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# | Location | File | Last Modified |
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1 | JLV_2_8_0_0_0_July_2019.zip\JLV_2_8_0_0_0_July_2019\JLVVistaDataService\src\test\unit\java\gov\va\med\vds\patient\rpc | SurgeriesRPCTest.java | Mon Jul 8 19:18:52 2019 UTC |
2 | JLV_2_8_0_0_0_July_2019.zip\JLV_2_8_0_0_0_July_2019\JLVVistaDataService\src\test\unit\java\gov\va\med\vds\patient\rpc | SurgeriesRPCTest.java | Tue Jul 30 17:52:33 2019 UTC |
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1 | package go v.va.med.v ds.patient .rpc; | |
2 | ||
3 | import gov .va.med.vd s.patient. dao.rpc.Su rgeriesRPC ; | |
4 | import gov .va.med.vd s.vistabea ns.Progres sNote; | |
5 | import gov .va.med.vd s.vistabea ns.Surgery ; | |
6 | import org .junit.Bef ore; | |
7 | import org .junit.Tes t; | |
8 | import org .mockito.i nvocation. Invocation OnMock; | |
9 | import org .mockito.s tubbing.An swer; | |
10 | ||
11 | import jav a.lang.ref lect.Metho d; | |
12 | import jav a.util.Lis t; | |
13 | ||
14 | import sta tic org.ju nit.Assert .*; | |
15 | import sta tic org.mo ckito.Mock ito.anyStr ing; | |
16 | import sta tic org.mo ckito.Mock ito.when; | |
17 | ||
18 | public cla ss Surgeri esRPCTest extends Ba seRPCTest { | |
19 | ||
20 | @Befor e | |
21 | public void setu pTest() th rows Excep tion { | |
22 | wh en(mockRPC Connection .query(any String())) .thenAnswe r(new Answ er<String> () { | |
23 | @Overrid e | |
24 | public S tring answ er(Invocat ionOnMock invocation ) { | |
25 | Stri ng rpcRequ est = (Str ing) invoc ation.getA rguments() [0]; | |
26 | ||
27 | if ( rpcRequest .contains( "ORWRP REP ORT TEXT") ) { | |
28 | if (rpcReq uest.conta ins("OR_SR :SURGERY R EPORTS")) { | |
29 | return ORWRP_REP ORT_TEXT_S URGERY_REP ORTS; | |
30 | } | |
31 | // unexpec ted ORWRP REPORT TEX T | |
32 | return "UN EXPECTED R EPORT"; | |
33 | } el se if (rpc Request.co ntains("OR WSR RPTLIS T")) { | |
34 | return ORW SR_RPTLIST ; | |
35 | } el se if (rpc Request.co ntains("VP R GET PATI ENT DATA") ) { | |
36 | return VPR _DOCUMENTS _SR; | |
37 | } el se if (rpc Request.co ntains("XW B CREATE C ONTEXT")) { | |
38 | return "1" ; | |
39 | } | |
40 | retu rn "RPC NO T MOCKED"; | |
41 | } | |
42 | }) ; | |
43 | } | |
44 | ||
45 | @Test | |
46 | public void test GetPatient Surgeries( ) throws E xception { | |
47 | Su rgeriesRPC surgeries RPC = new SurgeriesR PC(mockRPC Connection ); | |
48 | ||
49 | Su rgery[] su rgeries = surgeriesR PC.getPati entSurgeri es(); | |
50 | ||
51 | as sertTrue(s urgeries.l ength == 6 ); | |
52 | fo r (Surgery surgery : surgeries ) { | |
53 | assertNo tNull(surg ery.getDoc uments()); | |
54 | assertTr ue(surgery .getDocume nts().leng th > 0); | |
55 | for (Pro gressNote surgeryNot e : surger y.getDocum ents()) { | |
56 | asse rtNotNull( surgeryNot e.getNoteI d()); | |
57 | asse rtTrue(sur geryNote.g etNoteId() .length() > 0); | |
58 | asse rtNotNull( surgeryNot e.getNoteT itle()); | |
59 | asse rtTrue(sur geryNote.g etNoteTitl e().length () > 0); | |
60 | asse rtNotNull( surgeryNot e.getNoteT ext()); | |
61 | asse rtTrue(sur geryNote.g etNoteText ().length( ) > 0); | |
62 | } | |
63 | } | |
64 | } | |
65 | ||
66 | @Test | |
67 | public void test ParseSurge ryReportOr wpReportTe xtSurgeryR eports() t hrows Exce ption { | |
68 | Su rgeriesRPC surgeries RPC = new SurgeriesR PC(mockRPC Connection ); | |
69 | ||
70 | St ring metho dName = "p arseSurger yReportOrw rpReportTe xtSurgeryR eports"; | |
71 | Cl ass[] para meterTypes = new Cla ss[1]; | |
72 | pa rameterTyp es[0] = St ring.class ; | |
73 | Ob ject[] par ameters = new Object [1]; | |
74 | pa rameters[0 ] = ORWRP_ REPORT_TEX T_SURGERY_ REPORTS; | |
75 | Me thod metho d = surger iesRPC.get Class().ge tDeclaredM ethod(meth odName, pa rameterTyp es); | |
76 | me thod.setAc cessible(t rue); | |
77 | ||
78 | Li st<Surgery > surgeryL ist = (Lis t<Surgery> ) method.i nvoke(surg eriesRPC, parameters ); | |
79 | ||
80 | as sertTrue(s urgeryList .size() > 0); | |
81 | } | |
82 | ||
83 | privat e final st atic Strin g ORWSR_RP TLIST = "H AMPTON VA MEDICAL CE NTER;590^6 0438^30803 12.1319^TU NNELED DIA LYSIS CATH ETER INSER TION^LECHM AN,MICHAEL J^+^LAB W ORK-No^STA TUS-(COMPL ETED)^SPEC -PERIPHERA L VASCULAR ^DICT-^TRA NS-\r\n" + | |
84 | "HAMPTON VA MEDICA L CENTER;5 90^60315^3 080229.075 ^AV FISTUL A, LEFT AR M^LECHMAN, MICHAEL J^ +^LAB WORK -No^STATUS -(COMPLETE D)^SPEC-PE RIPHERAL V ASCULAR^DI CT-^TRANS- \r\n" + | |
85 | "HAMPTON VA MEDICA L CENTER;5 90^58726^3 070619.115 5^Attempte d Laparosc opic, Open Right Hem icolectomy ^KOPPEL,DA RREN MD^+^ LAB WORK-Y es^STATUS- (COMPLETED )^SPEC-GEN ERAL(OR WH EN NOT DEF INED BELOW )^DICT-^TR ANS-\r\n" + | |
86 | "HAMPTON VA MEDICA L CENTER;5 90^58460^3 070425.122 4^COLONOSC OPY W/ FLU RO^KOPPEL, DARREN MD^ +^LAB WORK -Yes^STATU S-(COMPLET ED)^SPEC-G ENERAL(OR WHEN NOT D EFINED BEL OW)^DICT-^ TRANS-\r\n "; | |
87 | ||
88 | privat e final st atic Strin g ORWRP_RE PORT_TEXT_ SURGERY_RE PORTS = "1 ^HAMPTON V A MEDICAL CENTER;590 \r\n" + | |
89 | "2^03/12 /2008 13:1 9\r\n" + | |
90 | "3^TUNNE LED DIALYS IS CATHETE R INSERTIO N - SPECIA L SERVICE/ PROC/REPOR T\r\n" + | |
91 | "4^PERIP HERAL VASC ULAR\r\n" + | |
92 | "5^LECHM AN,MICHAEL J\r\n" + | |
93 | "6^(COMP LETED)\r\n " + | |
94 | "7^ESRD\ r\n" + | |
95 | "8^ESRD\ r\n" + | |
96 | "9^No\r\ n" + | |
97 | "10^\r\n " + | |
98 | "11^\r\n " + | |
99 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
100 | "2^02/29 /2008 07:5 0\r\n" + | |
101 | "3^AV FI STULA, LEF T ARM - SP ECIAL SERV ICE/PROC/R EPORT\r\n" + | |
102 | "4^PERIP HERAL VASC ULAR\r\n" + | |
103 | "5^LECHM AN,MICHAEL J\r\n" + | |
104 | "6^(COMP LETED)\r\n " + | |
105 | "7^ESRD\ r\n" + | |
106 | "8^ESRD\ r\n" + | |
107 | "9^No\r\ n" + | |
108 | "10^\r\n " + | |
109 | "11^\r\n " + | |
110 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
111 | "2^06/19 /2007 11:5 5\r\n" + | |
112 | "3^Attem pted Lapar oscopic, O pen Right Hemicolect omy - SPEC IAL SERVIC E/PROC/REP ORT\r\n" + | |
113 | "4^GENER AL(OR WHEN NOT DEFIN ED BELOW)\ r\n" + | |
114 | "5^KOPPE L,DARREN M D\r\n" + | |
115 | "6^(COMP LETED)\r\n " + | |
116 | "7^POLYP \r\n" + | |
117 | "8^POLYP \r\n" + | |
118 | "9^Yes\r \n" + | |
119 | "10^\r\n " + | |
120 | "11^\r\n " + | |
121 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
122 | "2^06/06 /2007\r\n" + | |
123 | "3^RIGHT HEMICOLEC TOMY, LAPA ROSCOPIC ( POSSIBLE O PEN) - SPE CIAL SERVI CE/PROC/RE PORT\r\n" + | |
124 | "4^GENER AL(OR WHEN NOT DEFIN ED BELOW)\ r\n" + | |
125 | "5^KOPPE L,DARREN M D\r\n" + | |
126 | "6^CANCE LLED\r\n" + | |
127 | "7^RIGHT COLON POL YP\r\n" + | |
128 | "8^RIGHT COLON POL YP\r\n" + | |
129 | "9^No\r\ n" + | |
130 | "10^\r\n " + | |
131 | "11^\r\n " + | |
132 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
133 | "2^04/25 /2007 12:2 4\r\n" + | |
134 | "3^COLON OSCOPY W/ FLURO\r\n" + | |
135 | "4^GENER AL(OR WHEN NOT DEFIN ED BELOW)\ r\n" + | |
136 | "5^KOPPE L,DARREN M D\r\n" + | |
137 | "6^(COMP LETED)\r\n " + | |
138 | "7^COLON POLYP\r\n " + | |
139 | "8^COLON POLYP\r\n " + | |
140 | "9^Yes\r \n" + | |
141 | "10^\r\n " + | |
142 | "11^\r\n " + | |
143 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
144 | "2^03/16 /2007\r\n" + | |
145 | "3^COLON OSCOPY UND ER FLURO - SPECIAL S ERVICE/PRO C/REPORT\r \n" + | |
146 | "4^GENER AL(OR WHEN NOT DEFIN ED BELOW)\ r\n" + | |
147 | "5^KOPPE L,DARREN M D\r\n" + | |
148 | "6^CANCE LLED\r\n" + | |
149 | "7^COLON POLYP, RI GHT SIDE\r \n" + | |
150 | "8^COLON POLYP, RI GHT SIDE\r \n" + | |
151 | "9^No\r\ n" + | |
152 | "10^\r\n " + | |
153 | "11^\r\n " + | |
154 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
155 | "2^12/06 /2006\r\n" + | |
156 | "3^COLON OSCOPY WIT H BIOPSY, POLYP - SP ECIAL SERV ICE/PROC/R EPORT\r\n" + | |
157 | "4^GENER AL(OR WHEN NOT DEFIN ED BELOW)\ r\n" + | |
158 | "5^KOPPE L,DARREN M D\r\n" + | |
159 | "6^CANCE LLED\r\n" + | |
160 | "7^COLON POLYP\r\n " + | |
161 | "8^COLON POLYP\r\n " + | |
162 | "9^No\r\ n" + | |
163 | "10^\r\n " + | |
164 | "11^\r\n " + | |
165 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
166 | "2^12/05 /2006\r\n" + | |
167 | "3^COLON OSCOPY AND BIOPSY, P OLYP - SPE CIAL SERVI CE/PROC/RE PORT\r\n" + | |
168 | "4^GENER AL(OR WHEN NOT DEFIN ED BELOW)\ r\n" + | |
169 | "5^KOPPE L,DARREN M D\r\n" + | |
170 | "6^CANCE LLED\r\n" + | |
171 | "7^HISTO RY OF POLY PS\r\n" + | |
172 | "8^HISTO RY OF POLY PS\r\n" + | |
173 | "9^No\r\ n" + | |
174 | "10^\r\n " + | |
175 | "11^\r\n " + | |
176 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
177 | "2^11/06 /2003\r\n" + | |
178 | "3^BILAT ERAL LOWER EXTREMITY ARTERIAL EVALUATION - UPR/L X TREMITY AR T 2 LEVELS \r\n" + | |
179 | "4^\r\n" + | |
180 | "5^\r\n" + | |
181 | "6^UNKNO WN\r\n" + | |
182 | "7^\r\n" + | |
183 | "8^\r\n" + | |
184 | "9^No\r\ n" + | |
185 | "10^\r\n " + | |
186 | "11^11/1 8/2003\r\n " + | |
187 | "12^\r\n " + | |
188 | "12^ACKE RMAN,XXXXX XXX XXX-X X-XXXX 51 677/11-06- 03 M66-93 44D\r\n" + | |
189 | "12^\r\n " + | |
190 | "12^CONS ULT REQUES T NUMBER: 74472\r\n " + | |
191 | "12^\r\n " + | |
192 | "12^INDI CATIONS: This 58-ye ar-old mal e was refe rred to th e Vascular Lab\r\n" + | |
193 | "12^comp laining of burning s ensation a nd weaknes s/paresthe sia involv ing the\r\ n" + | |
194 | "12^lowe r extremit ies, rule out lower extremity arterio-oc clusive di sease.\r\n " + | |
195 | "12^\r\n " + | |
196 | "12^HIST ORY: Diab etes melli tus, hyper tension.\r \n" + | |
197 | "12^\r\n " + | |
198 | "12^FIND INGS:\r\n" + | |
199 | "12^1. Doppler w ave form a nalysis re veals biph asic wave forms bila teral\r\n" + | |
200 | "12^ CFA, bila teral POPA , bilatera l PTA, bil ateral DPA .\r\n" + | |
201 | "12^2. Right ABI 1.16, lef t ABI 1.07 .\r\n" + | |
202 | "12^3. PCR wave forms norm al bilater al ankles. \r\n" + | |
203 | "12^\r\n " + | |
204 | "12^INTE RPRETATION : This st udy sugges ts no evid ence of bi lateral lo wer\r\n" + | |
205 | "12^extr emity arte rio-occlus ive diseas e at rest. \r\n" + | |
206 | "12^\r\n " + | |
207 | "12^APPR OVED BY AJ MAL SOBHAN , M.D.\r\n " + | |
208 | "12^\r\n " + | |
209 | "12^\r\n " + | |
210 | "12^CART ER,CATEENA L D:11-17-03 at 1405\r \n" + | |
211 | "12^\r\n " + | |
212 | "13^[+]\ r\n" + | |
213 | "1^HAMPT ON VA MEDI CAL CENTER ;590\r\n" + | |
214 | "2^11/06 /2003\r\n" + | |
215 | "3^CEREB ROVASCULAR EVALUATIO N - EXTRAC RANIAL BIL AT STUDY\r \n" + | |
216 | "4^\r\n" + | |
217 | "5^\r\n" + | |
218 | "6^UNKNO WN\r\n" + | |
219 | "7^\r\n" + | |
220 | "8^\r\n" + | |
221 | "9^No\r\ n" + | |
222 | "10^\r\n " + | |
223 | "11^11/1 8/2003\r\n " + | |
224 | "12^\r\n " + | |
225 | "12^ACKE RMAN,XXXXX XXX XXX-X X-XXXX 51 676/11-06- 03 M66-93 42D\r\n" + | |
226 | "12^\r\n " + | |
227 | "12^CONS ULT REQUES T NUMBER: 74473\r\n " + | |
228 | "12^\r\n " + | |
229 | "12^INDI CATIONS: This 58-ye ar-old mal e was refe rred to th e Vascular Lab for\r \n" + | |
230 | "12^eval uation of bilateral carotid br uits, rule out carot id artery disease.\r \n" + | |
231 | "12^\r\n " + | |
232 | "12^HIST ORY: Diab etes melli tus, hyper tension.\r \n" + | |
233 | "12^\r\n " + | |
234 | "12^FIND INGS:\r\n" + | |
235 | "12^1. Brachial pressures: Right 15 0 by Doppl er, left 1 44 by Dopp ler.\r\n" + | |
236 | "12^2. Carotid b ruits note d right lo w and mid position o f the neck . No\r\n" + | |
237 | "12^ carotid b ruits note d on the l eft.\r\n" + | |
238 | "12^3. Vertebral arteries: Right 37 cm/s, left 31cm/s, b ilateral a ntegrade\r \n" + | |
239 | "12^ flow note d.\r\n" + | |
240 | "12^4. No elevat ed velocit ies noted bilateral carotid sy stem.\r\n" + | |
241 | "12^5. No signif icant plaq ue noted b ilateral c arotid sys tem.\r\n" + | |
242 | "12^\r\n " + | |
243 | "12^INTE RPRETATION : This st udy sugges ts no evid ence of he modynamica lly\r\n" + | |
244 | "12^sign ificant ex tracranial carotid o r vertebra l artery s tenotic di sease\r\n" + | |
245 | "12^bila terally.\r \n" + | |
246 | "12^\r\n " + | |
247 | "12^APPR OVED BY AJ MAL SOBHAN , M.D.\r\n " + | |
248 | "12^\r\n " + | |
249 | "12^\r\n " + | |
250 | "12^CART ER,CATEENA L D:11-17-03 at 1403\r \n" + | |
251 | "12^\r\n " + | |
252 | "13^[+]\ r\n"; | |
253 | ||
254 | public final sta tic String VPR_DOCUM ENTS_SR = "<results version='1 .11' timeZ one='-0500 '>\r\n" + | |
255 | " <doc uments tot al='8'>\r\ n" + | |
256 | " < document>\ r\n" + | |
257 | " <categor y value='S R'/>\r\n" + | |
258 | " <clinici ans>\r\n" + | |
259 | " <clin ician code ='2940824' name='SCH RADER,KARE N D' role= 'A' taxono myCode='16 3W00000X' providerTy pe='Nursin g Service Providers' classific ation='Reg istered Nu rse' servi ce='NURSIN G'/>\r\n" + | |
260 | " <clin ician code ='2940824' name='SCH RADER,KARE N D' role= 'S' dateTi me='308031 2.141957' signature= 'KAREN D S CHRADER RN ' taxonomy Code='163W 00000X' pr oviderType ='Nursing Service Pr oviders' c lassificat ion='Regis tered Nurs e' service ='NURSING' />\r\n" + | |
261 | " </clinic ians>\r\n" + | |
262 | " <content xml:space ='preserve '>\r\n" + | |
263 | "LOCAL T ITLE: NURS E INTRAOPE RATIVE REP ORT \r\n " + | |
264 | "STANDAR D TITLE: N URSING OUT PATIENT OP ERATIVE NO TE \r\n " + | |
265 | "DATE OF NOTE: MAR 12, 2008@ 13:19 ENTRY DATE : MAR 12, 2008@14:19 :42 \r \n" + | |
266 | " A UTHOR: SCH RADER,KARE N D EX P COSIGNER : \r \n" + | |
267 | " UR GENCY: STATUS : COMPLETE D \r\n" + | |
268 | " SU BJECT: Cas e #: 60438 \r\n" + | |
269 | " \r\n" + | |
270 | " *** NURSE INTR AOPERATIVE REPORT Ha s ADDENDA ***\r\n" + | |
271 | " \r\n" + | |
272 | "Operati ng Room: OR3 Surgica l Priority : ELECTIVE \r\n" + | |
273 | " \r\n" + | |
274 | "Patient in Hold: NOT ENTERE D Patient in OR: M AR 12, 200 8 13:19\r \n" + | |
275 | "Operati on Begin: MAR 12, 20 08 13:39 Operati on End: M AR 12, 200 8 13:55\r \n" + | |
276 | "Surgeon in OR: MAR 12, 20 08 13:30 Patient Out OR: M AR 12, 200 8 14:14\r \n" + | |
277 | " \r\n" + | |
278 | "Minor O perations Performed: \r\n" + | |
279 | "Primary : TUNNELED DIALYSIS CATHETER I NSERTION\r \n" + | |
280 | " \r\n" + | |
281 | "Wound C lassificat ion: CLEAN \r\n" + | |
282 | "Operati on Disposi tion: PACU (RECOVERY ROOM)\r\n " + | |
283 | "Dischar ged Via: S TRETCHER\r \n" + | |
284 | " \r\n" + | |
285 | "Surgeon : LECHMAN, MICHAEL J First A ssist: N/A \r\n" + | |
286 | "Attend Surg: LECH MAN,MICHAE L J Second Assist: N/ A\r\n" + | |
287 | "Anesthe tist: ALTM ANN,GEORGE D Assista nt Anesth: N/A\r\n" + | |
288 | " \r\n" + | |
289 | "Other S crubbed As sistants: N/A\r\n" + | |
290 | " \r\n" + | |
291 | "OR Supp ort Person nel:\r\n" + | |
292 | " Scrub bed Circula ting\r\n" + | |
293 | " CLARK ,TINA L (F ULLY TRAIN ED) SCHRADE R,KAREN D (FULLY TRA INED)\r\n" + | |
294 | " \r\n" + | |
295 | "Other P ersons in OR: N/A\r\ n" + | |
296 | " \r\n" + | |
297 | "Preop M ood: RELAXED Preop C onsc: A LERT-ORIEN TED\r\n" + | |
298 | "Preop S kin Integ: INTACT Preop C onverse: R ESPONDS TO QUESTIONS \r\n" + | |
299 | " \r\n" + | |
300 | "Valid C onsent/ID Band Confi rmed By: S CHRADER,KA REN D\r\n" + | |
301 | "Mark on Surgical Site Confi rmed: YES\ r\n" + | |
302 | " Marke d Site Com ments: NO COMMENTS E NTERED\r\n " + | |
303 | " \r\n" + | |
304 | "Preoper ative Imag ing Confir med: IMAG ING NOT RE QUIRED FOR THIS PROC EDURE\r\n" + | |
305 | " Imagi ng Confirm ed Comment s: NO COMM ENTS ENTER ED\r\n" + | |
306 | " \r\n" + | |
307 | "Time Ou t Verifica tion Compl eted: YES\ r\n" + | |
308 | " Time Out Verifi ed Comment s:\r\n" + | |
309 | " TIME OUT AT\r\ n" + | |
310 | " 1335 \r\n" + | |
311 | " \r\n" + | |
312 | "Skin Pr ep By: SCH RADER,KARE N D Skin Pr ep Agent: IODOPHOR\r \n" + | |
313 | "Skin Pr ep By (2): N/A 2nd Ski n Prep Age nt: N/A\r\ n" + | |
314 | " \r\n" + | |
315 | "Preop S urgical Si te Hair Re moval by: N/A\r\n" + | |
316 | "Surgica l Site Hai r Removal Method: NO HAIR REMO VED\r\n" + | |
317 | " Hair Removal Co mments: NO COMMENTS ENTERED\r\ n" + | |
318 | " \r\n" + | |
319 | "Surgery Position( s):\r\n" + | |
320 | " SUPIN E Placed: N/A\r\n" + | |
321 | " \r\n" + | |
322 | "Restrai nts and Po sition Aid s:\r\n" + | |
323 | " SAFET Y STRAP A pplied By: N/A\r\n" + | |
324 | " ROLLED SHEET Ap plied By: N/A\r\n" + | |
325 | " ARMBO ARD A pplied By: N/A\r\n" + | |
326 | " PILLO W A pplied By: N/A\r\n" + | |
327 | " \r\n" + | |
328 | "Electro cautery Un it: N/A\r\n" + | |
329 | "ESU Coa gulation R ange: 50\r\n" + | |
330 | "ESU Cut ting Range : 150\r\n" + | |
331 | "Electro ground Pos ition(s): RIGHT ANT THIGH\r\n" + | |
332 | " \r\n" + | |
333 | "Materia l Sent to Laboratory for Analy sis:\r\n" + | |
334 | "Specime ns: N/A\r\ n" + | |
335 | "Culture s: N/A\r\ n" + | |
336 | " \r\n" + | |
337 | "Anesthe sia Techni que(s):\r\ n" + | |
338 | " MONIT ORED ANEST HESIA CARE \r\n" + | |
339 | " \r\n" + | |
340 | "Tubes a nd Drains: N/A\r\n" + | |
341 | " \r\n" + | |
342 | "Tourniq uet: N/A\r \n" + | |
343 | " \r\n" + | |
344 | "Thermal Unit: N/A \r\n" + | |
345 | " \r\n" + | |
346 | "Prosthe sis Instal led: N/A\r \n" + | |
347 | " \r\n" + | |
348 | "Medicat ions:\r\n" + | |
349 | " LIDOC AINE HCL 1 % 50ML (VI )\r\n" + | |
350 | " Tim e Administ ered: MAR 12, 2008 13:39\r\n" + | |
351 | " R oute: INFI LTRATE Dosage: 10ML\r\n" + | |
352 | " O rdered By: LECHMAN,M ICHAEL J Admin B y: LECHMAN ,MICHAEL J \r\n" + | |
353 | " C omments: N /A\r\n" + | |
354 | " \r\n" + | |
355 | "Irrigat ion Soluti on(s):\r\n " + | |
356 | " HEPAR INIZED SAL INE\r\n" + | |
357 | " \r\n" + | |
358 | "Blood R eplacement Fluids: N /A\r\n" + | |
359 | " \r\n" + | |
360 | "Sponge Count Corr ect: N /A\r\n" + | |
361 | "Sharps Count Corr ect: N /A\r\n" + | |
362 | "Instrum ent Count Correct: N /A\r\n" + | |
363 | "Counter : N /A\r\n" + | |
364 | "Counts Verified B y: N /A\r\n" + | |
365 | " \r\n" + | |
366 | "Dressin g: 4X4, TE GADERM\r\n " + | |
367 | "Packing : N/A\r\n " + | |
368 | " \r\n" + | |
369 | "Blood L oss: Urine O utput:\r\n " + | |
370 | " \r\n" + | |
371 | "Postope rative Moo d: RELAXED \r\n" + | |
372 | "Postope rative Con sciousness : DROWSY\ r\n" + | |
373 | "Postope rative Ski n Integrit y: SCAR\r\ n" + | |
374 | "Postope rative Ski n Color: PINK\r\ n" + | |
375 | " \r\n" + | |
376 | "Laser U nit(s): N/ A\r\n" + | |
377 | " \r\n" + | |
378 | "Sequent ial Compre ssion Devi ce: NO\r\n " + | |
379 | " \r\n" + | |
380 | "Cell Sa ver(s): N/ A\r\n" + | |
381 | " \r\n" + | |
382 | "Devices : N/A\r\n" + | |
383 | " \r\n" + | |
384 | "Nursing Care Comm ents: NO C OMMENTS EN TERED\r\n" + | |
385 | "/es/ KA REN D SCHR ADER\r\n" + | |
386 | "RN\r\n" + | |
387 | "Signed: 03/12/200 8 14:19\r\ n" + | |
388 | " \r\n" + | |
389 | "03/12/2 008 ADDEND UM STATUS : COMPLETE D\r\n" + | |
390 | " \r\n" + | |
391 | "The Pro sthesis In stalled su bfile was changed as follows:\ r\n" + | |
392 | " \r\n" + | |
393 | " The f ollowing I tem was AD DED:\r\n" + | |
394 | " Ite m: VAS CAT HETER\r\n" + | |
395 | " S terility C hecked: YE S\r\n" + | |
396 | " S terility E xpiration Date: NOV 30, 2011\r \n" + | |
397 | " R N Verifier : SCHRADER ,KAREN D\r \n" + | |
398 | " V endor: bar d\r\n" + | |
399 | " M odel: hemo star\r\n" + | |
400 | " L ot/Serial Number: RE RI0625\r\n " + | |
401 | " S terile Res p: MANUFAC TURER\r\n" + | |
402 | " S ize: 14.5f rX24cm\r\n " + | |
403 | " Q uantity: 1 \r\n" + | |
404 | "/es/ KA REN D SCHR ADER\r\n" + | |
405 | "RN\r\n" + | |
406 | "Signed: 03/12/200 8 14:24\r\ n" + | |
407 | "</conte nt>\r\n" + | |
408 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
409 | " <encount er value=' 8188759'/> \r\n" + | |
410 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
411 | " <id valu e='6130393 '/>\r\n" + | |
412 | " <localTi tle value= 'NURSE INT RAOPERATIV E REPORT'/ >\r\n" + | |
413 | " <nationa lTitle cod e='4697009 ' name='NU RSING OUTP ATIENT OPE RATIVE NOT E'/>\r\n" + | |
414 | " <nationa lTitleRole code='469 6436' name ='NURSING' />\r\n" + | |
415 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
416 | " <nationa lTitleSett ing code=' 4696271' n ame='OUTPA TIENT'/>\r \n" + | |
417 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
418 | " <referen ceDateTime value='30 80312.1319 '/>\r\n" + | |
419 | " <status value='com pleted'/>\ r\n" + | |
420 | " <subject value='Ca se #: 6043 8'/>\r\n" + | |
421 | " <type va lue='SR'/> \r\n" + | |
422 | " < /document> \r\n" + | |
423 | " < document>\ r\n" + | |
424 | " <categor y value='S R'/>\r\n" + | |
425 | " <clinici ans>\r\n" + | |
426 | " <clinician code='296 96' name=' LECHMAN,MI CHAEL J' r ole='A' PII ' taxonomy Code='2086 S0129X' pr oviderType ='Allopath ic & O steopathic Physician s' classif ication='S urgery' sp ecializati on='Vascul ar Surgery ' service= 'SURGICAL' />\r\n" + | |
427 | " <clinician code='296 96' name=' LECHMAN,MI CHAEL J' r ole='S' da teTime='30 80313.1414 39' signat ure='MICHA EL J LECHM AN,MD THOR ACIC/VASCU LAR SURGEO N' PII ' taxonomy Code='2086 S0129X' pr oviderType ='Allopath ic & O steopathic Physician s' classif ication='S urgery' sp ecializati on='Vascul ar Surgery ' service= 'SURGICAL' />\r\n" + | |
428 | " </clinic ians>\r\n" + | |
429 | " <content xml:space ='preserve '>\r\n" + | |
430 | "LOCAL T ITLE: OPER ATION REPO RT \r\n " + | |
431 | "STANDAR D TITLE: S URGERY OPE RATIVE NOT E \r\n " + | |
432 | " DICT DATE: MAR 12, 2008 ENTRY DATE : MAR 12, 2008@14:19 :42 \r \n" + | |
433 | " SU RGEON: LEC HMAN,MICHA EL J ATTENDING : LECHMAN, MICHAEL J \r\n" + | |
434 | " UR GENCY: rou tine STATUS : COMPLETE D \r\n" + | |
435 | " SU BJECT: Cas e #: 60438 \r\n" + | |
436 | " \r\n" + | |
437 | "ACKERMA N,XXXXXXXX X XXX-XX- XXXX 6043 8/03-12-08 565-7029 D\r\n" + | |
438 | "PREOPER ATIVE DIAG NOSIS: 1. End-stage renal dis ease.\r\n" + | |
439 | " 2. Status po st creatio n of arter iovenous\r \n" + | |
440 | " fis tula left radiocepha lic.\r\n" + | |
441 | "SURGEON : Mic hael Lechm an\r\n" + | |
442 | "ANESTHE TIC: Mon itored ane sthesia ca re.\r\n" + | |
443 | "TIME BE GAN: Geo rge Altman n, CRNA\r\ n" + | |
444 | "OPERATI VE DIAGNOS IS: 1. End-stage renal dis ease.\r\n" + | |
445 | " 2. Status pos t creation of arteri ovenous\r\ n" + | |
446 | " fis tula left radiocepha lic.\r\n" + | |
447 | "OPERATI ON PERFORM ED: Ins ertion of tunneled d ialysis ca theter, ri ght\r\n" + | |
448 | " int ernal jugu lar vein.\ r\n" + | |
449 | "DATE OF OPERATION : 03- 12-08\r\n" + | |
450 | "ATTENDI NG SURGEON : \r\n" + | |
451 | " \r\n" + | |
452 | "INDICAT IONS: The patient h ad a fistu la created in his le ft forearm \r\n" + | |
453 | "within the past t wo weeks. The fistu la is deve loping, bu t is not r eady\r\n" + | |
454 | "for use and is in need of a cute dialy sis.\r\n" + | |
455 | "DESCRIP TION OF PR OCEDURE: With the p atient on the Operat ing Room t able\r\n" + | |
456 | "in the supine pos ition, the right nec k and ches t were pre pped and d raped\r\n" + | |
457 | "in the usual ster ile fashio n. The pa tient was properly i dentified and\r\n" + | |
458 | "placed in the Tre ndelenburg position. Xylocain e was infi ltrated be tween\r\n" + | |
459 | "the hea ds of the sternoclei domastoid muscle in the percut aneous\r\n " + | |
460 | "Selding er techniq ue. A gui dewire was introduce d into the right atr ium\r\n" + | |
461 | "under f luoroscopy . A dilat or and she ath were p assed over the guide wire.\r\n" + | |
462 | "Additio nal Xyloca ine was gi ven in the infraclav icular fos sa. An\r\ n" + | |
463 | "incisio n was made . A tunne l was crea ted. The catheter w as passed\ r\n" + | |
464 | "through the tunne l and then into the sheath. T he sheath was remove d.\r\n" + | |
465 | "The tip of the ca theter app eared to b e in good position. The cathe ter\r\n" + | |
466 | "irrigat ed and asp irated eas ily. It w as secured in place with silk\ r\n" + | |
467 | "sutures . The ori ginal inci sion was c losed with Vicryl an d Monocryl .\r\n" + | |
468 | "Sterile dressings were appl ied. The patient to lerated th e procedur e\r\n" + | |
469 | "satisfa ctorily.\r \n" + | |
470 | " \r\n" + | |
471 | "LECHMAN ,MICHAEL J D: 03-12-08 a t 1430\r\n " + | |
472 | "/es/ MI CHAEL J LE CHMAN,MD\r \n" + | |
473 | "THORACI C/VASCULAR SURGEON\r \n" + | |
474 | "Signed: 03/13/200 8 14:14\r\ n" + | |
475 | "</conte nt>\r\n" + | |
476 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
477 | " <encount er value=' 8188759'/> \r\n" + | |
478 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
479 | " <id valu e='6130394 '/>\r\n" + | |
480 | " <localTi tle value= 'OPERATION REPORT'/> \r\n" + | |
481 | " <nationa lTitle cod e='4695439 ' name='SU RGERY OPER ATIVE NOTE '/>\r\n" + | |
482 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
483 | " <nationa lTitleSubj ect code=' 4693368' n ame='SURGE RY'/>\r\n" + | |
484 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
485 | " <referen ceDateTime value='30 80312.1319 '/>\r\n" + | |
486 | " <status value='com pleted'/>\ r\n" + | |
487 | " <subject value='Ca se #: 6043 8'/>\r\n" + | |
488 | " <type va lue='SR'/> \r\n" + | |
489 | " < /document> \r\n" + | |
490 | " < document>\ r\n" + | |
491 | " <categor y value='S R'/>\r\n" + | |
492 | " <clinici ans>\r\n" + | |
493 | " <clin ician code ='2965269' name='GER VACIO,GWYN DOLYN B' r ole='A' of ficePhone= '3567' tax onomyCode= '163W00000 X' provide rType='Nur sing Servi ce Provide rs' classi fication=' Registered Nurse' se rvice='NUR SING'/>\r\ n" + | |
494 | " <clin ician code ='2965269' name='GER VACIO,GWYN DOLYN B' r ole='S' da teTime='30 80229.1019 16' signat ure='GWYND OLYN B GER VACIO ' of ficePhone= '3567' tax onomyCode= '163W00000 X' provide rType='Nur sing Servi ce Provide rs' classi fication=' Registered Nurse' se rvice='NUR SING'/>\r\ n" + | |
495 | " </clinic ians>\r\n" + | |
496 | " <content xml:space ='preserve '>\r\n" + | |
497 | "LOCAL T ITLE: NURS E INTRAOPE RATIVE REP ORT \r\n " + | |
498 | "STANDAR D TITLE: N URSING OUT PATIENT OP ERATIVE NO TE \r\n " + | |
499 | "DATE OF NOTE: FEB 29, 2008@ 07:50 ENTRY DATE : FEB 29, 2008@10:09 :01 \r \n" + | |
500 | " A UTHOR: GER VACIO,GWYN DOLYN EX P COSIGNER : \r\ n" + | |
501 | " UR GENCY: STATUS : COMPLETE D \r\n" + | |
502 | " SU BJECT: Cas e #: 60315 \r\n" + | |
503 | " \r\n" + | |
504 | "Operati ng Room: OR3 Surgica l Priority : ELECTIVE \r\n" + | |
505 | " \r\n" + | |
506 | "Patient in Hold: NOT ENTERE D Patient in OR: F EB 29, 200 8 07:50\r \n" + | |
507 | "Operati on Begin: FEB 29, 20 08 08:22 Operati on End: F EB 29, 200 8 09:45\r \n" + | |
508 | "Surgeon in OR: FEB 29, 20 08 07:55 Patient Out OR: F EB 29, 200 8 09:55\r \n" + | |
509 | " \r\n" + | |
510 | "Minor O perations Performed: \r\n" + | |
511 | "Primary : AV FISTU LA, LEFT A RM\r\n" + | |
512 | " \r\n" + | |
513 | "Wound C lassificat ion: CLEAN \r\n" + | |
514 | "Operati on Disposi tion: PACU (RECOVERY ROOM)\r\n " + | |
515 | "Dischar ged Via: S TRETCHER\r \n" + | |
516 | " \r\n" + | |
517 | "Surgeon : LECHMAN, MICHAEL J First A ssist: FRA TE,DAVID\r \n" + | |
518 | "Attend Surg: LECH MAN,MICHAE L J Second Assist: N/ A\r\n" + | |
519 | "Anesthe tist: ALTM ANN,GEORGE D Assista nt Anesth: N/A\r\n" + | |
520 | " \r\n" + | |
521 | "Other S crubbed As sistants: N/A\r\n" + | |
522 | " \r\n" + | |
523 | "OR Supp ort Person nel:\r\n" + | |
524 | " Scrub bed Circula ting\r\n" + | |
525 | " THOMA S,MICHAEL V (FULLY T RAINED) GERVACI O,GWYNDOLY N B (FULLY TRAINED)\ r\n" + | |
526 | " WEISS ,DAVID (OR IENTEE) \r\n" + | |
527 | " \r\n" + | |
528 | "Other P ersons in OR:\r\n" + | |
529 | " HALOL ,ATHENA (M EDICAL STU DENT)\r\n" + | |
530 | " \r\n" + | |
531 | "Preop M ood: RELAXED Preop C onsc: A LERT-ORIEN TED\r\n" + | |
532 | "Preop S kin Integ: INTACT Preop C onverse: R ESPONDS TO QUESTIONS \r\n" + | |
533 | " \r\n" + | |
534 | "Valid C onsent/ID Band Confi rmed By: G ERVACIO,GW YNDOLYN B\ r\n" + | |
535 | "Mark on Surgical Site Confi rmed: YES\ r\n" + | |
536 | " Marke d Site Com ments: NO COMMENTS E NTERED\r\n " + | |
537 | " \r\n" + | |
538 | "Preoper ative Imag ing Confir med: IMAG ING NOT RE QUIRED FOR THIS PROC EDURE\r\n" + | |
539 | " Imagi ng Confirm ed Comment s: NO COMM ENTS ENTER ED\r\n" + | |
540 | " \r\n" + | |
541 | "Time Ou t Verifica tion Compl eted: YES\ r\n" + | |
542 | " Time Out Verifi ed Comment s:\r\n" + | |
543 | " TIME OUT DONE A T 0800 AND 0820.\r\n " + | |
544 | " \r\n" + | |
545 | "Skin Pr ep By: SAR INO,VILMA L Skin Pr ep Agent: IODOPHOR\r \n" + | |
546 | "Skin Pr ep By (2): N/A 2nd Ski n Prep Age nt: N/A\r\ n" + | |
547 | " \r\n" + | |
548 | "Preop S urgical Si te Hair Re moval by: N/A\r\n" + | |
549 | "Surgica l Site Hai r Removal Method: NO HAIR REMO VED\r\n" + | |
550 | " Hair Removal Co mments: NO COMMENTS ENTERED\r\ n" + | |
551 | " \r\n" + | |
552 | "Surgery Position( s):\r\n" + | |
553 | " SUPIN E Placed: FEB 29, 2 008 07:50 \r\n" + | |
554 | " \r\n" + | |
555 | "Restrai nts and Po sition Aid s:\r\n" + | |
556 | " SAFET Y STRAP A pplied By: GERVACIO, GWYNDOLYN B\r\n" + | |
557 | " PILLO W A pplied By: GERVACIO, GWYNDOLYN B\r\n" + | |
558 | " ARMBO ARD A pplied By: GERVACIO, GWYNDOLYN B\r\n" + | |
559 | " \r\n" + | |
560 | "Electro cautery Un it: EE29176\r\ n" + | |
561 | "ESU Coa gulation R ange: 40\r\n" + | |
562 | "ESU Cut ting Range : 40\r\n" + | |
563 | "Electro ground Pos ition(s): RIGHT ANT THIGH\r\n" + | |
564 | " \r\n" + | |
565 | "Materia l Sent to Laboratory for Analy sis:\r\n" + | |
566 | "Specime ns: N/A\r\ n" + | |
567 | "Culture s: N/A\r\ n" + | |
568 | " \r\n" + | |
569 | "Anesthe sia Techni que(s):\r\ n" + | |
570 | " MONIT ORED ANEST HESIA CARE \r\n" + | |
571 | " \r\n" + | |
572 | "Tubes a nd Drains: N/A\r\n" + | |
573 | " \r\n" + | |
574 | "Tourniq uet: N/A\r \n" + | |
575 | " \r\n" + | |
576 | "Thermal Unit: N/A \r\n" + | |
577 | " \r\n" + | |
578 | "Prosthe sis Instal led: N/A\r \n" + | |
579 | " \r\n" + | |
580 | "Medicat ions:\r\n" + | |
581 | " LIDOC AINE HCL 1 % 50ML (VI )\r\n" + | |
582 | " Tim e Administ ered: FEB 29, 2008 08:21\r\n" + | |
583 | " R oute: INFI LTRATE Dosage: 8ML\r\n" + | |
584 | " O rdered By: LECHMAN,M ICHAEL J Admin B y: LECHMAN ,MICHAEL J \r\n" + | |
585 | " C omments: 8 ML TO 2ML OF SODIUM BICARBONAT E INJ. TO SURGICAL S ITE.\r\n" + | |
586 | " SODIU M BICARBON ATE 4.2GM 50ML INJ ( VI)\r\n" + | |
587 | " Tim e Administ ered: FEB 29, 2008 08:21\r\n" + | |
588 | " R oute: INFI LTRATE Dosage: 2ML\r\n" + | |
589 | " O rdered By: LECHMAN,M ICHAEL J Admin B y: LECHMAN ,MICHAEL J \r\n" + | |
590 | " C omments: 2 ML TO 8ML 1%LIDOCAIN E PLAIN TO SURGICAL SITE\r\n" + | |
591 | " PAPAV ERINE HCL 30MG/ML IN J\r\n" + | |
592 | " Tim e Administ ered: FEB 29, 2008 09:00\r\n" + | |
593 | " R oute: IRRI GATION Dosage: 1ML\r\n" + | |
594 | " O rdered By: LECHMAN,M ICHAEL J Admin B y: LECHMAN ,MICHAEL J \r\n" + | |
595 | " C omments: 1 ML TO 29ML OF 0.9% S ODIUM CHLO RIDE INJEC TION.\r\n" + | |
596 | " \r\n" + | |
597 | "Irrigat ion Soluti on(s):\r\n " + | |
598 | " HEPAR INIZED SAL INE\r\n" + | |
599 | " Tim e Used: FE B 29, 2008 08:45\r\ n" + | |
600 | " A mount: N/A Provide r: N/A\r\n " + | |
601 | " \r\n" + | |
602 | "Blood R eplacement Fluids: N /A\r\n" + | |
603 | " \r\n" + | |
604 | "Sponge Count Corr ect: Y ES\r\n" + | |
605 | "Sharps Count Corr ect: Y ES\r\n" + | |
606 | "Instrum ent Count Correct: N OT APPLICA BLE\r\n" + | |
607 | "Counter : T HOMAS,MICH AEL V\r\n" + | |
608 | "Counts Verified B y: G ERVACIO,GW YNDOLYN B\ r\n" + | |
609 | " \r\n" + | |
610 | "Dressin g: DERMABO ND\r\n" + | |
611 | "Packing : N/A\r\n " + | |
612 | " \r\n" + | |
613 | "Blood L oss: 10 ml Urine O utput:\r\n " + | |
614 | " \r\n" + | |
615 | "Postope rative Moo d: RELAXED \r\n" + | |
616 | "Postope rative Con sciousness : DROWSY\ r\n" + | |
617 | "Postope rative Ski n Integrit y: SCAR\r\ n" + | |
618 | "Postope rative Ski n Color: PINK\r\ n" + | |
619 | " \r\n" + | |
620 | "Laser U nit(s): N/ A\r\n" + | |
621 | " \r\n" + | |
622 | "Sequent ial Compre ssion Devi ce: NO\r\n " + | |
623 | " \r\n" + | |
624 | "Cell Sa ver(s): N/ A\r\n" + | |
625 | " \r\n" + | |
626 | "Devices : N/A\r\n" + | |
627 | " \r\n" + | |
628 | "Nursing Care Comm ents:\r\n" + | |
629 | " 0800 IV ACCESS INSERTED B Y DR.LECHM AN TO THE LEFT FEMOR AL VEIN.\r \n" + | |
630 | "/es/ GW YNDOLYN B GERVACIO\r \n" + | |
631 | " \r\n" + | |
632 | "Signed: 02/29/200 8 10:19\r\ n" + | |
633 | "</conte nt>\r\n" + | |
634 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
635 | " <encount er value=' 8154553'/> \r\n" + | |
636 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
637 | " <id valu e='6089218 '/>\r\n" + | |
638 | " <localTi tle value= 'NURSE INT RAOPERATIV E REPORT'/ >\r\n" + | |
639 | " <nationa lTitle cod e='4697009 ' name='NU RSING OUTP ATIENT OPE RATIVE NOT E'/>\r\n" + | |
640 | " <nationa lTitleRole code='469 6436' name ='NURSING' />\r\n" + | |
641 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
642 | " <nationa lTitleSett ing code=' 4696271' n ame='OUTPA TIENT'/>\r \n" + | |
643 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
644 | " <referen ceDateTime value='30 80229.075' />\r\n" + | |
645 | " <status value='com pleted'/>\ r\n" + | |
646 | " <subject value='Ca se #: 6031 5'/>\r\n" + | |
647 | " <type va lue='SR'/> \r\n" + | |
648 | " < /document> \r\n" + | |
649 | " < document>\ r\n" + | |
650 | " <categor y value='S R'/>\r\n" + | |
651 | " <clinici ans>\r\n" + | |
652 | " <clinician code='296 96' name=' LECHMAN,MI CHAEL J' r ole='A' PII ' taxonomy Code='2086 S0129X' pr oviderType ='Allopath ic & O steopathic Physician s' classif ication='S urgery' sp ecializati on='Vascul ar Surgery ' service= 'SURGICAL' />\r\n" + | |
653 | " <clinician code='296 96' name=' LECHMAN,MI CHAEL J' r ole='S' da teTime='30 80305.1036 14' signat ure='MICHA EL J LECHM AN,MD THOR ACIC/VASCU LAR SURGEO N' PII ' taxonomy Code='2086 S0129X' pr oviderType ='Allopath ic & O steopathic Physician s' classif ication='S urgery' sp ecializati on='Vascul ar Surgery ' service= 'SURGICAL' />\r\n" + | |
654 | " </clinic ians>\r\n" + | |
655 | " <content xml:space ='preserve '>\r\n" + | |
656 | "LOCAL T ITLE: OPER ATION REPO RT \r\n " + | |
657 | "STANDAR D TITLE: S URGERY OPE RATIVE NOT E \r\n " + | |
658 | " DICT DATE: FEB 29, 2008 ENTRY DATE : FEB 29, 2008@10:09 :01 \r \n" + | |
659 | " SU RGEON: LEC HMAN,MICHA EL J ATTENDING : LECHMAN, MICHAEL J \r\n" + | |
660 | " UR GENCY: rou tine STATUS : COMPLETE D \r\n" + | |
661 | " SU BJECT: Cas e #: 60315 \r\n" + | |
662 | " \r\n" + | |
663 | "ACKERMA N,XXXXXXXX X XXX-XX- XXXX 6031 5/02-29-08 130-6025 D\r\n" + | |
664 | "PREOPER ATIVE DIAG NOSIS: En d-stage re nal diseas e.\r\n" + | |
665 | "SURGEON : LEC HMAN,MICHA EL J\r\n" + | |
666 | "1ST ASS ISTANT: FR ATE,DAVID\ r\n" + | |
667 | "ANESTHE TIST: AL TMANN,GEOR GE D\r\n" + | |
668 | "ANESTHE TIC: Mo nitored an esthesia c are.\r\n" + | |
669 | "OPERATI VE DIAGNOS IS: En d-stage re nal diseas e.\r\n" + | |
670 | "OPERATI ON PERFORM ED: 1. Creation of arteri ovenous fi stula,\r\n " + | |
671 | " (ra diocephali c - Cimino ), left wr ist.\r\n" + | |
672 | " 2. Insertion of triple lumen cat heter, rig ht\r\n" + | |
673 | " fem oral vein. \r\n" + | |
674 | "DATE OF OPERATION : 02- 29-08\r\n" + | |
675 | "ATTENDI NG SURGEON : LEC HMAN,MICHA EL J\r\n" + | |
676 | "DESCRIP TION OF OP ERATION: With the p atient on the operat ing room t able\r\n" + | |
677 | "in a su pine posit ion, the p atient was prepared and draped in standa rd\r\n" + | |
678 | "sterile fashion. A triple lumen cath eter had b een insert ed by me i nto\r\n" + | |
679 | "the lef t femoral vein prior to the ca se as the patient ha d no suffi cient\r\n" + | |
680 | "periphe ral veins for starti ng intrave nous.\r\n" + | |
681 | "After t he left ar m was prep ared and d raped, the patient w as once ag ain\r\n" + | |
682 | "identif ied. Xylo caine was infiltrate d in the a ntecubital fossa. T he\r\n" + | |
683 | "preoper ative non- invasive s tudy indic ated the p atient may have an\r \n" + | |
684 | "adequat e cephalic vein at t he antecub ital level ; however, this vein was\r\n" + | |
685 | "quire s carified a nd we coul d not use it. That wound was then close d\r\n" + | |
686 | "with 3- 0 Vicryl a nd 5-0 Mon ocryl.\r\n " + | |
687 | "Attenti on was the n turned t o the wris t. Xyloca ine was in jected bet ween\r\n" + | |
688 | "the exp ected area of the ce phalic vei n and the radial art ery. The\ r\n" + | |
689 | "cephali c vein was identifie d. It app eared to b e at least 3mm in\r\ n" + | |
690 | "diamete r. The ra dial arter y appeared to be ade quate for fistula.\r \n" + | |
691 | "Heparin was admin istered. After an a dequate le ngth of ve in was\r\n " + | |
692 | "develop ed, it was ligated d istally an d divided and cut to the\r\n" + | |
693 | "appropr iate lengt h and conf iguration. Clamps w ere applie d to the a rtery\r\n" + | |
694 | "and an arteriotom y was made . The vei n was sewn to the ar tery with\ r\n" + | |
695 | "6-0 Pro lene sutur e continuo usly.\r\n" + | |
696 | "When we had compl eted the a nastomosis , the thri ll and pul se seemed weak,\r\n" + | |
697 | "althoug h the pati ent's mean arte rial press ure was le ss than 60 .\r\n" + | |
698 | "Nonethe less, I re moved the last few s utures and checked t he vein fo r\r\n" + | |
699 | "patency . It was patent to the elbow. I then i njected so me Papaver ine\r\n" + | |
700 | "and rec losed the anastomosi s and once again com pleted the anastomos is.\r\n" + | |
701 | "This se emed to im prove the flow. We could hear a good si gnal up to the\r\n" + | |
702 | "antecub ital fossa .\r\n" + | |
703 | "The wou nd was irr igated wit h saline a nd closed with 3-0 V icryl for the\r\n" + | |
704 | "subcuta neous tiss ue and 5-0 Monocryl in a subcu ticular fa shion.\r\n " + | |
705 | "Dermabo nd was app lied to th e wounds. The patie nt tolerat ed the\r\n " + | |
706 | "procedu re satisfa ctorily. The sponge and instr ument coun ts were\r\ n" + | |
707 | "correct . Estimat ed blood l oss was le ss than 10 ml.\r\n" + | |
708 | " \r\n" + | |
709 | "LECHMAN ,MICHAEL J D: 02-29-08 a t 1003\r\n " + | |
710 | "/es/ MI CHAEL J LE CHMAN,MD\r \n" + | |
711 | "THORACI C/VASCULAR SURGEON\r \n" + | |
712 | "Signed: 03/05/200 8 10:36\r\ n" + | |
713 | "</conte nt>\r\n" + | |
714 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
715 | " <encount er value=' 8154553'/> \r\n" + | |
716 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
717 | " <id valu e='6089219 '/>\r\n" + | |
718 | " <localTi tle value= 'OPERATION REPORT'/> \r\n" + | |
719 | " <nationa lTitle cod e='4695439 ' name='SU RGERY OPER ATIVE NOTE '/>\r\n" + | |
720 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
721 | " <nationa lTitleSubj ect code=' 4693368' n ame='SURGE RY'/>\r\n" + | |
722 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
723 | " <referen ceDateTime value='30 80229.075' />\r\n" + | |
724 | " <status value='com pleted'/>\ r\n" + | |
725 | " <subject value='Ca se #: 6031 5'/>\r\n" + | |
726 | " <type va lue='SR'/> \r\n" + | |
727 | " < /document> \r\n" + | |
728 | " < document>\ r\n" + | |
729 | " <categor y value='S R'/>\r\n" + | |
730 | " <clinici ans>\r\n" + | |
731 | " <clin ician code ='2991' na me='CHALLE NGER,DEBOR AH R' role ='A' taxon omyCode='1 63W00000X' providerT ype='Nursi ng Service Providers ' classifi cation='Re gistered N urse' serv ice='NURSI NG'/>\r\n" + | |
732 | " <clin ician code ='3807' na me='SARINO ,VILMA L' role='S' d ateTime='3 070619.173 93' signat ure='VILMA L SARINO, RN Vilma L . Sarino, RN' servic e='SURGICA L'/>\r\n" + | |
733 | " </clinic ians>\r\n" + | |
734 | " <content xml:space ='preserve '>\r\n" + | |
735 | "LOCAL T ITLE: NURS E INTRAOPE RATIVE REP ORT \r\n " + | |
736 | "STANDAR D TITLE: N URSING OUT PATIENT OP ERATIVE NO TE \r\n " + | |
737 | "DATE OF NOTE: JUN 19, 2007@ 11:55 ENTRY DATE : JUN 19, 2007@17:28 :25 \r \n" + | |
738 | " A UTHOR: CHA LLENGER,DE BORAH EX P COSIGNER : \r\ n" + | |
739 | " UR GENCY: STATUS : COMPLETE D \r\n" + | |
740 | " SU BJECT: Cas e #: 58726 \r\n" + | |
741 | " \r\n" + | |
742 | "Operati ng Room: OR1 Surgica l Priority : ELECTIVE \r\n" + | |
743 | " \r\n" + | |
744 | "Patient in Hold: JUN 19, 20 07 11:15 Patient in OR: J UN 19, 200 7 11:55\r \n" + | |
745 | "Operati on Begin: JUN 19, 20 07 12:50 Operati on End: J UN 19, 200 7 16:10\r \n" + | |
746 | "Surgeon in OR: JUN 19, 20 07 12:05 Patient Out OR: J UN 19, 200 7 17:07\r \n" + | |
747 | " \r\n" + | |
748 | "Major O perations Performed: \r\n" + | |
749 | "Primary : Attempte d Laparosc opic, Open Right Hem icolectomy \r\n" + | |
750 | " \r\n" + | |
751 | "Wound C lassificat ion: CLEAN /CONTAMINA TED\r\n" + | |
752 | "Operati on Disposi tion: SICU \r\n" + | |
753 | "Dischar ged Via: I CU BED\r\n " + | |
754 | " \r\n" + | |
755 | "Surgeon : KOPPEL,D ARREN C First A ssist: LEC HMAN,MICHA EL J\r\n" + | |
756 | "Attend Surg: KOPP EL,DARREN C Second Assist: CH EUNG,DOMIN IC K\r\n" + | |
757 | "Anesthe tist: VANB OCKEL,DAVI D A Assista nt Anesth: N/A\r\n" + | |
758 | " \r\n" + | |
759 | "Other S crubbed As sistants: N/A\r\n" + | |
760 | " \r\n" + | |
761 | "OR Supp ort Person nel:\r\n" + | |
762 | " Scrub bed Circula ting\r\n" + | |
763 | " CLARK ,TINA L (F ULLY TRAIN ED) CHALLEN GER,DEBORA H R (FULLY TRAINED)\ r\n" + | |
764 | " COPE, MELISSA Y (FULLY TRA INED) GERVACI O,GWYNDOLY N B (ORIEN TEE)\r\n" + | |
765 | " COOKE,H ERBERT R ( FULLY TRAI NED)\r\n" + | |
766 | " SARINO, VILMA L (F ULLY TRAIN ED)\r\n" + | |
767 | " \r\n" + | |
768 | "Other P ersons in OR:\r\n" + | |
769 | " herma na priolea u,. (stude nt nurse t ech.)\r\n" + | |
770 | " tamik a champagn e (student nurse tec h.)\r\n" + | |
771 | " \r\n" + | |
772 | "Preop M ood: RELAXED Preop C onsc: A LERT-ORIEN TED\r\n" + | |
773 | "Preop S kin Integ: INTACT Preop C onverse: R ESPONDS TO QUESTIONS \r\n" + | |
774 | " \r\n" + | |
775 | "Valid C onsent/ID Band Confi rmed By: G ERVACIO,GW YNDOLYN B\ r\n" + | |
776 | "Mark on Surgical Site Confi rmed: YES\ r\n" + | |
777 | " Marke d Site Com ments: NO COMMENTS E NTERED\r\n " + | |
778 | " \r\n" + | |
779 | "Preoper ative Imag ing Confir med: YES\ r\n" + | |
780 | " Imagi ng Confirm ed Comment s: NO COMM ENTS ENTER ED\r\n" + | |
781 | " \r\n" + | |
782 | "Time Ou t Verifica tion Compl eted: YES\ r\n" + | |
783 | " Time Out Verifi ed Comment s:\r\n" + | |
784 | " time out done a t1246.\r\n " + | |
785 | " \r\n" + | |
786 | "Skin Pr ep By: CHA LLENGER,DE BORAH R Skin Pr ep Agent: IODOPHOR\r \n" + | |
787 | "Skin Pr ep By (2): N/A 2nd Ski n Prep Age nt: N/A\r\ n" + | |
788 | " \r\n" + | |
789 | "Preop S urgical Si te Hair Re moval by: KOPPEL,DAR REN C\r\n" + | |
790 | "Surgica l Site Hai r Removal Method: CL IPPER\r\n" + | |
791 | " Hair Removal Co mments: NO COMMENTS ENTERED\r\ n" + | |
792 | " \r\n" + | |
793 | "Surgery Position( s):\r\n" + | |
794 | " SUPIN E Placed: JUN 19, 2 007 11:55 \r\n" + | |
795 | " LITHO TOMY Placed: JUN 19, 2 007 12:40 \r\n" + | |
796 | " \r\n" + | |
797 | "Restrai nts and Po sition Aid s:\r\n" + | |
798 | " SAFET Y STRAP A pplied By: GERVACIO, GWYNDOLYN B\r\n" + | |
799 | " STIRR UPS A pplied By: KOPPEL,DA RREN C\r\n " + | |
800 | " ARMBO ARD A pplied By: VANBOCKEL ,DAVID A\r \n" + | |
801 | " \r\n" + | |
802 | "Electro cautery Un it: ee29174\r\ n" + | |
803 | "ESU Coa gulation R ange: 50\r\n" + | |
804 | "ESU Cut ting Range : 150\r\n" + | |
805 | "Electro ground Pos ition(s): LEFT ANT T HIGH\r\n" + | |
806 | " \r\n" + | |
807 | "Materia l Sent to Laboratory for Analy sis:\r\n" + | |
808 | "Specime ns:\r\n" + | |
809 | " right colon and terminal ileum.\r\n " + | |
810 | "Culture s: N/A\r\ n" + | |
811 | " \r\n" + | |
812 | "Anesthe sia Techni que(s):\r\ n" + | |
813 | " GENER AL\r\n" + | |
814 | " \r\n" + | |
815 | "Tubes a nd Drains: \r\n" + | |
816 | " 16 fr ench foley catheter with 5cc b alloon ins erted by d r.koppel.\ r\n" + | |
817 | " \r\n" + | |
818 | "Tourniq uet: N/A\r \n" + | |
819 | " \r\n" + | |
820 | "Thermal Unit: N/A \r\n" + | |
821 | " \r\n" + | |
822 | "Prosthe sis Instal led: N/A\r \n" + | |
823 | " \r\n" + | |
824 | "Medicat ions:\r\n" + | |
825 | " BUPIV ACAINE W/E PI 0.5% 50 ML (AM)\r\ n" + | |
826 | " Tim e Administ ered: JUN 19, 2007 12:54\r\n" + | |
827 | " R oute: INFI LTRATE Dosage: 40ml\r\n" + | |
828 | " O rdered By: KOPPEL,DA RREN C Admin B y: KOPPEL, DARREN C\r \n" + | |
829 | " C omments: N /A\r\n" + | |
830 | " \r\n" + | |
831 | "Irrigat ion Soluti on(s):\r\n " + | |
832 | " NORMA L SALINE\r \n" + | |
833 | " \r\n" + | |
834 | "Blood R eplacement Fluids: N /A\r\n" + | |
835 | " \r\n" + | |
836 | "Sponge Count Corr ect: Y ES\r\n" + | |
837 | "Sharps Count Corr ect: Y ES\r\n" + | |
838 | "Instrum ent Count Correct: Y ES\r\n" + | |
839 | "Counter : C LARK,TINA L\r\n" + | |
840 | "Counts Verified B y: G ERVACIO,GW YNDOLYN B\ r\n" + | |
841 | " \r\n" + | |
842 | "Dressin g: 4X4, te lfa\r\n" + | |
843 | "Packing : N/A\r\n " + | |
844 | " \r\n" + | |
845 | "Blood L oss: 200 m l Urine O utput:\r\n " + | |
846 | " \r\n" + | |
847 | "Postope rative Moo d: RELAXED \r\n" + | |
848 | "Postope rative Con sciousness : REACTIN G\r\n" + | |
849 | "Postope rative Ski n Integrit y: SCAR\r\ n" + | |
850 | "Postope rative Ski n Color: N/A\r\n " + | |
851 | " \r\n" + | |
852 | "Laser U nit(s): N/ A\r\n" + | |
853 | " \r\n" + | |
854 | "Sequent ial Compre ssion Devi ce: YES\r\ n" + | |
855 | " \r\n" + | |
856 | "Cell Sa ver(s): N/ A\r\n" + | |
857 | " \r\n" + | |
858 | "Devices : N/A\r\n" + | |
859 | " \r\n" + | |
860 | "Nursing Care Comm ents:\r\n" + | |
861 | " patie nt positio ned by dr. koppel on the or tab le.harmoni c scalpel\ r\n" + | |
862 | " used, machine #e e39974,set on3/5.\r\ n" + | |
863 | "/es/ VI LMA L SARI NO,RN\r\n" + | |
864 | "Vilma L . Sarino, RN\r\n" + | |
865 | "Signed: 06/19/200 7 17:39\r\ n" + | |
866 | "for DEB ORAH R CHA LLENGER \r\n" + | |
867 | "Deborah R. Challe nger, RN \r\n" + | |
868 | "</conte nt>\r\n" + | |
869 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
870 | " <encount er value=' 7525150'/> \r\n" + | |
871 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
872 | " <id valu e='5380226 '/>\r\n" + | |
873 | " <localTi tle value= 'NURSE INT RAOPERATIV E REPORT'/ >\r\n" + | |
874 | " <nationa lTitle cod e='4697009 ' name='NU RSING OUTP ATIENT OPE RATIVE NOT E'/>\r\n" + | |
875 | " <nationa lTitleRole code='469 6436' name ='NURSING' />\r\n" + | |
876 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
877 | " <nationa lTitleSett ing code=' 4696271' n ame='OUTPA TIENT'/>\r \n" + | |
878 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
879 | " <referen ceDateTime value='30 70619.1155 '/>\r\n" + | |
880 | " <status value='com pleted'/>\ r\n" + | |
881 | " <subject value='Ca se #: 5872 6'/>\r\n" + | |
882 | " <type va lue='SR'/> \r\n" + | |
883 | " < /document> \r\n" + | |
884 | " < document>\ r\n" + | |
885 | " <categor y value='S R'/>\r\n" + | |
886 | " <clinici ans>\r\n" + | |
887 | " <clin ician code ='25031' n ame='KOPPE L,DARREN M D' role='A ' analogPa ger='400' fax='757-7 28-7052' s ervice='SU RGICAL'/>\ r\n" + | |
888 | " <clin ician code ='25031' n ame='KOPPE L,DARREN M D' role='S ' dateTime ='3070621. 141603' si gnature='D ARREN KOPP EL MD GENE RAL COLORE CTAL SURGE ON' analog Pager='400 ' fax='757 -728-7052' service=' SURGICAL'/ >\r\n" + | |
889 | " </clinic ians>\r\n" + | |
890 | " <content xml:space ='preserve '>\r\n" + | |
891 | "LOCAL T ITLE: OPER ATION REPO RT \r\n " + | |
892 | "STANDAR D TITLE: S URGERY OPE RATIVE NOT E \r\n " + | |
893 | " DICT DATE: JUN 19, 2007 ENTRY DATE : JUN 19, 2007@17:28 :25 \r \n" + | |
894 | " SU RGEON: KOP PEL,DARREN MD ATTENDING : KOPPEL,D ARREN MD \r\n" + | |
895 | " UR GENCY: rou tine STATUS : COMPLETE D \r\n" + | |
896 | " SU BJECT: Cas e #: 58726 \r\n" + | |
897 | " \r\n" + | |
898 | "ACKERMA N,XXXXXXXX X XXX-XX- XXXX 5872 6/06-19-07 565-4690 D\r\n" + | |
899 | "PREOPER ATIVE DIAG NOSIS: Lar ge right c olonic pol yp.\r\n" + | |
900 | "SURGEON : Dar ren Koppel \r\n" + | |
901 | "1ST ASS ISTANT: And rew Lechma n\r\n" + | |
902 | "ANESTHE TIC: Gen eral via e ndotrachea l tube.\r\ n" + | |
903 | "OPERATI VE DIAGNOS IS: Lar ge right c olonic pol yp.\r\n" + | |
904 | "OPERATI ON PERFORM ED: Lap aroscopic- assisted r ight hemic olectomy.\ r\n" + | |
905 | "DATE OF OPERATION : 06- 19-07\r\n" + | |
906 | "ATTENDI NG SURGEON :\r\n" + | |
907 | " \r\n" + | |
908 | "ESTIMAT ED BLOOD L OSS: 200m l.\r\n" + | |
909 | "FLUIDS: 2800ml o f Crystall oid and 15 00ml of He span.\r\n" + | |
910 | "COMPLIC ATIONS: N one.\r\n" + | |
911 | "DRAINS: None.\r\ n" + | |
912 | "SPECIME NS: Right colon and terminal ileum.\r\n " + | |
913 | "DISPOSI TION: Ext ubated in the Operat ing Room a nd stable to the Pos t\r\n" + | |
914 | "Anesthe sia Care U nit.\r\n" + | |
915 | "INDICAT IONS: The patient i s a 61-yea r-old Afri can-Americ an male, w ho\r\n" + | |
916 | "had mul tiple colo noscopies, history o f noncompl iance, who was found to\r\n" + | |
917 | "have a large righ t colonic polyp, but was not r esectable with the\r \n" + | |
918 | "endosco pe, which had been a ttempted s everal tim es. There fore, it w as\r\n" + | |
919 | "elected to procee d with col ectomy. T he risks a nd benefit s of the\r \n" + | |
920 | "procedu re with th e attempte d laparosc opic were discussed with the\r \n" + | |
921 | "patient , includin g bleeding , infectio n, recurre nce, anast omotic and \r\n" + | |
922 | "wound d ehiscence, cardiopul monary eve nts, and t hromboembo lic events .\r\n" + | |
923 | "Need to perform o pen were a ll discuss ed. Infor med consen t was obta ined.\r\n" + | |
924 | "DESCRIP TION OF PR OCEDURE: The patien t was take n to the O perating R oom\r\n" + | |
925 | "and pla ced on the table in the supine position. Anesthes ia was ind uced\r\n" + | |
926 | "by the Anesthesia Team. Th e patient was interf aced with appropriat e\r\n" + | |
927 | "hemodyn amic monit oring. Th e patient had been g iven a bow el prep. He\r\n" + | |
928 | "was giv en IV anti biotics. Sequential stockings had been placed. T hen\r\n" + | |
929 | "the pat ient was i ntubated. A Foley c atheter wa s then pla ced. The\ r\n" + | |
930 | "patient was place d in stirr ups. He w as appropr iately pos itioned an d all\r\n" + | |
931 | "pressur e points w ere approp riately pa dded as ne eded. Inc ision was then\r\n" + | |
932 | "made, a s area was infiltrat ed with Li docaine. A hand por t was plac ed,\r\n" + | |
933 | "after t he dissect ion was ca rried thro ugh to the fascia. The perone al\r\n" + | |
934 | "cavity was entere d. Care w as taken n ot to inju re the und erlying\r\ n" + | |
935 | "structu res. A ha nd port wa s placed a nd then th e abdomen was\r\n" + | |
936 | "insuffl ated. A c amera was then place d. It was difficult to find t he\r\n" + | |
937 | "colon. Eventuall y, the cec um was abl e to be fo und. The patient ha d\r\n" + | |
938 | "been ma neuvered s everal tim es to find this. Th e cecum an d the appe ndix\r\n" + | |
939 | "were fo und. Then dissectio n was carr ied upward . However , the pati ent\r\n" + | |
940 | "did hav e normal a natomy. I t appeared the colon went unde rneath the \r\n" + | |
941 | "superio r mesenter ic artery. The colo n ran unde rneath the small bow el\r\n" + | |
942 | "instead of above it as norm al underne ath the st omach. Th e colon wa s\r\n" + | |
943 | "immobil ized as mu ch as poss ible. The re apprear ed to be L add's bands\r\n " + | |
944 | "connect ing the sm all bowel to the liv er. It wa s felt tha t the pati ent\r\n" + | |
945 | "did hav e a congen ital malfo rmation th at had bee n diagnose d until th e\r\n" + | |
946 | "present time. Af ter mobili zation to the transv erse colon , it was u nclear\r\n " + | |
947 | "exactly where the colon was headed; t herefore, it was ele cted to al low the\r\ n" + | |
948 | "abdomen to exsuff late. The colon was pulled up wards; how ever, the bowel was\ r\n" + | |
949 | "then ev iscerated. Then, th ere was so me bleedin g from the colonic m esentery.\ r\n" + | |
950 | "Therefo re, it was elected t o open for mally. Th e port was removed. The abdom en\r\n" + | |
951 | "was all owed to ex sufflate. The port trocars we re removed . The cam era was\r\ n" + | |
952 | "passed off the fi eld. The bleeding h ad been co ntrolled w ith a clam p and then \r\n" + | |
953 | "the fig ure-of-eig ht sutures . This wa s in the c olonic mes entery. T he\r\n" + | |
954 | "incisio n only nee ded to be opened ano ther appro ximately 6 cm above a nd\r\n" + | |
955 | "below. Then, the remainder of the co lon was mo bilized. Then, the colon\r\n" + | |
956 | "was fre ed up and it was ele cted to pr oceed from the termi nal ileum to\r\n" + | |
957 | "the lev el of the middle col ic artery. First the mesentery was score d along it s\r\n" + | |
958 | "length. The smal l bowel wa s placed i nto approp riate posi tion and m oved away. \r\n" + | |
959 | "Then af ter the pe ritoneum o f the mese ntery was scored, a hole was m ade in the \r\n" + | |
960 | "mesente ry under t he termina l ileum. The ligame nt of Trev es was mob ilized off \r\n" + | |
961 | "the ter minal ileu m. The GI A stapler was brough t off the field. Th is was pas sed\r\n" + | |
962 | "across the termin al ileum, closed, an d fired. Then, the mesentery was\r\n" + | |
963 | "taken d own betwee n paired c lamps, div ided, and tied off. The ileoc olic\r\n" + | |
964 | "vessel was doubly ligated. The mesen tery was t hen taken up with pa ired sets of\r\n" + | |
965 | "clamps, divided, until the level of t he middle colic arte ry. This was\r\n" + | |
966 | "doubly ligated as well and then after the perit oneum, rem aining\r\n " + | |
967 | "mesente ry, and ep iploic app endages we re cleared from the colon, ano ther\r\n" + | |
968 | "GIA sta pler was p assed acro ss this an d fired. Then, the specimen w as\r\n" + | |
969 | "sent of f the tabl e for spec imen. Thi s opened o n the back table and the\r\n" + | |
970 | "polyp w as definit ely in the specimen. Therefor e, it was elected to \r\n" + | |
971 | "proceed . The abd omen was p acked off. Then, tw o ends of the clampe d\r\n" + | |
972 | "bowel w as grasped with Alli s forceps. The end of the sma ll bowel a nd\r\n" + | |
973 | "the end s of the t ransverse colon were transecte d with cur ved Mayo\r \n" + | |
974 | "scissor s. Then, a reload o n the GIA stapler wa s brought onto the f ield.\r\n" + | |
975 | "This wa s passed d own the co lon and th e small bo wel, one e nd down ea ch\r\n" + | |
976 | "limb. This was t hen closed ensuring there was no mesente ry involve d.\r\n" + | |
977 | "This wa s fired. The anasto mosis appe ared intac t. Then u sing Allis \r\n" + | |
978 | "clamps, the stapl e lines we re all set in a T-li ke fashion and then they\r\n" + | |
979 | "were cl osed acros s the colo n. The TA 60 was bro ught onto the field. \r\n" + | |
980 | "This wa s closed a cross the area where the apert ure which was create d\r\n" + | |
981 | "with th e firing o f the GIA stapler wa s closed w ith the Al lis clamps .\r\n" + | |
982 | "The TA stapler wa s passed a cross this , closed a nd fired. The colon \r\n" + | |
983 | "above t his was tr ansected. It appear ed the ana stomosis w as widely\ r\n" + | |
984 | "patent. Then the crux of t he anastom osis was r einforced with a 3-0 GI\r\n" + | |
985 | "silk su ture. The ends of t he anastom osis were dunked usi ng interru pted\r\n" + | |
986 | "silk su tures as w ell. Ther e was adeq uate hemos tasis. Th en the\r\n " + | |
987 | "mesente ric defect was close d with a r unning 3-0 Vicryl su ture. The \r\n" + | |
988 | "anastom osis was p laced back into the abdomen an d then the small bow el\r\n" + | |
989 | "was pla ced back t o ensure i t was not torsed or underwent volvulus. It\r\n" + | |
990 | "was pla ced back i n an order ly fashion . The abd omen was c opiously\r \n" + | |
991 | "irrigat ed and asp irated dry . The abd omen was c ontrolled for hemost asis.\r\n" + | |
992 | "A thoro ugh examin ation of t he abdomen was perfo rmed and i t did not\ r\n" + | |
993 | "appear there was any foreig n bodies l eft. The fascia was closed wi th\r\n" + | |
994 | "#1 PDS, one from above and one from b elow. The y were tie d in the\r \n" + | |
995 | "middle. They wer e also int errupted f igure-of-e ight sutur es placed along\r\n" + | |
996 | "the way . Then, t he PDS wer e tied to one anothe r and the wound was\ r\n" + | |
997 | "copious ly irrigat ed and asp irated dry . The ski n was clos ed at all the\r\n" + | |
998 | "trocar sites and also a mid line incis ion with s taples. T he patient was\r\n" + | |
999 | "awoken from anest hesia. Th e count wa s incorrec t, and an x-ray was\ r\n" + | |
1000 | "perform ed. The r adiograph was negati ve for ret ained fore ign body.\ r\n" + | |
1001 | "The pat ient was t hen placed back on t he table i n the supi ne positio n.\r\n" + | |
1002 | "He was awoken fro m his anes thesia and was extub ated. The patient\r\ n" + | |
1003 | "tolerat ed the pro cedure wel l. He was taken to the Intens ive Care U nit,\r\n" + | |
1004 | "given h is comorbi dities.\r\ n" + | |
1005 | " \r\n" + | |
1006 | "KOPPEL, DARREN D:06-1 9-07 at 16 34\r\n" + | |
1007 | "/es/ Da rren C KOP PEL, MD\r\ n" + | |
1008 | "GENERAL COLORECTA L SURGEON\ r\n" + | |
1009 | "Signed: 06/21/200 7 14:16\r\ n" + | |
1010 | "</conte nt>\r\n" + | |
1011 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
1012 | " <encount er value=' 7525150'/> \r\n" + | |
1013 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
1014 | " <id valu e='5380227 '/>\r\n" + | |
1015 | " <localTi tle value= 'OPERATION REPORT'/> \r\n" + | |
1016 | " <nationa lTitle cod e='4695439 ' name='SU RGERY OPER ATIVE NOTE '/>\r\n" + | |
1017 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
1018 | " <nationa lTitleSubj ect code=' 4693368' n ame='SURGE RY'/>\r\n" + | |
1019 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
1020 | " <referen ceDateTime value='30 70619.1155 '/>\r\n" + | |
1021 | " <status value='com pleted'/>\ r\n" + | |
1022 | " <subject value='Ca se #: 5872 6'/>\r\n" + | |
1023 | " <type va lue='SR'/> \r\n" + | |
1024 | " < /document> \r\n" + | |
1025 | " < document>\ r\n" + | |
1026 | " <categor y value='S R'/>\r\n" + | |
1027 | " <clinici ans>\r\n" + | |
1028 | " <clin ician code ='2991' na me='CHALLE NGER,DEBOR AH R' role ='A' taxon omyCode='1 63W00000X' providerT ype='Nursi ng Service Providers ' classifi cation='Re gistered N urse' serv ice='NURSI NG'/>\r\n" + | |
1029 | " <clin ician code ='2991' na me='CHALLE NGER,DEBOR AH R' role ='S' dateT ime='30704 25.143105' signature ='DEBORAH R CHALLENG ER Deborah R. Challe nger, RN' taxonomyCo de='163W00 000X' prov iderType=' Nursing Se rvice Prov iders' cla ssificatio n='Registe red Nurse' service=' NURSING'/> \r\n" + | |
1030 | " </clinic ians>\r\n" + | |
1031 | " <content xml:space ='preserve '>\r\n" + | |
1032 | "LOCAL T ITLE: NURS E INTRAOPE RATIVE REP ORT \r\ n" + | |
1033 | "STANDAR D TITLE: N URSING OUT PATIENT OP ERATIVE NO TE \r\n " + | |
1034 | "DATE OF NOTE: APR 25, 2007@ 12:24 ENTRY DATE : APR 25, 2007@13:48 :49 \r \n" + | |
1035 | " A UTHOR: CHA LLENGER,DE BORAH EX P COSIGNER : \r\ n" + | |
1036 | " UR GENCY: STATUS : COMPLETE D \r\n" + | |
1037 | " SU BJECT: Cas e #: 58460 \r\n" + | |
1038 | " \r\n" + | |
1039 | "Operati ng Room: OR3 Surgica l Priority : ELECTIVE \r\n" + | |
1040 | " \r\n" + | |
1041 | "Patient in Hold: NOT ENTERE D Patient in OR: A PR 25, 200 7 12:24\r \n" + | |
1042 | "Operati on Begin: APR 25, 20 07 12:36 Operati on End: A PR 25, 200 7 13:31\r \n" + | |
1043 | "Surgeon in OR: APR 25, 20 07 12:24 Patient Out OR: A PR 25, 200 7 13:36\r \n" + | |
1044 | " \r\n" + | |
1045 | "Minor O perations Performed: \r\n" + | |
1046 | "Primary : COLONOSC OPY W/ FLU RO\r\n" + | |
1047 | " \r\n" + | |
1048 | "Wound C lassificat ion: CLEAN /CONTAMINA TED\r\n" + | |
1049 | "Operati on Disposi tion: PACU (RECOVERY ROOM)\r\n " + | |
1050 | "Dischar ged Via: S TRETCHER\r \n" + | |
1051 | " \r\n" + | |
1052 | "Surgeon : KOPPEL,D ARREN C First A ssist: N/A \r\n" + | |
1053 | "Attend Surg: KOPP EL,DARREN C Second Assist: N/ A\r\n" + | |
1054 | "Anesthe tist: ALTM ANN,GEORGE D Assista nt Anesth: N/A\r\n" + | |
1055 | " \r\n" + | |
1056 | "Other S crubbed As sistants: N/A\r\n" + | |
1057 | " \r\n" + | |
1058 | "OR Supp ort Person nel:\r\n" + | |
1059 | " Scrub bed Circula ting\r\n" + | |
1060 | " THOMA S,MICHAEL V (FULLY T RAINED) CHALLEN GER,DEBORA H R (FULLY TRAINED)\ r\n" + | |
1061 | " SARIN O,VILMA L (FULLY TRA INED) \r\n" + | |
1062 | " \r\n" + | |
1063 | "Other P ersons in OR:\r\n" + | |
1064 | " verne ll herbert (x-ray t ech)\r\n" + | |
1065 | " \r\n" + | |
1066 | "Preop M ood: RELAXED Preop C onsc: A LERT-ORIEN TED\r\n" + | |
1067 | "Preop S kin Integ: INTACT Preop C onverse: R ESPONDS TO QUESTIONS \r\n" + | |
1068 | " \r\n" + | |
1069 | "Valid C onsent/ID Band Confi rmed By: C HALLENGER, DEBORAH R\ r\n" + | |
1070 | "Mark on Surgical Site Confi rmed: YES\ r\n" + | |
1071 | " Marke d Site Com ments:\r\n " + | |
1072 | " spec ial yellow armband i n place co nfirming o perative p rocedure c olonoscopy \r\n" + | |
1073 | " \r\n" + | |
1074 | "Preoper ative Imag ing Confir med: IMAG ING NOT RE QUIRED FOR THIS PROC EDURE\r\n" + | |
1075 | " Imagi ng Confirm ed Comment s: NO COMM ENTS ENTER ED\r\n" + | |
1076 | " \r\n" + | |
1077 | "Time Ou t Verifica tion Compl eted: YES\ r\n" + | |
1078 | " Time Out Verifi ed Comment s:\r\n" + | |
1079 | " time out @1230\ r\n" + | |
1080 | " \r\n" + | |
1081 | "Skin Pr ep By: N/A Skin Pr ep Agent: N/A\r\n" + | |
1082 | "Skin Pr ep By (2): N/A 2nd Ski n Prep Age nt: N/A\r\ n" + | |
1083 | " \r\n" + | |
1084 | "Preop S urgical Si te Hair Re moval by: N/A\r\n" + | |
1085 | "Surgica l Site Hai r Removal Method: NO HAIR REMO VED\r\n" + | |
1086 | " Hair Removal Co mments: NO COMMENTS ENTERED\r\ n" + | |
1087 | " \r\n" + | |
1088 | "Surgery Position( s):\r\n" + | |
1089 | " SUPIN E Placed: APR 25, 2 007 12:24 \r\n" + | |
1090 | " LATER AL DECUBIT US, LEFT D OWN Placed: N/A\r\n" + | |
1091 | " \r\n" + | |
1092 | "Restrai nts and Po sition Aid s:\r\n" + | |
1093 | " SAFET Y STRAP A pplied By: CHALLENGE R,DEBORAH R\r\n" + | |
1094 | " \r\n" + | |
1095 | "Electro cautery Un it: N/A\r\n" + | |
1096 | "ESU Coa gulation R ange: N/A\r\n" + | |
1097 | "ESU Cut ting Range : N/A\r\n" + | |
1098 | "Electro ground Pos ition(s): N/A\r\n" + | |
1099 | " \r\n" + | |
1100 | "Materia l Sent to Laboratory for Analy sis:\r\n" + | |
1101 | "Specime ns:\r\n" + | |
1102 | " right colonic p olyp\r\n" + | |
1103 | "Culture s: N/A\r\ n" + | |
1104 | " \r\n" + | |
1105 | "Anesthe sia Techni que(s):\r\ n" + | |
1106 | " MONIT ORED ANEST HESIA CARE (PRINCIP AL)\r\n" + | |
1107 | " \r\n" + | |
1108 | "Tubes a nd Drains: N/A\r\n" + | |
1109 | " \r\n" + | |
1110 | "Tourniq uet: N/A\r \n" + | |
1111 | " \r\n" + | |
1112 | "Thermal Unit: N/A \r\n" + | |
1113 | " \r\n" + | |
1114 | "Prosthe sis Instal led: N/A\r \n" + | |
1115 | " \r\n" + | |
1116 | "Medicat ions: N/A\ r\n" + | |
1117 | " \r\n" + | |
1118 | "Irrigat ion Soluti on(s): N/A \r\n" + | |
1119 | " \r\n" + | |
1120 | "Blood R eplacement Fluids: N /A\r\n" + | |
1121 | " \r\n" + | |
1122 | "Sponge Count Corr ect: N /A\r\n" + | |
1123 | "Sharps Count Corr ect: N /A\r\n" + | |
1124 | "Instrum ent Count Correct: N /A\r\n" + | |
1125 | "Counter : N /A\r\n" + | |
1126 | "Counts Verified B y: N /A\r\n" + | |
1127 | " \r\n" + | |
1128 | "Dressin g: N/A\r\n " + | |
1129 | "Packing : N/A\r\n " + | |
1130 | " \r\n" + | |
1131 | "Blood L oss: Urine O utput:\r\n " + | |
1132 | " \r\n" + | |
1133 | "Postope rative Moo d: RELAXED \r\n" + | |
1134 | "Postope rative Con sciousness : ANESTHE TIZED\r\n" + | |
1135 | "Postope rative Ski n Integrit y: INTACT\ r\n" + | |
1136 | "Postope rative Ski n Color: PINK\r\ n" + | |
1137 | " \r\n" + | |
1138 | "Laser U nit(s): N/ A\r\n" + | |
1139 | " \r\n" + | |
1140 | "Sequent ial Compre ssion Devi ce: N/A\r\ n" + | |
1141 | " \r\n" + | |
1142 | "Cell Sa ver(s): N/ A\r\n" + | |
1143 | " \r\n" + | |
1144 | "Devices : N/A\r\n" + | |
1145 | " \r\n" + | |
1146 | "Nursing Care Comm ents: NO C OMMENTS EN TERED\r\n" + | |
1147 | "/es/ DE BORAH R CH ALLENGER\r \n" + | |
1148 | "Deborah R. Challe nger, RN\r \n" + | |
1149 | "Signed: 04/25/200 7 14:31\r\ n" + | |
1150 | "</conte nt>\r\n" + | |
1151 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
1152 | " <encount er value=' 7404419'/> \r\n" + | |
1153 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
1154 | " <id valu e='5238515 '/>\r\n" + | |
1155 | " <localTi tle value= 'NURSE INT RAOPERATIV E REPORT'/ >\r\n" + | |
1156 | " <nationa lTitle cod e='4697009 ' name='NU RSING OUTP ATIENT OPE RATIVE NOT E'/>\r\n" + | |
1157 | " <nationa lTitleRole code='469 6436' name ='NURSING' />\r\n" + | |
1158 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
1159 | " <nationa lTitleSett ing code=' 4696271' n ame='OUTPA TIENT'/>\r \n" + | |
1160 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
1161 | " <referen ceDateTime value='30 70425.1224 '/>\r\n" + | |
1162 | " <status value='com pleted'/>\ r\n" + | |
1163 | " <subject value='Ca se #: 5846 0'/>\r\n" + | |
1164 | " <type va lue='SR'/> \r\n" + | |
1165 | " < /document> \r\n" + | |
1166 | " < document>\ r\n" + | |
1167 | " <categor y value='S R'/>\r\n" + | |
1168 | " <clinici ans>\r\n" + | |
1169 | " <clin ician code ='25031' n ame='KOPPE L,DARREN M D' role='A ' analogPa ger='400' fax='757-7 28-7052' s ervice='SU RGICAL'/>\ r\n" + | |
1170 | " <clin ician code ='25031' n ame='KOPPE L,DARREN M D' role='S ' dateTime ='3070428. 084156' si gnature='D ARREN KOPP EL MD GENE RAL COLORE CTAL SURGE ON' analog Pager='400 ' fax='757 -728-7052' service=' SURGICAL'/ >\r\n" + | |
1171 | " </clinic ians>\r\n" + | |
1172 | " <content xml:space ='preserve '>\r\n" + | |
1173 | "LOCAL T ITLE: OPER ATION REPO RT \r\ n" + | |
1174 | "STANDAR D TITLE: S URGERY OPE RATIVE NOT E \r\n " + | |
1175 | " DICT DATE: APR 25, 2007 ENTRY DATE : APR 25, 2007@13:48 :49 \r \n" + | |
1176 | " SU RGEON: KOP PEL,DARREN MD ATTENDING : KOPPEL,D ARREN MD \r\n" + | |
1177 | " UR GENCY: rou tine STATUS : COMPLETE D \r\n" + | |
1178 | " SU BJECT: Cas e #: 58460 \r\n" + | |
1179 | " \r\n" + | |
1180 | "ACKERMA N,XXXXXXXX X XXX-XX- XXXX 5846 0/04-25-07 130-8897 D\r\n" + | |
1181 | "PREOPER ATIVE DIAG NOSIS: Rig ht colonic polyp.\r\ n" + | |
1182 | "SURGEON : KO PPEL,DARRE N C\r\n" + | |
1183 | "ANESTHE TIC: Mo nitored an esthesia c ontrol.\r\ n" + | |
1184 | "DRAINS: No ne\r\n" + | |
1185 | "ESTIMAT ED BLOOD L OSS: Le ss than 1m l.\r\n" + | |
1186 | "OPERATI VE DIAGNOS IS: Ri ght coloni c polyp.\r \n" + | |
1187 | "MATERIA L TO LABOR ATORY: Ri ght coloni c polyp.\r \n" + | |
1188 | "OPERATI ON PERFORM ED: Co lonoscopy with fluor oscopic gu idance and \r\n" + | |
1189 | " bio psy of rig ht colonic polyp.\r\ n" + | |
1190 | "DATE OF OPERATION : 04- 25-07\r\n" + | |
1191 | "ATTENDI NG SURGEON : \r\n " + | |
1192 | "FLUIDS: Ple ase see An esthesia r ecord.\r\n " + | |
1193 | "COMPLIC ATIONS: Non e.\r\n" + | |
1194 | "DISPOSI TION: Sta ble to PAC U.\r\n" + | |
1195 | "OPERATI VE INDICAT IONS: The patient i s a 61-yea r-old Afri can-Americ an\r\n" + | |
1196 | "male wi th a histo ry of righ t colonic polyp. Th e patient had underg one\r\n" + | |
1197 | "colonos copy in th e past. T he patient , however, subsequen tly only h ad\r\n" + | |
1198 | "part of a right c olonic pol yp removed . The pat ient had o ther attem pts\r\n" + | |
1199 | "to remo ve the pol yp but wer e unsucces sful. The patient a lso had be en\r\n" + | |
1200 | "schedul ed for the procedure in the Op erating Ro om at vari ous points ,\r\n" + | |
1201 | "otherwi se the pat ient had n ot shown u p for thos e appointm ents. Now , the\r\n" + | |
1202 | "patient finally a greed to h ave the pr ocedure. The risks and benefi ts of\r\n" + | |
1203 | "the pro cedure, in cluding bl eeding, in fection, p erforation , inabilit y to\r\n" + | |
1204 | "complet e, were al l discusse d and info rmed conse nt was obt ained.\r\n " + | |
1205 | "DESCRIP TION OF OP ERATION: The patien t was take n to the O perating R oom\r\n" + | |
1206 | "and pla ced on the table in a supine p osition. Anesthesia was induc ed by\r\n" + | |
1207 | "the Ane sthesia St aff. The patient wa s sedated with Propo fol. The\ r\n" + | |
1208 | "patient was place d in the l eft latera l decubitu s position . A time out\r\n" + | |
1209 | "had bee n performe d. Then a fter being placed in appropria te positio n, a\r\n" + | |
1210 | "digital rectal ex amination was perfor med. Then , the Olym pus colono scope\r\n" + | |
1211 | "was the n able to be introdu ced throug h the anus . This wa s passed\r \n" + | |
1212 | "through the colon , fluorosc opy was ne eded to be brought i nto the ro om as\r\n" + | |
1213 | "the pat ient did h ave a high splenic f lexure and also a lo ng sigmoid \r\n" + | |
1214 | "colon, but with r epositioni ng and app ropriate a bdominal p ressure,\r \n" + | |
1215 | "eventua lly the ce cum was ab le to be i ntroduced. The appe ndiceal or ifice\r\n" + | |
1216 | "was see n and the ileocecal valve was readily no ted. This was able to be\r\n" + | |
1217 | "intubat ed. The s cope was t hen able t o be remov ed.\r\n" + | |
1218 | "In the right colo n, there w as a large polyp, wh ich was se veral\r\n" + | |
1219 | "centime ters; howe ver, it wa s felt tha t this cou ld not be removed\r\ n" + | |
1220 | "complet ely with s nare excis ion or thr ough other endoscopi c means.\r \n" + | |
1221 | "However , several biopsies w ere then t aken of th e lesion w ith the bi opsy\r\n" + | |
1222 | "forceps . The sco pe was the n able to be removed under dir ect\r\n" + | |
1223 | "visuali zation. T he area wa s insuffla ted to all ow good vi sualizatio n.\r\n" + | |
1224 | "There w ere no oth er lesions noted upo n withdraw al. The p atient did have\r\n" + | |
1225 | "some mi ld hemorrh oids, but there were no other mucosal le sions note d\r\n" + | |
1226 | "during the withdr awal of th e scope.\r \n" + | |
1227 | "The pat ient toler ated the p rocedure w ell. The scope was able to be \r\n" + | |
1228 | "removed . The bow el was som ewhat deco mpressed o f air prio r to remov ing\r\n" + | |
1229 | "the sco pe. The p atient was woken fro m his seda tion and w as taken t o the\r\n" + | |
1230 | "PACU in stable co ndition. The patien t tolerate d the proc edure well .\r\n" + | |
1231 | " \r\n" + | |
1232 | "KOPPEL, DARREN C D:04 -25-07 at 1346\r\n" + | |
1233 | "/es/ Da rren C KOP PEL, MD\r\ n" + | |
1234 | "GENERAL COLORECTA L SURGEON\ r\n" + | |
1235 | "Signed: 04/28/200 7 08:41\r\ n" + | |
1236 | "</conte nt>\r\n" + | |
1237 | " <documen tClass val ue='SURGIC AL REPORTS '/>\r\n" + | |
1238 | " <encount er value=' 7404419'/> \r\n" + | |
1239 | " <facilit y code='59 0' name='H AMPTON VA MEDICAL CE NTER'/>\r\ n" + | |
1240 | " <id valu e='5238516 '/>\r\n" + | |
1241 | " <localTi tle value= 'OPERATION REPORT'/> \r\n" + | |
1242 | " <nationa lTitle cod e='4695439 ' name='SU RGERY OPER ATIVE NOTE '/>\r\n" + | |
1243 | " <nationa lTitleServ ice code=' 4696242' n ame='OPERA TIVE'/>\r\ n" + | |
1244 | " <nationa lTitleSubj ect code=' 4693368' n ame='SURGE RY'/>\r\n" + | |
1245 | " <nationa lTitleType code='469 6120' name ='NOTE'/>\ r\n" + | |
1246 | " <referen ceDateTime value='30 70425.1224 '/>\r\n" + | |
1247 | " <status value='com pleted'/>\ r\n" + | |
1248 | " <subject value='Ca se #: 5846 0'/>\r\n" + | |
1249 | " <type va lue='SR'/> \r\n" + | |
1250 | " < /document> \r\n" + | |
1251 | " </do cuments>\r \n" + | |
1252 | "</resul ts>\r\n"; | |
1253 | ||
1254 | } |
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