source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0056.txt@ 1687

English French  Notes   Complete/Exclude
history and all appropriate laboratory studies.                 
Note:                   
A. Medical history                      
a. Removal of, complete/imcomplete (if incomplete,                      
state if pregnancy is prevented) -                      
b. Prolapse of, complete through vulva/imcomplete -                     
c. Displacement of; also identify adhesions and irregular                       
a. Removal of both -                    
b. Removal of one with or without partial removal                       
of the other -                  
c. Atrophy of one or both ovaries, complete -                   
3. Rectal and rectovaginal; identify any surgical complications                 
of pregnancy -                  
4. If a malignant process has been present within the past year,                        
give the date of the last surgical, radiation or chemical                       
5. If a tubercular or other mycobacterial infection has been treated                    
within the past year, give the date of inactivity -                     
6. Has a voluntary sterilization procedure been performed? -                    
OTHER GENITOURINARY                     
In original claims, particularly pension cases, and in                  
reopened claims in which the evidence on hand at the time                       
the examination request is prepared does not establish the                      
exact diagnosis, the nature of the disability will generally                    
be expressed in the most general terms, usually in the veteran's                        
own words (e.g.                         
kidney condition                        
bladder problem                 
can't hold water                        
, etc).  In such cases it is                    
the responsibility of the general medical examiner to conduct                   
or order to be conducted such special examinations as may be                    
necessary, both to diagnose the underlying disorder, and                        
to provide the information that the rating board must have to                   
apply the examiner's findings to the rating schedule.  Once                     
a definitive diagnosis is established, the examiner need only to                        
report history, clinical findings, and laboratory tests for                     
evaluation purposes.  Complications and/or medical side effects                 
should always be reported, even when not specifically requested.                        
A. Medical History:  No medical history for this exam                   
E. Diagnostic/clinical test results:                    
For GYNECOLOGICAL, NOT ELSEWHERE CLASSIFIED                     
Type of Exam: GYNECOLOGICAL, NOT ELSEWHERE CLASSIFIED                   
HYPERTHYROIDISM, THYROID ADENOMA                        
1.  Mental assessment -                 
2.  Muscular weakness -                 
3.  Loss of weight -                    
4.  Thyroid enlargement -                       
7.  Disease in remission or demonstrably active -                       
8.  Marked disfigurement (including appearance and texture                      
of thyroidectomy scar, if present) -                    
9.  Continuous medication required -                    
2.  Nervous, cardiovascular, or gastrointestinal symptoms -                     
4.  Mental assessment -                 
5.  Continuous medication required -                    
For HEMATOLOGICAL, NOT ELSEWHERE CLASSIFIED                     
Type of Exam: HEMATOLOGICAL, NOT ELSEWHERE CLASSIFIED                   
HEMATOLOGIC DISORDERS-LYMPHATIC                 
As with other disorders, a careful history and complete                 
physical examination are of first importance in hematologic                     
disorders.  However, laboratory evaluation is often necessary                   
for a definitive diagnosis.                     
1. State whether the disease is currently active or in remission and                    
if in remission, whether maintenance chemotherapy is required -                 
2. Describe frequency and duration of acute attacks -                   
3. Describe the state of general health between acute attacks -                 
4. If the veteran is, or has been receiving chemotherapy, X-Ray or                      
surgical treatment for Hodgkin's disease or other form of lymphoma,                     
give date of last treatment -                   
5. If veteran has been treated for any tuberculous adenitis (or                 
adenitis due to any other mycobacterial infection) and the disease                      
is currently inactive, give date the inactivity was first shown -                       
Invalid Patient name or DFN                     
Invalid Segment Type                    
Not a valid DHCP user number.                   
Invalid Patient ID, No SSN                      
Invalid Patient ID, Wrong SSN Format                    
Invalid Patient Identifier                      
Ambiguous Patient identifier                    
No 2507 request on file for this Patient                        
Invalid Patient identifier                      
No Exams or Open Exams on file for this Patient                 
No Electronic Signature code present, updating cannot be allowed.                       
Missing PID Segment                     
Incorrect PID Segment indicator                 
Internal Patient ID Missing                     
Patient Name Invalid                    
Patient SSN Invalid                     
Incorrect Patient Identifier                    
Invalid SSN                     
Missing OBR Segment                     
Missing Universal Identifier                    
Missing Exam Type                       
Missing Report Date                     
Request No longer Exists                        
Status of Request will not allow for down loading                       
Exam No longer Exists                   
Exam status not open, no down loading allow* ed                 
Bad electronic signature code.                  
Electronic signature codes do not match, no down loading allowed                        
Invalid OBX Segment                     
Results added but request and exam status not updated.                  
Kurzweil                        
Results added and exam status updated but request status not updated.                   
Record currently accessed by another user                       
Exam currently being accessed by another user                   
 HEMATOLOGIC DISORDERS - BLOOD                  
disorders; however, laboratory evaluation is often necessary                    
HAND, THUMB, AND FINGERS                        
The hand should be evaluated as a unit intricately adapted                      
for grasping, pushing, pulling, twisting, probing, writing,                     
touching, and expression.  Do not designate fingers numerically;                        
use thumb, index,                       
middle, ring and little.  Specify which hand is                 
involved and state whether the individual is right or left-handed.                      
Designate the joints as wrist, MP (metacarpophalangeal), PIP,                   
(proximal interphalangeal) or DIP (distal interphalangeal).                     
Designate phalanges as proximal, middle or distal.                      
1. Anatomical defects -                 
2. Functional defects (motion of thumb and fingers should be described                  
as to how near, in inches, the tip of thumb can approximate the                 
fingers, or how near the tips of fingers can                    
approximate the median                  
transverse fold of the palm.) -                 
3. Grasping objects (strength and dexterity) -                  
Loss of range of motion of the hip will be recorded from                        
the anatomical position (0 degrees) varying from 125 degrees                    
in flexion to 30 degrees in extension, from 25 degrees in                       
adduction to 45 degrees                         
in abduction, and from 60 degrees in                    
external rotation to 40 degrees in internal rotation.  To gain                  
a true picure of hip flexion, i.e. movement between the pelvis                  
and femur in the hip joint, the opposide thigh should be                        
extended to minimize motion between the pelvis and spine.                       
1. Describe movements of the thigh as it may rotate                     
in a circular manner about the femoral head in the                      
acetabulum.  Discuss any pain, tenderness, weakness                     
and fatigue on standing and any unusual motions on                      
ORIGINAL SC                     
ORIGINAL NSC                    
INSUFFICIENT EXAM                       
PENDING, REPORTED                       
PENDING SCHEDULED                       
RELEASED TO RO, NOT PRINTED                     
COMPLETED, PRINTED BY RO                        
CANCELLED BY MAS                        
CANCELLED BY RO                 
NEW, TRANSFERRED IN                     
COMPLETED, TRANSFERRED OUT                      
There should be at least three blood pressure readings                  
in the sitting position spaced throughout the examination.                      
At times it may be necessary to recall the veteran on                   
subsequent days to obtain readings which are most                       
representative of the true blood pressure.                      
1. Blood pressure readings:                     
3. Enlarged heart confirmation -                        
4. Apex beat beyond midclavicular line -                        
1.  Marked weight loss -                        
3.  Decalcification of bones -                  
4.  High blood calcium -                        
5.  High urinary calcium -                      
Total 2507 requests received for date range:                    
Total insufficient 2507 requests received for date range:                       
Total insufficient 2507 requests cancelled by RO for date range:                        
% of insufficient requests per total requests received:                 
% of uncancelled insufficient requests per total requests received:                     
Total 2507 exams received for date range:                       
Total insufficient 2507 exams received for date range:                  
Total insufficient 2507 exams cancelled by RO for date range:                   
% of insufficient exams per total exams received:                       
% of uncancelled insufficient exams per total exams received:                   
Summary of insufficient exams per Reason                        
Reason                  
Num                     
Exams without insufficient reason indicated                     
Summary Insufficient Exam Report for                    
For Date Range:                         
You have not selected Insufficient reasons to report.                   
This is required to print the Detailed report.                  
You have not selected Exams to report.                  
  Enter 'No' to print only those reasons previously                     
   selected, 'Yes' to select all reasons existing                       
   on currently entered exams.                  
 You have selected to report all insufficient reasons.                  
 Is this correct?                       
  Enter 'No' to print only those exams previously                       
   selected, 'Yes' to select all exams                  
 You have selected to report all AMIE exams.                    
0,15,0,1,0^Detailed Insufficient Exam Report                    
0,15,0,1,1^Detailed Insufficient Exam Report                    
0,11,0,2,0^For Date Range:                      
Exam request of                         
 to correct insufficiency was cancelled on                      
Exam Dt                 
Claim #                 
Insufficient Reason Selection                   
  Enter '^' to end Reason Selection                     
  'Return' to select all Insufficient Reasons                   
  Enter Insufficient Reason: ALL//                      
AMIE Exam Selection                     
  Enter '^' to end Exam Selection                       
  'Return' to select all AMIE Exams                     
  Enter Exam: ALL//                     
JOINTS (ORTHOPEDIC)                     
Do not use negative values to indicate inability to achieve                     
full extension.  The anatomical position is the reference                       
position EXCEPT with the regard to rotation of the shoulder                     
and pronation/supination                        
of the forearm (see fig. 2.1 and 2.2                    
of the Physician's Guide).  To give uniformity in describing                    
limitation of motion or ankylosis of a joint, THE USE OF A                      
GONIOMETER IS REQUIRED.                 
3. Other impairment of knee: subluxation or lateral instability;                        
non-union, with loose motion; malunion -                        
4. Range of motion (complete chart below)-                      
Note: Enter joint names in blanks under numbers below.  If more                 
than four joints are involved, please extend your dictation in the                      
same format.                    
------------------ JOINT EXAMINED -------------------                   
Range of:                       
Flexion                 
Extension                       
Rotation                        
Abduction                       
Adduction                       
Pronation                       
Supination                      
Deviation (radial)                      
Deviation (ulnar)                       
Plantar Flexion                 
Dorsiflexion                    
Compensation and Pension Exam for JOINTS for                    
Reprint Lab/X-Ray Results for C&P Exams                 
C&P lab/radiology print                 
DIC*                    
Was                     
 scheduled to rebook a previous appointment                     
Enter NO to indicate this appointment is the first time the exam is scheduled.                  
Enter YES to indicate this appointment is a rebook of an existing appointment                   
  for the exam.                 
(If YES, you will be asked to select the appointment being rebooked.)                   
You have not selected an appointment link which to modify with the selected                     
 appointment.  If the desired appointment was not displayed for selection,                      
 it must first be added as a new link to the 2507 request.  You may then                        
 modify the link as you have attempted here.                    
You have not selected a C&P appointment to link the request to.                 
This is required before further processing with the AMIE link                   
 management option.                     
Hit Return to continue or '^' to STOP.                  
You have selected a veteran that does not have C&P appointments                 
 to link to this request.  This is required before further processing with                      
 the AMIE link management option.                       
You have selected a C&P appointment that is Currently Linked to the request.                    
(NOTE: *CL) If you want to remove this link, see your supervisor.                       
Do you want to REMOVE this link                 
Enter YES to remove this appointment from the 2507.                     
Enter NO leave this appointment associated with the 2507.                       
If you enter YES incorrectly, you will need to use this tool to relink the                      
 appointment to the request.                    
No appointments are currently linked to this 2507 request.                      
You will need to create a link to the cancelled appointment                     
 before proceding with the link to this appointment.                    
Hit Return to continue with appointment display.                        
VETERAN CANCELLATION                    
VETERAN REQ APPT DATE                   
AMIE/C&P Appointment Link Management                    
As a Supervisor, you may remove 2507 appointment links                  
Can't jump again until you close another screen.                        
CAN'T JUMP FROM AN OVERVIEW                     
DVBCVIEW,                       
Invalid division                        
C & P Request Entry for                 
C & P Request Veteran Selection                 
Vet is an INPATIENT, on ward                    
Want to continue                        
Enter Y to proceed with the request or N to go                  
back and re-select.                     
   ... Timed out!                       
Select action:                  
 Press [RETURN] to continue, or enter E to edit or X to cancel:  Continue//                     
 NOT allowed here                       
[RETURN] will continue to exam selection, E will allow                  
editing of what you have entered and X will DELETE                      
the entire request                      
Do you want to change the request this insufficient is linked to?                       
Enter Yes to change the link and No to keep the current link                    
Must be the RETURN key, X, or E                         
Request DELETED.                        
0,0,0,1,0^You must either select a request to link or enter the 2507 Processing Time.                   
0,0,0,1,0^Enter 0 if you don't know the processing time of the original request.                        
Use ? to see a list of exams available for selection.                   
0,0,0,1,0^NOTE:  This request has a priority of Insufficient without a link                     
0,8,0,1:1,0^to a completed request.                     
0,0,0,1:2,0^Use care to select the proper exam(s) to return as insufficient.                    
Enter Y to go back and select exams or N to DELETE the entire request                   
as well as any exams selected.                  
You have selected these exams:                  
Enter Y to go ahead and log the selected exams or N to modify the list.                 
Please enter any remarks for this request:                      
Exam addition error !                   
) on File 31...Notify IRM                       
Selections                      
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