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
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