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 patients found.			
Select STATUS: 			
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Date Recorded cannot be prior to Date of Onset			
data item			
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Active problems cannot have a Date Resolved			
Invalid Date Recorded			
Invalid SC flag			
Invalid AO flag			
Invalid IR flag			
Invalid EC flag			
Invalid HNC flag			
Invalid MST flag			
DATA NAME			
HEAD AND/OR NECK CANCER			
No problems available.			
OR WORKSTATION			
PRN|			
OR WINDOWS HFS			
ICD-			
AI/RHEUM			
MeSH			
TITLE 38			
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is already an 			
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Onset: 			
Resolved: 			
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ERROR -- Please check your Patient Files #2 and #9000001 for inconsistencies.			
AO/IR/EC/HNC/MST			
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DATE OF DEATH: 			
Lastname,F			
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Select Specialty Subset: 			
GENERAL PROBLEM			
Because many discipline-specific terms are synonyms to other terms,			
they are not accessible unless you specify the appropriate subset of the			
Clinical Lexicon to select from.  Choose from:  Nursing			
Immunologic			
Dental			
Social Work			
General Problem			
GMRA*4.0*2			
GMRA*4.0*2 has not been installed on your system. Done.			
It does not appear that GMRA*4.0*2 was installed.			
Please contact your IRM Field Office Customer Support Representative.			
GMRA*4.0*5			
GMRA*4.0*2 was installed on 			
Your current AUTOVERIFY site parameters are:			
           Site Parameter Name: 			
    Autoverify Food/Drug/Other: 			
NO AUTOVERIFY			
AUTOVERIFY DRUG ONLY			
AUTOVERIFY FOOD ONLY			
AUTOVERIFY DRUG/FOOD			
AUTOVERIFY OTHER ONLY			
AUTOVERIFY DRUG/OTHER			
AUTOVERIFY FOOD/OTHER			
AUTOVERIFY ALL			
<none specified>			
   Autoverify Logical Operator: 			
Autoverify Observed/Historical: 			
AUTOVERIFY HISTORICAL ONLY			
AUTOVERIFY OBSERVED ONLY			
AUTOVERIFY BOTH			
Want to stop (Y/N)			
Answer YES to continue or NO to halt.			
Since your site does not autoverify any reactions you can halt now.			
Autoverify this reaction (Y/N)			
Answer YES to mark this reaction as autoverified or NO to leave it unchanged.			
Answering YES will change the ORIGINATOR SIGN OFF and VERIFIED fields to YES			
and enter a date/time into the VERIFICATION DATE/TIME field (i.e., this will			
mark the record as autoverified).			
Answering NO will not change the record.			
No unsigned reactions were found for the time period between the			
installation of GMRA*4.0*2 and GMRA*4.0*5.			
DO NOT USE DECIMAL VALUES.			
     1 Current Inpatients			
     2 Outpatients over Date/Time range			
     3 New Admissions over Date/Time range			
     4 All of the above			
Enter the number(s) for those groups to be used in this report: (1-4):			
   ENTER THE NUMBER(S) FOR THOSE GROUPS TO BE INCLUDED IN THIS REPORT.			
   THIS RESPONSE MUST BE A LIST OR RANGE, E.G., 1,3 OR 2-3			
 Enter date/time range in which patients were			
 admitted into the hospital			
 seen at an outpatient clinic			
Enter START Date (time optional): 			
ENTER THE START DATE/TIME OF RANGE TO SEE PATIENTS THAT WERE			
 ADMITTED TO THE HOSPITAL			
 SEEN AT AN OUTPATIENT CLINIC			
Enter END Date (time optional): T// 			
ENTER THE END DATE/TIME OF RANGE TO SEE PATIENTS THAT WERE			
Another			
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 TO STOP: 			
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E.g.  -3E would delete 3E from the list of locations already selected.			
You may enter the word ALL to select all appropriate locations.			
GMRA*			
List of patients without ID band or Chart marked			
Request queued...			
Request NOT queued please try later...			
ID BAND/CHART			
ID BAND			
PATIENTS WITH UNMARKED ID BAND/CHART			
CURRENT INPATIENTS			
NEW ADMISSIONS			
 / NEW ADMISSIONS			
PLEASE ENTER 'Y' TO DELETE THE CAUSATIVE AGENT			
 'N' NOT TO DELETE THE DATA			
Do you wish to delete 			
 Causative Agent			
One moment please deleting data...			
Fire Bulletin to Mark Patient Allergy DFN=			
Allergy			
Adverse Reaction			
ALLERGY;0			
PHARMACOLOGIC;2			
UNKNOWN;U			
ALLERGY;A			
PHARMACOLOGIC;P			
OTHER REACTION			
PHARM  			
UNKNOWN 			
CAUSATIVE AGENT: 			
AGENT: 			
INGREDIENTS: 			
VA DRUG CLASSES: 			
ORIGINATOR: 			
ORIGINATED: 			
SIGN OFF: 			
OBS/HIST: 			
ID BAND MARKED: 			
CHART MARKED: 			
SIGNS/SYMPTOMS: 			
MECHANISM: 			
VERIFIER: 			
VERIFIED: 			
USER ENTERING			
IN ERROR: 			
ALLERGY/ADVERSE REACTION DATA EXISTS FOR THIS PATIENT			
HOWEVER, THERE IS DATA ENTERED IN ERROR ON FILE			
PATIENT HAS ANSWERED NKA			
 BUT HAS 			
 DATA ON FILE			
ALLERGY/ADVERSE REACTION REPORTS			
Select 1:DRUG, 2:FOOD, 3:OTHER			
Type of allergy			
Select 1:ACTIVE, 2:ENTERED IN ERROR			
Which would you like to see?			
   This patient has No Known Allergies.			
THERE IS NO DATA FOR THIS REPORT.			
TYPE: 			
GMRA Print Complete List of Patient's Reactions			
ALLERGY/ADVERSE REACTIONS TO BE SIGNED OFF			
ORIGINATION DATE/TIME			
GMRA-ALLERGY VERIFY			
NO DATA FOR THIS REPORT			
Patient reactions not signed off			
ACTIVE ALLERGY/ADVERSE REACTION LISTING			
OBS/			
ADVERSE REACTION			
NO ALLERGY/ADVERSE REACTION DATA EXISTS FOR THIS PATIENT			
   Patient has answered NKA.			
No Data Found			
Reactions: 			
This a print out of the allergies signed off for the patient			
VER.			
Press RETURN to continue or '^' to stop listing			
     Press RETURN to continue, '^' stop reactant listing.			
OUT PATIENT			
GMRA ENTERED IN ERROR			
G.GMRA VERIFY 			
G.GMRA MARK CHART			
No data for this REPORT.			
PLEASE TRY LATER			
Print FDA Exception Report			
FDA EXCEPTION REPORT (			
Starting at 			
ORIGINATION D/T			
CAUSATIVE AGENT			
This patient has No Known Allergies			
This patient has no allergies on file			
Enter the Date to start search (Time optional)			
ENTER THE DATE YOU WANT THE SYSTEM TO START IT'S SEARCH			
Select Start Date			
Select End Date			
YOU CAN ONLY EDIT DRUG REACTIONS			
Indicate which FDA Report Sections to be completed:			
1.  Reaction Information			
2.  Suspect Drug(s) Information			
3.  Concomitant Drugs and History			
4.  Manufacturer Information			
5.  Initial Reporter			
Choose number(s) of sections to be edited			
ENTER THE NUMBER SECTION OR SECTIONS YOU WISH TO COMPLETE.			
YOU CAN ENTER:   YOU TYPE          SYSTEM WILL DO			
THIS REPORT SHOULD BE SENT TO A 132 COLUMN PRINTER.			
PLEASE TRY AGAIN LATER			
Produce FDA Report for 			
ATTACHMENT PAGE			
PATIENT ID: 			
SUSPECT MEDICATION: 			
DATE OF EVENT: 			
Section B. Part 5. Describe event Continued			
Section B. Part 6. Relevant Test/Laboratory Data Continued:			
TEST: 			
 COLLECTION DATE: 			
Section B. Part 7. Other Relevant History Continued			
Section C. Part 10. Concomitant Drugs Continued			
Select Start Date/Time			
Select End Date/Time			
Do you want an Abbreviated report			
ENTER 			
 FOR YES OR 			
 FOR NO			
Print FDA Report by Date/Time			
(SENT TO FDA: 			
FDA ABBREVIATED REPORT			
SUSPECTED AGENT			
D/T OF EVENT			
MEDWatch			
Approved by FDA on 10/20/93			
THE FDA MEDICAL PRODUCTS REPORTING PROGRAM			
| Triage unit sequence #			
A. Patient Information			
| C. Suspect Medication(s)			
1. Patient Indentifier|2. DOB: 			
B. Adverse Event or Product Problem			
1. [X]Adverse Event         [ ]Product problem			
|2. Dose,frequency & route used			
| 3. Therapy dates			
2. Outcomes attributed to adverse event			
] congenital anomaly			
 ] congenital anomaly			
] required intervention to			
|4. Diagnosis for use(indication)|5. Event abated after use			
       initial or prolonged       prevent impairment/damage			
|   stopped or dose reduced?			
3. Date of event			
|4. Date of this report			
|6. Lot # (if known)  |7. Exp. date|8. Event reappeared after			
5. Describe event or problem			
   SEE ATTACHED			
|9. (Not applicable to adverse drug event reports)			
6. Relevant test/laboratory data. including dates			
|10. Concomitant medical products/therapy dates(exclude treatment)			
PLEASE SEE ATTACHED			
|D. Suspect Medical Devices			
7. Other relevant History, including preexisting medical			
| Note: Please use the actual MedWatch form if the event			
|       involves a suspected device as well as a suspect drug			
Mail to: MedWatch                      or FAX to:			
         5600 Fishers Lane                1-800-FDA-0178			
|2. Health professional? |3. Occupation |4. Reported to Mfr.			
|5. If you don't want your identity disclosed to the Manufacturer,			
|   place an 			
 in the box.[			
FDA Form 3500			
Submission of a report does not constitute an admission that medical personnel or the product caused or contributed to the event.			
Select a LOCAL ALLERGY/ADVERSE REACTION: 			
THIS ENTRY IS BEING EDITED BY SOMEONE ELSE			
CANNOT EDIT NAME FIELD OF A NATIONAL ALLERGY.			
Select a LOCAL SIGN/SYMPTOM: 			
  (no editing)			
NAME: HOSPITAL// (No editing)			
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