Encounter Type (SBD15):
Duplex Endoluminal Stent/Graft-Limited
Clinical
Template ID: 112, Name: Presentation of Abdominal Duplex
Narrative
(VarID=3846)
(Recent Data=0)
Brachial Blood Pressure
Right
Systolic (mm hg)
(VarID=101)
(Recent Data=0)
Diastolic (mm hg)
(VarID=104)
(Recent Data=0)
Left
Systolic (mm hg)
(VarID=102)
(Recent Data=0)
Diastolic (mm hg)
(VarID=105)
(Recent Data=0)
Abdominal Bruit
(VarID=527)
(Recent Data=0)
Abdominal Pain
(VarID=548)
(Recent Data=0)
Lookup ID=208
Lookup Name=True False
No
Yes
Enlarged liver
(VarID=549)
(Recent Data=0)
Lookup ID=208
Lookup Name=True False
No
Yes
Enlarged Spleen
(VarID=550)
(Recent Data=0)
Lookup ID=208
Lookup Name=True False
No
Yes
Plusating mass (Aneurysm)
(VarID=551)
(Recent Data=0)
Lookup ID=208
Lookup Name=True False
No
Yes
RiskFactorStatement
(VarID=2000034)
(Recent Data=0)
Conclusion
Template ID: 144, Name: AAA Endoluminal Graft
Next Followup
(VarID=730)
(Recent Data=0)
Lookup ID=657
Lookup Name=Lab Study Next Followup
No follow-up is needed
One Week
Two Weeks
Three Weeks
One Month
Two Months
Three Months
Six Months
One Year
Two Years
Aneurysm Neck
Diameter (mm)
(VarID=262)
(Recent Data=0)
Length (mm)
(VarID=261)
(Recent Data=0)
Aneurysm Maximum Diameter (cm)
(VarID=517)
(Recent Data=0)
Aneurysm Change
(VarID=757)
(Recent Data=0)
Lookup ID=464
Lookup Name=AneurysmSizeChange (ELG)
Decreased
Increased
No Change
Endoleak
(VarID=758)
(Recent Data=0)
Endoleak I
(VarID=753)
(Recent Data=0)
Endoleak II
(VarID=754)
(Recent Data=0)
Flow Pattern
(VarID=759)
(Recent Data=0)
Lookup ID=360
Lookup Name=Endoleak Flow (ELG)
Accessory renal-lumbar/IMA
Hypogastric-lumbar/IMA
Lumbar-IMA
Lumbar-lumbar
Unidentified
Endoleak III
(VarID=755)
(Recent Data=0)
Endoleak IV
(VarID=756)
(Recent Data=0)
Endograft
Deformation
(VarID=760)
(Recent Data=0)
Lookup ID=364
Lookup Name=EndoGraft Deformation (ELG)
Grade 0
Grade I
Grade II
Grade IIIa
Grade IIIb
Stenosis
(VarID=761)
(Recent Data=0)
Stenosis Grade
(VarID=763)
(Recent Data=0)
Lookup ID=1005
Lookup Name=Endograft Stenosis Grade
1 - 49%
50 - 79%
80 - 99%
100%
Location
(VarID=762)
(Recent Data=0)
Lookup ID=1004
Lookup Name=Endograft Stenosis Location
Left Limb
Main Stem
Right Limb
Right Lower Limb
Ankle Pressure (mm hg)
(VarID=150)
(Recent Data=0)
Ankle Arm Index
(VarID=152)
(Recent Data=0)
Pseudoaneurysm
(VarID=768)
(Recent Data=0)
Left Lower Limb
Ankle Pressure (mm hg)
(VarID=151)
(Recent Data=0)
Ankle Arm Index
(VarID=153)
(Recent Data=0)
Pseudoaneurysm
(VarID=769)
(Recent Data=0)
Critical Findings:
Reported to:
(VarID=2000001)
(Recent Data=0)
Reported by:
(VarID=2000002)
(Recent Data=0)
Found time/date:
(VarID=2000003)
(Recent Data=0)
Report time/date:
(VarID=2000004)
(Recent Data=0)
Critical Result
(VarID=2000010)
(Recent Data=0)
Read Back Performed
(VarID=2000008)
(Recent Data=0)
Risk Factors
Template ID: 26, Name: Risk Factors Arteriosclerosis
Cardiac Status
(VarID=259)
(Recent Data=0)
LVEF
(VarID=709)
(Recent Data=0)
Unstable Angina
(VarID=807)
(Recent Data=0)
Recent MI (within 30 days)
(VarID=808)
(Recent Data=0)
Carotid Artery Disease
(VarID=13)
(Recent Data=0)
Lookup ID=2000028
Lookup Name=carotid artery di
Right
.....Right: 1 - 49%
.....Right: 50 - 79%
.....Right: 80 - 99%
.....Right: Occlusion
Left
.....Left: 1 - 49%
.....Left: 50 - 79%
.....Left: 80 - 99%
.....Left: Occlusion
Diabetes
(VarID=4)
(Recent Data=0)
Lookup ID=61
Lookup Name=Diabetes
IDDM adult
IDDM juvenile
NIDDM
None
Yes
Embolization
(VarID=297)
(Recent Data=0)
Lookup ID=403
Lookup Name=Arterial Emolization
Multiple Incidents
None
Single Incident
Yes
Fibrinogen Level (mg/dl)
(VarID=296)
(Recent Data=0)
Hyperlipidemia
(VarID=9)
(Recent Data=0)
Lookup ID=113
Lookup Name=Hyperlipidemia
Yes
None
Mild
Moderate
Severe
Cholesterol (mg/dl)
(VarID=28)
(Recent Data=0)
LDL (mg/dl)
(VarID=26)
(Recent Data=0)
Triglycerides (mg/dl)
(VarID=29)
(Recent Data=0)
HDL ((mg/dl)
(VarID=27)
(Recent Data=0)
VLDL (%)
(VarID=257)
(Recent Data=0)
History of Irradiation
(VarID=382)
(Recent Data=0)
HIV
(VarID=72)
(Recent Data=0)
Hypertension
(VarID=3)
(Recent Data=0)
Lookup ID=114
Lookup Name=Hypertension
Mild
Moderate
None
Severe
Yes
Hypercoagulable State
(VarID=12)
(Recent Data=0)
Lookup ID=112
Lookup Name=Hypercoagulation
None
Proven, treated
Proven, untreated
Suspected
Yes
Peripheral Arterial Disease
(VarID=516)
(Recent Data=0)
Lookup ID=502
Lookup Name=PAD
Amputation
Claudication
None
Rest Pain/Tissue loss
Yes
Pulmonary Disease
(VarID=11)
(Recent Data=0)
Lookup ID=169
Lookup Name=Pulmonary Status
Mild
Moderate
None
Severe
Yes
Renal Disease
(VarID=10)
(Recent Data=0)
Lookup ID=178
Lookup Name=Renal
Mild
Moderate
None
Severe
Yes
Smoking
(VarID=5)
(Recent Data=0)
Lookup ID=189
Lookup Name=Smoking
Mild
Moderate
None
Severe
Yes
Activity Level
(VarID=15)
(Recent Data=0)
Lookup ID=6
Lookup Name=Activity Level
Active Life Style
Independent
Dependent, Partial
Dependent, Complete