source: WorldVistAEHR/trunk/g/GMR.zwr@ 634

Last change on this file since 634 was 613, checked in by George Lilly, 15 years ago

initial load of WorldVistAEHR
File size: 37.1 KB
RevLine 
[613]1FirstRelease WVEHR VER VOE1.0
2Cache 31-Jan-2008 23:07:04 ZWR
3^GMR(120.5,0)="GMRV VITAL MEASUREMENT^120.5DI^32^32"
4^GMR(120.5,1,0)="3050701.1437^1^1^3050701.143916^2^9^^125/80"
5^GMR(120.5,2,0)="3050701.1437^1^2^3050701.143916^2^9^^98.5"
6^GMR(120.5,3,0)="3050701.1437^1^3^3050701.143916^2^9^^12"
7^GMR(120.5,4,0)="3050701.1437^1^5^3050701.143916^2^9^^55"
8^GMR(120.5,5,0)="3050701.1437^1^8^3050701.143916^2^9^^71"
9^GMR(120.5,6,0)="3050701.1437^1^9^3050701.143916^2^9^^111"
10^GMR(120.5,7,0)="3050701.1437^1^22^3050701.143916^2^9^^2"
11^GMR(120.5,8,0)="3050719.08^1^1^3050719.080109^2^60^^195/90"
12^GMR(120.5,9,0)="3050719.08^1^2^3050719.080109^2^60^^99"
13^GMR(120.5,10,0)="3050719.08^1^3^3050719.080109^2^60^^26"
14^GMR(120.5,11,0)="3050719.08^1^5^3050719.080109^2^60^^23"
15^GMR(120.5,12,0)="3050719.08^1^8^3050719.080109^2^60^^52"
16^GMR(120.5,13,0)="3050719.08^1^9^3050719.080109^2^60^^189"
17^GMR(120.5,14,0)="3050719.08^1^22^3050719.080109^2^60^^5"
18^GMR(120.5,15,0)="3050715.1211^1^1^3050719.121145^2^60^^220/90"
19^GMR(120.5,16,0)="3050715.1211^1^2^3050719.121145^2^60^^99"
20^GMR(120.5,17,0)="3050715.1211^1^3^3050719.121145^2^60^^25"
21^GMR(120.5,18,0)="3050715.1211^1^5^3050719.121145^2^60^^32"
22^GMR(120.5,19,0)="3050701.1211^1^1^3050719.121219^2^60^^190/85"
23^GMR(120.5,20,0)="3050708.1303^3^1^3050719.130625^2^60^^220/80"
24^GMR(120.5,21,0)="3050719.1558^2^1^3050719.155924^2^11^^220/89"
25^GMR(120.5,22,0)="3050719.1558^2^2^3050719.155924^2^11^^99"
26^GMR(120.5,23,0)="3050719.1558^2^3^3050719.155924^2^11^^23"
27^GMR(120.5,24,0)="3050719.1558^2^5^3050719.155924^2^11^^32"
28^GMR(120.5,25,0)="3050719.1558^2^8^3050719.155924^2^11^^72"
29^GMR(120.5,26,0)="3050719.1558^2^9^3050719.155924^2^11^^200"
30^GMR(120.5,27,0)="3050719.1558^2^22^3050719.155924^2^11^^5"
31^GMR(120.5,28,0)="3050721.0856^3^1^3050721.085723^2^60^^220/83"
32^GMR(120.5,29,0)="3050721.0856^3^2^3050721.085723^2^60^^99"
33^GMR(120.5,30,0)="3050721.0856^3^3^3050721.085723^2^60^^32"
34^GMR(120.5,31,0)="3050721.0856^3^5^3050721.085723^2^60^^34"
35^GMR(120.5,32,0)="3051126.133358^3^1^3051126.133418^2^68^^140/80"
36^GMR(120.5,"AA",1,1,6949279.92,8)=""
37^GMR(120.5,"AA",1,1,6949283.8789,15)=""
38^GMR(120.5,"AA",1,1,6949297.8563,1)=""
39^GMR(120.5,"AA",1,1,6949297.8789,19)=""
40^GMR(120.5,"AA",1,2,6949279.92,9)=""
41^GMR(120.5,"AA",1,2,6949283.8789,16)=""
42^GMR(120.5,"AA",1,2,6949297.8563,2)=""
43^GMR(120.5,"AA",1,3,6949279.92,10)=""
44^GMR(120.5,"AA",1,3,6949283.8789,17)=""
45^GMR(120.5,"AA",1,3,6949297.8563,3)=""
46^GMR(120.5,"AA",1,5,6949279.92,11)=""
47^GMR(120.5,"AA",1,5,6949283.8789,18)=""
48^GMR(120.5,"AA",1,5,6949297.8563,4)=""
49^GMR(120.5,"AA",1,8,6949279.92,12)=""
50^GMR(120.5,"AA",1,8,6949297.8563,5)=""
51^GMR(120.5,"AA",1,9,6949279.92,13)=""
52^GMR(120.5,"AA",1,9,6949297.8563,6)=""
53^GMR(120.5,"AA",1,22,6949279.92,14)=""
54^GMR(120.5,"AA",1,22,6949297.8563,7)=""
55^GMR(120.5,"AA",2,1,6949279.8442,21)=""
56^GMR(120.5,"AA",2,2,6949279.8442,22)=""
57^GMR(120.5,"AA",2,3,6949279.8442,23)=""
58^GMR(120.5,"AA",2,5,6949279.8442,24)=""
59^GMR(120.5,"AA",2,8,6949279.8442,25)=""
60^GMR(120.5,"AA",2,9,6949279.8442,26)=""
61^GMR(120.5,"AA",2,22,6949279.8442,27)=""
62^GMR(120.5,"AA",3,1,6948872.866642,32)=""
63^GMR(120.5,"AA",3,1,6949277.9144,28)=""
64^GMR(120.5,"AA",3,1,6949290.8697,20)=""
65^GMR(120.5,"AA",3,2,6949277.9144,29)=""
66^GMR(120.5,"AA",3,3,6949277.9144,30)=""
67^GMR(120.5,"AA",3,5,6949277.9144,31)=""
68^GMR(120.5,"B",3050701.1211,19)=""
69^GMR(120.5,"B",3050701.1437,1)=""
70^GMR(120.5,"B",3050701.1437,2)=""
71^GMR(120.5,"B",3050701.1437,3)=""
72^GMR(120.5,"B",3050701.1437,4)=""
73^GMR(120.5,"B",3050701.1437,5)=""
74^GMR(120.5,"B",3050701.1437,6)=""
75^GMR(120.5,"B",3050701.1437,7)=""
76^GMR(120.5,"B",3050708.1303,20)=""
77^GMR(120.5,"B",3050715.1211,15)=""
78^GMR(120.5,"B",3050715.1211,16)=""
79^GMR(120.5,"B",3050715.1211,17)=""
80^GMR(120.5,"B",3050715.1211,18)=""
81^GMR(120.5,"B",3050719.08,8)=""
82^GMR(120.5,"B",3050719.08,9)=""
83^GMR(120.5,"B",3050719.08,10)=""
84^GMR(120.5,"B",3050719.08,11)=""
85^GMR(120.5,"B",3050719.08,12)=""
86^GMR(120.5,"B",3050719.08,13)=""
87^GMR(120.5,"B",3050719.08,14)=""
88^GMR(120.5,"B",3050719.1558,21)=""
89^GMR(120.5,"B",3050719.1558,22)=""
90^GMR(120.5,"B",3050719.1558,23)=""
91^GMR(120.5,"B",3050719.1558,24)=""
92^GMR(120.5,"B",3050719.1558,25)=""
93^GMR(120.5,"B",3050719.1558,26)=""
94^GMR(120.5,"B",3050719.1558,27)=""
95^GMR(120.5,"B",3050721.0856,28)=""
96^GMR(120.5,"B",3050721.0856,29)=""
97^GMR(120.5,"B",3050721.0856,30)=""
98^GMR(120.5,"B",3050721.0856,31)=""
99^GMR(120.5,"B",3051126.133358,32)=""
100^GMR(120.5,"C",1,1)=""
101^GMR(120.5,"C",1,2)=""
102^GMR(120.5,"C",1,3)=""
103^GMR(120.5,"C",1,4)=""
104^GMR(120.5,"C",1,5)=""
105^GMR(120.5,"C",1,6)=""
106^GMR(120.5,"C",1,7)=""
107^GMR(120.5,"C",1,8)=""
108^GMR(120.5,"C",1,9)=""
109^GMR(120.5,"C",1,10)=""
110^GMR(120.5,"C",1,11)=""
111^GMR(120.5,"C",1,12)=""
112^GMR(120.5,"C",1,13)=""
113^GMR(120.5,"C",1,14)=""
114^GMR(120.5,"C",1,15)=""
115^GMR(120.5,"C",1,16)=""
116^GMR(120.5,"C",1,17)=""
117^GMR(120.5,"C",1,18)=""
118^GMR(120.5,"C",1,19)=""
119^GMR(120.5,"C",2,21)=""
120^GMR(120.5,"C",2,22)=""
121^GMR(120.5,"C",2,23)=""
122^GMR(120.5,"C",2,24)=""
123^GMR(120.5,"C",2,25)=""
124^GMR(120.5,"C",2,26)=""
125^GMR(120.5,"C",2,27)=""
126^GMR(120.5,"C",3,20)=""
127^GMR(120.5,"C",3,28)=""
128^GMR(120.5,"C",3,29)=""
129^GMR(120.5,"C",3,30)=""
130^GMR(120.5,"C",3,31)=""
131^GMR(120.5,"C",3,32)=""
132^GMR(120.5,"T",1,1)=""
133^GMR(120.5,"T",1,8)=""
134^GMR(120.5,"T",1,15)=""
135^GMR(120.5,"T",1,19)=""
136^GMR(120.5,"T",1,20)=""
137^GMR(120.5,"T",1,21)=""
138^GMR(120.5,"T",1,28)=""
139^GMR(120.5,"T",1,32)=""
140^GMR(120.5,"T",2,2)=""
141^GMR(120.5,"T",2,9)=""
142^GMR(120.5,"T",2,16)=""
143^GMR(120.5,"T",2,22)=""
144^GMR(120.5,"T",2,29)=""
145^GMR(120.5,"T",3,3)=""
146^GMR(120.5,"T",3,10)=""
147^GMR(120.5,"T",3,17)=""
148^GMR(120.5,"T",3,23)=""
149^GMR(120.5,"T",3,30)=""
150^GMR(120.5,"T",5,4)=""
151^GMR(120.5,"T",5,11)=""
152^GMR(120.5,"T",5,18)=""
153^GMR(120.5,"T",5,24)=""
154^GMR(120.5,"T",5,31)=""
155^GMR(120.5,"T",8,5)=""
156^GMR(120.5,"T",8,12)=""
157^GMR(120.5,"T",8,25)=""
158^GMR(120.5,"T",9,6)=""
159^GMR(120.5,"T",9,13)=""
160^GMR(120.5,"T",9,26)=""
161^GMR(120.5,"T",22,7)=""
162^GMR(120.5,"T",22,14)=""
163^GMR(120.5,"T",22,27)=""
164^GMR(120.55,0)="GMRV ORDERS^120.55P^^"
165^GMR(120.8,0)="PATIENT ALLERGIES^120.8PIs^3^3"
166^GMR(120.8,1,0)="1^PEANUT OIL^106;GMRD(120.82,^3050719.0745^60^o^^^^^^1^^A^^1^3050719.074555^^^DF"
167^GMR(120.8,1,10,0)="^120.81P^2^2"
168^GMR(120.8,1,10,1,0)="51^^60^"
169^GMR(120.8,1,10,2,0)="1^^60^"
170^GMR(120.8,1,10,"B",1,2)=""
171^GMR(120.8,1,10,"B",51,1)=""
172^GMR(120.8,1,26,0)="^120.826D^1^1"
173^GMR(120.8,1,26,1,0)="3050719.074555^60^O"
174^GMR(120.8,1,26,1,2,0)="^^2^2^3050719"
175^GMR(120.8,1,26,1,2,1,0)="patient presented with hives after eatig a peanut butter "
176^GMR(120.8,1,26,1,2,2,0)="sandwich "
177^GMR(120.8,1,26,"AVER","O",1)=""
178^GMR(120.8,1,26,"B",3050719.074555,1)=""
179^GMR(120.8,2,0)="3^PROBALANCE^3737;PSNDF(50.6,^3050719.1308^60^o^^^^^^1^^A^^0^^^^D"
180^GMR(120.8,2,3,0)="^120.803PA^1^1"
181^GMR(120.8,2,3,1,0)="207"
182^GMR(120.8,2,3,"B",207,1)=""
183^GMR(120.8,2,10,0)="^120.81P^1^1"
184^GMR(120.8,2,10,1,0)="133^^60^"
185^GMR(120.8,2,10,"B",133,1)=""
186^GMR(120.8,2,26,0)="^120.826D^1^1"
187^GMR(120.8,2,26,1,0)="3050719.130848^60^O"
188^GMR(120.8,2,26,1,2,0)="^^1^1^3050719"
189^GMR(120.8,2,26,1,2,1,0)="RASH ON ARMS AND LEGS "
190^GMR(120.8,2,26,"AVER","O",1)=""
191^GMR(120.8,2,26,"B",3050719.130848,1)=""
192^GMR(120.8,3,0)="2^PEANUT OIL^106;GMRD(120.82,^3050719.1605^11^o^^^^^^1^^A^^1^3050719.160541^^^DF"
193^GMR(120.8,3,10,0)="^120.81P^1^1"
194^GMR(120.8,3,10,1,0)="1^^11^"
195^GMR(120.8,3,10,"B",1,1)=""
196^GMR(120.8,3,26,0)="^120.826D^1^1"
197^GMR(120.8,3,26,1,0)="3050719.160541^11^O"
198^GMR(120.8,3,26,1,2,0)="^^1^1^3050719"
199^GMR(120.8,3,26,1,2,1,0)="PATIENT PRESENT WITH HIVES ON ARMS AND LEGS "
200^GMR(120.8,3,26,"AVER","O",1)=""
201^GMR(120.8,3,26,"B",3050719.160541,1)=""
202^GMR(120.8,"AODT",3050719.0745,1)=""
203^GMR(120.8,"AODT",3050719.1308,2)=""
204^GMR(120.8,"AODT",3050719.1605,3)=""
205^GMR(120.8,"APC",3,"TN200",2,1)=""
206^GMR(120.8,"AVER",3,2)=""
207^GMR(120.8,"B",1,1)=""
208^GMR(120.8,"B",2,3)=""
209^GMR(120.8,"B",3,2)=""
210^GMR(120.8,"C","PEANUT OIL",1)=""
211^GMR(120.8,"C","PEANUT OIL",3)=""
212^GMR(120.8,"C","PROBALANCE",2)=""
213^GMR(120.8,"V",3050719.074555,1)=""
214^GMR(120.8,"V",3050719.160541,3)=""
215^GMR(120.85,0)="ADVERSE REACTION REPORTING^120.85IOD^3^3"
216^GMR(120.85,1,0)="3050719^1^^^^^^^^^^^60^3^1"
217^GMR(120.85,1,2,0)="^120.8502P^2^2"
218^GMR(120.85,1,2,1,0)="51^^60"
219^GMR(120.85,1,2,2,0)="1^^60"
220^GMR(120.85,1,2,"B",1,2)=""
221^GMR(120.85,1,2,"B",51,1)=""
222^GMR(120.85,1,3,0)="^120.8503^1^1"
223^GMR(120.85,1,3,1,0)="PEANUT OIL"
224^GMR(120.85,1,3,"B","PEANUT OIL",1)=""
225^GMR(120.85,2,0)="3050719^3^^^^^^^^^^^60^2^2"
226^GMR(120.85,2,2,0)="^120.8502P^1^1"
227^GMR(120.85,2,2,1,0)="133^^60"
228^GMR(120.85,2,2,"B",133,1)=""
229^GMR(120.85,2,3,0)="^120.8503^1^1"
230^GMR(120.85,2,3,1,0)="PROBALANCE"
231^GMR(120.85,2,3,"B","PROBALANCE",1)=""
232^GMR(120.85,3,0)="3050719^2^^^^^^^^^^^11^^3"
233^GMR(120.85,3,2,0)="^120.8502P^1^1"
234^GMR(120.85,3,2,1,0)="1^^11"
235^GMR(120.85,3,2,"B",1,1)=""
236^GMR(120.85,3,3,0)="^120.8503^1^1"
237^GMR(120.85,3,3,1,0)="PEANUT OIL"
238^GMR(120.85,3,3,"B","PEANUT OIL",1)=""
239^GMR(120.85,"B",3050719,1)=""
240^GMR(120.85,"B",3050719,2)=""
241^GMR(120.85,"B",3050719,3)=""
242^GMR(120.85,"C",1,1)=""
243^GMR(120.85,"C",2,2)=""
244^GMR(120.85,"C",3,3)=""
245^GMR(120.85,"D",1,1)=""
246^GMR(120.85,"D",2,3)=""
247^GMR(120.85,"D",3,2)=""
248^GMR(120.86,0)="ADVERSE REACTION ASSESSMENT^120.86P^2^3"
249^GMR(120.86,1,0)="1^1^60^3050719.0745"
250^GMR(120.86,2,0)="2^1^11^3050719.1605"
251^GMR(120.86,3,0)="3^1^60^3050719.1308"
252^GMR(120.86,"B",1,1)=""
253^GMR(120.86,"B",2,2)=""
254^GMR(120.86,"B",3,3)=""
255^GMR(123,0)="REQUEST/CONSULTATION^123DI^^"
256^GMR(123.1,0)="REQUEST ACTION TYPES^123.1^26^24"
257^GMR(123.1,1,0)="ENTERED IN CPRS^^^USE CPRS RELEASE ORDER AFTER PATCH #21^ "
258^GMR(123.1,2,0)="CPRS RELEASED ORDER^5^^^^NW^IP"
259^GMR(123.1,3,0)="STATUS CHANGE^^^^SC^^SC^Status Change"
260^GMR(123.1,4,0)="SIG FINDING UPDATE^^^^^^^Significant Findings Update"
261^GMR(123.1,6,0)="DISCONTINUED^1^^^OD^DC^DC^Discontinued"
262^GMR(123.1,8,0)="SCHEDULED^8^^^SC^^ZC^Scheduled"
263^GMR(123.1,9,0)="INCOMPLETE RPT^9^^^SC^^A"
264^GMR(123.1,10,0)="COMPLETE/UPDATE^2^^^RE^^CM^Administrative Complete"
265^GMR(123.1,11,0)="EDIT/RESUBMITTED^5^^^XX^^RP^Edit/Resubmit"
266^GMR(123.1,12,0)="DISASSOCIATE RESULT^^^^^^^Disassociate Result"
267^GMR(123.1,13,0)="ADDENDUM ADDED TO^2^^^RE^^CM"
268^GMR(123.1,14,0)="NEW NOTE ADDED^2^^^RE^^CM"
269^GMR(123.1,15,0)="SERVICE ENTERED^6^^^SN^^SC"
270^GMR(123.1,16,0)="EDIT BEFORE RELEASE^^^NOT AVAILABLE AFTER CONSULTS 2.5"
271^GMR(123.1,17,0)="FORWARDED FROM^5^^^XX^^IP^Forwarded"
272^GMR(123.1,19,0)="CANCELLED^13^^^OC^CA^CA^Cancelled/Denied"
273^GMR(123.1,20,0)="ADDED COMMENT^^^^^^^Added"
274^GMR(123.1,21,0)="RECEIVED^6^^^SC^^SC^Receive"
275^GMR(123.1,22,0)="PRINTED TO"
276^GMR(123.1,23,0)="REMOTE REQUEST RECEIVED^5^^^IP^^IP"
277^GMR(123.1,24,0)="INITIAL REMOTE REQUEST^5^^^^^IP^Initial remote request"
278^GMR(123.1,25,0)="FWD TO REMOTE SERVICE^5^^^XX^^IP^FWD to remote service"
279^GMR(123.1,26,0)="ADMIN. CORRECTION^^^^^^^ADMIN CORRECT"
280^GMR(123.1,99,0)="UNKNOWN ACTION^99"
281^GMR(123.1,"AC",1,6)=""
282^GMR(123.1,"AC",2,10)=""
283^GMR(123.1,"AC",2,13)=""
284^GMR(123.1,"AC",2,14)=""
285^GMR(123.1,"AC",5,2)=""
286^GMR(123.1,"AC",5,11)=""
287^GMR(123.1,"AC",5,17)=""
288^GMR(123.1,"AC",5,23)=""
289^GMR(123.1,"AC",5,24)=""
290^GMR(123.1,"AC",5,25)=""
291^GMR(123.1,"AC",6,8)=""
292^GMR(123.1,"AC",6,15)=""
293^GMR(123.1,"AC",6,21)=""
294^GMR(123.1,"AC",8,8)=""
295^GMR(123.1,"AC",9,9)=""
296^GMR(123.1,"AC",13,19)=""
297^GMR(123.1,"AC",99,99)=""
298^GMR(123.1,"B","ADDED COMMENT",20)=""
299^GMR(123.1,"B","ADDENDUM ADDED TO",13)=""
300^GMR(123.1,"B","ADMIN. CORRECTION",26)=""
301^GMR(123.1,"B","CANCELLED",19)=""
302^GMR(123.1,"B","COMPLETE/UPDATE",10)=""
303^GMR(123.1,"B","CPRS RELEASED ORDER",2)=""
304^GMR(123.1,"B","DISASSOCIATE RESULT",12)=""
305^GMR(123.1,"B","DISCONTINUED",6)=""
306^GMR(123.1,"B","EDIT BEFORE RELEASE",16)=""
307^GMR(123.1,"B","EDIT/RESUBMITTED",11)=""
308^GMR(123.1,"B","ENTERED IN CPRS",1)=""
309^GMR(123.1,"B","FORWARDED FROM",17)=""
310^GMR(123.1,"B","FWD TO REMOTE SERVICE",25)=""
311^GMR(123.1,"B","INCOMPLETE RPT",9)=""
312^GMR(123.1,"B","INITIAL REMOTE REQUEST",24)=""
313^GMR(123.1,"B","NEW NOTE ADDED",14)=""
314^GMR(123.1,"B","PRINTED TO",22)=""
315^GMR(123.1,"B","RECEIVED",21)=""
316^GMR(123.1,"B","REMOTE REQUEST RECEIVED",23)=""
317^GMR(123.1,"B","SCHEDULED",8)=""
318^GMR(123.1,"B","SERVICE ENTERED",15)=""
319^GMR(123.1,"B","SIG FINDING UPDATE",4)=""
320^GMR(123.1,"B","STATUS CHANGE",3)=""
321^GMR(123.1,"B","UNKNOWN ACTION",99)=""
322^GMR(123.1,"D","CA",19)=""
323^GMR(123.1,"D","DC",6)=""
324^GMR(123.1,"D","NW",2)=""
325^GMR(123.3,0)="GMRC PROCEDURE^123.3O^26^26"
326^GMR(123.3,1,0)="UNKNOWN PROCEDURE^1"
327^GMR(123.3,2,0)="ATRIAL LEAD IMPLANT^^^^^508"
328^GMR(123.3,2,1,0)="^123.31^1^1"
329^GMR(123.3,2,1,1,0)="A-LEAD IMP"
330^GMR(123.3,2,1,"B","A-LEAD IMP",1)=""
331^GMR(123.3,2,2,0)="^123.32P^1^1"
332^GMR(123.3,2,2,1,0)="4"
333^GMR(123.3,2,2,"B",4,1)=""
334^GMR(123.3,3,0)="BONE MARROW ASPIRATE^^^^^525"
335^GMR(123.3,3,1,0)="^123.31^1^1"
336^GMR(123.3,3,1,1,0)="BMA"
337^GMR(123.3,3,1,"B","BMA",1)=""
338^GMR(123.3,3,2,0)="^123.32P^1^1"
339^GMR(123.3,3,2,1,0)="6"
340^GMR(123.3,3,2,"B",6,1)=""
341^GMR(123.3,4,0)="BONE MARROW BIOPSY^^^^^526"
342^GMR(123.3,4,2,0)="^123.32P^1^1"
343^GMR(123.3,4,2,1,0)="6"
344^GMR(123.3,4,2,"B",6,1)=""
345^GMR(123.3,5,0)="BRONCHOSCOPY^^^^^527"
346^GMR(123.3,5,1,0)="^123.31^1^1"
347^GMR(123.3,5,1,1,0)="BRON"
348^GMR(123.3,5,1,"B","BRON",1)=""
349^GMR(123.3,5,2,0)="^123.32P^1^1"
350^GMR(123.3,5,2,1,0)="7"
351^GMR(123.3,5,2,"B",7,1)=""
352^GMR(123.3,6,0)="CATHETERIZATION^^^^^519"
353^GMR(123.3,6,1,0)="^123.31^1^1"
354^GMR(123.3,6,1,1,0)="CATH"
355^GMR(123.3,6,1,"B","CATH",1)=""
356^GMR(123.3,6,2,0)="^123.32P^1^1"
357^GMR(123.3,6,2,1,0)="4"
358^GMR(123.3,6,2,"B",4,1)=""
359^GMR(123.3,7,0)="COLONOSCOPY^^^^^520"
360^GMR(123.3,7,1,0)="^123.31^1^1"
361^GMR(123.3,7,1,1,0)="COL"
362^GMR(123.3,7,1,"B","COL",1)=""
363^GMR(123.3,7,2,0)="^123.32P^1^1"
364^GMR(123.3,7,2,1,0)="5"
365^GMR(123.3,7,2,"B",5,1)=""
366^GMR(123.3,8,0)="ECHO^^^^^510"
367^GMR(123.3,8,1,0)="^123.31^1^1"
368^GMR(123.3,8,1,1,0)="ECHO"
369^GMR(123.3,8,1,"B","ECHO",1)=""
370^GMR(123.3,8,2,0)="^123.32P^1^1"
371^GMR(123.3,8,2,1,0)="4"
372^GMR(123.3,8,2,"B",4,1)=""
373^GMR(123.3,9,0)="ELECTROCARDIOGRAM^^^^^509"
374^GMR(123.3,9,1,0)="^123.31^2^2"
375^GMR(123.3,9,1,1,0)="ECG"
376^GMR(123.3,9,1,2,0)="EKG"
377^GMR(123.3,9,1,"B","ECG",1)=""
378^GMR(123.3,9,1,"B","EKG",2)=""
379^GMR(123.3,9,2,0)="^123.32P^1^1"
380^GMR(123.3,9,2,1,0)="4"
381^GMR(123.3,9,2,"B",4,1)=""
382^GMR(123.3,10,0)="ELECTROPHYSIOLOGY^^^^^513"
383^GMR(123.3,10,2,0)="^123.32P^1^1"
384^GMR(123.3,10,2,1,0)="4"
385^GMR(123.3,10,2,"B",4,1)=""
386^GMR(123.3,11,0)="ERCP^^^^^522"
387^GMR(123.3,11,1,0)="^123.31^1^1"
388^GMR(123.3,11,1,1,0)="ERC"
389^GMR(123.3,11,1,"B","ERC",1)=""
390^GMR(123.3,11,2,0)="^123.32P^1^1"
391^GMR(123.3,11,2,1,0)="5"
392^GMR(123.3,11,2,"B",5,1)=""
393^GMR(123.3,12,0)="ESOPHAGOGASTRODUODENOSCOPY^^^^^521"
394^GMR(123.3,12,1,0)="^123.31^1^1"
395^GMR(123.3,12,1,1,0)="EGD"
396^GMR(123.3,12,1,"B","EGD",1)=""
397^GMR(123.3,12,2,0)="^123.32P^1^1"
398^GMR(123.3,12,2,1,0)="5"
399^GMR(123.3,12,2,"B",5,1)=""
400^GMR(123.3,13,0)="EXERCISE TOLERANCE TEST^^^^^514"
401^GMR(123.3,13,1,0)="^123.31^1^1"
402^GMR(123.3,13,1,1,0)="ETT"
403^GMR(123.3,13,1,"B","ETT",1)=""
404^GMR(123.3,13,2,0)="^123.32P^1^1"
405^GMR(123.3,13,2,1,0)="4"
406^GMR(123.3,13,2,"B",4,1)=""
407^GMR(123.3,14,0)="GENERATOR IMPLANT^^^^^515"
408^GMR(123.3,14,1,0)="^123.31^1^1"
409^GMR(123.3,14,1,1,0)="GEN IMPL"
410^GMR(123.3,14,1,"B","GEN IMPL",1)=""
411^GMR(123.3,14,2,0)="^123.32P^1^1"
412^GMR(123.3,14,2,1,0)="4"
413^GMR(123.3,14,2,"B",4,1)=""
414^GMR(123.3,15,0)="HOLTER^^^^^516"
415^GMR(123.3,15,2,0)="^123.32P^1^1"
416^GMR(123.3,15,2,1,0)="4"
417^GMR(123.3,15,2,"B",4,1)=""
418^GMR(123.3,16,0)="LAPARASCOPY^^^^^523"
419^GMR(123.3,16,1,0)="^123.31^1^1"
420^GMR(123.3,16,1,1,0)="LAP"
421^GMR(123.3,16,1,"B","LAP",1)=""
422^GMR(123.3,16,2,0)="^123.32P^1^1"
423^GMR(123.3,16,2,1,0)="5"
424^GMR(123.3,16,2,"B",5,1)=""
425^GMR(123.3,17,0)="LARYNGOSCOPY^^^^^528"
426^GMR(123.3,17,1,0)="^123.31^1^1"
427^GMR(123.3,17,1,1,0)="LAR"
428^GMR(123.3,17,1,"B","LAR",1)=""
429^GMR(123.3,17,2,0)="^123.32P^1^1"
430^GMR(123.3,17,2,1,0)="7"
431^GMR(123.3,17,2,"B",7,1)=""
432^GMR(123.3,18,0)="LAVAGE^^^^^529"
433^GMR(123.3,18,1,0)="^123.31^1^1"
434^GMR(123.3,18,1,1,0)="LAV"
435^GMR(123.3,18,1,"B","LAV",1)=""
436^GMR(123.3,18,2,0)="^123.32P^1^1"
437^GMR(123.3,18,2,1,0)="7"
438^GMR(123.3,18,2,"B",7,1)=""
439^GMR(123.3,19,0)="NON-ENDOSCOPIC GI PROCEDURE^^^^^524"
440^GMR(123.3,19,2,0)="^123.32P^1^1"
441^GMR(123.3,19,2,1,0)="5"
442^GMR(123.3,19,2,"B",5,1)=""
443^GMR(123.3,20,0)="PACEMAKER SURVEILLANCE^^^^^517"
444^GMR(123.3,20,1,0)="^123.31^1^1"
445^GMR(123.3,20,1,1,0)="PACE SURV"
446^GMR(123.3,20,1,"B","PACE SURV",1)=""
447^GMR(123.3,20,2,0)="^123.32P^1^1"
448^GMR(123.3,20,2,1,0)="4"
449^GMR(123.3,20,2,"B",4,1)=""
450^GMR(123.3,21,0)="PARACENTESIS^^^^^539"
451^GMR(123.3,22,0)="PULMONARY FUNCTION TEST^^^^^530"
452^GMR(123.3,22,1,0)="^123.31^1^1"
453^GMR(123.3,22,1,1,0)="PFT"
454^GMR(123.3,22,1,"B","PFT",1)=""
455^GMR(123.3,22,2,0)="^123.32P^1^1"
456^GMR(123.3,22,2,1,0)="7"
457^GMR(123.3,22,2,"B",7,1)=""
458^GMR(123.3,23,0)="RHEUMATOLOGY^^^^^535"
459^GMR(123.3,23,2,0)="^123.32P^1^1"
460^GMR(123.3,23,2,1,0)="8"
461^GMR(123.3,23,2,"B",8,1)=""
462^GMR(123.3,24,0)="THORACENTESIS^^^^^538"
463^GMR(123.3,25,0)="UGI^^^^^537"
464^GMR(123.3,25,1,0)="^123.31^2^2"
465^GMR(123.3,25,1,1,0)="UGI"
466^GMR(123.3,25,1,2,0)="Upper Gastrointestinal Series"
467^GMR(123.3,25,1,"B","UGI",1)=""
468^GMR(123.3,25,1,"B","Upper Gastrointestinal Series",2)=""
469^GMR(123.3,25,2,0)="^123.32P^1^1"
470^GMR(123.3,25,2,1,0)="5"
471^GMR(123.3,25,2,"B",5,1)=""
472^GMR(123.3,26,0)="VENTRICAL LEAD IMPLANT^^^^^518"
473^GMR(123.3,26,1,0)="^123.31^1^1"
474^GMR(123.3,26,1,1,0)="V-LEAD IMP"
475^GMR(123.3,26,1,"B","V-LEAD IMP",1)=""
476^GMR(123.3,26,2,0)="^123.32P^1^1"
477^GMR(123.3,26,2,1,0)="4"
478^GMR(123.3,26,2,"B",4,1)=""
479^GMR(123.3,"AP",508,2)=""
480^GMR(123.3,"AP",509,9)=""
481^GMR(123.3,"AP",510,8)=""
482^GMR(123.3,"AP",513,10)=""
483^GMR(123.3,"AP",514,13)=""
484^GMR(123.3,"AP",515,14)=""
485^GMR(123.3,"AP",516,15)=""
486^GMR(123.3,"AP",517,20)=""
487^GMR(123.3,"AP",518,26)=""
488^GMR(123.3,"AP",519,6)=""
489^GMR(123.3,"AP",520,7)=""
490^GMR(123.3,"AP",521,12)=""
491^GMR(123.3,"AP",522,11)=""
492^GMR(123.3,"AP",523,16)=""
493^GMR(123.3,"AP",524,19)=""
494^GMR(123.3,"AP",525,3)=""
495^GMR(123.3,"AP",526,4)=""
496^GMR(123.3,"AP",527,5)=""
497^GMR(123.3,"AP",528,17)=""
498^GMR(123.3,"AP",529,18)=""
499^GMR(123.3,"AP",530,22)=""
500^GMR(123.3,"AP",535,23)=""
501^GMR(123.3,"AP",537,25)=""
502^GMR(123.3,"AP",538,24)=""
503^GMR(123.3,"AP",539,21)=""
504^GMR(123.3,"B","ATRIAL LEAD IMPLANT",2)=""
505^GMR(123.3,"B","BONE MARROW ASPIRATE",3)=""
506^GMR(123.3,"B","BONE MARROW BIOPSY",4)=""
507^GMR(123.3,"B","BRONCHOSCOPY",5)=""
508^GMR(123.3,"B","CATHETERIZATION",6)=""
509^GMR(123.3,"B","COLONOSCOPY",7)=""
510^GMR(123.3,"B","ECHO",8)=""
511^GMR(123.3,"B","ELECTROCARDIOGRAM",9)=""
512^GMR(123.3,"B","ELECTROPHYSIOLOGY",10)=""
513^GMR(123.3,"B","ERCP",11)=""
514^GMR(123.3,"B","ESOPHAGOGASTRODUODENOSCOPY",12)=""
515^GMR(123.3,"B","EXERCISE TOLERANCE TEST",13)=""
516^GMR(123.3,"B","GENERATOR IMPLANT",14)=""
517^GMR(123.3,"B","HOLTER",15)=""
518^GMR(123.3,"B","LAPARASCOPY",16)=""
519^GMR(123.3,"B","LARYNGOSCOPY",17)=""
520^GMR(123.3,"B","LAVAGE",18)=""
521^GMR(123.3,"B","NON-ENDOSCOPIC GI PROCEDURE",19)=""
522^GMR(123.3,"B","PACEMAKER SURVEILLANCE",20)=""
523^GMR(123.3,"B","PARACENTESIS",21)=""
524^GMR(123.3,"B","PULMONARY FUNCTION TEST",22)=""
525^GMR(123.3,"B","RHEUMATOLOGY",23)=""
526^GMR(123.3,"B","THORACENTESIS",24)=""
527^GMR(123.3,"B","UGI",25)=""
528^GMR(123.3,"B","UNKNOWN PROCEDURE",1)=""
529^GMR(123.3,"B","VENTRICAL LEAD IMPLANT",26)=""
530^GMR(123.3,"C","A-LEAD IMP",2,1)=""
531^GMR(123.3,"C","BMA",3,1)=""
532^GMR(123.3,"C","BRON",5,1)=""
533^GMR(123.3,"C","CATH",6,1)=""
534^GMR(123.3,"C","COL",7,1)=""
535^GMR(123.3,"C","ECG",9,1)=""
536^GMR(123.3,"C","ECHO",8,1)=""
537^GMR(123.3,"C","EGD",12,1)=""
538^GMR(123.3,"C","EKG",9,2)=""
539^GMR(123.3,"C","ERC",11,1)=""
540^GMR(123.3,"C","ETT",13,1)=""
541^GMR(123.3,"C","GEN IMPL",14,1)=""
542^GMR(123.3,"C","LAP",16,1)=""
543^GMR(123.3,"C","LAR",17,1)=""
544^GMR(123.3,"C","LAV",18,1)=""
545^GMR(123.3,"C","PACE SURV",20,1)=""
546^GMR(123.3,"C","PFT",22,1)=""
547^GMR(123.3,"C","UGI",25,1)=""
548^GMR(123.3,"C","Upper Gastrointestinal Series",25,2)=""
549^GMR(123.3,"C","V-LEAD IMP",26,1)=""
550^GMR(123.5,0)="REQUEST SERVICES^123.5I^45^14"
551^GMR(123.5,1,0)="ALL SERVICES^1^^^^"
552^GMR(123.5,1,10,0)="^123.51P^6^6"
553^GMR(123.5,1,10,1,0)="41"
554^GMR(123.5,1,10,2,0)="42"
555^GMR(123.5,1,10,3,0)="40"
556^GMR(123.5,1,10,4,0)="43"
557^GMR(123.5,1,10,5,0)="44"
558^GMR(123.5,1,10,6,0)="45"
559^GMR(123.5,1,10,"AC","CARE COORDINATION HOME TELEHEALTH SCREENING",5)=""
560^GMR(123.5,1,10,"AC","CONTACT LENS REQUEST",1)=""
561^GMR(123.5,1,10,"AC","EYEGLASS REQUEST",3)=""
562^GMR(123.5,1,10,"AC","HOME OXYGEN REQUEST",2)=""
563^GMR(123.5,1,10,"AC","PROSTHETICS REQUEST",4)=""
564^GMR(123.5,1,10,"AC","SUICIDE HOTLINE",6)=""
565^GMR(123.5,1,10,"B",40,3)=""
566^GMR(123.5,1,10,"B",41,1)=""
567^GMR(123.5,1,10,"B",42,2)=""
568^GMR(123.5,1,10,"B",43,4)=""
569^GMR(123.5,1,10,"B",44,5)=""
570^GMR(123.5,1,10,"B",45,6)=""
571^GMR(123.5,1,123)="11"
572^GMR(123.5,2,0)="MEDICINE^^^^^"
573^GMR(123.5,2,123)="11^533"
574^GMR(123.5,3,0)="PHARMACY SERVICE^^^^^"
575^GMR(123.5,3,2,0)="^123.52^1^1"
576^GMR(123.5,3,2,1,0)="RX"
577^GMR(123.5,3,2,"B","RX",1)=""
578^GMR(123.5,3,123)="11^^^541^^^^^^1882"
579^GMR(123.5,4,0)="CARDIOLOGY^^^^^"
580^GMR(123.5,4,20)="D EN^GMRCMER"
581^GMR(123.5,4,101,0)="^123.5101P^10^10"
582^GMR(123.5,4,101,1,0)="508"
583^GMR(123.5,4,101,2,0)="519"
584^GMR(123.5,4,101,3,0)="510"
585^GMR(123.5,4,101,4,0)="509"
586^GMR(123.5,4,101,5,0)="513"
587^GMR(123.5,4,101,6,0)="514"
588^GMR(123.5,4,101,7,0)="515"
589^GMR(123.5,4,101,8,0)="516"
590^GMR(123.5,4,101,9,0)="517"
591^GMR(123.5,4,101,10,0)="518"
592^GMR(123.5,4,101,"B",508,1)=""
593^GMR(123.5,4,101,"B",509,4)=""
594^GMR(123.5,4,101,"B",510,3)=""
595^GMR(123.5,4,101,"B",513,5)=""
596^GMR(123.5,4,101,"B",514,6)=""
597^GMR(123.5,4,101,"B",515,7)=""
598^GMR(123.5,4,101,"B",516,8)=""
599^GMR(123.5,4,101,"B",517,9)=""
600^GMR(123.5,4,101,"B",518,10)=""
601^GMR(123.5,4,101,"B",519,2)=""
602^GMR(123.5,4,123)="11^^^534^^^^^^1885"
603^GMR(123.5,5,0)="GASTROENTEROLOGY^^^^^"
604^GMR(123.5,5,.1)="GI"
605^GMR(123.5,5,2,0)="^123.52^1^1"
606^GMR(123.5,5,2,1,0)="GI"
607^GMR(123.5,5,2,"B","GI",1)=""
608^GMR(123.5,5,20)="D EN^GMRCMER"
609^GMR(123.5,5,101,0)="^123.5101P^6^6"
610^GMR(123.5,5,101,1,0)="520"
611^GMR(123.5,5,101,2,0)="522"
612^GMR(123.5,5,101,3,0)="521"
613^GMR(123.5,5,101,4,0)="523"
614^GMR(123.5,5,101,5,0)="524"
615^GMR(123.5,5,101,6,0)="537"
616^GMR(123.5,5,101,"B",520,1)=""
617^GMR(123.5,5,101,"B",521,3)=""
618^GMR(123.5,5,101,"B",522,2)=""
619^GMR(123.5,5,101,"B",523,4)=""
620^GMR(123.5,5,101,"B",524,5)=""
621^GMR(123.5,5,101,"B",537,6)=""
622^GMR(123.5,5,123)="11^^^534^^^^^^1885"
623^GMR(123.5,6,0)="HEMATOLOGY^^^^^"
624^GMR(123.5,6,20)="D EN^GMRCMER"
625^GMR(123.5,6,101,0)="^123.5101P^2^2"
626^GMR(123.5,6,101,1,0)="525"
627^GMR(123.5,6,101,2,0)="526"
628^GMR(123.5,6,101,"B",525,1)=""
629^GMR(123.5,6,101,"B",526,2)=""
630^GMR(123.5,6,123)="11^^^534^^^^^^1885"
631^GMR(123.5,7,0)="PULMONARY^^^^^"
632^GMR(123.5,7,20)="D EN^GMRCMER"
633^GMR(123.5,7,101,0)="^123.5101P^4^4"
634^GMR(123.5,7,101,1,0)="527"
635^GMR(123.5,7,101,2,0)="528"
636^GMR(123.5,7,101,3,0)="529"
637^GMR(123.5,7,101,4,0)="530"
638^GMR(123.5,7,101,"B",527,1)=""
639^GMR(123.5,7,101,"B",528,2)=""
640^GMR(123.5,7,101,"B",529,3)=""
641^GMR(123.5,7,101,"B",530,4)=""
642^GMR(123.5,7,123)="11^^^534^^^^^^1885"
643^GMR(123.5,8,0)="RHEUMATOLOGY^^^^^"
644^GMR(123.5,8,20)="D EN^GMRCMER"
645^GMR(123.5,8,101,0)="^123.5101P^1^1"
646^GMR(123.5,8,101,1,0)="535"
647^GMR(123.5,8,101,"B",535,1)=""
648^GMR(123.5,8,123)="11^^^534^^^^^^1885"
649^GMR(123.5,40,0)="EYEGLASS REQUEST^9"
650^GMR(123.5,40,1)="R^L"
651^GMR(123.5,40,123)="11^^542"
652^GMR(123.5,40,124,0)="^123.5124^67^67^3000726^^"
653^GMR(123.5,40,124,1,0)="EYEGLASS RX:"
654^GMR(123.5,40,124,2,0)=" [DISTANCE] Right Left"
655^GMR(123.5,40,124,3,0)=" Sphere Cylinder:"
656^GMR(123.5,40,124,4,0)=" Axis:"
657^GMR(123.5,40,124,5,0)=" Prism:"
658^GMR(123.5,40,124,6,0)=" Base:"
659^GMR(123.5,40,124,7,0)=" BC:"
660^GMR(123.5,40,124,8,0)=" MRP:"
661^GMR(123.5,40,124,9,0)=" -------------------------------------------------------------------------"
662^GMR(123.5,40,124,10,0)=" [NEAR] Right Left"
663^GMR(123.5,40,124,11,0)=" "
664^GMR(123.5,40,124,12,0)=" Sphere Cylinder:"
665^GMR(123.5,40,124,13,0)=" Axis:"
666^GMR(123.5,40,124,14,0)=" Prism:"
667^GMR(123.5,40,124,15,0)=" Base:"
668^GMR(123.5,40,124,16,0)=" BC:"
669^GMR(123.5,40,124,17,0)=" MRP:"
670^GMR(123.5,40,124,18,0)=" -------------------------------------------------------------------------"
671^GMR(123.5,40,124,19,0)=" [NEAR] Right Left"
672^GMR(123.5,40,124,20,0)=" BC:"
673^GMR(123.5,40,124,21,0)=" MRP:"
674^GMR(123.5,40,124,22,0)=" -------------------------------------------------------------------------"
675^GMR(123.5,40,124,23,0)=" [NEAR] Right Left"
676^GMR(123.5,40,124,24,0)=" Addition Height:"
677^GMR(123.5,40,124,25,0)=" Type:"
678^GMR(123.5,40,124,26,0)=" Width:"
679^GMR(123.5,40,124,27,0)=" PD Far:"
680^GMR(123.5,40,124,28,0)=" PD Near:"
681^GMR(123.5,40,124,29,0)=" PD Near Inset:"
682^GMR(123.5,40,124,30,0)=" Total Inset:"
683^GMR(123.5,40,124,31,0)=" -------------------------------------------------------------------------"
684^GMR(123.5,40,124,32,0)=" [FRAME SELECTION]"
685^GMR(123.5,40,124,33,0)=" Frame Name:"
686^GMR(123.5,40,124,34,0)=" Color:"
687^GMR(123.5,40,124,35,0)=" Eyesize:"
688^GMR(123.5,40,124,36,0)=" Bridge Size:"
689^GMR(123.5,40,124,37,0)=" Temple Length:"
690^GMR(123.5,40,124,38,0)=" -------------------------------------------------------------------------"
691^GMR(123.5,40,124,39,0)=" [EYEWEAR OPTIONS]"
692^GMR(123.5,40,124,40,0)=" Lens Material: [] Plastic [] Glass [] Polycarb"
693^GMR(123.5,40,124,41,0)=" "
694^GMR(123.5,40,124,42,0)=" Lens Style: [] Single Vision"
695^GMR(123.5,40,124,43,0)=" [] Bifocal"
696^GMR(123.5,40,124,44,0)=" [] Trifocal"
697^GMR(123.5,40,124,45,0)=" [] Lenses Only"
698^GMR(123.5,40,124,46,0)=" [] Safety"
699^GMR(123.5,40,124,47,0)=" [] Tint*"
700^GMR(123.5,40,124,48,0)=" [] Progressive*"
701^GMR(123.5,40,124,49,0)=" [] Other (Description):"
702^GMR(123.5,40,124,50,0)=" *Medical Necessity (required) for Tint or Progressive:"
703^GMR(123.5,40,124,51,0)=" -------------------------------------------------------------------------"
704^GMR(123.5,40,124,52,0)=" SPECIAL INSTRUCTIONS FOR EYEWEAR FABRICATION:"
705^GMR(123.5,40,124,53,0)=" "
706^GMR(123.5,40,124,54,0)=" -------------------------------------------------------------------------"
707^GMR(123.5,40,124,55,0)=" DELIVERY INSTRUCTIONS: [] Veteran [] VA Medical Center"
708^GMR(123.5,40,124,56,0)=" "
709^GMR(123.5,40,124,57,0)=" EYEGLASS REPLACEMENT: [] Lost [] Broken [] Stolen"
710^GMR(123.5,40,124,58,0)=" -------------------------------------------------------------------------"
711^GMR(123.5,40,124,59,0)=" ####### (Information Below - to be completed by Prosthetics #########"
712^GMR(123.5,40,124,60,0)=" "
713^GMR(123.5,40,124,61,0)=" ORDERING INFORMATION"
714^GMR(123.5,40,124,62,0)=" Obligation #:"
715^GMR(123.5,40,124,63,0)=" Total Cost:"
716^GMR(123.5,40,124,64,0)=" VISA #:"
717^GMR(123.5,40,124,65,0)=" EXP DATE:"
718^GMR(123.5,40,124,66,0)=" "
719^GMR(123.5,40,124,67,0)=" AUTHORIZATION SIGNATURE: ____________________________"
720^GMR(123.5,40,"INT")="1"
721^GMR(123.5,41,0)="CONTACT LENS REQUEST^9"
722^GMR(123.5,41,1)="R^L"
723^GMR(123.5,41,123)="11^^542"
724^GMR(123.5,41,124,0)="^^39^39^3000726^"
725^GMR(123.5,41,124,1,0)="CONTACT LENS RX:"
726^GMR(123.5,41,124,2,0)=" Right Left"
727^GMR(123.5,41,124,3,0)=" Base:"
728^GMR(123.5,41,124,4,0)=" Power:"
729^GMR(123.5,41,124,5,0)=" DIA:"
730^GMR(123.5,41,124,6,0)=" OZ:"
731^GMR(123.5,41,124,7,0)=" Thick:"
732^GMR(123.5,41,124,8,0)=" SEC:"
733^GMR(123.5,41,124,9,0)=" PER:"
734^GMR(123.5,41,124,10,0)=" EDGE:"
735^GMR(123.5,41,124,11,0)=" -------------------------------------------------------------------------"
736^GMR(123.5,41,124,12,0)=" MFG: LENS TYPE:"
737^GMR(123.5,41,124,13,0)=" TINT: DOT:"
738^GMR(123.5,41,124,14,0)=" -------------------------------------------------------------------------"
739^GMR(123.5,41,124,15,0)=" [] D.W. [] E.W. [] Mono"
740^GMR(123.5,41,124,16,0)=" -------------------------------------------------------------------------"
741^GMR(123.5,41,124,17,0)=" ISSUING INSTRUCTIONS:"
742^GMR(123.5,41,124,18,0)=" "
743^GMR(123.5,41,124,19,0)=" [] See DR. for Dispensing"
744^GMR(123.5,41,124,20,0)=" [] Dispense Only"
745^GMR(123.5,41,124,21,0)=" [] Replacement"
746^GMR(123.5,41,124,22,0)=" [] Needs I&R"
747^GMR(123.5,41,124,23,0)=" [] Kit Training"
748^GMR(123.5,41,124,24,0)=" [] Reinstruct"
749^GMR(123.5,41,124,25,0)=" [] Other (Describe)"
750^GMR(123.5,41,124,26,0)=" -------------------------------------------------------------------------"
751^GMR(123.5,41,124,27,0)=" DELIVERY INSTRUCTIONS: [] Veteran [] VA Medical Center"
752^GMR(123.5,41,124,28,0)=" "
753^GMR(123.5,41,124,29,0)=" EYEGLASS REPLACEMENT: [] Lost [] Broken [] Stolen"
754^GMR(123.5,41,124,30,0)=" -------------------------------------------------------------------------"
755^GMR(123.5,41,124,31,0)=" ####### (Information Below - to be completed by Prosthetics #########"
756^GMR(123.5,41,124,32,0)=" "
757^GMR(123.5,41,124,33,0)=" ORDERING INFORMATION"
758^GMR(123.5,41,124,34,0)=" Obligation #:"
759^GMR(123.5,41,124,35,0)=" Total Cost:"
760^GMR(123.5,41,124,36,0)=" VISA #:"
761^GMR(123.5,41,124,37,0)=" EXP DATE:"
762^GMR(123.5,41,124,38,0)=" "
763^GMR(123.5,41,124,39,0)=" AUTHORIZATION SIGNATURE: ____________________________"
764^GMR(123.5,41,"INT")="1"
765^GMR(123.5,42,0)="HOME OXYGEN REQUEST^9"
766^GMR(123.5,42,1)="R^L"
767^GMR(123.5,42,123)="11^^542"
768^GMR(123.5,42,124,0)="^^53^53^3000726^"
769^GMR(123.5,42,124,1,0)="(HOME OXYGEN)"
770^GMR(123.5,42,124,2,0)=" REASON FOR REQUEST (complaints and findings):"
771^GMR(123.5,42,124,3,0)=" "
772^GMR(123.5,42,124,4,0)=" "
773^GMR(123.5,42,124,5,0)=" 1. RESULTS OF ARTERIAL BLOOD GASES OR PULSE OXIMETRY"
774^GMR(123.5,42,124,6,0)=" "
775^GMR(123.5,42,124,7,0)=" Room Air at Rest:"
776^GMR(123.5,42,124,8,0)=" Room Air with Exercise:"
777^GMR(123.5,42,124,9,0)=" O2@ LPM of:"
778^GMR(123.5,42,124,10,0)=" O2@ LPM with exercise of:"
779^GMR(123.5,42,124,11,0)=" "
780^GMR(123.5,42,124,12,0)=" 2. PRESCRIPTION FOR HOME OXYGEN"
781^GMR(123.5,42,124,13,0)=" "
782^GMR(123.5,42,124,14,0)=" LPM @ Rest:"
783^GMR(123.5,42,124,15,0)=" LPM Continuous:"
784^GMR(123.5,42,124,16,0)=" LPM During Exercise:"
785^GMR(123.5,42,124,17,0)=" LPM Exercise Only:"
786^GMR(123.5,42,124,18,0)=" LPM @ Night:"
787^GMR(123.5,42,124,19,0)=" LPM Night Only:"
788^GMR(123.5,42,124,20,0)=" LPM Night Only:"
789^GMR(123.5,42,124,21,0)=" "
790^GMR(123.5,42,124,22,0)=" 3. PRIMARY DELIVERY SYSTEM"
791^GMR(123.5,42,124,23,0)=" "
792^GMR(123.5,42,124,24,0)=" [] Compressed Gas [] Concentrator [] Liquid System"
793^GMR(123.5,42,124,25,0)=" "
794^GMR(123.5,42,124,26,0)=" 4. ADDITIONAL ITEMS"
795^GMR(123.5,42,124,27,0)=" "
796^GMR(123.5,42,124,28,0)=" [] (steel) Portable Cylinders [] (Aluminum) Portable Cylinders"
797^GMR(123.5,42,124,29,0)=" "
798^GMR(123.5,42,124,30,0)=" Tank Size Quantity per Month"
799^GMR(123.5,42,124,31,0)=" ----- -----"
800^GMR(123.5,42,124,32,0)=" ----- -----"
801^GMR(123.5,42,124,33,0)=" "
802^GMR(123.5,42,124,34,0)=" [] Conserving Device (Type):"
803^GMR(123.5,42,124,35,0)=" "
804^GMR(123.5,42,124,36,0)=" [] Nasal Cannula"
805^GMR(123.5,42,124,37,0)=" [] Oxygen Mask"
806^GMR(123.5,42,124,38,0)=" [] Trach Mask"
807^GMR(123.5,42,124,39,0)=" [] Humidification"
808^GMR(123.5,42,124,40,0)=" [] Other (e.g., cart, shoulder bag, etc.):"
809^GMR(123.5,42,124,41,0)=" "
810^GMR(123.5,42,124,42,0)=" DELIVERY LOCATION:"
811^GMR(123.5,42,124,43,0)=" "
812^GMR(123.5,42,124,44,0)=" 5. LOGISTICS"
813^GMR(123.5,42,124,45,0)=" "
814^GMR(123.5,42,124,46,0)=" [] Outpatient [] Inpatient (Discharge Date):"
815^GMR(123.5,42,124,47,0)=" [] Patient requires portable O2 for transport home"
816^GMR(123.5,42,124,48,0)=" [] Patient requires recertification of prescription and follow-up"
817^GMR(123.5,42,124,49,0)=" appointment: [] 6 months [] 12 months"
818^GMR(123.5,42,124,50,0)=" Date of last visit:"
819^GMR(123.5,42,124,51,0)=" Date of next visit:"
820^GMR(123.5,42,124,52,0)=" "
821^GMR(123.5,42,124,53,0)=" 6. Does patient have advance directive on file? [] Yes [] No"
822^GMR(123.5,42,"INT")="1"
823^GMR(123.5,43,0)="PROSTHETICS REQUEST^9"
824^GMR(123.5,43,1)="R^L"
825^GMR(123.5,43,123)="11^^542"
826^GMR(123.5,43,124,0)="^^11^11^3000726^"
827^GMR(123.5,43,124,1,0)=" "
828^GMR(123.5,43,124,2,0)=" "
829^GMR(123.5,43,124,3,0)="======================================================================="
830^GMR(123.5,43,124,4,0)=" (Describe PROSTHETIC APPLIANCE or REPAIR above LINE)"
831^GMR(123.5,43,124,5,0)=" "
832^GMR(123.5,43,124,6,0)=" ISSUING INSTRUCTIONS:"
833^GMR(123.5,43,124,7,0)=" [] VETERAN WILL PICK UP"
834^GMR(123.5,43,124,8,0)=" [] WARD/CLINIC PERSONNEL WILL PICKUP"
835^GMR(123.5,43,124,9,0)=" [] DELIVERY LOCATION"
836^GMR(123.5,43,124,10,0)=" "
837^GMR(123.5,43,124,11,0)=" FOR (INPATIENT) - ESTIMATED DISCHARGE DATE:"
838^GMR(123.5,43,"INT")="1"
839^GMR(123.5,44,0)="CARE COORDINATION HOME TELEHEALTH SCREENING^9"
840^GMR(123.5,44,.1)="CCHT SC"
841^GMR(123.5,44,1)="O^L^0"
842^GMR(123.5,44,2,0)="^123.52^1^1"
843^GMR(123.5,44,2,1,0)="CCHT SCRN"
844^GMR(123.5,44,2,"B","CCHT SCRN",1)=""
845^GMR(123.5,44,11)="CCHT SCREENING"
846^GMR(123.5,44,123)="11^^542"
847^GMR(123.5,44,124,0)="^^1^1^3061008^"
848^GMR(123.5,44,124,1,0)="Initial Screening for Home Telehealth services."
849^GMR(123.5,45,0)="SUICIDE HOTLINE^2"
850^GMR(123.5,45,"IFCS",0)="^123.5134P^1^1"
851^GMR(123.5,45,"IFCS",1,0)="1"
852^GMR(123.5,45,"IFCS","B",1,1)=""
853^GMR(123.5,"APC",40,1,3)=""
854^GMR(123.5,"APC",41,1,1)=""
855^GMR(123.5,"APC",42,1,2)=""
856^GMR(123.5,"APC",43,1,4)=""
857^GMR(123.5,"APC",44,1,5)=""
858^GMR(123.5,"APC",45,1,6)=""
859^GMR(123.5,"APR",508,4,1)=""
860^GMR(123.5,"APR",509,4,4)=""
861^GMR(123.5,"APR",510,4,3)=""
862^GMR(123.5,"APR",513,4,5)=""
863^GMR(123.5,"APR",514,4,6)=""
864^GMR(123.5,"APR",515,4,7)=""
865^GMR(123.5,"APR",516,4,8)=""
866^GMR(123.5,"APR",517,4,9)=""
867^GMR(123.5,"APR",518,4,10)=""
868^GMR(123.5,"APR",519,4,2)=""
869^GMR(123.5,"APR",520,5,1)=""
870^GMR(123.5,"APR",521,5,3)=""
871^GMR(123.5,"APR",522,5,2)=""
872^GMR(123.5,"APR",523,5,4)=""
873^GMR(123.5,"APR",524,5,5)=""
874^GMR(123.5,"APR",525,6,1)=""
875^GMR(123.5,"APR",526,6,2)=""
876^GMR(123.5,"APR",527,7,1)=""
877^GMR(123.5,"APR",528,7,2)=""
878^GMR(123.5,"APR",529,7,3)=""
879^GMR(123.5,"APR",530,7,4)=""
880^GMR(123.5,"APR",535,8,1)=""
881^GMR(123.5,"APR",537,5,6)=""
882^GMR(123.5,"B","ALL SERVICES",1)=""
883^GMR(123.5,"B","CARDIOLOGY",4)=""
884^GMR(123.5,"B","CARE COORDINATION HOME TELEHEALTH SCREENING",44)=""
885^GMR(123.5,"B","CONTACT LENS REQUEST",41)=""
886^GMR(123.5,"B","EYEGLASS REQUEST",40)=""
887^GMR(123.5,"B","GASTROENTEROLOGY",5)=""
888^GMR(123.5,"B","HEMATOLOGY",6)=""
889^GMR(123.5,"B","HOME OXYGEN REQUEST",42)=""
890^GMR(123.5,"B","MEDICINE",2)=""
891^GMR(123.5,"B","PHARMACY SERVICE",3)=""
892^GMR(123.5,"B","PROSTHETICS REQUEST",43)=""
893^GMR(123.5,"B","PULMONARY",7)=""
894^GMR(123.5,"B","RHEUMATOLOGY",8)=""
895^GMR(123.5,"B","SUICIDE HOTLINE",45)=""
896^GMR(123.5,"D","CCHT SCRN",44,1)=""
897^GMR(123.5,"D","GI",5,1)=""
898^GMR(123.5,"D","RX",3,1)=""
899^GMR(123.5,"E","CCHT SCREENING",44)=""
900^GMR(123.6,0)="IFC MESSAGE LOG^123.6D^^"
901^GMR(123.9,0)="CONSULTS PARAMETERS FILE^123.9P^1^1"
902^GMR(123.9,1,0)="1"
903^GMR(123.9,1,99,0)="^123.99^539^26"
904^GMR(123.9,1,99,489,0)="489^"
905^GMR(123.9,1,99,508,0)="508^4;GMR(123.5,"
906^GMR(123.9,1,99,509,0)="509^4;GMR(123.5,"
907^GMR(123.9,1,99,510,0)="510^4;GMR(123.5,"
908^GMR(123.9,1,99,513,0)="513^4;GMR(123.5,"
909^GMR(123.9,1,99,514,0)="514^4;GMR(123.5,"
910^GMR(123.9,1,99,515,0)="515^4;GMR(123.5,"
911^GMR(123.9,1,99,516,0)="516^4;GMR(123.5,"
912^GMR(123.9,1,99,517,0)="517^4;GMR(123.5,"
913^GMR(123.9,1,99,518,0)="518^4;GMR(123.5,"
914^GMR(123.9,1,99,519,0)="519^4;GMR(123.5,"
915^GMR(123.9,1,99,520,0)="520^5;GMR(123.5,"
916^GMR(123.9,1,99,521,0)="521^5;GMR(123.5,"
917^GMR(123.9,1,99,522,0)="522^5;GMR(123.5,"
918^GMR(123.9,1,99,523,0)="523^5;GMR(123.5,"
919^GMR(123.9,1,99,524,0)="524^5;GMR(123.5,"
920^GMR(123.9,1,99,525,0)="525^6;GMR(123.5,"
921^GMR(123.9,1,99,526,0)="526^6;GMR(123.5,"
922^GMR(123.9,1,99,527,0)="527^7;GMR(123.5,"
923^GMR(123.9,1,99,528,0)="528^7;GMR(123.5,"
924^GMR(123.9,1,99,529,0)="529^7;GMR(123.5,"
925^GMR(123.9,1,99,530,0)="530^7;GMR(123.5,"
926^GMR(123.9,1,99,535,0)="535^8;GMR(123.5,"
927^GMR(123.9,1,99,537,0)="537^5;GMR(123.5,"
928^GMR(123.9,1,99,538,0)="538^"
929^GMR(123.9,1,99,539,0)="539^"
930^GMR(123.9,1,99,"B",489,489)=""
931^GMR(123.9,1,99,"B",508,508)=""
932^GMR(123.9,1,99,"B",509,509)=""
933^GMR(123.9,1,99,"B",510,510)=""
934^GMR(123.9,1,99,"B",513,513)=""
935^GMR(123.9,1,99,"B",514,514)=""
936^GMR(123.9,1,99,"B",515,515)=""
937^GMR(123.9,1,99,"B",516,516)=""
938^GMR(123.9,1,99,"B",517,517)=""
939^GMR(123.9,1,99,"B",518,518)=""
940^GMR(123.9,1,99,"B",519,519)=""
941^GMR(123.9,1,99,"B",520,520)=""
942^GMR(123.9,1,99,"B",521,521)=""
943^GMR(123.9,1,99,"B",522,522)=""
944^GMR(123.9,1,99,"B",523,523)=""
945^GMR(123.9,1,99,"B",524,524)=""
946^GMR(123.9,1,99,"B",525,525)=""
947^GMR(123.9,1,99,"B",526,526)=""
948^GMR(123.9,1,99,"B",527,527)=""
949^GMR(123.9,1,99,"B",528,528)=""
950^GMR(123.9,1,99,"B",529,529)=""
951^GMR(123.9,1,99,"B",530,530)=""
952^GMR(123.9,1,99,"B",535,535)=""
953^GMR(123.9,1,99,"B",537,537)=""
954^GMR(123.9,1,99,"B",538,538)=""
955^GMR(123.9,1,99,"B",539,539)=""
956^GMR(123.9,1,"OLD",0)="^123.9999^22^12"
957^GMR(123.9,1,"OLD",1,0)="1^ENTERED IN OE/RR^11"
958^GMR(123.9,1,"OLD",2,0)="2^OE/RR RELEASED ORDER^5"
959^GMR(123.9,1,"OLD",6,0)="6^DISCONTINUED^1"
960^GMR(123.9,1,"OLD",9,0)="9^INCOMPLETE RPT^9"
961^GMR(123.9,1,"OLD",10,0)="10^COMPLETED^2"
962^GMR(123.9,1,"OLD",15,0)="15^SERVICE ENTERED^6"
963^GMR(123.9,1,"OLD",16,0)="16^EDIT BEFORE RELEASE^11"
964^GMR(123.9,1,"OLD",17,0)="17^FORWARDED FROM^5"
965^GMR(123.9,1,"OLD",19,0)="19^DENIED^1"
966^GMR(123.9,1,"OLD",20,0)="20^ADDED COMMENT^"
967^GMR(123.9,1,"OLD",21,0)="21^RECEIVED^6"
968^GMR(123.9,1,"OLD",22,0)="22^PRINTED TO"
969^GMR(123.9,1,"OLD","B",1,1)=""
970^GMR(123.9,1,"OLD","B",2,2)=""
971^GMR(123.9,1,"OLD","B",6,6)=""
972^GMR(123.9,1,"OLD","B",9,9)=""
973^GMR(123.9,1,"OLD","B",10,10)=""
974^GMR(123.9,1,"OLD","B",15,15)=""
975^GMR(123.9,1,"OLD","B",16,16)=""
976^GMR(123.9,1,"OLD","B",17,17)=""
977^GMR(123.9,1,"OLD","B",19,19)=""
978^GMR(123.9,1,"OLD","B",20,20)=""
979^GMR(123.9,1,"OLD","B",21,21)=""
980^GMR(123.9,1,"OLD","B",22,22)=""
981^GMR(123.9,"B",1,1)=""
982^GMR(124.3,0)="GMR TEXT^124.3IP^^"
983^GMR(126,0)="GMRY PATIENT I/O FILE^126P^^"
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