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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