TISSUE EXAM (1697) AP DIALOG CONFIG (101.45)
Name
Value
NAME
TISSUE EXAM
ORDERABLE ITEM
TISSUE EXAM
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: Procedure
VALUES:
Prostectomy
Myomas Resection
Nephrectomy
Ovary(s) Resection
Resection
Uterus Resection
Vaginal Biopsy
Vulvar Biopsy
Biopsy
Cervical Biopsy
Cervix Resection
Cone Biopsy
Endocervical Curettage (ECC)
Endometrial w/ Pipelle Curettage
Excision
Fallopian Tube(s) Resection
LEEP
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.