308 lines
7.7 KiB
Plaintext
308 lines
7.7 KiB
Plaintext
English French Notes Complete/Exclude
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key, releases the information
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without checking the results.
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This option should be used with
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extreme caution
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the information may not be
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You can be held liable for releasing unverified reports.
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Is used when the procedure results are released.
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This will copy the procedure to a new record and will allow you to make
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changes to the copy of the procedure.
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Electronic Signature
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is the unique set of key strokes entered
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by a user of an information system in order to document approval
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or concurrence.
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RELEASE CONTROL
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allows you to enter, research, and review
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a set of results prior to making them available to other users.
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Edit/Deletion Control
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allows the user to control the
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permanence of information entered into the information system.
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refers to the process of replacing a record with another
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record by copying it.
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Once signed the record will become locked against edit or deletionand the
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non-key holders will be able to view the data.
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Key holders can see or make
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changes to the information.
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Release Control/Elec Signature is turn off
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You don't have the required key [
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Which type of listing do you want see?
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1 Release Status - will only release information
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2 Draft Status - will only show reports that are in draft status
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3 Both - will show all reports
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Help
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Release Status Report
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Draft Status Report
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Status Report
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NO STATUS/DRAFT
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Release Control is not turned on.
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You do not have the Medicine Manager Key
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You do not have the require key for
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You do not have the '
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Superseded View (by non-manager) turned off
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Superseded View (by non-manager) turn on
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Mark for Deletion
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Signing for
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Current
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Date
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Person Who
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Report
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Changed
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Status
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The Status
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Mark for Deletion
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GMRCACT NEW PATIENT
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GMRCACTM MEDICINE PKG MENU
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The 'Select Patient' protocol was removed from the Medicine Pkg Menu, OE/RR protocol.
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Imaging Package not available or you are not on a work station!
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* END * Press return to continue:
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Duplicate NM Node in file:
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subfile of:
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Unique New Person Names in Medicine Provider Fields
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Task queued, task number
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Task not queued.
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LABEL;GLOBAL SUBSCRIPT LOCATION
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File Name (Number)
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Field Name (Number)
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New Person Name
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Provider Key
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MEDICAL PATIENT:
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PROCEDURES:
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INDICATIONS:
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INTERVENTION:
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RA MEAN PRESSURE:
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PA SYSTOLIC/DIASTOLIC:
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PCW MEAN:
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LV END DIASTOLIC (Z):
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LEFT MAIN CA NARROWING
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LEFT MAIN CA NARROWING NUMBER
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CONCLUSION:
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REASON FOR STUDY:
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APPT DATE/TIME:
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SIGNS AND SYMPTOMS:
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FOLLOWUP DEVICE OR THERAPY:
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PROTOCOL:
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EGD SIMPLE PRIMARY EXAM:
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LAB OR XRAY:
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OCCULT BLOOD:
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SPECIMEN COLLECTION:
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ENDOSCOPIST:
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RESULTS:
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PRIMARY:
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SECONDARY:
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DATE/TIME OF CONSULTATION:
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PROBLEM ORIENTED CONSULT?:
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NON-ENDOSCOPIC PROCEDURE:
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ASSESSMENT:
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PLANNED:
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HOOK-UP DATE/TIME:
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OTHER INDICATIONS:
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NUMBER OF RUNS 3 OR MORE (VENT)
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ST LEVEL:
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PROVISIONAL DIAGNOSIS(ES):
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FINAL DIAGNOSIS(ES):
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SEPTUM:
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POST LV WALL:
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LV DIASTOLE:
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LV SYSTOLE:
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REGIONAL WALL MOTION
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FINDINGS:
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DIAGNOSIS(ES):
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DATE OF IMPLANT:
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THRESHOLD (VOLTS):
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APPOINTMENT DATE/TIME:
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COUGH:
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PNEUMONIA:
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OTHER FOLLOWUP DEVICE/THERAPY:
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BRONCHOSCOPIST:
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PROCEDURE SUMMARY:
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INTERPRETED BY:
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VOLUME STUDY:
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FLOWS STUDY:
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BLOOD GAS:
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NON-MAG RATE AT END-OF-LIFE:
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MAGNET RATE AT END-OF-LIFE:
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PULSE INTERVAL (MSEC)
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PULSE WIDTH (MSEC)
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PULSE WIDTH (ATRIAL MSEC):
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PULSE WIDTH (VENT. MSEC):
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SENSITIVITY (ATRIAL MV):
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SENSITIVITY (VENT. MV):
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HEIGHT:
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WEIGHT:
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SYSTOLIC PRESSURE:
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DIASTOLIC PRESSURE:
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PULSE:
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PHYSICAL EXAMINATION
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General:
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UVEITIS/IRITIS:
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ORAL ULCERS:
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MUSCLE ATROPHY:
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RALES:
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PSYCHOSIS:
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PERICARDIAL RUB/PERICARDITIS:
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Skin:
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CUTANEOUS VASCULTITIS:
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RASH-MALAR:
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PERIUNGAL ERYTHEMA:
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RASH-OTHER:
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MEDICATION:
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DIAGNOSIS:
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REASON FOR TEST:
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ETT PROTOCOL:
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%TARGET HR:
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AGE:
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GLOBAL LOCATION
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MEDICAL PATIENT FIELD NUMBER
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SCREEN ONE
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BRIEF SCREEN ONE
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TYPE OF PROCEDURE
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C:CARDIOLOGY;G:GI;H:HEMATOLOGY;P:PULMONARY ENDOSCOPY;Z:CONSULT;PF:PULMONARY FUNCTION TEST;R:RHEUMATOLOGY;GEN:GENERIC;I:INTERNAL;HI:INTERNAL HEMATOLOGY;N:NEUROLOGY;
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ENTRY POINT OF PRINT ROUTINE
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PRINT ROUTINE
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PRINT LINE
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USED WITH GENERIC MODULE?
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BRIEF INPUT TEMPLATE
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LOCALLY DEFINED
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PRINT NAME
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PROCEDURE/SUBSPECIALTY
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P:PROCEDURE;S:SUBSPECIALTY;
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MP81'
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This report is not authorized for Release
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INDICATION;W
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PROVISIONAL DX
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PROVISIONAL DX REMARKS
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FINAL DIAGNOSIS
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FINAL DIAGNOSIS REMARKS;W
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DISEASE SEVERITY-PHYS. ESTIMATE
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REASON FOR STUDY
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OTHER INDICATIONS
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REASON FOR TEST
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ARRHYTHMIA DX
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CARDIAX DX
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INTERPRETATION;W
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TYPE OF EKG
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INTERPRETATION CODE (RHYTHM)
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INTERPRETATION CODE (CONFIG)
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INTERPRETATION CODE (PACING)
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AUTO-INSTRUMENT DIAGNOSIS
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OTHER CONCLUSION
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CONSULT DX
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COMP. GENERATED INTERPRETATION
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FREE TEXT INTERPRETATION;W
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COMMENTS AND RECOMMENDATIONS;W
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Do you want to enable Order Entry/Results Reporting
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OE/RR enabled!
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OE/RR
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Full Generalized Procedure report not available through Consults.
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See the 'Generalized Procedure Report' option.
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ASSESSMENT/FINDINGS;W
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Full Procedure report not available through Consults.
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SERIAL NUMBER
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FOLLOWUP COMMENT
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COMMENTS;W
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INDICATED THERAPY
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SIGNS AND SYMPTOMS
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DISEASE
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FOLLOWUP DEVICE OR THERAPY
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OTHER FOLLOWUP DEVICE/THERAPY
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INDICATION COMMENT
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PRIMARY DIAGNOSIS IMPRESSION
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SECONDARY DIAGNOSIS
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SECONDARY DIAGNOSIS IMPRESSION
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DIAGNOSIS/DIAGNOSIS SUPPLEMENT
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REVISED DIAGNOSIS
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Medicine Response
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This is not a valid entry point
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IMAGES?
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Images are associated with this procedure
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XTMP(
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File/Patient ID mismatch
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MCDIQ(0),
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MCDIQ,
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MCDI,MCDA,MCDIQ1,
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MCDA,
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MEDICINE-PCC UPDATE
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PRIMARY PROVIDER:
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PERFORMED AT:
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PERFORMED BY:
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PROCEDURE START TIME:
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PROCEDURE STOP TIME:
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EGD SIMPLE PRI. EXAM:
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PRESCRIPTION GIVEN:
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DOSAGE:
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INSTRUCTION:
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INSTRUMENT:
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DOSE ROUTE:
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TOTAL DOSE:
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POST-PROCEDURE INST. CLEANING:
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INDICATION COMMENTS:
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COMPLICATION:
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COMP. RESULTS:
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MCAR(700
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Select the SEX for which the Predicted Value will be applied:
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Select the Predicted Value Formula:
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REFERENCE:
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CI:
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SEE:
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METHOD:
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DEMOGRAPHICS:
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SMOKERS INCLUDED:
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ALTITUDE:
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***INTERPRETATION ENTRY***
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Print report now
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RESTRICTIVE DEFECT
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SEVERE
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MODERATE
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MILD
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RESTRICTIVE DEFECT MAY BE PRESENT
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AIRFLOW OBSTRUCTION
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OBSTRUCTIVE DEFECT MAY BE PRESENT
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GAS EXCHANGE DEFECT
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COMPUTER GENERATED INTERPRETATIONS:
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ACCEPT THIS INTERPRETATION?
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PULMONARY FUNCTION TEST REPORT
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PFT REPORT
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PULMONARY FUNCTION TEST
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TLC,VC,FVC,FEV1,MVV
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RV/TLC
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SINGLE BREATH
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STEADY STATE
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Corrected DLCO for COHB:
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Corrected DLCO for HB:
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Corr DLCO for HB & COHB:
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FiO2
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QS/QT
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MAX EXERCISE
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PRE EXERCISE
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PATIENT TEMPERATURE (C):
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VEmax(BTPS)
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VD/VT REST
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VD/VT MAX
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VE/VCO2, AT
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VErest(BTPS)
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VO2rest
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VO2max
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HRrest
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HRmax
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VO2/HR
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BP MAX
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RRrest
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RRmax
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Wmax
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WRI/WRT
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Max Speed
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Max Grade
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TOTAL TIME
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HCO3 Change
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Exercise Testing Mode:
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BIKE ERGOMETER
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HAND ERGOMETER
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REASON(S) FOR STOPPING:
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FRC,RV
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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