| [604] | 1 | English French Notes Complete/Exclude
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| 2 | ] New order(s) placed.
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| 3 | ] New DC order(s) placed.
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| 4 | Abnormal labs - [
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| 5 | Abnormal lab:
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| 6 | Order requires electronic signature.
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| 7 | ] Order placed:
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| 8 | ] Result available:
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| 9 | Procedure uses non-barium contrast media - abnormal biochem result:
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| 10 | Recent Cholecystogram:
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| 11 | Patient >65. Renal Results:
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| 12 | Missing Labs for Angiogram:
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| 13 | Patient allergic to contrast medias:
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| 14 | Recent Barium study:
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| 15 | WBC < 3.0 and/or ANC < 1.5 - pharmacy cannot fill clozapine order. Most recent results -
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| 16 | Clozapine orders require a CBC/Diff within past 7 days. Please order CBC/Diff with WBC and ANC immediately. Most recent results -
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| 17 | Most recent results -
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| 18 | WBC between 3.0 and 3.5 with ANC >= 1.5 - please repeat CBC/Diff including WBC and ANC immediately and twice weekly. Most recent results -
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| 19 | Clozapine - most recent results -
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| 20 | Aminoglycoside - est. CrCl:
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| 21 | Patient may be
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| 22 | Est. CrCl:
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| 23 | ordered - adjust diet accordingly.
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| 24 | Procedure uses non-barium contrast media and patient is taking glucophage.
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| 25 | Potential polypharmacy - patient currently receiving
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| 26 | Labs resulted - [
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| 27 | Glucophage - Creatinine results:
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| 28 | Glucophage - no serum creatinine within past
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| 29 | ] Lab threshold exceeded - [
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| 30 | Patient has no allergy assessment.
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| 31 | Duplicate opioid medications:
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| 32 | When the transport routine encounters locally
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| 33 | altered rule data at a site, do you want to:
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| 34 | (O)verwrite, (D)isplay, or (A)sk the site ?
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| 35 | Locally altered data will be overwritten without asking.
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| 36 | Locally altered data will be displayed only.
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| 37 | Sites will be asked before locally altered data is overwritten.
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| 38 | Enter Patch ID (ex. OR*3*96):
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| 39 | OR*
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| 40 | v = Package Version.
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| 41 | ppp = Patch Number.
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| 42 | (Delete after Install of
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| 43 | Scanning for old rule transport routines...
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| 44 | No old rule transport routines found...
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| 45 | These routines will be deleted and overwritten.
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| 46 | Do you want to proceed?
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| 47 | Old rule transport routines not deleted (^%ZOSF(
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| 48 | Not Deleted...
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| 49 | Select an
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| 50 | ***** Already selected for transport. *****
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| 51 | None Selected for transport
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| 52 | Already selected for transport:
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| 53 | Press <Enter> to continue...
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| 54 | added to list.
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| 55 | removed from list.
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| 56 | Select a
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| 57 | selected for transport.
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| 58 | ORDER CHECK
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| 59 | OCX MDD
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| 60 | unknown lookup error.
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| 61 | could not resolve name.
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| 62 | End Transport.
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| 63 | already existed.
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| 64 | record missing...
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| 65 | Unresolved subscript.
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| 66 | ^DIE filer data error...
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| 67 | ...Correct data Filed
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| 68 | Rule Transport aborted, version mismatch.
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| 69 | Rule Transport Version: |CVER|
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| 70 | Order Check Expert System Rule Transporter
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| 71 | data filing error
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| 72 | Some expert system rules may be incomplete.
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| 73 | No data filing errors.
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| 74 | Transport Finished...
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| 75 | ] ERROR - RECORD NOT FOUND
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| 76 | ACD EXTRACT V10.1
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| 77 | Available record layouts:
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| 78 | 1) VAACCR Record Layout Version 10.1 (VA Registry)
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| 79 | 2) NAACCR State Record Layout Version 10.1
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| 80 | Select record layout:
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| 81 | Select the record layout to use
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| 82 | VACCR EXTRACT V10.1
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| 83 | STATE EXTRACT V10.1
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| 84 | DISPLAY/PRINT on-line instructions
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| 85 | STATE REPORTING ACOS INFOA
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| 86 | PRIMARY ACOS INFO (850)
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| 87 | Select start date:
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| 88 | Select end date:
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| 89 | Analytic cases only
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| 90 | Answer 'YES' if you want only analytic cases (CLASS OF CASE 0-2) extracted.
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| 91 | Answer 'NO' if you want all cases (analytic and non-analytic) extracted.
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| 92 | |Please activate your PC capture program. The data will be sent|
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| 93 | | in 30 seconds or when you press the return key. |
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| 94 | No records extracted.
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| 95 | ACoS Report Print
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| 96 | State Extract Print
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| 97 | Report Canceled!
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| 98 | Report Queued!
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| 99 | These are your current settings:
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| 100 | Record layout.......................:
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| 101 | Facility Identification Number (FIN):
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| 102 | State to be extracted...............:
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| 103 | Accession Year......................:
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| 104 | Start date..........................:
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| 105 | End date............................:
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| 106 | Analytic cases only.................:
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| 107 | Are these settings correct
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| 108 | Accession Year:
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| 109 | Facility Identification Number (FIN)
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| 110 | The site paramaters record is being edited by another user.
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| 111 | Press ENTER to Continue or
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| 112 | to Quit:
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| 113 | Col#
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| 114 | Data item
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| 115 | Data Value
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| 116 | ONC(
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| 117 | ICDO-TOPOGRAPHY is not defined
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| 118 | .........: Surgery performed
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| 119 | .........: Radiation performed
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| 120 | The Accession Year is not 1995.
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| 121 | The Diagnostic Confirmation code is not 1.
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| 122 | The Class of Case code is not 0, 1 or 2.
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| 123 | Date DX and/or First Treatment Date not in 1995.
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| 124 | Select table
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| 125 | This primary does not satisfy the PCE eligibility criteria:
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| 126 | Patient Care Evaluation Study of Cancers of the Urinary Bladder
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| 127 | ACCESSION/SEQUENCE NUMBER
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| 128 | CLASS OF CASE
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| 129 | REFERRED FOR TREATMENT TO
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| 130 | ZIP AT DIAGNOSIS
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| 131 | SPANISH ORIGIN
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| 132 | PRIMARY PAYER AT DIAGNOSIS
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| 133 | PATIENT HISTORY OF OTHER CANCER
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| 134 | FAMILY HISTORY OF CANCER
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| 135 | SMOKING HISTORY
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| 136 | DURATION OF SMOKING HISTORY
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| 137 | DURATION OF SMOKE-FREE HISTORY
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| 138 | TABLE I - GENERAL INFORMATION
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| 139 | ACCESSION/SEQUENCE NUMBER.....:
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| 140 | CLASS OF CASE.................:
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| 141 | 300REFERRED FOR TREATMENT TO.....
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| 142 | 9ZIP AT DIAGNOSIS..............
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| 143 | DATE OF BIRTH.................:
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| 144 | 9SPANISH ORIGIN................
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| 145 | 18PRIMARY PAYER AT DIAGNOSIS....
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| 146 | 301LENGTH OF STAY................
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| 147 | PATIENT HISTORY OF OTHER CANCER:
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| 148 | 305 HEAD AND NECK...............
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| 149 | FAMILY HISTORY OF CANCER:
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| 150 | 314SMOKING HISTORY (PACKS/DAY)...
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| 151 | 315DURATION OF SMOKING HISTORY...
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| 152 | 316DURATION OF SMOKE-FREE HISTORY
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| 153 | GO TO:
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| 154 | CLINICAL DETECTION
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| 155 | ONSET OF SYMPTOMS
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| 156 | DURATION OF SYMPTOMS BEFORE DIAGNOSIS
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| 157 | DIAGNOSTIC PROCEDURES
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| 158 | DATE OF INITIAL DIAGNOSIS
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| 159 | SPECIALTY MAKING DIAGNOSIS
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| 160 | PRIMARY SITE (ICD-O-2)
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| 161 | HISTOLOGY (ICD-O-2)
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| 162 | TABLE II- DIAGNOSTIC INFORMATION
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| 163 | CLINICAL DETECTION:
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| 164 | 317 GROSS HEMATURIA................
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| 165 | 318 MICROSCOPIC HEMATURIA..........
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| 166 | 319 URINARY FREQUENCY..............
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| 167 | 320 BLADDER IRRITABILITY...........
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| 168 | 323ONSET OF SYMPTOMS................
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| 169 | DURATION OF SYMPTOMS (months) BEFORE DIAGNOSIS:
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| 170 | 324 GROSS HEMATURIA................
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| 171 | DIAGNOSTIC PROCEDURES:
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| 172 | 326 BIMANUAL EXAMINATION OF BLADDER
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| 173 | 327 CYSTOSCOPY WITH BIOPSY.........
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| 174 | 328 CYSTOSCOPY WITHOUT BIOPSY......
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| 175 | 329 FLOW CYTOMETRY.................
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| 176 | 330 INTRAVENOUS PYELOGRAM..........
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| 177 | 331 URINE CYTOLOGY.................
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| 178 | DATE OF INITIAL DIAGNOSIS........:
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| 179 | 334SPECIALTY MAKING DIAGNOSIS.......
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| 180 | PRIMARY SITE (ICD-O-2)...........:
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| 181 | HISTOLOGY (ICD-O-2)..............:
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| 182 | STAGING PROCEDURES
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| 183 | PRESENCE OF HYDRONEPHROSIS
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| 184 | TUMOR SIZE (mm)
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| 185 | PRESENCE OF MULTIPLE TUMORS
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| 186 | REGIONAL NODES EXAMINED
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| 187 | REGIONAL NODES POSITIVE
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| 188 | SITES OF DISTANT METASTASIS
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| 189 | AJCC CLINICAL STAGE (cTNM)
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| 190 | AJCC PATHOLOGIC STAGE (pTNM)
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| 191 | STAGED BY
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| 192 | TABLE III- EXTENT OF DISEASE AND AJCC STAGE
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| 193 | STAGING PROCEDURES:
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| 194 | 335 ABDOMINAL ULTRASOUND.........
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| 195 | 336 BONE IMAGING.................
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| 196 | 338 CT CHEST/LUNG................
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| 197 | 339 CT ABDOMEN/PELVIS............
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| 198 | 340 CT OTHER.....................
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| 199 | 341 MRI PELVIS/ABDOMEN...........
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| 200 | 342 MRI OTHER....................
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| 201 | 344PRESENCE OF HYDRONEPHROSIS.....
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| 202 | 29TUMOR SIZE (mm)................
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| 203 | 345PRESENCE OF MULTIPLE TUMORS....
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| 204 | 33REGIONAL NODES EXAMINED........
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| 205 | 32REGIONAL NODES POSITIVE........
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| 206 | SITES OF DISTANT METASTASIS:
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| 207 | 34 SITE OF DISTANT METASTASIS #1
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| 208 | SITE OF DISTANT METASTASIS #2: None
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| 209 | SITE OF DISTANT METASTASIS #3: None
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| 210 | 34.1 SITE OF DISTANT METASTASIS #2
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| 211 | 34.2 SITE OF DISTANT METASTASIS #3
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| 212 | AJCC CLINICAL STAGE (cTNM):
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| 213 | 38AJCC STAGE.....................
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| 214 | AJCC PATHOLOGIC STAGE (pTNM):
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| 215 | 88AJCC STAGE.....................
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| 216 | STAGED BY:
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| 217 | 19 CLINICAL STAGE....................
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| 218 | 89 PATHOLOGIC STAGE..................
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| 219 | DATE OF INITIAL TREATMENT
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| 220 | PROTOCOL ELIGIBILITY STATUS
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| 221 | MANAGING PHYSICIANS
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| 222 | RADIATION THERAPY
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| 223 | TABLE IV - FIRST COURSE OF TREATMENT
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| 224 | DATE OF INITIAL TREATMENT...........:
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| 225 | 346PROTOCOL ELIGIBILITY STATUS.........
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| 226 | MANAGING PHYSICIANS:
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| 227 | 347 PRIMARY PHYSICIAN.................
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| 228 | 348 SECONDARY PHYSICIAN...............
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| 229 | SURGERY:
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| 230 | DATE OF SURGERY...................:
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| 231 | TYPE OF SURGERY...................:
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| 232 | TUMOR RESECTION DURING TURB.......: Not applicable
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| 233 | 349 TUMOR RESECTION DURING TURB.......
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| 234 | TYPE OF URINARY DIVERSION.........: Not applicable
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| 235 | 350 TYPE OF URINARY DIVERSION.........
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| 236 | PELVIC LYMPH NODE DISSECTION......: Not applicable
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| 237 | 351 PELVIC LYMPH NODE DISSECTION......
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| 238 | SURGICAL COMPLICATIONS:
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| 239 | BLEEDING REQUIRING TRANSFUSION..: No
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| 240 | DEEP VENOUS THROMBOSIS..........: No
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| 241 | MYOCARDIAL INFARCTION/ARRHYTHMIA: No
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| 242 | PELVIC ABSCESS..................: No
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| 243 | PNEUMONIA REQUIRING ANTIBIOTICS.: No
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| 244 | POST-OPERATIVE DEATH (30 DAYS)..: No
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| 245 | PULMONARY EMBOLISM/THROMBOSIS...: No
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| 246 | 352 BLEEDING REQUIRING TRANSFUSION..
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| 247 | 353 DEEP VENOUS THROMBOSIS..........
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| 248 | 354 MYOCARDIAL INFARCTION/ARRHYTHMIA
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| 249 | 355 PELVIC ABSCESS..................
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| 250 | 356 PNEUMONIA REQUIRING ANTIBIOTICS.
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| 251 | 357 POST-OPERATIVE DEATH (30 DAYS)..
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| 252 | 358 PULMONARY EMBOLISM/THROMBOSIS...
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| 253 | RADIATION THERAPY:
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| 254 | RADIATION THERAPY.................:
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| 255 | DATE RADIATION THERAPY STARTED....:
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| 256 | DATE RADIATION THERAPY ENDED......: 00/00/0000
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| 257 | TOTAL RAD (cGy/rad) DOSE..........: 00000
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| 258 | REGIONAL TREATMENT MODALITY.......: No radiation therapy
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| 259 | RADIATION COMPLICATIONS:
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| 260 | URINARY INCONTINENCE............: Not applicable
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| 261 | HEMATURIA.......................: Not applicable
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| 262 | RADIATION BOWEL INJURY..........: Not applicable
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| 263 | DATE RADIATION THERAPY ENDED......: 99/99/9999
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| 264 | TOTAL RAD (cGy/rad) DOSE..........: 99999
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| 265 | REGIONAL TREATMENT MODALITY.......: Unknown
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| 266 | URINARY INCONTINENCE............: Unknown
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| 267 | RADIATION BOWEL INJURY..........: Unknown
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| 268 | 361 DATE RADIATION THERAPY ENDED......
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| 269 | 362 TOTAL RAD (cGy/rad) DOSE..........
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| 270 | 363 REGIONAL TREATMENT MODALITY.......
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| 271 | 364 URINARY INCONTINENCE............
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| 272 | 366 RADIATION BOWEL INJURY..........
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| 273 | CHEMOTHERAPY:
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| 274 | DATE CHEMOTHERAPY STARTED.........:
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| 275 | DATE CHEMOTHERAPY ENDED...........: 00/00/0000
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| 276 | ROUTE CHEMOTHERAPY ADMINISTERED...: No chemotherapy
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| 277 | TYPES OF AGENTS ADMINISTERED:
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| 278 | ADRIAMYCIN......: None IFOSFAMIDE......: None
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| 279 | CARBOPLATINUM...: None METHOTREXATE....: None
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| 280 | CISPLATIN.......: None TAXOL...........: None
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| 281 | CYCLOPHOSPHAMIDE: None THIOTEPA........: None
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| 282 | 5-FLUOROURACIL..: None VINBLASTINE.....: None
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| 283 | GALLIUM NITRATE.: None OTHER...........: None
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| 284 | INDICATION FOR ADMIN OF AGENTS....: No agents administered, NA
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| 285 | REASON CHEMOTHERAPY STOPPED.......: Treatment completed, NA
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| 286 | DATE CHEMOTHERAPY ENDED...........: 99/99/9999
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| 287 | ROUTE CHEMOTHERAPY ADMINISTERED...: Unknown
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| 288 | ADRIAMYCIN......: Unknown IFOSFAMIDE......: Unknown
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| 289 | CARBOPLATINUM...: Unknown METHOTREXATE....: Unknown
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| 290 | CISPLATIN.......: Unknown TAXOL...........: Unknown
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| 291 | CYCLOPHOSPHAMIDE: Unknown THIOTEPA........: Unknown
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| 292 | 5-FLUOROURACIL..: Unknown VINBLASTINE.....: Unknown
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| 293 | GALLIUM NITRATE.: Unknown OTHER...........: Unknown
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| 294 | INDICATION FOR ADMIN OF AGENTS....: Unknown
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| 295 | REASON CHEMOTHERAPY STOPPED.......: Unknown
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| 296 | 367 DATE CHEMOTHERAPY ENDED...........
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| 297 | 368 ROUTE CHEMOTHERAPY ADMINISTERED...
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| 298 | 374 GALLIUM NITRATE.................
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| 299 | 380 OTHER AGENT.....................
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| 300 | 381 INDICATION FOR ADMIN OF AGENTS....
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| 301 | 382 REASON CHEMOTHERAPY STOPPED.......
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| 302 | IMMUNOTHERAPY:
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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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