MSH|^~\&|ADM|ARH|||201910091518||ADT^A03|4072306|D|2.2|||AL|NE
EVN|A03|201910091518||||201910091517
PID|1|FHATVIG0000035|AB00006602|AB6602|PCSTEST^MATTHEW||19451010|M|||34543 MCCALLUM ROAD^^ABBOTSFORD^BC^V8U 7Y6|||||||AB000005/17|
PV1|1|I|AB-2BAKER^AB2B-B2109^1|UE|||OEDOCN^Oedoc^Nancytrain^^^^MD^^^^^^XX|||MEDS||||||||IN||||||||||||||||||DISCHARGED WITH APPROVAL|||ARH|||||201706300759|201910091517
PV2||P^Private - Non-Solicited|SHORTNESS OF BREATH
OBX|1|ST|1010.1^WEIGHT^CPT4||75.200||||||F
OBX|2|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||Y||||||F
OBX|3|CE|ADM CCI1^CCI#1^ADM||DNA^DNA-Do Not Acknowledge||||||F
OBX|4|CE|ADM CCI2^CCI#2^ADM||ARO^ARO-Antibiotic Resist Org||||||F
OBX|5|CE|ADM CCI3^CCI#3^ADM||MDR^MDR-Multidrug Resist(CPE)||||||F
OBX|6|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20120108||||||F
OBX|7|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|8|TX|ADM INPAT INFO-^^ADM||||||||F
OBX|9|CE|ADM MDRO2^Canada in the last 12 months?^ADM||Y^YES||||||F
OBX|10|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||Y^YES||||||F
OBX|11|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||Y^YES||||||F
OBX|12|TX|AcADRCDC00^Additional recommendations for discharge^ADM||April 9 Additional recoomendations for disharge on line.||||||F
OBX|13|TX|AcADSLEE00^Patient reports adequate sleep^ADM||N||||||F
OBX|14|TX|AcEQUPCC00^Recommended equipment for discharge comment^ADM||||||||F
OBX|15|TX|AcEQUPDC00^Recommended equipment for discharge^ADM||||||||F
OBX|16|TX|AcEQUPDO00^Recommended equipment for discharge other^ADM||recommended equip for d/c other UAP PT NICY||||||F
OBX|17|TX|AcMOREEQ00^Other sources of recommended equipment for discharge^ADM||Other sources of recommended equipment for discharge - UAP PT NICY||||||F
OBX|18|TX|AcOTSPRC00^Recommended supports for discharge comment^ADM||recommended supports for discharge comment from UAP - OT NICY march 27||||||F
OBX|19|TX|AcOTSPRO00^Recommended supports for discharge other^ADM||recommended supports for d/c other UAP - OT||||||F
OBX|20|CE|AcOTSPRT00^Recommended supports for discharge^ADM||1^Washing~2^Dressing~3^Grooming~4^Meal management~5^Medication management~6^House management~7^Transportation~8^Finances~9^Lifeline||||||F
OBX|21|TX|AcPERBOT00^Peri bottle in use^ADM||Y||||||F
OBX|22|TX|AcPTSHOWE0^Patient showered^ADM||N||||||F
OBX|23|TX|AcRCEQ0001^Additional Red Cross equipment^ADM||Additional Red cross equipement - UAP PT NICY||||||F
OBX|24|TX|AcRCEQRC00^Red Cross equipment recommended comment^ADM||Red cross equipemetn recommended comment UAP PT NICY||||||F
OBX|25|TX|AcRCEQRM00^Red Cross equipment recommended^ADM||||||||F
OBX|26|TX|AcRCEQRO00^Red Cross equipment recommended other^ADM||Red cross equipemtn recommended other UAP PT NICY||||||F
OBX|27|TX|AcRCREFC00^Red Cross Help Plus referral for comment^ADM||Red cross help plus referral for comment UAP OT Mar 27||||||F
OBX|28|CE|AcRCREFF00^Red Cross Help Plus referral for^ADM||1^Electric hospital bed~2^Speciality mattress~3^Mattress overlay~4^Mechanical lift~5^Threshold ramp~6^Floor to ceiling pole~7^Foam cushion~8^Air cell cushion||||||F
OBX|29|TX|AcRCREFO00^Red Cross Help Plus referral for other^ADM||Red cross help plus referral for other UAP OT Mar 27||||||F
OBX|30|CE|Ad00000800^Paperwork provided^ADM||10^Follow-up appointments||||||F
OBX|31|TX|AdADMDAT01^Admission date^ADM||20190911||||||F
OBX|32|TX|AdADMRSN00^Reason for admission^ADM||an increasing SOB and a three-day history of fever/chills.||||||F
OBX|33|TX|AdADMTIM00^Admission time^ADM||0900||||||F
OBX|34|TX|AdBIRTH010^Expected date of delivery^ADM||20180214||||||F
OBX|35|CE|AdBIRTH030^Single/Multiple births^ADM||1^Singleton||||||F
OBX|36|TX|AdCOMPRO00^Community programs referred to^ADM||community programs referred to from UAP - SLP March 27 for testing reports~1125H||||||F
OBX|37|CE|AdDISCHA00^Destination^ADM||5^Independent living||||||F
OBX|38|TX|AdDISTIM00^Discharge time^ADM||1200||||||F
OBX|39|CE|AdDOMAIN00^Domain of concern^ADM||2^Addictions||||||F
OBX|40|TX|AdESTDDC03^Reason EDD changed comments^ADM||Reason EDD changed from D/c planning - RD on 9-April||||||F
OBX|41|TX|AdESTDTD00^Estimated date of discharge^ADM||20180524||||||F
OBX|42|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity||||||F
OBX|43|TX|AdHXCOND00^History of presenting condition^ADM||an increasing SOB and a three-day history of fever/chills. The patient s~wife brought the patient in after the antibiotics the clinic prescribed~did not appear to be working. The wife reported that the patient hasn t~been eating or drinking well and had very dark urine.||||||F
OBX|44|TX|AdINFOTH00^Information source other^ADM||Daughter||||||F
OBX|45|TX|AdINPREF00^Inpatient referral sent^ADM||Y||||||F
OBX|46|TX|AdLITUBE00^Line placements confirmed Lines/Tubes in situ^ADM||||||||F
OBX|47|CE|AdNICOT000^History of nicotine use^ADM||2^Current use||||||F
OBX|48|CE|AdNICOT010^Type of nicotine use^ADM||1^Cigarettes||||||F
OBX|49|TX|AdNICOT030^Number of cigarettes smoked per day^ADM||20||||||F
OBX|50|TX|AdNICOT040^Number of years smoking^ADM||20||||||F
OBX|51|TX|AdNICOT050^Cigarette pack years amount^ADM||20.00||||||F
OBX|52|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|53|TX|AdODCOMM00^Other discharge comments^ADM||to see midwidfe||||||F
OBX|54|TX|AdODISPC00^Other discharge planning comments^ADM||other comments this one is from Discharge planning - RD||||||F
OBX|55|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||||||||F
OBX|56|TX|AdPROBID00^Problem identified^ADM||22||||||F
OBX|57|CE|AdPSRM0000^Programs/Services referred to^ADM||2^IDP~3^AIDP~5^BCCH~6^Sunny Hill~7^Child development centre~8^Feeding team~9^Outpatient dietitian~27^Outpatient program||||||F
OBX|58|TX|AdPSROH000^Programs/Services referred to other^ADM||programs / services referred to other from UAP SLP NICY Mar 27||||||F
OBX|59|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|60|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||||||||F
OBX|61|TX|AdSTRECO01^Reason EDD changed other^ADM||other||||||F
OBX|62|TX|CaBL000301^Estimated blood loss^ADM||900||||||F
OBX|63|CE|CaBLDTYP00^Blood group type^ADM||3^B||||||F
OBX|64|CE|CaBTCPRD00^Blood transfusion component/product^ADM||1^Red blood cells||||||F
OBX|65|CE|CaBTRHFA00^Blood transfusion Rh factor^ADM||2^Negative||||||F
OBX|66|TX|CaBTSERI00^Blood transfusion serial number^ADM||988988||||||F
OBX|67|CE|CaBTTYPE00^Blood transfusion blood type^ADM||2^A||||||F
OBX|68|TX|CaBTVOLU00^Blood transfusion volume^ADM||100||||||F
OBX|69|TX|CaCASYAN02^Cardiovascular system analysis^ADM||Type 2 diabetes, COPD, myocardial infarction in 2014,~and obesity. Currently smokes 1 pack per day (20 cigs) and has smoked for~20 years.~ Respiratory medications: Rescue - Salbutamol, Atrovent. Controller -~Spiriva~ In the hallway you meet his daughter who mentions that her father is on~home oxygen at 2 litres per min continuously.~ He also has a home CPAP machine purchased through Vitalaire.||||||F
OBX|70|TX|CaCONSEN00^Transfusion consent confirmed^ADM||Y||||||F
OBX|71|CE|CaCYANOS00^Cyanosis^ADM||3^Peripheral||||||F
OBX|72|CE|CaPARMAT00^Cardiovascular defined parameters^ADM||1^Within defined parameters||||||F
OBX|73|TX|CaPLDATE00^PIV Insertion date^ADM||20180221||||||F
OBX|74|CE|CaRHFACT00^Rh factor^ADM||1^Positive||||||F
OBX|75|TX|CmMRPCDA00^MRP or Physician communication date^ADM||20180221||||||F
OBX|76|CE|CmMRPCME00^MRP or Physician communication method^ADM||1^In person||||||F
OBX|77|TX|CmMRPCRE00^MRP or Physician communication reason^ADM||tachypena||||||F
OBX|78|TX|Gi00000900^Tube description^ADM||entriflex||||||F
OBX|79|TX|GiABGIRT00^Abdomen abdominal girth^ADM||12.50||||||F
OBX|80|CE|GiABPALP02^Abdominal palpation^ADM||1^Soft||||||F
OBX|81|TX|GiABPAOT00^Abdominal palpation findings other^ADM||soft/non-tender||||||F
OBX|82|CE|GiABSHAP00^Abdominal shape^ADM||1^Flat~2^Rounded||||||F
OBX|83|TX|GiABSHOT00^Abdominal shape other^ADM||no issues really||||||F
OBX|84|TX|GiBOTTLC01^Bottle feeding observations other^ADM||feeds well with mom||||||F
OBX|85|TX|GiBOTTLE01^Intake, Bottle Feeding Amount^ADM||20.0||||||F
OBX|86|TX|GiDUTUPH01^pH duodenal tube^ADM||5.0||||||F
OBX|87|CE|GiEFT00000^Tube type^ADM||1^Short term enteral tube||||||F
OBX|88|TX|GiEFT00200^Enteral feeding tube confirmed length^ADM||45.00||||||F
OBX|89|TX|GiEMAMT000^Emesis approximate amount^ADM||small||||||F
OBX|90|CE|GiEMDESC04^Emesis description^ADM||1^Clear||||||F
OBX|91|TX|GiENTINS01^Initial tube length^ADM||45.0||||||F
OBX|92|CE|GiETDEDE00^Enteral feeding tube delivery service^ADM||1^Gravity||||||F
OBX|93|TX|GiETDEVI00^Enteral feeding tube securement device intact^ADM||Y||||||F
OBX|94|TX|GiETINAT00^Enteral feeding tube insertion attempts^ADM||1||||||F
OBX|95|TX|GiETINDA00^Insertion date^ADM||20180605||||||F
OBX|96|CE|GiETINSI00^Enteral feeding tube insertion site^ADM||1^Right nare||||||F
OBX|97|TX|GiETSIZE00^Enteral feeding tube size^ADM||6.0||||||F
OBX|98|CE|GiETSYST00^Enteral feeding tube system^ADM||1^Open||||||F
OBX|99|TX|GiGRESVL01^Gastric residual volume^ADM||0||||||F
OBX|100|TX|GiGT000300^Enteral feeding tube current length^ADM||22.0||||||F
OBX|101|TX|GiGT000800^Confirmed by X-ray^ADM||N||||||F
OBX|102|CE|GiGTET0100^Placement verification method^ADM||1^Gastric pH||||||F
OBX|103|TX|GiGTET0200^Placement verification method other^ADM||no other verification||||||F
OBX|104|TX|GiNEWBO380^Emesis present^ADM||Y||||||F
OBX|105|TX|GiNICU0010^Duration of breastfeed^ADM||20||||||F
OBX|106|CE|GiNICU0020^Activity during feeding^ADM||3^Held~5^Non-nutritive suck||||||F
OBX|107|TX|GiNICU0030^Activity during feeding other^ADM||singing||||||F
OBX|108|TX|GiNICU0040^Additional feeding comments^ADM||some other feeding comments||||||F
OBX|109|CE|GiNICU0080^Insertion site^ADM||1^Right nare||||||F
OBX|110|TX|GiNICUGA50^Flush purpose other^ADM||to get accurate pH||||||F
OBX|111|TX|GiNICUPH01^pH gastric tube^ADM||2.0||||||F
OBX|112|TX|GiORALNU01^Oral nutrition concerns identified^ADM||N||||||F
OBX|113|CE|GiPARMAT00^Gastrointestinal defined parameters^ADM||2^Significant findings||||||F
OBX|114|TX|GuBDURSS01^Urinary retention signs and symptoms^ADM||||||||F
OBX|115|CE|GuPARMAT00^Urinary defined parameters^ADM||1^Within defined parameters||||||F
OBX|116|CE|GuUBILIN00^Urine urobilinogen^ADM||5^+4||||||F
OBX|117|TX|GuUCB00030^Interval urine output^ADM||100.0||||||F
OBX|118|TX|GuUCB00050^Calculated urine output^ADM||incomplete||||||F
OBX|119|TX|GuUCINS000^Urinary catheter in situ and patent^ADM||||||||F
OBX|120|CE|GuUDGLUC00^Urine dipstick glucose^ADM||4^+3||||||F
OBX|121|CE|GuUDKT0000^Urine dipstick ketones^ADM||1^Negative||||||F
OBX|122|CE|GuUDLEUK00^Urine dipstick leukocytes^ADM||2^+1||||||F
OBX|123|CE|GuUDNIT000^Urine dipstick nitrites^ADM||2^Positive||||||F
OBX|124|CE|GuUDPROT00^Urine dipstick protein^ADM||3^+2||||||F
OBX|125|CE|GuUR000500^Urine bilirubin^ADM||2^+1||||||F
OBX|126|CE|GuUR000600^Urine blood^ADM||3^+2||||||F
OBX|127|CE|GuUR000700^Urine hemoglobin^ADM||3^+3||||||F
OBX|128|TX|GuURCLR000^Urine clarity^ADM||||||||F
OBX|129|TX|GuURCOL001^Urine colour^ADM||||||||F
OBX|130|CE|GuURDTP000^Urine dipstick test results positive for^ADM||2^Nitrites||||||F
OBX|131|TX|GuURPH0000^Urine pH^ADM||5.0||||||F
OBX|132|CE|GuURPREG00^Urine pregnancy test results^ADM||2^Positive||||||F
OBX|133|TX|GuURSGRV00^Urine specific gravity^ADM||3.000||||||F
OBX|134|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F
OBX|135|TX|HxABXMAT01^Antibiotics used in labour^ADM||Y||||||F
OBX|136|TX|HxANAMAT00^Analgesics used in labour^ADM||Y||||||F
OBX|137|TX|HxIIGAWD00^Gestational age^ADM||39 weeks 0 days||||||F
OBX|138|TX|HxIIGEDA00^Gestational age in days^ADM||0||||||F
OBX|139|TX|HxIIGEWE00^Gestational age in weeks^ADM||39||||||F
OBX|140|TX|HxLDHXCOM0^Other labour and delivery comments^ADM||11:44am change in rh neg||||||F
OBX|141|TX|HxOXADM002^History of home oxygen use^ADM||Y||||||F
OBX|142|TX|HxPICUV001^Previous ICU admissions and/or ventilation^ADM||N||||||F
OBX|143|TX|HxSPTCHX01^Pertinent clinical history^ADM||53-year-old male. speaks English, a history of Type 2~diabetes, COPD, myocardial infarction 2014, and obesity. No previous ICU~admissions.  Not known airway history.||||||F
OBX|144|TX|HxTD000010^Surrogate healthcare decision maker/TSDM name and phone^ADM||||||||F
OBX|145|TX|HxTSDMR001^Surrogate healthcare decision maker/TSDM required^ADM||||||||F
OBX|146|TX|InARINAT01^Attempt number^ADM||2||||||F
OBX|147|CE|InDREDRD00^External dressing drainage description^ADM||1^Serous||||||F
OBX|148|TX|InNAREIN00^Nares skin intact^ADM||Y||||||F
OBX|149|CE|InNEPRTS00^Negative pressure wound therapy setting^ADM||2^Intermittent||||||F
OBX|150|TX|InNPWTAP00^NPWT applied^ADM||N||||||F
OBX|151|CE|InNPWTDS00^Negative pressure wound therapy dressing supplies used^ADM||2^White foam||||||F
OBX|152|CE|InPARMAT00^Integumentary defined parameters^ADM||2^Significant findings||||||F
OBX|153|CE|InPRWOST00^Pressure wound stage^ADM||2^Stage 2||||||F
OBX|154|CE|InSA000600^Skin condition^ADM||3^Blanchable||||||F
OBX|155|CE|InSKGNTM00^Generalized skin temperature^ADM||2^Warm||||||F
OBX|156|CE|InSKIAPP00^Skin appearance^ADM||3^Pale||||||F
OBX|157|CE|InSKIDES00^Skin description^ADM||4^Rash||||||F
OBX|158|CE|InSKIMOD01^Skin and wound modifier^ADM||15^Frontal||||||F
OBX|159|CE|InSKIMOI00^Skin moisture^ADM||3^Diaphorectic||||||F
OBX|160|CE|InSKITEM00^Skin temperature^ADM||3^Cool||||||F
OBX|161|TX|InSU000100^Sutured^ADM||N||||||F
OBX|162|TX|InWDRDRY00^Wound dressing dry and intact^ADM||N||||||F
OBX|163|CE|InWNDLOC02^Wound location^ADM||18^Thumb||||||F
OBX|164|CE|InWNDMOD00^Wound location modifier^ADM||4^Lower||||||F
OBX|165|CE|InWNDTYM00^Wound type^ADM||2^Arterial||||||F
OBX|166|CE|InWOULOC01^Skin or wound location^ADM||2^Ear||||||F
OBX|167|TX|IoNICUIN50^Intake, Free Water Amount^ADM||5.00||||||F
OBX|168|TX|IvIN021400^IV Intake Amount^ADM||80||||||F
OBX|169|CE|IvINVLOC00^Location^ADM||2^Lower arm||||||F
OBX|170|CE|IvINVTYP01^Line type^ADM||1^PIV||||||F
OBX|171|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|172|CE|IvLOCATM01^Location Modifier^ADM||6^Medial||||||F
OBX|173|TX|IvOTH00000^Other PIV comments^ADM|| ~from admission||||||F
OBX|174|CE|IvPIVLOC00^Location^ADM||5^Hand PIV||||||F
OBX|175|CE|IvPL000700^Initial management^ADM||1^Infusion||||||F
OBX|176|CE|IvPORT0100^Infusion port^ADM||1^Distal||||||F
OBX|177|TX|IvRATE0000^Rate^ADM||100.00||||||F
OBX|178|TX|IvREMOTI00^Removal time^ADM||0650||||||F
OBX|179|TX|IvREMOVD00^Removal date^ADM||20180221||||||F
OBX|180|TX|IvSIZE0000^Size^ADM||20||||||F
OBX|181|TX|IvSOLINF00^Solution infusing^ADM||D5NS||||||F
OBX|182|CE|MhESAFFM04^Affect^ADM||1^Appropriate||||||F
OBX|183|CE|MoAMASTN03^Assistance required for ambulation^ADM||1^Unassisted||||||F
OBX|184|TX|MoPOBDPO01^Bed position^ADM||||||||F
OBX|185|TX|MsEM000800^Supports in place to assist upon discharge^ADM||Y||||||F
OBX|186|TX|MsEM000900^Supports in place to assist upon discharge comment^ADM||support in place||||||F
OBX|187|TX|MsMEEIPD00^Mobility equipment in place for discharge^ADM||Y||||||F
OBX|188|TX|MsMEM00000^Mobility equipment measurements^ADM||Equipemtn measuremetns - UAP PT NICY||||||F
OBX|189|TX|MsMERCF000^Red Cross form given to^ADM||red cross form given to other UAP PT NICY||||||F
OBX|190|TX|MsMERCF001^Red Cross form given to^ADM||red cross form given to other UAP OT NICY||||||F
OBX|191|CE|MsMERD0000^Recommended mobility equipment for discharge^ADM||1^Cane~2^2 wheeled walker~3^Crutches axillary~4^Hemi walker~5^Gutter crutch~6^Quad cane~7^4 wheeled walker~8^Standard wheelchair~9^Standard walker~10^Crutches forearm||||||F
OBX|192|TX|MsMERDO001^Recommended mobility equipment for discharge other^ADM||recommended mobility equipemnt for discharge other UAP PT mar 27||||||F
OBX|193|TX|MsMEVI0000^Mobility equipment - vendor information given to^ADM||vendor info given to other UAP PT NICY||||||F
OBX|194|TX|NUOTCMST00^Outcome status^ADM||Partially met||||||F
OBX|195|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|196|CE|NeORIENT00^Oriented^ADM||1^To person~2^To place~3^To time~4^To situation||||||F
OBX|197|TX|NeVCCMET00^Valid consent criteria met^ADM||Y||||||F
OBX|198|CE|NmHIVSCR00^HIV screening^ADM||2^Negative||||||F
OBX|199|TX|NmPRECAR00^Prenatal care^ADM||Y||||||F
OBX|200|CE|Nu00015500^Patient's position during breakfast^ADM||6^Highchair||||||F
OBX|201|CE|Nu00015600^Patient's position during lunch^ADM||5^Sitting up in crib||||||F
OBX|202|TX|Nu00015700^Patient's position during dinner^ADM||sleeping did not wake to feed||||||F
OBX|203|CE|NuBRAMCO01^Breakfast amount consumed^ADM||1^25%||||||F
OBX|204|TX|NuDIAMCO01^Dinner amount consumed^ADM||0%||||||F
OBX|205|CE|NuENDELI00^Enteral nutrition delivery schedule^ADM||5^Bolus||||||F
OBX|206|CE|NuENFLPO03^Feeding tube flush purpose^ADM||3^Medication||||||F
OBX|207|CE|NuENFLUS01^Feeding tube flush type^ADM||1^Water||||||F
OBX|208|TX|NuENRATE00^Enteral nutrition current rate^ADM||9999||||||F
OBX|209|TX|NuENSOLU00^Enteral nutrition formula or solution^ADM||tube feed formula type with EMR ID||||||F
OBX|210|TX|NuENSOLU02^Enteral nutrition formula or solution^ADM||tube feed formula type from adult assessment||||||F
OBX|211|CE|NuLUAMCO01^Lunch amount consumed^ADM||2^50%||||||F
OBX|212|TX|NuNICUF100^Mom's own milk additives^ADM||3g ELF powder/100 mL EBM||||||F
OBX|213|TX|NuNICUF110^Feeding contents - donor EBM amount^ADM||10||||||F
OBX|214|TX|NuNICUF120^Donor EBM additives^ADM||3 g ELF powder / 100 mL EBM + 2mL LPF/100 mL EBM||||||F
OBX|215|TX|NuNICUF130^Feeding contents - formula amount^ADM||20||||||F
OBX|216|TX|NuNICUF140^Formula type^ADM||Enfamil 24 kcal/oz||||||F
OBX|217|TX|NuNICUF150^Formula additives^ADM||nil||||||F
OBX|218|TX|NuNICUF180^Trophic feed amount^ADM||3.0||||||F
OBX|219|TX|NuNICUF200^Duration of bottle feed^ADM||20||||||F
OBX|220|CE|NuNICUF210^Alternate feeding method^ADM||2^Dropper||||||F
OBX|221|CE|NuNICUF250^Breastfeeding observations^ADM||3^Strong latch||||||F
OBX|222|CE|NuNICUF260^Breastfeeding assistance^ADM||1^Independent||||||F
OBX|223|CE|NuNICUF270^Bottle feeding observations^ADM||3^Strong suck||||||F
OBX|224|TX|NuNICUF280^Nipple used^ADM||Nuk||||||F
OBX|225|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||10.0||||||F
OBX|226|CE|NuNICUF310^Parental feeding goals^ADM||1^Exclusive  breast milk||||||F
OBX|227|TX|NuNICUF330^Breast milk double checked by^ADM||RN||||||F
OBX|228|TX|NuNICUF340^Breastfeeding observations other^ADM||cues to feed||||||F
OBX|229|TX|NuNICUF351^Intake, Breastfeeding Amount^ADM||80.0||||||F
OBX|230|TX|NuNICUF360^Nipple shield in use^ADM||N||||||F
OBX|231|TX|NuNICUF370^Intake, Oral Amount^ADM||120.0||||||F
OBX|232|TX|NuNICUF390^Current feeding plan^ADM||Breast Feed ad lib + pureed TID||||||F
OBX|233|TX|NuNICUF440^Breast milk expression method comment^ADM||not getting much||||||F
OBX|234|TX|NuNICUF450^Donor EBM batch number^ADM||1665165451||||||F
OBX|235|TX|NuNICUFE90^Feeding contents - mom's own milk amount^ADM||20||||||F
OBX|236|TX|NuOGRETU00^Output - gastric returns^ADM||100.00||||||F
OBX|237|TX|NuONSOOT00^Oral nutrition food source other^ADM||mom's breast milk||||||F
OBX|238|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital~2^Family or friends||||||F
OBX|239|TX|NuOSTOOL00^Output - stool^ADM||100.00||||||F
OBX|240|TX|NuPEDFEE00^Diet type^ADM||Pediatric 9-12 Months (Pureed)||||||F
OBX|241|TX|NuPEDFEE10^Breakfast comments^ADM||took all pureed fooods mom breast fed after||||||F
OBX|242|TX|NuPEDFEE20^Lunch comments^ADM||food brought from home||||||F
OBX|243|TX|NuPEDFEE30^Dinner comments^ADM||nil intake at dinner||||||F
OBX|244|TX|NuPEDFEE40^Snack comments^ADM||arrowroot crackers, mom ate some too||||||F
OBX|245|TX|NuPEDFEE50^Oral intake description^ADM||water throughout day||||||F
OBX|246|TX|NuPEDFEE60^Number breastfeedings^ADM||1||||||F
OBX|247|TX|NuRDDCBR00^Dietitian discharge barriers^ADM||Dietitian discharge barriers||||||F
OBX|248|CE|NuSNAMCO01^Snack amount consumed^ADM||3^75%||||||F
OBX|249|CE|OECODESTAT^MOST Order Designation^ADM||CPR-C2^CPR - C2 FULL CODE||||||F
OBX|250|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|251|TX|OhCMPFUO00^Community program follow-up comment^ADM||community program f/u comment - UAP OT NICY March 27||||||F
OBX|252|TX|OhCMPFUO01^Community program follow-up needed for other^ADM||comm program f/u needed for other - UAP OT march 27||||||F
OBX|253|CE|OhCOMPFU00^Community program follow-up needed for^ADM||1^Transfers~2^Mobility~3^Stair management~4^Skin integrity~5^Home environment Ax~6^Long term equipment needs~7^Wheelchair seating~8^Advance physical function~9^Functional assessment~10^Cognitive assessment~11^Pain management~12^Community access~13^Life skills training~14^Caregiver education||||||F
OBX|254|CE|OhGS000100^Group B Streptococcus status^ADM||1^Negative||||||F
OBX|255|CE|OhHEPBST00^Hepatitis B status^ADM||1^Negative||||||F
OBX|256|CE|OhHHAPTF00^Home health OT or PT appointment booked for^ADM||1^Environmental assessment~2^Pre-discharge assessment~3^Post-discharge assessment||||||F
OBX|257|TX|OhHHAPTO00^Home health OT or PT appointment booked for other^ADM||HH OT/PT appt booked for other - UAP - OT Mar 27||||||F
OBX|258|TX|OhHHAPTT00^Home health OT or PT appointment booked for date and time^ADM||HH OT/PT Appt booked for date and time - UAP - OT Mar 27||||||F
OBX|259|TX|OhHSLPRE00^Herpes simplex lesions present^ADM||N||||||F
OBX|260|CE|OhIN000300^Information source^ADM||1^Patient~6^Family~15^Significant other||||||F
OBX|261|TX|OhINFSS000^Influenza signs or symptoms^ADM||N||||||F
OBX|262|TX|OhNAMORG01^Name of organization or profession consulted^ADM||Infection control||||||F
OBX|263|TX|OhPROCTO00^Patient's tolerance of procedure comment^ADM||Tolerated well||||||F
OBX|264|TX|OhPTSTUP00^Patient status update^ADM||patient status update - OT||||||F
OBX|265|CE|OhSLP00300^Reason for follow-up^ADM||1^Assessment~2^Tx with SLP~3^Diet progression~5^Reassessment~6^Tolerance check~7^Status check~9^Arrange instrumental exam~10^Patient/Family education||||||F
OBX|266|TX|OhSLP00400^Reason for follow-up other^ADM||SLP reason for F/u other UAP - NICY Mar 27||||||F
OBX|267|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F
OBX|268|TX|OtLABMED01^Medications and labs^ADM||Given by RT: Salbutamol 100 mcg puff x 2 was given for wheezing~ ~Home medtications: Rescue - Salbutamol, Atrovent. Controller -~Spiriva||||||F
OBX|269|CE|OtSLP00601^Reason for follow-up^ADM||1^Assessment~2^Tx with SLP~3^Diet progression~4^Tx with support personnel~5^Reassessment~6^Tolerance check~7^Status check~8^Group therapy||||||F
OBX|270|TX|OtSLP00700^Reason for follow-up other^ADM||Reason for F/u other - UAP SLP mar 27||||||F
OBX|271|CE|PaPARMAT00^Pain defined parameters^ADM||1^Within defined parameters||||||F
OBX|272|TX|PsMAT00000^Ministry of Children and Family Development alert^ADM||Y||||||F
OBX|273|CE|PsMAT00070^Postpartum depression risk factors identified^ADM||10^Financial stress||||||F
OBX|274|TX|RDOTCMST00^Outcome status^ADM||Unmet||||||F
OBX|275|TX|ReAACOMM00^Alternate airways comments^ADM||ED physician notified of ABG results PCO2 57 and PH 7.31||||||F
OBX|276|TX|ReABBLCI00^Arterial blood gas circulation test passed^ADM||Y||||||F
OBX|277|TX|ReAENTRY00^Air entry adequate throughout^ADM||Y||||||F
OBX|278|CE|ReARBLGA01^Reason for arterial blood gas puncture^ADM||2^Hypoxemia||||||F
OBX|279|TX|ReARBLGO00^Reason for arterial blood gas puncture other^ADM||Orders||||||F
OBX|280|TX|ReARBLPR00^Length of time pressure applied to blood gas puncture site^ADM||10||||||F
OBX|281|CE|ReARBLPS01^Arterial blood gas puncture site^ADM||5^Left radial||||||F
OBX|282|CE|ReAUAIRE01^Air entry^ADM||4^Diminished||||||F
OBX|283|CE|ReAUBTHS02^Breath sounds^ADM||2^Wheezes||||||F
OBX|284|CE|ReAULOCT00^Auscultation location^ADM||2^Right lung||||||F
OBX|285|CE|ReAULOMO00^Auscultation location modifier^ADM||2^Posterior||||||F
OBX|286|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||N||||||F
OBX|287|TX|ReBGATSU00^ABG attempt successful^ADM||Y||||||F
OBX|288|TX|ReBGSMCO00^Other blood gas sampling comments^ADM||First attempt was in right radial site||||||F
OBX|289|CE|ReBR000800^Two patient identifiers checked^ADM||1^Patient name band~2^Health record||||||F
OBX|290|CE|ReCGDESC01^Cough description^ADM||2^Congested||||||F
OBX|291|TX|ReCGPROD00^Cough productive^ADM||Y||||||F
OBX|292|CE|ReCGSTGH00^Cough strength^ADM||1^Strong||||||F
OBX|293|TX|ReCOPDCO00^COPD assessment general comments^ADM||gave bronchodilators~ Salbutamol 100 mcg puff x 2~ ~Blood gases were ordered by the Emergency Room Physician||||||F
OBX|294|TX|ReCPAPBI00^On home CPAP/BIPAP therapy^ADM||Y||||||F
OBX|295|TX|ReCPCHBI00^CPAP/BIPAP unit check by Biomed^ADM||Y||||||F
OBX|296|TX|ReDIBAOT00^Respiratory therapy discharge barriers other^ADM||TEST RT DISCHARGE BARRIERS OTHER||||||F
OBX|297|TX|ReDIFFAW01^Difficult airway^ADM||N||||||F
OBX|298|TX|ReDISTRE00^Respiratory distress comments^ADM||Entering data as an edit to the assessment.||||||F
OBX|299|TX|ReEMPHYS00^Subcutaneous emphysema^ADM||N||||||F
OBX|300|TX|ReFIND0000^Other respiratory findings^ADM||resps easy and reg on RA||||||F
OBX|301|TX|ReFRINOX01^Fraction of inspired oxygen (FiO2)^ADM||0.40||||||F
OBX|302|CE|ReHV001400^Home ventilation CPAP or BiPAP setup requirements met^ADM||2^Central apnea||||||F
OBX|303|TX|ReHV001500^Home ventilation CPAP or BiPAP setup requirements met other^ADM||PCO2 of 57 mmhg and a pH of 7.31.||||||F
OBX|304|CE|ReLTINSR01^Laryngeal tube insertion reason^ADM||3^Emergency airway||||||F
OBX|305|TX|ReMEDCON01^Controller inhalers used at home^ADM||Atrovent. Controller - Spiriva||||||F
OBX|306|TX|ReMEDHOM02^Rescue inhalers used at home^ADM|| ~Rescue - Salbutamol||||||F
OBX|307|CE|ReOAINRE01^Oral airway insertion reason^ADM||1^Obtunded||||||F
OBX|308|TX|ReOARMDT00^Oral airway removal date^ADM||20190911||||||F
OBX|309|TX|ReOARMTM00^Oral airway removal time^ADM||1002||||||F
OBX|310|CE|ReOASIZE01^Oral airway size^ADM||6^80 mm||||||F
OBX|311|CE|ReOSTAIR00^PRAM O2 saturation on room air^ADM||2^92-94% (1)||||||F
OBX|312|TX|ReOVOXRE00^Overnight oximetry required^ADM||Y||||||F
OBX|313|TX|ReOXHOFL02^Home oxygen flow rate^ADM||2||||||F
OBX|314|CE|ReOXHOUS00^Home oxygen use^ADM||1^24 hour||||||F
OBX|315|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|316|CE|RePARMAT00^Respiratory defined parameters^ADM||2^Significant findings||||||F
OBX|317|TX|RePEDAST00^Discharge criteria: PRAM score 0 - 3^ADM||Y||||||F
OBX|318|TX|RePEDAST01^Discharge criteria: SpO2 greater than 92% on room air^ADM||Y||||||F
OBX|319|TX|RePEDAST02^Discharge criteria: Expiratory wheeze only^ADM||Y||||||F
OBX|320|TX|RePEDAST03^Discharge criteria: No retractions^ADM||Y||||||F
OBX|321|TX|RePEDAST04^Discharge criteria: 1 hour from last inhaled treatment^ADM||Y||||||F
OBX|322|TX|RePEDAST05^Discharge criteria: 2hrs post Tx if initial score 4 or above^ADM||Y||||||F
OBX|323|TX|RePEDAST12^Discharge criteria met^ADM||Y||||||F
OBX|324|CE|RePHASE000^Phase^ADM||1^Inspiration~2^Expiration||||||F
OBX|325|CE|RePRAMAE01^PRAM air entry^ADM||2^Decreased at bases (1)||||||F
OBX|326|TX|RePRAMSC02^PRAM score total^ADM||7||||||F
OBX|327|CE|RePRAMSI00^PRAM suprasternal retraction^ADM||2^Present (2)||||||F
OBX|328|CE|RePRAMSR00^PRAM scalene muscle contraction^ADM||2^Present (2)||||||F
OBX|329|CE|RePRAMWH01^PRAM wheezing^ADM||2^Expiratory only (1)||||||F
OBX|330|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F
OBX|331|CE|ReREDISI00^Respiratory distress indicators^ADM||1^Accessory muscle use||||||F
OBX|332|TX|ReREDISO00^Respiratory distress indicators other^ADM||Shallow rapid breathing||||||F
OBX|333|CE|ReREDPTH00^Respiratory depth^ADM||2^Shallow||||||F
OBX|334|TX|ReREGNCM00^Respiratory general comments^ADM||physician orders a trial of BiPap~ Reason for BiPAP: COPD exacerbation~Medium mask (nose/mouth)~IPAP   12, EPAP   8, FiO2   0.40~RR- 26, HR 120, BP   145/85, SpO2 = 91%~(Oral airway removed)||||||F
OBX|335|CE|ReREPTRN01^Respiratory pattern^ADM||6^Tachypneic||||||F
OBX|336|CE|ReREPTRN02^Respiratory pattern^ADM||7^Tachypneic||||||F
OBX|337|TX|ReRESPIR00^Currently followed by a respirologist^ADM||||||||F
OBX|338|TX|ReRESYAN01^Respiratory system^ADM|| ~Resps 28  Pulse oximetry 92 on 5l nasal prongs~on home oxygen at 2 litres per min continuously||||||F
OBX|339|CE|ReRPNM0000^Respiratory pattern^ADM||2^Tachypneic||||||F
OBX|340|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|341|CE|ReSCCOLR00^Secretions colour^ADM||3^Yellow||||||F
OBX|342|CE|ReSCDESC02^Secretions description^ADM||3^Creamy||||||F
OBX|343|TX|ReSLPHSP00^History of recurrent pneumonia or COPD^ADM||Y||||||F
OBX|344|CE|ReWRKBRE00^Work of breathing^ADM||3^Moderate||||||F
OBX|345|TX|RpBR000100^Breast assessment colostrum present^ADM||Y||||||F
OBX|346|CE|RpBREAST00^Breast defined parameters^ADM||1^Within defined parameters||||||F
OBX|347|CE|RpDE000100^Delivery type^ADM||5^Caesarean elective||||||F
OBX|348|TX|RpDE000400^Delivery date^ADM||20180220||||||F
OBX|349|TX|RpDE000500^Delivery time^ADM||0620||||||F
OBX|350|CE|RpFU000301^Fundus tone^ADM||2^Firm with massage||||||F
OBX|351|TX|RpLABDEL10^Previous breastfeeding experience^ADM||N||||||F
OBX|352|CE|RpNIPST002^Breast milk expression method^ADM||3^Pumping||||||F
OBX|353|CE|RpPERAPP00^Perineum appearance^ADM||1^Intact||||||F
OBX|354|CE|RpPERCON00^Perineum condition^ADM||4^Swelling||||||F
OBX|355|CE|RpPERLAC00^Perineum laceration degree^ADM||3^3 degree||||||F
OBX|356|TX|RpPR000200^Pregnancy history gravida^ADM||1||||||F
OBX|357|TX|RpPR000300^Pregnancy history term^ADM||0||||||F
OBX|358|TX|RpPR000400^Pregnancy history preterm^ADM||0||||||F
OBX|359|TX|RpPR000500^Pregnancy history abortion^ADM||0||||||F
OBX|360|TX|SWNOTES1^SW Notes:^ADM||..||||||F
OBX|361|TX|SpCARPRC00^Car seat/positioning recommendations^ADM||Care seat positioning recommendations - UAP PT NICY||||||F
OBX|362|TX|SpCYTOME00^Receiving cytotoxic medication^ADM||N||||||F
OBX|363|CE|SpCYTOPR00^Cytotoxic precautions required^ADM||1^None||||||F
OBX|364|CE|SpIPRATI02^Isolation precautions rationale suspected/confirmed^ADM||10^Shingles~12^Bed bugs||||||F
OBX|365|TX|SpIPROTH00^Isolation precautions rationale suspected/confirmed other^ADM||other isolation||||||F
OBX|366|CE|SpIPRTYP00^Isolation precautions room type^ADM||1^Negative pressure room||||||F
OBX|367|TX|SpRADIAT00^Receiving radiation^ADM||N||||||F
OBX|368|TX|SpRADPRE00^Radiation precautions required^ADM||N||||||F
OBX|369|TX|SpRIREQU00^Reverse isolation required^ADM||N||||||F
OBX|370|CE|SpRU000100^Rubella status immunity^ADM||1^Immune||||||F
OBX|371|CE|TeEDFURQ00^Education follow up required^ADM||1^None||||||F
OBX|372|CE|TeEDLRNG00^Evaluation of learning^ADM||1^Verbal teach back||||||F
OBX|373|CE|TeEDPRVD00^Education provided to^ADM||1^Patient||||||F
OBX|374|TX|TeEDTOPC00^Topics of education^ADM||hand expersion of milk||||||F
OBX|375|TX|VsBPCFLP01^Blood pressure cuff location^ADM||||||||F
OBX|376|TX|VsBPDEUS00^Device used^ADM||||||||F
OBX|377|TX|VsBPDIAO01^Blood pressure diastolic^ADM||||||||F
OBX|378|TX|VsBPDIAO02^Blood pressure diastolic^ADM||100||||||F
OBX|379|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||58||||||F
OBX|380|TX|VsBPPOST02^Patient position^ADM||||||||F
OBX|381|TX|VsBPSYSO01^Blood pressure systolic^ADM||||||||F
OBX|382|TX|VsBPSYSO02^Blood pressure systolic^ADM||136||||||F
OBX|383|TX|VsHRADLT01^Heart rate^ADM||||||||F
OBX|384|TX|VsHRADLT02^Pulse rate^ADM||97||||||F
OBX|385|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|386|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|387|CE|VsHRMETH00^Heart rate method used^ADM||1^Palpation||||||F
OBX|388|TX|VsHRRHYM02^Pulse rhythm^ADM||||||||F
OBX|389|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||5||||||F
OBX|390|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||92||||||F
OBX|391|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F
OBX|392|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F
OBX|393|TX|VsPULSTR00^Pulse strength on palpation^ADM||||||||F
OBX|394|TX|VsRESPAD00^Respiration rate^ADM||28||||||F
OBX|395|TX|VsRESPAD03^Respiratory rate^ADM||24||||||F
OBX|396|CE|VsTPSORC01^Temperature source^ADM||1^Oral||||||F
OBX|397|TX|VsTPSORC03^Temperature source^ADM||||||||F
OBX|398|TX|VsTPTEMPO2^Temperature^ADM||||||||F
OBX|399|TX|VsVISICO00^Vital Signs comments^ADM||adding this documentation as an edit||||||F
OBX|400|TX|VsWT000101^Current Weight^ADM||75.200||||||F
OBX|401|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|402|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||75200.000||||||F
OBX|403|TX|zCWCPGOAL^Goal^ADM||uu||||||F
OBX|404|TX|zCWINTADDR^Interventions to address problem^ADM||Food||||||F
OBX|405|TX|zCWPROBDIS^Problem is a barrier to discharge^ADM||Y||||||F
OBX|406|CE|zCWSTATSGL^Status of goal^ADM||1^In progress||||||F
OBX|407|TX|zCWTARGTDT^Target date^ADM||20190511||||||F
OBX|408|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
ZFD|OEDOCP^Oedoc^Petertrain^^^^MD^50004^DOC|2222 Main Street^^Vancouver^BC^V3V 1Z1|||OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|
ZFH|LUMED||||||

MSH|^~\&|ADM|ARH|||201910091520||ADT^A05|4072313|D|2.2|||AL|NE
EVN|A05|201910091520||||201910091518
PID|1|FHATVIG0011650||AB8181|PCSTEST^MATTHEW||19481009|M||||||||||AB000555/19|
PV1|1|P|AB.ER|||||||||||||||ER|||||||||||||||||||||ARH|||||201910091518|
PV2|||SHORTNESS OF BREATH
ZFH|LUMED||||||