DavidWhitten: Created page with " S X=$$TIU^C9CGMTSOBJ(DFN,3000215,"PSYCH_SUMMARY","CHRONOLOGICAL") HS OBJECT DISPLAY Jun 16, 2014@09:25:09 Page: 1 of 1 Detailed Di..."

2015-05-07T19:14:49Z

Created page with " S X=$$TIU^C9CGMTSOBJ(DFN,3000215,"PSYCH_SUMMARY","CHRONOLOGICAL") HS OBJECT DISPLAY Jun 16, 2014@09:25:09 Page: 1 of 1 Detailed Di..."

New page

S X=$$TIU^C9CGMTSOBJ(DFN,3000215,"PSYCH_SUMMARY","CHRONOLOGICAL")

HS OBJECT DISPLAY Jun 16, 2014@09:25:09 Page: 1 of 1
Detailed Display for HOSP COURSE SUMM 40-53 OBJ

HS Object: HOSP COURSE SUMM 40-53 OBJ (TIU)
Health Summary Type: HOSP COURSE SUMM 40-53 HS
Report Period:
Creator: KING,MATTHEW M

HS Object

Print Label: NO Print Report Date and Time: NO
Print Blank Line after Label: NO Print Confidentiality Banner: NO
Customized Header: YES Print Report Date and Time: NO
Suppress Components w/o Data: YES Print Component Header: NO
Print Deceased Information: NO Print Time-Occurrence Limits: NO
National Object: NO Underline Component Header: NO
Blank Line After Header: NO
Overwrite No Data:

HEALTH SUMMARY TYPE INQUIRY

Type Name: HOSP COURSE SUMM 40-53 HS
Title: HOSPITAL COURSE
Owner: KING,MATTHEW M
SUPPRESS PRINT OF COMPONENTS WITHOUT DATA: yes
SUPPRESS SENSITIVE PRINT DATA: NO SSN

Max Hos ICD Pro CPT
Abb Ord Component Name Occ Time Loc Text Nar Mod Selection
------------------------------------------------------------------------------
RSPN 5 SUMMARY 40 53W
PSYCH TREATME
NT PROGRESS REVIE

Checking DAVIDTEST (TIU) with Health Summary...

Creating Health Summary Object 'DAVIDTEST (TIU)'

Select Health Summary Type: DAVIDTEST (HS)

Are you adding 'DAVIDTEST (HS)' as
a new HEALTH SUMMARY TYPE (the 339th)? No// YES
NAME: DAVIDTEST (HS)//
TITLE: DAVID-TEST
SUPPRESS PRINT OF COMPONENTS WITHOUT DATA: Y yes
SUPPRESS SENSITIVE PRINT DATA: 2 NO SSN

Do you wish to copy COMPONENTS from an existing Health Summary Type? YES// NO
Select COMPONENT: ??

300001 CRH RAW TEXT SELECTED PN ALL RSPN
300002 CRH TEXT SELECT PN EQUALS RSPN
300003 CRH OUTPAT MED 7 DAY RXOP
300004 DJW RAW TEXT SELECTED PN ALL RSPN

Select COMPONENT: 300001 CRH RAW TEXT SELECTED PN ALL RSPN
SUMMARY ORDER: 5// 5
OCCURRENCE LIMIT:

CHOOSE 1-5: 3 HEALTH SUMMARY COMPONENT (107 entries)
Select HEALTH SUMMARY COMPONENT NAME: ?
Answer with HEALTH SUMMARY COMPONENT NUMBER, or NAME, or ABBREVIATION, or
DEFAULT HEADER NAME
Do you want the entire 107-Entry HEALTH SUMMARY COMPONENT List? Y (Yes)
Choose from:

Select HEALTH SUMMARY COMPONENT NAME: 300001 CRH RAW TEXT SELECTED PN ALL
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes// (Yes)
Include COMPUTED fields: (N/Y/R/B): NO// BOTH Computed Fields and Record Number
(IEN)

NUMBER: 300001 NAME: CRH RAW TEXT SELECTED PN ALL
PRINT ROUTINE: MAIN;ZMTSPNSL TIME LIMITS APPLICABLE: yes
ABBREVIATION: RSPN MAXIMUM OCCURRENCES APPLICABLE: yes
DEFAULT HEADER NAME: Raw Prog Notes
SELECTION FILE: TIU DOCUMENT DEFINITION
DESCRIPTION: This component allows for the selection of specific progress
notes by document title. These progress notes were entered using the Text
Integration Utilities (TIU). Data presented include: Progress note date/time
written, title, text of note, and the note's correction text and correction
date/time.

Only those notes which have been signed with an electronic signature or
electronically marked signed on chart will be reported.

Select HEALTH SUMMARY COMPONENT NAME: 300002 CRH TEXT SELECT PN EQUALS
ANOTHER ONE:
STANDARD CAPTIONED OUTPUT? Yes// (Yes)
Include COMPUTED fields: (N/Y/R/B): NO// BOTH Computed Fields and Record Number
(IEN)

NUMBER: 300002 NAME: CRH TEXT SELECT PN EQUALS
PRINT ROUTINE: MAIN;ZMTSPNSL TIME LIMITS APPLICABLE: yes
ABBREVIATION: RSPN MAXIMUM OCCURRENCES APPLICABLE: yes
DEFAULT HEADER NAME: Raw Prog Notes
SELECTION FILE: TIU DOCUMENT DEFINITION
DESCRIPTION: This component allows for the selection of specific progress
notes by document title. These progress notes were entered using the Text
Integration Utilities (TIU). Data presented include: Progress note date/time
written, title, text of note, and the note's correction text and correction
date/time.

Only those notes which have been signed with an electronic signature or
electronically marked signed on chart will be reported.

NUMBER: 300004 NAME: DJW RAW TEXT SELECTED PN ALL
PRINT ROUTINE: MAIN;C9CTOPNS TIME LIMITS APPLICABLE: yes
ABBREVIATION: RSPN MAXIMUM OCCURRENCES APPLICABLE: yes
DEFAULT HEADER NAME: Raw Prog Notes
SELECTION FILE: TIU DOCUMENT DEFINITION
DESCRIPTION: This component allows for the selection of specific progress
notes by document title. These progress notes were entered using the Text
Integration Utilities (TIU). Data presented include: Progress note date/time
written, title, text of note, and the note's correction text and correction
date/time.

Only those notes which have been signed with an electronic signature or
electronically marked signed on chart will be reported.

^TMP("TIU",12100,3130611.1422,1,21050,"TEXT",73)
GTM-Production>W $QS(X,0)
^TMP
GTM-Production>W $QS(X,2)
12100
GTM-Production>W $QS(X,3)
3130611.1422
GTM-Production>W ^DPT(12100,0)
%GTM-E-GVUNDEF, Global variable undefined: ^DPT(12100,0)

GTM-Production>W ^DPT(21050,0)
%GTM-E-GVUNDEF, Global variable undefined: ^DPT(21050,0)

GTM-Production>W ^TIU(8925,12100,0)
55^120^2075^6^7^^3120808.1745^^^^^^H
GTM-Production>W ^TIU(8925,21050,0)
1557^1168^2067^6^7^^3121106.0446^^^^^^H

GTM-Production>W ^TIU(8925,21050,0)
1557^1168^2067^6^7^^3121106.0446^^^^^^H
GTM-Production>W ^DPT(1168,0)
CAMP,CHERYL^F^2591108^^U^^^^063605986^^^^^^80^3121105.135159^^^^1

ORQQCN GET CONSULT

Params ------------------------------------------------------------------
literal 97
literal 1

Results -----------------------------------------------------------------
3140429.1425^405^187964^66^50^66^3140429.142519^^505^502^^2^10^656;KING,MATTHEW M^^^C^I^^^68^^^3140429
530549^PHYSICAL THERAPY CONSULT RESULT^3140429.1435^ZZADULT, MALE (Z8035)^656;MATTHEW M KING;KING,MATTHEW M^ZZTESTWARD^completed^Adm: 02/11/13;3130211.165105^ ;^97;GMR(123,^0^^^1^

ORQQCN LIST

Params ------------------------------------------------------------------
literal 405
literal
literal
literal
literal

Results -----------------------------------------------------------------
97^3140429.142519^c^PHYSICAL THERAPY^Consult^^Evaluation and Treatment PHYSICAL THERAPY Cons^187964^C
96^3140415.152501^c^PHYSICAL THERAPY^Consult^^Evaluation and Treatment PHYSICAL THERAPY Cons^179533^C
82^3140220.143048^dc^GASTROENTEROLOGY^COLONOSCOPY^^COLONOSCOPY GASTROENTEROLOGY Proc^146149^P
81^3140220.142021^dc^CARDIOLOGY^Consult^^CARDIOLOGY Cons^146146^C
80^3140220.140709^c^INFECTIOUS DISEASE^Consult^^INFECTIOUS DISEASE Cons^146135^C
71^3140207.132449^dc^OCCUPATIONAL THERAPY^Consult^^OCCUPATIONAL THERAPY Cons^138531^C
70^3140207.130846^dc^GASTROENTEROLOGY^Consult^^GASTROENTEROLOGY Cons^138507^C

ORQQCN DETAIL

Params ------------------------------------------------------------------
literal 97

Results -----------------------------------------------------------------
Current Pat. Status: Inpatient
Ward: ZZTESTWARD
Primary Eligibility: EHR PATIENT (NOT VERIFIED)
Patient Type: NON-VETERAN (OTHER)
OEF/OIF: NO

Order Information
To Service: PHYSICAL THERAPY
From Service: ZZTESTWARD
Requesting Provider: KING,MATTHEW M
Service is to be rendered on an INPATIENT basis
Place: Consultant's choice
Urgency: Routine
Earliest Appr. Date: Apr 29, 2014
Orderable Item: PHYSICAL THERAPY
Consult: Consult Request
Reason For Request:
This is a routine request to evaluate this patient for fall risk and
physical therapy to reduce the risk of falling.

Inter-facility Information
This is not an inter-facility consult request.

Status: COMPLETE
Last Action: COMPLETE/UPDATE

Facility
Activity Date/Time/Zone Responsible Person Entered By
-------------------------------------------------------------------------------
CPRS RELEASED ORDER 04/29/14 14:25 KING,MATTHEW M KING,MATTHEW M
RECEIVED 04/29/14 14:32 KING,MATTHEW M KING,MATTHEW M
SCHEDULED 04/29/14 14:34 KING,MATTHEW M KING,MATTHEW M
CNKXNKX NCKCX

COMPLETE/UPDATE 04/29/14 14:39 KING,MATTHEW M KING,MATTHEW M

Note: TIME ZONE is local if not indicated

--------------------------------------------------------------------------------

LOCAL TITLE: PHYSICAL THERAPY CONSULT RESULT
STANDARD TITLE: PHYSICAL THERAPY CONSULT
DATE OF NOTE: APR 29, 2014@14:35 ENTRY DATE: APR 29, 2014@14:36:12
AUTHOR: KING,MATTHEW M EXP COSIGNER:
URGENCY: STATUS: COMPLETED

PHYSICAL THERAPY EVALUATION

PAST MEDICAL HISTORY:

PATIENT GOALS:

PREVIOUS LEVEL OF FUNCION/SOCIAL ENVIRONMENT (LIVING ARRANGEMENTS, EQUIPMENT, ECT.):

PHYSICAL ASSESSMENT

SPEECH: VISION: HEARING:
ROM:

STRENGTH:

TRANSFERS:

BED MOBILITY:

BALANCE: SITTING STATIC DYNAMIC
STANDING STATIC DYNAMIC

GAIT:

SENSATION:

SKIN:

ENDURANCE:

PAIN LEVEL:

BARRIERS TO LEARNING:

ASSESSMENT:

GOALS:
independently in 4 weeks

independently in 4 weeks

Patient will ambulate 250 feet independently in 4 weeks

0 pain in 4 weeks

ADDITIONAL GOALS:

TREATMENT PLAN:

FREQUENCY/DURATION:

**PLEASE ADD THE CONSULTING PROVIDER AS AN ADDITIONAL SIGNER TO THIS NOTE**

/es/ MATTHEW M KING, MD
Medical Physician
Signed: 04/29/2014 14:39
================================================================================
==================================== END =====================================
ORQQCN SVC W/SYNONYMS

Params ------------------------------------------------------------------
literal 1
literal 1
literal 1

Results -----------------------------------------------------------------
1^ALL SERVICES^0^+^1^84
51^CRH EXTERNAL REFERRALS^1^+^1
56^BRACE SHOP^51^^^5286

4^CARDIOLOGY^51^^^85
65^CARDIOVASCULAR SURGERY^51^^^5295
54^DERMATOLOGY^51^^^5284
59^ENDOCRINOLOGY^51^^^5289
5^GASTROENTEROLOGY^51^^^86
57^GYNECOLOGY^51^^^5287
6^HEMATOLOGY^51^^^87
61^INFECTIOUS DISEASE^51^^^5291
52^NEPHROLOGY^51^^^5282
60^NEUROLOGY^51^^^5290
62^NEUROSURGERY^51^^^5292
53^ORTHOPEDICS^51^^^5283
66^OTHER SURGICAL SPECIALTY^51^^^5300
58^OTOLARYNGOLOGY^51^^^5288
64^OUTPATIENT SURGERY^51^^^5294
63^PLASTIC SURGERY^51^^^5293
7^PULMONARY^51^^^90
8^RHEUMATOLOGY^51^^^91
55^UROLOGY^51^^^5285
47^CRH INTERNAL REFERRALS^1^+^1^5281
67^GYN CLINIC (CRH)^47^^^5301
48^OCCUPATIONAL THERAPY^47^^^4471
50^PHYSICAL THERAPY^47^^^4503
65^THORACIC SURGERY <CARDIOVASCULAR SURGERY>^^^S^5295
65^VASCULAR SURGERY <CARDIOVASCULAR SURGERY>^^^S^5295
54^DERM <DERMATOLOGY>^^^S^5284
5^GI <GASTROENTEROLOGY>^^^S^86
53^ORTHO <ORTHOPEDICS>^^^S^5283
58^ENT <OTOLARYNGOLOGY>^^^S^5288
48^OT <OCCUPATIONAL THERAPY>^^^S^4471
50^PT <PHYSICAL THERAPY>^^^S^4503

ORWDCN32 DEF

Params ------------------------------------------------------------------
literal C

Results -----------------------------------------------------------------
~ShortList
~Inpt Cslt Urgencies
i17^EMERGENCY^506
i9^ROUTINE^505
i1^STAT^512
i13^WITHIN 48 HOURS^494
i14^WITHIN 72 HOURS^495
d9^ROUTINE^505
~Outpt Urgencies
i10^NEXT AVAILABLE^496
i9^ROUTINE^505
i1^STAT^512
i11^TODAY^492
i16^WITHIN 1 MONTH^499
i15^WITHIN 1 WEEK^498
i12^WITHIN 24 HOURS^493
i14^WITHIN 72 HOURS^495
d9^ROUTINE^505
~Inpt Place
iB^BEDSIDE^B
iC^CONSULTANT'S CHOICE^C
dB^BEDSIDE^B
~Outpt Place
iC^CONSULTANT'S CHOICE^C
iE^EMERGENCY ROOM^E
dC^CONSULTANT'S CHOICE^C

ORWDX DLGDEF

Params ------------------------------------------------------------------
literal GMRCOR CONSULT

Results -----------------------------------------------------------------
ORDERABLE^4^2^^^^Cons
COMMENT^15^
CLASS^10^
URGENCY^7^4^^ROUTINE
PLACE^140^3
PROVIDER^17^
MISC^20^^^^^^^^166~
ITEM^178^1
CODE^166^^^^^^^^^1
EARLIEST^205^

CTO/NOTES - Revision history

DavidWhitten: Created page with " S X=$$TIU^C9CGMTSOBJ(DFN,3000215,"PSYCH_SUMMARY","CHRONOLOGICAL") HS OBJECT DISPLAY Jun 16, 2014@09:25:09 Page: 1 of 1 Detailed Di..."