MSH|^~\&|ITS|SMH|||202002061441||ORU^R01|4163496|D|2.3|||AL|NE
PID|1|FHATVIG0007144|SM00043573|SM43426|MYCTEST^LIME||19670301|F||||||||||SM004318/18|9875659728
PV1|1|O
OBR|1|||||202002061439|20200206|202002061439||||||||||||FNS|CLASSHH||||S||||||
OBX|1|TX|||\H\  
OBX|2|TX||| FRASER HEALTH  
OBX|3|TX||| Surrey Memorial Hospital  
OBX|4|TX||| 13750 96TH AVENUE, SURREY  
OBX|5|TX||| V3V 1Z2  
OBX|6|TX|||  
OBX|7|TX||| HEART HEALTHY NUTRITION CLASS SUMMARY  
OBX|8|TX|||  
OBX|9|TX|||  
OBX|10|TX|||DATE:\N\ 06/02/20  
OBX|11|TX|||\H\  
OBX|12|TX|||DEAR DR.:  \N\ADM,TEST A GENP  
OBX|13|TX|||\H\  
OBX|14|TX|||RE:  \N\MYCTEST,LIME  
OBX|15|TX|||  
OBX|16|TX|||  
OBX|17|TX|||\H\  
OBX|18|TX|||NUTRITION HISTORY:\N\ Patient attended our Heart Healthy Class.  Therefore, no individual nutrition history is available.  
OBX|19|TX|||  
OBX|20|TX|||\H\  
OBX|21|TX|||CLIENT GOALS:\N\ Lower cholesterol and/or triglyceride levels.  Reduce risk of cardiovascular disease.  
OBX|22|TX|||  
OBX|23|TX|||\H\  
OBX|24|TX|||NUTRITION CARE PLAN:\N\  Heart healthy eating guidelines reviewed as follows:  
OBX|25|TX|||  
OBX|26|TX|||* Risk factors for heart disease  
OBX|27|TX|||* Lipid profile and ways to improve same through diet and exercise  
OBX|28|TX|||* Dietary fats with an emphasis on decreasing total fat, saturated and hydrogenated (trans) fat  
OBX|29|TX|||* Ways to include sources of healthy fat (monounsaturated and omega 3) in diet  
OBX|30|TX|||* The role of fiber in lowering cholesterol and ways to increase fibre in the diet   
OBX|31|TX|||* Ways to decrease intake of sodium  
OBX|32|TX|||* The benefits of exercise in prevention of heart disease  
OBX|33|TX|||* Shopping and cooking guidelines  
OBX|34|TX|||* Label reading  
OBX|35|TX|||* Healthy meals and snacks  
OBX|36|TX|||* Restaurant eating  
OBX|37|TX|||* TESTING FEB 6, 2020  
OBX|38|TX|||  
OBX|39|TX|||  
OBX|40|TX|||  
OBX|41|TX|||Thank you for the referral,  
OBX|42|TX|||TESTING FEB 6, 2020  
OBX|43|TX|||  
OBX|44|TX|||  
OBX|45|TX|||  
OBX|46|TX|||\H\  
OBX|47|TX|||Elizabeth Izzard, [*g FNSSIG]  
OBX|48|TX|||\N\Date/Time:  \ZU\06/02/20\N\  \ZU\1439