MSH|^~\&|ITS|ARH|||201912191210||ORU^R01|4131843|D|2.3|||AL|NE
PID|1|FHATVIG0009411|AB00008059|AB8002|ITSTEST^ANIMAL||19890101|F||||||||||AB000213/19|9875317907
PV1|1|I
OBR|1|||||201912191158|20191219|201912191158||||||||||||SW|FH-AGA AXM||||S||||||
OBX|1|TX|||          \H\NAME\N\:   ITSTEST,ANIMAL           
OBX|2|TX|||         \H\ACCT#\N\:   AB000213/19    \H\UNIT#\N\:  AB00008059     
OBX|3|TX|||         \H\ADM DT\N\:   30/05/19    \H\PHN\N\:  9875317907     
OBX|4|TX|||\H\Social Work\N\         \H\LOC\N\:   AB-NUR    \H\RM/B\N\:  ABNUR-01-30     
OBX|5|TX|||\H\Standard Assessment with AGA\N\         \H\DOB\N\:   01/01/1989    \H\A/S\N\:  30 F     
OBX|6|TX|||         \H\REG CAT\N\:   AB.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   Unattach           
OBX|8|TX|||         \H\FAM DR\N\:   Unattach           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\ZHU\SOCIAL WORK ASSESSMENT with AGA DOCUMENTATION  
OBX|11|TX|||\N\  
OBX|12|TX|||\ZHI\Report Received under Section 46 of Adult Guardianship Act  Do Not Disclose/Release   
OBX|13|TX|||\ZHU\  
OBX|14|TX|||Presenting Concerns  
OBX|15|TX|||\N\  
OBX|16|TX|||\H\Reason for Referral:\N\    
OBX|17|TX|||  
OBX|18|TX|||\H\Referred By:\N\  [*]  
OBX|19|TX|||  
OBX|20|TX|||\H\Admitting Diagnosis:\N\    
OBX|21|TX|||  
OBX|22|TX|||\H\Relevant Health History:\N\  [*]  
OBX|23|TX|||  
OBX|24|TX|||  
OBX|25|TX|||\ZHU\Social Context  
OBX|26|TX|||\N\  
OBX|27|TX|||\H\Patient/Client Address/Phone  
OBX|28|TX|||\N\123 ABC STREET SESAME,BC 99 12345678  
OBX|29|TX|||  
OBX|30|TX|||\H\Family/Social Contacts  
OBX|31|TX|||\N\  
OBX|32|TX|||    
OBX|33|TX|||\ZI\Relationship\N\:   
OBX|34|TX|||  
OBX|35|TX|||  
OBX|36|TX|||    
OBX|37|TX|||\ZI\Relationship\N\:   
OBX|38|TX|||  
OBX|39|TX|||  
OBX|40|TX|||\H\Professional/Service Contacts  
OBX|41|TX|||\N\[*]  
OBX|42|TX|||  
OBX|43|TX|||\H\Living Arrangements  
OBX|44|TX|||\N\  
OBX|45|TX|||\ZI\Other\N\:  [*]  
OBX|46|TX|||  
OBX|47|TX|||\H\Vocational/Financial Information  
OBX|48|TX|||\N\[*]  
OBX|49|TX|||  
OBX|50|TX|||\H\Legal Information  
OBX|51|TX|||\N\[*]  
OBX|52|TX|||  
OBX|53|TX|||\H\Communication/Mental Status  
OBX|54|TX|||\N\[*]  
OBX|55|TX|||\ZHU\  
OBX|56|TX|||Bio-Psycho-Emotional Context  
OBX|57|TX|||  
OBX|58|TX|||Purpose of Involvement\N\: [*]  
OBX|59|TX|||  
OBX|60|TX|||\ZHU\Current Situation:\N\  [*]  
OBX|61|TX|||  
OBX|62|TX|||\ZHU\Client/ Family/ Other perspective:\N\  [*]  
OBX|63|TX|||  
OBX|64|TX|||\ZHU\Therapeutic Intervention \N\  [*]    
OBX|65|TX|||  
OBX|66|TX|||\ZHU\Clinical Impression and Social Work Diagnosis:\N\ [*]  
OBX|67|TX|||  
OBX|68|TX|||\ZHU\Plan:\N\ [*]  
OBX|69|TX|||\ZHU\  
OBX|70|TX|||  
OBX|71|TX|||AGA INVESTIGATION - Section A: FIndings  
OBX|72|TX|||  
OBX|73|TX|||\ZU\ 3  
OBX|74|TX|||  
OBX|75|TX|||Do the AGA DATA pages need updating since last entry?  
OBX|76|TX|||  
OBX|77|TX|||\H\If answered NO to above question, there will be no further information in sections below.  
OBX|78|TX|||* See previous AGA document(s) for most recent findings \N\Y  
OBX|79|TX|||  
OBX|80|TX|||\ZU\  
OBX|81|TX|||\N\  
OBX|82|TX|||\ZHU\ 3  
OBX|83|TX|||  
OBX|84|TX|||\H\Investigation Status: Initial, Update, Transition, or Closure  \N\Initial  
OBX|85|TX|||  
OBX|86|TX|||\ZHU\  
OBX|87|TX|||  
OBX|88|TX|||1. ABILITY TO SEEK OR REFUSE SUPPORT OR ASSISTANCE:\H\    
OBX|89|TX|||  
OBX|90|TX|||** There will not be data in the section below unless the investigation status is "\ZHI\INITIAL", "UPDATE", or "TRANSITION".   
OBX|91|TX|||  
OBX|92|TX|||\H\ 3  
OBX|93|TX|||  
OBX|94|TX|||\N\Was the adult initially thought to be able to seek or refuse support of assistance?  No  
OBX|95|TX|||  
OBX|96|TX|||  
OBX|97|TX|||\H\If answered No, most relevant reason adult unable to seek/refuse support or assistance:   
OBX|98|TX|||\N\Acquired brain injury  
OBX|99|TX|||\H\  
OBX|100|TX|||** There will not be data in the section below unless the investigation status is "\ZHI\CLOSURE\H\":  
OBX|101|TX|||\ZHI\  
OBX|102|TX|||\H\ 3  
OBX|103|TX|||  
OBX|104|TX|||\N\Confirm: Was the adult able to seek or refuse support or assistance?   
OBX|105|TX|||  
OBX|106|TX|||   
OBX|107|TX|||\H\If confirmed as No, most relevant reason adult unable to seek/refuse support or assistance:  
OBX|108|TX|||\N\  
OBX|109|TX|||\H\  
OBX|110|TX|||\ZHU\2. ABUSE  
OBX|111|TX|||  
OBX|112|TX|||\H\ 3  
OBX|113|TX|||  
OBX|114|TX|||Was abuse suspected?        \N\Yes  
OBX|115|TX|||   
OBX|116|TX|||\H\Was Abuse CONFIRMED? \N\No  
OBX|117|TX|||  
OBX|118|TX|||  
OBX|119|TX|||\H\TYPE of ABUSE:   
OBX|120|TX|||\N\Censor'g-mail,pho,visitor  
OBX|121|TX|||Financial  
OBX|122|TX|||Intimidation/threats  
OBX|123|TX|||Medication mismanagement  
OBX|124|TX|||Physical abuse/assault  
OBX|125|TX|||Confinement/restraint  
OBX|126|TX|||Cultural/spiritual  
OBX|127|TX|||Emotional/psyc/humiliat'n  
OBX|128|TX|||  
OBX|129|TX|||  
OBX|130|TX|||\ZHU\3. NEGLECT  
OBX|131|TX|||  
OBX|132|TX|||\H\ 3  
OBX|133|TX|||  
OBX|134|TX|||Was neglect suspected?        \N\Yes  
OBX|135|TX|||   
OBX|136|TX|||\H\Was neglect CONFIRMED? \N\Yes  
OBX|137|TX|||  
OBX|138|TX|||  
OBX|139|TX|||\H\TYPE of NEGLECT:  
OBX|140|TX|||\N\Isolation/seclusion  
OBX|141|TX|||Medication withheld  
OBX|142|TX|||No/min access to finances  
OBX|143|TX|||Not receiv adeq pers care  
OBX|144|TX|||Not receiving medic care  
OBX|145|TX|||Unsafe cond eg heat/elect  
OBX|146|TX|||Unsanit cond-dirty/bugs  
OBX|147|TX|||Not receiv adeq nutrition  
OBX|148|TX|||  
OBX|149|TX|||  
OBX|150|TX|||\ZHU\4. SELF-NEGLECT  
OBX|151|TX|||  
OBX|152|TX|||\H\ 3  
OBX|153|TX|||  
OBX|154|TX|||Was self-neglect suspected?        \N\Yes  
OBX|155|TX|||   
OBX|156|TX|||\H\Was self-neglect CONFIRMED? \N\Yes  
OBX|157|TX|||  
OBX|158|TX|||  
OBX|159|TX|||\H\TYPE of SELF-NEGLECT:\N\   
OBX|160|TX|||Financial  
OBX|161|TX|||Isolation/seclusion  
OBX|162|TX|||Malnutrition  
OBX|163|TX|||Medication  
OBX|164|TX|||Personal Hygiene  
OBX|165|TX|||Unsafe cond eg heat/elect  
OBX|166|TX|||Unsanit cond-dirty/bugs  
OBX|167|TX|||Untreated illness  
OBX|168|TX|||  
OBX|169|TX|||  
OBX|170|TX|||\ZHU\Section B:\H\   \ZHU\Actions Taken  
OBX|171|TX|||\N\Advised MRP of situation  
OBX|172|TX|||Collaborated w other prog  
OBX|173|TX|||Completed risk assessment  
OBX|174|TX|||Coord'd w Desig Responder  
OBX|175|TX|||Coordinated care plan  
OBX|176|TX|||Identified Rep/PoA  
OBX|177|TX|||Ethics consult/review  
OBX|178|TX|||Gathered collateral info  
OBX|179|TX|||Kept reporter ID confiden  
OBX|180|TX|||Arranged access to servic  
OBX|181|TX|||Reported crimes to police  
OBX|182|TX|||Reported to PGT  
OBX|183|TX|||Prov'd emerg interventio  
OBX|184|TX|||Prov'd education/support  
OBX|185|TX|||Prov'd staff assistance  
OBX|186|TX|||Refer to oth desig agency  
OBX|187|TX|||Other  
OBX|188|TX|||None  
OBX|189|TX|||  
OBX|190|TX|||\ZHU\  
OBX|191|TX|||Section C:\H\   \ZHU\Adult Guardianship (AGA) Tools Used  
OBX|192|TX|||\N\Report to police und AGA  
OBX|193|TX|||Restraining order  
OBX|194|TX|||Support/assistance plan  
OBX|195|TX|||Warrant-purp of interview  
OBX|196|TX|||None  
OBX|197|TX|||Authority to investigate  
OBX|198|TX|||Court order for assessmen  
OBX|199|TX|||Emergency provisions  
OBX|200|TX|||Stat Prop Guard under AGA  
OBX|201|TX|||Repor to Pub Guard/Truste  
OBX|202|TX|||  
OBX|203|TX|||\H\  
OBX|204|TX|||\ZHU\Section D:\H\   \ZHU\Outcomes  
OBX|205|TX|||\N\  
OBX|206|TX|||  
OBX|207|TX|||\ZHU\Section E:\H\   \ZHU\Gender, Age group, First Nations, City or town, AGA Reporter  
OBX|208|TX|||  
OBX|209|TX||| 3  
OBX|210|TX|||  
OBX|211|TX|||\H\Gender: \N\Undetermined/Other  
OBX|212|TX|||   
OBX|213|TX|||\H\Age Group: \N\35-44  
OBX|214|TX|||   
OBX|215|TX|||\H\Does the adult live on a First Nations reserve \N\("N" also indicates unknown\H\): \N\Y  
OBX|216|TX|||   
OBX|217|TX|||\H\City or Town: \N\TOWN     
OBX|218|TX|||  
OBX|219|TX|||\H\  
OBX|220|TX||| 3  
OBX|221|TX|||  
OBX|222|TX|||Who is the AGA reporter? \N\Banker/Financial Advisor  
OBX|223|TX|||  
OBX|224|TX|||\H\  
OBX|225|TX|||\N\  
OBX|226|TX|||\ZHU\Section F:\H\   \ZHU\Relationship of the suspected abuser to adult   
OBX|227|TX|||\N\Caregiver  
OBX|228|TX|||Common Law partner  
OBX|229|TX|||Spouse  
OBX|230|TX|||Cousin  
OBX|231|TX|||Daughter/Son  
OBX|232|TX|||Friend  
OBX|233|TX|||Grandchild  
OBX|234|TX|||Landlord  
OBX|235|TX|||Health Care Professional  
OBX|236|TX|||Member of public  
OBX|237|TX|||Niece/Nephew  
OBX|238|TX|||Neighbour  
OBX|239|TX|||Parent  
OBX|240|TX|||Power of Attorney  
OBX|241|TX|||Resident/Co-patient  
OBX|242|TX|||Roommate  
OBX|243|TX|||Sibling  
OBX|244|TX|||Not applicable  
OBX|245|TX|||Unknown  
OBX|246|TX|||Other  
OBX|247|TX|||  
OBX|248|TX|||  
OBX|249|TX|||  
OBX|250|TX|||\H\Harjit Jassal, [*] - Social Worker  
OBX|251|TX|||\N\Abbotsford Regional Hospital Social Work  
OBX|252|TX|||Date/Time:  \ZU\19/12/19\N\ \ZU\1158