Encounter Type (SBE2132):
Venous Duplex Arm Vein Mapping-Right
Clinical
Template ID: 57, Name: Presentation of Upper Limb Venous Study
Narrative
(VarID=3846)
(Recent Data=0)
Right Upper Limb
Right PICC
(VarID=3855)
(Recent Data=0)
Lookup ID=2000024
Lookup Name=Picc
Basilic Vein
Brachial Vein
Cephalic Vein
Pain
(VarID=321)
(Recent Data=0)
Edema
(VarID=322)
(Recent Data=0)
Tenderness
(VarID=323)
(Recent Data=0)
Inflammation
(VarID=324)
(Recent Data=0)
Pigmentation
(VarID=326)
(Recent Data=0)
Left upper limb
Left PICC
(VarID=3856)
(Recent Data=0)
Lookup ID=2000024
Lookup Name=Picc
Basilic Vein
Brachial Vein
Cephalic Vein
Pain
(VarID=359)
(Recent Data=0)
Edema
(VarID=360)
(Recent Data=0)
Tenderness
(VarID=361)
(Recent Data=0)
Inflammation
(VarID=362)
(Recent Data=0)
Pigmentation
(VarID=363)
(Recent Data=0)
RiskFactorStatement
(VarID=2000034)
(Recent Data=0)
Conclusion
Template ID: 115, Name: UL Venous Outcome
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 Upper Limb
Positive Results
(VarID=589)
(Recent Data=0)
Conclusion
(VarID=778)
(Recent Data=0)
Lookup ID=1012
Lookup Name=Upper Limb Venous Conclusion
Axillo-Brachial acute venous thrombosis
Normal Superficial and deep systems
Left Upper Limb
Positive Results
(VarID=590)
(Recent Data=0)
Conclusion
(VarID=779)
(Recent Data=0)
Lookup ID=1012
Lookup Name=Upper Limb Venous Conclusion
Axillo-Brachial acute venous thrombosis
Normal Superficial and deep systems
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: 27, Name: Risk Factors DVT
History of DVT
(VarID=40)
(Recent Data=0)
Lookup ID=66
Lookup Name=DVTHistory
Yes
Multiple
None
Proven
Suspected
Immobilization
(VarID=38)
(Recent Data=0)
Post Operative State
(VarID=41)
(Recent Data=0)
History of Malignancy
(VarID=35)
(Recent Data=0)
Lookup ID=134
Lookup Name=Malignancy
Yes
local or nonrecurrence
Metastatic tumor
None
Regional tumor
Adenocarcinoma
(VarID=36)
(Recent Data=0)
Lookup ID=8
Lookup Name=Adenocarcinoma
Adenocarcinoma
Not adenocarcinoma
Cardiac Status (NYHA)
(VarID=259)
(Recent Data=0)
Limb Trauma
(VarID=39)
(Recent Data=0)
Pregnancy
(VarID=34)
(Recent Data=0)
Lookup ID=161
Lookup Name=Pregnancy [DVT RF]
Postpartum
Absent
Present
Obesity
(VarID=42)
(Recent Data=0)
Hormonal Treatment
(VarID=298)
(Recent Data=0)
Hypercoagulable State
(VarID=12)
(Recent Data=0)
Lookup ID=112
Lookup Name=Hypercoagulation
None
Proven, treated
Proven, untreated
Suspected
Yes
Hemodialysis Access Location
(VarID=78)
(Recent Data=0)
Lookup ID=260
Lookup Name=Access Location and Conduit Material [AV ACCESS]
Placement of lower extremity autogenous AV access
Placement of lower extremity non-autogenous AV access
Placement of upper extremity autogenous AV access
Placement of upper extremity non-autogenous AV access