MSH|^~\&|ADM|ARH|||202001201254||ADT^A08|4149582|D|2.2|||AL|NE
EVN|A08|202001201254||||
PID|1|FHATVIG0004622|AB00007479|AB7518|PCSTEST^ROSE||19980723|F|||11111^^SURREY^BC^V7X 1O9|||||||AB000387/18|
PV1|1|I|AB-3BAKER^AB3B-B3133^1|EL|||BARCLAYN^Barclay^Neil^G^^^^^^^^^XX|||SURG||||||||IN|||||||||||||||||||||ARH|||||201807230950|
PV2||P^Private - Non-Solicited|APPENDICITIS
OBX|1|ST|1010.1^WEIGHT^CPT4||9.442||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||83.0||||||F
OBX|3|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20160514||||||F
OBX|4|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCC^BC CareCard (No Photo ID)||||||F
OBX|5|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|6|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|7|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F
OBX|8|CE|Ac00001000^Grooming support provided^ADM||2^Supervision||||||F
OBX|9|CE|Ac00001200^Oral care support provided^ADM||2^Supervision||||||F
OBX|10|CE|Ac00001300^Dressing support provided^ADM||8^Independent||||||F
OBX|11|CE|Ac00001400^Bed mobility support provided^ADM||6^1 person assist||||||F
OBX|12|CE|Ac00005400^Aids in use^ADM||2^Dentures||||||F
OBX|13|TX|Ac00005500^Aids in use other^ADM||other aids in use||||||F
OBX|14|CE|Ac00005600^Aids removed^ADM||1^Glasses||||||F
OBX|15|TX|Ac00005700^Aids removed other^ADM||other aids removed||||||F
OBX|16|TX|Ac00005800^Assistance given^ADM||Y||||||F
OBX|17|TX|Ac00005900^Aids comments^ADM||aids comments||||||F
OBX|18|CE|Ac00006000^Bathing support provided^ADM||3^Set-up||||||F
OBX|19|TX|Ac00006100^Specialty skin product used^ADM||Y||||||F
OBX|20|CE|AcADLWAT01^Wash type performed^ADM||1^Full bed bath||||||F
OBX|21|CE|AcEYECAR00^Eye care^ADM||3^Eye drops||||||F
OBX|22|CE|AcHAIWAS00^Hair wash performed^ADM||1^With hair cap||||||F
OBX|23|CE|AcMOCAPE01^Mouth care performed^ADM||2^Antibacterial oral rinse||||||F
OBX|24|TX|AcMOUCAO00^Mouth care performed other^ADM||oral care performed other||||||F
OBX|25|CE|AcNEOC0160^Reflexes assessed^ADM||1^Sucking~2^Swallow~4^Moro~5^Babinski~6^Plantar~7^Rooting~8^Stepping||||||F
OBX|26|CE|AcPRUSED00^Physical restraint used^ADM||1^Soft Velcro||||||F
OBX|27|TX|AcSHAGIV00^Shave given^ADM||Y||||||F
OBX|28|CE|AcTOASST02^Toileting assistance^ADM||1^Unassisted||||||F
OBX|29|TX|Ad00001900^Other admission and clinical history comments^ADM||other admission||||||F
OBX|30|TX|Ad00002900^Personal aids present^ADM||Y||||||F
OBX|31|TX|Ad00003000^Communication difficulties^ADM||Y||||||F
OBX|32|TX|AdADMRSN00^Reason for admission^ADM||RFA||||||F
OBX|33|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F
OBX|34|CE|AdBIRTH000^Birth place^ADM||1^Hospital||||||F
OBX|35|TX|AdBIRTH010^Expected date of delivery^ADM||20180723||||||F
OBX|36|CE|AdBIRTH021^Delivery presentation^ADM||1^Cephalic||||||F
OBX|37|CE|AdBIRTH030^Single/Multiple births^ADM||1^Singleton||||||F
OBX|38|TX|AdBIRTH050^Birth complications^ADM||testtesttest||||||F
OBX|39|TX|AdBIRTH060^Meconium present at delivery^ADM||Y||||||F
OBX|40|CE|AdBIRTH070^Substance exposure^ADM||1^Tobacco~2^Alcohol||||||F
OBX|41|TX|AdBIRTH080^Substance exposure other^ADM||test||||||F
OBX|42|TX|AdBIRTH090^Substance exposure comments^ADM||testtesttest||||||F
OBX|43|CE|AdBIRTH100^Group B Strep exposure^ADM||1^Yes||||||F
OBX|44|TX|AdBIRTH110^Group B Strep prophylaxis followed^ADM||N||||||F
OBX|45|CE|AdBIRTH120^Hepatitis B exposure^ADM||2^No||||||F
OBX|46|TX|AdBIRTH130^Hepatitis B prophylaxis followed^ADM||N||||||F
OBX|47|TX|AdBIRTH140^Other newborn birth history comments^ADM||testtesttest||||||F
OBX|48|TX|AdDIPLCM01^Services arranged other^ADM||test||||||F
OBX|49|CE|AdDISCHA00^Destination^ADM||10^Foster home||||||F
OBX|50|TX|AdESTDDC03^Reason EDD changed comments^ADM||testtesttest||||||F
OBX|51|TX|AdESTDTD00^Estimated date of discharge^ADM||20180802||||||F
OBX|52|TX|AdESTPTF00^Patient/Family informed of estimated date of discharge^ADM||Y||||||F
OBX|53|CE|AdESTREA03^Reason EDD changed^ADM||1^Acuity~2^Change in medical status~3^Medication change/trial~4^Pending lab/consults~5^Supplies/Equipment needs~6^Family/Social issues||||||F
OBX|54|TX|AdFACINA01^Name of facility^ADM||test||||||F
OBX|55|TX|AdFUAPCO03^Services and appointments arranged comments^ADM||testtesttest||||||F
OBX|56|TX|AdFUAPOT02^Follow-up appointments arranged other^ADM||test||||||F
OBX|57|CE|AdFUAPPT02^Follow-up appointments arranged^ADM||1^None required~2^Outpatient~3^Specialist~4^Family physician~5^Private psychiatrist||||||F
OBX|58|TX|AdHXCOND00^History of presenting condition^ADM||Events||||||F
OBX|59|TX|AdINFNAM00^Name of information source^ADM||info comments||||||F
OBX|60|TX|AdINFOTH00^Information source other^ADM||info other||||||F
OBX|61|CE|AdINSM0000^Information source^ADM||1^Patient~2^Parent(s)~3^Family~10^Nurse~11^Physician~27^Previous facility~28^Health record review||||||F
OBX|62|TX|AdNEWBO001^Chest appearance^ADM||testtesttest||||||F
OBX|63|CE|AdNEWBO010^Atypical heart sounds^ADM||2^Irregular rhythm||||||F
OBX|64|TX|AdNEWBO020^Atypical heart sounds other^ADM||test||||||F
OBX|65|TX|AdNEWBO030^Cardiorespiratory comments^ADM||testtesttest||||||F
OBX|66|CE|AdNEWBO041^Abdomen defined parameters^ADM||1^Within defined parameters||||||F
OBX|67|TX|AdNEWBO051^Abdomen comments^ADM||testtesttest||||||F
OBX|68|CE|AdNEWBO061^Umbilicus defined parameters^ADM||2^Significant findings||||||F
OBX|69|CE|AdNEWBO071^Skin defined parameters^ADM||2^Significant findings||||||F
OBX|70|CE|AdNEWBO091^Skeletal/Extremities defined parameters^ADM||2^Significant findings||||||F
OBX|71|CE|AdNEWBO101^Extremities appearance^ADM||2^Unequal limb movement||||||F
OBX|72|CE|AdNEWBO120^Posture at rest^ADM||1^Arms flexed~2^Legs flexed~3^Arms extended~4^Legs extended~5^Limbs not flexed||||||F
OBX|73|TX|AdNEWBO130^Posture at rest other^ADM||test||||||F
OBX|74|CE|AdNEWBO140^Skeletal/Extremities abnormalities^ADM||1^Fractures~2^Poor range of motion~3^Club foot~4^Hip dislocation||||||F
OBX|75|TX|AdNEWBO150^Skeletal/Extremities abnormalities other^ADM||test||||||F
OBX|76|CE|AdNEWBO160^Spine appearance^ADM||1^Curved~2^Non-intact spine~3^Hair along spine~4^Coccygeal dimple||||||F
OBX|77|TX|AdNEWBO170^Spine appearance other^ADM||test||||||F
OBX|78|TX|AdNEWBO181^Skeletal/Extremities comments^ADM||testtesttest||||||F
OBX|79|CE|AdNEWBO191^Neuromuscular defined parameters^ADM||2^Significant findings||||||F
OBX|80|CE|AdNEWBO200^Muscle tone^ADM||3^Hypotonic||||||F
OBX|81|TX|AdNEWBO210^Reflexes assessed other^ADM||test||||||F
OBX|82|TX|AdNEWBO220^Seizure activity^ADM||Y||||||F
OBX|83|CE|AdNEWBO230^Jitteriness causes identified^ADM||1^Hypoglycemia||||||F
OBX|84|TX|AdNEWBO240^Jitteriness causes identified other^ADM||test||||||F
OBX|85|TX|AdNEWBO250^Neuromuscular comments^ADM||testtesttest||||||F
OBX|86|CE|AdNEWBO271^Behaviour defined parameters^ADM||2^Significant findings||||||F
OBX|87|CE|AdNEWBO281^Current behaviour^ADM||5^Crying~13^Inconsolable||||||F
OBX|88|TX|AdNEWBO290^Current behaviour other^ADM||test||||||F
OBX|89|CE|AdNEWBO300^Crying^ADM||2^Grimace||||||F
OBX|90|TX|AdNEWBO310^Behaviour comments^ADM||testtesttest||||||F
OBX|91|CE|AdNEWBO320^Pupil appearance^ADM||2^Dilated||||||F
OBX|92|TX|AdNEWBO330^Skin comments^ADM||testtesttest~testtesttest||||||F
OBX|93|CE|AdNEWBO350^Right scleral appearance^ADM||1^White||||||F
OBX|94|CE|AdNEWBO360^Left scleral appearance^ADM||3^Pink||||||F
OBX|95|CE|AdNEWBO391^Right eye discharge description^ADM||1^Scant~2^Small~3^Moderate~4^Large~5^Copious~6^Watery~7^Crusty~8^Thick~9^Thin~10^Stringy~11^Clear~12^Serous||||||F
OBX|96|CE|AdNEWBO401^Left eye discharge description^ADM||1^Scant~2^Small~3^Moderate~4^Large~5^Copious~6^Watery~7^Crusty~8^Thick~9^Thin~10^Stringy~11^Clear~12^Serous||||||F
OBX|97|TX|AdNEWBO450^Chest expansion other^ADM||test||||||F
OBX|98|TX|AdNEWBO460^Bowel sounds active in all four quadrants^ADM||N||||||F
OBX|99|TX|AdNEWBO470^Apgar score comment^ADM||test||||||F
OBX|100|TX|AdNEWBO480^Extremities appearance other^ADM||test||||||F
OBX|101|CE|AdNEWBOR02^Cardiorespiratory defined parameters^ADM||2^Significant findings||||||F
OBX|102|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F
OBX|103|CE|AdNICOT010^Type of nicotine use^ADM||3^Smokeless||||||F
OBX|104|TX|AdNICOT020^Type of nicotine use other^ADM||nicotine||||||F
OBX|105|CE|AdNICOT090^Nicotine cessation interventions^ADM||1^Not applicable||||||F
OBX|106|TX|AdNICOT100^Nicotine cessation interventions other^ADM||cessation other||||||F
OBX|107|CE|AdNICOT110^Willingness to quit^ADM||2^Quit in next month||||||F
OBX|108|CE|AdNICUA130^General skin appearance^ADM||1^Pale~2^Jaundice~3^Mottled~4^Pink~6^Dusky~7^Acrocyanotic||||||F
OBX|109|TX|AdODISPC00^Other discharge planning comments^ADM||testtesttest||||||F
OBX|110|CE|AdONGOI061^Umbilicus defined parameters^ADM||1^Within defined parameters||||||F
OBX|111|CE|AdONGOI071^Skin defined parameters^ADM||2^Significant findings||||||F
OBX|112|CE|AdONGOIN02^Cardiorespiratory defined parameters^ADM||1^Within defined parameters||||||F
OBX|113|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F
OBX|114|CE|AdPTA05600^Diet type prior to admission^ADM||1^General||||||F
OBX|115|TX|AdPTA14000^Sleep pattern prior to admission^ADM||sleep pattern comments||||||F
OBX|116|CE|AdSERVAR00^Services arranged^ADM||1^None required~2^Personal care support~5^Supplies/Equipment||||||F
OBX|117|TX|AdSL000800^Substance use other^ADM||test||||||F
OBX|118|TX|AdSTRECO01^Reason EDD changed other^ADM||test||||||F
OBX|119|TX|AdTRINFO01^Information faxed to care facility^ADM||N||||||F
OBX|120|TX|Ca00002200^History of orthostatic hypotension^ADM||Y||||||F
OBX|121|CE|CaBL000301^Estimated blood loss^ADM||1^Less than 500 mL||||||F
OBX|122|CE|CaBLDTYP00^Blood group type^ADM||2^A||||||F
OBX|123|CE|CaRHFACT00^Rh factor^ADM||1^Positive||||||F
OBX|124|TX|Ec00000000^History of diabetes^ADM||Y||||||F
OBX|125|CE|Ec00000100^Type of diabetes^ADM||2^Type 2||||||F
OBX|126|TX|Ec00000200^Diabetes diagnosed in past 12 months^ADM||Y||||||F
OBX|127|CE|Ec00000300^Reported symptoms of hypoglycemia^ADM||1^None||||||F
OBX|128|CE|Ec00000500^Reported symptoms of hyperglycemia^ADM||1^None||||||F
OBX|129|CE|Gi00000701^Bowel movement consistency^ADM||3^Meconium||||||F
OBX|130|CE|GiABPALP02^Abdominal palpation^ADM||1^Soft||||||F
OBX|131|TX|GiABPAOT00^Abdominal palpation findings other^ADM||test||||||F
OBX|132|CE|GiABSHAP00^Abdominal shape^ADM||2^Rounded||||||F
OBX|133|TX|GiABSHOT00^Abdominal shape other^ADM||test||||||F
OBX|134|CE|GiBM000000^Bowel movement method^ADM||1^Toilet~2^Bed pan~3^Incontinence pad~4^Disposable brief~5^Commode~6^Diaper~7^Ostomy bag||||||F
OBX|135|CE|GiBM000100^Bowel movement colour^ADM||1^Yellow~2^Green~3^Brown~4^Grey~5^Black/Tar like~6^Clay~7^Bright red blood||||||F
OBX|136|TX|GiBM000400^Number bowel movement diapers^ADM||3||||||F
OBX|137|CE|GiBMAMT201^Bowel movement amount^ADM||7^Small||||||F
OBX|138|TX|GiBMCOOT00^Bowel movement colour other^ADM||test||||||F
OBX|139|TX|GiBMINCO00^Bowel movement incontinence^ADM||N||||||F
OBX|140|TX|GiBMMEOT00^Bowel movement method other^ADM||test||||||F
OBX|141|TX|GiBMOTHC00^Other bowel movement comments^ADM||testtesttest||||||F
OBX|142|TX|GiBO000302^Last bowel movement date as reported by patient^ADM||20180729||||||F
OBX|143|TX|GuBDINCO00^Bladder incontinence^ADM||N||||||F
OBX|144|CE|GuBDPAT000^Bladder pattern^ADM||1^Normal~2^Dribbling~3^Dysuria~4^Frequency~5^Hesitancy~6^Nocturia~7^Oliguria~8^Polyuria~9^Retention~10^Urgency||||||F
OBX|145|TX|GuBDPATO00^Bladder pattern other^ADM||test||||||F
OBX|146|CE|GuBDVM0002^Voiding method^ADM||1^Toilet~2^Urinal~3^Incontinence pad~5^Commode~6^Bed pan~7^Disposable brief~8^Anuric~9^Diaper||||||F
OBX|147|TX|GuBDVMO000^Voiding method other^ADM||test||||||F
OBX|148|TX|GuDIAP0000^Number urine diapers^ADM||2||||||F
OBX|149|CE|GuGTCID001^Genitalia concerns identified^ADM||2^Rt inguinal hernia~3^Unequal scrotal size~4^Reddened~5^Lt inguinal hernia~6^Testes not palpable~7^Rash~8^Hydrocele~9^Undifferentiated~10^Excoriated~11^Hypospadias~12^Fusion of labia||||||F
OBX|150|TX|GuGTCIDI00^Genitalia concerns identified other^ADM||test||||||F
OBX|151|TX|GuHEMORP00^Hemodialysis reported fluid removal^ADM||2000.00||||||F
OBX|152|TX|GuUCB00060^Other genitalia comments^ADM||testtesttest||||||F
OBX|153|CE|GuUR000000^Urine amount (estimate)^ADM||3^Moderate||||||F
OBX|154|TX|GuUR000100^Number unmeasured urine/stool mix diapers^ADM||4||||||F
OBX|155|CE|GuURCLR000^Urine clarity^ADM||1^Clear~2^Cloudy~3^Concentrated~4^Sediments~5^Clots~6^Hematuria||||||F
OBX|156|TX|GuURCLRO00^Urine clarity other^ADM||test||||||F
OBX|157|CE|GuURCOL002^Urine colour^ADM||6^Orange||||||F
OBX|158|TX|GuURIBAG00^Urine specimen bag applied^ADM||Y||||||F
OBX|159|CE|GuUROD0000^Urine odour^ADM||1^None~2^Strong~3^Sweet~4^Foul||||||F
OBX|160|TX|GuURODO000^Urine odour other^ADM||test||||||F
OBX|161|CE|He00000001^Anterior cranial sutures^ADM||2^Overriding||||||F
OBX|162|CE|He00000101^Posterior cranial sutures^ADM||2^Overriding||||||F
OBX|163|TX|He00000200^Anterior fontanelle^ADM||||||||F
OBX|164|TX|He00000300^Anterior fontanelle other^ADM||test||||||F
OBX|165|TX|He00000400^Posterior fontanelle^ADM||||||||F
OBX|166|TX|He00000500^Posterior fontanelle other^ADM||test||||||F
OBX|167|CE|He00000700^Eye interventions^ADM||2^Ducts massaged~3^Wiped clean||||||F
OBX|168|TX|He00000800^Eye interventions other^ADM||test||||||F
OBX|169|TX|He00002400^Oral care comments^ADM||oral care comments||||||F
OBX|170|CE|HeEARAP000^Ear appearance^ADM||2^Asymmetrical~5^Ear tag~6^Low set ears||||||F
OBX|171|TX|HeEY001101^Eye discharge description other^ADM||test||||||F
OBX|172|TX|HeHEENT010^Ear appearance other^ADM||test||||||F
OBX|173|TX|HeHEENT050^Head description^ADM||test||||||F
OBX|174|CE|HeLI000100^Lips colour^ADM||2^Red||||||F
OBX|175|CE|HeLI000201^Lip condition^ADM||2^Smooth||||||F
OBX|176|TX|HeLI000300^Lips appearance other^ADM||test||||||F
OBX|177|CE|HeNO000200^Nasal septum^ADM||2^Deviated left||||||F
OBX|178|CE|HeNO000601^Nose discharge consistency^ADM||1^Thin||||||F
OBX|179|CE|HeNO000701^Nasal discharge description^ADM||1^Mucous~2^Serous||||||F
OBX|180|TX|HeNO000801^Nasal discharge description other^ADM||test||||||F
OBX|181|CE|HeNOSEDR00^Nose drainage amount^ADM||3^Small||||||F
OBX|182|CE|HeOC000301^Oral cavity mucosa appearance^ADM||3^Bleeding~4^Lesion~5^Draining~6^Dry~7^Inflamed~8^Ulceration~9^Laceration||||||F
OBX|183|TX|HeOC000400^Oral cavity mucosa appearance other^ADM||test||||||F
OBX|184|CE|HeSLTC0000^Tongue Motor CN12 and Sensory CN5 tongue colour^ADM||2^Red~3^White coating||||||F
OBX|185|TX|HeSLTCO000^Tongue Motor CN12 and Sensory CN5 tongue colour other^ADM||test||||||F
OBX|186|CE|HeTO000201^Tongue condition^ADM||1^Moist~5^Dry||||||F
OBX|187|TX|HeTO000300^Tongue signs and symptoms other^ADM||test||||||F
OBX|188|TX|Hx486COM00^Pre-admission screening questionnaire completed by^ADM||not provided||||||F
OBX|189|TX|Hx486PRO00^Pre-admission screening questionnaire provided^ADM||N||||||F
OBX|190|TX|HxABXMAT02^Antibiotics used in intrapartum period^ADM||Y||||||F
OBX|191|TX|HxANAMAT01^Analgesics used in intrapartum period^ADM||Y||||||F
OBX|192|TX|HxDELCOMP0^Delivery complications^ADM||testtesttest||||||F
OBX|193|TX|HxIIDATE01^Date of birth^ADM||20180802||||||F
OBX|194|TX|HxIIGAWD00^Gestational age^ADM||41 weeks 3 days||||||F
OBX|195|TX|HxIIGEDA00^Gestational age in days^ADM||3||||||F
OBX|196|TX|HxIIGEWE00^Gestational age in weeks^ADM||41||||||F
OBX|197|TX|HxIISCO100^Apgar score at 1 min^ADM||8||||||F
OBX|198|TX|HxIISCO200^Apgar score at 5 mins^ADM||9||||||F
OBX|199|TX|HxIITIME00^Infant time of birth^ADM||1000||||||F
OBX|200|TX|HxLDHXCOM0^Other labour and delivery comments^ADM||testtesttest||||||F
OBX|201|TX|HxSPTCHX01^Pertinent clinical history^ADM||Pertinent||||||F
OBX|202|TX|HxSSRI0000^Selective serotonin reuptake inhibitor use^ADM||Y||||||F
OBX|203|CE|HxSUBUSE00^Substance use^ADM||1^Tobacco~2^Alcohol~3^Drugs||||||F
OBX|204|TX|InARINAT01^Attempt number^ADM||1||||||F
OBX|205|TX|InMMOT0000^Mucous membranes^ADM||||||||F
OBX|206|CE|InPHOT0020^Phototherapy number of devices^ADM||1^Single||||||F
OBX|207|CE|InPHOT0030^Phototherapy device A^ADM||1^Overhead light source||||||F
OBX|208|TX|InPHOT0040^Device A - photometer measurement^ADM||33||||||F
OBX|209|TX|InPHOT0050^Device A - distance from newborn^ADM||15||||||F
OBX|210|CE|InPHOT0060^Phototherapy device B^ADM||1^Overhead light source||||||F
OBX|211|TX|InPHOT0070^Device B - photometer measurement^ADM||22||||||F
OBX|212|TX|InPHOT0080^Device B - distance from newborn^ADM||18||||||F
OBX|213|CE|InPHOT0090^Phototherapy device C^ADM||1^Overhead light source||||||F
OBX|214|TX|InPHOT0100^Device C - photometer measurement^ADM||53||||||F
OBX|215|TX|InPHOT0110^Device C - distance from newborn^ADM||16||||||F
OBX|216|TX|InPHOT0121^Current bed temperature^ADM||33.0||||||F
OBX|217|TX|InPHOT0130^Other phototherapy comments^ADM||testtesttest||||||F
OBX|218|TX|InPHOT0141^Temperature setting adjusted^ADM||N||||||F
OBX|219|TX|InPHOT0150^Transcutaneous bilirubin hours of age^ADM||36||||||F
OBX|220|TX|InPHOT0160^Transcutaneous bilirubin level^ADM||196||||||F
OBX|221|CE|InPHOT0170^Bed type^ADM||2^Incubator||||||F
OBX|222|TX|InPHOT0180^Eye care completed^ADM||Y||||||F
OBX|223|TX|InPTDIDA01^Phototherapy discontinued date^ADM||20180801||||||F
OBX|224|TX|InPTDITI00^Phototherapy discontinued time^ADM||1215||||||F
OBX|225|TX|InPTESON02^Eye shield on and secure during therapy^ADM||Y||||||F
OBX|226|TX|InPTINDA00^Phototherapy initiated date^ADM||20180731||||||F
OBX|227|TX|InPTINTI00^Phototherapy initiated time^ADM||1214||||||F
OBX|228|CE|InSA000600^Skin condition^ADM||4^Non-blanchable||||||F
OBX|229|TX|InSA000700^Skin condition other^ADM||test||||||F
OBX|230|TX|InSKIAPO00^Skin appearance other^ADM||test||||||F
OBX|231|TX|InSKIDEO00^Skin description other^ADM||test||||||F
OBX|232|CE|InSKIDES03^Skin description^ADM||9^Hemangioma||||||F
OBX|233|CE|InSKIMOD01^Skin and wound modifier^ADM||1^Left||||||F
OBX|234|TX|InSKIMOI02^Skin moisture^ADM||||||||F
OBX|235|TX|InSKTURG00^Skin turgor^ADM||||||||F
OBX|236|TX|InUCCLRE00^Umbilical cord clamp removed^ADM||||||||F
OBX|237|CE|InUCSTAT01^Umbilical cord status^ADM||1^Clamped~2^Unclamped~3^Lines insitu||||||F
OBX|238|TX|InUCSTOT01^Umbilical cord description other^ADM||test||||||F
OBX|239|CE|InUCSTUM01^Umbilical cord description^ADM||1^Clean~2^Dry~3^Moist~4^Reddened~5^Bleeding~6^Drainage||||||F
OBX|240|TX|InUMBCDC00^Additional umbilical cord comments^ADM||testtesttest||||||F
OBX|241|TX|InUMBCLN00^Umbilicus cleansed^ADM||N||||||F
OBX|242|CE|InWOULOC02^Skin or wound location^ADM||3^Face||||||F
OBX|243|TX|IoNICUIN20^Location^ADM||right arm||||||F
OBX|244|TX|IoNICUIN30^Intake, IV Amount^ADM||300.00||||||F
OBX|245|TX|IoNICUIN50^Intake, Free Water Amount^ADM||30.00||||||F
OBX|246|CE|IoSOLUMA02^Solution^ADM||2^NS + 20 mEq/L KCl||||||F
OBX|247|CE|Iv00000600^IV Status^ADM||1^Infusion started||||||F
OBX|248|CE|IvINVTYP01^Line type^ADM||1^PIV||||||F
OBX|249|TX|IvRATE0000^Rate^ADM||75.00||||||F
OBX|250|TX|IvTUBCHA00^Next tubing change due^ADM||20191122||||||F
OBX|251|TX|MhESAFFE02^Affect other^ADM||test||||||F
OBX|252|CE|MhESAFFM04^Affect^ADM||1^Appropriate~6^Elated~8^Flat~9^Tearful~10^Labile||||||F
OBX|253|TX|MhESMOOD04^Mood^ADM||testtesttest||||||F
OBX|254|TX|MhHXMILL00^Summary of patient's mental health history^ADM|| ~ ~testtesttest||||||F
OBX|255|CE|MhINFOSC00^Information source^ADM||1^Patient||||||F
OBX|256|TX|MhMSECOM01^Other mental status comments^ADM||testtesttest||||||F
OBX|257|TX|MhPPMRFOH0^Postpartum depression risk factors identified other^ADM||test||||||F
OBX|258|CE|MhREST0001^Reason for restraint use^ADM||2^Harm to others||||||F
OBX|259|TX|MhRESTEV01^Evaluation for continued restraint use assessed/reassessed^ADM||Y||||||F
OBX|260|TX|Mo00002100^Falls in hospital^ADM||Y||||||F
OBX|261|TX|Mo00002200^Fall related injuries^ADM||fall related injuries||||||F
OBX|262|TX|Mo00002600^Bed mobility comment^ADM||bed mobility comments||||||F
OBX|263|CE|Mo00002700^Positioning side rails top^ADM||1^1 side up||||||F
OBX|264|CE|Mo00002800^Positioning side rails bottom^ADM||2^Both up||||||F
OBX|265|CE|MoBDASTD00^Mobility in bed assistive devices^ADM||2^Sliding sheet||||||F
OBX|266|CE|MoBDIN0000^In bed mobilization^ADM||1^Positioned in bed||||||F
OBX|267|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|268|TX|Ne00005800^History of seizure^ADM||Y||||||F
OBX|269|TX|Ne00005900^Date of last seizure^ADM||20191102||||||F
OBX|270|TX|Ne00006000^Seizure history details^ADM||details with seizures||||||F
OBX|271|TX|Ne00006100^History of autonomic dysreflexia^ADM||Y||||||F
OBX|272|TX|NeBEHAVI01^Current behaviour^ADM||||||||F
OBX|273|CE|NmHIVSCR00^HIV screening^ADM||2^Negative||||||F
OBX|274|TX|NmMSTONC00^Muscle tone comment^ADM||testtesttest||||||F
OBX|275|TX|NmORANAC00^Orofacial anatomical anomalies comment^ADM||testtesttest||||||F
OBX|276|CE|NmORANAN02^Orofacial anatomical anomalies^ADM||2^Tongue tie~3^Cleft lip~6^Cleft palate~8^Recessed jaw~10^Neonatal teeth~11^Short tongue~12^Protruding tongue~13^Large tongue~14^Mouth drooping||||||F
OBX|277|TX|NmORANAO00^Orofacial anatomical anomalies other^ADM||test||||||F
OBX|278|TX|NmPRECAR00^Prenatal care^ADM||Y||||||F
OBX|279|TX|Nu00000900^Have you lost wt in the past 6 mo without trying to lose wt?^ADM||Y||||||F
OBX|280|TX|Nu00001000^Have you been eating less than usual for more than a week?^ADM||Y||||||F
OBX|281|TX|Nu00016600^Current fluid order^ADM||1500||||||F
OBX|282|CE|Nu00016700^Current feeding support required^ADM||2^Supervision||||||F
OBX|283|CE|NuANTHR050^Weight for age percentile^ADM||1^Less than 3rd||||||F
OBX|284|CE|NuANTHR060^Height/Length for age percentile^ADM||1^Less than 3rd||||||F
OBX|285|CE|NuANTHR210^Body mass index for age percentile^ADM||11^3-15th||||||F
OBX|286|TX|NuCALTAR00^Target calories per day^ADM||916 kcal/day||||||F
OBX|287|CE|NuCMSTHR00^Canadian malnutrition screening tool high nutritional risk^ADM||1^Yes||||||F
OBX|288|TX|NuDODRAI00^Drain output^ADM||100.00||||||F
OBX|289|TX|NuDPMEHX00^Clinical history relevant to dietitian plan^ADM||Reactive Airway disease.  Born preterm (36+1 weeks)||||||F
OBX|290|TX|NuDPSOHX00^Social history relevant to dietitian plan^ADM||lives with mom and dad.  Currently 8 months pregnant||||||F
OBX|291|TX|NuDPTEST01^Lab/Test/Procedure results relevant to dietitian plan^ADM||ferritin low, hgb low||||||F
OBX|292|CE|NuDRREAS05^Reason for dietitian assessment^ADM||6^Nutrition education||||||F
OBX|293|CE|NuENENAS02^Estimated energy assessment method^ADM||1^kcal/kg||||||F
OBX|294|TX|NuENENCK01^Energy estimated needs (kcal/kg)^ADM||916||||||F
OBX|295|TX|NuFADIHX00^Diet history relevant to dietitian plan^ADM||picky eater||||||F
OBX|296|CE|NuFKLEVE00^Food and nutrition knowledge level^ADM||1^Deficit||||||F
OBX|297|TX|NuICYNU130^Energy for weight^ADM||100||||||F
OBX|298|TX|NuIOAMOU01^Intake, Other Amount^ADM||30.00||||||F
OBX|299|TX|NuIOTHER01^Other intake description^ADM||protein powder||||||F
OBX|300|CE|NuKNOW0001^Knowledge assessment of^ADM||1^Patient||||||F
OBX|301|CE|NuNIADEQ00^Nutrient intake adequacy^ADM||2^Inadequate||||||F
OBX|302|TX|NuNICUF300^Intake, Tube Feeding Amount^ADM||160.0||||||F
OBX|303|TX|NuNICUF370^Intake, Oral Amount^ADM||500.0||||||F
OBX|304|CE|NuONAPPE00^Oral nutrition appetite^ADM||1^No change||||||F
OBX|305|TX|NuONINTA00^Oral nutrition current food intake^ADM||lots of milk||||||F
OBX|306|TX|NuONORDI01^Oral diet type^ADM||Pediatric 1-3 year||||||F
OBX|307|CE|NuONTOLE00^Oral nutrition diet tolerance^ADM||1^No concerns||||||F
OBX|308|TX|NuOSTOOL00^Output - stool^ADM||150.00||||||F
OBX|309|TX|NuOURINE00^Output - urine^ADM||300.00||||||F
OBX|310|TX|NuTEEDCO00^Nutrition education content (specify)^ADM||Iron in foods||||||F
OBX|311|TX|NuWT000000^Weight used for energy calculation^ADM||9.155||||||F
OBX|312|TX|Oh00000900^Patient stated rehab goals^ADM||goals||||||F
OBX|313|TX|Oh00001000^Reported bedtime^ADM||2100||||||F
OBX|314|TX|Oh00001100^Reported wake time^ADM||0800||||||F
OBX|315|TX|Oh00001200^Number naps during day^ADM||1||||||F
OBX|316|TX|OhEDIT0000^Reason for edit^ADM||||||||F
OBX|317|CE|OhGS000100^Group B Streptococcus status^ADM||1^Negative||||||F
OBX|318|CE|OhHEPBST00^Hepatitis B status^ADM||2^Positive||||||F
OBX|319|TX|OhHSLPRE00^Herpes simplex lesions present^ADM||N||||||F
OBX|320|CE|OhIN000300^Information source^ADM||2^Health record review~6^Family||||||F
OBX|321|TX|OhINFSS000^Influenza signs or symptoms^ADM||Y||||||F
OBX|322|CE|OhINTE0001^Type of interpreter^ADM||2^Staff member||||||F
OBX|323|TX|OhOUTOTM00^Other measure output^ADM||105.00||||||F
OBX|324|TX|OhOUTSRC00^Source of other measured output^ADM||other output source||||||F
OBX|325|TX|PsBO000903^Skin to skin contact performed^ADM||Y||||||F
OBX|326|TX|PsCLB00000^Communication language barrier^ADM||Y||||||F
OBX|327|TX|PsFAMCOP00^Family exhibits positive coping skills^ADM||Y||||||F
OBX|328|TX|PsFBCUECOM^Effective responses to feeding and behaviour cues comments^ADM||testtesttest||||||F
OBX|329|TX|PsFBCUES01^Effective responses to feeding and behaviour cues^ADM||Y||||||F
OBX|330|TX|PsMAT00000^Ministry of Children and Family Development alert^ADM||Y||||||F
OBX|331|CE|PsMAT00010^Referred to^ADM||1^Seamless perinatal~2^Social work~3^Mental health||||||F
OBX|332|TX|PsMAT00020^Referred to other^ADM||test||||||F
OBX|333|CE|PsMAT00030^Patient seen by^ADM||1^Seamless perinatal~2^Social work~3^Mental health||||||F
OBX|334|TX|PsMAT00040^Patient seen by other^ADM||test||||||F
OBX|335|CE|PsMAT00070^Postpartum depression risk factors identified^ADM||1^Adverse life events~2^Family conflict~3^Hx depression~4^Medical challenges~5^Anxiety~6^Family hx of depression~7^Hx postpartum depression~8^Poor social support~9^Delivery complications~10^Financial stress~11^Intimate partner abuse~12^Unintended pregnancy||||||F
OBX|336|TX|PsMAT00100^Appropriate bonding and attachment^ADM||Y||||||F
OBX|337|TX|PsMAT00200^Bonding and attachment concerns identified comments^ADM||testtesttest||||||F
OBX|338|TX|PsMATSUP00^Maternal supports present^ADM||Y||||||F
OBX|339|TX|PsPSMHCOM0^Other psychosocial, safety and mental health comments^ADM||testtesttest||||||F
OBX|340|CE|PsSU000002^Substance use^ADM||1^None||||||F
OBX|341|TX|PsSU000200^Substance use comments^ADM||substance comments||||||F
OBX|342|CE|ReARBLPS01^Arterial blood gas puncture site^ADM||1^Right radial||||||F
OBX|343|CE|ReAUBTHS02^Breath sounds^ADM||4^Fine~5^Subcutaneous air||||||F
OBX|344|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||N||||||F
OBX|345|TX|ReBGATSU00^ABG attempt successful^ADM||Y||||||F
OBX|346|CE|ReBR000800^Two patient identifiers checked^ADM||1^Patient name band~2^Health record~3^MAR||||||F
OBX|347|TX|ReBRESOU00^Breath sounds other^ADM||test||||||F
OBX|348|CE|ReCOLMET01^Secretions collection method^ADM||2^Open catheter||||||F
OBX|349|TX|ReDIFFAW01^Difficult airway^ADM||N||||||F
OBX|350|TX|ReDISTRE00^Respiratory distress comments^ADM||testtesttest||||||F
OBX|351|CE|ReENTRTU00^ETT tube location^ADM||1^Oral||||||F
OBX|352|CE|ReENTUSI02^Endotracheal tube size^ADM||5^8.0 mm||||||F
OBX|353|CE|ReETINME00^Intubation method^ADM||1^Direct laryngoscopy||||||F
OBX|354|TX|ReETINNA01^Number of intubation attempts^ADM||2||||||F
OBX|355|CE|ReETINPR02^Reason for intubation^ADM||1^Ventilatory failure||||||F
OBX|356|TX|ReETINPX01^Intubation location confirmation via X-ray^ADM||N||||||F
OBX|357|TX|ReETINSD01^Intubation securement device used^ADM||Anchorfast||||||F
OBX|358|CE|ReETTBTY03^Endotracheal tube type^ADM||1^Evac||||||F
OBX|359|TX|ReETTCUP01^Endotracheal tube cuff pressure^ADM||26||||||F
OBX|360|TX|ReINPOTN01^Initial position at teeth/nares^ADM||23.0||||||F
OBX|361|TX|ReINSDAT00^Endotracheal tube insertion date^ADM||20200120||||||F
OBX|362|TX|ReINSTIM00^Endotracheal tube insertion time^ADM||0400||||||F
OBX|363|CE|ReINTUBA01^Intubated by^ADM||1^Physician||||||F
OBX|364|TX|ReNIVEDD00^Non-invasive ventilation discontinuation date^ADM||20200120||||||F
OBX|365|TX|ReNIVEDT00^Non-invasive ventilation discontinuation time^ADM||0350||||||F
OBX|366|TX|ReNOINDA01^Non-invasive ventilation initiation date^ADM||20200120||||||F
OBX|367|TX|ReNOIVTI01^Non-invasive ventilation initiation time^ADM||1223||||||F
OBX|368|CE|ReNRDISI02^Respiratory distress indicators^ADM||1^Grunting~2^Supraclavicular indrawing~4^Head bobbing~5^Intercostal indrawing~7^Audible wheeze~8^Subcostal indrawing~10^Audible stridor~11^Substernal indrawing~13^Nasal flaring~15^Tracheal tug~16^Sternal indrawing||||||F
OBX|369|CE|ReOAINRE01^Oral airway insertion reason^ADM||1^Obtunded||||||F
OBX|370|TX|ReOARMDT00^Oral airway removal date^ADM||20200120||||||F
OBX|371|TX|ReOARMTM00^Oral airway removal time^ADM||0245||||||F
OBX|372|CE|ReOASIZE01^Oral airway size^ADM||6^80 mm||||||F
OBX|373|CE|ReRECHEX01^Chest expansion^ADM||2^Right greater than left~5^Left greater than right||||||F
OBX|374|TX|ReREDISO00^Respiratory distress indicators other^ADM||test||||||F
OBX|375|CE|ReREDPTH00^Respiratory depth^ADM||3^Deep||||||F
OBX|376|CE|ReRPNM0000^Respiratory pattern^ADM||2^Tachypneic||||||F
OBX|377|CE|ReSCAMNT00^Secretions amount^ADM||2^Small||||||F
OBX|378|CE|ReSCCOLR00^Secretions colour^ADM||2^White||||||F
OBX|379|CE|ReSCDESC02^Secretions description^ADM||2^Sanguineous/bloody||||||F
OBX|380|TX|ReSCDESO00^Secretions description other^ADM||secretion description other||||||F
OBX|381|CE|ReSE000100^Secretion source^ADM||1^Endotracheal||||||F
OBX|382|TX|ReSECCOM00^Secretions comments^ADM||comments||||||F
OBX|383|TX|ReSECMET00^Secretions collection method other^ADM||secretion collection other||||||F
OBX|384|CE|ReSECRET00^Secretions source^ADM||2^Expectorated||||||F
OBX|385|TX|ReTORERA00^Respiratory rate (total)^ADM||26||||||F
OBX|386|CE|ReVE007601^Rationale for non-invasive ventilation^ADM||1^COPD exacerbation||||||F
OBX|387|CE|ReVE007901^Mask type^ADM||1^Mouth and nose||||||F
OBX|388|CE|ReVE008002^Mask size^ADM||2^Medium||||||F
OBX|389|TX|ReVE008102^IPAP^ADM||12||||||F
OBX|390|TX|ReVE008202^EPAP^ADM||8||||||F
OBX|391|TX|ReVE012101^FiO2 (set)^ADM||0.40||||||F
OBX|392|CE|ReWRKBRE00^Work of breathing^ADM||2^Mild||||||F
OBX|393|TX|RpBRHXOH00^Breast history/surgery other^ADM||test||||||F
OBX|394|CE|RpBRHXSX00^Breast history/surgery^ADM||1^None~2^Augment~3^Reduction~4^Trauma||||||F
OBX|395|CE|RpDE000100^Delivery type^ADM||1^SVD||||||F
OBX|396|TX|RpDE000400^Delivery date^ADM||20180731||||||F
OBX|397|TX|RpDE000500^Delivery time^ADM||1459||||||F
OBX|398|TX|RpLABDEL00^Obstetrical history comments^ADM||testtesttest||||||F
OBX|399|TX|RpLABDEL10^Previous breastfeeding experience^ADM||Y||||||F
OBX|400|TX|RpLABDEL21^Perineum description other^ADM||test||||||F
OBX|401|TX|RpLABDEL30^Breast history/breastfeeding comments^ADM||testtesttest||||||F
OBX|402|TX|RpLBRDL000^Newborn gestational age in weeks^ADM||39||||||F
OBX|403|TX|RpLBRDL010^Newborn gestational age in days^ADM||1||||||F
OBX|404|CE|RpNEWBO001^Head and neck defined parameters^ADM||2^Significant findings||||||F
OBX|405|TX|RpNEWBO010^Head and neck comments^ADM||testtesttest||||||F
OBX|406|CE|RpNEWBO021^Eyes defined parameters^ADM||2^Significant findings||||||F
OBX|407|TX|RpNEWBO030^Eyes comments^ADM||testtesttest||||||F
OBX|408|CE|RpNEWBO050^Affected ear(s)^ADM||2^Left||||||F
OBX|409|TX|RpNEWBO060^Ear comments^ADM||testtesttest||||||F
OBX|410|CE|RpNEWBO071^Nose defined parameters^ADM||2^Significant findings||||||F
OBX|411|TX|RpNEWBO081^Nasal interventions^ADM||test||||||F
OBX|412|TX|RpNEWBO090^Nose comments^ADM||testtesttest||||||F
OBX|413|CE|RpNEWBO101^Oral defined parameters^ADM||2^Significant findings||||||F
OBX|414|CE|RpONGOB001^Head and neck defined parameters^ADM||1^Within defined parameters||||||F
OBX|415|CE|RpONGOI021^Eyes defined parameters^ADM||1^Within defined parameters||||||F
OBX|416|CE|RpONGOI041^Ears defined parameters^ADM||1^Within defined parameters||||||F
OBX|417|CE|RpONGOI071^Nose defined parameters^ADM||1^Within defined parameters||||||F
OBX|418|CE|RpONGOI101^Oral defined parameters^ADM||1^Within defined parameters||||||F
OBX|419|CE|RpPERAPP00^Perineum appearance^ADM||1^Intact~2^Laceration unrepaired~3^Laceration repaired~4^Episiotomy||||||F
OBX|420|CE|RpPEREPI00^Perineum episiotomy type^ADM||1^Not indicated||||||F
OBX|421|CE|RpPERLAC00^Perineum laceration degree^ADM||1^1 degree||||||F
OBX|422|TX|RpPR000200^Pregnancy history gravida^ADM||3||||||F
OBX|423|TX|RpPR000300^Pregnancy history term^ADM||1||||||F
OBX|424|TX|RpPR000400^Pregnancy history preterm^ADM||0||||||F
OBX|425|TX|RpPR000500^Pregnancy history abortion^ADM||1||||||F
OBX|426|TX|RpPR000600^Pregnancy history living children^ADM||1||||||F
OBX|427|CE|RpUC001300^Umbilical cord fetal cord vessel number^ADM||2^2||||||F
OBX|428|TX|SpPER00000^Appropriate family functioning^ADM||Y||||||F
OBX|429|TX|SpPER00100^Family functioning concerns comments^ADM||test||||||F
OBX|430|CE|SpPRSCHE00^Physical restraint safety checks^ADM||8^Remains safely secured||||||F
OBX|431|TX|SpREST0001^Family informed of need for restraint measures^ADM||N||||||F
OBX|432|CE|SpRESTRA00^Physical restraint location^ADM||1^Right wrist||||||F
OBX|433|CE|SpRU000100^Rubella status immunity^ADM||1^Immune||||||F
OBX|434|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F
OBX|435|TX|VsBPDIAO01^Blood pressure diastolic^ADM||85||||||F
OBX|436|CE|VsBPPOST02^Patient position^ADM||1^Right side lying||||||F
OBX|437|TX|VsBPSYSO01^Blood pressure systolic^ADM||145||||||F
OBX|438|CE|VsGROCHA02^Growth chart reference^ADM||1^World Health Organization||||||F
OBX|439|TX|VsHRADLT01^Heart rate^ADM||120||||||F
OBX|440|CE|VsHRMETH00^Heart rate method used^ADM||4^Monitor||||||F
OBX|441|TX|VsHTCM0100^Current height^ADM||83.0||||||F
OBX|442|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||91||||||F
OBX|443|TX|VsWT000101^Current Weight^ADM||9.442||||||F
OBX|444|CE|VsWT000400^Current weight source^ADM||1^Measured||||||F
OBX|445|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|446|TX|VsWT001701^Birth weight^ADM||3.600||||||F
OBX|447|CE|VsWT004900^Height or length source^ADM||2^Measured (arm span)||||||F
OBX|448|CE|VsWT004901^Height or length source^ADM||1^Measured (head-to-toe)||||||F
OBX|449|TX|VsWT005000^Birth height or length^ADM||56.00||||||F
OBX|450|TX|VsWT005300^Body mass index^ADM||13.7||||||F
OBX|451|TX|VsWT007700^Birth head circumference^ADM||33.00||||||F
OBX|452|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||9442.000||||||F
AL1|1|FA|F006009637^strawberry|MI|rash|20191223
ZFD|||||BARCLAYN^Barclay^Neil^G^^^^29634^DOC|.HOSPITAL^Hospitalist^.^^^^^^HOS|.HOSPITAL^Hospitalist^.^^^^^^HOS|
ZFH|LUMED||||||