Difference between revisions of "CTO/FILE CRH MARKER TEXT"
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<nowiki> << UP: </nowiki> [[CTO]] <nowiki> >> </nowiki> | <nowiki> << UP: </nowiki> [[CTO]] <nowiki> >> </nowiki> | ||
− | + | == FILE OF FILES ENTRY == | |
− | |||
[[How do I print a File of Files entry ?]] | [[How do I print a File of Files entry ?]] | ||
<pre> | <pre> | ||
Line 16: | Line 15: | ||
</pre> | </pre> | ||
− | STANDARD DATA DICTIONARY | + | == STANDARD DATA DICTIONARY == |
[[How do I print a STANDARD Data Dictionary ?]] | [[How do I print a STANDARD Data Dictionary ?]] | ||
<pre> | <pre> | ||
Line 79: | Line 78: | ||
</pre> | </pre> | ||
− | GLOBAL MAP FOR A FILE | + | == GLOBAL MAP FOR A FILE == |
[[How do I print a GLOBAL MAP ?]] | [[How do I print a GLOBAL MAP ?]] | ||
Line 97: | Line 96: | ||
^DIZ(300001,D0,2.01)= (#2.01) END MARKER TEXT [E1,200F] ^ | ^DIZ(300001,D0,2.01)= (#2.01) END MARKER TEXT [E1,200F] ^ | ||
^DIZ(300001,D0,2.02)= (#2.02) END MARKER PATTERN [E1,240F] ^ | ^DIZ(300001,D0,2.02)= (#2.02) END MARKER PATTERN [E1,240F] ^ | ||
+ | </pre> | ||
+ | |||
+ | == EXAMPLE DATA == | ||
+ | [[How do I print example data from a file?]] | ||
+ | |||
+ | <pre> | ||
+ | CRH MARKER TEXT LIST MAY 7,2015 11:44 PAGE 1 | ||
+ | ------------------------------------------------------------------------------- | ||
+ | |||
+ | |||
+ | NUMBER: 1 NAME: HPI (PSYCH) | ||
+ | BEGIN MARKER TEXT: =HISTORY OF PRESENT ILLNESS (PSYCH)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"HISTORY OF PRESENT ILLNESS (PSYCH)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 2 NAME: CHIEF COMPLAINT | ||
+ | BEGIN MARKER TEXT: =CHIEF COMPLAINT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CHIEF COMPLAINT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 3 NAME: PAST PSYCH HX | ||
+ | BEGIN MARKER TEXT: =PAST PSYCHIATRIC HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PAST PSYCHIATRIC HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 4 NAME: PAST INPATIENT | ||
+ | BEGIN MARKER TEXT: `Past Inpatient: | ||
+ | BEGIN MARKER PATTERN: ." "5."`"1"Past Inpatient:".E | ||
+ | END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E | ||
+ | |||
+ | NUMBER: 5 NAME: PAST OUTPATIENT | ||
+ | BEGIN MARKER TEXT: `Past Outpatient: | ||
+ | BEGIN MARKER PATTERN: ." "5."`"1"Past Outpatient:".E | ||
+ | END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E | ||
+ | |||
+ | NUMBER: 6 NAME: PAST DX | ||
+ | BEGIN MARKER TEXT: `Past Diagnosis: | ||
+ | BEGIN MARKER PATTERN: ." "5."`"1"Past Diagnosis:".E | ||
+ | END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E | ||
+ | |||
+ | NUMBER: 7 NAME: PREV MED TRIALS | ||
+ | BEGIN MARKER TEXT: `Previous Med Trials: | ||
+ | BEGIN MARKER PATTERN: ." "5."`"1"Previous Med Trials:".E | ||
+ | END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E | ||
+ | |||
+ | NUMBER: 8 NAME: PREV SUI/SIB | ||
+ | BEGIN MARKER TEXT: `Previous Suicidal/SIB: | ||
+ | BEGIN MARKER PATTERN: ." "5."`"1"Previous Suicidal/SIB:".E | ||
+ | END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E | ||
+ | |||
+ | NUMBER: 9 NAME: PREV VIOLENCE | ||
+ | BEGIN MARKER TEXT: `Previous Violence: | ||
+ | BEGIN MARKER PATTERN: ." "5."`"1"Previous Violence:".E | ||
+ | END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E | ||
+ | |||
+ | NUMBER: 10 NAME: SUBSTANCE ABUSE | ||
+ | BEGIN MARKER TEXT: =SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFETIME HX= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFE | ||
+ | TIME HX"5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 11 NAME: FAM PSYCH HX | ||
+ | BEGIN MARKER TEXT: =FAMILY PSYCHIATRIC HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"FAMILY PSYCHIATRIC HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 12 NAME: TRAUMA HX | ||
+ | BEGIN MARKER TEXT: =TRAUMA HISTORY (Lifetime History)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"TRAUMA HISTORY (Lifetime History)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 13 NAME: SOCIAL HX | ||
+ | BEGIN MARKER TEXT: =SOCIAL HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SOCIAL HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 14 NAME: NUR NUTRITION | ||
+ | BEGIN MARKER TEXT: =MEDICAL HISTORY/NUTRITIONAL ASSESSMENT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL HISTORY/NUTRITIONAL ASSESSMENT"5."=" | ||
+ | ." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 15 NAME: CC_HPI_MED | ||
+ | BEGIN MARKER TEXT: =Chief Complaint/Present Illness (medical)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Chief Complaint/Present Illness (medical)"5. | ||
+ | "="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 16 NAME: PMH_MED | ||
+ | BEGIN MARKER TEXT: =Past Medical History= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Past Medical History"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 17 NAME: FMH_MED | ||
+ | BEGIN MARKER TEXT: =Family Medical History= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Family Medical History"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 18 NAME: MEDS_MED | ||
+ | BEGIN MARKER TEXT: =Medications= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Medications"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 19 NAME: DRUG_ABUSE_MED | ||
+ | BEGIN MARKER TEXT: =Substance Abuse= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Substance Abuse"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 20 NAME: TOBACCO_MED | ||
+ | BEGIN MARKER TEXT: =Tobacco Use= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Tobacco Use"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 21 NAME: ROS_MED | ||
+ | BEGIN MARKER TEXT: =REVIEW OF SYSTEMS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"REVIEW OF SYSTEMS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 22 NAME: INF_MED | ||
+ | BEGIN MARKER TEXT: -COMMUNICABLE INFECTIONS Hx/SYMPTOMS- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"COMMUNICABLE INFECTIONS Hx/SYMPTOMS"5."-"." " | ||
+ | END MARKER TEXT: ----- | ||
+ | END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 23 NAME: PE_MED | ||
+ | BEGIN MARKER TEXT: =PHYSICAL EXAMINATION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PHYSICAL EXAMINATION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 24 NAME: FALLS_MED | ||
+ | BEGIN MARKER TEXT: =Falls/Injury Risk= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Falls/Injury Risk"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 25 NAME: ASP_MED | ||
+ | BEGIN MARKER TEXT: =Aspiration Risk= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Aspiration Risk"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 26 NAME: A_P_MED | ||
+ | BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 27 NAME: NCP_PAIN_ACUTE | ||
+ | BEGIN MARKER TEXT: =NCP ACUTE PAIN= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP ACUTE PAIN"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 28 NAME: NCP_RISK_INFECT | ||
+ | BEGIN MARKER TEXT: =NCP RISK FOR INFECTION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP RISK FOR INFECTION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 29 NAME: NCP_ASP | ||
+ | BEGIN MARKER TEXT: =NCP DYSPHAGIA/ASPIRATION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP DYSPHAGIA/ASPIRATION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 30 NAME: NCP_PAIN_CHRONIC | ||
+ | BEGIN MARKER TEXT: =NCP CHRONIC PAIN= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP CHRONIC PAIN"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 31 NAME: NCP_TF_ASP | ||
+ | BEGIN MARKER TEXT: =NCP TUBE FEEDING ASPIRATION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP TUBE FEEDING ASPIRATION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 32 NAME: NCP_CONSTIPATION | ||
+ | BEGIN MARKER TEXT: =NCP CONSTIPATION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP CONSTIPATION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 33 NAME: NCP_DIARRHEA | ||
+ | BEGIN MARKER TEXT: =NCP DIARRHEA= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP DIARRHEA"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 34 NAME: NCP_FL_VOL_DEF | ||
+ | BEGIN MARKER TEXT: =NCP FLUID VOLUME DEFICIT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP FLUID VOLUME DEFICIT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 35 NAME: NCP_FL_VOL_EXCESS | ||
+ | BEGIN MARKER TEXT: =NCP FLUID VOLUME EXCESS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP FLUID VOLUME EXCESS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 36 NAME: NCP_HYPERTENSION | ||
+ | BEGIN MARKER TEXT: =NCP HYPERTENSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP HYPERTENSION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 37 NAME: NCP_DIABETES | ||
+ | BEGIN MARKER TEXT: =NCP DIABETES= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP DIABETES"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 38 NAME: NCP_RK_4_INF_TRANSMISSION | ||
+ | BEGIN MARKER TEXT: =NCP RISK FOR INFECTION TRANSMISSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP RISK FOR INFECTION TRANSMISSION"5."="." " | ||
+ | END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 39 NAME: NCP_SKIN_INTEG | ||
+ | BEGIN MARKER TEXT: =NCP SKIN INTEGRITY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP SKIN INTEGRITY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 40 NAME: NCP_COAG_ABN | ||
+ | BEGIN MARKER TEXT: =NCP COAGULATION ABNORMALITIES/ANTICOAGULANT THERAPY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP COAGULATION ABNORMALITIES/ANTICOAGULANT | ||
+ | THERAPY"5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 41 NAME: NCP_FALLS | ||
+ | BEGIN MARKER TEXT: =NCP HIGH FALL/INJURY RISK= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP HIGH FALL/INJURY RISK"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 42 NAME: NCP_CPAP | ||
+ | BEGIN MARKER TEXT: =NCP CPAP/BiPAP THERAPY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP CPAP/BiPAP THERAPY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 43 NAME: NCP_OBESITY | ||
+ | BEGIN MARKER TEXT: =NCP OBESITY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP OBESITY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 44 NAME: PSYCH_AXIS_ALL | ||
+ | BEGIN MARKER TEXT: =PSYCHIATRY DX AND ASSESSMENTS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PSYCHIATRY DX AND ASSESSMENTS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 45 NAME: ADMIT_MEDS | ||
+ | BEGIN MARKER TEXT: =MEDICATIONS ON ADMISSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS ON ADMISSION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 46 NAME: PLAN_FR_IMC | ||
+ | BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 47 NAME: NCP_MR_VIO | ||
+ | BEGIN MARKER TEXT: =NCP ID/DD RISK FOR VIOLENCE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ID/DD RISK FOR VIOLENCE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 48 NAME: NCP_MR_IC | ||
+ | BEGIN MARKER TEXT: =NCP ID/DD IMPAIRED COMMUNICATION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP ID/DD IMPAIRED COMMUNICATION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 49 NAME: NCP_MR_SIB | ||
+ | BEGIN MARKER TEXT: =NCP ID/DD RISK FOR SELF-INJURY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP ID/DD RISK FOR SELF-INJURY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 50 NAME: NCP_MR_SELF_CARE | ||
+ | BEGIN MARKER TEXT: =NCP ID/DD SELF-CARE DEFICIT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP ID/DD SELF-CARE DEFICIT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 51 NAME: MED_REVIEW | ||
+ | BEGIN MARKER TEXT: =MEDICAL REVIEW= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL REVIEW"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 52 NAME: MED_INIT_REVIEW | ||
+ | BEGIN MARKER TEXT: =INITIAL MEDICAL REVIEW= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"INITIAL MEDICAL REVIEW"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 53 NAME: PSYCH_SUMMARY | ||
+ | BEGIN MARKER TEXT: =SUMMARY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SUMMARY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 54 NAME: PSYCH_GOALS_PROGRESS | ||
+ | BEGIN MARKER TEXT: =PROGRESS TOWARD GOALS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PROGRESS TOWARD GOALS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 55 NAME: PSYCH_CUR_RF | ||
+ | BEGIN MARKER TEXT: =CURRENT RISK FACTORS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CURRENT RISK FACTORS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 56 NAME: PSYCH_CUR_MEDS | ||
+ | BEGIN MARKER TEXT: =CURRENT MEDICATIONS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CURRENT MEDICATIONS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 57 NAME: PYSCH_SIDE_EFF | ||
+ | BEGIN MARKER TEXT: =SIDE EFFECTS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SIDE EFFECTS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 58 NAME: PSYCH_RISK_BENEFIT | ||
+ | BEGIN MARKER TEXT: =RISK/BENEFIT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"RISK/BENEFIT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 59 NAME: PSYCH_ANTIPSYCHO | ||
+ | BEGIN MARKER TEXT: =ANTIPSYCHOTICS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ANTIPSYCHOTICS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 60 NAME: PSYCH_PSYCHOTRO | ||
+ | BEGIN MARKER TEXT: =PSYCHOTROPICS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PSYCHOTROPICS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 61 NAME: PSYCH_MSE | ||
+ | BEGIN MARKER TEXT: =MENTAL STATUS EXAM= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MENTAL STATUS EXAM"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 62 NAME: PSYCH_ASSESS_UPDATE | ||
+ | BEGIN MARKER TEXT: =UPDATED ASSESSMENT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"UPDATED ASSESSMENT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 63 NAME: PSYCH_POC | ||
+ | BEGIN MARKER TEXT: =PLAN OF CARE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PLAN OF CARE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 64 NAME: PSYCH_SIDE_EFF | ||
+ | BEGIN MARKER TEXT: =SIDE EFFECTS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SIDE EFFECTS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 65 NAME: NCP_INEFF_BREATH | ||
+ | BEGIN MARKER TEXT: =NCP INEFFECTIVE BREATHING PATTERN= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP INEFFECTIVE BREATHING PATTERN"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 66 NAME: NCP_INEFF_AIRWY | ||
+ | BEGIN MARKER TEXT: =NCP INEFFECTIVE AIRWAY CLEARANCE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP INEFFECTIVE AIRWAY CLEARANCE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 67 NAME: NCP_SK_P_ULCER | ||
+ | BEGIN MARKER TEXT: =NCP IMPAIRED SKIN INTEGRITY: PRESSURE ULCER RELATED= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP IMPAIRED SKIN INTEGRITY: PRESSURE ULCER | ||
+ | RELATED"5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 68 NAME: NCP_SK_NP_ULCER | ||
+ | BEGIN MARKER TEXT: =NCP IMPAIRED SKIN INTEGRITY: NONPRESSURE ULCER RELATED= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP IMPAIRED SKIN INTEGRITY: NONPRESSURE ULC | ||
+ | ER RELATED"5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 69 NAME: NCP_NV_DSYFUN | ||
+ | BEGIN MARKER TEXT: =NCP RISK FOR PERIPHERAL NEUROVASCULAR DYSFUNCTION: CAST= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP RISK FOR PERIPHERAL NEUROVASCULAR DYSFUN | ||
+ | CTION: CAST"5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 70 NAME: MEDREC_INPATIENT | ||
+ | BEGIN MARKER TEXT: =INPT MEDS:CURRENT LIST= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"INPT MEDS:CURRENT LIST"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 71 NAME: PNREVIEW_DIAGNOSIS | ||
+ | BEGIN MARKER TEXT: =DIAGNOSES= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"DIAGNOSES"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 72 NAME: MED_HP_AP | ||
+ | BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 73 NAME: MED_INIT_REV_AP | ||
+ | BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 74 NAME: MED_PER_REV_AP | ||
+ | BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 75 NAME: PSYCH_SUMM_UPDATE | ||
+ | BEGIN MARKER TEXT: =SUMMARY UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SUMMARY UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 76 NAME: PSY_CC | ||
+ | BEGIN MARKER TEXT: =CHIEF COMPLAINT= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CHIEF COMPLAINT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 77 NAME: PSY_HPI | ||
+ | BEGIN MARKER TEXT: =HISTORY OF PRESENT ILLNESS (PSYCH)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"HISTORY OF PRESENT ILLNESS (PSYCH)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 78 NAME: PSY_PPH | ||
+ | BEGIN MARKER TEXT: =PAST PSYCHIATRIC HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PAST PSYCHIATRIC HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 79 NAME: PSY_SBH | ||
+ | BEGIN MARKER TEXT: =SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFETIME HX= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFE TIME HX"5."="." " | ||
+ | END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 80 NAME: PSY_PMH | ||
+ | BEGIN MARKER TEXT: =PAST MEDICAL HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PAST MEDICAL HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 81 NAME: PSY_FPH | ||
+ | BEGIN MARKER TEXT: =FAMILY PSYCHIATRIC HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"FAMILY PSYCHIATRIC HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 82 NAME: PSY_TRAUMA | ||
+ | BEGIN MARKER TEXT: =TRAUMA HISTORY (Lifetime History)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"TRAUMA HISTORY (Lifetime History)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 83 NAME: PSY_BPS | ||
+ | BEGIN MARKER TEXT: =BIOPSYCHOSOCIAL CASE FORMULATION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"BIOPSYCHOSOCIAL CASE FORMULATION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 84 NAME: PSY_DX | ||
+ | BEGIN MARKER TEXT: =DIAGNOSIS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"DIAGNOSIS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 85 NAME: PSY_LEGALHX | ||
+ | BEGIN MARKER TEXT: =LEGAL HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"LEGAL HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 86 NAME: PSY_MED_PR | ||
+ | BEGIN MARKER TEXT: =MEDICAL PROBLEMS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 87 NAME: PSYCH_LABS | ||
+ | BEGIN MARKER TEXT: =PERTINENT LAB RESULTS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PERTINENT LAB RESULTS"5."="." " | ||
+ | END MARKER TEXT: ====== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 88 NAME: PSY_SH | ||
+ | BEGIN MARKER TEXT: =SOCIAL HISTORY (PSYCH)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SOCIAL HISTORY (PSYCH)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 89 NAME: PSY_MSE | ||
+ | BEGIN MARKER TEXT: =LEVEL OF CONSCIOUSNESS/MENTAL STATUS EXAM= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"LEVEL OF CONSCIOUSNESS/MENTAL STATUS EXAM"5. | ||
+ | "="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 90 NAME: PSY_ASSETS | ||
+ | BEGIN MARKER TEXT: =ASSETS AND STRENGTHS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ASSETS AND STRENGTHS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 91 NAME: PSY_ADMT_PLAN | ||
+ | BEGIN MARKER TEXT: =ADMITTING TREATMENT PLAN= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ADMITTING TREATMENT PLAN"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 92 NAME: PSY_ADMIT_MSE | ||
+ | BEGIN MARKER TEXT: =LEVEL OF CONSCIOUSNESS/ADMISSION MENTAL STATUS EXAM= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"LEVEL OF CONSCIOUSNESS/ADMISSION MENTAL STAT | ||
+ | US EXAM"5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 93 NAME: CCP_MED_APPT | ||
+ | BEGIN MARKER TEXT: =CCP MEDICAL PROVIDER FOLLOW UP APPOINTMENTS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CCP MEDICAL PROVIDER FOLLOW UP APPOINTMENTS" | ||
+ | 5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 94 NAME: MPU_CC | ||
+ | BEGIN MARKER TEXT: =CHIEF COMPLAINT (MPU ADMIT)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CHIEF COMPLAINT (MPU ADMIT)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 95 NAME: MPU_ADMIT_DX | ||
+ | BEGIN MARKER TEXT: =MPU ADMISSION DIAGNOSES= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MPU ADMISSION DIAGNOSES"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 96 NAME: MPU_ADM_DATE | ||
+ | BEGIN MARKER TEXT: =MPU ADMIT DATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MPU ADMIT DATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 97 NAME: NCP_OTHER | ||
+ | BEGIN MARKER TEXT: =NCP OTHER= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP OTHER"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 98 NAME: NCP_OTHER2 | ||
+ | BEGIN MARKER TEXT: =NCP OTHER2= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP OTHER2"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 99 NAME: NCP_OTHER3 | ||
+ | BEGIN MARKER TEXT: =NCP OTHER3= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NCP OTHER3"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 100 NAME: MPU_PMH | ||
+ | BEGIN MARKER TEXT: =Past Medical and Surgical History= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Past Medical and Surgical History"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 101 NAME: MPU_LABS | ||
+ | BEGIN MARKER TEXT: =LABS IMAGING ECG= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"LABS IMAGING ECG"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 102 NAME: MPU_HPI | ||
+ | BEGIN MARKER TEXT: =HISTORY OF PRESENT ILLNESS (MPU ADMIT)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"HISTORY OF PRESENT ILLNESS (MPU ADMIT)"5."=" | ||
+ | ." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 103 NAME: MPU_MEDS_ADMT | ||
+ | BEGIN MARKER TEXT: =Medications on Admit (MPU)= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"Medications on Admit (MPU)"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 104 NAME: PSY_CERT_OF_NEED | ||
+ | BEGIN MARKER TEXT: =CERTIFICATION OF NEED= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"CERTIFICATION OF NEED"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 105 NAME: PSY_AXIS_3 | ||
+ | BEGIN MARKER TEXT: -MEDICAL DIAGNOSES- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"MEDICAL DIAGNOSES"5."-"." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 106 NAME: PSY_SUI_VIO | ||
+ | BEGIN MARKER TEXT: =SUICIDE AND VIOLENCE ASSESSMENTS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SUICIDE AND VIOLENCE ASSESSMENTS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 107 NAME: PSY_TREATMENT_PLAN | ||
+ | BEGIN MARKER TEXT: =TREATMENT PLAN SPECIFIC PROBLEMS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"TREATMENT PLAN SPECIFIC PROBLEMS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 108 NAME: PSY_DISPOSITION | ||
+ | BEGIN MARKER TEXT: =DISPOSITION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"DISPOSITION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 109 NAME: PSY_ANTIC_NEEDS | ||
+ | BEGIN MARKER TEXT: =ANTICIPATED NEEDS UPON DISCHARGE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ANTICIPATED NEEDS UPON DISCHARGE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 110 NAME: PSY_ADV_DIR | ||
+ | BEGIN MARKER TEXT: =ADVANCE DIRECTIVE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ADVANCE DIRECTIVE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 111 NAME: SAU_ASSESS | ||
+ | BEGIN MARKER TEXT: _INITIAL PSYCHIATRIC ASSESSMENT_ | ||
+ | BEGIN MARKER PATTERN: ." "5."_"1"INITIAL PSYCHIATRIC ASSESSMENT"5."_"." " | ||
+ | END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E | ||
+ | |||
+ | NUMBER: 112 NAME: PSY_SUBSABUSEHX | ||
+ | BEGIN MARKER TEXT: =SUBSTANCE ABUSE AND/OR ALCOHOL ABUSE HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"SUBSTANCE ABUSE AND/OR ALCOHOL ABUSE HISTORY | ||
+ | "5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 113 NAME: PSY_TRAUMA_INIT | ||
+ | BEGIN MARKER TEXT: =TRAUMA HISTORY= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"TRAUMA HISTORY"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 114 NAME: PSY_MSE2 | ||
+ | BEGIN MARKER TEXT: =MENTAL STATUS EXAM= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MENTAL STATUS EXAM"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 115 NAME: MEDS_BEFORE_ADMIT | ||
+ | BEGIN MARKER TEXT: =MEDICATIONS BEFORE ADMISSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS BEFORE ADMISSION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 116 NAME: ADM_MEDS | ||
+ | BEGIN MARKER TEXT: =MEDICATIONS BEFORE ADMISSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS BEFORE ADMISSION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 117 NAME: PSYCH_MEDS | ||
+ | BEGIN MARKER TEXT: =PSYCHIATRIC MEDICATIONS WITH INDICATIONS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PSYCHIATRIC MEDICATIONS WITH INDICATIONS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 118 NAME: MEDS_ON_ADMIT | ||
+ | BEGIN MARKER TEXT: =MEDICATIONS ON ADMISSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS ON ADMISSION"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 119 NAME: PSY_ID | ||
+ | BEGIN MARKER TEXT: =IDENTIFYING DATA= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"IDENTIFYING DATA"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 120 NAME: GUARDIAN | ||
+ | BEGIN MARKER TEXT: =GUARDIAN STATUS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"GUARDIAN STATUS"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 121 NAME: PLANofCARE | ||
+ | BEGIN MARKER TEXT: =PLAN OF CARE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PLAN OF CARE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 122 NAME: DisCHARGE_SUMMARY_MEDS | ||
+ | BEGIN MARKER TEXT: =-Discharge Medications=- | ||
+ | BEGIN MARKER PATTERN: ." "3."=-"1"Discharge Medications"3."=-"." " | ||
+ | END MARKER TEXT: =-=-=- END MARKER PATTERN: ." "3."=-".E | ||
+ | |||
+ | NUMBER: 123 NAME: W-PR1 | ||
+ | BEGIN MARKER TEXT: =PROBLEM ONE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PROBLEM ONE"5."="." " | ||
+ | END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E | ||
+ | |||
+ | NUMBER: 124 NAME: W-PR2 | ||
+ | BEGIN MARKER TEXT: =PROBLEM TWO= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PROBLEM TWO"5."="." " | ||
+ | END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E | ||
+ | |||
+ | NUMBER: 125 NAME: W-LTG1 | ||
+ | BEGIN MARKER TEXT: _Long Term Goal (Problem 1)_ | ||
+ | BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 1)"5."_"." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 126 NAME: W-LTG2 | ||
+ | BEGIN MARKER TEXT: _Long Term Goal (Problem 2)_ | ||
+ | BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 2)"5."_"." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 127 NAME: W-STG1-1 | ||
+ | BEGIN MARKER TEXT: -Short term goal (1-1)- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (1-1)"5."-"." " | ||
+ | END MARKER TEXT: ----- ! ===== | ||
+ | END MARKER PATTERN: ." "1(5."-",5."=").E | ||
+ | |||
+ | NUMBER: 128 NAME: W-STG1-2 | ||
+ | BEGIN MARKER TEXT: -Short term goal (1-2)- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (1-2)"5."-"." " | ||
+ | END MARKER TEXT: ----- ! ===== | ||
+ | END MARKER PATTERN: ." "1(5."-",5."=").E | ||
+ | |||
+ | NUMBER: 129 NAME: W-STG2-1 | ||
+ | BEGIN MARKER TEXT: -Short term goal (2-1)- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (2-1)"5."-"." " | ||
+ | END MARKER TEXT: ----- ! ===== | ||
+ | END MARKER PATTERN: ." "1(5."-",5."=").E | ||
+ | |||
+ | NUMBER: 130 NAME: W-STG2-2 | ||
+ | BEGIN MARKER TEXT: -Short term goal (2-2)- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (2-2)"5."-"." " | ||
+ | END MARKER TEXT: ----- ! ===== | ||
+ | END MARKER PATTERN: ." "1(5."-",5."=").E | ||
+ | |||
+ | NUMBER: 131 NAME: W-LTG3 | ||
+ | BEGIN MARKER TEXT: _Long Term Goal (Problem 3)_ | ||
+ | BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 3)"5."_"." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 132 NAME: W-PR3 | ||
+ | BEGIN MARKER TEXT: =PROBLEM THREE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PROBLEM THREE"5."="." " | ||
+ | END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E | ||
+ | |||
+ | NUMBER: 133 NAME: W-PR4 | ||
+ | BEGIN MARKER TEXT: =PROBLEM FOUR= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PROBLEM FOUR"5."="." " | ||
+ | END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E | ||
+ | |||
+ | NUMBER: 134 NAME: W-PR5 | ||
+ | BEGIN MARKER TEXT: =PROBLEM FIVE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PROBLEM FIVE"5."="." " | ||
+ | END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E | ||
+ | |||
+ | NUMBER: 135 NAME: W-LTG4 | ||
+ | BEGIN MARKER TEXT: _Long Term Goal (Problem 4)_ | ||
+ | BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 4)"5."_"." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 136 NAME: W-LTG5 | ||
+ | BEGIN MARKER TEXT: _Long Term Goal (Problem 5)_ | ||
+ | BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 5)"5."_"." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 137 NAME: W-STG1-3 | ||
+ | BEGIN MARKER TEXT: -Short term goal (1-3)- | ||
+ | BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (1-3)"5."-"." " | ||
+ | END MARKER TEXT: ----- ! ===== | ||
+ | END MARKER PATTERN: ." "1(5."-",5."=").E | ||
+ | |||
+ | NUMBER: 138 NAME: WHIT_DX_TP | ||
+ | BEGIN MARKER TEXT: =DIAGNOSES= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"DIAGNOSES"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 139 NAME: W_VOC_UP | ||
+ | BEGIN MARKER TEXT: =VOCATIONAL TREATMENT REVIEW UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"VOCATIONAL TREATMENT REVIEW UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 140 NAME: W_COM_UP | ||
+ | BEGIN MARKER TEXT: =COMMUNITY TREATMENT REVIEW UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"COMMUNITY TREATMENT REVIEW UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 141 NAME: W_ED_UP | ||
+ | BEGIN MARKER TEXT: =EDUCATIONAL TREATMENT PLAN UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"EDUCATIONAL TREATMENT PLAN UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 142 NAME: W_GPS_UP | ||
+ | BEGIN MARKER TEXT: =GROUPS TREATMENT PLAN UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"GROUPS TREATMENT PLAN UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 143 NAME: W_I/FAM_UP | ||
+ | BEGIN MARKER TEXT: =INDIVIDUAL/FAMILY THERAPY TREATMENT PLAN= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"INDIVIDUAL/FAMILY THERAPY TREATMENT PLAN"5." | ||
+ | ="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 144 NAME: W_MED_UP | ||
+ | BEGIN MARKER TEXT: =MEDICAL TREATMENT PLAN UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICAL TREATMENT PLAN UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 145 NAME: W_REC_UP | ||
+ | BEGIN MARKER TEXT: =THERAPEUTIC RECREATION TREATMENT PLAN UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"THERAPEUTIC RECREATION TREATMENT PLAN UPDATE | ||
+ | "5."="." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 146 NAME: W_MEDREC_INPAT | ||
+ | BEGIN MARKER TEXT: =INPT MEDS:CURRENT LIST= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"INPT MEDS:CURRENT LIST"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 147 NAME: WHIT_MEDS_BEF_AD | ||
+ | BEGIN MARKER TEXT: =MEDICATIONS TAKEN BEFORE THIS ADMISSION= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS TAKEN BEFORE THIS ADMISSION"5."= | ||
+ | "." " END MARKER TEXT: ===== | ||
+ | END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 148 NAME: WH_BPS_SA | ||
+ | BEGIN MARKER TEXT: =BPS SUBSTANCE ABUSE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"BPS SUBSTANCE ABUSE"5."="." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 149 NAME: WH_TX_GOALS | ||
+ | BEGIN MARKER TEXT: =BPS TREATMENT GOALS= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"BPS TREATMENT GOALS"5."="." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 150 NAME: WH_LAST_GRADE | ||
+ | BEGIN MARKER TEXT: =BPS LAST GRADE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"BPS LAST GRADE"5."="." " | ||
+ | END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E | ||
+ | |||
+ | NUMBER: 151 NAME: WH_RES_TPU | ||
+ | BEGIN MARKER TEXT: =RESIDENTIAL TREATMENT PLAN UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"RESIDENTIAL TREATMENT PLAN UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 152 NAME: WH_NUR_TPU | ||
+ | BEGIN MARKER TEXT: =NURSING TREATMENT PLAN UPDATE= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"NURSING TREATMENT PLAN UPDATE"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 153 NAME: WH_PSYCH_WKLY_ASS | ||
+ | BEGIN MARKER TEXT: ========ASSESSMENT====== | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"ASSESSMENT"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | NUMBER: 154 NAME: WH_PSYCH_WKLY_PLAN | ||
+ | BEGIN MARKER TEXT: =PLAN= | ||
+ | BEGIN MARKER PATTERN: ." "5."="1"PLAN"5."="." " | ||
+ | END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E | ||
+ | |||
+ | |||
</pre> | </pre> |
Revision as of 16:02, 7 May 2015
<< UP: CTO >>
FILE OF FILES ENTRY
How do I print a File of Files entry ?
NUMBER: 300001 NAME: CRH MARKER TEXT GLOBAL NAME (c): ^DIZ(300001, ENTRIES (c): 154 DD ACCESS (c): @ RD ACCESS (c): @ WR ACCESS (c): @ DEL ACCESS (c): @ LAYGO ACCESS (c): @ AUDIT ACCESS (c): @ VERSION (c): 1.1 DISTRIBUTION PACKAGE (c): C9CTIU CONTINUITY OBJECTS COMPILED CROSS-REFERENCES (c): NO
STANDARD DATA DICTIONARY
How do I print a STANDARD Data Dictionary ?
STANDARD DATA DICTIONARY #300001 -- CRH MARKER TEXT FILE MAY 7,2015@11:28:28 PAGE 1 STORED IN ^DIZ(300001, (154 ENTRIES) SITE: Central Regional Hospital UCI: EHR,EHR (VERSION 1.1) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ------------------------------------------------------------------------------ DD ACCESS: @ RD ACCESS: @ WR ACCESS: @ DEL ACCESS: @ LAYGO ACCESS: @ AUDIT ACCESS: @ POINTED TO BY: SELECTION ITEM field (#.01) of the SELECTION ITEM sub-field (#142.14) of the STRUCTURE sub-field (#142.01) of the HEALTH SUMMARY TYPE File (#142) CROSS REFERENCED BY: NAME(B) 300001,.01 NAME 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>30!(X?.N)!($L(X)<3)!'(X'?1P.E) X HELP-PROMPT: NAME MUST BE 3-30 CHARACTERS, NOT NUMERIC OR STARTING WITH PUNCTUATION CROSS-REFERENCE: 300001^B 1)= S ^DIZ(300001,"B",$E(X,1,30),DA)="" 2)= K ^DIZ(300001,"B",$E(X,1,30),DA) 300001,1.01 BEGIN MARKER TEXT 1.01;E1,200 FREE TEXT INPUT TRANSFORM: K:$L(X)>80!($L(X)<3) X LAST EDITED: JUL 13, 2012 HELP-PROMPT: Answer must be 3-80 characters in length. 300001,1.02 BEGIN MARKER PATTERN 1.02;E1,240 FREE TEXT INPUT TRANSFORM: K:$L(X)>200!($L(X)<3) X LAST EDITED: JUL 06, 2012 HELP-PROMPT: Answer must be 3-200 characters in length. 300001,2.01 END MARKER TEXT 2.01;E1,200 FREE TEXT INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X LAST EDITED: JUL 06, 2012 HELP-PROMPT: Answer must be 1-80 characters in length. 300001,2.02 END MARKER PATTERN 2.02;E1,240 FREE TEXT INPUT TRANSFORM: K:$L(X)>200!($L(X)<1) X LAST EDITED: JUL 06, 2012 HELP-PROMPT: Answer must be 1-200 characters in length.
GLOBAL MAP FOR A FILE
GLOBAL MAP DATA DICTIONARY #300001 -- CRH MARKER TEXT FILE MAY 7,2015@11:30:35 PAGE 1 STORED IN ^DIZ(300001, (154 ENTRIES) SITE: Central Regional Hospital UCI: EHR,EHR (VERSION 1.1) ------------------------------------------------------------------------------ CROSS REFERENCED BY: NAME(B) ^DIZ(300001,D0,0)= (#.01) NAME [1F] ^ ^DIZ(300001,D0,1.01)= (#1.01) BEGIN MARKER TEXT [E1,200F] ^ ^DIZ(300001,D0,1.02)= (#1.02) BEGIN MARKER PATTERN [E1,240F] ^ ^DIZ(300001,D0,2.01)= (#2.01) END MARKER TEXT [E1,200F] ^ ^DIZ(300001,D0,2.02)= (#2.02) END MARKER PATTERN [E1,240F] ^
EXAMPLE DATA
How do I print example data from a file?
CRH MARKER TEXT LIST MAY 7,2015 11:44 PAGE 1 ------------------------------------------------------------------------------- NUMBER: 1 NAME: HPI (PSYCH) BEGIN MARKER TEXT: =HISTORY OF PRESENT ILLNESS (PSYCH)= BEGIN MARKER PATTERN: ." "5."="1"HISTORY OF PRESENT ILLNESS (PSYCH)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 2 NAME: CHIEF COMPLAINT BEGIN MARKER TEXT: =CHIEF COMPLAINT= BEGIN MARKER PATTERN: ." "5."="1"CHIEF COMPLAINT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 3 NAME: PAST PSYCH HX BEGIN MARKER TEXT: =PAST PSYCHIATRIC HISTORY= BEGIN MARKER PATTERN: ." "5."="1"PAST PSYCHIATRIC HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 4 NAME: PAST INPATIENT BEGIN MARKER TEXT: `Past Inpatient: BEGIN MARKER PATTERN: ." "5."`"1"Past Inpatient:".E END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E NUMBER: 5 NAME: PAST OUTPATIENT BEGIN MARKER TEXT: `Past Outpatient: BEGIN MARKER PATTERN: ." "5."`"1"Past Outpatient:".E END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E NUMBER: 6 NAME: PAST DX BEGIN MARKER TEXT: `Past Diagnosis: BEGIN MARKER PATTERN: ." "5."`"1"Past Diagnosis:".E END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E NUMBER: 7 NAME: PREV MED TRIALS BEGIN MARKER TEXT: `Previous Med Trials: BEGIN MARKER PATTERN: ." "5."`"1"Previous Med Trials:".E END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E NUMBER: 8 NAME: PREV SUI/SIB BEGIN MARKER TEXT: `Previous Suicidal/SIB: BEGIN MARKER PATTERN: ." "5."`"1"Previous Suicidal/SIB:".E END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E NUMBER: 9 NAME: PREV VIOLENCE BEGIN MARKER TEXT: `Previous Violence: BEGIN MARKER PATTERN: ." "5."`"1"Previous Violence:".E END MARKER TEXT: ````` END MARKER PATTERN: ." "5."`".E NUMBER: 10 NAME: SUBSTANCE ABUSE BEGIN MARKER TEXT: =SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFETIME HX= BEGIN MARKER PATTERN: ." "5."="1"SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFE TIME HX"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 11 NAME: FAM PSYCH HX BEGIN MARKER TEXT: =FAMILY PSYCHIATRIC HISTORY= BEGIN MARKER PATTERN: ." "5."="1"FAMILY PSYCHIATRIC HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 12 NAME: TRAUMA HX BEGIN MARKER TEXT: =TRAUMA HISTORY (Lifetime History)= BEGIN MARKER PATTERN: ." "5."="1"TRAUMA HISTORY (Lifetime History)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 13 NAME: SOCIAL HX BEGIN MARKER TEXT: =SOCIAL HISTORY= BEGIN MARKER PATTERN: ." "5."="1"SOCIAL HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 14 NAME: NUR NUTRITION BEGIN MARKER TEXT: =MEDICAL HISTORY/NUTRITIONAL ASSESSMENT= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL HISTORY/NUTRITIONAL ASSESSMENT"5."=" ." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 15 NAME: CC_HPI_MED BEGIN MARKER TEXT: =Chief Complaint/Present Illness (medical)= BEGIN MARKER PATTERN: ." "5."="1"Chief Complaint/Present Illness (medical)"5. "="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 16 NAME: PMH_MED BEGIN MARKER TEXT: =Past Medical History= BEGIN MARKER PATTERN: ." "5."="1"Past Medical History"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 17 NAME: FMH_MED BEGIN MARKER TEXT: =Family Medical History= BEGIN MARKER PATTERN: ." "5."="1"Family Medical History"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 18 NAME: MEDS_MED BEGIN MARKER TEXT: =Medications= BEGIN MARKER PATTERN: ." "5."="1"Medications"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 19 NAME: DRUG_ABUSE_MED BEGIN MARKER TEXT: =Substance Abuse= BEGIN MARKER PATTERN: ." "5."="1"Substance Abuse"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 20 NAME: TOBACCO_MED BEGIN MARKER TEXT: =Tobacco Use= BEGIN MARKER PATTERN: ." "5."="1"Tobacco Use"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 21 NAME: ROS_MED BEGIN MARKER TEXT: =REVIEW OF SYSTEMS= BEGIN MARKER PATTERN: ." "5."="1"REVIEW OF SYSTEMS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 22 NAME: INF_MED BEGIN MARKER TEXT: -COMMUNICABLE INFECTIONS Hx/SYMPTOMS- BEGIN MARKER PATTERN: ." "5."-"1"COMMUNICABLE INFECTIONS Hx/SYMPTOMS"5."-"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 23 NAME: PE_MED BEGIN MARKER TEXT: =PHYSICAL EXAMINATION= BEGIN MARKER PATTERN: ." "5."="1"PHYSICAL EXAMINATION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 24 NAME: FALLS_MED BEGIN MARKER TEXT: =Falls/Injury Risk= BEGIN MARKER PATTERN: ." "5."="1"Falls/Injury Risk"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 25 NAME: ASP_MED BEGIN MARKER TEXT: =Aspiration Risk= BEGIN MARKER PATTERN: ." "5."="1"Aspiration Risk"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 26 NAME: A_P_MED BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 27 NAME: NCP_PAIN_ACUTE BEGIN MARKER TEXT: =NCP ACUTE PAIN= BEGIN MARKER PATTERN: ." "5."="1"NCP ACUTE PAIN"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 28 NAME: NCP_RISK_INFECT BEGIN MARKER TEXT: =NCP RISK FOR INFECTION= BEGIN MARKER PATTERN: ." "5."="1"NCP RISK FOR INFECTION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 29 NAME: NCP_ASP BEGIN MARKER TEXT: =NCP DYSPHAGIA/ASPIRATION= BEGIN MARKER PATTERN: ." "5."="1"NCP DYSPHAGIA/ASPIRATION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 30 NAME: NCP_PAIN_CHRONIC BEGIN MARKER TEXT: =NCP CHRONIC PAIN= BEGIN MARKER PATTERN: ." "5."="1"NCP CHRONIC PAIN"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 31 NAME: NCP_TF_ASP BEGIN MARKER TEXT: =NCP TUBE FEEDING ASPIRATION= BEGIN MARKER PATTERN: ." "5."="1"NCP TUBE FEEDING ASPIRATION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 32 NAME: NCP_CONSTIPATION BEGIN MARKER TEXT: =NCP CONSTIPATION= BEGIN MARKER PATTERN: ." "5."="1"NCP CONSTIPATION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 33 NAME: NCP_DIARRHEA BEGIN MARKER TEXT: =NCP DIARRHEA= BEGIN MARKER PATTERN: ." "5."="1"NCP DIARRHEA"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 34 NAME: NCP_FL_VOL_DEF BEGIN MARKER TEXT: =NCP FLUID VOLUME DEFICIT= BEGIN MARKER PATTERN: ." "5."="1"NCP FLUID VOLUME DEFICIT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 35 NAME: NCP_FL_VOL_EXCESS BEGIN MARKER TEXT: =NCP FLUID VOLUME EXCESS= BEGIN MARKER PATTERN: ." "5."="1"NCP FLUID VOLUME EXCESS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 36 NAME: NCP_HYPERTENSION BEGIN MARKER TEXT: =NCP HYPERTENSION= BEGIN MARKER PATTERN: ." "5."="1"NCP HYPERTENSION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 37 NAME: NCP_DIABETES BEGIN MARKER TEXT: =NCP DIABETES= BEGIN MARKER PATTERN: ." "5."="1"NCP DIABETES"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 38 NAME: NCP_RK_4_INF_TRANSMISSION BEGIN MARKER TEXT: =NCP RISK FOR INFECTION TRANSMISSION= BEGIN MARKER PATTERN: ." "5."="1"NCP RISK FOR INFECTION TRANSMISSION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 39 NAME: NCP_SKIN_INTEG BEGIN MARKER TEXT: =NCP SKIN INTEGRITY= BEGIN MARKER PATTERN: ." "5."="1"NCP SKIN INTEGRITY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 40 NAME: NCP_COAG_ABN BEGIN MARKER TEXT: =NCP COAGULATION ABNORMALITIES/ANTICOAGULANT THERAPY= BEGIN MARKER PATTERN: ." "5."="1"NCP COAGULATION ABNORMALITIES/ANTICOAGULANT THERAPY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 41 NAME: NCP_FALLS BEGIN MARKER TEXT: =NCP HIGH FALL/INJURY RISK= BEGIN MARKER PATTERN: ." "5."="1"NCP HIGH FALL/INJURY RISK"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 42 NAME: NCP_CPAP BEGIN MARKER TEXT: =NCP CPAP/BiPAP THERAPY= BEGIN MARKER PATTERN: ." "5."="1"NCP CPAP/BiPAP THERAPY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 43 NAME: NCP_OBESITY BEGIN MARKER TEXT: =NCP OBESITY= BEGIN MARKER PATTERN: ." "5."="1"NCP OBESITY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 44 NAME: PSYCH_AXIS_ALL BEGIN MARKER TEXT: =PSYCHIATRY DX AND ASSESSMENTS= BEGIN MARKER PATTERN: ." "5."="1"PSYCHIATRY DX AND ASSESSMENTS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 45 NAME: ADMIT_MEDS BEGIN MARKER TEXT: =MEDICATIONS ON ADMISSION= BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS ON ADMISSION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 46 NAME: PLAN_FR_IMC BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 47 NAME: NCP_MR_VIO BEGIN MARKER TEXT: =NCP ID/DD RISK FOR VIOLENCE= BEGIN MARKER PATTERN: ." "5."="1"ID/DD RISK FOR VIOLENCE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 48 NAME: NCP_MR_IC BEGIN MARKER TEXT: =NCP ID/DD IMPAIRED COMMUNICATION= BEGIN MARKER PATTERN: ." "5."="1"NCP ID/DD IMPAIRED COMMUNICATION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 49 NAME: NCP_MR_SIB BEGIN MARKER TEXT: =NCP ID/DD RISK FOR SELF-INJURY= BEGIN MARKER PATTERN: ." "5."="1"NCP ID/DD RISK FOR SELF-INJURY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 50 NAME: NCP_MR_SELF_CARE BEGIN MARKER TEXT: =NCP ID/DD SELF-CARE DEFICIT= BEGIN MARKER PATTERN: ." "5."="1"NCP ID/DD SELF-CARE DEFICIT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 51 NAME: MED_REVIEW BEGIN MARKER TEXT: =MEDICAL REVIEW= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL REVIEW"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 52 NAME: MED_INIT_REVIEW BEGIN MARKER TEXT: =INITIAL MEDICAL REVIEW= BEGIN MARKER PATTERN: ." "5."="1"INITIAL MEDICAL REVIEW"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 53 NAME: PSYCH_SUMMARY BEGIN MARKER TEXT: =SUMMARY= BEGIN MARKER PATTERN: ." "5."="1"SUMMARY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 54 NAME: PSYCH_GOALS_PROGRESS BEGIN MARKER TEXT: =PROGRESS TOWARD GOALS= BEGIN MARKER PATTERN: ." "5."="1"PROGRESS TOWARD GOALS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 55 NAME: PSYCH_CUR_RF BEGIN MARKER TEXT: =CURRENT RISK FACTORS= BEGIN MARKER PATTERN: ." "5."="1"CURRENT RISK FACTORS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 56 NAME: PSYCH_CUR_MEDS BEGIN MARKER TEXT: =CURRENT MEDICATIONS= BEGIN MARKER PATTERN: ." "5."="1"CURRENT MEDICATIONS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 57 NAME: PYSCH_SIDE_EFF BEGIN MARKER TEXT: =SIDE EFFECTS= BEGIN MARKER PATTERN: ." "5."="1"SIDE EFFECTS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 58 NAME: PSYCH_RISK_BENEFIT BEGIN MARKER TEXT: =RISK/BENEFIT= BEGIN MARKER PATTERN: ." "5."="1"RISK/BENEFIT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 59 NAME: PSYCH_ANTIPSYCHO BEGIN MARKER TEXT: =ANTIPSYCHOTICS= BEGIN MARKER PATTERN: ." "5."="1"ANTIPSYCHOTICS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 60 NAME: PSYCH_PSYCHOTRO BEGIN MARKER TEXT: =PSYCHOTROPICS= BEGIN MARKER PATTERN: ." "5."="1"PSYCHOTROPICS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 61 NAME: PSYCH_MSE BEGIN MARKER TEXT: =MENTAL STATUS EXAM= BEGIN MARKER PATTERN: ." "5."="1"MENTAL STATUS EXAM"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 62 NAME: PSYCH_ASSESS_UPDATE BEGIN MARKER TEXT: =UPDATED ASSESSMENT= BEGIN MARKER PATTERN: ." "5."="1"UPDATED ASSESSMENT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 63 NAME: PSYCH_POC BEGIN MARKER TEXT: =PLAN OF CARE= BEGIN MARKER PATTERN: ." "5."="1"PLAN OF CARE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 64 NAME: PSYCH_SIDE_EFF BEGIN MARKER TEXT: =SIDE EFFECTS= BEGIN MARKER PATTERN: ." "5."="1"SIDE EFFECTS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 65 NAME: NCP_INEFF_BREATH BEGIN MARKER TEXT: =NCP INEFFECTIVE BREATHING PATTERN= BEGIN MARKER PATTERN: ." "5."="1"NCP INEFFECTIVE BREATHING PATTERN"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 66 NAME: NCP_INEFF_AIRWY BEGIN MARKER TEXT: =NCP INEFFECTIVE AIRWAY CLEARANCE= BEGIN MARKER PATTERN: ." "5."="1"NCP INEFFECTIVE AIRWAY CLEARANCE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 67 NAME: NCP_SK_P_ULCER BEGIN MARKER TEXT: =NCP IMPAIRED SKIN INTEGRITY: PRESSURE ULCER RELATED= BEGIN MARKER PATTERN: ." "5."="1"NCP IMPAIRED SKIN INTEGRITY: PRESSURE ULCER RELATED"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 68 NAME: NCP_SK_NP_ULCER BEGIN MARKER TEXT: =NCP IMPAIRED SKIN INTEGRITY: NONPRESSURE ULCER RELATED= BEGIN MARKER PATTERN: ." "5."="1"NCP IMPAIRED SKIN INTEGRITY: NONPRESSURE ULC ER RELATED"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 69 NAME: NCP_NV_DSYFUN BEGIN MARKER TEXT: =NCP RISK FOR PERIPHERAL NEUROVASCULAR DYSFUNCTION: CAST= BEGIN MARKER PATTERN: ." "5."="1"NCP RISK FOR PERIPHERAL NEUROVASCULAR DYSFUN CTION: CAST"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 70 NAME: MEDREC_INPATIENT BEGIN MARKER TEXT: =INPT MEDS:CURRENT LIST= BEGIN MARKER PATTERN: ." "5."="1"INPT MEDS:CURRENT LIST"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 71 NAME: PNREVIEW_DIAGNOSIS BEGIN MARKER TEXT: =DIAGNOSES= BEGIN MARKER PATTERN: ." "5."="1"DIAGNOSES"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 72 NAME: MED_HP_AP BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 73 NAME: MED_INIT_REV_AP BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 74 NAME: MED_PER_REV_AP BEGIN MARKER TEXT: =MEDICAL PROBLEMS AND PLANS= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS AND PLANS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 75 NAME: PSYCH_SUMM_UPDATE BEGIN MARKER TEXT: =SUMMARY UPDATE= BEGIN MARKER PATTERN: ." "5."="1"SUMMARY UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 76 NAME: PSY_CC BEGIN MARKER TEXT: =CHIEF COMPLAINT= BEGIN MARKER PATTERN: ." "5."="1"CHIEF COMPLAINT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 77 NAME: PSY_HPI BEGIN MARKER TEXT: =HISTORY OF PRESENT ILLNESS (PSYCH)= BEGIN MARKER PATTERN: ." "5."="1"HISTORY OF PRESENT ILLNESS (PSYCH)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 78 NAME: PSY_PPH BEGIN MARKER TEXT: =PAST PSYCHIATRIC HISTORY= BEGIN MARKER PATTERN: ." "5."="1"PAST PSYCHIATRIC HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 79 NAME: PSY_SBH BEGIN MARKER TEXT: =SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFETIME HX= BEGIN MARKER PATTERN: ." "5."="1"SUBSTANCE AND/OR ALCOHOL ABUSE HISTORY: LIFE TIME HX"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 80 NAME: PSY_PMH BEGIN MARKER TEXT: =PAST MEDICAL HISTORY= BEGIN MARKER PATTERN: ." "5."="1"PAST MEDICAL HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 81 NAME: PSY_FPH BEGIN MARKER TEXT: =FAMILY PSYCHIATRIC HISTORY= BEGIN MARKER PATTERN: ." "5."="1"FAMILY PSYCHIATRIC HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 82 NAME: PSY_TRAUMA BEGIN MARKER TEXT: =TRAUMA HISTORY (Lifetime History)= BEGIN MARKER PATTERN: ." "5."="1"TRAUMA HISTORY (Lifetime History)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 83 NAME: PSY_BPS BEGIN MARKER TEXT: =BIOPSYCHOSOCIAL CASE FORMULATION= BEGIN MARKER PATTERN: ." "5."="1"BIOPSYCHOSOCIAL CASE FORMULATION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 84 NAME: PSY_DX BEGIN MARKER TEXT: =DIAGNOSIS= BEGIN MARKER PATTERN: ." "5."="1"DIAGNOSIS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 85 NAME: PSY_LEGALHX BEGIN MARKER TEXT: =LEGAL HISTORY= BEGIN MARKER PATTERN: ." "5."="1"LEGAL HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 86 NAME: PSY_MED_PR BEGIN MARKER TEXT: =MEDICAL PROBLEMS= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL PROBLEMS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 87 NAME: PSYCH_LABS BEGIN MARKER TEXT: =PERTINENT LAB RESULTS= BEGIN MARKER PATTERN: ." "5."="1"PERTINENT LAB RESULTS"5."="." " END MARKER TEXT: ====== END MARKER PATTERN: ." "5."=".E NUMBER: 88 NAME: PSY_SH BEGIN MARKER TEXT: =SOCIAL HISTORY (PSYCH)= BEGIN MARKER PATTERN: ." "5."="1"SOCIAL HISTORY (PSYCH)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 89 NAME: PSY_MSE BEGIN MARKER TEXT: =LEVEL OF CONSCIOUSNESS/MENTAL STATUS EXAM= BEGIN MARKER PATTERN: ." "5."="1"LEVEL OF CONSCIOUSNESS/MENTAL STATUS EXAM"5. "="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 90 NAME: PSY_ASSETS BEGIN MARKER TEXT: =ASSETS AND STRENGTHS= BEGIN MARKER PATTERN: ." "5."="1"ASSETS AND STRENGTHS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 91 NAME: PSY_ADMT_PLAN BEGIN MARKER TEXT: =ADMITTING TREATMENT PLAN= BEGIN MARKER PATTERN: ." "5."="1"ADMITTING TREATMENT PLAN"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 92 NAME: PSY_ADMIT_MSE BEGIN MARKER TEXT: =LEVEL OF CONSCIOUSNESS/ADMISSION MENTAL STATUS EXAM= BEGIN MARKER PATTERN: ." "5."="1"LEVEL OF CONSCIOUSNESS/ADMISSION MENTAL STAT US EXAM"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 93 NAME: CCP_MED_APPT BEGIN MARKER TEXT: =CCP MEDICAL PROVIDER FOLLOW UP APPOINTMENTS= BEGIN MARKER PATTERN: ." "5."="1"CCP MEDICAL PROVIDER FOLLOW UP APPOINTMENTS" 5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 94 NAME: MPU_CC BEGIN MARKER TEXT: =CHIEF COMPLAINT (MPU ADMIT)= BEGIN MARKER PATTERN: ." "5."="1"CHIEF COMPLAINT (MPU ADMIT)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 95 NAME: MPU_ADMIT_DX BEGIN MARKER TEXT: =MPU ADMISSION DIAGNOSES= BEGIN MARKER PATTERN: ." "5."="1"MPU ADMISSION DIAGNOSES"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 96 NAME: MPU_ADM_DATE BEGIN MARKER TEXT: =MPU ADMIT DATE= BEGIN MARKER PATTERN: ." "5."="1"MPU ADMIT DATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 97 NAME: NCP_OTHER BEGIN MARKER TEXT: =NCP OTHER= BEGIN MARKER PATTERN: ." "5."="1"NCP OTHER"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 98 NAME: NCP_OTHER2 BEGIN MARKER TEXT: =NCP OTHER2= BEGIN MARKER PATTERN: ." "5."="1"NCP OTHER2"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 99 NAME: NCP_OTHER3 BEGIN MARKER TEXT: =NCP OTHER3= BEGIN MARKER PATTERN: ." "5."="1"NCP OTHER3"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 100 NAME: MPU_PMH BEGIN MARKER TEXT: =Past Medical and Surgical History= BEGIN MARKER PATTERN: ." "5."="1"Past Medical and Surgical History"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 101 NAME: MPU_LABS BEGIN MARKER TEXT: =LABS IMAGING ECG= BEGIN MARKER PATTERN: ." "5."="1"LABS IMAGING ECG"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 102 NAME: MPU_HPI BEGIN MARKER TEXT: =HISTORY OF PRESENT ILLNESS (MPU ADMIT)= BEGIN MARKER PATTERN: ." "5."="1"HISTORY OF PRESENT ILLNESS (MPU ADMIT)"5."=" ." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 103 NAME: MPU_MEDS_ADMT BEGIN MARKER TEXT: =Medications on Admit (MPU)= BEGIN MARKER PATTERN: ." "5."="1"Medications on Admit (MPU)"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 104 NAME: PSY_CERT_OF_NEED BEGIN MARKER TEXT: =CERTIFICATION OF NEED= BEGIN MARKER PATTERN: ." "5."="1"CERTIFICATION OF NEED"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 105 NAME: PSY_AXIS_3 BEGIN MARKER TEXT: -MEDICAL DIAGNOSES- BEGIN MARKER PATTERN: ." "5."-"1"MEDICAL DIAGNOSES"5."-"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 106 NAME: PSY_SUI_VIO BEGIN MARKER TEXT: =SUICIDE AND VIOLENCE ASSESSMENTS= BEGIN MARKER PATTERN: ." "5."="1"SUICIDE AND VIOLENCE ASSESSMENTS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 107 NAME: PSY_TREATMENT_PLAN BEGIN MARKER TEXT: =TREATMENT PLAN SPECIFIC PROBLEMS= BEGIN MARKER PATTERN: ." "5."="1"TREATMENT PLAN SPECIFIC PROBLEMS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 108 NAME: PSY_DISPOSITION BEGIN MARKER TEXT: =DISPOSITION= BEGIN MARKER PATTERN: ." "5."="1"DISPOSITION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 109 NAME: PSY_ANTIC_NEEDS BEGIN MARKER TEXT: =ANTICIPATED NEEDS UPON DISCHARGE= BEGIN MARKER PATTERN: ." "5."="1"ANTICIPATED NEEDS UPON DISCHARGE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 110 NAME: PSY_ADV_DIR BEGIN MARKER TEXT: =ADVANCE DIRECTIVE= BEGIN MARKER PATTERN: ." "5."="1"ADVANCE DIRECTIVE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 111 NAME: SAU_ASSESS BEGIN MARKER TEXT: _INITIAL PSYCHIATRIC ASSESSMENT_ BEGIN MARKER PATTERN: ." "5."_"1"INITIAL PSYCHIATRIC ASSESSMENT"5."_"." " END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E NUMBER: 112 NAME: PSY_SUBSABUSEHX BEGIN MARKER TEXT: =SUBSTANCE ABUSE AND/OR ALCOHOL ABUSE HISTORY= BEGIN MARKER PATTERN: ." "5."="1"SUBSTANCE ABUSE AND/OR ALCOHOL ABUSE HISTORY "5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 113 NAME: PSY_TRAUMA_INIT BEGIN MARKER TEXT: =TRAUMA HISTORY= BEGIN MARKER PATTERN: ." "5."="1"TRAUMA HISTORY"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 114 NAME: PSY_MSE2 BEGIN MARKER TEXT: =MENTAL STATUS EXAM= BEGIN MARKER PATTERN: ." "5."="1"MENTAL STATUS EXAM"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 115 NAME: MEDS_BEFORE_ADMIT BEGIN MARKER TEXT: =MEDICATIONS BEFORE ADMISSION= BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS BEFORE ADMISSION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 116 NAME: ADM_MEDS BEGIN MARKER TEXT: =MEDICATIONS BEFORE ADMISSION= BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS BEFORE ADMISSION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 117 NAME: PSYCH_MEDS BEGIN MARKER TEXT: =PSYCHIATRIC MEDICATIONS WITH INDICATIONS= BEGIN MARKER PATTERN: ." "5."="1"PSYCHIATRIC MEDICATIONS WITH INDICATIONS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 118 NAME: MEDS_ON_ADMIT BEGIN MARKER TEXT: =MEDICATIONS ON ADMISSION= BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS ON ADMISSION"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 119 NAME: PSY_ID BEGIN MARKER TEXT: =IDENTIFYING DATA= BEGIN MARKER PATTERN: ." "5."="1"IDENTIFYING DATA"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 120 NAME: GUARDIAN BEGIN MARKER TEXT: =GUARDIAN STATUS= BEGIN MARKER PATTERN: ." "5."="1"GUARDIAN STATUS"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 121 NAME: PLANofCARE BEGIN MARKER TEXT: =PLAN OF CARE= BEGIN MARKER PATTERN: ." "5."="1"PLAN OF CARE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 122 NAME: DisCHARGE_SUMMARY_MEDS BEGIN MARKER TEXT: =-Discharge Medications=- BEGIN MARKER PATTERN: ." "3."=-"1"Discharge Medications"3."=-"." " END MARKER TEXT: =-=-=- END MARKER PATTERN: ." "3."=-".E NUMBER: 123 NAME: W-PR1 BEGIN MARKER TEXT: =PROBLEM ONE= BEGIN MARKER PATTERN: ." "5."="1"PROBLEM ONE"5."="." " END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E NUMBER: 124 NAME: W-PR2 BEGIN MARKER TEXT: =PROBLEM TWO= BEGIN MARKER PATTERN: ." "5."="1"PROBLEM TWO"5."="." " END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E NUMBER: 125 NAME: W-LTG1 BEGIN MARKER TEXT: _Long Term Goal (Problem 1)_ BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 1)"5."_"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 126 NAME: W-LTG2 BEGIN MARKER TEXT: _Long Term Goal (Problem 2)_ BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 2)"5."_"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 127 NAME: W-STG1-1 BEGIN MARKER TEXT: -Short term goal (1-1)- BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (1-1)"5."-"." " END MARKER TEXT: ----- ! ===== END MARKER PATTERN: ." "1(5."-",5."=").E NUMBER: 128 NAME: W-STG1-2 BEGIN MARKER TEXT: -Short term goal (1-2)- BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (1-2)"5."-"." " END MARKER TEXT: ----- ! ===== END MARKER PATTERN: ." "1(5."-",5."=").E NUMBER: 129 NAME: W-STG2-1 BEGIN MARKER TEXT: -Short term goal (2-1)- BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (2-1)"5."-"." " END MARKER TEXT: ----- ! ===== END MARKER PATTERN: ." "1(5."-",5."=").E NUMBER: 130 NAME: W-STG2-2 BEGIN MARKER TEXT: -Short term goal (2-2)- BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (2-2)"5."-"." " END MARKER TEXT: ----- ! ===== END MARKER PATTERN: ." "1(5."-",5."=").E NUMBER: 131 NAME: W-LTG3 BEGIN MARKER TEXT: _Long Term Goal (Problem 3)_ BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 3)"5."_"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 132 NAME: W-PR3 BEGIN MARKER TEXT: =PROBLEM THREE= BEGIN MARKER PATTERN: ." "5."="1"PROBLEM THREE"5."="." " END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E NUMBER: 133 NAME: W-PR4 BEGIN MARKER TEXT: =PROBLEM FOUR= BEGIN MARKER PATTERN: ." "5."="1"PROBLEM FOUR"5."="." " END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E NUMBER: 134 NAME: W-PR5 BEGIN MARKER TEXT: =PROBLEM FIVE= BEGIN MARKER PATTERN: ." "5."="1"PROBLEM FIVE"5."="." " END MARKER TEXT: _____ END MARKER PATTERN: ." "5."_".E NUMBER: 135 NAME: W-LTG4 BEGIN MARKER TEXT: _Long Term Goal (Problem 4)_ BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 4)"5."_"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 136 NAME: W-LTG5 BEGIN MARKER TEXT: _Long Term Goal (Problem 5)_ BEGIN MARKER PATTERN: ." "5."_"1"Long Term Goal (Problem 5)"5."_"." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 137 NAME: W-STG1-3 BEGIN MARKER TEXT: -Short term goal (1-3)- BEGIN MARKER PATTERN: ." "5."-"1"Short term goal (1-3)"5."-"." " END MARKER TEXT: ----- ! ===== END MARKER PATTERN: ." "1(5."-",5."=").E NUMBER: 138 NAME: WHIT_DX_TP BEGIN MARKER TEXT: =DIAGNOSES= BEGIN MARKER PATTERN: ." "5."="1"DIAGNOSES"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 139 NAME: W_VOC_UP BEGIN MARKER TEXT: =VOCATIONAL TREATMENT REVIEW UPDATE= BEGIN MARKER PATTERN: ." "5."="1"VOCATIONAL TREATMENT REVIEW UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 140 NAME: W_COM_UP BEGIN MARKER TEXT: =COMMUNITY TREATMENT REVIEW UPDATE= BEGIN MARKER PATTERN: ." "5."="1"COMMUNITY TREATMENT REVIEW UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 141 NAME: W_ED_UP BEGIN MARKER TEXT: =EDUCATIONAL TREATMENT PLAN UPDATE= BEGIN MARKER PATTERN: ." "5."="1"EDUCATIONAL TREATMENT PLAN UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 142 NAME: W_GPS_UP BEGIN MARKER TEXT: =GROUPS TREATMENT PLAN UPDATE= BEGIN MARKER PATTERN: ." "5."="1"GROUPS TREATMENT PLAN UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 143 NAME: W_I/FAM_UP BEGIN MARKER TEXT: =INDIVIDUAL/FAMILY THERAPY TREATMENT PLAN= BEGIN MARKER PATTERN: ." "5."="1"INDIVIDUAL/FAMILY THERAPY TREATMENT PLAN"5." ="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 144 NAME: W_MED_UP BEGIN MARKER TEXT: =MEDICAL TREATMENT PLAN UPDATE= BEGIN MARKER PATTERN: ." "5."="1"MEDICAL TREATMENT PLAN UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 145 NAME: W_REC_UP BEGIN MARKER TEXT: =THERAPEUTIC RECREATION TREATMENT PLAN UPDATE= BEGIN MARKER PATTERN: ." "5."="1"THERAPEUTIC RECREATION TREATMENT PLAN UPDATE "5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 146 NAME: W_MEDREC_INPAT BEGIN MARKER TEXT: =INPT MEDS:CURRENT LIST= BEGIN MARKER PATTERN: ." "5."="1"INPT MEDS:CURRENT LIST"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 147 NAME: WHIT_MEDS_BEF_AD BEGIN MARKER TEXT: =MEDICATIONS TAKEN BEFORE THIS ADMISSION= BEGIN MARKER PATTERN: ." "5."="1"MEDICATIONS TAKEN BEFORE THIS ADMISSION"5."= "." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 148 NAME: WH_BPS_SA BEGIN MARKER TEXT: =BPS SUBSTANCE ABUSE= BEGIN MARKER PATTERN: ." "5."="1"BPS SUBSTANCE ABUSE"5."="." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 149 NAME: WH_TX_GOALS BEGIN MARKER TEXT: =BPS TREATMENT GOALS= BEGIN MARKER PATTERN: ." "5."="1"BPS TREATMENT GOALS"5."="." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 150 NAME: WH_LAST_GRADE BEGIN MARKER TEXT: =BPS LAST GRADE= BEGIN MARKER PATTERN: ." "5."="1"BPS LAST GRADE"5."="." " END MARKER TEXT: ----- END MARKER PATTERN: ." "5."-".E NUMBER: 151 NAME: WH_RES_TPU BEGIN MARKER TEXT: =RESIDENTIAL TREATMENT PLAN UPDATE= BEGIN MARKER PATTERN: ." "5."="1"RESIDENTIAL TREATMENT PLAN UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 152 NAME: WH_NUR_TPU BEGIN MARKER TEXT: =NURSING TREATMENT PLAN UPDATE= BEGIN MARKER PATTERN: ." "5."="1"NURSING TREATMENT PLAN UPDATE"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 153 NAME: WH_PSYCH_WKLY_ASS BEGIN MARKER TEXT: ========ASSESSMENT====== BEGIN MARKER PATTERN: ." "5."="1"ASSESSMENT"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E NUMBER: 154 NAME: WH_PSYCH_WKLY_PLAN BEGIN MARKER TEXT: =PLAN= BEGIN MARKER PATTERN: ." "5."="1"PLAN"5."="." " END MARKER TEXT: ===== END MARKER PATTERN: ." "5."=".E