DERMATOLOGY (1691)    AP DIALOG CONFIG (101.45)

Name Value
NAME DERMATOLOGY
ORDERABLE ITEM DERMATOLOGY
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:   Submission Type
      VALUES:
      • Fresh
        SPECIAL:   OPURG;1
      • Fixed
      • Intra-Op Consult
        SPECIAL:   OPURG;1
    • SP BLOCK TITLE:   Laterality
      VALUES:
      • Left
      • Right
      • Midline
    • SP BLOCK TITLE:   Specimen Type
      VALUES:
      • Excision
      • Punch Biopsy 8mm
      • MOHS
      • Biopsy
      • Shave ED&C
      • Shave Biopsy
      • Punch Biopsy 2mm
      • Punch Biopsy 3mm
      • Punch Biopsy 4mm
      • Punch Biopsy 5mm
      • Punch Biopsy 6mm
      • Punch Biopsy 7mm
    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.