308 lines
14 KiB
Plaintext
308 lines
14 KiB
Plaintext
English French Notes Complete/Exclude
|
|
Mismatch of PID patient and Case patient
|
|
at position OBR-
|
|
no cases
|
|
Invalid segment in message
|
|
Invalid value,
|
|
for File #
|
|
Missing Identifier with
|
|
Invalid OBX identifier,
|
|
Sending a
|
|
New Appointment booking
|
|
Reschedule
|
|
Modification
|
|
for case #
|
|
No cases for the requested patient.
|
|
No cases scheduled for date requested.
|
|
Sending a Notification of Appointment
|
|
Booking
|
|
Rescheduling
|
|
SR Notification of Appointment
|
|
is not a valid 1-liner case.
|
|
There are no cases entered for
|
|
Enter the number of the operation you want to edit.
|
|
Select case or enter RETURN to continue listing cases:
|
|
Please enter the number corresponding to the case you want to edit.
|
|
If the case desired does not appear, enter RETURN to continue listing
|
|
additional cases.
|
|
A Surgery Risk Assessment must be selected prior to using this option.
|
|
In/Out-Patient Status^.011
|
|
Major or Minor^.03
|
|
Surgical Specialty^.04
|
|
Surgical Priority^.035
|
|
Attending Code^.165
|
|
ASA Class^1.13
|
|
Wound Classification^1.09
|
|
Anesthesia Technique^.37
|
|
Principal Operation (CPT)^27
|
|
Other Procedures^.42
|
|
***INFORMATION ENTERED***
|
|
***NONE ENTERED***
|
|
Select number of item to edit:
|
|
Enter the number or range of numbers you want to edit. Examples of proper
|
|
responses are listed below.
|
|
1. Enter 'A' to update all items.
|
|
) to update an individual item. (For example,
|
|
enter '1' to update
|
|
3. Enter a range of numbers (1-
|
|
) separated by a ':' to enter a range
|
|
of items. (For example, enter '1:4' to update items 1, 2, 3 and 4.)
|
|
QUEUED TO TRANSMIT
|
|
Do you want to edit the text of the letter
|
|
Enter <RET> to select a patient and print the letter for a specific risk
|
|
assessment, or 'NO' to print letters for a date range.
|
|
Do you want to print the letter for a specific assessment
|
|
This option will allow you to reprint the 30 day follow up letters for the date
|
|
that they were originally printed. When printed automatically, the letters
|
|
print 25 days after the date of operation.
|
|
Print letters for BEGINNING date: TODAY//
|
|
Enter the EARLIEST date for which you want letters printed.
|
|
Print letters for ENDING date: TODAY//
|
|
Enter the LATEST date for which you want letters printed.
|
|
The ENDING date must be later than the BEGINNING date. Please try again.
|
|
The 30 Day Letter will not print because the case selected has been cancelled.
|
|
The 30 Day Letter will not print because for the case selected,
|
|
the field, TIME PATIENT OUT OF OR, has not been filled in.
|
|
Print 30 Day Letters on which Device:
|
|
Risk Assessment 30 Day Letters
|
|
SR*
|
|
RISK ASSESSMENT 30 DAY REMINDER FOR
|
|
SURGICAL CLINICAL NURSE REVIEWER
|
|
Assesment Number:
|
|
Date of Operation:
|
|
It has been 25 days since
|
|
letter has been printed.
|
|
SRAMSG(
|
|
G:GENERAL;M:MONITORED ANESTHESIA CARE;S:SPINAL;E:EPIDURAL;O:OTHER;L:LOCAL;
|
|
This patch installation process will convert each anesthesia technique
|
|
associated with each case in the SURGERY file (#130) to its corresponding
|
|
technique in the American Board of Anesthesiologists (ABA) universal
|
|
list of techniques as described below.
|
|
INHALATION --> GENERAL
|
|
INTRAVENOUS (MAC = NO) --> GENERAL
|
|
INTRAVENOUS (MAC = YES) --> MAC
|
|
SPINAL --> SPINAL
|
|
EPIDURAL --> EPIDURAL
|
|
INFILTRATION, NERVE BLOCK, \
|
|
FIELD BLOCK, TOPICAL, >--> OTHER (ANESTHETIST CATEGORY = A or N)
|
|
OTHER / or LOCAL (ANESTHETIST CATEGORY = O)
|
|
INH:INHALATION;IV:INTRAVENOUS;S:SPINAL;E:EPIDURAL;INF:INFILTRATION;N:NERVE BLOCK;F:FIELD BLOCK;T:TOPICAL;O:OTHER;
|
|
Any non-standard techniques encountered will be converted to OTHER or LOCAL
|
|
depending upon the information in the ANESTHETIST CATEGORY field.
|
|
Enter YES to proceed with this patch installation. Enter NO or '^' to exit
|
|
without making any changes.
|
|
Are you sure you want to continue (Y/N)
|
|
Your file contains the non-standard technique:
|
|
You may convert this technique to a standard ABA technique by entering a
|
|
selection below, or press RETURN to convert to OTHER or LOCAL, depending
|
|
upon the information in the ANESTHETIST CATEGORY field.
|
|
Convert non-standard technique
|
|
to which ABA technique?
|
|
Enter ABA technique selection
|
|
will be converted to OTHER or LOCAL.
|
|
Converting anesthesia techniques...
|
|
Conversion of anesthesia techniques is finished.
|
|
Preinit process is finished.
|
|
Non-standard technique code
|
|
on case #
|
|
converted to
|
|
This report will print all completed or transmitted assessments that have a
|
|
'date completed' within the date range selected.
|
|
Depending on the date range entered, this report may be very long. You should
|
|
QUEUE this report to the selected printer.
|
|
Print on which Device:
|
|
SRSITE*
|
|
Batch Print Risk Assessments
|
|
Select Postoperative Complication:
|
|
Enter the number, number/letter combination, or range of numbers you want to
|
|
edit. Examples of proper responses are listed below.
|
|
1. Enter 'A' to update all complications.
|
|
2. Enter a number (1-6) to update the complications in that group. (For
|
|
example, enter '5' to update all cardiac complications)
|
|
3. Enter a number/letter combination to update a specific complication. (To
|
|
update Acute Renal Failure, enter '3B')
|
|
4. Enter a range of numbers (1-6) separated by a ':' to enter a range of
|
|
complications. (For example, enter '2:4' to enter all respiratory, urinary
|
|
tract, and CNS complications)
|
|
5. Enter 'NONE' to enter 'NO' for all complications.
|
|
Press <RET> to continue, or '^' to quit
|
|
Enter <RET> to re-display all complication information, or '^' to return to
|
|
the previous menu.
|
|
Postoperative Wound Complications
|
|
Deleting information...
|
|
Respiratory Complications
|
|
Deleting all Respiratory Complications...
|
|
Urinary Tract Complications
|
|
Deleting all Urinary Tract complications...
|
|
CNS Complications
|
|
Deleting CNS Complications...
|
|
Cardiac Complications
|
|
Deleting Cardiac Complications...
|
|
Other Postoperative Complications
|
|
Deleting Other Complications...
|
|
Select Operative Information to Edit:
|
|
1. Enter 'A' to update all information.
|
|
2. Enter a number (1-20) to update the information in that field. (For
|
|
example, enter '9' to update Valve Repair.)
|
|
3. Enter a range of numbers (1-20) separated by a ':' to enter a range of
|
|
information. (For example, enter '6:8' to enter Aortic Valve
|
|
Replacement, Mitral Valve Replacement, and Tricuspid Valve Replacement.)
|
|
4. Enter a number/letter combination to update any miscellaneous cardiac
|
|
procedures requiring CPB. (For example, enter '16A' to update ASD
|
|
*** NOTE: Ischemic Time is greater than CPB Time!! Please check. ***
|
|
Select Cardiac Catheterization and Angiographic Information to Edit:
|
|
2. Enter a number (1-10) to update the information in that field. (For
|
|
example, enter '3' to update *PA Systolic Pressure)
|
|
3. Enter a range of numbers (1-10) separated by a ':' to enter a range of
|
|
information. (For example, enter '1:3' to update LVEDP, Aortic
|
|
Systolic Pressure, and *PA Systolic Pressure)
|
|
Report to Check CPT Coding Accuracy
|
|
Print the Report of CPT Coding Accuracy for which cases ?
|
|
1. O.R. Surgical Procedures
|
|
3. Both O.R. Surgical Procedures and Non-O.R. Procedures (All Specialties)
|
|
Select Number: 1//
|
|
Do you want to print the Report of CPT Coding Accuracy for all
|
|
CPT Codes ? YES//
|
|
Enter RETURN if you want to print the report for all codes, or 'NO'
|
|
to select a specific CPT Code.
|
|
Print the Coding Accuracy Report for which CPT Code ?
|
|
REPORT TO CHECK CPT CODING ACCURACY
|
|
Enter '1' or press <RET> to include only OR surgical procedure cases on the
|
|
report. Enter '2' to include only non-OR procedure cases on the report.
|
|
Enter '3' to include cases for both OR surgical procedures and non-OR
|
|
procedures on the report.
|
|
Press <RET> to continue, or '^' to quit.
|
|
Press RETURN to continue, or '^' to quit:
|
|
SURGICAL SERVICE
|
|
REPORT OF CPT CODING ACCURACY
|
|
DATE REVIEWED:
|
|
O.R. SURGICAL PROCEDURES
|
|
NON-O.R. PROCEDURES
|
|
O.R. SURGICAL PROCEDURES AND NON-O.R. PROCEDURES
|
|
PROCEDURE DATE
|
|
SURGEON/PROVIDER
|
|
ATTEND SURG/PROV
|
|
Do you want to sort the Report of CPT Coding Accuracy by
|
|
Surgical Specialty ? YES//
|
|
Enter RETURN if you want to sort the report by specialty, or 'NO'
|
|
to sort the report by date only.
|
|
Medical/Surgical
|
|
Do you want to print the Report to Check Coding Accuracy for all
|
|
Surgical Specialties ? YES//
|
|
to select a specific Surgical Specialty.
|
|
Medical Specialties ? YES//
|
|
to select a specific Medical Specialty.
|
|
CPT NOT ENTERED
|
|
, OTHER OPERATIONS:
|
|
PRINCIPAL PROCEDURES
|
|
NON-O.R.
|
|
SPECIALTY NOT ENTERED
|
|
CUMULATIVE REPORT OF CPT CODES
|
|
CPT CODE - SHORT DESCRIPTION
|
|
TOTAL PRINCIPAL PROCEDURES
|
|
TOTAL OTHER PROCEDURES
|
|
Select Complication Information to Edit:
|
|
2. Enter a number (1-14) to update the information in that field. (For
|
|
example, enter '7' to update Mediastinitis)
|
|
3. Enter a range of numbers (1-14) separated by a ':' to enter a range of
|
|
information. (For example, enter '3:5' to update Preoperative MI,
|
|
Endocarditis, and Renal Failure Requiring Dialysis)
|
|
4. Enter 'NONE' to answer all complications as 'NO'
|
|
You cannot update any fields within this option except 'Operative Death (Y/N)'.
|
|
The complication information must be entered using the options within the
|
|
Complications Menu found on your main Surgery Risk Assessment menu.
|
|
Cumulative Report of CPT Codes
|
|
Include which cases on the Cumulative Report of CPT Codes ?
|
|
Enter '1' or press <RET> to include only cases for O.R. surgical procedures,
|
|
enter '2' to include only cases for non-O.R. procedures, or enter '3' to include
|
|
cases for both O.R. surgical procedures and non-O.R. procedures on the report.
|
|
PARTIAL DEPENDENT
|
|
TOTALLY DEPENDENT
|
|
NO STUDY
|
|
NONE RECENT
|
|
14. Functional Status:
|
|
16. Prior MI:
|
|
17. Prior Heart Surgery:
|
|
18. Peripheral Vascular Disease:
|
|
19. Cerebral Vascular Disease:
|
|
7. Pulmonary Rales:
|
|
20. Angina (use CCS Class):
|
|
8. Current Smoker:
|
|
21. CHF (use NYHA Class):
|
|
22. Current Diuretic Use:
|
|
23. Current Digoxin Use:
|
|
11. Serum Albumin:
|
|
24. IV NTG within 48 Hours:
|
|
12. Active Endocarditis:
|
|
25. Preop Use of IABP:
|
|
13. Resting ST Depression:
|
|
Select Clinical Information to Edit:
|
|
2. Enter a specific number to update the information in that field. (For
|
|
example, enter '8' to update Current Smoker)
|
|
3. Enter a range of numbers separated by a ':' to enter a range of
|
|
information. (For example, enter '7:9' to enter Pulmonary Rales,
|
|
Current Smoker, and Serum Creatinine)
|
|
There are no perioperative occurrences or deaths recorded for
|
|
surgeries performed in the selected date range.
|
|
completed assessments not yet transmitted.
|
|
NON-ASSESSED
|
|
NON-CARD
|
|
(NO DATE)
|
|
M&M Verification Report
|
|
The M&M Verification Report is a tool to assist in the review of occurrences
|
|
and their assignments to operations and in the review of death unrelated or
|
|
related assignments to operations. Two varieties of this report are available.
|
|
The first variety provides a report of all patients who had operations within
|
|
the selected date range who experienced introperative occurrences,
|
|
postoperative occurrences, or death within 90 days of surgery. The second
|
|
variety provides a similar report for all risk assessed operations that are in
|
|
a completed state but have not yet transmitted to the national database.
|
|
Do you want to print this report for all Surgical Specialties
|
|
Enter RETURN to print this report for all surgical specialties, or 'NO' to
|
|
select a specific specialty.
|
|
Print the Report on which Device:
|
|
SRSP*
|
|
Report Generated:
|
|
Print which variety of the report ?
|
|
1. Print full report for selected date range.
|
|
2. Print pre-transmission report for completed risk assessments.
|
|
Enter selection (1 or 2):
|
|
Please enter the number (1 or 2) matching your choice of report
|
|
Print the report for which Specialty ?
|
|
Select an Additional Specialty:
|
|
Pre-Transmission Report for Completed Assessments
|
|
Reviewed By:
|
|
Date Reviewed:
|
|
Op Date
|
|
Procedure(s)
|
|
Related Occurrence(s) - (Date)
|
|
Type/Status
|
|
* * Continued from previous page * *
|
|
Occurrences(s): '*' Denotes Postop Occurrence
|
|
Assessment Status - I:Incomplete, C:Complete, T:Transmitted
|
|
This assessment has a
|
|
Are you sure you want to complete this assessment ?
|
|
Enter YES to complete this assessment, or enter NO to leave the status
|
|
Updating the current status to 'COMPLETE'...
|
|
Do you want to print the completed assessment ? YES//
|
|
Enter <RET> to print the completed assessment, or 'NO' to return to the menu.
|
|
Print the Completed Assessment on which Device:
|
|
Completed Surgery Risk Assessment
|
|
This assessment is missing the following items:
|
|
Do you want to enter the missing items at this time
|
|
OTHER PROCEDURE CPT CODE
|
|
*** NOTE: Discharge Date precedes Admission Date!! Please check. ***
|
|
1. Physician's Preoperative Estimate of Operative Mortality:
|
|
A. Date/Time Collected:
|
|
2. ASA Classification:
|
|
3. Surgical Priority:
|
|
4. Operative Death:
|
|
5. Date/Time Operation Began:
|
|
6. Date/Time Operation Ended:
|
|
7. Principal CPT Code:
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|
|
#################### #################### ####################
|