Encounter Type (SBA2):
Temporal Artery Duplex
Clinical
Template ID: 632, Name: 0_Non-Invasive Lab Default
Study Type
(VarID=5668)
(Recent Data=0)
Lookup ID=2248
Lookup Name=Other Study Types
Follow-up for Angio
Intraoperative Study
Non-billable
On call - after hours
Portable
Research
Teaching
Operative History
Procedure
(VarID=5076)
(Recent Data=0)
Date
(VarID=5077)
(Recent Data=0)
Side
(VarID=5078)
(Recent Data=0)
Lookup ID=168
Lookup Name=Procedure Side
N/A
Right
Left
Bilateral
Group
(VarID=5691)
(Recent Data=0)
Clinical
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)
Generate Note Options
Include Operative History Note
(VarID=5684)
(Recent Data=0)
Include Risk Factor Note
(VarID=5679)
(Recent Data=0)
Clinical Note
(VarID=5680)
(Recent Data=0)
Statements
Procedure List Title
(VarID=5632)
(Recent Data=0)
Procedure List All
(VarID=5075)
(Recent Data=0)
Clinical Title
(VarID=5634)
(Recent Data=0)
Blood Pressure
(VarID=4651)
(Recent Data=0)
Conclusion
Template ID: 2000042, Name: Cerebrovascular Conclusion - vcu
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
Risk Factors
Template ID: 26, Name: Risk Factors Arteriosclerosis
Age
(VarID=258)
(Recent Data=0)
Age Group
(VarID=37)
(Recent Data=0)
Lookup ID=9
Lookup Name=Age
>= 80
< 55
55 - 69
70 - 79
Carotid Artery Disease
(VarID=13)
(Recent Data=0)
Lookup ID=2000002
Lookup Name=Carotid Artery Disease VCU
no
yes
Cardiac Status (SVS)
(VarID=2)
(Recent Data=0)
Lookup ID=23
Lookup Name=ASHD
Mild
Moderate
None
Severe
Yes
Diabetes
(VarID=4)
(Recent Data=0)
Lookup ID=61
Lookup Name=Diabetes
IDDM adult
IDDM juvenile
NIDDM
No
Yes
Embolization
(VarID=297)
(Recent Data=0)
Lookup ID=403
Lookup Name=Arterial Emolization
Multiple Incidents
No
Single Incident
Yes
Fibrinogen Level (mg/dl)
(VarID=296)
(Recent Data=0)
Hyperlipidemia
(VarID=9)
(Recent Data=0)
Lookup ID=113
Lookup Name=Hyperlipidemia
None
Mild
Moderate
Severe
Yes
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=3982)
(Recent Data=0)
Lookup ID=2000002
Lookup Name=Carotid Artery Disease VCU
no
yes
HIV
(VarID=72)
(Recent Data=0)
Lookup ID=2000002
Lookup Name=Carotid Artery Disease VCU
no
yes
Hypertension
(VarID=3)
(Recent Data=0)
Lookup ID=2000002
Lookup Name=Carotid Artery Disease VCU
no
yes
Hypercoagulable State
(VarID=12)
(Recent Data=0)
Lookup ID=112
Lookup Name=Hypercoagulation
No
Proven, treated
Proven, untreated
Suspected
Yes
Peripheral Arterial Disease
(VarID=516)
(Recent Data=0)
Lookup ID=502
Lookup Name=PAD
Amputation
Claudication
No
Rest Pain/Tissue loss
Yes
Pulmonary Status
(VarID=11)
(Recent Data=0)
Lookup ID=2000002
Lookup Name=Carotid Artery Disease VCU
no
yes
Renal Disease
(VarID=10)
(Recent Data=0)
Lookup ID=2000002
Lookup Name=Carotid Artery Disease VCU
no
yes
Smoking
(VarID=5)
(Recent Data=0)
Lookup ID=189
Lookup Name=Smoking
Yes
No
Active
Former
PPD yrs
Weight (Kg)
(VarID=33)
(Recent Data=0)