source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0056.txt@ 1159

Last change on this file since 1159 was 604, checked in by George Lilly, 15 years ago

Internationalization

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1English French Notes Complete/Exclude
2history and all appropriate laboratory studies.
3Note:
4A. Medical history
5a. Removal of, complete/imcomplete (if incomplete,
6state if pregnancy is prevented) -
7b. Prolapse of, complete through vulva/imcomplete -
8c. Displacement of; also identify adhesions and irregular
9a. Removal of both -
10b. Removal of one with or without partial removal
11of the other -
12c. Atrophy of one or both ovaries, complete -
133. Rectal and rectovaginal; identify any surgical complications
14of pregnancy -
154. If a malignant process has been present within the past year,
16give the date of the last surgical, radiation or chemical
175. If a tubercular or other mycobacterial infection has been treated
18within the past year, give the date of inactivity -
196. Has a voluntary sterilization procedure been performed? -
20OTHER GENITOURINARY
21In original claims, particularly pension cases, and in
22reopened claims in which the evidence on hand at the time
23the examination request is prepared does not establish the
24exact diagnosis, the nature of the disability will generally
25be expressed in the most general terms, usually in the veteran's
26own words (e.g.
27kidney condition
28bladder problem
29can't hold water
30, etc). In such cases it is
31the responsibility of the general medical examiner to conduct
32or order to be conducted such special examinations as may be
33necessary, both to diagnose the underlying disorder, and
34to provide the information that the rating board must have to
35apply the examiner's findings to the rating schedule. Once
36a definitive diagnosis is established, the examiner need only to
37report history, clinical findings, and laboratory tests for
38evaluation purposes. Complications and/or medical side effects
39should always be reported, even when not specifically requested.
40A. Medical History: No medical history for this exam
41E. Diagnostic/clinical test results:
42For GYNECOLOGICAL, NOT ELSEWHERE CLASSIFIED
43Type of Exam: GYNECOLOGICAL, NOT ELSEWHERE CLASSIFIED
44HYPERTHYROIDISM, THYROID ADENOMA
451. Mental assessment -
462. Muscular weakness -
473. Loss of weight -
484. Thyroid enlargement -
497. Disease in remission or demonstrably active -
508. Marked disfigurement (including appearance and texture
51of thyroidectomy scar, if present) -
529. Continuous medication required -
532. Nervous, cardiovascular, or gastrointestinal symptoms -
544. Mental assessment -
555. Continuous medication required -
56For HEMATOLOGICAL, NOT ELSEWHERE CLASSIFIED
57Type of Exam: HEMATOLOGICAL, NOT ELSEWHERE CLASSIFIED
58HEMATOLOGIC DISORDERS-LYMPHATIC
59As with other disorders, a careful history and complete
60physical examination are of first importance in hematologic
61disorders. However, laboratory evaluation is often necessary
62for a definitive diagnosis.
631. State whether the disease is currently active or in remission and
64if in remission, whether maintenance chemotherapy is required -
652. Describe frequency and duration of acute attacks -
663. Describe the state of general health between acute attacks -
674. If the veteran is, or has been receiving chemotherapy, X-Ray or
68surgical treatment for Hodgkin's disease or other form of lymphoma,
69give date of last treatment -
705. If veteran has been treated for any tuberculous adenitis (or
71adenitis due to any other mycobacterial infection) and the disease
72is currently inactive, give date the inactivity was first shown -
73Invalid Patient name or DFN
74Invalid Segment Type
75Not a valid DHCP user number.
76Invalid Patient ID, No SSN
77Invalid Patient ID, Wrong SSN Format
78Invalid Patient Identifier
79Ambiguous Patient identifier
80No 2507 request on file for this Patient
81Invalid Patient identifier
82No Exams or Open Exams on file for this Patient
83No Electronic Signature code present, updating cannot be allowed.
84Missing PID Segment
85Incorrect PID Segment indicator
86Internal Patient ID Missing
87Patient Name Invalid
88Patient SSN Invalid
89Incorrect Patient Identifier
90Invalid SSN
91Missing OBR Segment
92Missing Universal Identifier
93Missing Exam Type
94Missing Report Date
95Request No longer Exists
96Status of Request will not allow for down loading
97Exam No longer Exists
98Exam status not open, no down loading allow* ed
99Bad electronic signature code.
100Electronic signature codes do not match, no down loading allowed
101Invalid OBX Segment
102Results added but request and exam status not updated.
103Kurzweil
104Results added and exam status updated but request status not updated.
105Record currently accessed by another user
106Exam currently being accessed by another user
107 HEMATOLOGIC DISORDERS - BLOOD
108disorders; however, laboratory evaluation is often necessary
109HAND, THUMB, AND FINGERS
110The hand should be evaluated as a unit intricately adapted
111for grasping, pushing, pulling, twisting, probing, writing,
112touching, and expression. Do not designate fingers numerically;
113use thumb, index,
114middle, ring and little. Specify which hand is
115involved and state whether the individual is right or left-handed.
116Designate the joints as wrist, MP (metacarpophalangeal), PIP,
117(proximal interphalangeal) or DIP (distal interphalangeal).
118Designate phalanges as proximal, middle or distal.
1191. Anatomical defects -
1202. Functional defects (motion of thumb and fingers should be described
121as to how near, in inches, the tip of thumb can approximate the
122fingers, or how near the tips of fingers can
123approximate the median
124transverse fold of the palm.) -
1253. Grasping objects (strength and dexterity) -
126Loss of range of motion of the hip will be recorded from
127the anatomical position (0 degrees) varying from 125 degrees
128in flexion to 30 degrees in extension, from 25 degrees in
129adduction to 45 degrees
130in abduction, and from 60 degrees in
131external rotation to 40 degrees in internal rotation. To gain
132a true picure of hip flexion, i.e. movement between the pelvis
133and femur in the hip joint, the opposide thigh should be
134extended to minimize motion between the pelvis and spine.
1351. Describe movements of the thigh as it may rotate
136in a circular manner about the femoral head in the
137acetabulum. Discuss any pain, tenderness, weakness
138and fatigue on standing and any unusual motions on
139ORIGINAL SC
140ORIGINAL NSC
141INSUFFICIENT EXAM
142PENDING, REPORTED
143PENDING SCHEDULED
144RELEASED TO RO, NOT PRINTED
145COMPLETED, PRINTED BY RO
146CANCELLED BY MAS
147CANCELLED BY RO
148NEW, TRANSFERRED IN
149COMPLETED, TRANSFERRED OUT
150There should be at least three blood pressure readings
151in the sitting position spaced throughout the examination.
152At times it may be necessary to recall the veteran on
153subsequent days to obtain readings which are most
154representative of the true blood pressure.
1551. Blood pressure readings:
1563. Enlarged heart confirmation -
1574. Apex beat beyond midclavicular line -
1581. Marked weight loss -
1593. Decalcification of bones -
1604. High blood calcium -
1615. High urinary calcium -
162Total 2507 requests received for date range:
163Total insufficient 2507 requests received for date range:
164Total insufficient 2507 requests cancelled by RO for date range:
165% of insufficient requests per total requests received:
166% of uncancelled insufficient requests per total requests received:
167Total 2507 exams received for date range:
168Total insufficient 2507 exams received for date range:
169Total insufficient 2507 exams cancelled by RO for date range:
170% of insufficient exams per total exams received:
171% of uncancelled insufficient exams per total exams received:
172Summary of insufficient exams per Reason
173Reason
174Num
175Exams without insufficient reason indicated
176Summary Insufficient Exam Report for
177For Date Range:
178You have not selected Insufficient reasons to report.
179This is required to print the Detailed report.
180You have not selected Exams to report.
181 Enter 'No' to print only those reasons previously
182 selected, 'Yes' to select all reasons existing
183 on currently entered exams.
184 You have selected to report all insufficient reasons.
185 Is this correct?
186 Enter 'No' to print only those exams previously
187 selected, 'Yes' to select all exams
188 You have selected to report all AMIE exams.
1890,15,0,1,0^Detailed Insufficient Exam Report
1900,15,0,1,1^Detailed Insufficient Exam Report
1910,11,0,2,0^For Date Range:
192Exam request of
193 to correct insufficiency was cancelled on
194Exam Dt
195Claim #
196Insufficient Reason Selection
197 Enter '^' to end Reason Selection
198 'Return' to select all Insufficient Reasons
199 Enter Insufficient Reason: ALL//
200AMIE Exam Selection
201 Enter '^' to end Exam Selection
202 'Return' to select all AMIE Exams
203 Enter Exam: ALL//
204JOINTS (ORTHOPEDIC)
205Do not use negative values to indicate inability to achieve
206full extension. The anatomical position is the reference
207position EXCEPT with the regard to rotation of the shoulder
208and pronation/supination
209of the forearm (see fig. 2.1 and 2.2
210of the Physician's Guide). To give uniformity in describing
211limitation of motion or ankylosis of a joint, THE USE OF A
212GONIOMETER IS REQUIRED.
2133. Other impairment of knee: subluxation or lateral instability;
214non-union, with loose motion; malunion -
2154. Range of motion (complete chart below)-
216Note: Enter joint names in blanks under numbers below. If more
217than four joints are involved, please extend your dictation in the
218same format.
219------------------ JOINT EXAMINED -------------------
220Range of:
221Flexion
222Extension
223Rotation
224Abduction
225Adduction
226Pronation
227Supination
228Deviation (radial)
229Deviation (ulnar)
230Plantar Flexion
231Dorsiflexion
232Compensation and Pension Exam for JOINTS for
233Reprint Lab/X-Ray Results for C&P Exams
234C&P lab/radiology print
235DIC*
236Was
237 scheduled to rebook a previous appointment
238Enter NO to indicate this appointment is the first time the exam is scheduled.
239Enter YES to indicate this appointment is a rebook of an existing appointment
240 for the exam.
241(If YES, you will be asked to select the appointment being rebooked.)
242You have not selected an appointment link which to modify with the selected
243 appointment. If the desired appointment was not displayed for selection,
244 it must first be added as a new link to the 2507 request. You may then
245 modify the link as you have attempted here.
246You have not selected a C&P appointment to link the request to.
247This is required before further processing with the AMIE link
248 management option.
249Hit Return to continue or '^' to STOP.
250You have selected a veteran that does not have C&P appointments
251 to link to this request. This is required before further processing with
252 the AMIE link management option.
253You have selected a C&P appointment that is Currently Linked to the request.
254(NOTE: *CL) If you want to remove this link, see your supervisor.
255Do you want to REMOVE this link
256Enter YES to remove this appointment from the 2507.
257Enter NO leave this appointment associated with the 2507.
258If you enter YES incorrectly, you will need to use this tool to relink the
259 appointment to the request.
260No appointments are currently linked to this 2507 request.
261You will need to create a link to the cancelled appointment
262 before proceding with the link to this appointment.
263Hit Return to continue with appointment display.
264VETERAN CANCELLATION
265VETERAN REQ APPT DATE
266AMIE/C&P Appointment Link Management
267As a Supervisor, you may remove 2507 appointment links
268Can't jump again until you close another screen.
269CAN'T JUMP FROM AN OVERVIEW
270DVBCVIEW,
271Invalid division
272C & P Request Entry for
273C & P Request Veteran Selection
274Vet is an INPATIENT, on ward
275Want to continue
276Enter Y to proceed with the request or N to go
277back and re-select.
278 ... Timed out!
279Select action:
280 Press [RETURN] to continue, or enter E to edit or X to cancel: Continue//
281 NOT allowed here
282[RETURN] will continue to exam selection, E will allow
283editing of what you have entered and X will DELETE
284the entire request
285Do you want to change the request this insufficient is linked to?
286Enter Yes to change the link and No to keep the current link
287Must be the RETURN key, X, or E
288Request DELETED.
2890,0,0,1,0^You must either select a request to link or enter the 2507 Processing Time.
2900,0,0,1,0^Enter 0 if you don't know the processing time of the original request.
291Use ? to see a list of exams available for selection.
2920,0,0,1,0^NOTE: This request has a priority of Insufficient without a link
2930,8,0,1:1,0^to a completed request.
2940,0,0,1:2,0^Use care to select the proper exam(s) to return as insufficient.
295Enter Y to go back and select exams or N to DELETE the entire request
296as well as any exams selected.
297You have selected these exams:
298Enter Y to go ahead and log the selected exams or N to modify the list.
299Please enter any remarks for this request:
300Exam addition error !
301) on File 31...Notify IRM
302Selections
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