Encounter Type (SBD2):  Renal Duplex Study

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: 153, Name: Renal Duplex Scan 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 Right Side: Renal Artery (VarID=521)(Recent Data=0) Lookup ID=1016 Lookup Name=Renal artery conclusion Congenital duplicate renal system Mild atherosclerotic plaque Moderate atherosclerotic plaque No evidence of hemodybamically significant stenosis Severe atherosclerotic plaque Total obstruction Renal Plaque (VarID=792)(Recent Data=0) Lookup ID=153 Lookup Name=Plaque Severity minimal None mild moderate extensive Stenosed Segment: (VarID=793)(Recent Data=0) Lookup ID=315 Lookup Name=Anatomical Segment Locator Artery .....Thoracic Artery ..........Ascending Aorta ..........Aortic Arch ..........Descending Aorta ..........Right Coronary Artery ..........Left Coronary Artery .....Head & Neck Artery ..........Head & Neck, Right Side Artery ...............Right Posterior Cerebral ....................PCA (P1) ....................Right PCA (P2) ...............Innominate ....................Innominate Artery, Proximal ....................Innominate Artery, Middle ....................Innominate Artery, Distal ...............Right Subclavian ....................Right Proximal Subclavian ....................Right Mid Subclavian ....................Right Distal Subclavian ...............Right Common Carotid ....................Right Proximal Common Carotid ....................Right Mid Common Carotid ....................Right Distal Common Carotid ...............Right Vertebral Artery ....................Right Proximal Vertebral ....................Right Middle Vertebral ....................Right Distal Vertebral ...............Right Internal Carotid Artery Diameter reduction (VarID=794)(Recent Data=0) RAR (VarID=800)(Recent Data=0) RI (VarID=3470)(Recent Data=0) Renal Vein (VarID=786)(Recent Data=0) Lookup ID=1017 Lookup Name=Renal vein duplex No evidence of thrombosis or obstruction. Thrombus is noted propagating to the IVC. Thrombus is noted. Kidney (VarID=787)(Recent Data=0) Lookup ID=1018 Lookup Name=Kidney Duplex Conclusion Absent kidney. Ectopic Horseshoe Hypertrophic Kidney Ischemic Kidney. Polycystic Kidney Renal dimensions within normal limits Severely atrophic Left Side: Renal Artery (VarID=522)(Recent Data=0) Lookup ID=1016 Lookup Name=Renal artery conclusion Congenital duplicate renal system Mild atherosclerotic plaque Moderate atherosclerotic plaque No evidence of hemodybamically significant stenosis Severe atherosclerotic plaque Total obstruction Renal Plaque (VarID=795)(Recent Data=0) Lookup ID=153 Lookup Name=Plaque Severity minimal None mild moderate extensive Stenosed Segment: (VarID=796)(Recent Data=0) Lookup ID=315 Lookup Name=Anatomical Segment Locator Artery .....Thoracic Artery ..........Ascending Aorta ..........Aortic Arch ..........Descending Aorta ..........Right Coronary Artery ..........Left Coronary Artery .....Head & Neck Artery ..........Head & Neck, Right Side Artery ...............Right Posterior Cerebral ....................PCA (P1) ....................Right PCA (P2) ...............Innominate ....................Innominate Artery, Proximal ....................Innominate Artery, Middle ....................Innominate Artery, Distal ...............Right Subclavian ....................Right Proximal Subclavian ....................Right Mid Subclavian ....................Right Distal Subclavian ...............Right Common Carotid ....................Right Proximal Common Carotid ....................Right Mid Common Carotid ....................Right Distal Common Carotid ...............Right Vertebral Artery ....................Right Proximal Vertebral ....................Right Middle Vertebral ....................Right Distal Vertebral ...............Right Internal Carotid Artery Diameter reduction (VarID=797)(Recent Data=0) RAR (VarID=801)(Recent Data=0) RI (VarID=3471)(Recent Data=0) Renal Vein (VarID=789)(Recent Data=0) Lookup ID=1017 Lookup Name=Renal vein duplex No evidence of thrombosis or obstruction. Thrombus is noted propagating to the IVC. Thrombus is noted. Kidney (VarID=790)(Recent Data=0) Lookup ID=1018 Lookup Name=Kidney Duplex Conclusion Absent kidney. Ectopic Horseshoe Hypertrophic Kidney Ischemic Kidney. Polycystic Kidney Renal dimensions within normal limits Severely atrophic 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