source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0432.txt@ 604

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

Internationalization

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1English French Notes Complete/Exclude
2 update Current Pneumonia, enter '2C'.)
34. Enter a range of numbers (1-5) separated by a ':' to enter a range of
4 occurrences. (For example, enter '2:4' to enter all pulmonary,
5 hepatobiliary, and cardiac information)
65. Press <RET> to continue to page 2 of this option.
7Pulmonary
8Hepatobiliary
9CENTRAL NERVOUS SYSTEM
10Central Nervous System
11NUTRITIONAL/IMMUNE/OTHER
12Nutritional/Immune/Other
13Deleting all
14 MINIMAL EXERTION
15 AT REST
16TOTAL DEPENDENT
17PREOPERATIVE INFORMATION
18GENERAL:
19HEPATOBILIARY:
20Diabetes Mellitus:
21Ascites:
22Current Smoker W/I 1 Year:
23Pack/Years:
24ETOH > 2 Drinks/Day:
25CARDIAC:
26Dyspnea:
27CHF Within 1 Month:
28DNR Status:
29Functional Status:
30RENAL:
31Acute Renal Failure:
32PULMONARY:
33Currently on Dialysis:
34Ventilator Dependent:
35History of Severe COPD:
36Current Pneumonia:
37CENTRAL NERVOUS SYSTEM:
38NUTRITIONAL/IMMUNE/OTHER:
39Impaired Sensorium:
40Disseminated Cancer:
41Coma:
42Open Wound:
43Hemiplegia:
44Steroid Use for Chronic Cond.:
45History of TIAs:
46Weight Loss > 10%:
47CVA/Residual Neuro Deficit:
48Bleeding Disorders:
49CVA/No Neuro Deficit:
50Transfusion > 4 RBC Units:
51Tumor Involving CNS:
52Chemotherapy W/I 30 Days:
53Radiotherapy W/I 90 Days:
54Preoperative Sepsis:
55OPERATIVE INFORMATION
56Surgical Specialty:
57Principal Operation:
58PGY of Primary Surgeon:
59Emergency Case (Y/N):
60Major or Minor:
61Wound Classification:
62ASA Classification:
63Anesthesia Technique:
64Airway Trauma:
65RBC Units Transfused:
66OPERATION DATE/TIMES INFORMATION
67Date/Time Patient in OR:
68Date/Time Operation Began:
69Date/Time Operation Ended:
70Date/Time Patient Out of OR:
71Anesthesia Care Start Date/Time:
72Anesthesia Care End Date/Time:
73PACU Discharge Date/Time:
74PREOPERATIVE LABORATORY TEST RESULTS
75Serum Sodium:
76Serum Creatinine:
77BUN:
78Serum Albumin:
79Total Bilirubin:
80SGOT:
81Alkaline Phosphatase:
82White Blood Count:
83Hematocrit:
84Platelet Count:
85PTT:
86PT:
87POSTOPERATIVE LABORATORY RESULTS
88 * Highest Value
89** Lowest Value
90* Serum Sodium:
91** Serum Sodium:
92* Serum Creatinine:
93* CPK-MB Band:
94* Total Bilirubin:
95* White Blood Count:
96OUTCOME INFORMATION
97Postoperative Diagnosis Code (ICD9):
98Length of Postoperative Hospital Stay:
99Death Unrelated/Related:
100Return to OR Within 30 Days:
101 NO DATE
102PERIOPERATIVE OCCURRENCE INFORMATION
103WOUND OCCURRENCES:
104CNS OCCURRENCES:
105Superficial Infection:
106Deep Wound Infection:
107Coma > 24 Hours:
108Wound Disruption:
109Peripheral Nerve Injury:
110URINARY TRACT OCCURRENCES:
111CARDIAC OCCURRENCES:
112Renal Insufficiency:
113Arrest Requiring CPR:
114Myocardial Infarction:
115Urinary Tract Infection:
116RESPIRATORY OCCURRENCES:
117OTHER OCCURRENCES:
118Pneumonia:
119Ileus/Bowel Obstruction:
120Unplanned Intubation:
121Bleeding/Transfusions:
122Pulmonary Embolism:
123Graft/Prosthesis/Flap Failure:
124On Ventilator > 48 Hours:
125DVT/Thrombophlebitis:
126Systemic Sepsis:
127* indicates Other (ICD9)
128 MINIMAL EXERTION
129 AT REST
130 A. Diabetes Mellitus:
131 B. Current Smoker W/I 1 Year:
132 A. CHF Within 1 Month:
133 F. DNR Status:
134 G. Functional Status:
135 A. Acute Renal Failure:
136 B. Currently on Dialysis:
137 A. Ventilator Dependent:
138 B. History of Severe COPD:
139 C. Current Pneumonia:
1401. CENTRAL NERVOUS SYSTEM:
141 A. Impaired Sensorium:
142 A. Disseminated Cancer:
143 B. Open Wound:
144 C. Steroid Use for Chronic Cond.:
145 D. History of TIAs:
146 D. Weight Loss > 10%:
147 E. CVA/Residual Neuro Deficit:
148 E. Bleeding Disorders:
149 F. CVA/No Neuro Deficit:
150 F. Transfusion > 4 RBC Units:
151 G. Tumor Involving CNS:
152 I. Preoperative Sepsis:
153Annual Report of Surgical Procedures
154Do you want to print the Annual Report of Surgical Procedures for all
155Print the Annual Report for which Specialty ?
156This report must be run on a printer. Please select another device.
157ANNUAL REPORT OF SURGICAL PROCEDURES
158 Press RETURN to continue or '^' to quit.
159TOTAL OPERATIONS:
160CPT CODE - OPERATION
161TOTALS FOR
162There are no surgical cases entered for
163within 30 days of this operation.
164RETURNS TO SURGERY
165Select the number corresponding to the return which you want to update, or
166enter RETURN to quit this option.
167CPT MISSING
168This return to surgery is currently defined as
169 to the case selected.
170Do you want to change this status ? NO//
171Enter 'YES' to change the status of this return from
172Enter 'NO' to leave the information unchanged.
173SRSITE(
174MEDICAL RECORD | ANESTHESIA REPORT
175ANESTHETIST'S SIG:
176Preop Status:
177Operating Room:
178Principal Operation:
179Anesthesia Technique(s):
180Agents:
181MONITORED ANESTHESIA CARE
182Intubated:
183Approach:
184Laryngoscope Type:
185Laryngoscope Size:
186Stylet Used:
187Lidocaine Topical:
188Lidocaine IV:
189Tube Type:
190Tube Size:
191Trauma:
192Extubated In:
193Extubated By:
194Reintubated within 8 Hours: YES
195Heat, Moisture Exchanger Used: YES
196Bacteria Filter in Circuit: YES
197Continuous:
198Baricity:
199Puncture Site:
200Needle Size:
201Modifiers: -
202 -
203Other:
204Medications:
205Anesthesia Start:
206Anesthesia Stop:
207Anesthetist:
208Relief Anesth:
209Anesthesiologist:
210Attending Code:
211Assistant Anesth:
212Min Intraoperative Temp:
213Monitors:
214Blood Replacement Fluids:
215Intraoperative Blood Loss:
216Urine Output:
217Operation Disposition:
218PAC(U) Admit Score:
219PAC(U) Discharge Score:
220Postop Anesthesia Note:
221Intraoperative Complications:
222Postoperative Complications:
223Applied By:
224Installed:
225Source ID:
226VA ID:
227Ordered By:
228Admin By:
229Medication Comments:
230Agents:
231General Comments:
232Dural Puncture:
233Catheter Removed By:
234Date/Time Catheter Removed:
235Block Site:
236 Needle Length:
237 Needle Gauge:
238. ---- CREATE NEW ASSESSMENT
239There are no Surgery Risk Assessments entered for
240 Press RETURN to continue.
241Select Surgical Case:
242Enter the number of the desired assessment.
243' to create an
244assessment for another surgical case.
245You've selected a Cardiac assessment, using a Non-Cardiac Option,
246You've selected a Non-Cardiac assessment, using a Cardiac Option,
2471. Enter Risk Assessment Information
2482. Delete Risk Assessment Entry
2493. Update Assessment Status to 'COMPLETE'
250Enter <RET> or '1' to enter or edit information related to this Risk
251Assessment entry. If you want to delete the Assessment, enter '2'.
252Enter '3' to update the status of this Assessment to 'COMPLETE'.
253This assessment has already been transmitted. The information contained
254in it cannot be altered unless you first change the status to 'INCOMPLETE'.
255Do you wish to change the status of this assessment to 'INCOMPLETE'
256' to create a
257new risk assessment entry.
258 is not an O.R. surgical procedure.
259There is no Surgery Risk Assessment entered for Case #
260Enter YES to batch print all completed or transmitted assessments for a
261selected date range. Enter NO or press return to print one specific
262Do you want to batch print assessments for a specific date range ?
263Convert existing assessments starting with which date ?
264The SURGERY RISK ASSSESSMENT file (139) still contains entries. Before you
265enter any additional risk assessment information, all entries in this file
266should be converted or deleted.
267The conversion process has been completed. Please review your incomplete
268The conversion of the
269 Surgery Risk Assessment Module cannot
270be run until after April 1, 1994. It should only be run after that date
271if your Surgery files are complete, including complications, CPT codes and
272anesthesia information since installing Surgery Version 3.0.
273You must select a starting date to begin the conversion process. All
274assessments with operation dates prior to the start date will be automatically
275deleted. The remaining assessments will then be processed for conversion.
276The SURGERY RISK ASSESSMENT file will now be deleted from your system...
277This option is used to move the risk assessment data entered through the
278 Surgery Risk Assessment Module into the DHCP Surgery pacakge.
279The computer will ask you to select a starting date to move the assessments.
280All assessments with an operation date prior to this start date will be deleted
281prior to converting the remaining entries. The software will then begin the
282conversion process. Upon completion of the conversion, there should be no
283entries in the SURGERY RISK ASSESSMENT file (139). The computer will then
284remove that file from your system.
285The conversion process will merge only those data elements that are not already
286part of the DHCP Surgery database. You should only convert the assessments if
287the information contained in your surgery database has been kept up to date.
288The following information will NOT be moved from the
289Risk Assessment Module:
2901. Operative Procedures and CPT Codes
2912. Diagnosis Information
2924. ASA Classification
2935. Anesthesia Technique
2946. Concurrent Cases
2957. Returns to Surgery
296All assessments that have been completed, but not transmitted will have their
297status changed to
298 after they are converted. You should review
299these assessments to determine if any of the fields which are not merged need
300The conversion process will begin by deleting all assessments with a date of
301operation prior to the start date selected and all entries in the SURGERY RISK
302ASSESSMENT file (139) that have been entered for log purposes only. These
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