source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0431.txt@ 1154

Last change on this file since 1154 was 604, checked in by George Lilly, 15 years ago

Internationalization

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[604]1English French Notes Complete/Exclude
2options found under the Operations Menu. If you want to display a two screen
3overview of this case, enter '2'.
4 To delete this case from your records,
5enter '3'. Please note that deleting a case will remove EVERYTHING pertaining
6to this operative procedure.
7List of Surgery Risk Assessments
8 1. List of Incomplete Assessments
9 2. List of Completed Assessments
10 3. List of Transmitted Assessments
11 4. List of Non-Assessed Major Surgical Cases
12 5. List of All Major Surgical Cases
13 6. List of All Surgical Cases
14 7. List of Completed/Transmitted Assessments Missing Information
15Select the Number of the Report Desired:
16This report is designed to print to your terminal screen or a printer. When
17using a printer, a 132 column format is used.
18Print the List of Assessments to which Device:
19Select the number corresponding to the type of report you want to print.
20Print by Surgical Specialty ? YES//
21Enter <RET> to print the report by surgical specialty, or 'N' to print
22the report listing all surgical cases.
23Print report for ALL specialties ? YES//
24Enter <RET> to print the report for all surgical specialties, or 'N' to
25print the report for a specific surgical specialty.
26Print the Report for which Surgical Specialty:
27ALL SURGICAL CASES BY SURGICAL SPECIALTY
28ALL SURGICAL CASES
29TRANSMITTED RISK ASSESSMENTS
30TRANSMISSION DATE
31Preoperative Information
32Preoperative Laboratory Information
33want to edit. Examples of proper responses are listed below.
34 Are you sure you want to delete all information
35ANESTHESIA SERVICE
36ANESTHESIA AMIS
37DATE REVIEWED:
38ANESTHETICS ADMINISTERED BY PRINCIPAL TECHNIQUE USED
39TOTAL NO OF ANES- | | | | | |
40THETICS ADMINISTERED | GENERAL | MAC | SPINAL | EPIDURAL | OTHER | LOCAL
41Anesthesia AMIS
42ANESTHETICS FOR PROCEDURES ADMINISTERED BY:
43** ANESTHETICS FOR DIAG. & THERA. PROCEDURES ADMINISTERED BY:
44ANESTHESIOLOGIST | NURSE ANESTHETIST | OTHER
45** ANESTHESIOLOGIST | NURSE ANESTHETIST | OTHER
46 NUMBER OF | NO. OF | NUMBER OF | NO. OF | NUMBER OF | NO. OF
47** NUMBER OF | NO. OF | NUMBER OF | NO. OF | NUMBER OF | NO. OF
48ANESTHETICS| DEATHS | ANESTHETICS | DEATHS | ANESTHETICS| DEATHS
49DEATHS WITHIN 24 HOURS OF INDUCTION OF ANESTHETIC
50TOTAL NUMBER
51 OF DEATHS
52No operations exist for this patient. Assessment cannot be entered.
53Enter the number of the desired operation
54' to enter a new case.
55This case is currently flagged as meeting Risk Assessment exclusion criteria.
56Are you sure that you want to create a Risk Assessment for this surgical
57Enter 'YES' to create an assessment for this surgical case, or 'NO' to quit
58Select Operation, or enter <RET> to continue listing Procedures:
59An operation must be selected !
60The following information is required for the Anesthesia AMIS and for Risk
61Assessment.
62Airway Index:
63Would you like to enter additional anesthesia related information ? NO//
64If you would like to enter anesthesia information in addition to what is
65required for the Anesthesia AMIS, enter 'YES'. Enter RETURN to leave this
66ANESTHESIA INFO
67List of Anesthetic Procedures
68Print List of Anesthetic Procedures for
691. O.R. Surgical Procedures.
70LIST OF ANESTHETIC PROCEDURES
71Enter '1' or press <RET> to print the List of Anesthetic Procedures
72performed in the OR with a surgical procedure. Enter '2' to print the
73List of Anesthetic Procedures performed as or with a Non-OR Procedure.
74Enter '3' to print the List of Anesthetic Procedures including both of
75the above categories of procedures.
76O.R. SURGICAL AND NON-O.R. PROCEDURES
77PRIN ANESTHETIST
78ANESTH TECHNIQUE
79END TIME
80ANESTH AGENT
81INCOMPLETE RISK ASSESSMENTS
82SRECIALTY NOT ENTERED
83Select Postoperative Outcome:
841. Enter 'A' to update all outcome information.
852. Enter a number (1-3) to update an individual outcome element. (For
86 example, enter '1' to update all postoperative diagnosis)
873. Enter a range of numbers (1-3) separated by a ':' to enter a range of
88 outcomes. (For example, enter '1:3' to enter postoperative diagnosis,
89 length of postoperative stay, and 30 day postoperative status)
902. Enter a number (1-13) to update the information in that field. (For
91 example, enter '2' to update Principal Operation.)
923. Enter a range of numbers (1-13) separated by a ':' to enter a range of
93 Principal Operation, and Principal CPT Code.)
94Concurrent case information cannot be updated using the Risk Assessment
95Module. To update the CPT code of a concurrent case, please use an option
96contained within the Operation Menu.
97Concurrent Procedure:
98Surgeon:
99 1. Surgical Specialty:
100 2. Principal Operation:
101 3. Principal CPT Code:
102 4. Other Procedures:
103 5. Concurrent Procedure:
104 6. PGY of Primary Surgeon:
105 7. Surgical Priority:
106 8. Wound Classification:
107 9. ASA Classification:
10810. Anesthesia Technique:
10911. RBC Units Transfused:
11012. Postop Diagnosis Code (ICD9):
11113. Major or Minor:
1121. Other Procedure (1):
113 CPT Code:
1142. Other Procedure (2):
1153. Other Procedure (3):
1164. Other Procedure (4):
1175. Other Procedure (5):
118Select Other Operative Procedure Information:
1192. Enter a number (1-5) to update one specific procedure. For example,
120 enter '1' to update Other Procedure (1).
1213. Enter a range of numbers, separated by a ':' to update more than one
122 procedure. For example, enter '1:2' to enter Other Procedure (1) and
123 Other Procedure (2).
124Other Operative Procedure (
125DISCHARGED ALIVE
126DIED IN HOSPITAL
127REMAINS IN VAMC FACILITY
128TRANSFERRED TO ANOTHER VAMC
1291. Postoperative Diagnosis Code (ICD9):
1302. Length of Postoperative Hospital Stay:
1313. 30 Day Postoperative Status:
132Other Procedure (
133Operation Date:
134Ethnicity:
135Race:
136Transfer Status:
137Observation
138Hospital Admission Date:
139Hospital Discharge Date:
140Admitted/Transferred to Surgical Service:
141Discharged/Transferred to Chronic Care:
142In/Out-Patient Status:
143Enter <RET> to continue printing the remaining pages of this assessment, or
144'^' to exit this option.
145VA CARDIAC RISK ASSESSMENT
146VA NON-CARDIAC RISK ASSESSMENT Assessment:
147All complications must be entered using the option contained within the
148Complications Menu.
149VA CARDIAC SURGERY RISK ASSESSMENT PROGRAM
150Assessment Number:
151Hospital Number:
152Cardiac Surgery Performed at Non-VA Facility (but funded by VA):
153I. CLINICAL DATA
154Gender:
155Resting ST Depression:
156Functional Status:
157PTCI:
158Prior MI:
159Diabetes:
160Prior Heart Surgery:
161COPD:
162Peripheral Vascular Disease:
163FEV1:
164Cerebral Vascular Disease:
165Cardiomegaly (X-ray):
166Angina (use CCS Class):
167Pulmonary Rales:
168CHF (use NYHA Class):
169Current Smoker:
170Current Diuretic Use:
171Creatinine:
172Current Digoxin Use:
173Hemoglobin:
174IV NTG 48 Hours Preceding Surgery:
175Serum Albumin:
176Preop Use of IABP:
177Active Endocarditis:
178Hypertension:
179II. CARDIAC CATHETERIZATION AND ANGIOGRAPHIC DATA
180Cardiac Catheterization Date:
181LVEDP:
182Left Main Stenosis:
183Aortic Systolic Pressure:
184LAD Stenosis:
185*PA Systolic Pressure:
186Right Coronary Stenosis:
187*PAW Mean Pressure:
188Circumflex Stenosis:
189Mitral Regurgitation:
190LV Contraction Grade (from contrast or radionuclide angiogram or 2D Echo):
191Ejection Fraction Range
192Definition
193III. OPERATIVE RISK SUMMARY DATA
194(Operation Began:
195Physician's Preoperative
196(Operation Ended:
197Estimate of Operative Mortality:
198ASA Classification:
199Surgical Priority:
200CPT Code Missing
201Principal CPT Code:
202Other Procedures CPT Codes:
203Preoperative Risk Factors:
204II 0.45-0.54 MILD DYSFUNCTION
205III 0.35-0.44 MODERATE DYSFUNCTION
206IIIa 0.40-0.44 MODERATE DYSFUNCTION A
207IIIb 0.35-0.39 MODERATE DYSFUNCTION B
208IV 0.25-0.34 SEVERE DYSFUNCTION
209 V <0.25 VERY SEVERE DYSFUNCTION
210IV. OPERATIVE DATA
211 Incision Type:
212 A. Cardiac Procedures Requiring Cardiopulmonary Bypass
213Cardiac Transplant:
214Number with Vein:
215Electrophysiologic Procedure:
216Number with IMA:
217Misc. Cardiac Procedures
218Number with Radial Artery:
219ASD Repair:
220Number with Other Artery:
221VSD Repair:
222Number with Other Conduit:
223Myxoma Resection:
224Aortic Valve Replacement:
225Foreign Body Removal:
226Mitral Valve Replacement:
227Myectomy for IHSS:
228Tricuspid Valve Replacement:
229Pericardiectomy:
230Valve Repair:
231Other Tumor Resection:
232LV Aneurysmectomy:
233Minimally Invasive Procedure:
234Great Vessel Repair (Req CPB):
235Batista Procedure:
236Total Ischemic Time (minutes):
237Other Procedure(s):
238Total CPB Time (minutes):
239Convert Off Pump to CPB:
240 B. Operative Death:
241Perioperative MI:
242Reoperation for Bleeding:
243Endocarditis:
244On Ventilator > or = 48 Hours:
245Renal Failure Requiring Dialysis:
246Repeat Cardiopulmonary Bypass:
247Low Cardiac Output > or = 6 Hours:
248Coma > or = 24 Hours:
249Mediastinitis:
250Stroke/CVA:
251Cardiac Arrest Requiring CPR:
252Trachestomy:
253Mechanical Circulatory Support:
254V. RESOURCE DATA
255Time Patient In OR:
256Time Patient Out OR:
257Date and Time Patient Extubated:
258Date and Time Patient Discharged from ICU:
259Resource Data Comments:
260VI. Socioeconomic Data
261Employment Status Preoperatively:
262Race/Ethnic:
263 *** End of report for
264VII. Guideline Compliance Indicators: Background Data
265Primary care or referral VAMC identification code:
266Follow-up VAMC identification code:
267VIII. Detailed Laboratory Information - Assessment at Patient Discharge
268Note: Laboratory data is collected at the time of assessment completion and
269 can not be edited by the nurse!!
270HDL:
271LDL:
272Date of HDL:
273Date of LDL:
274Serum Triglyceride:
275Total Cholesterol:
276Date of Serum Trig.:
277Date of Total Cholesterol:
278Serum Potassium:
279Date of Serum Potassium:
280Serum Bilirubin:
281Date of Serum Bilirubin:
282IX. Detailed Discharge Information
283 Discharge ICD-9 Codes:
284 Discharge Disposition:
285MCAR(691.1
286Enter/Edit Patient Demographic Information
287Enter '1' if you want to capture patient movement information from PIMS
288movement and other information on this screen.
289The Patient's Race and Ethnicity information cannot be updated through the
290Surgery package options.
291NOTE: Items 11 and 12 cannot be updated through the surgery package options.
2921. Enter 'A' to update items 1 through 10.
293Cardiac
294 Sure you want to delete all
295Select Preoperative Information to Edit:
2962. Enter a number (1-2) to update the information in that group. (For
297 example, enter '1' to update all Central Nervous System information)
298 update Impaired Sensorium, enter '1A')
2994. Enter a range of numbers (1-2) separated by a ':' to enter all
300 Central Nervous System and Nutritional/Immune/Other information.
3012. Enter a number (1-5) to update the information in that group. (For
302 example, enter '4' to update all cardiac information)
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