GASTROINTESTINAL ENDOSCOPY (1693) AP DIALOG CONFIG (101.45)
Name
Value
NAME
GASTROINTESTINAL ENDOSCOPY
ORDERABLE ITEM
GASTROINTESTINAL ENDOSCOPY
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
WP TITLE: Additional Clinical History
BUILDER BLOCK:
PG BLOCK TITLE: Indication (check all that apply)
LIST: TRUE
VALUES:
VALUE: Barrett's Esophagus
VALUE: Candida
VALUE: Colitis
VALUE: H. Pylori
VALUE: Malignancy
VALUE: Microscopic Colitis
VALUE: Sprue
PAGE#: 2
PAGE NAME: Pre-Operative Diagnosis
HIDE: TRUE
RESPONSE ID: PREOPDX
PAGE#: 3
PAGE NAME: Operative Findings
RESPONSE ID: OPFIND
PAGE#: 4
PAGE NAME: Post-Operative Findings
HIDE: TRUE
RESPONSE ID: POSTOPDX
SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN
BUILDER BLOCK:
SP BLOCK TITLE: Technique
VALUES:
Biopsy
Brushing
EMR
FNA
Hot Biopsy
Hot Snare
SP BLOCK TITLE: Specimen Type
VALUES:
Erosion
Lesion
Mass
Polyp
Random
Ulcer
COLLECTION SAMPLE HIDE: TRUE
COLLECTION SAMPLE DEFAULT:
AP SPECIMEN