[613] | 1 | FirstRelease WVEHR VER VOE1.0
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| 2 | Cache 31-Jan-2008 23:07:04 ZWR
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| 3 | ^YTX(0)="MH TEXT^605^3^3"
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| 4 | ^YTX(1,0)="HELP"
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| 5 | ^YTX(1,1,0)="82^^82^82^2890309^^^"
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| 6 | ^YTX(1,1,1,0)=" WORD PROCESSOR INFORMATION"
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| 7 | ^YTX(1,1,2,0)=" "
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| 8 | ^YTX(1,1,3,0)=" "
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| 9 | ^YTX(1,1,4,0)="In the Mental Health Package, all free text entries longer than"
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| 10 | ^YTX(1,1,5,0)="70 characters are entered and printed using the File Manager"
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| 11 | ^YTX(1,1,6,0)="Word Processing features. Page length and margins for Histories"
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| 12 | ^YTX(1,1,7,0)="and Progress Notes are set to approximate the standard VA Forms."
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| 13 | ^YTX(1,1,8,0)="All other format options as described below are available for"
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| 14 | ^YTX(1,1,9,0)="History of Present Illness, Progress notes and Text. The Text"
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| 15 | ^YTX(1,1,10,0)="option on the General menu has default parameters for margins"
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| 16 | ^YTX(1,1,11,0)="and page numbering, but these parameters can be changed as"
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| 17 | ^YTX(1,1,12,0)="desired."
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| 18 | ^YTX(1,1,13,0)=" "
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| 19 | ^YTX(1,1,14,0)="The DEFAULT PARAMETERS are: left margin column 8, right margin"
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| 20 | ^YTX(1,1,15,0)="column 72, top of page starts on line 4, form feed occurs 8"
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| 21 | ^YTX(1,1,16,0)="lines before bottom of page. Pages will be numbered starting on"
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| 22 | ^YTX(1,1,17,0)="page 2. These PARAMETERS may be changed by answering ""N"" to the"
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| 23 | ^YTX(1,1,18,0)="""DEFAULT PARAMETERS? Y// "" prompt in the (P)RINT option."
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| 24 | ^YTX(1,1,19,0)="Additional information is available in the File Manager Manuals."
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| 25 | ^YTX(1,1,20,0)=" "
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| 26 | ^YTX(1,1,21,0)="Format can be controlled with the following file manager commands:"
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| 27 | ^YTX(1,1,22,0)=" "
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| 28 | ^YTX(1,1,23,0)="|RIGHT-JUSTIFY| Causes following text to be padded with"
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| 29 | ^YTX(1,1,24,0)=" spaces between words, so right margin is"
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| 30 | ^YTX(1,1,25,0)=" even."
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| 31 | ^YTX(1,1,26,0)=" "
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| 32 | ^YTX(1,1,27,0)="|DOUBLE-SPACE| Causes following text to be printed with"
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| 33 | ^YTX(1,1,28,0)=" blank lines inserted every other line."
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| 34 | ^YTX(1,1,29,0)=" "
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| 35 | ^YTX(1,1,30,0)="|SINGLE-SPACE| 'Turns off' double-spacing for following"
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| 36 | ^YTX(1,1,31,0)=" text."
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| 37 | ^YTX(1,1,32,0)=" "
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| 38 | ^YTX(1,1,33,0)="|TOP| Causes a page break to occur at this point."
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| 39 | ^YTX(1,1,34,0)=" "
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| 40 | ^YTX(1,1,35,0)="|PAGEFEED(argument)| Causes page breaks to occur in following"
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| 41 | ^YTX(1,1,36,0)=" text, whenever fewer than 'argument'"
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| 42 | ^YTX(1,1,37,0)=" number of lines remain on the current page."
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| 43 | ^YTX(1,1,38,0)=" "
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| 44 | ^YTX(1,1,39,0)="|PAGESTART(argument)| Causes text on the following pages to begin"
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| 45 | ^YTX(1,1,40,0)=" at line # 'argument' of the page."
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| 46 | ^YTX(1,1,41,0)=" "
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| 47 | ^YTX(1,1,42,0)="|SETPAGE(argument)| Resets page numbering, so that the"
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| 48 | ^YTX(1,1,43,0)=" following page number will be 'argument'+1."
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| 49 | ^YTX(1,1,44,0)=" "
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| 50 | ^YTX(1,1,45,0)="|BLANK(argument)| Causes 'argument number of blank lines"
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| 51 | ^YTX(1,1,46,0)=" to be inserted at this point in the text."
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| 52 | ^YTX(1,1,47,0)=" "
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| 53 | ^YTX(1,1,48,0)="|INDENT(augument)| Causes following text to be indented"
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| 54 | ^YTX(1,1,49,0)=" 'argument' number of spaces from left"
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| 55 | ^YTX(1,1,50,0)=" margin."
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| 56 | ^YTX(1,1,51,0)=" "
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| 57 | ^YTX(1,1,52,0)="|SETTAB(argument1,argument2,argument3,etc.)|"
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| 58 | ^YTX(1,1,53,0)=" Sets tab positions for following text. In"
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| 59 | ^YTX(1,1,54,0)=" subsequent lines, the first ""|TAB|"""
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| 60 | ^YTX(1,1,55,0)=" encountered will cause indentation to column"
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| 61 | ^YTX(1,1,56,0)=" position 'argument1' characters from the left"
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| 62 | ^YTX(1,1,57,0)=" margin; the second ""|TAB|"" encountered will"
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| 63 | ^YTX(1,1,58,0)=" cause indentation to 'argument2', and so on."
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| 64 | ^YTX(1,1,59,0)=" In default of any ""SETTAB"" function, the tab"
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| 65 | ^YTX(1,1,60,0)=" settings are 5,10,15,20,25 column positions"
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| 66 | ^YTX(1,1,61,0)=" from the left margin. If any SETTAB argument"
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| 67 | ^YTX(1,1,62,0)=" is negative, any text following the corres-"
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| 68 | ^YTX(1,1,63,0)=" ponding ""|TAB|"" will be right-justified so"
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| 69 | ^YTX(1,1,64,0)=" that the rightmost column of text will fall"
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| 70 | ^YTX(1,1,65,0)=" in the column that is absolute value of the"
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| 71 | ^YTX(1,1,66,0)=" SETTAB argument."
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| 72 | ^YTX(1,1,67,0)=" "
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| 73 | ^YTX(1,1,68,0)="|TAB(n)| Overrides any ""SETTAB"" specification and"
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| 74 | ^YTX(1,1,69,0)=" causes tabbing to the 'n'th column over from"
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| 75 | ^YTX(1,1,70,0)=" the left margin (or right-justifies on the"
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| 76 | ^YTX(1,1,71,0)=" 'n'th column if 'n' is negative)."
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| 77 | ^YTX(1,1,72,0)=" "
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| 78 | ^YTX(1,1,73,0)="|WIDTH(argument)| Specifies that the following text"
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| 79 | ^YTX(1,1,74,0)=" will always be printed out in the column"
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| 80 | ^YTX(1,1,75,0)=" 'argument' characters wide. ('Argument',"
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| 81 | ^YTX(1,1,76,0)=" in other words, is the difference between"
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| 82 | ^YTX(1,1,77,0)=" the left margin position and the right"
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| 83 | ^YTX(1,1,78,0)=" margin position, plus 1). Note that, in"
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| 84 | ^YTX(1,1,79,0)=" the absence of a ""WIDTH"" specification,"
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| 85 | ^YTX(1,1,80,0)=" the output column width is determined"
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| 86 | ^YTX(1,1,81,0)=" by the user (or defaulted by the system)"
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| 87 | ^YTX(1,1,82,0)=" at ""Print"" time."
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| 88 | ^YTX(2,0)="PHY"
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| 89 | ^YTX(2,1,0)="^^459^459^2881116^^"
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| 90 | ^YTX(2,1,1,0)="|12 |8 S YSBLN="" "",Z=^MR(YSDFN,""PE"",DA,0),YSDOT=9999999-DA,U=""^"""
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| 91 | ^YTX(2,1,2,0)="|8 S Y=YSYDT D ENDD^YSUTL|1 Y|11 1"
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| 92 | ^YTX(2,1,3,0)="| Name|1 YSNM| SSN|1 YSSSN| Age|1 YSAGE|1 YSBLN|1 $P(""FE"",""/"",YSSEX[""F"")_""MALE""|17"
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| 93 | ^YTX(2,1,4,0)="|17 | Height|1 $J($P(Z,U,2),3)| in. Weight|1 $J($P(Z,U,3),3)| lb. Temp.|1 $J($P(Z,U,4),5)| F."
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| 94 | ^YTX(2,1,5,0)="|17 | Height|1 $J($P(Z,U,8),3)| cm. Weight|1 $J($P(Z,U,9),3)| kg. Temp.|1 $J($P(Z,U,11),5)| C."
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| 95 | ^YTX(2,1,6,0)="|17 | Pulse|1 $P(Z,U,5)| B.P.|1 $P(Z,U,6)| Resps.|1 $P(Z,U,7)"
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| 96 | ^YTX(2,1,7,0)="|11 1|14 0|8 S YSCLI=$P(Z,U,10,11)"
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| 97 | ^YTX(2,1,8,0)="----------------------------- Summary -----------------------------"
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| 98 | ^YTX(2,1,9,0)="|14 0|13 0^78|5 '$D(^MR(YSDFN,""PE"",DA,.9)):END"
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| 99 | ^YTX(2,1,10,0)="|8 S Z=^MR(YSDFN,""PE"",DA,.9) F I=1:1:18 S @(""V""_I_""=$P(Z,U,I)"")"
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| 100 | ^YTX(2,1,11,0)="|8 S YSOC=0 F I=1:1:18 S @(""YSOC=YSOC+(2=V""_I_"")!(4=V""_I_"")"")"
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| 101 | ^YTX(2,1,12,0)="|8 S YSAC=0 F I=1:1:18 S @(""YSAC=YSAC+(3=V""_I_"")!(5=V""_I_"")"")"
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| 102 | ^YTX(2,1,13,0)="|18 -| Omitted or Partially Omitted Examinations:"
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| 103 | ^YTX(2,1,14,0)="|1 $S(V1'=2:"""",1:""HEAD."")"
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| 104 | ^YTX(2,1,15,0)="|1 $S((V2'=2)&(V2'=4):"""",1:""EYES."")"
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| 105 | ^YTX(2,1,16,0)="|1 $S((V3'=2)&(V3'=4):"""",1:""EARS."")"
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| 106 | ^YTX(2,1,17,0)="|1 $S(V4'=2:"""",1:""NOSE."")"
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| 107 | ^YTX(2,1,18,0)="|1 $S(V5'=2:"""",1:""MOUTH."")"
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| 108 | ^YTX(2,1,19,0)="|1 $S(V6'=2:"""",1:""NECK."")"
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| 109 | ^YTX(2,1,20,0)="|1 $S(V7'=2:"""",1:""CHEST AND BREASTS."")"
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| 110 | ^YTX(2,1,21,0)="|1 $S(V8'=2:"""",1:""LUNGS."")"
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| 111 | ^YTX(2,1,22,0)="|1 $S(V9'=2:"""",1:""HEART."")"
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| 112 | ^YTX(2,1,23,0)="|1 $S(V10'=2:"""",1:""ABDOMEN."")"
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| 113 | ^YTX(2,1,24,0)="|1 $S((V11'=2)&(V11'=4):"""",1:""GENITALIA."")"
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| 114 | ^YTX(2,1,25,0)="|1 $S(V12'=2:"""",1:""PELVIC."")"
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| 115 | ^YTX(2,1,26,0)="|1 $S(V13'=2:"""",1:""RECTUM."")"
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| 116 | ^YTX(2,1,27,0)="|1 $S(V14'=2:"""",1:""BACK."")"
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| 117 | ^YTX(2,1,28,0)="|1 $S(V15'=2:"""",1:""EXTREMITIES."")"
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| 118 | ^YTX(2,1,29,0)="|1 $S(V16'=2:"""",1:""NEUROLOGICAL."")"
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| 119 | ^YTX(2,1,30,0)="|1 $S(V17'=2:"""",1:""SKIN."")"
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| 120 | ^YTX(2,1,31,0)="|1 $S(V18'=2:"""",1:""LYMPH NODES."")"
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| 121 | ^YTX(2,1,32,0)="|1 $S(YSOC:"""",1:""None."")"
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| 122 | ^YTX(2,1,33,0)="|14 2|18 -"
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| 123 | ^YTX(2,1,34,0)="Abnormal Findings:"
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| 124 | ^YTX(2,1,35,0)=" "
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| 125 | ^YTX(2,1,36,0)="|17 |5 V1'=3:1"
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| 126 | ^YTX(2,1,37,0)=" "
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| 127 | ^YTX(2,1,38,0)="|17 | HEAD: |2 ^MR(YSDFN,""PE"",DA,1)^9"
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| 128 | ^YTX(2,1,39,0)="|0"
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| 129 | ^YTX(2,1,40,0)=" "
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| 130 | ^YTX(2,1,41,0)="|5 V2'=3&(V2'=5):1"
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| 131 | ^YTX(2,1,42,0)="|17 | EYES: |2 ^MR(YSDFN,""PE"",DA,2)^9"
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| 132 | ^YTX(2,1,43,0)="|0"
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| 133 | ^YTX(2,1,44,0)=" "
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| 134 | ^YTX(2,1,45,0)="|5 V3'=3&(V3'=5):1"
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| 135 | ^YTX(2,1,46,0)="|17 | EARS: |2 ^MR(YSDFN,""PE"",DA,3)^9"
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| 136 | ^YTX(2,1,47,0)="|0"
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| 137 | ^YTX(2,1,48,0)="|5 V4'=3:1"
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| 138 | ^YTX(2,1,49,0)="|17 | NOSE: |2 ^MR(YSDFN,""PE"",DA,4)^9"
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| 139 | ^YTX(2,1,50,0)="|0"
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| 140 | ^YTX(2,1,51,0)="|5 V5'=3:1"
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| 141 | ^YTX(2,1,52,0)="|17 | MOUTH: |2 ^MR(YSDFN,""PE"",DA,5)^9"
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| 142 | ^YTX(2,1,53,0)="|0"
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| 143 | ^YTX(2,1,54,0)="|5 V6'=3:1"
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| 144 | ^YTX(2,1,55,0)="|17 | NECK: |2 ^MR(YSDFN,""PE"",DA,6)^9"
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| 145 | ^YTX(2,1,56,0)="|0"
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| 146 | ^YTX(2,1,57,0)="|5 V7'=3:1"
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| 147 | ^YTX(2,1,58,0)="|17 | CHEST AND BREASTS: |2 ^MR(YSDFN,""PE"",DA,7)^9"
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| 148 | ^YTX(2,1,59,0)="|0"
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| 149 | ^YTX(2,1,60,0)="|5 V8'=3:1"
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| 150 | ^YTX(2,1,61,0)="|17 | LUNGS: |2 ^MR(YSDFN,""PE"",DA,8)^9"
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| 151 | ^YTX(2,1,62,0)="|0"
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| 152 | ^YTX(2,1,63,0)="|5 V9'=3:1"
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| 153 | ^YTX(2,1,64,0)="|17 | HEART: |2 ^MR(YSDFN,""PE"",DA,9)^9"
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| 154 | ^YTX(2,1,65,0)="|0"
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| 155 | ^YTX(2,1,66,0)="|5 V10'=3:1"
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| 156 | ^YTX(2,1,67,0)="|17 | ABDOMEN: |2 ^MR(YSDFN,""PE"",DA,10)^9"
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| 157 | ^YTX(2,1,68,0)="|0"
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| 158 | ^YTX(2,1,69,0)=" "
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| 159 | ^YTX(2,1,70,0)="|5 V11'=3&(V11'=5):1"
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| 160 | ^YTX(2,1,71,0)="|17 | GENITALIA: |2 ^MR(YSDFN,""PE"",DA,11)^9"
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| 161 | ^YTX(2,1,72,0)="|0"
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| 162 | ^YTX(2,1,73,0)="|5 V12'=3:1"
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| 163 | ^YTX(2,1,74,0)="|17 | PELVIC EXAM: |2 ^MR(YSDFN,""PE"",DA,12)^9"
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| 164 | ^YTX(2,1,75,0)="|0"
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| 165 | ^YTX(2,1,76,0)="|5 V13'=3:1"
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| 166 | ^YTX(2,1,77,0)="|17 | RECTUM: |2 ^MR(YSDFN,""PE"",DA,13)^9"
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| 167 | ^YTX(2,1,78,0)="|0"
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| 168 | ^YTX(2,1,79,0)="|5 V14'=3:1"
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| 169 | ^YTX(2,1,80,0)="|17 | BACK: |2 ^MR(YSDFN,""PE"",DA,14)^9"
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| 170 | ^YTX(2,1,81,0)="|0"
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| 171 | ^YTX(2,1,82,0)="|5 V15'=3:1"
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| 172 | ^YTX(2,1,83,0)="|17 | EXTREMITIES: |2 ^MR(YSDFN,""PE"",DA,15)^9"
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| 173 | ^YTX(2,1,84,0)="|0"
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| 174 | ^YTX(2,1,85,0)="|5 V16'=3:1"
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| 175 | ^YTX(2,1,86,0)="|17 | NEUROLOGICAL: |2 ^MR(YSDFN,""PE"",DA,16)^9"
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| 176 | ^YTX(2,1,87,0)="|0"
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| 177 | ^YTX(2,1,88,0)="|5 V17'=3:1"
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| 178 | ^YTX(2,1,89,0)="|17 | SKIN: |2 ^MR(YSDFN,""PE"",DA,17)^9"
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| 179 | ^YTX(2,1,90,0)="|0"
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| 180 | ^YTX(2,1,91,0)="|5 V18'=3:1"
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| 181 | ^YTX(2,1,92,0)="|17 | LYMPH NODES: |2 ^MR(YSDFN,""PE"",DA,18)^9"
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| 182 | ^YTX(2,1,93,0)="|0"
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| 183 | ^YTX(2,1,94,0)="|5 YSAC'=0:1"
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| 184 | ^YTX(2,1,95,0)="None"
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| 185 | ^YTX(2,1,96,0)="|0"
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| 186 | ^YTX(2,1,97,0)="|17 |14 0|18 -"
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| 187 | ^YTX(2,1,98,0)="|18 -| ------------------------------------------------------------------"
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| 188 | ^YTX(2,1,99,0)="|17 |11 1|10 25^Physical Examination|17 |13 5^78"
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| 189 | ^YTX(2,1,100,0)="|14 2|18 -| General Appearance -|1 $S($D(^MR(YSDFN,""PE"",DA,.8)):$P(^(.8),U,1),1:"""")"
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| 190 | ^YTX(2,1,101,0)="|5 '$D(ASQ):1"
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| 191 | ^YTX(2,1,102,0)="|19"
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| 192 | ^YTX(2,1,103,0)="|0"
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| 193 | ^YTX(2,1,104,0)=" "
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| 194 | ^YTX(2,1,105,0)="|18 -"
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| 195 | ^YTX(2,1,106,0)="Head -"
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| 196 | ^YTX(2,1,107,0)="|5 V1'=1:1"
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| 197 | ^YTX(2,1,108,0)="Normal shape and size, no tenderness, deformity, trauma, or other abnormalities."
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| 198 | ^YTX(2,1,109,0)="|0"
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| 199 | ^YTX(2,1,110,0)="|5 V1'=2:1"
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| 200 | ^YTX(2,1,111,0)="Exam omitted."
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| 201 | ^YTX(2,1,112,0)="|0"
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| 202 | ^YTX(2,1,113,0)="|5 V1'=3:1"
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| 203 | ^YTX(2,1,114,0)="Examined for shape, size, tenderness, deformity, trauma, and other abnormalities."
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| 204 | ^YTX(2,1,115,0)="|17 | NORMAL EXCEPT FOR"
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| 205 | ^YTX(2,1,116,0)="|2 ^MR(YSDFN,""PE"",DA,1)^9 :1"
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| 206 | ^YTX(2,1,117,0)="|0 "
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| 207 | ^YTX(2,1,118,0)="|18 -"
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| 208 | ^YTX(2,1,119,0)="Eyes -"
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| 209 | ^YTX(2,1,120,0)="|5 V2'=1:1"
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| 210 | ^YTX(2,1,121,0)="Conjunctivae, corneae, and sclerae normal. No icterus. External ocular movements"
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| 211 | ^YTX(2,1,122,0)="normal. Pupils equal, regular, and react normally to light and accommodation."
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| 212 | ^YTX(2,1,123,0)="Fundi normal including discs and vessels. No hemorrhages or exudates."
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| 213 | ^YTX(2,1,124,0)="|0"
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| 214 | ^YTX(2,1,125,0)="|5 V2'=2:1"
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| 215 | ^YTX(2,1,126,0)="Exam omitted."
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| 216 | ^YTX(2,1,127,0)="|0"
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| 217 | ^YTX(2,1,128,0)="|5 V2<3:9|8 S Z="""""
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| 218 | ^YTX(2,1,129,0)="Examined for conjunctivitis, corneal scars, icterus"
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| 219 | ^YTX(2,1,130,0)="|8 S Z="""" I $D(^MR(YSDFN,""PE"",DA,2)) S Z=^(2)|5 $P(Z,U,1)=2:1"
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| 220 | ^YTX(2,1,131,0)=", extraocular movements"
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| 221 | ^YTX(2,1,132,0)="|0"
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| 222 | ^YTX(2,1,133,0)="|5 $P(Z,U,2)=2:1"
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| 223 | ^YTX(2,1,134,0)=", pupillary size"
|
---|
| 224 | ^YTX(2,1,135,0)="|0"
|
---|
| 225 | ^YTX(2,1,136,0)="|5 $P(Z,U,3)=2:1"
|
---|
| 226 | ^YTX(2,1,137,0)=", and response to light and accommodation"
|
---|
| 227 | ^YTX(2,1,138,0)=" "
|
---|
| 228 | ^YTX(2,1,139,0)="|0"
|
---|
| 229 | ^YTX(2,1,140,0)="|5 $P(Z,U,4)=2:1"
|
---|
| 230 | ^YTX(2,1,141,0)="Fundi were visualized."
|
---|
| 231 | ^YTX(2,1,142,0)="|0"
|
---|
| 232 | ^YTX(2,1,143,0)="|5 V2<4:4|17 "
|
---|
| 233 | ^YTX(2,1,144,0)="Omitted examinations-"
|
---|
| 234 | ^YTX(2,1,145,0)="|5 $P(Z,U,1)=1:1|17 "
|
---|
| 235 | ^YTX(2,1,146,0)="Extraocular movements."
|
---|
| 236 | ^YTX(2,1,147,0)="|0"
|
---|
| 237 | ^YTX(2,1,148,0)="|5 $P(Z,U,2)=1:1|17 "
|
---|
| 238 | ^YTX(2,1,149,0)="Pupillary size."
|
---|
| 239 | ^YTX(2,1,150,0)="|0"
|
---|
| 240 | ^YTX(2,1,151,0)="|5 $P(Z,U,3)=1:1|17 "
|
---|
| 241 | ^YTX(2,1,152,0)="Response to light and accommodation."
|
---|
| 242 | ^YTX(2,1,153,0)="|0"
|
---|
| 243 | ^YTX(2,1,154,0)="|5 $P(Z,U,4)=1:1"
|
---|
| 244 | ^YTX(2,1,155,0)="Fundi visualizsion."
|
---|
| 245 | ^YTX(2,1,156,0)="|0"
|
---|
| 246 | ^YTX(2,1,157,0)="|5 V2=4:1"
|
---|
| 247 | ^YTX(2,1,158,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 248 | ^YTX(2,1,159,0)="|2 ^MR(YSDFN,""PE"",DA,2)^9 :2"
|
---|
| 249 | ^YTX(2,1,160,0)="|0 "
|
---|
| 250 | ^YTX(2,1,161,0)="|18 -"
|
---|
| 251 | ^YTX(2,1,162,0)="Ears -"
|
---|
| 252 | ^YTX(2,1,163,0)="|5 V3'=1:1"
|
---|
| 253 | ^YTX(2,1,164,0)="External meatus normal. Drums visualized and normal without scars,"
|
---|
| 254 | ^YTX(2,1,165,0)="inflammation, or perforations. Hearing grossly normal."
|
---|
| 255 | ^YTX(2,1,166,0)="|0"
|
---|
| 256 | ^YTX(2,1,167,0)="|5 V3'=2:1"
|
---|
| 257 | ^YTX(2,1,168,0)="Exam omitted."
|
---|
| 258 | ^YTX(2,1,169,0)="|0"
|
---|
| 259 | ^YTX(2,1,170,0)="|5 V3<3:8|8 S Z="""""
|
---|
| 260 | ^YTX(2,1,171,0)="|8 S Z="""" I $D(^MR(YSDFN,""PE"",DA,3)) S Z=^(3)|5 $P(Z,U,1)=2:1"
|
---|
| 261 | ^YTX(2,1,172,0)="Examined for gross hearing."
|
---|
| 262 | ^YTX(2,1,173,0)="|0"
|
---|
| 263 | ^YTX(2,1,174,0)="|5 $P(Z,U,2)=2:1"
|
---|
| 264 | ^YTX(2,1,175,0)="The external meatus were visualized."
|
---|
| 265 | ^YTX(2,1,176,0)="|0"
|
---|
| 266 | ^YTX(2,1,177,0)="|5 $P(Z,U,3)=2:1"
|
---|
| 267 | ^YTX(2,1,178,0)="The drums were visualized."
|
---|
| 268 | ^YTX(2,1,179,0)="|0"
|
---|
| 269 | ^YTX(2,1,180,0)="|5 V3<4:4"
|
---|
| 270 | ^YTX(2,1,181,0)="|17 | OMITTED EXAMINATIONS-"
|
---|
| 271 | ^YTX(2,1,182,0)="|0"
|
---|
| 272 | ^YTX(2,1,183,0)="|5 $P(Z,U,1)=1:1|17 "
|
---|
| 273 | ^YTX(2,1,184,0)="Hearing."
|
---|
| 274 | ^YTX(2,1,185,0)="|0"
|
---|
| 275 | ^YTX(2,1,186,0)="|5 $P(Z,U,2)=1:1|17 "
|
---|
| 276 | ^YTX(2,1,187,0)="External meatus."
|
---|
| 277 | ^YTX(2,1,188,0)="|0"
|
---|
| 278 | ^YTX(2,1,189,0)="|5 $P(Z,U,3)=1:1|17 "
|
---|
| 279 | ^YTX(2,1,190,0)="Drums."
|
---|
| 280 | ^YTX(2,1,191,0)="|0"
|
---|
| 281 | ^YTX(2,1,192,0)="|5 V3=4:1"
|
---|
| 282 | ^YTX(2,1,193,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 283 | ^YTX(2,1,194,0)="|2 ^MR(YSDFN,""PE"",DA,3)^9 :3"
|
---|
| 284 | ^YTX(2,1,195,0)="|0 "
|
---|
| 285 | ^YTX(2,1,196,0)="|18 -"
|
---|
| 286 | ^YTX(2,1,197,0)="Nose -"
|
---|
| 287 | ^YTX(2,1,198,0)="|5 V4'=1:1"
|
---|
| 288 | ^YTX(2,1,199,0)="Normal mucosa and airways, no septal deviation."
|
---|
| 289 | ^YTX(2,1,200,0)="|0"
|
---|
| 290 | ^YTX(2,1,201,0)="|5 V4'=2:1"
|
---|
| 291 | ^YTX(2,1,202,0)="Exam omitted."
|
---|
| 292 | ^YTX(2,1,203,0)="|0"
|
---|
| 293 | ^YTX(2,1,204,0)="|5 V4'=3:1"
|
---|
| 294 | ^YTX(2,1,205,0)="Examined for inflammation, obstructions and septal deviation."
|
---|
| 295 | ^YTX(2,1,206,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 296 | ^YTX(2,1,207,0)="|2 ^MR(YSDFN,""PE"",DA,4)^9 :4"
|
---|
| 297 | ^YTX(2,1,208,0)="|0 "
|
---|
| 298 | ^YTX(2,1,209,0)="|18 -"
|
---|
| 299 | ^YTX(2,1,210,0)="Mouth -"
|
---|
| 300 | ^YTX(2,1,211,0)="|5 V5'=1:1"
|
---|
| 301 | ^YTX(2,1,212,0)="Normal lips, breath, teeth, gums, tonsils, pharynx, and tongue."
|
---|
| 302 | ^YTX(2,1,213,0)="|0"
|
---|
| 303 | ^YTX(2,1,214,0)="|5 V5'=2:1"
|
---|
| 304 | ^YTX(2,1,215,0)="Exam omitted."
|
---|
| 305 | ^YTX(2,1,216,0)="|0"
|
---|
| 306 | ^YTX(2,1,217,0)="|5 V5'=3:1"
|
---|
| 307 | ^YTX(2,1,218,0)="This included the breath, lips, teeth, gums, tongue, tonsils, and pharynx."
|
---|
| 308 | ^YTX(2,1,219,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 309 | ^YTX(2,1,220,0)="|2 ^MR(YSDFN,""PE"",DA,5)^9 :5"
|
---|
| 310 | ^YTX(2,1,221,0)="|0 "
|
---|
| 311 | ^YTX(2,1,222,0)="|18 -"
|
---|
| 312 | ^YTX(2,1,223,0)="Neck -"
|
---|
| 313 | ^YTX(2,1,224,0)="|5 V6'=1:1"
|
---|
| 314 | ^YTX(2,1,225,0)="Normal motion of neck, trachea in midline, thyroid normal size, no bruit,"
|
---|
| 315 | ^YTX(2,1,226,0)="no masses or other abnormalities."
|
---|
| 316 | ^YTX(2,1,227,0)="|0"
|
---|
| 317 | ^YTX(2,1,228,0)="|5 V6'=2:1"
|
---|
| 318 | ^YTX(2,1,229,0)="Exam omitted."
|
---|
| 319 | ^YTX(2,1,230,0)="|0"
|
---|
| 320 | ^YTX(2,1,231,0)="|5 V6'=3:1"
|
---|
| 321 | ^YTX(2,1,232,0)="Examined for motion, tracheal position, carotid bruit, masses and thyroid."
|
---|
| 322 | ^YTX(2,1,233,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 323 | ^YTX(2,1,234,0)="|2 ^MR(YSDFN,""PE"",DA,6)^9 :6"
|
---|
| 324 | ^YTX(2,1,235,0)="|0 "
|
---|
| 325 | ^YTX(2,1,236,0)="|18 -"
|
---|
| 326 | ^YTX(2,1,237,0)="Chest and breasts -"
|
---|
| 327 | ^YTX(2,1,238,0)="|5 V7'=1:1"
|
---|
| 328 | ^YTX(2,1,239,0)="Chest normal shape and symmetrical. No masses, tenderness, or other"
|
---|
| 329 | ^YTX(2,1,240,0)="abnormalities of breasts or nipples."
|
---|
| 330 | ^YTX(2,1,241,0)="|0"
|
---|
| 331 | ^YTX(2,1,242,0)="|5 V7'=2:1"
|
---|
| 332 | ^YTX(2,1,243,0)="Exam omitted."
|
---|
| 333 | ^YTX(2,1,244,0)="|0"
|
---|
| 334 | ^YTX(2,1,245,0)="|5 V7'=3:1"
|
---|
| 335 | ^YTX(2,1,246,0)="The chest was examined for shape and symmetry. The breasts were"
|
---|
| 336 | ^YTX(2,1,247,0)="examined for masses, tenderness, and discharge."
|
---|
| 337 | ^YTX(2,1,248,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 338 | ^YTX(2,1,249,0)="|2 ^MR(YSDFN,""PE"",DA,7)^9 :7"
|
---|
| 339 | ^YTX(2,1,250,0)="|0 "
|
---|
| 340 | ^YTX(2,1,251,0)="|18 -"
|
---|
| 341 | ^YTX(2,1,252,0)="Lungs -"
|
---|
| 342 | ^YTX(2,1,253,0)="|5 V8'=1:1"
|
---|
| 343 | ^YTX(2,1,254,0)="Normal to inspection, palpation, and auscultation."
|
---|
| 344 | ^YTX(2,1,255,0)="|0"
|
---|
| 345 | ^YTX(2,1,256,0)="|5 V8'=2:1"
|
---|
| 346 | ^YTX(2,1,257,0)="Exam omitted."
|
---|
| 347 | ^YTX(2,1,258,0)="|0"
|
---|
| 348 | ^YTX(2,1,259,0)="|5 V8'=3:1"
|
---|
| 349 | ^YTX(2,1,260,0)="Examined by inspection, palpation, and auscultation."
|
---|
| 350 | ^YTX(2,1,261,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 351 | ^YTX(2,1,262,0)="|2 ^MR(YSDFN,""PE"",DA,8)^9 :8"
|
---|
| 352 | ^YTX(2,1,263,0)="|0 "
|
---|
| 353 | ^YTX(2,1,264,0)="|18 -"
|
---|
| 354 | ^YTX(2,1,265,0)="Heart -"
|
---|
| 355 | ^YTX(2,1,266,0)="|5 V9'=1:1"
|
---|
| 356 | ^YTX(2,1,267,0)="Normal to inspection, palpation, and auscultation."
|
---|
| 357 | ^YTX(2,1,268,0)="Sinus rhythm, S1 and S2 normal, no murmurs, gallops, clicks or rubs."
|
---|
| 358 | ^YTX(2,1,269,0)="|0"
|
---|
| 359 | ^YTX(2,1,270,0)="|5 V9'=2:1"
|
---|
| 360 | ^YTX(2,1,271,0)="Exam omitted."
|
---|
| 361 | ^YTX(2,1,272,0)="|0"
|
---|
| 362 | ^YTX(2,1,273,0)="|5 V9'=3:1"
|
---|
| 363 | ^YTX(2,1,274,0)="Examined by inspection, palpaton, and auscultation for abnormalities"
|
---|
| 364 | ^YTX(2,1,275,0)="in rhythm and sounds."
|
---|
| 365 | ^YTX(2,1,276,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 366 | ^YTX(2,1,277,0)="|2 ^MR(YSDFN,""PE"",DA,9)^9 :9"
|
---|
| 367 | ^YTX(2,1,278,0)="|0 "
|
---|
| 368 | ^YTX(2,1,279,0)="|18 -"
|
---|
| 369 | ^YTX(2,1,280,0)="Abdomen -"
|
---|
| 370 | ^YTX(2,1,281,0)="|5 V10'=1:1"
|
---|
| 371 | ^YTX(2,1,282,0)="No tenderness. Spleen and"
|
---|
| 372 | ^YTX(2,1,283,0)="liver not enlarged. No palpable masses. Bowel sounds normal."
|
---|
| 373 | ^YTX(2,1,284,0)="|0"
|
---|
| 374 | ^YTX(2,1,285,0)="|5 V10'=2:1"
|
---|
| 375 | ^YTX(2,1,286,0)="Exam omitted."
|
---|
| 376 | ^YTX(2,1,287,0)="|0"
|
---|
| 377 | ^YTX(2,1,288,0)="|5 V10'=3:1"
|
---|
| 378 | ^YTX(2,1,289,0)="Examined for tenderness, scars, masses, organomegaly, bowel sounds,"
|
---|
| 379 | ^YTX(2,1,290,0)="hernias, and bruits."
|
---|
| 380 | ^YTX(2,1,291,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 381 | ^YTX(2,1,292,0)="|2 ^MR(YSDFN,""PE"",DA,10)^9"
|
---|
| 382 | ^YTX(2,1,293,0)="|0 "
|
---|
| 383 | ^YTX(2,1,294,0)=" "
|
---|
| 384 | ^YTX(2,1,295,0)="|5 YSSEX[""F"":FEMALE|18 -"
|
---|
| 385 | ^YTX(2,1,296,0)="Genitalia -"
|
---|
| 386 | ^YTX(2,1,297,0)="|5 V11'=1:1"
|
---|
| 387 | ^YTX(2,1,298,0)="Testes, epididymi, and penis normal. No masses, lesions."
|
---|
| 388 | ^YTX(2,1,299,0)="| No hernias. |5 1:FEMALE"
|
---|
| 389 | ^YTX(2,1,300,0)="|0"
|
---|
| 390 | ^YTX(2,1,301,0)="|5 V11'=2:1"
|
---|
| 391 | ^YTX(2,1,302,0)="| EXAM OMITTED. |5 1:FEMALE"
|
---|
| 392 | ^YTX(2,1,303,0)="|0"
|
---|
| 393 | ^YTX(2,1,304,0)="|5 V11<3:11|8 S Z="""" I $D(^MR(YSDFN,""PE"",DA,11)) S Z=^(11)"
|
---|
| 394 | ^YTX(2,1,305,0)="Examined"
|
---|
| 395 | ^YTX(2,1,306,0)="|0"
|
---|
| 396 | ^YTX(2,1,307,0)="|5 $P(Z,U,1)=2:1"
|
---|
| 397 | ^YTX(2,1,308,0)="testes,"
|
---|
| 398 | ^YTX(2,1,309,0)="|0"
|
---|
| 399 | ^YTX(2,1,310,0)="|5 $P(Z,U,2)=2:1"
|
---|
| 400 | ^YTX(2,1,311,0)="epididymi,"
|
---|
| 401 | ^YTX(2,1,312,0)="|0"
|
---|
| 402 | ^YTX(2,1,313,0)="|5 $P(Z,U,3)=2:1"
|
---|
| 403 | ^YTX(2,1,314,0)="penis,"
|
---|
| 404 | ^YTX(2,1,315,0)="|0"
|
---|
| 405 | ^YTX(2,1,316,0)="|5 $P(Z,U,4)=2:1"
|
---|
| 406 | ^YTX(2,1,317,0)="prostate"
|
---|
| 407 | ^YTX(2,1,318,0)="|0"
|
---|
| 408 | ^YTX(2,1,319,0)="|0 "
|
---|
| 409 | ^YTX(2,1,320,0)="|5 V11<4:5"
|
---|
| 410 | ^YTX(2,1,321,0)="omitted examinations-"
|
---|
| 411 | ^YTX(2,1,322,0)="|0"
|
---|
| 412 | ^YTX(2,1,323,0)="|5 $P(Z,U,1)=1:1"
|
---|
| 413 | ^YTX(2,1,324,0)="testes."
|
---|
| 414 | ^YTX(2,1,325,0)="|0"
|
---|
| 415 | ^YTX(2,1,326,0)="|5 $P(Z,U,2)=1:1"
|
---|
| 416 | ^YTX(2,1,327,0)="Epididymi."
|
---|
| 417 | ^YTX(2,1,328,0)="|0"
|
---|
| 418 | ^YTX(2,1,329,0)="|5 $P(Z,U,3)=1:1"
|
---|
| 419 | ^YTX(2,1,330,0)="Penis."
|
---|
| 420 | ^YTX(2,1,331,0)="|0"
|
---|
| 421 | ^YTX(2,1,332,0)="|5 $P(Z,U,4)=1:1"
|
---|
| 422 | ^YTX(2,1,333,0)="Prostate."
|
---|
| 423 | ^YTX(2,1,334,0)="|0"
|
---|
| 424 | ^YTX(2,1,335,0)="|5 V11=4:1"
|
---|
| 425 | ^YTX(2,1,336,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 426 | ^YTX(2,1,337,0)="|2 ^MR(YSDFN,""PE"",DA,11)^9 :11"
|
---|
| 427 | ^YTX(2,1,338,0)="|0 "
|
---|
| 428 | ^YTX(2,1,339,0)="|0 FEMALE"
|
---|
| 429 | ^YTX(2,1,340,0)="|5 YSSEX[""M"":REST|18 -"
|
---|
| 430 | ^YTX(2,1,341,0)="Pelvic exam -"
|
---|
| 431 | ^YTX(2,1,342,0)="|5 V12'=1:1"
|
---|
| 432 | ^YTX(2,1,343,0)="Normal introitus, vagina, cervix, uterus and adnexa."
|
---|
| 433 | ^YTX(2,1,344,0)="|0"
|
---|
| 434 | ^YTX(2,1,345,0)="|5 V12'=2:1"
|
---|
| 435 | ^YTX(2,1,346,0)="Exam omitted."
|
---|
| 436 | ^YTX(2,1,347,0)="|0"
|
---|
| 437 | ^YTX(2,1,348,0)="|5 V12<3:3"
|
---|
| 438 | ^YTX(2,1,349,0)="|5 V12>3:1"
|
---|
| 439 | ^YTX(2,1,350,0)="A vaginal examination was done."
|
---|
| 440 | ^YTX(2,1,351,0)="|0"
|
---|
| 441 | ^YTX(2,1,352,0)="The uterus and adnexa were palpated."
|
---|
| 442 | ^YTX(2,1,353,0)="|0"
|
---|
| 443 | ^YTX(2,1,354,0)="|5 V12<3:1"
|
---|
| 444 | ^YTX(2,1,355,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 445 | ^YTX(2,1,356,0)="|2 ^MR(YSDFN,""PE"",DA,12)^9 :12"
|
---|
| 446 | ^YTX(2,1,357,0)="|0 REST"
|
---|
| 447 | ^YTX(2,1,358,0)="|18 -"
|
---|
| 448 | ^YTX(2,1,359,0)="Rectum -"
|
---|
| 449 | ^YTX(2,1,360,0)="|5 YSSEX'[""M"":4"
|
---|
| 450 | ^YTX(2,1,361,0)="|5 V13'=1:1"
|
---|
| 451 | ^YTX(2,1,362,0)="No fissures, hemorrhoids, or masses. Prostate normal size and consistency."
|
---|
| 452 | ^YTX(2,1,363,0)="Stool for occult blood negative."
|
---|
| 453 | ^YTX(2,1,364,0)="|0"
|
---|
| 454 | ^YTX(2,1,365,0)="|5 V13'=2:1"
|
---|
| 455 | ^YTX(2,1,366,0)="Exam omitted."
|
---|
| 456 | ^YTX(2,1,367,0)="|0"
|
---|
| 457 | ^YTX(2,1,368,0)="|5 V13'=3:1"
|
---|
| 458 | ^YTX(2,1,369,0)="Examined for fissures, hemorrhoids, occult blood, and masses. Prostate examined."
|
---|
| 459 | ^YTX(2,1,370,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 460 | ^YTX(2,1,371,0)="|2 ^MR(YSDFN,""PE"",DA,13)^9 :13"
|
---|
| 461 | ^YTX(2,1,372,0)="|0"
|
---|
| 462 | ^YTX(2,1,373,0)="|5 1:4"
|
---|
| 463 | ^YTX(2,1,374,0)="|0"
|
---|
| 464 | ^YTX(2,1,375,0)="|5 V13'=1:1"
|
---|
| 465 | ^YTX(2,1,376,0)="No fissures, hemorrhoids, or masses."
|
---|
| 466 | ^YTX(2,1,377,0)="|0"
|
---|
| 467 | ^YTX(2,1,378,0)="|5 V13'=2:1"
|
---|
| 468 | ^YTX(2,1,379,0)="Exam omitted."
|
---|
| 469 | ^YTX(2,1,380,0)="|0"
|
---|
| 470 | ^YTX(2,1,381,0)="|5 V13'=3:1"
|
---|
| 471 | ^YTX(2,1,382,0)="Examined for fissures, hemorrhoids, and masses."
|
---|
| 472 | ^YTX(2,1,383,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 473 | ^YTX(2,1,384,0)="|2 ^MR(YSDFN,""PE"",DA,13)^9 :13"
|
---|
| 474 | ^YTX(2,1,385,0)="|0 "
|
---|
| 475 | ^YTX(2,1,386,0)="|18 -"
|
---|
| 476 | ^YTX(2,1,387,0)="Back -"
|
---|
| 477 | ^YTX(2,1,388,0)="|5 V14'=1:1"
|
---|
| 478 | ^YTX(2,1,389,0)="Normal curvature and mobility. No pain or tenderness."
|
---|
| 479 | ^YTX(2,1,390,0)="No costovertebral angle tenderness."
|
---|
| 480 | ^YTX(2,1,391,0)="|0"
|
---|
| 481 | ^YTX(2,1,392,0)="|5 V14'=2:1"
|
---|
| 482 | ^YTX(2,1,393,0)="Exam omitted."
|
---|
| 483 | ^YTX(2,1,394,0)="|0"
|
---|
| 484 | ^YTX(2,1,395,0)="|5 V14'=3:1"
|
---|
| 485 | ^YTX(2,1,396,0)="Examined for curvature, mobility, pain, and costovertebral tenderness."
|
---|
| 486 | ^YTX(2,1,397,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 487 | ^YTX(2,1,398,0)="|2 ^MR(YSDFN,""PE"",DA,14)^9 :14"
|
---|
| 488 | ^YTX(2,1,399,0)="|0 "
|
---|
| 489 | ^YTX(2,1,400,0)="|18 -"
|
---|
| 490 | ^YTX(2,1,401,0)="Extremities -"
|
---|
| 491 | ^YTX(2,1,402,0)="|5 V15'=1:1"
|
---|
| 492 | ^YTX(2,1,403,0)="Normal joints, radial and pedal pulsations. No edema, varicosities,"
|
---|
| 493 | ^YTX(2,1,404,0)="cyanosis, deformity or trauma."
|
---|
| 494 | ^YTX(2,1,405,0)="|0"
|
---|
| 495 | ^YTX(2,1,406,0)="|5 V15'=2:1"
|
---|
| 496 | ^YTX(2,1,407,0)="Exam omitted."
|
---|
| 497 | ^YTX(2,1,408,0)="|0"
|
---|
| 498 | ^YTX(2,1,409,0)="|5 V15'=3:1"
|
---|
| 499 | ^YTX(2,1,410,0)="The joints and the radial and pedal pulsations were examined. The"
|
---|
| 500 | ^YTX(2,1,411,0)="extremities were inspected for edema, varicosities, cyanosis, and lesion"
|
---|
| 501 | ^YTX(2,1,412,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 502 | ^YTX(2,1,413,0)="|2 ^MR(YSDFN,""PE"",DA,15)^9 :15"
|
---|
| 503 | ^YTX(2,1,414,0)="|0 "
|
---|
| 504 | ^YTX(2,1,415,0)="|18 -"
|
---|
| 505 | ^YTX(2,1,416,0)="Neurological -"
|
---|
| 506 | ^YTX(2,1,417,0)="|5 V16'=1:1"
|
---|
| 507 | ^YTX(2,1,418,0)="Cranial nerves, muscle strength, sensation, deep tendon reflexes,"
|
---|
| 508 | ^YTX(2,1,419,0)="coordination, gait & station, position, and vibratory sense normal."
|
---|
| 509 | ^YTX(2,1,420,0)="|0"
|
---|
| 510 | ^YTX(2,1,421,0)="|5 V16'=2:1"
|
---|
| 511 | ^YTX(2,1,422,0)="Exam omitted."
|
---|
| 512 | ^YTX(2,1,423,0)="|0"
|
---|
| 513 | ^YTX(2,1,424,0)="|5 V16'=3:1"
|
---|
| 514 | ^YTX(2,1,425,0)="Cranial nerves, muscle strength, sensation, deep tendon reflexes, coordination,"
|
---|
| 515 | ^YTX(2,1,426,0)="gait & station, position, and vibratory sense were all examined."
|
---|
| 516 | ^YTX(2,1,427,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 517 | ^YTX(2,1,428,0)="|2 ^MR(YSDFN,""PE"",DA,16)^9 :16"
|
---|
| 518 | ^YTX(2,1,429,0)="|0 "
|
---|
| 519 | ^YTX(2,1,430,0)="|18 -"
|
---|
| 520 | ^YTX(2,1,431,0)="Skin -"
|
---|
| 521 | ^YTX(2,1,432,0)="|5 V17'=1:1"
|
---|
| 522 | ^YTX(2,1,433,0)="Normal color and texture."
|
---|
| 523 | ^YTX(2,1,434,0)="|0"
|
---|
| 524 | ^YTX(2,1,435,0)="|5 V17'=2:1"
|
---|
| 525 | ^YTX(2,1,436,0)="Exam omitted."
|
---|
| 526 | ^YTX(2,1,437,0)="|0"
|
---|
| 527 | ^YTX(2,1,438,0)="|5 V17'=3:1"
|
---|
| 528 | ^YTX(2,1,439,0)="|17 | NORMAL EXCEPT FOR"
|
---|
| 529 | ^YTX(2,1,440,0)="|2 ^MR(YSDFN,""PE"",DA,17)^9 :17"
|
---|
| 530 | ^YTX(2,1,441,0)="|0 "
|
---|
| 531 | ^YTX(2,1,442,0)="|18 -"
|
---|
| 532 | ^YTX(2,1,443,0)="Lymph nodes -"
|
---|
| 533 | ^YTX(2,1,444,0)="|5 V18'=1:1:1"
|
---|
| 534 | ^YTX(2,1,445,0)="No enlargement or tenderness of cervical, axillary, or inguinal nodes."
|
---|
| 535 | ^YTX(2,1,446,0)="|0 "
|
---|
| 536 | ^YTX(2,1,447,0)="|5 V18'=2:1"
|
---|
| 537 | ^YTX(2,1,448,0)="Exam omitted."
|
---|
| 538 | ^YTX(2,1,449,0)="|0"
|
---|
| 539 | ^YTX(2,1,450,0)="|5 V18'=3:1"
|
---|
| 540 | ^YTX(2,1,451,0)="Cervical, axillary, and inguinal nodes examined for enlargement or tenderness."
|
---|
| 541 | ^YTX(2,1,452,0)="| |17 | NORMAL EXCEPT FOR|2 ^MR(YSDFN,""PE"",DA,18)^9 :18"
|
---|
| 542 | ^YTX(2,1,453,0)="|0"
|
---|
| 543 | ^YTX(2,1,454,0)="|18 -"
|
---|
| 544 | ^YTX(2,1,455,0)="|8 S YSIM=0 S:$D(^MR(YSDFN,""PE"",YSIDT,20,1,0)) YSIM=1"
|
---|
| 545 | ^YTX(2,1,456,0)="|5 YSIM'=1:1"
|
---|
| 546 | ^YTX(2,1,457,0)="|18 -| Initial Impression:|11 1"
|
---|
| 547 | ^YTX(2,1,458,0)="|0"
|
---|
| 548 | ^YTX(2,1,459,0)="|19"
|
---|
| 549 | ^YTX(3,0)="PHY SHORT"
|
---|
| 550 | ^YTX(3,1,0)="104^^99^99^2861027^"
|
---|
| 551 | ^YTX(3,1,1,0)="|12 |8 S YSBLN="" "",Z=^MR(YSDFN,""PE"",DA,0),YSDOT=9999999-DA,U=""^"""
|
---|
| 552 | ^YTX(3,1,2,0)="|8 S Y=YSYDT D ENDD^YSUTL|1 Y|11 1"
|
---|
| 553 | ^YTX(3,1,3,0)="| Name|1 YSNM| SSN|1 YSSSN| Age|1 YSAGE|1 YSBLN|1 $P(""FE"",""/"",YSSEX[""F"")_""MALE""|17"
|
---|
| 554 | ^YTX(3,1,4,0)="|17 | Height|1 $J($P(Z,U,2),3)| in. Weight|1 $J($P(Z,U,3),3)| lb. Temp.|1 $J($P(Z,U,4),5)| F."
|
---|
| 555 | ^YTX(3,1,5,0)="|17 | Height|1 $J($P(Z,U,8),3)| cm. Weight|1 $J($P(Z,U,9),3)| kg. Temp.|1 $J($P(Z,U,11),5)| C."
|
---|
| 556 | ^YTX(3,1,6,0)="|17 | Pulse|1 $P(Z,U,5)| B.P.|1 $P(Z,U,6)| Resps.|1 $P(Z,U,7)"
|
---|
| 557 | ^YTX(3,1,7,0)="|11 1|14 0|8 S YSCLI=$P(Z,U,10,11)"
|
---|
| 558 | ^YTX(3,1,8,0)="----------------------------- Summary -----------------------------"
|
---|
| 559 | ^YTX(3,1,9,0)="|14 0|13 0^78|5 '$D(^MR(YSDFN,""PE"",DA,.9)):END"
|
---|
| 560 | ^YTX(3,1,10,0)="|8 S Z=^MR(YSDFN,""PE"",DA,.9) F I=1:1:18 S @(""V""_I_""=$P(Z,U,I)"")"
|
---|
| 561 | ^YTX(3,1,11,0)="|8 S YSOC=0 F I=1:1:18 S @(""YSOC=YSOC+(2=V""_I_"")!(4=V""_I_"")"")"
|
---|
| 562 | ^YTX(3,1,12,0)="|8 S YSAC=0 F I=1:1:18 S @(""YSAC=YSAC+(3=V""_I_"")!(5=V""_I_"")"")"
|
---|
| 563 | ^YTX(3,1,13,0)="|18 -| Omitted or Partially Omitted Examinations:"
|
---|
| 564 | ^YTX(3,1,14,0)="|1 $S(V1'=2:"""",1:""HEAD."")"
|
---|
| 565 | ^YTX(3,1,15,0)="|1 $S((V2'=2)&(V2'=4):"""",1:""EYES."")"
|
---|
| 566 | ^YTX(3,1,16,0)="|1 $S((V3'=2)&(V3'=4):"""",1:""EARS."")"
|
---|
| 567 | ^YTX(3,1,17,0)="|1 $S(V4'=2:"""",1:""NOSE."")"
|
---|
| 568 | ^YTX(3,1,18,0)="|1 $S(V5'=2:"""",1:""MOUTH."")"
|
---|
| 569 | ^YTX(3,1,19,0)="|1 $S(V6'=2:"""",1:""NECK."")"
|
---|
| 570 | ^YTX(3,1,20,0)="|1 $S(V7'=2:"""",1:""CHEST AND BREASTS."")"
|
---|
| 571 | ^YTX(3,1,21,0)="|1 $S(V8'=2:"""",1:""LUNGS."")"
|
---|
| 572 | ^YTX(3,1,22,0)="|1 $S(V9'=2:"""",1:""HEART."")"
|
---|
| 573 | ^YTX(3,1,23,0)="|1 $S(V10'=2:"""",1:""ABDOMEN."")"
|
---|
| 574 | ^YTX(3,1,24,0)="|1 $S((V11'=2)&(V11'=4):"""",1:""GENITALIA."")"
|
---|
| 575 | ^YTX(3,1,25,0)="|1 $S(V12'=2:"""",1:""PELVIC."")"
|
---|
| 576 | ^YTX(3,1,26,0)="|1 $S(V13'=2:"""",1:""RECTUM."")"
|
---|
| 577 | ^YTX(3,1,27,0)="|1 $S(V14'=2:"""",1:""BACK."")"
|
---|
| 578 | ^YTX(3,1,28,0)="|1 $S(V15'=2:"""",1:""EXTREMITIES."")"
|
---|
| 579 | ^YTX(3,1,29,0)="|1 $S(V16'=2:"""",1:""NEUROLOGICAL."")"
|
---|
| 580 | ^YTX(3,1,30,0)="|1 $S(V17'=2:"""",1:""SKIN."")"
|
---|
| 581 | ^YTX(3,1,31,0)="|1 $S(V18'=2:"""",1:""LYMPH NODES."")"
|
---|
| 582 | ^YTX(3,1,32,0)="|1 $S(YSOC:"""",1:""None."")"
|
---|
| 583 | ^YTX(3,1,33,0)="|14 2|18 -"
|
---|
| 584 | ^YTX(3,1,34,0)="Abnormal Findings:"
|
---|
| 585 | ^YTX(3,1,35,0)=" "
|
---|
| 586 | ^YTX(3,1,36,0)="|17 |5 V1'=3:1"
|
---|
| 587 | ^YTX(3,1,37,0)=" "
|
---|
| 588 | ^YTX(3,1,38,0)="|17 | HEAD: |2 ^MR(YSDFN,""PE"",DA,1)^9"
|
---|
| 589 | ^YTX(3,1,39,0)="|0"
|
---|
| 590 | ^YTX(3,1,40,0)=" "
|
---|
| 591 | ^YTX(3,1,41,0)="|5 V2'=3&(V2'=5):1"
|
---|
| 592 | ^YTX(3,1,42,0)="|17 | EYES: |2 ^MR(YSDFN,""PE"",DA,2)^9"
|
---|
| 593 | ^YTX(3,1,43,0)="|0"
|
---|
| 594 | ^YTX(3,1,44,0)=" "
|
---|
| 595 | ^YTX(3,1,45,0)="|5 V3'=3&(V3'=5):1"
|
---|
| 596 | ^YTX(3,1,46,0)="|17 | EARS: |2 ^MR(YSDFN,""PE"",DA,3)^9"
|
---|
| 597 | ^YTX(3,1,47,0)="|0"
|
---|
| 598 | ^YTX(3,1,48,0)="|5 V4'=3:1"
|
---|
| 599 | ^YTX(3,1,49,0)="|17 | NOSE: |2 ^MR(YSDFN,""PE"",DA,4)^9"
|
---|
| 600 | ^YTX(3,1,50,0)="|0"
|
---|
| 601 | ^YTX(3,1,51,0)="|5 V5'=3:1"
|
---|
| 602 | ^YTX(3,1,52,0)="|17 | MOUTH: |2 ^MR(YSDFN,""PE"",DA,5)^9"
|
---|
| 603 | ^YTX(3,1,53,0)="|0"
|
---|
| 604 | ^YTX(3,1,54,0)="|5 V6'=3:1"
|
---|
| 605 | ^YTX(3,1,55,0)="|17 | NECK: |2 ^MR(YSDFN,""PE"",DA,6)^9"
|
---|
| 606 | ^YTX(3,1,56,0)="|0"
|
---|
| 607 | ^YTX(3,1,57,0)="|5 V7'=3:1"
|
---|
| 608 | ^YTX(3,1,58,0)="|17 | CHEST AND BREASTS: |2 ^MR(YSDFN,""PE"",DA,7)^9"
|
---|
| 609 | ^YTX(3,1,59,0)="|0"
|
---|
| 610 | ^YTX(3,1,60,0)="|5 V8'=3:1"
|
---|
| 611 | ^YTX(3,1,61,0)="|17 | LUNGS: |2 ^MR(YSDFN,""PE"",DA,8)^9"
|
---|
| 612 | ^YTX(3,1,62,0)="|0"
|
---|
| 613 | ^YTX(3,1,63,0)="|5 V9'=3:1"
|
---|
| 614 | ^YTX(3,1,64,0)="|17 | HEART: |2 ^MR(YSDFN,""PE"",DA,9)^9"
|
---|
| 615 | ^YTX(3,1,65,0)="|0"
|
---|
| 616 | ^YTX(3,1,66,0)="|5 V10'=3:1"
|
---|
| 617 | ^YTX(3,1,67,0)="|17 | ABDOMEN: |2 ^MR(YSDFN,""PE"",DA,10)^9"
|
---|
| 618 | ^YTX(3,1,68,0)="|0"
|
---|
| 619 | ^YTX(3,1,69,0)=" "
|
---|
| 620 | ^YTX(3,1,70,0)="|5 V11'=3&(V11'=5):1"
|
---|
| 621 | ^YTX(3,1,71,0)="|17 | GENITALIA: |2 ^MR(YSDFN,""PE"",DA,11)^9"
|
---|
| 622 | ^YTX(3,1,72,0)="|0"
|
---|
| 623 | ^YTX(3,1,73,0)="|5 V12'=3:1"
|
---|
| 624 | ^YTX(3,1,74,0)="|17 | PELVIC EXAM: |2 ^MR(YSDFN,""PE"",DA,12)^9"
|
---|
| 625 | ^YTX(3,1,75,0)="|0"
|
---|
| 626 | ^YTX(3,1,76,0)="|5 V13'=3:1"
|
---|
| 627 | ^YTX(3,1,77,0)="|17 | RECTUM: |2 ^MR(YSDFN,""PE"",DA,13)^9"
|
---|
| 628 | ^YTX(3,1,78,0)="|0"
|
---|
| 629 | ^YTX(3,1,79,0)="|5 V14'=3:1"
|
---|
| 630 | ^YTX(3,1,80,0)="|17 | BACK: |2 ^MR(YSDFN,""PE"",DA,14)^9"
|
---|
| 631 | ^YTX(3,1,81,0)="|0"
|
---|
| 632 | ^YTX(3,1,82,0)="|5 V15'=3:1"
|
---|
| 633 | ^YTX(3,1,83,0)="|17 | EXTREMITIES: |2 ^MR(YSDFN,""PE"",DA,15)^9"
|
---|
| 634 | ^YTX(3,1,84,0)="|0"
|
---|
| 635 | ^YTX(3,1,85,0)="|5 V16'=3:1"
|
---|
| 636 | ^YTX(3,1,86,0)="|17 | NEUROLOGICAL: |2 ^MR(YSDFN,""PE"",DA,16)^9"
|
---|
| 637 | ^YTX(3,1,87,0)="|0"
|
---|
| 638 | ^YTX(3,1,88,0)="|5 V17'=3:1"
|
---|
| 639 | ^YTX(3,1,89,0)="|17 | SKIN: |2 ^MR(YSDFN,""PE"",DA,17)^9"
|
---|
| 640 | ^YTX(3,1,90,0)="|0"
|
---|
| 641 | ^YTX(3,1,91,0)="|5 V18'=3:1"
|
---|
| 642 | ^YTX(3,1,92,0)="|17 | LYMPH NODES: |2 ^MR(YSDFN,""PE"",DA,18)^9"
|
---|
| 643 | ^YTX(3,1,93,0)="|0"
|
---|
| 644 | ^YTX(3,1,94,0)="|5 YSAC'=0:1"
|
---|
| 645 | ^YTX(3,1,95,0)="None"
|
---|
| 646 | ^YTX(3,1,96,0)="|0"
|
---|
| 647 | ^YTX(3,1,97,0)="|17 |14 0|18 -"
|
---|
| 648 | ^YTX(3,1,98,0)="|18 -| ------------------------------------------------------------------"
|
---|
| 649 | ^YTX(3,1,99,0)="|19"
|
---|
| 650 | ^YTX("B","HELP",1)=""
|
---|
| 651 | ^YTX("B","PHY",2)=""
|
---|
| 652 | ^YTX("B","PHY SHORT",3)=""
|
---|