URINE (1698)    AP DIALOG CONFIG (101.45)

Name Value
NAME URINE
ORDERABLE ITEM URINE
NATIONAL STANDARD 1
ORDER PROMPTS
  • ORDER PROMPT:   URGENCY
    REQUIRED:   TRUE
  • ORDER PROMPT:   COLLECTION DATE/TIME
    REQUIRED:   TRUE
  • ORDER PROMPT:   COLLECTION TYPE
    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:   Instrumentation 72 hours prior to collection
      VALUES:
      • VALUE:   Yes
      • VALUE:   No
    • PG BLOCK TITLE:   Cystoscopy
      VALUES:
      • VALUE:   Yes
      • VALUE:   No
  • PAGE#:   2
    PAGE NAME:   Pre-Operative Diagnosis
    REQUIRED:   TRUE
    RESPONSE ID:   PREOPDX
SPECIMEN
  • BUILDER BLOCK:
    • SP BLOCK TITLE:   Specimen Type
      VALUES:
      • Voided
      • Bladder Wash
      • Catheterized Urine
      • Ileal Conduit
      • Right Ureter Wash
      • Left Ureter Wash
    COLLECTION SAMPLE HIDE:   TRUE
    COLLECTION SAMPLE DEFAULT:   AP SPECIMEN