UROLOGY,PROSTATE (1699)    AP DIALOG CONFIG (101.45)

Name Value
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:
      • Orchiectomy
    • 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:
      • Orchiectomy
    • 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:
      • Vasectomy
    • 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.