English French Notes Complete/Exclude Print Device: Terminal Type: Defined lines per page for this device: Defined margin width for this device: There should be numbers listed down the lefthand side of this page all the way to the bottom. The number at the bottom of the page is the number of lines the PRINTER thinks there are on a page. The COMPUTER thinks there are lines on a page. The number at the bottom of the page needs to be EQUAL to so the consults program can print without running off the end of the page. If the number at the bottom of the page is NOT EQUAL to then have someone in IRM adjust the DEVICE file (file 3.5) *PAGE LENGTH field (#11) for device: and the TERMINAL TYPE file (file 3.2) PAGE LENGTH field (#3) for terminal type: to be a value EQUAL to the number at the bottom of the page. PRINTING... Printed To: Requesting facility Consulting facility ******* Significant Findings ******* ******* No Significant Findings ******* ******* Unknown Significant Findings ******* **** REQUEST CANCELLED REQUEST CANCELLED **** No Consultation Results for No Consultation Results available. Consultation Results Results Signature: Results CoSignature: Receipt acknowledged by: CONSULTATION NOTE Entry Date: Date/Time of result: CONSULTATION NOTE TEXT NOT AVAILABLE SERVICE RENDERED AS: Current Primary Care Provider: Current Primary Care Team: Reason For Request continued. REASON FOR REQUEST: (Complaints and findings) PROVISIONAL DIAG: REQUESTED BY: |SERVICE RENDERED AS: SIGNATURE & TITLE: AUTHOR & TITLE: ID #: CONSULTATION SHEET Standard Form 513 (Rev 9-77) To Quit (^) To Quit : For Next Page (^) To Quit : To Quit (-) For Previous Page (^) To Quit : For Next Page (-) For Previous Page (^) To Quit : Service Report # Entered at: Responsible Person: Forwarded from: Addendum # To Consult Note # Addendum Signature: Addendum Author: Last edited: Addendum CoSignature: ADDENDUM # TO CONSULT NOTE # MEDICAL RECORD GMRCPG,65 Consult Request: |Consult No.: Requesting Facility: Remote Consult No.: Role: GMRC PENDING CONSULTS To Service: CONSULT/REQUEST PACKAGE PRINT SERVICE CONSULTS BY STATUS FROM OPTION Only Display Consults With Status of: All Status's Another Status to display: Already selected Select one of the urgencies below to indicate how soon the results are needed Select the prefered place to see the patient for this consult/request The Specialty chosen for this consult has specified common consult types they process. You may select one of these types to furthur define the type of Consult for this patient. This is an optional prompt. Select a procedure from the list of procedures below. This is the list of common procedures/tests/treatments which may be ordered. The procedure will print on a computer generated Consult Form, but will be processed as a direct order for the procedure. Select a Procedure Type from the list of Medicine Procedures below. Once you have selected a Procedure Type, its related Service will be determined in the Consult/Request Tracking system. All consults and requests for this service will be displayed. When results is selected, the only results you will be able to select from are those results related to the Procedure Type selected here. Primary Care Physician is Requesting CLINICIAN : ****** missing required information ****** Currently enrolled in the following clinics: Patient Location : File Link CONSULTS PARAMETERS FILE not defined. Stopped PROTOCOL FILE cleanup! No GMRCR protocols saved before CONSULT/REQUEST TRACKING V 3.0 installation Need to MANUALLY correct the GMRCR-prefixed PROTOCOL FILE, FILE LINK field No FILE LINK update for PROTOCOL: PROTOCOL no longer defined Changed PROTOCOL: , FILE LINK field to: ZCS| MFI|101^Protocol^99DD|| MSH|^~\&| GMRC PRINT CONSULT PROTOCOLS CONSULT PROTOCOLS. Protocol File (#101) GMRC PRINT ABBREV PROTOCOLS GMRC PROTOCOL LIST Consults/Request Tracking Protocols from file #101 Service rendered on (I)npatient or (O)utpatient basis? URGENCY: The URGENCY is a required response. GMRCPLACEM - INPATIENT GMRCPLACEM - OUTPATIENT PLACE OF CONSULTATION: The PLACE OF CONSULTATION is a required response! Select PROCEDURE: PROTOCOL Updated PROTOCOL Created Unable to create as an entry in the PROTOCOL file. Compiling Report: Please Wait... Print Name: Package: File Link: Synonyms: Menu Items: Menu Items: Deleted Protocol: Building Report: Please Wait... Service/Specialty Select 'TO' Service/Specialty: Redisplay Screen No Consult Orders Exist To Select From. Choose No. 1- Select a request by typing the number in the left column and pressing or by selecting a range of numbers in the left column, separated by commas. ALL DATES You must configure your terminal so that it will support 132 character emulation and reply 132 to the right margin setting if using HOME as the device. OK, you have selected a TABLE output format. You must use your personal computer's terminal emulation to capture the output: 1. Enter at the DEVICE: HOME// prompt and do not hit the enter key. 2. Open a capture file within your terminal emulation program. 3. Hit enter to start the down load. 4. Close the capture file when the output stops. List From Starting Date (ALL): List To This Ending Date: Enter 'YES' if you want all LOCATIONS (L)ocal, (R)emote, or (B)oth Local and Remote Locations: Local ENTER Local LOCATION: ENTER Remote LOCATION For this report, Institution file (#4) entries are considered Remote locations. Enter 'YES' if you want all PROCEDURES ENTER PROCEDURE: Enter 'YES' if you want all PROVIDERS ENTER Local PROVIDER: ENTER Remote PROVIDER refers to non-Inter-facility requests and Inter- facility requests originating locally. Remote only refers to Inter-facility requests originating at another site. Enter the ENTIRE name in proper CASE, exactly as it appears in the above list (including any credentials). Use copy/paste to avoid typing errors. NO partial matches are done. Enter Search criteria: 1 = Sending Provider Search criteria Display sort sequence & page breaks between sub-totals Please select an output format from the following: 1 - 80 column standard print [STANDARD] 2 - 132 column standard print 3 - Table without headers (export to another application) PRINT OF RECORDS FILE 123 GMRC* Task # Unable to queue report! Try again later. No search criteria was entered SUB TOTAL= TOTAL RECORDS= ORDERING PROVIDER: PROCEDURE: CONSULT LIST BY , FOR SPECIFIED DATE(S) FROM: ALL LAST 4 CONSULT # REQUEST DATE ORDERING PROVIDER TO SERVICE FROM LOCATION ASSOCIATED CONSULT SERVICE PROVIDER(S) LOCATION(S) PROCEDURE(S) SELECTED LOCAL & REMOTE Consult#^Req Date^Ordering Provider^Location^ To Service^Patient^SSN^Status^Procedure GMRC PHARMACY TRK MAIN MENU GMRC QC CON PENDING RESOLUTION CONSULTS/REQUESTS PENDING RESOLUTION Consults On Hold: Flagged: Pending: Active: Expired: Scheduled: Incomplete: Unreleased: No Status: Totals for Service: SUMMARY STATISTICS (ALL SERVICES) Total Consults/Requests On Hold: Total Pending Resolution For All Services: Flagged Unreleased GMRC CONSULT TRACKING Consult/Request Is Being Used By Another User. RESULT UPDATE WAS UNSUCCESSFUL! Try Again Later CONSULT/REQUEST TRACKING Select Consult Type: GMRCT TPN GMRCRM MEDICINE REQUEST TYPES Select Procedure: Compiling Detailed Display... Unknown Location GMRC SELECT ITEM Use the actions listed to scroll up and down, to view the data; if you want to search the data for a particular string, enter SL. You may print the data, either the entire list or just the current screen, by entering PT or PS respectively. Enter Q when finished to return to the chart. Wt.(lb): No Entry Enter the display number of the item you wish to act on, or select an action. If you'd like another view of the consults, enter CV. Status key: 'pr' - partial results Enter ?? to see a list of actions available for navigating the list. al:All Status's; **Unknown Service** < PATIENT DOES NOT HAVE ANY CONSULTS/REQUESTS ON FILE. > Between Dates: With Status: Cons No Service The consult entry selected for the Detailed Display is unknown. Current PC Provider: Current PC Team: Current Pat. Status: Ward: Primary Eligibility: Order Information To Service: Attention: From Service: Requesting Provider: Service is to be rendered on an Place: Urgency: Orderable Item: Consult Request Clinical Procedure: Reason For Request: Inter-facility Information This is not an inter-facility consult request. Remote Facility: Ordering Provider: Ordering Provider phone: Ordering Provider pager: Remote Consult # Remote Service name: Last Action: Significant Findings: Inter-facility Results: Results are available via Display Results action. No results available for this consult request. Medicine package not installed. Online results are not available. No Medicine results are available for review SUMMARY REPORT #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################