| 1 | English French  Notes   Complete/Exclude
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| 2 | ENVIRONMENT CHECK:                      
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| 3 | Before initialization, this routine will verify whether the                     
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| 4 | package file entries have been converted to the NEW PERSON file.                        
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| 5 | OK, there aren't any unconverted pointers.                      
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| 6 | Hit <RETURN> to continue                        
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| 7 | OK, stopping the installation here..nothing changed!                    
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| 8 |                                    *                    
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| 9 | *     This pre-initialization routine will                      
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| 10 | DATA DICTIONARIES                       
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| 11 |  the data) for the   *                  
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| 12 | *     following files:                                  *                       
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| 13 | *         690   (MEDICAL PATIENT)                       *                       
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| 14 | *         691.1 (CARDIAC CATHETERIZATION)               *                       
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| 15 | *         697.5 (MEDICAL DIAGNOSIS/ICD CODES)           *                       
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| 16 | *         699.6 (DIAG/THERAP INTERVENT)                 *                       
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| 17 |  save any local modifications to the      *                     
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| 18 | *     data dictionaries for these files before          *                       
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| 19 | *     proceeding with this routine.                     *                       
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| 20 | *     (See the Installation Guide for instructions.)    *                       
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| 21 | *     Any changes not saved will be                     
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| 22 | LOST!                   
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| 23 |                *                        
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| 24 |  to abort the installation here, or RETURN to continue                  
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| 25 | DATA DICTIONARIES                       
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| 26 |  for the following      *                       
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| 27 | *         697.3 (MEDICINE SCREEN)                       *                       
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| 28 | *     data dictionaries and data for this file          *                       
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| 29 | *     before proceeding with this routine.              *                       
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| 30 | DIAGNOSIS ENTRY                 
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| 31 | Do you wish to enter this diagnosis as the primary diagnosis                    
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| 32 | Enter Primary Diagnosis (1-                     
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| 33 | Enter Number of Diagnosis That You Wish to Use as Primary Diagnosis                     
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| 34 | Hit Return if you do not wish to enter any of above                     
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| 35 | Enter Number of Secondary Diagnosis or 'ALL' to enter all:                      
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| 36 | Enter Number of Diagnosis from above list or enter 'ALL' for All Diagnoses to be entered as a secondary diagnosis.                      
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| 37 | Possible                        
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| 38 |  Diagnoses are:                         
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| 39 | NON-ENDO                        
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| 40 | Select Patient Name or Date/Time of Appointment:                        
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| 41 | INSERTION OF STENT                      
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| 42 | DILATION BY SAVARY BOUGIE                       
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| 43 | GASTROSTOMY TUBE INSERTED                       
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| 44 | JEJUNOSTOMY TUBE INSERTED                       
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| 45 | HEATER PROBE COAGULATION                        
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| 46 | ENTER DATE/TIME OF CONSULT:                     
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| 47 | Enter Date/Time of Procedure:                   
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| 48 | PERSONAL HISTORY INFORMATION                    
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| 49 | History of Bleeding Disorder:                   
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| 50 | Valvular Heart Disease:                         
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| 51 | Glaucoma:                       
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| 52 | History Comments:                       
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| 53 | Do you wish to edit the Personal History Information                    
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| 54 | The valid Anatomy locations are:                        
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| 55 | * END * Press return to continue:                       
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| 56 | Enter Date/Time of Non-Endoscopic Procedure:                    
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| 57 | Allergies/Adverse Reactions:                    
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| 58 | MCAR(690,                       
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| 59 | GENERIC EDIT                    
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| 60 | GEN.IMPL.                       
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| 61 | GENERATOR IMPLANT                       
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| 62 | V-LEAD IMP                      
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| 63 | VENTRICAL LEAD IMPLANT                  
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| 64 | A-LEAD IMP                      
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| 65 | ATRIAL LEAD IMPLANT                     
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| 66 | DEMOGRAPHIC INFORMATION      *** SCREEN EDIT ***                        
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| 67 |  PROCEDURES      *** SCREEN EDIT ***                    
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| 68 | Enter patient name, or date and time:                   
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| 69 | Select Patient or Date/Time of Endoscopic Procedure:                    
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| 70 | Select Patient or Date/Time of Non-Endoscopic Procedure:                        
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| 71 | Select Patient or Date/Time of Consultation:                    
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| 72 | NON-ENDOSCOPIC                  
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| 73 | MC*                     
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| 74 | SYMPTOM:                        
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| 75 | Type of Cough:                  
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| 76 | Duration:                       
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| 77 | Location of Pneumonia:                  
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| 78 | Dates:                  
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| 79 | SURVEILLANCE:                   
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| 80 | DISEASE FOLLOWUP:                       
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| 81 | FOLLOWUP DEVICE/THERAPY:                        
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| 82 | INDICATED THERAPY:                      
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| 83 | EGD SIMPLE PRIMARY EXAM                 
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| 84 | LAB OR XRAY                     
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| 85 | OCCULT BLOOD                    
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| 86 | SPECIMEN COLLECTION                     
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| 87 | Preparation Diet:                       
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| 88 | CLEAR LIQUIDS                   
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| 89 | Diet Comment:                   
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| 90 | Enemas:                         
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| 91 | Bowel Preparation:                      
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| 92 |   Pneumoperitoneum Gas:                         
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| 93 | Pressure Control:                       
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| 94 | Stent Type:                     
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| 95 | Stent Size:                     
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| 96 | Stent Length (mm):                      
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| 97 | Sphincterotome Used:                    
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| 98 | Incision Size:                  
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| 99 | SAVARY BOUGIE DIAMETER                  
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| 100 | HEATER PROBE DURATION                   
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| 101 | HEATER PROBE POWER                      
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| 102 | HEMATOLOGY REPORT                       
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| 103 | Hematology Report                       
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| 104 | NOT INPATIENT                   
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| 105 | Press return to continue, '^' to escape:                        
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| 106 | ,MCY:DTIME S:'$T MCY=U S:MCY=U DN=0,MCOUT=1 D:DN HEAD^MCARP K MCY                       
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| 107 | Methanol                        
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| 108 | Ethanol                 
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| 109 | Formalin                        
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| 110 | GROSS DESCRIPTION:  The specimen consisted of                   
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| 111 |  mm, submitted in                       
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| 112 | This specimen is submitted for decalcification in EDTA.                 
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| 113 | Part of the specimen is fixed and submitted for processing in plastic.                  
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| 114 | BIOPSY COMMENTS:                        
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| 115 | Report Released for Printing.                   
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| 116 | ----------------------------------ATRIAL STUDY----------------------------------                        
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| 117 | PREMEDICATION:                  
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| 118 | ENTRY SITE:                     
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| 119 | RECORDING SITE:                         
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| 120 | ATRIAL THRESHOLD (mA):                  
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| 121 | CONDUCTION TIMES                        
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| 122 | SINUS NODE FUNCTION STUDIES                     
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| 123 | PA (NL 20-40 MSEC):                     
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| 124 | SACT (NL 80 +/- 40 MSEC):                       
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| 125 | AH (NL 60-120 MSEC):                    
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| 126 | CSART (NL 260+/- 95 MSEC):                      
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| 127 | HV (NL 35-55 MSEC):                     
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| 128 | ATRIAL EXTRA STIMULUS TECHNIQUE    (VALUES BELOW IN MSEC)                       
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| 129 | DRIVE CYCLE LENGTH:                     
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| 130 | AERP:                   
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| 131 | AVERP:                  
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| 132 | HPERP:                  
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| 133 | AFRP:                   
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| 134 | AVFRP:                  
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| 135 | HPFRP:                  
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| 136 | ARRP:                   
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| 137 | AVRRP:                  
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| 138 | HPRRP:                  
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| 139 | INCREMENTAL ATRIAL PACING                       
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| 140 | MAXIMUM 1:1 CONDUCTION:                         
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| 141 | WENCKE CYCLE LENGTH:                    
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| 142 | TACHYCARDIA WINDOW:                     
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| 143 | RATE:                   
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| 144 | MORPHOLOGY:                     
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| 145 | CONDUCTION:                     
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| 146 | ARRHYTHMIA:                     
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| 147 | SHORTEST R-R A FIB:                     
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| 148 | SHORTEST R-R POST ISPUREL:                      
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| 149 | LOCATION OF TRACT:                      
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| 150 | ANTEGRADE ERP                   
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| 151 | RETROGRADE ERP                  
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| 152 | BYPASS TRACT:                   
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| 153 | BYPASS ISUPREL:                         
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| 154 | ATRIAL CYCLE LENGTH (MSEC):                     
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| 155 | VENT CYCLE LENGTH (MSEC):                       
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| 156 | QRS DURATION:                   
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| 157 | QRS AXIS:                       
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| 158 | QT:                     
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| 159 | QTC:                    
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| 160 | RYHTHM:                         
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| 161 | INTERPRETATION:                         
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| 162 | DISCHARGE DATE:                         
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| 163 | MEDICATIONS ON DISCHARGE:                       
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| 164 | WARD/CLINIC:                    
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| 165 | REF HOSP OR PHYS:                       
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| 166 | CATH NO:                        
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| 167 | HT IN:                  
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| 168 | WT LBS:                         
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| 169 | PROCEDURES:                     
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| 170 | HISTORY:                        
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| 171 | SYMPTOMS INCLUDED:                      
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| 172 | RISK FACTORS:                   
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| 173 | HEART MEDS:                     
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| 174 | PHYSICAL:                       
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| 175 | PREMEDICATIONS:                 
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| 176 | VASCULAR ACCESS:                        
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| 177 | CATHETERS:                      
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| 178 | TYPE AND SIZE                   
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| 179 | RIGHT HEART                     
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| 180 | LEFT HEART                      
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| 181 | RIGHT CORONARY                  
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| 182 | LEFT CORONARY                   
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| 183 | FLOURO TIME:                    
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| 184 | OTHER PROCEDURE AND COMMENT:                    
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| 185 | TECH COMMENTS:                  
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| 186 | INTERVENTION:                   
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| 187 | PRESSURES:                      
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| 188 | RA A:                   
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| 189 | PCW A:                  
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| 190 | AO S:                   
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| 191 | RV S:                   
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| 192 | LA A:                   
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| 193 | LV S:                   
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| 194 | PRE A:                  
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| 195 | PA S:                   
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| 196 | (POST DYE)                      
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| 197 | SATURATIONS:                    
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| 198 | RA:                     
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| 199 | PA:                     
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| 200 | LV:                     
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| 201 | IVC:                    
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| 202 | RV:                     
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| 203 | LA:                     
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| 204 | SVC:                    
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| 205 | OUTPUT AND INDEX                        
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| 206 | ASSUMED FICK                    
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| 207 | A V AREA (CM SQ):                       
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| 208 | RIGHT CORONARY ARTERY:                  
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| 209 | FROM:                   
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| 210 | TO:                     
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| 211 | LEFT MAIN CA:                   
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| 212 | LAD:                    
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| 213 | CIRCUMFLEX:                     
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| 214 | BYPASS GRAFTS ?:                        
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| 215 | DISTAL ANASTOMOSIS:                     
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| 216 | WALL MOTION:                    
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| 217 | EJECTION FRACTION:                      
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| 218 | MITRAL REGURGITATION:                   
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| 219 | COMPLICATIONS:                  
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| 220 | IMPRESSION:                     
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| 221 | CONCLUSION:                     
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| 222 | PLAN:                   
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| 223 | CARDIOLOGY FELLOW:                      
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| 224 | CARDIOLOGY FELLOW (2nd):                        
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| 225 | CARDIOLOGY STAFF:                       
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| 226 | CARDIOLOGY STAFF (2nd):                         
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| 227 | TEST RESULTS:                   
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| 228 | % FRACT SHORT:                  
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| 229 | LV MASS:                        
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| 230 | EF:                     
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| 231 | mm Hg                   
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| 232 | FINDINGS:                       
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| 233 | DIAGNOSIS(ES):                  
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| 234 | OTHER CONCLUSIONS:                      
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| 235 | CARDIOLOGY ATTENDING:                   
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| 236 | CARDIOLOGY FELLOW:                      
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| 237 | PROCEDURE SUMMARY:                      
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| 238 | ARRHYTHMIA DIAGNOSIS:                   
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| 239 | CARDIAC DIAGNOSIS:                      
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| 240 | REASON FOR STUDY:                       
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| 241 | SYMPTOMS:                       
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| 242 | HX:                     
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| 243 | RHYTHM:                 
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| 244 | RESPONSE TO ATROPINE:                   
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| 245 | RESPONSE TO EXERCISE:                   
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| 246 | RESPONSE TO CAROTID MASSAGE:                    
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| 247 | HEART MEDICATIONS:                      
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| 248 | SVT TYPE:                       
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| 249 | INTERPRETATION:                 
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| 250 | FOLLOW UP:                      
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| 251 | CARDIOLOGY FELLOW (2ND)                         
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| 252 | Endoscopist:                    
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| 253 | FELLOW:                         
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| 254 | 2ND FELLOW:                     
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| 255 | Liver Biopsy:                   
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| 256 | Bleeding Disorder:                      
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| 257 | Allergies:                      
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| 258 | Comments:                       
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| 259 | COMMENT:                        
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| 260 | Where Performed:                        
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| 261 | Start - End:                    
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| 262 | Instrument:                     
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| 263 | Insertion Depth:                        
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| 264 | Medications Used:                       
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| 265 | Technique:                      
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| 266 | Results:                        
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| 267 | Disposition:                    
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| 268 | Primary:                        
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| 269 | Supplement:                     
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| 270 | Instructions:                   
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| 271 | PHYSICIANS' SIGNATURE ____________________________________                      
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| 272 | Provider/Physician:                     
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| 273 | Consultation Type:                      
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| 274 | Subjective:                     
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| 275 | Objective:                      
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| 276 | Assessment:                     
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| 277 | Planned:                        
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| 278 | Indication Comment:                     
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| 279 | Procedure Summary:                      
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| 280 | INDICATION:                     
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| 281 | MEDICATIONS:                    
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| 282 | PROVIDER/PHYSICIAN:                     
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| 283 | TECHNIQUE:                      
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| 284 | SUBJECTIVE:                     
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| 285 | OBJECTIVE:                      
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| 286 | ASSESSMENT/FINDINGS:                    
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| 287 | PLAN:                   
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| 288 | SUMMARY:                        
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| 289 | PROCEDURE SUMMARY:                      
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| 290 | Consulting Doctor:                      
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| 291 | Consultation Type:                      
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| 292 | Subjective:                     
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| 293 | Allergies/Adverse Reactions:                    
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| 294 | Urgency:                        
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| 295 | Instrument:                     
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| 296 | Physician:                      
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| 297 | Follow-up Date:                         
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| 298 | REVIEWED BY:                    
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| 299 | HOURS:                  
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| 300 | MALFUNCTIONS:                   
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| 301 | HEART RATE                      
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| 302 | TOTAL BEATS                     
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| 303 | ####################    ####################    ####################    
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| 304 | ####################    ####################    ####################    
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| 305 | ####################    ####################    ####################    
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| 306 | ####################    ####################    ####################    
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| 307 | ####################    ####################    ####################    
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