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The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx) , physical examination (PE), consent ...
In ophthalmology, gonioscopy is a routine procedure that measures the angle between the iris and the cornea (the iridocorneal angle), using a goniolens (also known as a gonioscope) together with a slit lamp or operating microscope. [1] [2] Its use is important in diagnosing and monitoring various eye conditions associated with glaucoma.
Supporting documents can be added to the original document as an attachment for clarification or recording data. Attachments should be referenced at least once within the original document. Ideally, each page of the attachment is clearly identified (i.e. labeled as "Attachment X", "Page X of X", signed and dated by person who attached it, etc.)
The Heidelberg Retinal Tomography is a diagnostic procedure used in ophthalmology.The Heidelberg Retina Tomograph (HRT) is an ophthalmological confocal point scanning laser ophthalmoscope [1] for examining the cornea and certain areas of the retina using different diagnostic modules (HRT retina, HRT cornea, HRT glaucoma).
It should not however, be used as a replacement for the gonioscopy examination but rather be used as a means of refuting or confirming the results of a gonioscopy examination. [3] The Van Herick's technique has become the most commonly used qualitative method of assessing the size of the anterior chamber angle (ACA).
A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract, such as pain, bleeding, discharge, urinary incontinence, or trauma (e.g. sexual assault).
In the second stage of meaningful use, the CCD, but not the CCR, was included as part of the standard for clinical document exchange. [9] The selected standard, known as the Consolidated Clinical Document Architecture (C-CDA) was developed by Health Level 7 and includes nine document types, one of which is an updated version of the CCD. [2]
Short title: Microsoft Word - Camp Delta 1-3 28 Mar 03a.doc: Image title: Camp Delta SOP: Author: JDOG Ops, 132nd MP Co, 240th MP Co, 303rd MP Co, 344th MP Co, 438th MP Co, 984th MP Co, 785th MP Bn, 2/116 IN Bn, MWD Det and others to numerous to list