|73|TX||| 7   Normal \H\ 4b. Vertical Transfer  
OBX|74|TX|||\N\ 1   Dependent  
OBX|75|TX||| 2   1 person assist with device  
OBX|76|TX||| 3   1 person assist without device  
OBX|77|TX||| 4   Supervision, with/without device  
OBX|78|TX||| 5   Independent with/without device  
OBX|79|TX|||      in home but slow, awkward,  
OBX|80|TX|||      requires more effort  
OBX|81|TX||| 6   Independent in community  
OBX|82|TX||| 7   Normal \H\ 5. Performance of Ambulation  
OBX|83|TX||| \N\1   No functional ambulation  
OBX|84|TX||| 2   1 P continuous physical assist  
OBX|85|TX||| 3   1 P intermittent physical assist  
OBX|86|TX||| 4   Supervision  
OBX|87|TX||| 5   Independent, level surfaces  
OBX|88|TX|||      only, assist with environmental  
OBX|89|TX|||      barriers  
OBX|90|TX||| 6   Independent incl. environmental  
OBX|91|TX|||      barriers  
OBX|92|TX||| 7   Normal  
OBX|93|TX|||   
OBX|94|TX|||\H\ 6. Performance of Amb-Aids  
OBX|95|TX||| \N\1   Not walking  
OBX|96|TX||| 2   Parallel bars/ 2P continuous  
OBX|97|TX|||      assist  
OBX|98|TX||| 3   Walker (rollator and walk-cane)  
OBX|99|TX||| 4   2 aids  
OBX|100|TX||| 5   1 aid (except straight cane)  
OBX|101|TX||| 6   Straight cane  
OBX|102|TX||| 7   No aids  \H\7. Performance of Amb-Endurance  
OBX|103|TX||| \N\1   Not walking  
OBX|104|TX||| 2   Less than or equal to 10m  
OBX|105|TX||| 3   Less than or equal to 50m  
OBX|106|TX||| 4   Less than or equal to 100m  
OBX|107|TX||| 5   Less than or equal to 500m  
OBX|108|TX||| 7   Greater than 500m  \H\8. Performance of Amb-Velocity  
OBX|109|TX||| \N\1   0 m/s  
OBX|110|TX||| 2   Less than or equal to 0.1 m/s  
OBX|111|TX||| 3   Less than or equal to 0.3 m/s  
OBX|112|TX||| 4   Less than or equal to 0.6 m/s  
OBX|113|TX||| 5   Less than or equal to 0.9 m/s  
OBX|114|TX||| 7   Greater than 0.9 m/s   
OBX|115|TX|||   
OBX|116|TX|||\H\ 9. Performance of wheelchair mobility  
OBX|117|TX||| \N\1   Dependent  
OBX|118|TX|||\H\ \N\2   Assistance  
OBX|119|TX|||\H\ \N\3   Intermittent assistance for  
OBX|120|TX|||      distances >30m  
OBX|121|TX||| 4   Supervision  
OBX|122|TX||| 5   Independent indoors  
OBX|123|TX||| 6   Independent outdoors except  
OBX|124|TX|||      curbs and grass  
OBX|125|TX||| 7   Independent operation of  
OBX|126|TX|||      wheelchair \H\ 10a/b. Right/Left Arm Function  
OBX|127|TX|||\N\ 1   Unable to actively move any  
OBX|128|TX|||      part of arm  
OBX|129|TX||| 2   Some active movement,  
OBX|130|TX|||      nothing useful  
OBX|131|TX||| 4   Able to use arm as a stabilizer  
OBX|132|TX|||      or assist  
OBX|133|TX||| 5   Able to bring a cup of water to  
OBX|134|TX|||      the mouth  
OBX|135|TX||| 6   Functional including fine  
OBX|136|TX|||      movements  (buttons)  
OBX|137|TX||| 7   Normal   
OBX|138|TX|||  
OBX|139|TX|||\ZU\  
OBX|140|TX|||\H\Comments:\N\    
OBX|141|TX|||\H\  
OBX|142|TX|||Rene Campbell, Physical Therapist  
OBX|143|TX|||\N\Date/Time:  \ZU\05/12/19\N\  \ZU\0843  

MSH|^~\&|ITS||||201912051140||ORU^R01|4123997|D|2.3|||AL|NE
PID|1|FHATVIG0012611|LM00005473|LM5306|LUMEDTEST^TEST^EMERG||19880608|F||||||||||LM000642/19|9874826735
PV1|1|I
ORC||4928.001LMH
OBR|1|DIETITIAN4928.001LMH||DIETITIAN^SCREEN^Preadmission Screening^N/A^Nutrition Assessment||201912050000|201912050830|201912050840||||||||||||FNS|INPTAX||||S||||||
OBX|1|TX|||          \H\NAME\N\:   LUMEDTEST,TEST EMERG           
OBX|2|TX|||         \H\ACCT#\N\:   LM000642/19    \H\UNIT#\N\:  LM00005473     
OBX|3|TX|||         \H\ADM DT\N\:   27/11/19    \H\PHN\N\:  9874826735     
OBX|4|TX|||\H\Food \T\ Nutrition Services\N\         \H\LOC\N\:   LM-ERIN1    \H\RM/B\N\:  LMERINZ1-3-F9     
OBX|5|TX|||\H\In-Pt Nutrition Assessment\N\         \H\DOB\N\:   08/06/1988    \H\A/S\N\:  31 F     
OBX|6|TX|||         \H\REG CAT\N\:   L.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   TEST,TRANS MD           
OBX|8|TX|||         \H\FAM DR\N\:   Unattach           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\H\  
OBX|11|TX|||Date\N\:  05/12/19  
OBX|12|TX|||\H\  
OBX|13|TX|||Reason for Assessment:  \N\Diet Order  
OBX|14|TX|||\ZHU\  
OBX|15|TX|||NUTRITION ASSESSMENT  
OBX|16|TX|||  
OBX|17|TX|||Relevant Medical Information  
OBX|18|TX|||\H\Diagnosis/Medical Progress:\N\    
OBX|19|TX|||\H\Medical Hx:\N\    
OBX|20|TX|||\H\Medications: \N\   
OBX|21|TX|||\H\Biochemical Data:\N\    
OBX|22|TX|||\H\Social Hx:\N\    
OBX|23|TX|||\H\  
OBX|24|TX|||\ZHU\Food/Nutrition-Related Information  
OBX|25|TX|||\H\Current Diet:   
OBX|26|TX|||Intakes:\N\   
OBX|27|TX|||\H\Diet History:\N\   
OBX|28|TX|||\H\Food Allergies/Intolerances:\N\ Allergic to: FOOD  
OBX|29|TX|||  
OBX|30|TX|||\ZHU\Nutrition Focused Physical Findings  
OBX|31|TX|||\N\-  
OBX|32|TX|||\ZHU\  
OBX|33|TX|||Anthropometrics  
OBX|34|TX||| 2  
OBX|35|TX|||  
OBX|36|TX|||\H\Current Wt:\N\  kg  (Actual) \H\Ht:\N\  cm  (Actual) \H\BMI:\N\   
OBX|37|TX|||   
OBX|38|TX|||\H\Usual Wt:\N\  kg \H\Ideal Wt:\N\  kg (based on BMI of 25)   
OBX|39|TX|||   
OBX|40|TX|||\H\Adjusted Wt\N\ (for Obesity):  kg \H\Wt Hx:\N\ Stable, % change over     
OBX|41|TX|||  
OBX|42|TX|||\ZHU\  
OBX|43|TX|||Current Nutrition Status\N\ as per Subjective Global Ax (SGA):   
OBX|44|TX|||   Well nourished (SGA A - see ax tool in EMR dated )  
OBX|45|TX|||   Moderately (or suspected of being) malnourished (SGA B - see ax tool in EMR dated )  
OBX|46|TX|||   Severely malnourished (SGA C - see ax tool in EMR dated )  
OBX|47|TX|||  
OBX|48|TX|||\ZHU\Refeeding Risk:\N\ Yes  
OBX|49|TX|||  
OBX|50|TX|||\ZHU\Estimated Requirements  
OBX|51|TX|||   \H\Energy:\N\  kcal/d ()  
OBX|52|TX|||   \H\Protein:\N\  g/d ()  
OBX|53|TX|||   \H\Fluid:\N\ ml/d ()  
OBX|54|TX|||   \H\Other:\N\   
OBX|55|TX|||  
OBX|56|TX|||\ZHU\NUTRITION PROBLEM:\N\  related to  as evidenced by   
OBX|57|TX|||  
OBX|58|TX|||____________________________________________________________________________       
OBX|59|TX|||\ZHU\NUTRITION INTERVENTION  
OBX|60|TX|||\H\  
OBX|61|TX|||\ZHU\Goals\ZU\:\N\ maintain nutrition, improve nutrition, weight gain  
OBX|62|TX|||  
OBX|63|TX|||\ZHU\Implementation:  
OBX|64|TX|||\N\-  
OBX|65|TX|||  
OBX|66|TX|||Consent Obtained: Implied  
OBX|67|TX|||____________________________________________________________________________                 
OBX|68|TX|||\H\  
OBX|69|TX|||\ZHU\NUTRITION MONITORING AND EVALUATION  
OBX|70|TX|||\H\  
OBX|71|TX|||\N\Follow-up ongoing, to monitor intakes, intakes, intakes with further detailed charting when/if nutrition plan changes.  
OBX|72|TX|||  
OBX|73|TX|||Follow-up not required. Discharged from active nutrition care.  
OBX|74|TX|||  
OBX|75|TX|||  
OBX|76|TX|||  
OBX|77|TX|||\H\Rene Campbell, RD  
OBX|78|TX|||\N\Date/Time:  \ZU\05/12/19\N\  \ZU\0840