NAME |
UROLOGY,PROSTATE |
ORDERABLE ITEM |
UROLOGY,PROSTATE |
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
- BUILDER BLOCK:
-
-
- LIST: TRUE
- VALUES:
-
-
- VALUE: Elevated PSA
-
- VALUE: Abnormal DRE
-
- VALUE: Prostate Cancer
-
- 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: Specimen Type
- VALUES:
-
-
- Prostate Needle Biopsy
-
- TURP
- SPECIAL: #D;2
-
- Prostatectomy, Radical
-
- Prostatectomy, Simple
-
- Resection
-
- SP BLOCK TITLE: Laterality
- VALUES:
-
-
- Right Base
-
- Right Mid
-
- Right Lateral
-
- Right Apex
-
- Left Base
-
- Left Mid
-
- Left Lateral
-
- Left Apex
-
- 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
-
- BUILDER BLOCK:
-
-
- SP BLOCK TITLE: Specimen Type
- VALUES:
-
-
- 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
-
- BUILDER BLOCK:
-
-
- SP BLOCK TITLE: Specimen Type
- VALUES:
-
-
- 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
-
- BUILDER BLOCK:
-
-
- SP BLOCK TITLE: Specimen Type
- VALUES:
-
-
- 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 |
from to . $C(13,10)If you do not desire this change, please change the prompt at the top of the form. |