MSH|^~\&|ADM|ARH|||202002041416||ADT^A08|4161517|D|2.2|||AL|NE
EVN|A08|20200204||||
PID|1|FHATVIG0000638|AB00006771|AB6749|EMRTEST^OAKTREE||20110819|F|||2215 160 ST^^SURREY^BC^V8V 8V8|||||||AB001646/17|9876498982
PV1|1|I|AB-2BAKER^AB2B-B2140^2|EL|||KONYAW^KONYA^WENDY^CIS^^^RN^^^^^^XX||.TRAUMA^Services^Trauma^^^^^^^^^^XX~PROVIDER^PROVIDER^MEDICAL^^^^^^^^^^XX~VENIAMINOS^VENIAMINOVA^SVETLANA^CIS^^^RN^^^^^^XX~ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^^^^^^XX|PEDM||||||||IN|||||||||||||||||||||ARH|||||201709281441|
PV2||W^Ward|
OBX|1|ST|1010.1^WEIGHT^CPT4||19.050880||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||111.760000||||||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|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||Testing||||||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||20010101||||||F
OBX|15|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||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|TX|AdADMRSN00^Reason for admission^ADM||ABDOMINAL PAIN||||||F
OBX|20|TX|OEDIAG^Diagnosis:^ADM||Abdominal Pain||||||F
OBX|21|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|22|TX|OtPDNRTI00^NRT intitated^ADM||N||||||F
OBX|23|TX|OtPDSPON00^Surgery/Procedure 1^ADM||TEST||||||F
OBX|24|TX|OtPDSPRE01^Seizure precautions required^ADM||N||||||F
OBX|25|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F006003675^amoxicillin|MI|Hives/Urticaria       *AL|20171204
AL1|2|FA|F006010861^blueberry|MI|Rash                  *AL|20171204
AL1|3|FA|F006016178^orange|MI|Hives/Urticaria       *AL|20171204
ZFD|.UNATTACH^Unattach^^^^^^^OTH||||KONYAW^KONYA^WENDY^CIS^^^RN^^DOC|.UNATTACH^Unattach^^^^^^^OTH||.TRAUMA^Services^Trauma^^^^^^DOC~PROVIDER^PROVIDER^MEDICAL^^^^^^DOC~VENIAMINOS^VENIAMINOVA^SVETLANA^CIS^^^RN^^OTH~ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC|
ZFH|LUMED|||||||||SUCONDR

MSH|^~\&|ADM|ARH|||202002041417||ADT^A08|4161522|D|2.2|||AL|NE
EVN|A08|20200204||||
PID|1|FHATVIG0000039|AB00006603|AB6603|EMRTEST^ADVANCED^TEST||19780719|F|||100-13450 102 AVE^^SURREY^BC^V3T 5X3|||||||AB000055/17|9876591043
PV1|1|I|AB-2BAKER^AB2B-B2116^1|EL|||BARCLAYN^Barclay^Neil^G^^^^^^^^^XX||.TRAUMA^Services^Trauma^^^^^^^^^^XX~CHENGN^CHENG^NOK^CIS^^^^^^^^^XX~DELAPAZO^De La PazTEST^OliverTEST^^^^^^^^^^XX~KONYAW^KONYA^WENDY^CIS^^^RN^^^^^^XX~ZTEST^Test Provider^IM/IT^Use Only^^^^^^^^^XX~ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^^^^^^XX|MEDS||||||||IN|||||||||||||||||||||ARH|||||201708141253|
PV2||P^Private - Non-Solicited|INTRODUCING THIS BABY TO THE WHOLE WORLD
OBX|1|ST|1010.1^WEIGHT^CPT4||89.000||||||F
OBX|2|ST|1010.3^HEIGHT^CPT4||180.340000||||||F
OBX|3|TX|ADM AC AUD^HIGH PROFILE PATIENT - ACCESS AUDIT (Y)^ADM||N||||||F
OBX|4|CE|ADM CCI1^CCI#1^ADM||AVB^AVB-Agressive/Violent Beh||||||F
OBX|5|TX|ADM CCI2^CCI#2^ADM||||||||F
OBX|6|TX|ADM CCI3^CCI#3^ADM||||||||F
OBX|7|TX|ADM CCI4^ARO - Antibiotic Resistant Organisms^ADM||||||||F
OBX|8|TX|ADM CCI5^DNA - Do Not Acknowledge^ADM||||||||F
OBX|9|TX|ADM CCI6^AVB - Aggressive/Violent Behaviour^ADM||||||||F
OBX|10|TX|ADM CCI7^MDR - Multiple Drug Resistant Organisms^ADM||||||||F
OBX|11|TX|ADM CCI7a^          **or**^ADM||||||||F
OBX|12|TX|ADM CCICO1^Comments:^ADM||AVB-RCH-22/09/17||||||F
OBX|13|TX|ADM CCICO2^:^ADM||||||||F
OBX|14|TX|ADM CCICO3^:^ADM||||||||F
OBX|15|TX|ADM CURRES^Residing at current add. since (DD/MM/YY)^ADM||20161224||||||F
OBX|16|CE|ADM IDSOUR^SOURCE OF ID^ADM||BCSWP^BC Services With Photo||||||F
OBX|17|CE|ADM MDRO2^Canada in the last 12 months?^ADM||N^NO||||||F
OBX|18|CE|ADM MDRO4^Bangladesh or Vietnam in the last 12 months?^ADM||N^NO||||||F
OBX|19|CE|ADM MRSA2^correctional/shelter in the last 12 months?^ADM||NA^NOT ASKED||||||F
OBX|20|CE|AcADLWAP01^Wash products/skin protectant used^ADM||1^Chlorhexidine cloths||||||F
OBX|21|CE|AcADLWAT00^Wash type performed^ADM||1^Full bed bath||||||F
OBX|22|CE|AcCLTYPE00^Clothing type^ADM||2^Hospital pajamas||||||F
OBX|23|CE|AcDRASST02^Dressing assistance^ADM||2^Supervision||||||F
OBX|24|CE|AcHAIWAS00^Hair wash performed^ADM||1^With hair cap||||||F
OBX|25|CE|AcMOCAPE00^Mouth care performed^ADM||2^Antibacterial oral rinse~5^Chlorhexidine oral rinse||||||F
OBX|26|CE|AcMOCARE03^Mouth care assistance^ADM||2^Supervision||||||F
OBX|27|TX|AcSHAGIV00^Shave given^ADM||Y||||||F
OBX|28|CE|AcWAASST03^Washing assistance^ADM||1^Unassisted||||||F
OBX|29|CE|AdADMFRO01^Admitted from^ADM||1^Emergency||||||F
OBX|30|TX|AdADMRSN00^Reason for admission^ADM||TESTING emr FUNCTIONALITIES||||||F
OBX|31|CE|AdARRMOD00^Mode of arrival^ADM||1^Stretcher||||||F
OBX|32|TX|AdCULREQ01^Cultural/Spiritual considerations^ADM||N||||||F
OBX|33|TX|AdMRPDET00^MRP or physician details of notification^ADM||||||||F
OBX|34|TX|AdMRPNAM00^MRP or physician name^ADM||||||||F
OBX|35|TX|AdMRPNMD00^MRP or physician notification method^ADM||||||||F
OBX|36|TX|AdNAMEBN00^Name band on^ADM||Y||||||F
OBX|37|CE|AdREPREF00^Report received^ADM||1^In person||||||F
OBX|38|TX|AdTWPAID01^Two patient identifiers checked^ADM||Y||||||F
OBX|39|TX|CaBTV00100^Blood intake^ADM||300.00||||||F
OBX|40|CE|CaPARAMR00^Cardiovascular defined parameters^ADM||2^Significant findings||||||F
OBX|41|CE|CoNOVECO00^Nonverbal communication^ADM||5^Writing~6^Facial expressions~7^Hand gestures||||||F
OBX|42|TX|Gi00000000^Hyperglycemia signs and symptoms^ADM||oPatient Problems > would require a  Problem  dictionary build.  This~piece also offers free text functionality.  The display would include~ Current Problems ,  Problem List ,  Historical Problems , and  Medical~Record History .  The  Problem Dictionary  is sourced in PCS~oMedications \T\ Ambulatory Medications > displays active medications on a~current visit and Ambulatory Medications that are generated from the~Prescription Management Module (RXM) and would include Home Medication.~This piece is required for the RXM Medication Reconciliation project.~Label can be changed for the Ambulatory Medications Per MIS FS Parameters~oPreferred Pharmacy > can set a preferred pharmacy to communicate rx to~pharmacy~oCare Team > ID S Providers assigned for the patient for the visit.  Can~be updated in the discharged routine.~oImmunizations > lists Vaccine type, Date administered, Eligible date and~Recommended Schedule~oHealth Maintenance > Displays routine items that are typically repeated~at regular intervals i.e. immunization, glucose, Mammogram.  Only for~specific EMR ID s.  MT can provide the list~oGrowth Charts > currently displays in EMR on the  Summary  Panel and~would also display on the  Summary  screen~oSubstance Use > displays current and historical substance use and is~received via EMR ID from PCS and EDM~oProcedures > associated with procedure coding not currently in use.~Requires CPT code set up for procedures.  CPT code dictionary in MIS~oMy Personal Notes > generates a text file that is only seen by the user~who wrote the note/s and cannot be accessed by others. Personal Notes text~will file as part of the patients permanent record~oExternal Medical summary Documents > vender dependant to pull external~reports to EMR||||||F
OBX|43|TX|GiEMAMME00^Emesis amount measured^ADM||22||||||F
OBX|44|CE|GiETDEDE00^Enteral feeding tube delivery service^ADM||1^Gravity||||||F
OBX|45|CE|GiETSYST00^Enteral feeding tube system^ADM||1^Open||||||F
OBX|46|TX|GiGRESVL00^Gastric residual volume^ADM||78||||||F
OBX|47|CE|GiHSMODE00^Hypoglycemia signs and symptoms, moderate^ADM||1^Difficulty concentrating||||||F
OBX|48|CE|GiHSSEVE00^Hypoglycemia signs and symptoms, severe^ADM||1^Agitated, uncooperative||||||F
OBX|49|CE|GiHSSYMP00^Hypoglycemia signs and symptoms, mild^ADM||1^Trembling||||||F
OBX|50|CE|GiHTINTE00^Hypoglycemic event intervention^ADM||1^Dextrose or glucose tabs||||||F
OBX|51|CE|GiPARAMR00^Gastrointestinal defined parameters^ADM||2^Significant findings||||||F
OBX|52|TX|GuHEMORP00^Hemodialysis reported fluid removal^ADM||1000.00||||||F
OBX|53|CE|GuPARAMR00^Genitourinary defined parameters^ADM||2^Significant findings||||||F
OBX|54|CE|HeCO000100^Verbal communication^ADM||4^Disorganized~5^Slow~6^Non-verbal||||||F
OBX|55|TX|HeDIETCH00^Rationale for diet change^ADM||Overview of our current Enterprise Medical Record (EMR) viewer~Meditech Enterprise Medical Records (EMR) provides clinicians with a~structured, point and click viewer to access patient healthcare~information.  EMR stores patient information sent from all Meditech~applications along with patient information sent from designated~interfaced non Meditech applications.  EMR also supports links to~interfaced application such as Picture Archiving Communication System,~Unified Clinical Information Network and GE MUSE.  Information collected~will remain in EMR indefinitely, making it a valuable database for~continuance of patient care supporting  Best Practice  strategies.~Advanced EMR Options offers a three part enhancement~1.A new  Visit Selection  screen that will provide additional selection~options:~oSelection by  Time Frame  in years~oSelection by  Visit Type  ,  Diagnosis  or  All~oSelection by  View , to access patient visits either by Selected or All~Impact to users:~?Change in Visit screen display:  end-users will see the additional~selection option tables displaying above the patient visit list~?Additional visit selection functionality will offer an enhanced search~for patient information||||||F
OBX|56|CE|HeSLP04200^Swallow Screening Tool results^ADM||2^Fail||||||F
OBX|57|CE|HeSW000100^Swallowing concerns identified with solids^ADM||2^Pain||||||F
OBX|58|CE|HeSW000300^Swallowing concerns identified with fluids^ADM||6^Drooling||||||F
OBX|59|CE|HxETOHT000^Alcohol use alcohol type^ADM||2^Beer~3^Wine~4^Spirits||||||F
OBX|60|TX|HxNCIGD000^Tobacco use number of cigarettes per day^ADM||10||||||F
OBX|61|CE|HxTABTY000^Tobacco use type^ADM||1^Cigarettes||||||F
OBX|62|TX|HxTABUL002^Used tobacco or nicotine vapour products in the last 30 days^ADM||2||||||F
OBX|63|TX|HxTSDMR001^Surrogate healthcare decision maker/TSDM required^ADM||N||||||F
OBX|64|CE|ITSPDECM15^Emergency CPI Care Plan developed by:^ADM||RCH^Royal Columbian Hospital||||||F
OBX|65|TX|ITSPDECM2^Patient has an Emergency CPI Care Plan?^ADM||Y||||||F
OBX|66|CE|ITSPDECM20^Reason for Care Plan:^ADM||1^Familiar Faces Care Plan||||||F
OBX|67|CE|InBSACTV00^Braden Scale activity^ADM||3^3-Walks occasionally||||||F
OBX|68|CE|InBSFRSH00^Braden Scale friction and shear^ADM||2^2-Potential problem||||||F
OBX|69|CE|InBSMOBI01^Braden Scale mobility^ADM||2^2-Very limited||||||F
OBX|70|CE|InBSMOIS00^Braden Scale moisture^ADM||2^2-Very moist||||||F
OBX|71|CE|InBSNUTR00^Braden Scale nutrition^ADM||2^2-Probably inadequate||||||F
OBX|72|CE|InBSRISK00^Braden Scale risk level^ADM||2^Moderate||||||F
OBX|73|TX|InBSRISK01^Braden Scale risk level^ADM||Moderate||||||F
OBX|74|TX|InBSSCOR00^Braden Skin Risk Assessment Score^ADM||13||||||F
OBX|75|CE|InBSSPER00^Braden Scale sensory perception^ADM||2^2-Very limited||||||F
OBX|76|TX|InEYECAR00^Eye care^ADM||Y||||||F
OBX|77|CE|InPARAMR00^Integumentary defined parameters^ADM||2^Significant findings||||||F
OBX|78|CE|IvIN000600^Glycemic management sample source^ADM||1^Capillary||||||F
OBX|79|TX|IvIN021400^IV Intake Amount^ADM||88||||||F
OBX|80|CE|IvINVLOC00^Location^ADM||2^Lower arm||||||F
OBX|81|CE|IvINVTYP01^Line type^ADM||1^PIV||||||F
OBX|82|CE|IvLINECA01^Line care^ADM||2^IV tubing change||||||F
OBX|83|CE|IvLOCATM00^Location modifier^ADM||2^Left||||||F
OBX|84|CE|IvPORT0100^Infusion port^ADM||7^Proximal||||||F
OBX|85|TX|IvRATE0000^Rate^ADM||10.00||||||F
OBX|86|TX|IvSOLINF00^Solution infusing^ADM||NS0.9%||||||F
OBX|87|CE|MhAFFECT01^Affect^ADM||2^Flat||||||F
OBX|88|CE|MhAGGRE005^Aggression/Harm to others: Severity rating scale^ADM||1^1. Mild||||||F
OBX|89|CE|MhAGGRE011^Aggression/Harm to others: Risk factors^ADM||05^Hx of violence/aggression||||||F
OBX|90|TX|MhALERT001^Date alert initiated^ADM||20170830||||||F
OBX|91|TX|MhALERT002^Time alert initiated^ADM||0700||||||F
OBX|92|TX|MhALERT003^History of physical aggression^ADM||Y||||||F
OBX|93|TX|MhALERT004^Physically aggressive/threatening^ADM||N||||||F
OBX|94|TX|MhALERT005^Verbally hostile/threatening^ADM||Y||||||F
OBX|95|TX|MhALERT006^Shouting/Demanding^ADM||Y||||||F
OBX|96|TX|MhALERT007^Drug/alcohol intoxication/potential for withdrawal^ADM||Y||||||F
OBX|97|TX|MhALERT008^Auditory/Visual hallucinations^ADM||N||||||F
OBX|98|TX|MhALERT009^Threatening to leave/impulsivity^ADM||N||||||F
OBX|99|TX|MhALERT010^Active symptoms of major mental illness^ADM||Y||||||F
OBX|100|TX|MhALERT011^Cognitive impairment^ADM||Y||||||F
OBX|101|TX|MhALERT012^Paranoia/Suspicious/Distrustful^ADM||Y||||||F
OBX|102|TX|MhALERT013^Withdrawn^ADM||Y||||||F
OBX|103|TX|MhALERT014^Agitation^ADM||N||||||F
OBX|104|CE|MhALERT016^Alert criteria evaluation^ADM||1^Alert criteria met||||||F
OBX|105|CE|MhALERT038^Elopement: Severity rating scale^ADM||2^2. Moderate||||||F
OBX|106|CE|MhALERT045^Elopement: Risk factors^ADM||05^Hallucinations||||||F
OBX|107|CE|MhBHATTI01^Behaviour attitude^ADM||12^Aggressive||||||F
OBX|108|CE|MhCOORIE01^Oriented to^ADM||1^Date/Time~2^Person~3^Place~4^Situation||||||F
OBX|109|CE|MhHRTABA01^Abuse assessment score^ADM||3^Major concerns||||||F
OBX|110|TX|MhHRTABS01^Abuse notification has occurred^ADM||N||||||F
OBX|111|TX|MhHRTACM01^Assessment completion^ADM||Complete||||||F
OBX|112|CE|MhHRTBLA01^Relationship and bullying assessment score^ADM||4^Major concerns||||||F
OBX|113|TX|MhHRTBLS01^Relationship and bullying resources^ADM||N||||||F
OBX|114|CE|MhHRTDGA01^Alcohol and drugs assessment score^ADM||4^Major concerns||||||F
OBX|115|TX|MhHRTDGS01^Alcohol and drugs resources^ADM||N||||||F
OBX|116|CE|MhHRTEDA01^Education and activities assessment score^ADM||4^Major concerns||||||F
OBX|117|TX|MhHRTEDS01^Education and activities resources^ADM||N||||||F
OBX|118|CE|MhHRTHMA01^Home assessment score^ADM||4^Major concerns||||||F
OBX|119|TX|MhHRTHMS01^Home resources^ADM||N||||||F
OBX|120|CE|MhHRTMDA01^Mood assessment score^ADM||4^Major concerns||||||F
OBX|121|TX|MhHRTMDS01^Mood resources^ADM||N||||||F
OBX|122|CE|MhHRTNXA01^Thoughts and anxiety assessment score^ADM||4^Major concerns||||||F
OBX|123|TX|MhHRTNXS01^Thoughts and anxiety resources^ADM||N||||||F
OBX|124|CE|MhHRTPRA01^Professionals and resources assessment score^ADM||3^Major concerns||||||F
OBX|125|CE|MhHRTSFA01^Safety assessment score^ADM||4^Major concerns||||||F
OBX|126|TX|MhHRTSFS01^Safety resources^ADM||N||||||F
OBX|127|CE|MhHRTSXA01^Sexual health assessment score^ADM||4^Major concerns||||||F
OBX|128|TX|MhHRTSXS01^Sexual health resources^ADM||N||||||F
OBX|129|CE|MhLOBSA101^Current level of observation^ADM||2^Level 2||||||F
OBX|130|CE|MhMEDIN012^Medical instability: Risk factors^ADM||06^Decline in LOC||||||F
OBX|131|CE|MhMSEATT01^Attitude^ADM||4^Suspicious~9^Guarded||||||F
OBX|132|CE|MhPBDEND01^Disposition of dentures^ADM||1^None present||||||F
OBX|133|CE|MhPBGLAD01^Disposition of eyewear^ADM||1^None present||||||F
OBX|134|CE|MhPBHEAD01^Disposition of hearing aids^ADM||1^None present||||||F
OBX|135|TX|MhPBIUNC01^Items stored on unit comments^ADM||KEY RING WITH 3 KEYS:1 SILVER HOME KEY, 1 BLACK AND SILVER FORD CAR KEY, 1~BLACK AND SILVER CABINT KEY.||||||F
OBX|136|CE|MhPED00100^Behaviour^ADM||3^Purposeful~5^Agitated~8^Restless||||||F
OBX|137|TX|MhPERAID01^Personal aids present^ADM||N||||||F
OBX|138|TX|MhPORTUN01^Oriented to unit and/or provided orientation pamphlet^ADM||Y||||||F
OBX|139|TX|MhRIGHT004^Details of visit^ADM||immediate family only please||||||F
OBX|140|CE|MhSNVUN022^Self neglect/Vulnerability: Risk factors^ADM||02^Poor nutrition||||||F
OBX|141|TX|MhSUAGEU01^Age alcohol first used^ADM||33||||||F
OBX|142|TX|MhSUAGEU02^Age drug first used^ADM||33||||||F
OBX|143|CE|MhSUB00200^Method of drug use^ADM||1^Inhale/Smoke~3^Subcutaneous injection~7^Intravenous injection||||||F
OBX|144|CE|MhSUPDHX01^Previous alcohol detoxification admission^ADM||2^No||||||F
OBX|145|CE|MhSUPWHC01^Previous alcohol withdrawal^ADM||1^Yes||||||F
OBX|146|CE|MhSUPWSZ01^Previous alcohol withdrawal seizures^ADM||2^No||||||F
OBX|147|TX|MhSUSH0004^Suicide/Self harm: Risk factors comments^ADM||;'sd as;dj vx;clvxcv||||||F
OBX|148|CE|MhSUSH0009^Suicide/Self harm: Severity rating scale^ADM||0^0. Not present||||||F
OBX|149|CE|MhSUSH0020^Suicide/Self harm: Risk factors^ADM||05^Hx of suicide attempts||||||F
OBX|150|TX|MhSUSS0024^Age tobacco first used^ADM||35||||||F
OBX|151|CE|MhSUSS0027^Alcohol use^ADM||4^Both history and current||||||F
OBX|152|CE|MhSUSS0028^Drug use^ADM||4^Both history and current||||||F
OBX|153|CE|MhSUSS0029^Drug type used^ADM||7^Crack-cocaine||||||F
OBX|154|CE|MhSUSS0034^Tobacco/Nicotine use^ADM||2^History of use||||||F
OBX|155|CE|MhSUTOBU01^Tobacco use dependency^ADM||3^Moderate dependency||||||F
OBX|156|TX|MhSUTXRE02^Treatment referral required^ADM||Y||||||F
OBX|157|CE|MoBDASST08^Assistance required for repositioning in bed^ADM||1^Unassisted||||||F
OBX|158|CE|MoPOBDPO01^Bed position^ADM||4^Low fowlers (30-45 deg)||||||F
OBX|159|CE|MoROASST00^Rolling assistance required^ADM||1^1 person||||||F
OBX|160|TX|MoROCMTS00^Rolling comment^ADM||Purpose: Keep the selected visit the default view in the panels in the EMR~ ~Date/Time (EST) approved for Move: (If no preference, state here):PENDING~ ~Modules impacted:EMR~ ~Impact to the system (Specify TEST, LIVE, TRAIN, or a combination of~these):TEST~ ~Impact description:Keep the selected visit the default view in the panels~in the~EMR~ ~Back Out Plan: Change the parameter back to its original setting~ ~Downtime (Y/N):NONE~ ~If Toggle is required, will Meditech complete the toggle (Y/N):N/A~ ~Toggle/Downtime Duration:N/A~ ~Toggle type (Specify: background job, proxy, interface, or other):N/A~ ~Other Downtime/Toggle information:N/A~ ~Prompt for Client Update:N/A~ ~Site Approval to TEST:PENDING~ ~Site Approval to LIVE:N/A||||||F
OBX|161|CE|MoRODIRN01^Rolling direction^ADM||1^Right||||||F
OBX|162|CE|MoROLFNC00^Rolling level of function^ADM||1^Complete independence||||||F
OBX|163|CE|MoRPASDV01^Repositioning in bed assistive equipment^ADM||2^Bed rail||||||F
OBX|164|CE|MoRPASST00^Repositioning in bed assistance required^ADM||2^2 person||||||F
OBX|165|TX|MoRPCMTS00^Repositioning in bed comment^ADM||Thanks,~So to be clear there are no other panels? My request was never to turn it~off.~Your last statement from yesterday's entry is correct. We don't want~Lifetime~Summary as the default view. Please make Selected Visit as the default~view.||||||F
OBX|166|CE|MoRPLFNC00^Repositioning in bed level of function^ADM||2^Supervision||||||F
OBX|167|CE|MoRPSLNG00^Repositioning in bed type of sling used^ADM||2^Positioning sling||||||F
OBX|168|TX|MsGPC00001^General physical assessment^ADM|| ~ ~Weiner,Jessica (MEDITECH) - Sep 26, 2017 - 1808 EDT:  Hi Barb, the lifetime~summary option is part of the advanced EMR options enhancement so it~cannot be~turned off for for some panels, it would have to be turned off for all~panels~with the option. In addition to turning it off, it would remove the~enhanced~visit selection page and summary panel that are also part of Advanced EMR~Options. What can be done is not have the lifetime summary be the default~view~(if that is defined) and have users default to the selected visit instead.~Please let us know how you would like to proceed. Thank you - Jessica||||||F
OBX|169|TX|NUOTCMST00^Outcome status^ADM||In progress||||||F
OBX|170|CE|NeCOAFFE01^Cognition - Affect^ADM||1^Appropriate||||||F
OBX|171|CE|NeGCSEYE03^Glasgow Coma Scale Eye Opening^ADM||2^2- To pressure||||||F
OBX|172|CE|NeGCSMOT03^Glasgow Coma Scale Motor Response^ADM||2^4- Normal flexion||||||F
OBX|173|TX|NeGCSSCR01^GCS score^ADM||9||||||F
OBX|174|CE|NeGCSVER03^Glasgow Coma Scale Verbal Response^ADM||2^3- Words||||||F
OBX|175|TX|NeGLBLGU00^Glucometer blood glucose^ADM||6.5||||||F
OBX|176|CE|NeLECONS00^Level of consciousness^ADM||1^Alert||||||F
OBX|177|TX|NeMRARMD00^Arm drift^ADM||Y||||||F
OBX|178|CE|NeNCBEHV00^Neurological complaint behaviour^ADM||1^Cooperative~2^Confused~3^Restless~4^Agitated~5^Tearful/weepy~6^Irritable~7^Resists care~8^Physically aggressive~9^Wandering~10^Sexually inappropriate||||||F
OBX|179|CE|NeORIENT00^Oriented^ADM||1^To person~2^To place~3^To time~4^To situation||||||F
OBX|180|CE|NePARAMR00^Neurological and cognition defined parameters^ADM||2^Significant findings||||||F
OBX|181|CE|NePOSC0000^POSS score^ADM||1^1 - Awake and alert||||||F
OBX|182|CE|NePUEYED01^Eye deviation^ADM||1^Right||||||F
OBX|183|CE|NePURXNL00^Pupil reaction to light^ADM||1^Brisk||||||F
OBX|184|CE|NePUSHPE00^Pupil shape^ADM||1^Round||||||F
OBX|185|CE|NePUSIDE00^Pupil side^ADM||1^Left||||||F
OBX|186|TX|NePUSIZE00^Pupil size^ADM||8||||||F
OBX|187|CE|NeRFCRNL00^Corneal reflex left^ADM||1^Present||||||F
OBX|188|CE|NeRFCRNR00^Corneal reflex right^ADM||1^Present||||||F
OBX|189|CE|NeRFGAGR00^Gag reflex^ADM||1^Present||||||F
OBX|190|CE|NmARMST100^Arm strength right^ADM||2^Moderate||||||F
OBX|191|CE|NmARMST200^Arm strength left^ADM||2^Moderate||||||F
OBX|192|CE|NmHNDGR100^Handgrip right^ADM||2^Moderate||||||F
OBX|193|CE|NmHNDGR200^Handgrip left^ADM||2^Moderate||||||F
OBX|194|CE|NmLEGST100^Leg strength right^ADM||2^Moderate||||||F
OBX|195|CE|NmLEGST200^Leg strength left^ADM||2^Moderate||||||F
OBX|196|CE|Nu00000301^Enteral nutrition hold reasons^ADM||1^Medication||||||F
OBX|197|CE|NuBRAMCO01^Breakfast amount consumed^ADM||2^50%||||||F
OBX|198|CE|NuDIAMCO01^Dinner amount consumed^ADM||2^50%||||||F
OBX|199|CE|NuENDELI00^Enteral nutrition delivery schedule^ADM||1^Continuous||||||F
OBX|200|CE|NuENFLPO03^Feeding tube flush purpose^ADM||1^Hydration||||||F
OBX|201|CE|NuENFLUS01^Feeding tube flush type^ADM||1^Water||||||F
OBX|202|TX|NuENGTFR00^Goal tube feed rate^ADM||75||||||F
OBX|203|TX|NuENITFR00^Initial tube feed rate^ADM||15||||||F
OBX|204|CE|NuENPRSC00^EN progression schedule as tolerated^ADM||3^q4h||||||F
OBX|205|TX|NuENRAPR00^EN rate progression as tolerated^ADM||12||||||F
OBX|206|TX|NuENRATE00^Enteral nutrition current rate^ADM||50||||||F
OBX|207|TX|NuENSOLU02^Enteral nutrition formula or solution^ADM||TEST||||||F
OBX|208|CE|NuFEEASS01^Feeding assistance^ADM||1^Unassisted||||||F
OBX|209|TX|NuIEFTFL00^Intake - enteral feeding tube flush^ADM||75.00||||||F
OBX|210|TX|NuIEFTFL01^Free water intake^ADM||55.00||||||F
OBX|211|TX|NuIENUTR01^Tube feed intake^ADM||75.00||||||F
OBX|212|TX|NuIOAMOU00^Intake - other amount^ADM||44.00||||||F
OBX|213|TX|NuIONUTR00^Intake - oral nutrition^ADM||99.00||||||F
OBX|214|TX|NuIOTHER01^Other intake description^ADM||Secondary||||||F
OBX|215|CE|NuLUAMCO01^Lunch amount consumed^ADM||2^50%||||||F
OBX|216|TX|NuNM000100^Nothing by mouth^ADM||Y||||||F
OBX|217|TX|NuOCTUBE00^Output - chest tube^ADM||20||||||F
OBX|218|TX|NuOGRETU00^Output - gastric returns^ADM||100.00||||||F
OBX|219|CE|NuONSOUR00^Oral nutrition food source^ADM||1^Hospital||||||F
OBX|220|TX|NuOURINE00^Output - urine^ADM||99.00||||||F
OBX|221|CE|NuPPOSBR00^Patient's position during breakfast^ADM||2^Edge of bed||||||F
OBX|222|CE|NuPPOSDI00^Patient's position during dinner^ADM||3^Bedside chair||||||F
OBX|223|CE|NuPPOSLU01^Patient's position during lunch^ADM||2^Edge of bed||||||F
OBX|224|CE|NuSNAMCO01^Snack amount consumed^ADM||3^75%||||||F
OBX|225|CE|OEBREAST^Breastfeeding?^ADM||N^No||||||F
OBX|226|CE|OECODESTAT^MOST Order Designation^ADM||DNR-M2^DNR - M2||||||F
OBX|227|TX|OEDIAG^Diagnosis:^ADM||||||||F
OBX|228|TX|OEDIAG2^Concurrent Dx:^ADM||NOTHING||||||F
OBX|229|CE|OEISO^Infection Control:^ADM||S^Standard/Routine||||||F
OBX|230|TX|OELANG^Language:^ADM||BUL||||||F
OBX|231|TX|OhEDIT0000^Reason for edit^ADM||spelling mistake||||||F
OBX|232|CE|OhIN000300^Information source^ADM||1^Patient||||||F
OBX|233|TX|OtOTRXIN00^OT therapy program to be completed independently^ADM||ftest||||||F
OBX|234|TX|OtPDCAR00^Consults and referrals^ADM||PAIN DR||||||F
OBX|235|TX|OtPDDLWO00^Daily lab work^ADM||EVERY OTHER DAY CBC, CP7||||||F
OBX|236|TX|OtPDGLUC00^Glucometer frequency^ADM||Q24H||||||F
OBX|237|TX|OtPDINFU00^Infusion(s)^ADM||NS0.9%||||||F
OBX|238|TX|OtPDPCCN00^PCC notes^ADM||PATIENT WOULD LIKE TO GO HOME EARLY IF POSSIBLE||||||F
OBX|239|TX|OtPDPIVO00^PIV^ADM||Y||||||F
OBX|240|TX|OtPDSPON00^Surgery/Procedure 1^ADM||NOTHING BOOKED YET||||||F
OBX|241|TX|OtPDSWCO00^Social work comments^ADM||PATIENT DOING FINE AND~SHE DOESNT NEED SW~SUPPORT||||||F
OBX|242|TX|OtPDVINF00^Visitor information^ADM||IMMEDIATE FAMILY ONLY||||||F
OBX|243|TX|OtPDVSIG00^Vital signs frequency^ADM||Q6H||||||F
OBX|244|TX|PaCOMMEN00^Pain comments^ADM||No reports of pain||||||F
OBX|245|TX|PaEPVOLM00^Epidural volume administered in 12 hours^ADM||66.00||||||F
OBX|246|CE|PaFINN0000^Cry^ADM||1^Excessive cry (2)||||||F
OBX|247|CE|PaFINN0010^Sleep^ADM||2^< 2 hrs post feed (2)||||||F
OBX|248|CE|PaFINN0020^Moro reflex^ADM||1^Hyperactive (2)||||||F
OBX|249|CE|PaFINN0041^Increased muscle tone^ADM||1^Yes (2)||||||F
OBX|250|CE|PaFINN0051^Excoriation^ADM||1^Yes (1)||||||F
OBX|251|CE|PaFINN0071^Myoclonic jerks^ADM||1^Yes (3)||||||F
OBX|252|CE|PaFINN0081^Generalized convulsions^ADM||1^Yes (5)||||||F
OBX|253|CE|PaFINN0100^Fever^ADM||1^37.2 - 38.3 C (1)||||||F
OBX|254|CE|PaFINN0111^Frequent yawning^ADM||1^Yes (1)||||||F
OBX|255|CE|PaFINN0121^Mottling^ADM||1^Yes (1)||||||F
OBX|256|CE|PaFINN0131^Nasal stuffiness^ADM||1^Yes (1)||||||F
OBX|257|CE|PaFINN0141^Sneezing^ADM||1^Yes (1)||||||F
OBX|258|CE|PaFINN0151^Nasal flaring^ADM||1^Yes (2)||||||F
OBX|259|CE|PaFINN0160^Respiratory rate^ADM||2^With retractions (2)||||||F
OBX|260|CE|PaFINN0171^Excessive sucking^ADM||1^Yes (1)||||||F
OBX|261|CE|PaFINN0181^Poor feeding^ADM||1^Yes (2)||||||F
OBX|262|CE|PaFINN0191^Regurgitation^ADM||1^Yes (2)||||||F
OBX|263|CE|PaFINN0201^Projectile vomiting^ADM||1^Yes (3)||||||F
OBX|264|CE|PaFINN0211^Loose stools^ADM||1^Yes (2)||||||F
OBX|265|CE|PaFINN0221^Watery stools^ADM||1^Yes (3)||||||F
OBX|266|TX|PaFINN0230^Neonatal Abstinence Score^ADM||40||||||F
OBX|267|CE|PaFINN0240^Tremors disturbed^ADM||1^Mild (1)||||||F
OBX|268|CE|PaFREQ0000^Pain frequency^ADM||1^At rest||||||F
OBX|269|CE|PaLOCBDS01^Location^ADM||2^Face||||||F
OBX|270|CE|PaLOCBDS02^Location^ADM||1^Head||||||F
OBX|271|TX|PaNASFIN00^Concerns identified^ADM||Y||||||F
OBX|272|TX|PaPAGOAL02^Pain goal^ADM||to reduce pain to 2 from 7||||||F
OBX|273|CE|PaPAIASS00^Pain assessment^ADM||1^Pain not reported||||||F
OBX|274|CE|PaPALOCM00^Pain location modifier^ADM||2^Right||||||F
OBX|275|CE|PaPANVBA00^Pain non-verbal behaviours^ADM||4^Cries||||||F
OBX|276|CE|PaPAQUAL01^Pain quality^ADM||1^Sharp||||||F
OBX|277|TX|PaPARADI00^Pain radiating^ADM||N||||||F
OBX|278|TX|PaPARADL00^Pain radiating location^ADM||eye||||||F
OBX|279|CE|PaPARAMR00^Pain defined parameters^ADM||2^Significant findings||||||F
OBX|280|CE|PaPASCL000^Pain scale used^ADM||1^Numeric||||||F
OBX|281|TX|PaPASCRE01^Pain score^ADM||6.00||||||F
OBX|282|TX|PaPATIME00^Time of pain onset^ADM||1130||||||F
OBX|283|TX|PaPATMDE00^Pain timing details^ADM||after lunch||||||F
OBX|284|CE|PaPATYPE00^Pain type of onset^ADM||1^Gradual||||||F
OBX|285|TX|PaPNMGTO00^Pain management techniques other^ADM||coloring||||||F
OBX|286|CE|PaPNMGTT00^Pain management techniques^ADM||1^Medication||||||F
OBX|287|TX|PsFID00000^Family information dependants^ADM||3 boys||||||F
OBX|288|CE|PsFIMS0001^Family information marital status^ADM||3^Married||||||F
OBX|289|TX|PsHAMSWT00^HAM-A Result^ADM||Incomplete||||||F
OBX|290|CE|PsPARAMR00^Psychosocial and mood defined parameters^ADM||2^Significant findings||||||F
OBX|291|TX|PsPATCON00^Patient/Family concerns^ADM||no||||||F
OBX|292|CE|PsPHQ90001^Little interest or pleasure in doing things^ADM||1^Not at all (0)||||||F
OBX|293|CE|PsPHQ90101^Feeling down, depressed, or hopeless^ADM||2^Several days (1)||||||F
OBX|294|CE|PsPHQ90201^Trouble falling or staying asleep, or sleeping too much^ADM||4^Nearly every day (3)||||||F
OBX|295|CE|PsPHQ90301^Feeling tired or having little energy^ADM||2^Several days (1)||||||F
OBX|296|CE|PsPHQ90401^Poor appetite or overeating^ADM||2^Several days (1)||||||F
OBX|297|CE|PsPHQ90501^Feeling bad about yourself^ADM||3^More than 7 days (2)||||||F
OBX|298|CE|PsPHQ90601^Trouble concentrating on things^ADM||4^Nearly every day (3)||||||F
OBX|299|CE|PsPHQ90701^Moving or speaking so slowly or fidgety and restless^ADM||2^Several days (1)||||||F
OBX|300|CE|PsPHQ90801^Thoughts of suicide or self-harm^ADM||1^Not at all (0)||||||F
OBX|301|TX|PsPHQ90900^PHQ-9 score^ADM||12||||||F
OBX|302|CE|PsPHQ91001^Difficulty at work, home, or getting along with others^ADM||3^Very difficult||||||F
OBX|303|CE|ReCGREFL00^Cough reflex^ADM||1^Strong||||||F
OBX|304|TX|ReCT000400^Chest tubes size^ADM||14||||||F
OBX|305|CE|ReCTLOCM00^Chest tubes insertion site modifier^ADM||1^Right||||||F
OBX|306|CE|ReCTLOCN00^Chest tubes insertion site^ADM||1^Posterior||||||F
OBX|307|CE|ReOXYTHE04^Oxygen therapy delivery method^ADM||1^Room air||||||F
OBX|308|CE|RePARAMR00^Respiratory defined parameters^ADM||2^Significant findings||||||F
OBX|309|TX|ReTRCHDT00^Tracheostomy change date^ADM||16 Mar 2018||||||F
OBX|310|TX|ReTRIID01^Tracheostomy tube insertion date^ADM||20180214||||||F
OBX|311|CE|ReTRTUSI02^Tracheostomy tube size^ADM||1^4.0 mm||||||F
OBX|312|CE|ReTRTYP00^Tracheostomy type^ADM||1^Cuffed||||||F
OBX|313|CE|ReTUBPOS00^Tube position^ADM||1^Midline||||||F
OBX|314|TX|SWNOTES1^SW Notes:^ADM||family meeting Nov 23 1pm..||||||F
OBX|315|CE|SpHAMSWA00^1. Anxious mood^ADM||1^Not present (0)||||||F
OBX|316|CE|SpHAMSWT00^2. Tension^ADM||4^Mild (1)||||||F
OBX|317|CE|TML/PREG^Is Patient Pregnant?^ADM||N^NO||||||F
OBX|318|CE|TR.PMHGR5^Past Medical History^ADM||1^Asthma||||||F
OBX|319|CE|VsBPCFLP01^Blood pressure cuff location^ADM||1^Right arm||||||F
OBX|320|CE|VsBPDEUS00^Device used^ADM||1^Automated cuff||||||F
OBX|321|TX|VsBPDIAO01^Blood pressure diastolic^ADM||45||||||F
OBX|322|TX|VsBPMAPA03^Blood pressure mean arterial pressure^ADM||59||||||F
OBX|323|CE|VsBPPOST02^Patient position^ADM||6^Standing||||||F
OBX|324|TX|VsBPSYSO01^Blood pressure systolic^ADM||100||||||F
OBX|325|CE|VsBPTKDR00^Blood pressure taken during^ADM||1^Rest||||||F
OBX|326|TX|VsHRADLT01^Heart rate^ADM||60||||||F
OBX|327|TX|VsHRDPRC00^Details of pulse rate changes^ADM|| ~No specific details needed, it s just for testing more and more||||||F
OBX|328|CE|VsHRLOCA02^Heart rate location^ADM||1^Radial||||||F
OBX|329|CE|VsHRLOMO00^Pulse location modifier^ADM||1^Right||||||F
OBX|330|CE|VsHRMETH00^Heart rate method used^ADM||1^Palpation||||||F
OBX|331|CE|VsHRRHYM02^Pulse rhythm^ADM||2^Irregular||||||F
OBX|332|CE|VsHRTKDR00^Pulse rate taken during^ADM||2^Bed mobility||||||F
OBX|333|TX|VsOXDRAD01^Oxygen therapy delivery rate^ADM||3||||||F
OBX|334|TX|VsPOOSAD00^Pulse oximetry oxygen saturation^ADM||88||||||F
OBX|335|CE|VsPRLOMO00^Probe location modifier^ADM||2^Left||||||F
OBX|336|CE|VsPROLOC00^Probe location^ADM||2^Toe||||||F
OBX|337|CE|VsPRTKDR00^Pulse oximetry taken during^ADM||3^Transfer||||||F
OBX|338|CE|VsPULSTR00^Pulse strength on palpation^ADM||2^Moderate||||||F
OBX|339|TX|VsRESPAD03^Respiratory rate^ADM||20||||||F
OBX|340|CE|VsRRRRTK00^Respiratory rate taken during^ADM||2^Bed mobility||||||F
OBX|341|CE|VsTPSORC01^Temperature source^ADM||4^Axillary||||||F
OBX|342|TX|VsTPTEMPO2^Temperature^ADM||36.0||||||F
OBX|343|TX|VsVISICO00^Vital Signs comments^ADM||no additional comments||||||F
OBX|344|TX|VsWT000101^Current Weight^ADM||89.000||||||F
OBX|345|CE|VsWT000700^Weight measurement method^ADM||1^Standing scale||||||F
OBX|346|TX|VsWTGRAM00^Weight (Calculated Grams)^ADM||89000.000||||||F
OBX|347|TX|zCBTESTSED^Sedation and respiration checks required^ADM||Y||||||F
OBX|348|CE|zMGIVLOC1^Location^ADM||8^Jugular||||||F
OBX|349|CE|zMGLT^Line Type^ADM||3^CVC||||||F
OBX|350|TX|zMGSOL1^Solution^ADM||Normal Saline||||||F
OBX|351|TX|zSEPSISM00^Sepsis screen^ADM||Severe Sepsis Risk||||||F
OBX|352|CE|zSEPSISM01^Sepsis action taken^ADM||1^Physician notified||||||F
OBX|353|TX|zSEPSISM02^Name of provider notified^ADM||TEST||||||F
OBX|354|CE|zSEPSISM15^Infection criteria present^ADM||1^Suspected new infection||||||F
OBX|355|CE|zSEPSISM18^SIRS criteria present^ADM||1^Pulse > 90 bpm~8^Bands > 10%||||||F
OBX|356|CE|zSEPSISM19^Organ dysfunction criteria present^ADM||2^Creatinine > 2 mg/dl~5^Urine Output <0.5 ml/kg/h~10^Bld glucose > 14.0 mmol/L||||||F
OBX|357|TX|zSEPSISM43^Risk for sepsis identified^ADM||Y||||||F
OBX|358|TX|ADM WCB^IS THIS VISIT RELATED TO A WCB CLAIM?^INS||N||||||F
AL1|1|DA|F001000476^Penicillins|MO|Hives/Urticaria       *AL|20171204|NO COMMENT TO ADDED;
AL1|2|DA|F006001461^diazepam|MI|Low Blood Pressure    ADR|20171204|TESTING ONLY;
AL1|3|DA|F006001545^morphine|MO|Nausea                ADR|20200116
AL1|4|FA|F006002473^peanut oil^^Peanuts|MO|Anaphylaxis           *AL|20171204
AL1|5|DA|F006004620^meperidine^^From Demerol|MO|Hives/Urticaria       *AL|20190606
AL1|6|DA|F006004898^gentamicin|MI|Hives/Urticaria       *AL|20180613
AL1|7|FA|F006009368^kiwi|SV|Anaphylaxis           *AL|20190530
AL1|8|FA|F006009637^strawberry|MI|Constipation          ADR|20171003
ZFD|PWMDOC^PWMDOC^TEST^5.67^^^^^DOC||||BARCLAYN^Barclay^Neil^G^^^^29634^DOC|OEDOCN^Oedoc^Nancytrain^^^^MD^50005^DOC||.TRAUMA^Services^Trauma^^^^^^DOC~CHENGN^CHENG^NOK^CIS^^^^^DOC~DELAPAZO^De La PazTEST^OliverTEST^^^^^^DOC~KONYAW^KONYA^WENDY^CIS^^^RN^^DOC~ZTEST^Test Provider^IM/IT^Use Only^^^^500001^DOC~ZTESTDOC^ZTESTDOC^IM/IT^Use ONLY^^^^0^DOC|
ZFH|LUMED||||||DNA-ARH-22/09/17|||SUCONDR