BRONCHIAL BIOPSY (1689)    AP DIALOG CONFIG (101.45)

Name Value
NAME BRONCHIAL BIOPSY
ORDERABLE ITEM BRONCHIAL BIOPSY
NATIONAL STANDARD 1
ORDER PROMPTS
  • ORDER PROMPT:   URGENCY
    REQUIRED:   TRUE
  • ORDER PROMPT:   COLLECTION DATE/TIME
    REQUIRED:   TRUE
  • ORDER PROMPT:   COLLECTION TYPE
    HIDE:   TRUE
    DEFAULT:   WC
  • ORDER PROMPT:   HOW OFTEN
    HIDE:   TRUE
  • ORDER PROMPT:   SURGEON/PROVIDER
    REQUIRED:   TRUE
PAGES
  • PAGE#:   1
    PAGE NAME:   Clinical History
    REQUIRED:   TRUE
    RESPONSE ID:   CLINHX
  • PAGE#:   2
    PAGE NAME:   Pre-Operative Diagnosis
    REQUIRED:   TRUE
    RESPONSE ID:   PREOPDX
  • PAGE#:   3
    PAGE NAME:   Operative Findings
    RESPONSE ID:   OPFIND
  • PAGE#:   4
    PAGE NAME:   Post-Operative Findings
    RESPONSE ID:   POSTOPDX
SPECIMEN
  • BUILDER BLOCK:
    • SP BLOCK TITLE:   Source
      VALUES:
      • Bronchial
      • Left Upper Lobe (LUL) Bronchial
      • Left Lower Lobe (LLL) Bronchial
      • Right Upper Lobe (RUL) Bronchial
      • Right Middle Lobe (RML) Bronchial
      • Right Lower Lobe (RLL) Bronchial
      • Lingula
      • Main Stem Bronchus
    • SP BLOCK TITLE:   Specimen Type
      VALUES:
      • Endobronchial Biopsy
        SPECIAL:   #D;3
      • Transbronchial Biopsy
        SPECIAL:   #D;3
      • EBUS-TBNA
    • SP BLOCK TITLE:   Stations
      VALUES:
      • Station 2
      • Station 4
      • Station 7
      • Station 10
    • SP BLOCK TITLE:   Submission Type
      VALUES:
      • Fresh
        SPECIAL:   OPURG;1
      • Fixed
      • Intra-Op Consult
        SPECIAL:   OPURG;1
    COLLECTION SAMPLE HIDE:   TRUE
    COLLECTION SAMPLE DEFAULT:   AP SPECIMEN
PROMPT CHANGE MESSAGE was changed from to . $C(13,10)If you do not desire this change, please change the prompt at the top of the form.