| 1 | English French Notes Complete/Exclude
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| 2 | Discharged From :
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| 3 | Room-Bed :
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| 4 | REGISTRATION STATUS :
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| 5 | VA SCI STATUS :
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| 6 | PRIMARY CARE PROVIDER :
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| 7 | SCI LEVEL :
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| 8 | Etiology Onset Other
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| 9 | Recipients of this message:
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| 10 | notice for
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| 11 | SPNTXT(
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| 12 | :INPT START;
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| 13 | :INPT GOAL;
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| 14 | :INPT INTERIM;
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| 15 | :INPT REHAB FINISH;
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| 16 | :INPT FOLLOW-UP (END);
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| 17 | Enter 1 for an INPT START outcome
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| 18 | Enter 2 for an INPT GOAL outcome
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| 19 | Enter 3 for an INPT INTERIM outcome
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| 20 | Enter 4 for an INPT REHAB FINISH outcome
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| 21 | Enter 5 for an INPT FOLLOW-UP (END) outcome
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| 22 | Enter 6 for UNKNOWN if the score type is not known
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| 23 | 1:OUTPT START;
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| 24 | 2:OUTPT GOAL;
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| 25 | 3:OUTPT INTERIM;
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| 26 | 4:OUTPT REHAB FINISH;
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| 27 | 5:OUTPT FOLLOW-UP (END);
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| 28 | Enter 1 for an OUTPT START outcome
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| 29 | Enter 2 for an OUTPT GOAL outcome
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| 30 | Enter 3 for an OUTPT INTERIM outcome
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| 31 | Enter 4 for an OUTPT REHAB FINISH outcome
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| 32 | Enter 5 for an OUTPT FOLLOW-UP (END) outcome
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| 33 | 1:CC ADMIT;
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| 34 | 2:CC GOAL;
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| 35 | 3:CC INTERIM;
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| 36 | 4:CC DISCHARGE;
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| 37 | 5:CC OUTPT;
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| 38 | Enter 1 for an CC ADMIT outcome
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| 39 | Enter 2 for an CC GOAL outcome
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| 40 | Enter 3 for an CC INTERIM outcome
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| 41 | Enter 4 for an CC DISCHARGE outcome
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| 42 | Enter 5 for an CC OUTPT outcome
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| 43 | Select the Score Type for this outcome
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| 44 | Annual Evaluation
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| 45 | Continuum of Care
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| 46 | NO CARE TYPE
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| 47 | Enter a New Record Date:
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| 48 | Do you wish to close this episode of care
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| 49 | Enter Yes to close this episode or No to leave it open.
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| 50 | Current INPATIENT Episode of Care
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| 51 | Previous INPATIENT Episode(s) of Care
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| 52 | No care start date is on file for this patient !
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| 53 | You need to add an Outcome to the current episode and select
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| 54 | a Score Type of INPT FOLLOW-UP (END).
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| 55 | There are no INPATIENT episodes of care on file.
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| 56 | (An ASIA should be entered first if an episode is created.)
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| 57 | Would you like to create an episode of care
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| 58 | Would you like to create a new episode of care
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| 59 | Enter a Y to create a new INPATIENT episode.
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| 60 | Enter a N or just Return to return to the last episode
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| 61 | Current OUTPATIENT Episode of Care
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| 62 | Previous OUTPATIENT Episode(s) of Care
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| 63 | a Score Type of OUTPT FOLLOW-UP (END).
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| 64 | There are no OUTPATIENT episodes of care on file.
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| 65 | Enter a Y to create a new OUTPATIENT episode.
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| 66 | Previous INPATIENT Episode of Care
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| 67 | Previous OUTPATIENT Episode of Care
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| 68 | Date Opened
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| 69 | to view/edit an episode of care, '^' to exit
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| 70 | press Return to see the next group
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| 71 | Enter a number within the range allowed.
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| 72 | Selected number is outside the range.
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| 73 | ANNUAL EVALUATIONS
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| 74 | CONTINUUM OF CARE
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| 75 | There are no Previous episodes for this patient
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| 76 | EDSS:
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| 77 | Episodes of care
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| 78 | Outcomes on file.
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| 79 | (An ASIA should be entered first if you add outcomes.)
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| 80 | to view/edit an outcome, '^' to exit, or
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| 81 | <Return> to see the next group
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| 82 | <A> to Add a new outcome
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| 83 | Enter a number within the range allowed, or one of the designated keys.
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| 84 | Aa^
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| 85 | Care Start Date:
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| 86 | End Date:
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| 87 | <P> to view/edit a Previous episode of care
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| 88 | <C> to Create a new episode of care
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| 89 | AaPpCc^
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| 90 | AaPp^
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| 91 | Aa0^
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| 92 | ******** Patient NOT Expired ********
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| 93 | This is to alert you that a patient marked as 'Expired'
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| 94 | in the SCD Registry is alive according to MAS records.
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| 95 | Notify your hospital's MAS personnel -- it is possible
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| 96 | that the patient is indeed deceased, but Date of Death
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| 97 | was not entered into pt's VA record.
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| 98 | However, if this patient is truely alive, please update
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| 99 | his Registration Status field in the SCD Registry.
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| 100 | Patient ---->
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| 101 | PT DEATH: MAS RECORD vs. SCD RECORD
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| 102 | SCD REGISTRY
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| 103 | SPNARR(
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| 104 | G.SPNL SCD COORDINATOR
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| 105 | ******** Patient NOT Deceased ********
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| 106 | in the PATIENT file has been corrected to 'NOT deceased'.
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| 107 | Please check this patient's record in the SCD Registry to
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| 108 | ensure the Registration Status field is updated.
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| 109 | Patient's name is ---->
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| 110 | Patient's SSN is ---->
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| 111 | UPDATE REGISTRATION STATUS - SCI PATIENT
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| 112 | The date of death for
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| 113 | been deleted from the patient file.
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| 114 | The Registration Status needs to be up-dated in the
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| 115 | Spinal Cord Registry.
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| 116 | Date of death deleted for
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| 117 | Please stand by while your Registry is updated.
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| 118 | Thank you!!
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| 119 | The number of days cannot exceed
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| 120 | Pt not in SCD Registry!
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| 121 | No etiology on file.
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| 122 | Enter a START date:
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| 123 | Option aborted!
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| 124 | Enter a ENDING date:
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| 125 | Patients with future Appointments
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| 126 | No Clinic on File
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| 127 | **** No Data for this report. ****
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| 128 | Patients in the Registry only
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| 129 | Patients marked as SCI but not in the Registry
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| 130 | Combined report -- Pts in Registry AND Pts marked as SCI but not in Registry
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| 131 | Listing appointments from
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| 132 | Appointment date
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| 133 | Reg
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| 134 | TEMP ADM
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| 135 | No Outcomes on file.
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| 136 | You can add one if you wish.
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| 137 | Not on the list..
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| 138 | Not on the list
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| 139 | Score type:
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| 140 | Goal
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| 141 | Interim
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| 142 | EDSS Score:
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| 143 | Self Reported Functional Measure
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| 144 | Clinician Reported FIM
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| 145 | CHART/FAM/DIENNER/DUSOI
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| 146 | ASIA Score
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| 147 | MS module (Kurtzke/EDSS)
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| 148 | Select 1 through
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| 149 | or A to add a new record or ^ to quit.
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| 150 | Or Return to see the next group.
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| 151 | ;8:Multiple Sclerosis
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| 152 | Select the Record Type for this outcome
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| 153 | Enter 1 to enter/edit a Self Report of Function score.
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| 154 | Enter 2 to enter/edit a FIM score.
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| 155 | Enter 3 to enter/edit an ASIA score.
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| 156 | Enter 4 to enter/edit a CHART score.
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| 157 | Enter 5 to enter/edit a FAM score.
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| 158 | Enter 6 to enter/edit a DIENER score.
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| 159 | Enter 7 to enter/edit a DUSOI score.
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| 160 | Enter 8 to enter/edit a Multiple Sclerosis score.
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| 161 | Choose either 1,2,3,4,5,6,7
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| 162 | Enter a New Record Date :
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| 163 | The screen-based entry process has failed!!
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| 164 | .03///SCD - CURRENTLY SERVED
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| 165 | (Computed from incomplete data)
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| 166 | (No data or invalid data found)
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| 167 | Motor FIM Score:
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| 168 | Cognitive FIM Score:
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| 169 | Total FIM Score:
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| 170 | Self Report of Function total score:
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| 171 | ERROR, unknown record type: '
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| 172 | .03///SCD - CURRENTLY SERVED;.04///TRANSMIT
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| 173 | Four Level Functional Measure
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| 174 | Enter 'A' to create a new record for the selected patient.
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| 175 | E:Edit an existing record;
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| 176 | Enter 'E' to edit a pre-existing record for the selected patient.
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| 177 | Choose either 'A' or 'E'.
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| 178 | Enter 'A' to add a record, <RETURN> or '^' to exit.
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| 179 | ;.04///TODAY;.04DATE RECORDED
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| 180 | Select DATE RECORDED:
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| 181 | Checking data for inconsistencies...
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| 182 | CAUSE OF INJURY is not 'OTHER', DESCRIBE CAUSE OTHER should be blank.
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| 183 | ONE ARM AFFECTED and BOTH ARMS AFFECTED are both answered 'YES'.
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| 184 | ONE LEG AFFECTED and BOTH LEGS AFFECTED are both answered 'YES'.
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| 185 | OTHER BODY PART AFFECTED is 'NO', DESCRIBE OTHER BODY PART should be blank.
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| 186 | HELP DURING LAST 2 WEEKS is 'NO', NUMBER OF HOURS OF HELP should be blank.
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| 187 | RECEIVED MOST MEDICAL CARE is 'NON-VA ONLY' or 'DID NOT SEE DOCTOR/NURSE
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| 188 | LAST 5 YRS', VA MOST USED FOR MEDICAL CARE should be blank.
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| 189 | Select the type of record you wish to enter/edit
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| 190 | Enter 1 to enter/edit Registration and Health Care Information
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| 191 | Enter 2 to enter/edit Outcome Information
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| 192 | Enter 3 to enter/edit Clinical Information
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| 193 | Enter 4 to Select a NEW Patient
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| 194 | Choose either 1,2,3, or 4.
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| 195 | Select SCD (SPINAL CORD) REGISTRY PATIENT:
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| 196 | Select the type of Functional Status you wish to print
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| 197 | Enter 1 to print Self Report of Function scores
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| 198 | Enter 2 to print FIM scores
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| 199 | Please enter 1 or 2
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| 200 | Select the type of FIM score you wish to print
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| 201 | Enter 1 to print Motor scores
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| 202 | Enter 2 to print Cognitive scores
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| 203 | Enter 3 to print Total scores
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| 204 | Please enter 1, 2, or 3
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| 205 | Enter the beginning date range:
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| 206 | Enter the beginning date to search for Functional Status scores
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| 207 | Enter the ending date range:
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| 208 | Enter the ending date to search for Functional Status scores
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| 209 | SCD Functional Status Scores Report
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| 210 | SPNFDATA(
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| 211 | No data found for this patient
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| 212 | Extent & Completeness:
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| 213 | Type of Injury:
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| 214 | A-EATING G-BLADDER MANAGEMENT M-STAIRS
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| 215 | B-GROOMING H-BOWEL MANAGEMENT N-COMPREHENSION
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| 216 | C-BATHING I-TRANSFER TO BED/CHAIR O-EXPRESSION
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| 217 | D-DRESSING UPPER BODY J-TRANSFER TO TOILET P-SOCIAL INTERACTION
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| 218 | E-DRESSING LOWER BODY K-TRANSFER TO TUB/SHOWER Q-PROBLEM SOLVING
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| 219 | F-TOILETING L-MOVE AROUND INSIDE YOUR HOUSE R-MEMORY
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| 220 | indicates the score is incomplete.
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| 221 | EDSS Score:
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| 222 | Invalid message format, rest of message ignored.
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| 223 | Patient not found:
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| 224 | The SCD Registry Veteran Survey Server has encountered the
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| 225 | following problems with MailMan server message #
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| 226 | the following number of records:
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| 227 | SCD Registry records:
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| 228 | FIM records:
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| 229 | SCD Registry Veteran Survey Server
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| 230 | G.SPNZ SCD COORDINATOR
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| 231 | NUMBER OF HOURS OF HELP should be blank if
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| 232 | HELP DURING LAST 2 WEEKS is answered 'YES'.
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| 233 | A Functional Status record already exists for this date.
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| 234 | Please change the DATE RECORDED to a different date.
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| 235 | You have entered an INPT REHAB FINISH or INPT FOLLOW/UP (END) or OUTPT
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| 236 | REHAB FINISH or OUTPT FOLLOW/UP (END) CHART for a patient who has a recorded
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| 237 | INPT GOAL or OUTPT GOAL CHART. Do you want to see a comparison template you
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| 238 | can copy and paste into a CPRS progress note
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| 239 | Physical
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| 240 | Cogntv
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| 241 | Mobility
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| 242 | Social
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| 243 | Econ
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| 244 | ***************** COPYRIGHT NOTICE ******************
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| 245 | Some material on the following screen is reprinted with permission from
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| 246 | the Paralyzed Veterans of America (PVA). Outcomes Following Traumatic
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| 247 | Spinal Cord Injury: Clinical Practice Guideline for Health-Care
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| 248 | Professionals. Washington, DC: Paralyzed Veterans of America, 1999.
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| 249 | the authors and Aspen Publishers, Inc. Spinal Cord Injury: Clinical
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| 250 | Outcomes from the Model Systems. Gaithersburg, MD: Aspen Publishers,
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| 251 | Inc., 1995.
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| 252 | You have entered an INPT START or OUTPT START Diener's SWLS for a patient with
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| 253 | level spinal cord injury and ASIA Impairment Scale of
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| 254 | Do you want to see a goal setting template you can copy and paste
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| 255 | into a CPRS progress note
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| 256 | Aor B or C
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| 257 | any neurologic
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| 258 | | | Diener's SWLS Composite |
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| 259 | REHAB FINISH or OUTPT FOLLOW/UP (END) DIENER for a patient who has a recorded
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| 260 | INPT GOAL or OUTPT GOAL DIENER. Do you want to see a comparison template you
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| 261 | There is no DIENER start Outcome on file.
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| 262 | REHAB FINISH or OUTPT FOLLOW/UP (END) FAM for a patient who has a recorded
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| 263 | INPT GOAL or OUTPT GOAL FAM. Do you want to see a comparison template you
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| 264 | Swallow
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| 265 | Car Txfrs
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| 266 | Community
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| 267 | Speech |
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| 268 | Emot
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| 269 | Employ
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| 270 | Orientation
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| 271 | Attn
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| 272 | spinal cord injury level and a motor complete ASIA Impairment Scale of
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| 273 | . Do you want to see a goal setting template you can copy
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| 274 | and paste into a CPRS progress note
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| 275 | | | Bwl | Bldr | Trnsfr | Eat | DUB | DLB | Grmng | Bathe | WC Prp |
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| 276 | | | Raw FIM Motor Score |
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| 277 | REHAB FINISH or OUTPT FOLLOW/UP (END) FIM for a patient who has a recorded
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| 278 | INPT GOAL or OUTPT GOAL FIM. Do you want to see a comparison
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| 279 | template you can copy and paste into a CPRS progress note
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| 280 | Grmmg
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| 281 | Bathe
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| 282 | Bldr
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| 283 | Bwl
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| 284 | BCWC Trf
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| 285 | Tlt Trf
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| 286 | TSh Trf
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| 287 | Strs |
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| 288 | Compr
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| 289 | Expr
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| 290 | Soc
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| 291 | Prb Slv
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| 292 | Mem
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| 293 | Mtr
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| 294 | Cogn
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| 295 | Tot |
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| 296 | There is no FIM goal on file !
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| 297 | You have entered an INPT REHAB FINISH FIM for a patient with
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| 298 | spinal cord injury level and ASIA Impairment Scale of
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| 299 | Do you want to see a comparison template you can copy and paste into a CPRS
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| 300 | progress note
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| 301 | |||Registration OBR
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| 302 | |||154 ETIOLOGY DATA|||
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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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