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Form from HIS OpenVistA

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  1. 2/24/12 2/24/12 -
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  3. 8/7/14 8/7/14 - Martin Dugas
  4. 8/9/14 8/9/14 - Martin Dugas
  5. 6/26/15 6/26/15 - Martin Dugas
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August 9, 2014

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Creative Commons BY-NC 3.0 Legacy
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HIS INTERVENTIONAL RADIOLOGY

  1. StudyEvent: HIS
    1. HIS
General Info
Prior Health History
Physical Exam
Procedure
Medication
ANTIBIOTIC: Ancef
ANTIBIOTIC: Rocephin
ANTIBIOTIC: Levaquin
TECHNICAL PROCEDURE
Drainage of abscess
Aortography, Contrast aortogram
Aortogram and Runoff
AV Fistulagram
Biliary Drain
Angiogram carotid, Carotid angiography
Cerebral angiogram, Angiogram cerebral, Fluoroscopic angiography of cerebral artery
Chest drain, chest tube, thoracic tube
Chest tube/Empyema
Central venous catheter (CVC), Central venous line
CVC/Port
CVC Temporary
CVC Tunneled
Dialysis Access Declot
Endovenous laser treatment (ELT)
Extremity Angiogram
Balloon Vertebroplasty
Percutaneous insertion of nephrostomy tube
Peripherally-Inserted Central Catheter (PICC), PICC line
Pulmonary arteriogram, Pulmonary artery angiography
radiofrequency ablation procedure
transarterial chemoembolization
Thrombolysis
Embolisation of uterine artery
SPECIMEN(s)REMOVED (yes|no)
COMPLICATIONS: No immediate

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