MSH|^~\&|ITS||||201912051155||ORU^R01|4124247|D|2.3|||AL|NE
PID|1|FHATVIG0011890|ER00001683|AB8200|UCIBELUGA^UPTEST||20010404|F||||||||||EX000003/19|9874971467
PV1|1|I
OBR|1|||||201912051124|20191205|201912051124||||||||||||SW|FH-AGA AXM||||S||||||
OBX|1|TX|||          \H\NAME\N\:   UCIBELUGA,UPTEST           
OBX|2|TX|||         \H\ACCT#\N\:   EX000003/19    \H\UNIT#\N\:  ER00001683     
OBX|3|TX|||         \H\ADM DT\N\:   05/12/19    \H\PHN\N\:  9874971467     
OBX|4|TX|||\H\Social Work\N\         \H\LOC\N\:   ER-ERIN    \H\RM/B\N\:  ERERIN-01-15     
OBX|5|TX|||\H\Standard Assessment with AGA\N\         \H\DOB\N\:   04/04/2001    \H\A/S\N\:  18 F     
OBX|6|TX|||         \H\REG CAT\N\:   ER.EXT           
OBX|7|TX|||         \H\ATT DR\N\:   SEUSS *TEST,THEODORE *TEST* G           
OBX|8|TX|||         \H\FAM DR\N\:   GENP,TEST A           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\ZHU\SOCIAL WORK ASSESSMENT with AGA DOCUMENTATION  
OBX|11|TX|||\N\  
OBX|12|TX|||\ZHI\Report Received under Section 46 of Adult Guardianship Act  Do Not Disclose/Release   
OBX|13|TX|||\ZHU\  
OBX|14|TX|||Presenting Concerns  
OBX|15|TX|||\N\  
OBX|16|TX|||\H\Reason for Referral:\N\  [*g SWREF2FH]  
OBX|17|TX|||  
OBX|18|TX|||\H\Referred By:\N\  [*]  
OBX|19|TX|||  
OBX|20|TX|||\H\Admitting Diagnosis:\N\  ABDOMINAL PAIN  
OBX|21|TX|||  
OBX|22|TX|||\H\Relevant Health History:\N\  [*]  
OBX|23|TX|||  
OBX|24|TX|||  
OBX|25|TX|||\ZHU\Social Context  
OBX|26|TX|||\N\  
OBX|27|TX|||\H\Patient/Client Address/Phone  
OBX|28|TX|||\N\11 1900 CORDERO AVE NANAIMO,BC M3B 4B8 (250)939-6557  
OBX|29|TX|||  
OBX|30|TX|||\H\Family/Social Contacts  
OBX|31|TX|||\N\  
OBX|32|TX|||    
OBX|33|TX|||\ZI\Relationship\N\:   
OBX|34|TX|||  
OBX|35|TX|||  
OBX|36|TX|||    
OBX|37|TX|||\ZI\Relationship\N\:   
OBX|38|TX|||  
OBX|39|TX|||\H\Professional/Service Contacts  
OBX|40|TX|||\N\[*]  
OBX|41|TX|||  
OBX|42|TX|||\H\Living Arrangements  
OBX|43|TX|||\N\[*g SWLIVING]  
OBX|44|TX|||\ZI\Other\N\:  [*]  
OBX|45|TX|||  
OBX|46|TX|||\H\Vocational/Financial Information  
OBX|47|TX|||\N\[*]  
OBX|48|TX|||  
OBX|49|TX|||\H\Legal Information  
OBX|50|TX|||\N\[*]  
OBX|51|TX|||  
OBX|52|TX|||\H\Communication/Mental Status  
OBX|53|TX|||\N\[*]  
OBX|54|TX|||\ZHU\  
OBX|55|TX|||Bio-Psycho-Emotional Context  
OBX|56|TX|||  
OBX|57|TX|||Purpose of Involvement\N\: [*]  
OBX|58|TX|||  
OBX|59|TX|||\ZHU\Current Situation:\N\  [*]  
OBX|60|TX|||  
OBX|61|TX|||\ZHU\Client/ Family/ Other perspective:\N\  [*]  
OBX|62|TX|||  
OBX|63|TX|||\ZHU\Therapeutic Intervention \N\  [*]    
OBX|64|TX|||  
OBX|65|TX|||\ZHU\Clinical Impression and Social Work Diagnosis:\N\ [*]  
OBX|66|TX|||  
OBX|67|TX|||\ZHU\Plan:\N\ [*]  
OBX|68|TX|||\ZHU\  
OBX|69|TX|||  
OBX|70|TX|||AGA INVESTIGATION - Section A: FIndings  
OBX|71|TX|||  
OBX|72|TX|||\ZU\ 3  
OBX|73|TX|||  
OBX|74|TX|||Do the AGA DATA pages need updating since last entry?  
OBX|75|TX|||  
OBX|76|TX|||\H\If answered NO to above question, there will be no further information in sections below.  
OBX|77|TX|||* See previous AGA document(s) for most recent findings \N\Y  
OBX|78|TX|||  
OBX|79|TX|||\ZU\  
OBX|80|TX|||\N\  
OBX|81|TX|||\ZHU\ 3  
OBX|82|TX|||  
OBX|83|TX|||\H\Investigation Status: Initial, Update, Transition, or Closure  \N\Initial  
OBX|84|TX|||  
OBX|85|TX|||\ZHU\  
OBX|86|TX|||  
OBX|87|TX|||1. ABILITY TO SEEK OR REFUSE SUPPORT OR ASSISTANCE:\H\    
OBX|88|TX|||  
OBX|89|TX|||** There will not be data in the section below unless the investigation status is "\ZHI\INITIAL", "UPDATE", or "TRANSITION".   
OBX|90|TX|||  
OBX|91|TX|||\H\ 3  
OBX|92|TX|||  
OBX|93|TX|||\N\Was the adult initially thought to be able to seek or refuse support of assistance?  No  
OBX|94|TX|||  
OBX|95|TX|||  
OBX|96|TX|||\H\If answered No, most relevant reason adult unable to seek/refuse support or assistance:   
OBX|97|TX|||\N\Unknown  
OBX|98|TX|||\H\  
OBX|99|TX|||** There will not be data in the section below unless the investigation status is "\ZHI\CLOSURE\H\":  
OBX|100|TX|||\ZHI\  
OBX|101|TX|||\H\ 3  
OBX|102|TX|||  
OBX|103|TX|||\N\Confirm: Was the adult able to seek or refuse support or assistance?   
OBX|104|TX|||  
OBX|105|TX|||   
OBX|106|TX|||\H\If confirmed as No, most relevant reason adult unable to seek/refuse support or assistance:  
OBX|107|TX|||\N\  
OBX|108|TX|||\H\  
OBX|109|TX|||\ZHU\2. ABUSE  
OBX|110|TX|||  
OBX|111|TX|||\H\ 3  
OBX|112|TX|||  
OBX|113|TX|||Was abuse suspected?        \N\Yes  
OBX|114|TX|||   
OBX|115|TX|||\H\Was Abuse CONFIRMED?   
OBX|116|TX|||  
OBX|117|TX|||\N\  
OBX|118|TX|||\H\TYPE of ABUSE:   
OBX|119|TX|||\N\Physical abuse/assault  
OBX|120|TX|||  
OBX|121|TX|||  
OBX|122|TX|||\ZHU\3. NEGLECT  
OBX|123|TX|||  
OBX|124|TX|||\H\ 3  
OBX|125|TX|||  
OBX|126|TX|||Was neglect suspected?        \N\Yes  
OBX|127|TX|||   
OBX|128|TX|||\H\Was neglect CONFIRMED? \N\No  
OBX|129|TX|||  
OBX|130|TX|||  
OBX|131|TX|||\H\TYPE of NEGLECT:  
OBX|132|TX|||\N\Not receiving medic care  
OBX|133|TX|||  
OBX|134|TX|||  
OBX|135|TX|||\ZHU\4. SELF-NEGLECT  
OBX|136|TX|||  
OBX|137|TX|||\H\ 3  
OBX|138|TX|||  
OBX|139|TX|||Was self-neglect suspected?        \N\Yes  
OBX|140|TX|||   
OBX|141|TX|||\H\Was self-neglect CONFIRMED? \N\No  
OBX|142|TX|||  
OBX|143|TX|||  
OBX|144|TX|||\H\TYPE of SELF-NEGLECT:\N\   
OBX|145|TX|||Isolation/seclusion  
OBX|146|TX|||  
OBX|147|TX|||  
OBX|148|TX|||\ZHU\Section B:\H\   \ZHU\Actions Taken  
OBX|149|TX|||\N\Prov'd education/support  
OBX|150|TX|||Prov'd staff assistance  
OBX|151|TX|||Prov'd emerg interventio  
OBX|152|TX|||  
OBX|153|TX|||\ZHU\  
OBX|154|TX|||Section C:\H\   \ZHU\Adult Guardianship (AGA) Tools Used  
OBX|155|TX|||\N\Support/assistance plan  
OBX|156|TX|||  
OBX|157|TX|||\H\  
OBX|158|TX|||\ZHU\Section D:\H\   \ZHU\Outcomes  
OBX|159|TX|||\N\  
OBX|160|TX|||  
OBX|161|TX|||\ZHU\Section E:\H\   \ZHU\Gender, Age group, First Nations, City or town, AGA Reporter  
OBX|162|TX|||  
OBX|163|TX||| 3  
OBX|164|TX|||  
OBX|165|TX|||\H\Gender:   
OBX|166|TX|||   
OBX|167|TX|||Age Group:   
OBX|168|TX|||   
OBX|169|TX|||Does the adult live on a First Nations reserve \N\("N" also indicates unknown\H\):   
OBX|170|TX|||   
OBX|171|TX|||City or Town: \N\     
OBX|172|TX|||  
OBX|173|TX|||\H\  
OBX|174|TX||| 3  
OBX|175|TX|||  
OBX|176|TX|||Who is the AGA reporter?   
OBX|177|TX|||  
OBX|178|TX|||  
OBX|179|TX|||\N\  
OBX|180|TX|||\ZHU\Section F:\H\   \ZHU\Relationship of the suspected abuser to adult   
OBX|181|TX|||\N\  
OBX|182|TX|||  
OBX|183|TX|||  
OBX|184|TX|||\H\Kristina Gao, [*] - Social Worker  
OBX|185|TX|||\N\Eagle Ridge Hospital Social Work  
OBX|186|TX|||Date/Time:  \ZU\05/12/19\N\ \ZU\1124  

MSH|^~\&|ITS||||201912051155||ORU^R01|4124248|D|2.3|||AL|NE
PID|1|FHATVIG0012576|SM00047031|SM46814|LABTESTBULLDOG^LUMED||20151001|M||||||||||SM003630/19|9874838027
PV1|1|I
ORC||4930.001SMH
OBR|1|PS4930.001SMH||PS^APSADD^Add to Acute Pain Services^N/A^Psychology Consultation||201912050837|201912050820|201912050837||||||||||||PS|FH-PSYASS||||S||||||
OBX|1|TX|||          \H\NAME\N\:   LABTESTBULLDOG,LUMED           
OBX|2|TX|||         \H\ACCT#\N\:   SM003630/19    \H\UNIT#\N\:  SM00047031     
OBX|3|TX|||         \H\ADM DT\N\:   26/11/19    \H\PHN\N\:  9874838027     
OBX|4|TX|||\H\Pain Services\N\         \H\LOC\N\:   SM-3E    \H\RM/B\N\:  SM3E-304-B     
OBX|5|TX|||\H\Psychologist Pain Assessment\N\         \H\DOB\N\:   01/10/2015    \H\A/S\N\:  4Y 02M M     
OBX|6|TX|||         \H\REG CAT\N\:   S.ACU           
OBX|7|TX|||         \H\ATT DR\N\:   ZTESTDOC,IM/IT Use ONLY           
OBX|8|TX|||         \H\FAM DR\N\:   Unattach           
OBX|9|TX|||\ZU\                                                                                                                                                                     \N\                       
OBX|10|TX|||\ZHU\Pain Services Psychological Assessment  
OBX|11|TX|||\H\  
OBX|12|TX|||Diagnosis:\N\ TEST  
OBX|13|TX|||\H\  
OBX|14|TX|||Assessment:\N\ TEST  
OBX|15|TX|||\H\   
OBX|16|TX|||Interventions:\N\ TEST  
OBX|17|TX|||\H\  
OBX|18|TX|||Goals/Plans:\N\ TEST  
OBX|19|TX|||\H\  
OBX|20|TX|||  
OBX|21|TX|||Rene Campbell, HIGH COMMANDER Psychologist   
OBX|22|TX|||Pain Clinic  
OBX|23|TX|||\N\Date/Time:  05/12/19  0837