MSH|^~\&|ITS|SMH|||202001151447||ORU^R01|4147327|D|2.3|||AL|NE
PID|1|FHATVIG0013027|SM00047239|SM47017|SMITHTEST^SWITCH^B||19721111|F||||||||||SM003928/19|9874757308
PV1|1|I
ORC||5143.001SMH
OBR|1|PT5143.001SMH||PT^IPREF^PT Inpatient Referral^N/A^Physical Therapy Assessment Report||202001130000|202001131530|202001131532||||||||||||PT|FH-KNEESX||||D||||||
OBX|1|TX|||          \H\NAME\N\:   SMITHSON,LUMED           
OBX|2|TX|||         \H\ACCT#\N\:   SM003928/19    \H\UNIT#\N\:  SM00047233     
OBX|3|TX|||         \H\ADM DT\N\:   13/01/20    \H\PHN\N\:  9923981723     
OBX|4|TX|||\H\Physical Therapy\N\         \H\LOC\N\:   SM-N42    \H\RM/B\N\:  SMN42-019-B     
OBX|5|TX|||\H\Knee Surgery Assessment\N\         \H\DOB\N\:   10/11/1971    \H\A/S\N\:  48 F     
OBX|6|TX|||         \H\REG CAT\N\:   S.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   Test Provider,IM/IT Use Only           
OBX|8|TX|||         \H\FAM DR\N\:   Test Provider,IM/IT Use Only           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\H\TEST SWITCH - HEADER WILL NOT UPDATE WITH NEW INFO SUCH AS ACCT/UNIT NUMBER.  THIS IS WORKING AS DESIGNED  
OBX|11|TX|||  
OBX|12|TX|||  
OBX|13|TX|||  
OBX|14|TX||| KNEE SURGERY ASSESSMENT  
OBX|15|TX||| OUTPATIENT PHYSIOTHERAPY DEPARTMENT  
OBX|16|TX|||\N\  
OBX|17|TX|||\ZHU\Physiotherapy Database  
OBX|18|TX|||\N\  
OBX|19|TX|||\H\Present History \N\(Sx Type, Date, WB status, Surgeon)  
OBX|20|TX|||TEST  
OBX|21|TX|||  
OBX|22|TX|||\H\Past Medical History  
OBX|23|TX|||\N\[*]  
OBX|24|TX|||  
OBX|25|TX|||\H\Patient Profile/Social History  
OBX|26|TX|||\N\  
OBX|27|TX|||  
OBX|28|TX|||\H\Medications  
OBX|29|TX|||\N\  
OBX|30|TX|||  
OBX|31|TX|||\H\X-rays and Special Test Results  
OBX|32|TX|||\N\  
OBX|33|TX|||  
OBX|34|TX|||\ZHU\Initial Assessment  
OBX|35|TX|||\N\  
OBX|36|TX|||\H\Pain\N\ (numeric rating pain scale (0-10), nature, duration, location, aggravates, eases, intensity)  
OBX|37|TX|||  
OBX|38|TX|||  
OBX|39|TX|||  
OBX|40|TX|||\H\Sensation  
OBX|41|TX|||\N\Hot  
OBX|42|TX|||Sharp  
OBX|43|TX|||  
OBX|44|TX|||  
OBX|45|TX|||\H\Observation\N\ (colour, deformity, scars, atrophy, stitches in situ, swelling)  
OBX|46|TX|||  
OBX|47|TX|||  
OBX|48|TX|||\H\ROM/Strength  
OBX|49|TX|||\N\ 3  
OBX|50|TX|||  
OBX|51|TX||| AROM AROM PROM PROM End Feel End Feel Strength Strength  
OBX|52|TX|||   
OBX|53|TX|||  Left Right   Left Right Left Right Left Right  
OBX|54|TX|||   
OBX|55|TX||| Flexion                
OBX|56|TX|||   
OBX|57|TX||| Extension                
OBX|58|TX|||   
OBX|59|TX||| Quad Lag     XXXX XXXX  XXXX  XXXX XXXX XXXX  
OBX|60|TX|||  
OBX|61|TX|||  
OBX|62|TX|||\H\Functional Enquiry Mobility, Ambulation and Transfers\N\ (Distance, Aids, WB status, Gait, Footwear)  
OBX|63|TX|||  
OBX|64|TX|||  
OBX|65|TX|||\H\Stairs  
OBX|66|TX|||\N\  
OBX|67|TX|||  
OBX|68|TX|||\H\Other  
OBX|69|TX|||\N\  
OBX|70|TX|||  
OBX|71|TX|||\H\Outcome Measures\N\ (LEFS, 10 m walk test)  
OBX|72|TX|||  
OBX|73|TX|||  
OBX|74|TX|||\H\Problem List  
OBX|75|TX|||\N\Decreased ROM in right/left knee  
OBX|76|TX|||Decreased strength in right/left knee  
OBX|77|TX|||Potential scar adhesion  
OBX|78|TX|||Decreased ambulation/altered gait pattern  
OBX|79|TX|||Decreased balance reactions  
OBX|80|TX|||Decreased knowledge precautions TKA  
OBX|81|TX|||Decreased stair climbing ability  
OBX|82|TX|||Pain, swelling  
OBX|83|TX|||Discharge planning  
OBX|84|TX|||  
OBX|85|TX|||\H\Treatment Plan  
OBX|86|TX|||\N\AAROM/AROM for right/left knee  
OBX|87|TX|||TKA treatment guidelines right/left, Home exercise program (HEP)  
OBX|88|TX|||Scar massage, education  
OBX|89|TX|||Gait training  
OBX|90|TX|||Balance/proprioception exercises  
OBX|91|TX|||Reinforce precautions, WB status  
OBX|92|TX|||Stair climb practice  
OBX|93|TX|||Ice, elevation, modalities  
OBX|94|TX|||HEP, community resources, Theraband  
OBX|95|TX|||  
OBX|96|TX|||\H\Treatment Given  
OBX|97|TX|||\N\  
OBX|98|TX|||  
OBX|99|TX|||\H\Response/Analysis  
OBX|100|TX|||\N\  
OBX|101|TX|||  
OBX|102|TX|||\H\Plan  
OBX|103|TX|||\N\  
OBX|104|TX|||  
OBX|105|TX|||\H\Goals  
OBX|106|TX|||\N\  
OBX|107|TX|||  
OBX|108|TX|||Assessment and treatment procedures explained to patient.  
OBX|109|TX|||Patient consent received.  
OBX|110|TX|||Expected length of stay:   
OBX|111|TX|||  
OBX|112|TX|||\H\Rene Campbell, Physical Therapist  
OBX|113|TX|||\N\Date/Time:  \ZU\13/01/20\N\  \ZU\1532  
OBX|114|TX|||                                                                                                                                                           
OBX|115|TX|||\H\ADDENDUM  
OBX|116|TX|||  
OBX|117|TX|||\N\         \H\NAME\N\:       SMITHTEST,SWITCH B  
OBX|118|TX|||         \H\ACCT#\N\:     SM003928/19     \H\UNIT#\N\:   SM00047239  
OBX|119|TX|||         \H\ADM DT\N\:    13/01/20     \H\PHN\N\:   9874757308  
OBX|120|TX|||         \H\LOC\N\:          SM-N42       \H\RM/B\N\:   SMN42-019-B  
OBX|121|TX|||         \H\DOB\N\:          11/11/1972     \H\A/S\N\:   47 F  
OBX|122|TX|||         \H\REG CAT\N\:   S.ACU  
OBX|123|TX|||         \H\ATT DR\N\:      Test Provider,IM/IT Use Only  
OBX|124|TX|||         \H\FAM DR\N\:     Test Provider,IM/IT Use Only  
OBX|125|TX|||         (This header was updated on 15/01/20)  
OBX|126|TX|||\ZU\                                                                                                                                                          
OBX|127|TX|||\N\Signed By:   \ZIU\Rene Campbell  
OBX|128|TX|||\N\Date/Time:   \ZU\15/01/20\N\ \ZU\1444  
OBX|129|TX|||                                                                                                                                                           
OBX|130|TX|||\H\ADDENDUM  
OBX|131|TX|||  
OBX|132|TX|||\N\ADDED ADDENDUM WHICH INCLUDES NEW HEADER  
OBX|133|TX|||Signed By:   \ZIU\Rene Campbell  
OBX|134|TX|||\N\Date/Time:   \ZU\15/01/20\N\ \ZU\1445