English French Notes Complete/Exclude key, releases the information without checking the results. This option should be used with extreme caution the information may not be You can be held liable for releasing unverified reports. Is used when the procedure results are released. This will copy the procedure to a new record and will allow you to make changes to the copy of the procedure. Electronic Signature is the unique set of key strokes entered by a user of an information system in order to document approval or concurrence. RELEASE CONTROL allows you to enter, research, and review a set of results prior to making them available to other users. Edit/Deletion Control allows the user to control the permanence of information entered into the information system. refers to the process of replacing a record with another record by copying it. Once signed the record will become locked against edit or deletionand the non-key holders will be able to view the data. Key holders can see or make changes to the information. Release Control/Elec Signature is turn off You don't have the required key [ Which type of listing do you want see? 1 Release Status - will only release information 2 Draft Status - will only show reports that are in draft status 3 Both - will show all reports Help Release Status Report Draft Status Report Status Report NO STATUS/DRAFT Release Control is not turned on. You do not have the Medicine Manager Key You do not have the require key for You do not have the ' Superseded View (by non-manager) turned off Superseded View (by non-manager) turn on Mark for Deletion Signing for Current Date Person Who Report Changed Status The Status Mark for Deletion GMRCACT NEW PATIENT GMRCACTM MEDICINE PKG MENU The 'Select Patient' protocol was removed from the Medicine Pkg Menu, OE/RR protocol. Imaging Package not available or you are not on a work station! * END * Press return to continue: Duplicate NM Node in file: subfile of: Unique New Person Names in Medicine Provider Fields Task queued, task number Task not queued. LABEL;GLOBAL SUBSCRIPT LOCATION File Name (Number) Field Name (Number) New Person Name Provider Key MEDICAL PATIENT: PROCEDURES: INDICATIONS: INTERVENTION: RA MEAN PRESSURE: PA SYSTOLIC/DIASTOLIC: PCW MEAN: LV END DIASTOLIC (Z): LEFT MAIN CA NARROWING LEFT MAIN CA NARROWING NUMBER CONCLUSION: REASON FOR STUDY: APPT DATE/TIME: SIGNS AND SYMPTOMS: FOLLOWUP DEVICE OR THERAPY: PROTOCOL: EGD SIMPLE PRIMARY EXAM: LAB OR XRAY: OCCULT BLOOD: SPECIMEN COLLECTION: ENDOSCOPIST: RESULTS: PRIMARY: SECONDARY: DATE/TIME OF CONSULTATION: PROBLEM ORIENTED CONSULT?: NON-ENDOSCOPIC PROCEDURE: ASSESSMENT: PLANNED: HOOK-UP DATE/TIME: OTHER INDICATIONS: NUMBER OF RUNS 3 OR MORE (VENT) ST LEVEL: PROVISIONAL DIAGNOSIS(ES): FINAL DIAGNOSIS(ES): SEPTUM: POST LV WALL: LV DIASTOLE: LV SYSTOLE: REGIONAL WALL MOTION FINDINGS: DIAGNOSIS(ES): DATE OF IMPLANT: THRESHOLD (VOLTS): APPOINTMENT DATE/TIME: COUGH: PNEUMONIA: OTHER FOLLOWUP DEVICE/THERAPY: BRONCHOSCOPIST: PROCEDURE SUMMARY: INTERPRETED BY: VOLUME STUDY: FLOWS STUDY: BLOOD GAS: NON-MAG RATE AT END-OF-LIFE: MAGNET RATE AT END-OF-LIFE: PULSE INTERVAL (MSEC) PULSE WIDTH (MSEC) PULSE WIDTH (ATRIAL MSEC): PULSE WIDTH (VENT. MSEC): SENSITIVITY (ATRIAL MV): SENSITIVITY (VENT. MV): HEIGHT: WEIGHT: SYSTOLIC PRESSURE: DIASTOLIC PRESSURE: PULSE: PHYSICAL EXAMINATION General: UVEITIS/IRITIS: ORAL ULCERS: MUSCLE ATROPHY: RALES: PSYCHOSIS: PERICARDIAL RUB/PERICARDITIS: Skin: CUTANEOUS VASCULTITIS: RASH-MALAR: PERIUNGAL ERYTHEMA: RASH-OTHER: MEDICATION: DIAGNOSIS: REASON FOR TEST: ETT PROTOCOL: %TARGET HR: AGE: GLOBAL LOCATION MEDICAL PATIENT FIELD NUMBER SCREEN ONE BRIEF SCREEN ONE TYPE OF PROCEDURE C:CARDIOLOGY;G:GI;H:HEMATOLOGY;P:PULMONARY ENDOSCOPY;Z:CONSULT;PF:PULMONARY FUNCTION TEST;R:RHEUMATOLOGY;GEN:GENERIC;I:INTERNAL;HI:INTERNAL HEMATOLOGY;N:NEUROLOGY; ENTRY POINT OF PRINT ROUTINE PRINT ROUTINE PRINT LINE USED WITH GENERIC MODULE? BRIEF INPUT TEMPLATE LOCALLY DEFINED PRINT NAME PROCEDURE/SUBSPECIALTY P:PROCEDURE;S:SUBSPECIALTY; MP81' This report is not authorized for Release INDICATION;W PROVISIONAL DX PROVISIONAL DX REMARKS FINAL DIAGNOSIS FINAL DIAGNOSIS REMARKS;W DISEASE SEVERITY-PHYS. ESTIMATE REASON FOR STUDY OTHER INDICATIONS REASON FOR TEST ARRHYTHMIA DX CARDIAX DX INTERPRETATION;W TYPE OF EKG INTERPRETATION CODE (RHYTHM) INTERPRETATION CODE (CONFIG) INTERPRETATION CODE (PACING) AUTO-INSTRUMENT DIAGNOSIS OTHER CONCLUSION CONSULT DX COMP. GENERATED INTERPRETATION FREE TEXT INTERPRETATION;W COMMENTS AND RECOMMENDATIONS;W Do you want to enable Order Entry/Results Reporting OE/RR enabled! OE/RR Full Generalized Procedure report not available through Consults. See the 'Generalized Procedure Report' option. ASSESSMENT/FINDINGS;W Full Procedure report not available through Consults. SERIAL NUMBER FOLLOWUP COMMENT COMMENTS;W INDICATED THERAPY SIGNS AND SYMPTOMS DISEASE FOLLOWUP DEVICE OR THERAPY OTHER FOLLOWUP DEVICE/THERAPY INDICATION COMMENT PRIMARY DIAGNOSIS IMPRESSION SECONDARY DIAGNOSIS SECONDARY DIAGNOSIS IMPRESSION DIAGNOSIS/DIAGNOSIS SUPPLEMENT REVISED DIAGNOSIS Medicine Response This is not a valid entry point IMAGES? Images are associated with this procedure XTMP( File/Patient ID mismatch MCDIQ(0), MCDIQ, MCDI,MCDA,MCDIQ1, MCDA, MEDICINE-PCC UPDATE PRIMARY PROVIDER: PERFORMED AT: PERFORMED BY: PROCEDURE START TIME: PROCEDURE STOP TIME: EGD SIMPLE PRI. EXAM: PRESCRIPTION GIVEN: DOSAGE: INSTRUCTION: INSTRUMENT: DOSE ROUTE: TOTAL DOSE: POST-PROCEDURE INST. CLEANING: INDICATION COMMENTS: COMPLICATION: COMP. RESULTS: MCAR(700 Select the SEX for which the Predicted Value will be applied: Select the Predicted Value Formula: REFERENCE: CI: SEE: METHOD: DEMOGRAPHICS: SMOKERS INCLUDED: ALTITUDE: ***INTERPRETATION ENTRY*** Print report now RESTRICTIVE DEFECT SEVERE MODERATE MILD RESTRICTIVE DEFECT MAY BE PRESENT AIRFLOW OBSTRUCTION OBSTRUCTIVE DEFECT MAY BE PRESENT GAS EXCHANGE DEFECT COMPUTER GENERATED INTERPRETATIONS: ACCEPT THIS INTERPRETATION? PULMONARY FUNCTION TEST REPORT PFT REPORT PULMONARY FUNCTION TEST TLC,VC,FVC,FEV1,MVV RV/TLC SINGLE BREATH STEADY STATE Corrected DLCO for COHB: Corrected DLCO for HB: Corr DLCO for HB & COHB: FiO2 QS/QT MAX EXERCISE PRE EXERCISE PATIENT TEMPERATURE (C): VEmax(BTPS) VD/VT REST VD/VT MAX VE/VCO2, AT VErest(BTPS) VO2rest VO2max HRrest HRmax VO2/HR BP MAX RRrest RRmax Wmax WRI/WRT Max Speed Max Grade TOTAL TIME HCO3 Change Exercise Testing Mode: BIKE ERGOMETER HAND ERGOMETER REASON(S) FOR STOPPING: FRC,RV #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################