MSH|^~\&|ITS|PAH|||202002071051||ORU^R01|4164000|D|2.3|||AL|NE
PID|1|FHATVIG0000277|PA00002508|PA2507|OETEST^GUNDAM^PAHUGRD||19671127|F||||||||||PA000009/17|
PV1|1|I
OBR|1|||||202002071049|202002071040|202002071049||||||||||||OT|ER-ECU||||S||||||
OBX|1|TX|||          \H\NAME\N\:   OETEST,GUNDAM PAHUGRD           
OBX|2|TX|||         \H\ACCT#\N\:   PA000009/17    \H\UNIT#\N\:  PA00002508     
OBX|3|TX|||         \H\ADM DT\N\:   24/08/17    \H\PHN\N\:       
OBX|4|TX|||\H\Occupational Therapy\N\         \H\LOC\N\:   PA-4MED    \H\RM/B\N\:  PA4MED-408-A     
OBX|5|TX|||\H\Extended Care Assessment\N\         \H\DOB\N\:   27/11/1967    \H\A/S\N\:  52 F     
OBX|6|TX|||         \H\REG CAT\N\:   P.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   Oedoc,Marytrain MD           
OBX|8|TX|||         \H\FAM DR\N\:   Oedoc,Marytrain MD           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\H\TEST OCCUPATIONAL THERAPY EXTENDED CARE ASSESSMENT  
OBX|11|TX|||\N\  
OBX|12|TX|||\H\Date\N\:  07/02/20  
OBX|13|TX|||  
OBX|14|TX|||\ZHU\Medical History  
OBX|15|TX|||\N\[*]  
OBX|16|TX|||  
OBX|17|TX|||\ZHU\Social History  
OBX|18|TX|||\N\[*]  
OBX|19|TX|||  
OBX|20|TX|||\ZHU\Cognitive Status  
OBX|21|TX|||\N\[*]  
OBX|22|TX|||  
OBX|23|TX|||\ZHU\Physical Status  
OBX|24|TX|||\N\Upper Extremities:  [*]  
OBX|25|TX|||Lower Extremities:  [*]  
OBX|26|TX|||Skin Integrity:  [*]  
OBX|27|TX|||Pain:  [*]  
OBX|28|TX|||Transfers/Ambulation:  [*]  
OBX|29|TX|||Meal Management:  [*]  
OBX|30|TX|||Activity Tolerance:  [*]  
OBX|31|TX|||  
OBX|32|TX|||\ZHU\Seating System  
OBX|33|TX|||\N\Chair Type:  [*]  
OBX|34|TX|||Depth:  [*]  
OBX|35|TX|||Width:  [*]  
OBX|36|TX|||Seat-to-floor height:  [*]  
OBX|37|TX|||Seatbelt (Y/N):  [*]  
OBX|38|TX|||Lap tray (Y/N):  [*]  
OBX|39|TX|||Cushion:  [*]  
OBX|40|TX|||Posture:  [*]  
OBX|41|TX|||Wheelchair mobility:  [*]  
OBX|42|TX|||Previous Seating System:  [*]  
OBX|43|TX|||  
OBX|44|TX|||\ZHU\Positioning  
OBX|45|TX|||\N\Log roll/bolster (Y/N):  [*]  
OBX|46|TX|||Gel pad (Y/N):  [*]  
OBX|47|TX|||Bed Cradle (Y/N):  [*]  
OBX|48|TX|||Heel positioning aids (Y/N):  [*]  
OBX|49|TX|||Hand positioning (Y/N):  [*]  
OBX|50|TX|||  
OBX|51|TX|||\ZHU\OT/PT Programs  
OBX|52|TX|||\N\Breakfast Club (Y/N):  [*]  
OBX|53|TX|||Relaxation (Y/N):  [*]  
OBX|54|TX|||Palm Soaks (Y/N):  [*]  
OBX|55|TX|||Footsteps (Y/N):  [*]  
OBX|56|TX|||ROM (Y/N):  [*]  
OBX|57|TX|||Fitness (Gold/Silver/Bronze):  [*]  
OBX|58|TX|||Comments:  [*]  
OBX|59|TX|||  
OBX|60|TX|||  
OBX|61|TX|||\H\Rene Campbell, Occupational Therapist  
OBX|62|TX|||\N\Date/Time:  \ZU\07/02/20\N\  \ZU\1049