MSH|^~\&|ADM|PAH|||202002041304||ADT^A08|4161356|D|2.2|||AL|NE EVN|A08|202002041304|||| PID|1|FHATVIG0000277|PA00002508|PA2507|OETEST^GUNDAM^PAHUGRD||19671127|F|||123^^WHITEROCK^BC^V|||||||PA000009/17| PV1|1|I|PA-4MED^PA4MED-408^A|UE|||OEDOCM^Oedoc^Marytrain^^^^MD^^^^^^XX||.OBGYN^Gynecology^Obstetrics^and^^^^^^^^^XX|MEDS||||||||IN|||||||||||||||||||||PAH|||||201708241525| PV2||P^Private - Non-Solicited| OBX|1|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||19900408||||||F OBX|2|CE|ADM IDSOUR^SOURCE OF ID^ADM||NONE^None||||||F OBX|3|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F OBX|4|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F OBX|5|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F OBX|6|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F OBX|7|TX|ADM RESQDD^DATE ASKED^ADM||20170824||||||F OBX|8|CE|HxTABUL003^Used tobacco or nicotine vapour products in the last 30 days^ADM||None^None||||||F OBX|9|TX|OEDIAG^Diagnosis:^ADM||UPGRADE TESTING||||||F OBX|10|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F AL1|1|DA|F006001605^acetaminophen|MI||20200204 AL1|2|DA|F006003675^amoxicillin|MO||20200204 AL1|3|DA|F006004965^paromomycin|MI||20200204 AL1|4|DA|F006006250^remifentanil|SV||20200204 AL1|5|DA|F006016086^cat dander|SV||20200204 GT1|1||OETEST^Gundam^PAHugrd||123^^WHITEROCK^BC^V||||||SP ZFD|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|9876 Main Street^^Surrey^BC^V3V 1Z1|||OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC|OEDOCM^Oedoc^Marytrain^^^^MD^50003^DOC||.OBGYN^Gynecology^Obstetrics^and^^^^^OTH| ZFH|LUMED|||||||||NMIAL1  MSH|^~\&|ADM|ARH|||202002041304||ADT^A08|4161357|D|2.2|||AL|NE EVN|A08|202002041304|||| PID|1|FHATVIG0008742|AB00008010|AB7951|DOCTRAIN^CAPTIOSUS||19741006|F|||1234 TERRA STREET^^SURREY^BC^V3T 5X6|||||||AB000132/19|9875397359 PV1|1|I|AB-2BAKER^AB2B-B2106^1|UE|||DELAPAZO^De La PazTEST^OliverTEST^^^^^^^^^^XX||GILMOREM^GILMORE^MAUREEN^CIS^^^^^^^^^XX|MEDS||||||||IN|||||||||||||||||||||ARH|||||201905061501| PV2||W^Ward|Sepsis OBX|1|ST|1010.1^WEIGHT^CPT4||80.000||||||F OBX|2|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||Y||||||F OBX|3|CE|ADM CCI1^CCI#1^ADM||ARO^ARO-Antibiotic Resist Org||||||F OBX|4|TX|ADM CCI2^CCI#2^ADM||||||||F OBX|5|TX|ADM CCI3^CCI#3^ADM||||||||F OBX|6|TX|ADM CCI4^ARO - Antibiotic Resistant Organisms^ADM||||||||F OBX|7|TX|ADM CCI5^DNA - Do Not Acknowledge^ADM||||||||F OBX|8|TX|ADM CCI6^AVB - Aggressive/Violent Behaviour^ADM||||||||F OBX|9|TX|ADM CCI7^MDR - Multiple Drug Resistant Organisms^ADM||||||||F OBX|10|TX|ADM CCI7a^ **or**^ADM||||||||F OBX|11|TX|ADM CCICO1^Comments:^ADM||Positive Urine Culture||||||F OBX|12|TX|ADM CCICO2^:^ADM||||||||F OBX|13|TX|ADM CCICO3^:^ADM||||||||F OBX|14|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20100725||||||F OBX|15|CE|ADM IDSOUR^SOURCE OF ID^ADM||OPID^Other Photo ID||||||F OBX|16|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F OBX|17|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F OBX|18|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||N^NO||||||F OBX|19|CE|ADM RESQDA^CONSENT TO BEING CONTACTED FOR RESEARCH^ADM||N^No||||||F OBX|20|TX|ADM RESQDD^DATE ASKED^ADM||20190429||||||F OBX|21|TX|Ad00002000^Two patient identifiers checked^ADM||Y||||||F OBX|22|TX|AdADMDAT01^Admission date^ADM||20190519||||||F OBX|23|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F OBX|24|TX|AdADMIPB00^Any travel to India Pakistan or Bangladesh in last 12 months^ADM||N||||||F OBX|25|TX|AdADMOUT01^Any healthcare encounter outside Canada in last 12 months^ADM||N||||||F OBX|26|TX|AdADMRSN00^Reason for admission^ADM||Sepsis||||||F OBX|27|TX|AdADMSIX00^Admitted to care area in the last 6 months^ADM||N||||||F OBX|28|TX|AdADMTIM00^Admission time^ADM||1600||||||F OBX|29|TX|AdALLERB00^Allergy band checked^ADM||Y||||||F OBX|30|TX|AdALLERR00^Allergies reviewed^ADM||Y||||||F OBX|31|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F OBX|32|TX|AdCOMDIF00^Communication difficulties^ADM||N||||||F OBX|33|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F OBX|34|TX|AdHXALLE00^Hx of unexplained allergic reaction during medical procedure^ADM||N||||||F OBX|35|TX|AdHXCOND00^History of presenting condition^ADM||unwell x 2 wks following onset of cold like symptoms. Abdominal pain~constant last few days and very painful 7\E\10||||||F OBX|36|TX|AdHXITCH00^Hx of itchiness/swelling post dental, rectal or pelvic exam^ADM||N||||||F OBX|37|CE|AdHXRUBB00^Hx of sensitivity to materials containing rubber^ADM||5^Balloons~10^Rubber bands||||||F OBX|38|TX|AdHXSBIF00^Hx of Spina Bifida^ADM||N||||||F OBX|39|TX|AdINTNEE00^Interpreter needed^ADM||N||||||F OBX|40|CE|AdLITUBE01^Lines/Tubes in situ^ADM||4^PIV||||||F OBX|41|TX|AdNAMEBN00^Name band on^ADM||Y||||||F OBX|42|CE|AdNICOT000^History of nicotine use^ADM||1^None||||||F OBX|43|TX|AdPRLANG00^Primary language spoken^ADM||English||||||F OBX|44|CE|AdREPREF00^Report received^ADM||1^In person||||||F OBX|45|TX|AdREPRFR01^Report received from^ADM||PATIENT||||||F OBX|46|TX|AdSLATEX01^Suspected latex allergy^ADM||Y||||||F OBX|47|CE|GiABPALP02^Abdominal palpation^ADM||4^Firm||||||F OBX|48|CE|GiABSHAP00^Abdominal shape^ADM||4^Distended||||||F OBX|49|CE|GiBS000100^Bowel sounds frequency^ADM||2^Hypoactive||||||F OBX|50|TX|GiEMAMME00^Emesis amount measured^ADM||400||||||F OBX|51|TX|GiFART0001^Flatus^ADM||N||||||F OBX|52|CE|HeTR000100^Trachea position^ADM||1^Midline||||||F OBX|53|TX|HxMRSAMD00^MRSA/MDRO swabs completed^ADM||N||||||F OBX|54|TX|HxSPTCHX01^Pertinent clinical history^ADM|| ~None||||||F OBX|55|TX|IoNICUIN30^Intake, IV Amount^ADM||1000.00||||||F OBX|56|TX|IoNICUIN50^Intake, Free Water Amount^ADM||300.00||||||F OBX|57|CE|IoSOLUMA00^Solution^ADM||1^NS||||||F OBX|58|TX|IvRATE0000^Rate^ADM||100.00||||||F OBX|59|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F OBX|60|TX|NuNICUF370^Intake, Oral Amount^ADM||200.0||||||F OBX|61|TX|NuNM000100^Nothing by mouth^ADM||N||||||F OBX|62|TX|NuOURINE00^Output - urine^ADM||900.00||||||F OBX|63|CE|OECODESTAT^MOST Order Designation^ADM||CPR-C2^CPR - C2 FULL CODE||||||F OBX|64|TX|OEDIAG^Diagnosis:^ADM||Changing Diagnosis||||||F OBX|65|CE|OhIN000300^Information source^ADM||1^Patient||||||F OBX|66|TX|OhMEDREC00^Medication reconciliation form completed^ADM||Y||||||F OBX|67|TX|PsCAGEA103^Felt you ought to cut down on drinking or drug use^ADM||N||||||F OBX|68|TX|PsCAGEA203^Been annoyed by people criticizing your drinking or drug use^ADM||N||||||F OBX|69|TX|PsCAGEA303^Ever felt bad or guilty about your drinking or drug use^ADM||N||||||F OBX|70|TX|PsCAGEA403^Ever had a drink or used drugs first thing in the morning^ADM||N||||||F OBX|71|TX|PsCAGET004^CAGE-AID total^ADM||0||||||F OBX|72|TX|PsCLB00000^Communication language barrier^ADM||N||||||F OBX|73|CE|PsSU000002^Substance use^ADM||1^None||||||F OBX|74|TX|ReBCLEAR00^Breath sounds clear throughout^ADM||Y||||||F OBX|75|CE|ReRECHEX01^Chest expansion^ADM||1^Symmetrical||||||F OBX|76|CE|ReRPNM0000^Respiratory pattern^ADM||1^Normal||||||F OBX|77|CE|ReWRKBRE00^Work of breathing^ADM||1^Normal||||||F OBX|78|TX|RpPBREAS00^Patient breastfeeding^ADM||N||||||F OBX|79|CE|RpPRPREG00^Pregnant^ADM||2^No||||||F OBX|80|CE|TR.PMHGR5^Past Medical History^ADM||17^Renal~7^GI Disorder||||||F OBX|81|TX|TeEDINTR00^Interpreter utilized^ADM||N||||||F OBX|82|CE|VsBPCFLP01^Blood pressure cuff location^ADM||4^Left arm||||||F OBX|83|CE|VsBPDEUS00^Device used^ADM||2^Manual cuff||||||F OBX|84|TX|VsBPDIAO01^Blood pressure diastolic^ADM||102||||||F OBX|85|CE|VsBPPOST02^Patient position^ADM||2^Supine||||||F OBX|86|TX|VsBPSYSO01^Blood pressure systolic^ADM||190||||||F OBX|87|TX|VsHRADLT01^Heart rate^ADM||102||||||F OBX|88|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F OBX|89|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F OBX|90|CE|VsHRMETH00^Heart rate method used^ADM||1^Palpation||||||F OBX|91|CE|VsHRRHYM02^Pulse rhythm^ADM||2^Irregular||||||F OBX|92|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||96||||||F OBX|93|CE|VsPRLOMO00^Probe location modifier^ADM||1^Right||||||F OBX|94|CE|VsPROLOC00^Probe location^ADM||1^Finger||||||F OBX|95|CE|VsPULSTR00^Pulse strength on palpation^ADM||1^Weak||||||F OBX|96|TX|VsRESPAD03^Respiratory rate^ADM||24||||||F OBX|97|CE|VsTPSORC03^Temperature source^ADM||2^Oral||||||F OBX|98|TX|VsTPTEMPO2^Temperature^ADM||39.2||||||F OBX|99|TX|VsWT000101^Current Weight^ADM||80.000||||||F OBX|100|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||80000.000||||||F AL1|1|MA|BEESTING^Bee Sting|MI|Hives/Urticaria *AL|20200204 AL1|2|FA|F006006385^lactobacillus|MO|Diarrhea ADR|20190429 AL1|3|FA|F006012753^tree nut|SV|Anaphylaxis *AL|20190429 AL1|4|DA|F006016084^grass pollen|MI|Headache ADR|20200204 ZFD|PROVIDER^PROVIDER^MEDICAL^^^^^^DOC|||.TRAUMA^Services^Trauma^^^^^^^DOC|DELAPAZO^De La PazTEST^OliverTEST^^^^^^DOC|PWMDOC^PWMDOC^TEST^5.67^^^^^DOC||GILMOREM^GILMORE^MAUREEN^CIS^^^^^DOC| ZFH|LUMED|||||||||NMIAL1