MSH|^~\&|ADM|ARH|||201912061230||ADT^A08|4125097|D|2.2|||AL|NE EVN|A08|201912061230|||| PID|1|FHATVIG0010145|AB00008103|AB8055|PCSTEST^ANIMAL||19890723|F|||456 DEF St.^^Sesame^BC^45|||||||AB000298/19| PV1|1|I|AB-4CHEAMA^AB4CA-4008^6|EL|||DOCT^DOC^TEST^A^^^^^^^^^XX|||MEDS||||||||IN|||||||||||||||||||||ARH|||||201907231506| PV2||W^Ward| OBX|1|ST|1010.1^WEIGHT^CPT4||76.000||||||F OBX|2|ST|1010.3^HEIGHT^CPT4||150.0||||||F OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20000723||||||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|CE|AcADL00200^Mobility aids used prior to admission^ADM||1^None||||||F OBX|9|TX|AcADLWAO00^Wash products/skin protectant used other^ADM||patient used own prodcuts from home brought by family||||||F OBX|10|TX|AcADLWAT00^Wash type performed^ADM||showered independently||||||F OBX|11|CE|AcCLTYPE00^Clothing type^ADM||2^Hospital pajamas||||||F OBX|12|CE|AcDRASST02^Dressing assistance^ADM||1^Unassisted||||||F OBX|13|CE|AcEQUPDC10^Equipment recommended for discharge^ADM||21^Cane~26^Hospital bed||||||F OBX|14|TX|AcEQUPDO01^Equipment recommended for discharge other^ADM||dentures||||||F OBX|15|CE|AcFTTYPE00^Footwear type^ADM||1^Non slip socks||||||F OBX|16|CE|AcHD000100^Hand dominance^ADM||1^Right||||||F OBX|17|CE|AcHEHT0M00^Home environment - housing type^ADM||1^House||||||F OBX|18|CE|AcHOCNPR00^Housing considerations prior to admission^ADM||1^Stairs~3^Pets at home||||||F OBX|19|TX|AcLIVOTH00^Living with others prior to admission^ADM||Y||||||F OBX|20|CE|AcMOCARE03^Mouth care assistance^ADM||1^Unassisted||||||F OBX|21|CE|AcOTSPRT01^Recommended supports for discharge^ADM||4^Meal management||||||F OBX|22|CE|AcTOASST02^Toileting assistance^ADM||1^Unassisted||||||F OBX|23|CE|AcWAASST03^Washing assistance^ADM||1^Unassisted||||||F OBX|24|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F OBX|25|TX|AdADMDAT01^Admission date^ADM||20191111||||||F OBX|26|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F OBX|27|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F OBX|28|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F OBX|29|TX|AdADMRSN00^Reason for admission^ADM||chest pain||||||F OBX|30|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F OBX|31|TX|AdADMTIM00^Admission time^ADM||0800||||||F OBX|32|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F OBX|33|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F OBX|34|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F OBX|35|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F OBX|36|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F OBX|37|TX|AdDCCOMP00^Discharge plan complete^ADM||N||||||F OBX|38|CE|AdDISCHA00^Destination^ADM||1^Home||||||F OBX|39|TX|AdDRVRES00^Aware of driving restrictions^ADM||Y||||||F OBX|40|TX|AdESTDTD00^Estimated date of discharge^ADM||20190814||||||F OBX|41|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity||||||F OBX|42|TX|AdFUAPCO04^Services and appointments arranged comments^ADM||appointments||||||F OBX|43|TX|AdGOALCP00^Goal^ADM||walk with stable gait for more than 100 m||||||F OBX|44|CE|AdGOALST00^Goal status^ADM||1^In progress||||||F OBX|45|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||N||||||F OBX|46|TX|AdHXCOND00^History of presenting condition^ADM||injured while playing basketball||||||F OBX|47|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F OBX|48|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F OBX|49|TX|AdINPSNT00^Inpatient referral(s) sent to other^ADM||clinic||||||F OBX|50|CE|AdINPTRF00^Inpatient referral(s) sent to^ADM||6^Psychiatric liaison nurse~17^Pharmacist~18^Social worker~20^Physiotherapist||||||F OBX|51|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F OBX|52|TX|AdINVANR00^1. Intervention to address problem^ADM||PT referral||||||F OBX|53|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F OBX|54|TX|AdMRPNAM00^MRP or physician name^ADM||||||||F OBX|55|TX|AdNAMEBN00^Name band on^ADM||Y||||||F OBX|56|CE|AdNICOT000^History of nicotine use^ADM||2^Current use||||||F OBX|57|CE|AdNICOT010^Type of nicotine use^ADM||1^Cigarettes||||||F OBX|58|TX|AdNICOT030^Number of cigarettes smoked per day^ADM||10||||||F OBX|59|TX|AdNICOT040^Number of years smoking^ADM||10||||||F OBX|60|TX|AdNICOT050^Cigarette pack years amount^ADM||5.00||||||F OBX|61|CE|AdNICOT090^Nicotine cessation interventions^ADM||2^NRT offered||||||F OBX|62|CE|AdNICOT110^Willingness to quit^ADM||4^No plan next 6 months||||||F OBX|63|TX|AdNICOT120^Patient informed smoking/vaping not allowed on FH property^ADM||Y||||||F OBX|64|TX|AdNICUA141^Other PIV comments^ADM||iv dc'd with cannula intact||||||F OBX|65|TX|AdOTCPDB00^Discharge barriers identified by occupational therapist^ADM||unable to secure local denturist||||||F OBX|66|TX|AdOTCPDE00^Problem details^ADM||no teeth||||||F OBX|67|TX|AdOTCPED00^Equipment in place for discharge^ADM||N||||||F OBX|68|TX|AdOTCPGD00^Goal target date^ADM||20190829||||||F OBX|69|TX|AdOTCPGO00^Goal^ADM||fit for dentures||||||F OBX|70|CE|AdOTCPGS00^Goal status^ADM||1^In progress||||||F OBX|71|CE|AdOTCPID01^Problem identified^ADM||27^Reduced oral intake||||||F OBX|72|TX|AdOTCPIN00^1. Intervention to address problem^ADM||find denturist||||||F OBX|73|TX|AdOTCPIN01^2. Intervention to address problem^ADM||contact denturist and make appointment||||||F OBX|74|TX|AdOTCPIN02^3. Intervention to address problem^ADM||figure out how to fund dentures||||||F OBX|75|CE|AdOTPREF01^Outpatient/Community referral(s) sent to^ADM||1^Acquired brain injury~18^Geriatrician~26^Hospice||||||F OBX|76|TX|AdOTPSNT00^Outpatient/Community referral(s) sent to other^ADM||other things||||||F OBX|77|TX|AdPROBDC00^Problem is a barrier to discharge^ADM||Y||||||F OBX|78|TX|AdPROBDS00^Problem detail^ADM||behaviour||||||F OBX|79|CE|AdPROBID20^Problem identified^ADM||11^Behaviour||||||F OBX|80|CE|AdPTA00300^Equipment used prior to admission^ADM||1^None||||||F OBX|81|CE|AdPTA01500^Ambulation assistance required prior to admission^ADM||1^None||||||F OBX|82|CE|AdPTA04900^Financial mgmt assist required prior to admission^ADM||1^None||||||F OBX|83|CE|AdPTA05600^Diet type prior to admission^ADM||1^General||||||F OBX|84|TX|AdPTA05800^History of bowel incontinence^ADM||N||||||F OBX|85|TX|AdPTA05900^History of urinary incontinence^ADM||Y||||||F OBX|86|CE|AdPTA08800^Community supports utilized prior to admission^ADM||1^None||||||F OBX|87|TX|AdPTA12900^Recent falls prior to admission^ADM||N||||||F OBX|88|TX|AdPTFAMY00^Patient/Family goals for discharge^ADM||make her make decisions||||||F OBX|89|CE|AdREPREF00^Report received^ADM||3^By fax||||||F OBX|90|TX|AdREPRFR01^Report received from^ADM||Blue Cloud RN||||||F OBX|91|TX|AdRHD00000^Transportation services referral completed^ADM||N||||||F OBX|92|TX|AdSITUOT00^Lines/Tubes in situ other^ADM||PIV to R hand - NS running @ 100cc/hr||||||F OBX|93|TX|AdSLATEX01^Suspected latex allergy^ADM||N||||||F OBX|94|TX|AdSTRECO01^Reason EDD changed other^ADM||things||||||F OBX|95|TX|AdSWCPDB00^Discharge barriers identified by social worker^ADM||indecisiveness||||||F OBX|96|TX|AdSWCPDE00^Problem detail^ADM||INDECISIVE||||||F OBX|97|TX|AdSWCPGD00^Goal target date^ADM||20190814||||||F OBX|98|TX|AdSWCPGO00^Goal^ADM||to be decisive||||||F OBX|99|CE|AdSWCPGS00^Goal status^ADM||1^In progress||||||F OBX|100|CE|AdSWCPID00^Problem identified^ADM||1^Accessing services||||||F OBX|101|TX|AdSWCPIN00^1. Intervention to address problem^ADM||test||||||F OBX|102|TX|AdSWCPIN01^2. Intervention to address problem^ADM||testing||||||F OBX|103|TX|AdSWCPIN02^3. Intervention to address problem^ADM||tester||||||F OBX|104|TX|AdSWCPIN04^5. Intervention to address problem^ADM||stuff||||||F OBX|105|CE|Ca00000000^Pre-existing pain concerns^ADM||1^No concerns identified||||||F OBX|106|CE|Ca00000001^Pre-existing medication concerns^ADM||2^Concerns identified||||||F OBX|107|CE|Ca00000002^Pre-existing nutrition/hydration concerns^ADM||1^No concerns identified||||||F OBX|108|CE|Ca00000003^Pre-existing bowel/bladder concerns^ADM||2^Concerns identified||||||F OBX|109|CE|Ca00000004^Pre-existing cognitive concerns^ADM||2^Concerns identified||||||F OBX|110|CE|Ca00000005^Pre-existing mobility concerns^ADM||1^No concerns identified||||||F OBX|111|TX|Ca00000006^Pre-existing concerns comments^ADM||- takes multiple supplements~- stress incontinence~- limited attention and concentration span||||||F OBX|112|CE|Ca00000100^Right radial pulse^ADM||4^+2||||||F OBX|113|CE|Ca00000400^Left radial pulse^ADM||4^+2||||||F OBX|114|CE|Ca00000700^Right dorsalis pedis pulse^ADM||3^+1||||||F OBX|115|CE|Ca00000800^Right post tibial pulse^ADM||4^+2||||||F OBX|116|CE|Ca00000900^Right popliteal pulse^ADM||3^+1||||||F OBX|117|CE|Ca00001000^Left dorsalis pedis pulse^ADM||3^+1||||||F OBX|118|CE|Ca00001100^Left post tibial pulse^ADM||3^+1||||||F OBX|119|CE|Ca00001200^Left popliteal pulse^ADM||4^+2||||||F OBX|120|CE|Ca00001300^Right femoral pulse^ADM||4^+2||||||F OBX|121|CE|Ca00001400^Left femoral pulse^ADM||4^+2||||||F OBX|122|TX|CaBTV00100^Blood intake^ADM||0.00||||||F OBX|123|TX|CaCA000352^Electrocardiogram rhythm^ADM||SVT||||||F OBX|124|TX|CaCA000400^Cardiac rhythm RR segment^ADM||333||||||F OBX|125|CE|CaCAARIN00^Investigations done^ADM||1^Blood work~2^12 lead ECG||||||F OBX|126|CE|CaCAARIT00^Cardiac interventions^ADM||3^Cardioversion||||||F OBX|127|TX|CaCADIND01^Cardiac device insertion date^ADM||20190830||||||F OBX|128|CE|CaCADTYP01^Cardiac device type^ADM||3^ICED||||||F OBX|129|TX|CaCAMODA00^Date cardiac monitoring initiated^ADM||20191003||||||F OBX|130|CE|CaCAMOLE00^Cardiac monitoring lead placement^ADM||1^EASI||||||F OBX|131|CE|CaCAMOQT00^Continuous cardiac QT monitoring turned on^ADM||3^Not applicable||||||F OBX|132|TX|CaCAMOST00^Continuous cardiac ST monitoring turned on^ADM||N||||||F OBX|133|TX|CaCAMOTI00^Time cardiac monitoring initiated^ADM||0530||||||F OBX|134|CE|CaCAMOTY00^Cardiac monitoring type^ADM||1^Bedside monitor||||||F OBX|135|CE|CaCAPEPA01^Pacemaker mode^ADM||2^VVI||||||F OBX|136|TX|CaCASHDA01^Cardiac shock event date^ADM||20191014||||||F OBX|137|TX|CaCASHTD00^Cardiac shock event time^ADM||1400||||||F OBX|138|TX|CaCDDDAT01^Cardiac device deactivation date^ADM||20191114||||||F OBX|139|CE|CaCDDMTD01^Cardiac device deactivation method^ADM||1^Magnet||||||F OBX|140|CE|CaCDDREA01^Cardiac device deactivation reason^ADM||1^Disable shocks||||||F OBX|141|TX|CaCDDTIM01^Cardiac device deactivation time^ADM||1500||||||F OBX|142|CE|CaCRFOLE01^Capillary refill left foot^ADM||2^3 seconds or longer||||||F OBX|143|CE|CaCRFORI01^Capillary refill right foot^ADM||2^3 seconds or longer||||||F OBX|144|CE|CaCRHALE00^Capillary refill left hand^ADM||1^Less than 3 seconds||||||F OBX|145|CE|CaCRHARI00^Capillary refill right hand^ADM||1^Less than 3 seconds||||||F OBX|146|CE|CaCV000200^Initial shock pad placement^ADM||2^Anterior posterior||||||F OBX|147|CE|CaCV000301^Initial shock indication^ADM||3^SVT||||||F OBX|148|TX|CaCV000400^Initial shock time performed^ADM||0600||||||F OBX|149|TX|CaCV000500^Initial shock joules used^ADM||150||||||F OBX|150|TX|CaCV000600^Initial shock successful^ADM||Y||||||F OBX|151|TX|CaCV000700^Rhythm post initial shock^ADM||NSR||||||F OBX|152|TX|CaCV002600^Cardioversion comments^ADM||- given propofol 80mg iv @ 0550 and fentanyl 50mcg iv @ 0553 by writer (RN)~- writer (RN), dr. erp, and RT @ bedside during cardioversion~- pt tolerated procedure well||||||F OBX|153|CE|CaCYANOS00^Cyanosis^ADM||3^Peripheral||||||F OBX|154|TX|CaDRSPRT00^Dressing present^ADM||Y||||||F OBX|155|CE|CaEDEMA000^Edema^ADM||1^Not present||||||F OBX|156|CE|CaHS000200^Heart sounds quality^ADM||1^Normal||||||F OBX|157|TX|CaHS000300^Heart sounds murmur^ADM||N||||||F OBX|158|TX|CaHS000500^Heart sounds rub^ADM||N||||||F OBX|159|TX|CaHS000600^Heart sounds mechanical valve click^ADM||N||||||F OBX|160|CE|CaHS000700^Heart sounds audible^ADM||1^S1~3^S2||||||F OBX|161|TX|CaLPRECP00^Loop recorder present^ADM||N||||||F OBX|162|TX|CaOVRDPD01^Override pacing date^ADM||20190928||||||F OBX|163|TX|CaOVRDPT01^Override pacing time^ADM||1348||||||F OBX|164|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||1^Within defined parameters||||||F OBX|165|TX|CaPLDATE00^PIV Insertion date^ADM||20190922||||||F OBX|166|TX|CaPLNEED00^Peripheral line daily assessment ongoing need reviewed^ADM||Y||||||F OBX|167|TX|CaTRLESR01^Pacemaker set rate^ADM||50||||||F OBX|168|TX|CaTRPACA04^Pacemaker capturing appropriately^ADM||Y||||||F OBX|169|TX|CaTRPASA04^Pacemaker sensing appropriately^ADM||Y||||||F OBX|170|TX|CaVTCOAG00^VTE prevention anticoagulant ordered^ADM||N||||||F OBX|171|CE|CaVTCOMP02^VTE prevention sequential compression device in use^ADM||1^None||||||F OBX|172|CE|CaVTSTOC01^VTE prevention antiembolic stockings in use^ADM||1^None||||||F OBX|173|TX|CmMRPCDA01^MRP or physician communication date^ADM||||||||F OBX|174|TX|CmMRPCDE01^MRP or physician contact details^ADM||||||||F OBX|175|TX|CmMRPCME01^MRP or physician communication method^ADM||||||||F OBX|176|TX|CmMRPCRE01^MRP or physician communication reason^ADM||||||||F OBX|177|TX|CmMRPCTI01^MRP or physician communication time^ADM||||||||F OBX|178|CE|CmPHOBV000^Phonation observations via^ADM||2^Verbal cues~4^Phrases and sentences~10^Picture description~11^Spontaneous production~13^Words||||||F OBX|179|TX|CmPHOBVO00^Phonation observations via other^ADM||test||||||F OBX|180|TX|CmSL005101^Reading comprehension task comment^ADM||things||||||F OBX|181|TX|CmSL005200^Visual deficits suspected^ADM||Y||||||F OBX|182|TX|CmSL005300^Visual deficits impacting performance^ADM||N||||||F OBX|183|TX|CmSL005400^Visual deficits comment^ADM||tester||||||F OBX|184|TX|CmVEEXCO00^Verbal expression task comments^ADM||words||||||F OBX|185|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||1^Within defined parameters||||||F OBX|186|TX|GuBDINCO00^Bladder incontinence^ADM||Y||||||F OBX|187|CE|GuBDPAT001^Bladder pattern^ADM||1^Normal||||||F OBX|188|CE|GuBDUIT000^Urinary incontinence type^ADM||1^Total||||||F OBX|189|CE|GuBDVM0002^Voiding method^ADM||1^Toilet||||||F OBX|190|CE|GuPARAMR00^Genitourinary defined parameters^ADM||1^Within defined parameters||||||F OBX|191|CE|GuURCOL002^Urine colour^ADM||9^Colourless||||||F OBX|192|CE|GuUROD0000^Urine odour^ADM||1^None||||||F OBX|193|CE|HeAXPAR001^Assessment participation^ADM||2^Unable to remain alert~3^Distracted~4^Fatigued easily||||||F OBX|194|TX|HeAXPARC01^Assessment participation comments^ADM||paper||||||F OBX|195|TX|HeAXPARO01^Assessment participation other^ADM||noise||||||F OBX|196|CE|HeSW000100^Swallowing concerns identified with solids^ADM||1^No obvious concerns||||||F OBX|197|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||1^No obvious concerns||||||F OBX|198|CE|HeSW000500^Swallowing concerns identified with oral medications^ADM||1^No obvious concerns||||||F OBX|199|CE|HeSW001800^Swallowing concerns intervention^ADM||1^Completed SST||||||F OBX|200|TX|HeTYAXME00^Standardized assessment tool used^ADM||testing||||||F OBX|201|TX|Hx486PRO00^Pre-admission screening questionnaire provided^ADM||Y||||||F OBX|202|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||N||||||F OBX|203|TX|HxSPTCHX01^Pertinent clinical history^ADM||normally healthy||||||F OBX|204|TX|InINDRES00^Dressing dry and intact^ADM||Y||||||F OBX|205|CE|InISGR0000^infiltration Scale Grade^ADM||1^0||||||F OBX|206|CE|InPARAMR00^Integumentary defined parameters^ADM||1^Within defined parameters||||||F OBX|207|CE|InPESIDE00^Peripheral line site description^ADM||1^Satisfactory||||||F OBX|208|CE|InSKIAPP01^Skin appearance^ADM||1^Normal||||||F OBX|209|CE|InSKIMOI02^Skin moisture^ADM||2^Clammy||||||F OBX|210|CE|InSKITEM00^Skin temperature^ADM||2^Warm||||||F OBX|211|TX|IoNICUIN20^Location^ADM||R hand||||||F OBX|212|TX|IoNICUIN30^Intake, IV Amount^ADM||400.00||||||F OBX|213|TX|IoNICUIN50^Intake, Free Water Amount^ADM||250.00||||||F OBX|214|CE|IoSOLUMA00^Solution^ADM||1^NS||||||F OBX|215|CE|IoSOLUMA02^Solution^ADM||1^NS||||||F OBX|216|TX|IvCAPCIV00^PIV cap change next due^ADM||20191005||||||F OBX|217|CE|IvFLUSHS01^Flush solution^ADM||1^Normal saline||||||F OBX|218|CE|IvFLUSHV00^Flush volume^ADM||1^3 mL||||||F OBX|219|TX|IvINSERT00^Insertion details^ADM||successful on first attempt, tolerated well||||||F OBX|220|CE|IvINVTYP01^Line type^ADM||1^PIV||||||F OBX|221|CE|IvLINECA02^Saline lock care^ADM||1^Flush~3^Patency check||||||F OBX|222|CE|IvLOCATM01^Location Modifier^ADM||5^Left||||||F OBX|223|TX|IvNXTDRS00^Next dressing change due^ADM||20191004||||||F OBX|224|CE|IvPIVLOC00^Location^ADM||6^Foot PIV||||||F OBX|225|TX|IvPIVNIC00^PIV insertion time^ADM||1000||||||F OBX|226|CE|IvPL000700^Initial management^ADM||2^Saline lock||||||F OBX|227|CE|IvPS000100^Phlebitis scale grade^ADM||1^0||||||F OBX|228|TX|IvRATE0000^Rate^ADM||100.00||||||F OBX|229|TX|IvREMOTI00^Removal time^ADM||1630||||||F OBX|230|TX|IvREMOVD00^Removal date^ADM||20190925||||||F OBX|231|CE|IvREMOVE00^Removal reason^ADM||3^Infiltrated||||||F OBX|232|TX|IvSIZE0000^Size^ADM||24||||||F OBX|233|TX|IvTUBCHA00^Next tubing change due^ADM||20191005||||||F OBX|234|CE|MhADVFIS01^Vocational/financial status^ADM||7^Social services||||||F OBX|235|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F OBX|236|TX|MhRIGHT004^Details of visit^ADM||sister by bedside offering to bring patient s favourite food||||||F OBX|237|CE|Mo00000500^Ambulation support provided^ADM||1^None||||||F OBX|238|CE|Mo00000501^Ambulation support provided^ADM||1^None||||||F OBX|239|CE|MoAIDAMB00^Ambulation aid^ADM||1^No aid used||||||F OBX|240|CE|MoAIDAMB01^Ambulation aid^ADM||2^No aid used||||||F OBX|241|CE|MoAIDTRA00^Transfer aid^ADM||1^No aid used||||||F OBX|242|CE|MoAMBLOC00^Ambulation location^ADM||1^Within room||||||F OBX|243|TX|MoAMCMTS00^Ambulation comment^ADM||ambulating well independently||||||F OBX|244|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||1^Unassisted||||||F OBX|245|TX|MoCHTIME04^Duration of time up in chair^ADM||120||||||F OBX|246|CE|MoEQUTRA00^Transfer equipment^ADM||1^No equipment used||||||F OBX|247|TX|MoEXERBC00^Bed exercises completed^ADM||N||||||F OBX|248|CE|MoFA000001^Fall prevention strategies^ADM||1^Universal||||||F OBX|249|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F OBX|250|CE|MoTRSUP001^Transfer support provided^ADM||1^None||||||F OBX|251|CE|MsEM000600^Transportation mode post discharge^ADM||1^Family||||||F OBX|252|TX|MsEM000700^Transportation mode post discharge other^ADM||go kart||||||F OBX|253|TX|MsEM000801^Supports in place to assist upon discharge^ADM||N||||||F OBX|254|TX|MsHK001100^Home set-up requirements reviewed^ADM||N||||||F OBX|255|CE|NeCATLOC03^5. Altered level of consciousness^ADM||3^Lethargic||||||F OBX|256|CE|NeCDIFFA02^3. Inattention^ADM||1^Yes||||||F OBX|257|TX|NeCDIORE01^CAM result^ADM||Delirium Suspected||||||F OBX|258|CE|NeCEACMS02^1. Acute onset^ADM||2^No||||||F OBX|259|CE|NeCFBDPD02^2. Fluctuating course^ADM||1^Yes||||||F OBX|260|CE|NeCSPDSI02^4. Disorganized thinking^ADM||1^Yes||||||F OBX|261|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||1^Within defined parameters||||||F OBX|262|CE|NePOSC0000^POSS score^ADM||1^1 - Awake and alert||||||F OBX|263|TX|NeRFGAGR00^Gag reflex^ADM||||||||F OBX|264|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||Y||||||F OBX|265|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||Y||||||F OBX|266|CE|Nu00015500^Patient's position during breakfast^ADM||1^High fowlers||||||F OBX|267|CE|Nu00015600^Patient's position during lunch^ADM||2^Edge of bed||||||F OBX|268|CE|Nu00015700^Patient's position during dinner^ADM||3^Bedside chair||||||F OBX|269|CE|NuBRAMCO02^Breakfast amount consumed^ADM||05^100%||||||F OBX|270|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||1^Yes||||||F OBX|271|CE|NuDIAMCO02^Dinner amount consumed^ADM||05^100%||||||F OBX|272|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F OBX|273|TX|NuIPBAAC00^Intake - parenteral nutrition amino acids^ADM||0.00||||||F OBX|274|TX|NuIPNLIP00^Intake - parenteral nutrition lipids^ADM||0.00||||||F OBX|275|CE|NuLUAMCO02^Lunch amount consumed^ADM||05^100%||||||F OBX|276|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||0.0||||||F OBX|277|TX|NuNICUF370^Intake, Oral Amount^ADM||1000.0||||||F OBX|278|TX|NuNICUFE70^Reason oral feeding held^ADM||for surgery||||||F OBX|279|TX|NuNM000100^Nothing by mouth^ADM||Y||||||F OBX|280|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital~2^Family or friends||||||F OBX|281|TX|NuOURINE00^Output - urine^ADM||350.00||||||F OBX|282|CE|NuSNAMCO02^Snack amount consumed^ADM||05^100%||||||F OBX|283|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F OBX|284|TX|OhCLUPDA00^Clinical update provided to^ADM||friend||||||F OBX|285|TX|OhEDIT0000^Reason for edit^ADM||error in initially documented urine output, corrected to 100 mL||||||F OBX|286|CE|OhIN000300^Information source^ADM||1^Patient~2^Health record review~9^Nurse||||||F OBX|287|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F OBX|288|TX|OhOTSMRT00^OT SMART goals^ADM||find denturist, make appointment, arrange transportation, figure out~funding, have full set of dentures in place by Aug 29/19.||||||F OBX|289|TX|OhTSPBAX00^Transportation booked for home assessment^ADM||N||||||F OBX|290|TX|PaEPVOLM00^Epidural volume administered in 12 hours^ADM||0.00||||||F OBX|291|CE|PaFREQ0000^Pain frequency^ADM||2^With movement||||||F OBX|292|CE|PaLOCBDS02^Location^ADM||27^Foot||||||F OBX|293|CE|PaPAIASS00^Pain assessment^ADM||2^Pain reported||||||F OBX|294|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F OBX|295|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||1^Calm~5^Decreased activity||||||F OBX|296|CE|PaPAQUAL01^Pain quality^ADM||4^Ache||||||F OBX|297|TX|PaPARADI00^Pain radiating^ADM||N||||||F OBX|298|CE|PaPARAMR00^Pain defined parameters^ADM||2^Significant findings||||||F OBX|299|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F OBX|300|TX|PaPASCRE01^Pain score^ADM||5.00||||||F OBX|301|TX|PaPATIME00^Time of pain onset^ADM||0900||||||F OBX|302|TX|PaPATMDE00^Pain timing details^ADM||intermittent, when putting pressure on R foot||||||F OBX|303|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F OBX|304|CE|PaPNMGTT00^Pain management techniques^ADM||2^Ice pack~5^Positioning~9^Rest||||||F OBX|305|CE|PhHEMOIN01^Hemodynamic infusion^ADM||4^Dopamine||||||F OBX|306|CE|PhINFDOS00^Hemodynamic infusion dosage units^ADM||3^mg/kg/min||||||F OBX|307|TX|PsACCOMM01^Auditory comprehension comments^ADM||vocabulary||||||F OBX|308|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||Y||||||F OBX|309|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||Y||||||F OBX|310|TX|PsCAGEA303^Ever felt bad or guilty about your drinking or drug use^ADM||Y||||||F OBX|311|TX|PsCAGEA403^Ever had a drink or used drugs first thing in the morning^ADM||Y||||||F OBX|312|TX|PsCAGET004^CAGE-AID total^ADM||4||||||F OBX|313|TX|PsCLB00000^Communication language barrier^ADM||N||||||F OBX|314|TX|PsCLIFAM01^Clinical update provided^ADM||Y||||||F OBX|315|CE|PsFIMS0002^Marital status^ADM||4^Separated||||||F OBX|316|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||1^Within defined parameters||||||F OBX|317|TX|PsRCCOCO01^Cognitive communication comments^ADM||sound||||||F OBX|318|CE|PsSU000002^Substance use^ADM||1^None||||||F OBX|319|TX|PsSWSTDC00^Dependents comments^ADM||one daughter and one son||||||F OBX|320|TX|PsWECOMM00^Written expression comment^ADM||stuff||||||F OBX|321|CE|PsWEHUDA00^Hand use during assessment^ADM||2^Left||||||F OBX|322|CE|PsWELDHA01^Legibility dominant hand^ADM||1^Good||||||F OBX|323|CE|PsWELNDH01^Legibility nondominant hand^ADM||1^Good||||||F OBX|324|CE|ReARBLPS01^Arterial blood gas puncture site^ADM||1^Right radial||||||F OBX|325|TX|ReAVDASC02^SBT screening performed^ADM||Y||||||F OBX|326|CE|ReAVNTCR02^SBT screen fail reasons^ADM||1^No reversal initial cause||||||F OBX|327|TX|ReBGATSU00^ABG attempt successful^ADM||Y||||||F OBX|328|TX|ReCGREFL00^Cough reflex^ADM||||||||F OBX|329|TX|ReETTBPO05^ETT current position^ADM||10.0||||||F OBX|330|TX|ReEXCULP00^Extubation cuff leak present^ADM||||||||F OBX|331|TX|ReEXTRE000^Reason for extubation^ADM||||||||F OBX|332|TX|ReIN000102^ETT confirmed position^ADM||10.0||||||F OBX|333|TX|ReNACARE03^Primary reason for initiating heated high flow^ADM||||||||F OBX|334|TX|ReOXYTHE04^Oxygen therapy delivery method^ADM||||||||F OBX|335|CE|RePARAMR00^Respiratory defined parameters^ADM||1^Within defined parameters||||||F OBX|336|TX|ReVE000211^Adult ventilation ventilator type^ADM||test||||||F OBX|337|CE|ReVE000302^Ventilator mode^ADM||1^AC volume||||||F OBX|338|TX|ReVE000602^Ventilator change due date^ADM||18 Dec 2019||||||F OBX|339|TX|ReVE002001^Adult ventilation pressure control level^ADM||30||||||F OBX|340|TX|ReVE003500^Adult ventilation water bag check^ADM||||||||F OBX|341|TX|ReVE003700^Adult ventilation evac patency and vacuum pressure checked^ADM||Y||||||F OBX|342|TX|ReVE007000^Adult ventilation spontaneous breathing trial criteria met^ADM||Y||||||F OBX|343|TX|ReVENINI00^Date ventilation initiated^ADM||20191118||||||F OBX|344|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F OBX|345|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F OBX|346|TX|SpCYTOME00^Receiving cytotoxic medication^ADM||N||||||F OBX|347|CE|SpCYTOPR00^Cytotoxic precautions required^ADM||1^None||||||F OBX|348|CE|SpIPRTYP00^Isolation precautions room type^ADM||3^Shared occupancy room||||||F OBX|349|TX|SpRADIAT00^Receiving radiation^ADM||N||||||F OBX|350|TX|SpRADPRE00^Radiation precautions required^ADM||N||||||F OBX|351|TX|SpRIREQU00^Reverse isolation required^ADM||N||||||F OBX|352|TX|SpSLEAID00^Sleep aid PRN given^ADM||N||||||F OBX|353|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F OBX|354|CE|TeVENDIN00^Mobility equipment - vendor information given to^ADM||1^Patient||||||F OBX|355|CE|VsBPCFLP01^Blood pressure cuff location^ADM||4^Left arm||||||F OBX|356|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F OBX|357|TX|VsBPDIAO01^Blood pressure diastolic^ADM||80||||||F OBX|358|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||65||||||F OBX|359|CE|VsBPPOST02^Patient position^ADM||3^Sitting||||||F OBX|360|TX|VsBPSYSO01^Blood pressure systolic^ADM||150||||||F OBX|361|CE|VsGENDER00^Gender^ADM||1^Male||||||F OBX|362|TX|VsHRADEL00^Electrical heart rate^ADM||180||||||F OBX|363|TX|VsHRADLT01^Heart rate^ADM||70||||||F OBX|364|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F OBX|365|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F OBX|366|CE|VsHRMETH00^Heart rate method used^ADM||4^Monitor||||||F OBX|367|CE|VsHRRHYM02^Pulse rhythm^ADM||1^Regular||||||F OBX|368|TX|VsHTCM0100^Current height^ADM||150.0||||||F OBX|369|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||0||||||F OBX|370|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||96||||||F OBX|371|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F OBX|372|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F OBX|373|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F OBX|374|TX|VsRESPAD03^Respiratory rate^ADM||16||||||F OBX|375|CE|VsTPSORC03^Temperature source^ADM||2^Oral||||||F OBX|376|TX|VsTPTEMPO2^Temperature^ADM||39.0||||||F OBX|377|TX|VsWT000101^Current Weight^ADM||76.000||||||F OBX|378|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F OBX|379|TX|VsWT004100^Predicted weight^ADM||47.70||||||F OBX|380|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||76000.000||||||F OBX|381|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F AL1|1|DA|F006003585^ramipril|||20191125 AL1|2|FA|F006009637^strawberry|MI||20191125 ZFD|DOCT^DOC^TEST^A^^^^0006^DOC|10 NOW STREET^^ABBOTSFORD^BC^V4H 5N6|||DOCT^DOC^TEST^A^^^^0006^DOC|DOCT^DOC^TEST^A^^^^0006^DOC| ZFH|LUMED||||||