MSH|^~\&|ADM|ARH|||201911130920||ADT^A08|4104300|D|2.2|||AL|NE
EVN|A08|201911130920||||
PID|1|FHATVIG0010763|AB00008224|AB8112|PCSTEST^IPOC4||19430826|F|||1111111^^ABBOTSFORD^BC^V1W 3E4|||||||AB000456/19|
PV1|1|I|AB-2BAKER^AB2B-FLO^G|EL|||.HOSPITAL^Hospitalist^.^^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201908261545|
PV2||W^Ward|FAILURE TO THRIVE
OBX|1|ST|1010.1^WEIGHT^CPT4||85.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||185.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20181030||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^or Bangladesh in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 6 months?^ADM||N^NO||||||F
OBX|8|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F
OBX|9|TX|AdAC000100^Accompanied by other^ADM||Porter||||||F
OBX|10|TX|AdADMDAT01^Admission date^ADM||20191113||||||F
OBX|11|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|12|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F
OBX|13|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F
OBX|14|TX|AdADMRSN00^Reason for admission^ADM||Small bowel obstruction||||||F
OBX|15|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F
OBX|16|TX|AdADMTIM00^Admission time^ADM||2200||||||F
OBX|17|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|18|CE|AdARRMOD00^Mode of arrival^ADM||2^Wheelchair||||||F
OBX|19|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F
OBX|20|TX|AdHXCOND00^History of presenting condition^ADM||Presented in ER with nausea, vomiting and required an NG tube for~decompression||||||F
OBX|21|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F
OBX|22|CE|AdLITUBE01^Lines/Tubes in situ^ADM||2^NG/OG~4^PIV||||||F
OBX|23|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|24|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|25|TX|AdPLACEC00^Lines/Tubes placement confirmed with physician^ADM||Y||||||F
OBX|26|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F
OBX|27|CE|AdREPREF00^Report received^ADM||3^By fax||||||F
OBX|28|TX|AdREPRFR01^Report received from^ADM||lfdj;lsa||||||F
OBX|29|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F
OBX|30|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||1^Within defined parameters||||||F
OBX|31|CE|CmCPROCM00^Care provider communication method^ADM||3^In rounds||||||F
OBX|32|CE|CmCPRODE00^Care provider contact details^ADM||3^Message left||||||F
OBX|33|TX|CmCPROVD00^Care provider communication date^ADM||20190829||||||F
OBX|34|TX|CmCPROVN00^Care provider name and designation^ADM||me||||||F
OBX|35|TX|CmCPROVT00^Care provider communication time^ADM||1437||||||F
OBX|36|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||1^Within defined parameters||||||F
OBX|37|CE|GuPARAMR00^Genitourinary defined parameters^ADM||1^Within defined parameters||||||F
OBX|38|TX|HxSPTCHX01^Pertinent clinical history^ADM||Hypertension, Diabetes type 2 and Atrial Fibrillation||||||F
OBX|39|CE|InPARAMR00^Integumentary defined parameters^ADM||1^Within defined parameters||||||F
OBX|40|CE|MhAFFECT01^Affect^ADM||2^Flat||||||F
OBX|41|CE|MhBHCFAC01^Behaviour contributing factors^ADM||01^Sleep deprivation~09^Inadequate hydration||||||F
OBX|42|CE|MhMSEATT01^Attitude^ADM||4^Suspicious||||||F
OBX|43|TX|MhPATBE001^Behaviour observed^ADM||aggressive||||||F
OBX|44|CE|MhPED00100^Behaviour^ADM||8^Restless||||||F
OBX|45|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|46|CE|NeLECONS00^Level of consciousness^ADM||2^Drowsy||||||F
OBX|47|CE|NeORIENT01^Oriented to^ADM||2^Person||||||F
OBX|48|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||1^Within defined parameters||||||F
OBX|49|CE|OhIN000300^Information source^ADM||15^Significant other||||||F
OBX|50|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F
OBX|51|CE|PaFREQ0000^Pain frequency^ADM||3^Constant||||||F
OBX|52|CE|PaLOCBDS02^Location^ADM||13^Abdomen||||||F
OBX|53|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|54|CE|PaPAQUAL01^Pain quality^ADM||1^Sharp~5^Burning||||||F
OBX|55|CE|PaPARAMR00^Pain defined parameters^ADM||1^Within defined parameters||||||F
OBX|56|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|57|TX|PaPASCRE01^Pain score^ADM||6.00||||||F
OBX|58|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|59|TX|PsCLB00000^Communication language barrier^ADM||N||||||F
OBX|60|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||1^Within defined parameters||||||F
OBX|61|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|62|CE|RePARAMR00^Respiratory defined parameters^ADM||2^Significant findings||||||F
OBX|63|CE|SpLRRAOL00^Location behaviour occurred^ADM||2^Bedside||||||F
OBX|64|TX|VsHTCM0100^Current height^ADM||185.0||||||F
OBX|65|TX|VsWT000101^Current Weight^ADM||85.000||||||F
OBX|66|CE|VsWT000700^Weight measurement method^ADM||2^Bed scale||||||F
OBX|67|CE|VsWT004900^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|68|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||85000.000||||||F
GT1|1||PCSTEST^IPOC4||1111111^^ABBOTSFORD^BC^V1W 3E4||||||SP
ZFD|.HOSPITAL^Hospitalist^.^^^^^^HOS||||.HOSPITAL^Hospitalist^.^^^^^^HOS|.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||