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Fourth level
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------=_NextPart_01C7DC5A.D62D0330 Content-Location: file:///C:/8AF92983/LLindquistCLogic_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C7DC5A.D62D0330 Content-Location: file:///C:/8AF92983/LLindquistCLogic_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Conditional Logic by Larry Lindquist
Conditional Logic
Supporting Clinical Decisions
And
Patient Communications
Larry Lindquist
lalindquist@evergreenhealthcare.org
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YpxqMSAAOy== ------=_NextPart_01C7DC5A.D62D0330 Content-Location: file:///C:/8AF92983/LLindquistCLogic_files/slide0003.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Conditional Logic by Larry Lindquist
Why use Conditional Logic?
R= 26;
•With Conditional Logic, clinical information from many sections of the chart can be presented to users within the flow of a Progress Note or Letter to assist in the evaluation of or communication with a patient. 
•
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WCmWaqkFBCYGaKlThKmVOsWXlumVhqhroamIrul2smmIksBzuKmczimd1qmdrmmcsukYhOie/77d rfwpoI7Bi/Kpn+5pnwpqoP6poRaqojZqoy4qpD6qo/oppSbqmh4qo1YqoWrqpCYqpEaqoYbqrYyB qJKqopZqqJKqqaLqo6rqtakqrMKorMrqZMZoBMyo0NyorlJFAnACQRxCWYAACeBDNCBANVgDBURA CURDCYQABvBPBAhCJ/TAIQiCPUTD/TwDCAirtuYKWwSAIIwACYzrdj4pCYjruKJrup7ruLKruL4r u66ru84rvKKrvcqriLSrvu6rvubruIqIiIRIvMLpk1qAuAKsb8CpwVoAw44Awy4sxDJsiPjGwlJs xUKsw2aswWYsx2osxy6sx4IsyPoGipasyf+iqMh67MSGrMOmbMqyrMGqaMZSrMZSLM1OLMiqbMje 7MbKbMU67M2yaM+iKMmS7MYerccmLcou7YzWwAgEjtPO6AhIrdNO7UE6LdRObYxagIxy7dSiqIx+ bdjKKNmS7QjQAwWY067a6JVpQlNYAwl4AHDUADqAgABYQ1ZQACVZADoIAjpEwDPERQSsQwgEACc8 ALCGQI2urSXJndxt5kJORT/hgxxNbrQwLuZmruZuLufeyUbCheU6ruRe7uRSruniT+lGbucmzREa buBYgwhYwwgQqzVEQwLgLZFagwC0QwioATvIge6eTAAgBycQ6zq0AwYgQg3Az+o2r/M+L/TRRq/0 Ti/1Si8FRANHWAMGCOsYPIE9YAA7WMOeJgAl1cAnCMAnoMMIlED6gkAEBICgcsKxXgDcIkD13i/+ 5q/+7i//9u+N4kOukAAFsIkDEgQmluaSVoMBsotUNAUCL55UWEyAMq//VrAFXzAGZ7AG6yrHbMRm /km1ZIScOEuMbLAJnzAKp7AKW/AIlxHLvPBndotErjAN17AN3zAO57AO7zAP97AP/zAQB7EQDzER F7ERHzESJ7ESLzETN7ETPzEUR7EUTzEVV7EVXzEWZ/EPBwQAOw== ------=_NextPart_01C7DC5A.D62D0330 Content-Location: file:///C:/8AF92983/LLindquistCLogic_files/slide0002.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Conditional Logic by Larry Lindquist
What can= be used in Conditional Logic
•
•Vitals
•Lab Data <= /span>
•Lab Data Elements&= #13;
•Demographic Data &= #13;
•Health Maintenance Data
•Clinical Data Elements
• <= /div>
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Vitals – version 8.x
•
•Temperature - ||VITAL_TEMP||
•Pulse - ||VITAL_PULSE= ||
•Systolic - ||VITAL_BPSYS||
•Diastolic - ||VITAL_BPDIA||
•Height - ||VITAL_HGT||
•Weight - ||VITAL_WGT||
•OFC - ||VITAL_OFC||&#= 13;
•Other vitals - ||VITAL_OTHER||
•
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Vitals – version 8.x (cont’d.)
•
•BMI - ||BODY_MASS_INDEX||
•Body Surface Area - ||BODY_SURFACE_AREA||
•Height Percentile - ||PERCENTILE_HEIGHT||
•Weight Percentile - ||PERCENTILE_WEIGHT||
•Standard Deviation, Height - ||STD_DEV_HEIGHT||
•Standard Deviation, Weight - ||STD_DEV_WEIGHT||
•Growth Velocity - ||GROWTH_VELOCITY||
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Vitals added in version 9
R= 26;
R= 26;
•Oximetry - ||VITAL_OXIMETRY||
•Respirations - ||VITAL_RESP||
•Custom Vital Sign Name - ||VITAL<vital name>||
R= 26;
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Lab Data & Lab Data Elements
•
•||LAB<lab name>|| used to retrieve both actual lab results and lab data elements.
•Lab Results
§Cholesterol - ||LAB<CHOLESTEROL>||
§Thyroid - ||LAB<TSH>|| and ||LAB<TSHR>||
•Lab Data Elements = ;
§EKG status - ||LAB<EKG-Given>||
§Diabetic Foot Exam - ||LAB<Foot Exam-Done>||
§Last Visit Date - ||LAB<visit>||
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Demogra= phic Data
•
•Age - ||PAT_AGE|| 
•Age in months - ||PATIENT_AGE_IN_MONTHS||
•Age in years and mont= hs –
R= 26;||IF PATIENT_AGE_IN_YEAR_MONTHS||
•Gender - ||PAT_SEX||
•Primary Insurance - ||PAT_CARRIER1_NAME||
•
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Health Maintenance Data
•<= /span>
•
•||HM<HM name>||
§||HM<AAA Screening>||
§||HM<Colonoscopy>||
§||HM<DTaP Vaccine>||
§||HM<Injury Prevention>||
§||HM<SIDS Counseling>||
•<= /span>
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Clinical Data Elements
•
•Only available in 9.x
•Clinical Element Name= - ||CLINICALELEMENT<ce name>||
•Social History
§Marital Status - ||CLINICALELEMENT<Marital Status>||
§Coffee - ||CLINICALELEMENT<Coffee>||
§Exercise - ||CLINICALELEMENT<Exercise>||
•Past Medical History&= #13;
§Asthma - ||CLINICALELEMENT<Asthma>||
§Diabetes - ||CLINICALELEMENT<Diabetes>||
§Cancer - ||CLINICALELEMENT<Cancer>||
§Hypertension - ||CLINICALELEMENT<Hypertension>||
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Basic Syntax
R= 26;
= 226;From Practice Partner Help File: =
= 226;The logic must begin and end with ||.
•Logical operators IF, ELSE, AND, and OR must be capitalized and are reserved for use in conditional statements.
= 226;<letter code>  any of the letter codes
= 226;<operator>&n= bsp; any of the following operators: =3D,<>,<,<=3D,>,>= =3D
= 226;<string>&nbs= p; any string; must be surrounded by double straight quotes (" " )
= 226;<compare value>  either a <string> or a <= letter code>
= 226;<condition>&= nbsp; <letter code> <operator> <compare value>
= 226;<instructions>  any combination of text, letter c= odes, and logical conditions
= 226; =
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Basic Syntax (cont’d.)
•
R= 26;||IF <letter code> <operator>= "<compare value>" [AND | OR <condition>] {<instructions>}
•        = ;        [ELSE {&l= t;instructions>}]||
•||IF PAT_SEX = =3D "m= " {Erectile Dysfunction: «Del» «yes» «no»}||
•||IF PAT_SEX = =3D "m= " {his}
•        = ;   ELSE {her= }||
•||IF LAB<Dental Exam> =3D= "Completed" OR LAB<Dental Exam> =3D "Y= es"
•        = ;            &n= bsp;     {LAB<D= ental Exam>[- DATE] «UpdtDenExm»}
•        = ;    ELSE {&la= quo;Del» «None_EHR» «Unknown» «DentComple»}= ||
•
•
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Age Examples
R= 26;
R= 26;||IF PAT_AGE >=3D "18" {«Del&ra= quo;}
R= 26;        &n= bsp;  ELSE {Height Percentile: «Del» PERCENTILE_HEIGHT<BR> =
R= 26;        = ;            &n= bsp; Weight Percentile: «Del» PERCENTILE_WEIGHT<BR>}||
R= 26;
R= 26;||IF PATIENT_AGE_IN_MONTHS >=3D "216" {«Del»}
R= 26;        &n= bsp;  ELSE {Height Percentile: «Del» PERCENTILE_HEIGHT<BR> =
R= 26;        = ;            &n= bsp; Weight Percentile: «Del» PERCENTILE_WEIGHT<BR>}||
R= 26;
R= 26;||IF PATIENT_AGE_IN_YEAR_MONTHS >=3D "18&q= uot; {«Del»}
R= 26;        &n= bsp;  ELSE {Height Percentile: «Del» PERCENTILE_HEIGHT<BR> =
R= 26;        = ;            &n= bsp; Weight Percentile: «Del» PERCENTILE_WEIGHT<BR>}||
R= 26;
R= 26;
Versio= n 8.2.3 & 9.2.1
17 = month
Height= Percentile: Del 0.00
Weight Percentile: Del 2.94
17 = mo
Height= Percentile: Del 0.00
Weight Percentile: Del 2.94
1 y= r 5 mo
Height= Percentile: Del 0.00
Weight Percentile: Del 2.94

18 month
Del=
18 = mo
Height= Percentile: Del 0.00
Weight Percentile: Del 2.13
1 y= r 6 mo
Height= Percentile: Del 0.00
Weight Percentile: Del 2.13

20 Month
Del=
20 = mo
Height= Percentile: Del 0.00
Weight Percentile: Del 2.13
1 y= r 8 mo
Height= Percentile: Del 0.00
Weight Percentile: Del 2.13
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Combini= ng Two Logic Conditions
R= 26;
R= 26;||IF PATIENT_AGE_IN_YEAR_MONTHS < "16" {«U/A.»}
R= 26;        &n= bsp;  ELSE {IF PAT_SEX <> "f" {«FOB» «U/A.» }
R= 26;        &n= bsp;            = ;          ELSE {«FOB» «U/A.» «PAP.»}
R= 26;        &n= bsp;            = ; }||  
R= 26;||IF PAT_SEX =3D "f" {Most recent PAP: &= #13;
R= 26;        = ;            &n= bsp;          IF LAB<PAP Smear> <> "" {LAB<PAP Smear>= [- DATE]} «Update PAP»}
R= 26;        = ;            &n= bsp;            = ;       ELSE {«Del» «Unknown» «PAP Completed»}
R= 26;        = ;            &n= bsp;          }
R= 26;        = ;    ELSE {«Del»}||
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Boolean Operators
•
•
•
= 226;||IF LAB<HEMOGLOBIN A1C> =3D "" AND LAB<HEMO AIC (POC)> =3D "" {«Hemoglobin A1c: no resu= lts in EHR...»} 
= 226;        = ;  ELSE {LAB<HEMOGLOBIN A1C>[-DATE]     LAB<HEMO AIC (POC)>[- DATE]}|| 
= 226;
= 226;||IF LAB<Dental Exam> =3D "Completed&qu= ot; OR LAB<Dental Exam> =3D "Yes" {LAB<Dental Exam>[- DATE] «Update Dental Exam»}
= 226;        = ;  ELSE {«Del» «Unknown» «Dental Exam Completed»}||
•
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Boolean Operators (cont’d.)
R= 26;
R= 26;
•||IF LAB<FOOT EXAM> =3D "" AND LAB<Foot Exam-Done> =3D "" {«Foot Exam may be needed - no results in EHR...»}
•  &nbs= p;        ELSE {IF LAB<FOOT EXAM> =3D "No" {«Foot Exam needed = - EHR indicates exam not completed...»}
•  &nbs= p;            &= nbsp;           &nbs= p;   ELSE {IF LAB<FOOT EXAM> =3D "Yes" OR LAB<FOOT EXAM> =3D "Y" OR LAB<FOOT EXAM> =3D "Done" OR  LAB<Foot Exam-Done&g= t; =3D "Yes" {Most recent «Del» LAB<FOOT EXAM>[-Date]<BR>Most recent «Del» LAB<= Foot Exam-Done>[- Date]} =
R= 26;        &n= bsp;            = ;            &n= bsp;        }
R= 26;        &n= bsp;            = ;  }||
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Boolean Operators (cont’d.)
R= 26;
= 226;||IF PATIENT_AGE_IN_MONTHS >=3D "144"=
•        = ;  {IF LAB<SMOKER, CURRENT> =3D "" AND LAB<Tobacco Use> =3D "" {No entry= exits in the medical record regarding use of tobacco products. «Del» <BR>«*** Use one of the following to Update Smoking Status, if required...» <BR> «No Current Tobacco Use»<BR>«Current Tobacco Use»}
•  &nbs= p;                 ELSE {IF LAB<SMOKER, CURRENT> =3D "NO" OR LAB<SM= OKER, CURRENT> =3D "No" OR LAB<Tobacco Use> =3D "No" {The medical record indicates th= at this patient is not a current user of tobacco products. «Del» <BR> «*** Use one of the following to Update S= moking Status, if req= uired...»<BR>«No Current Tobacco Use»<BR>«Current Tobacco Use»} <= /div>
•  &nbs= p;            &= nbsp;           &nbs= p;            ELSE {The medical record indicates that this patient is a c= urrent user of tobacco products. «Del» <BR> &laqu= o;*** Use one of the following to Update Smoking Status, if required...» <BR> «No Current Tobacco Use» <BR> «Cur= rent Tobacco Use»}
= 226;        = ;            &n= bsp;           }
= 226;        = ;   }
= 226;        &n= bsp;  ELSE {«Del»}||
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<BR&= gt; and Version 8.2.3 QuickText
R= 26;
= 226;||IF  VITAL_HGT[=3DTodaysDate] =3D "&quo= t; AND  VITAL_WGT[=3DTodaysDate] =3D "" {}
= 226;         E= LSE {IF VITAL_HGT[=3DTodaysDate] <> "" {Height: VITAL_HGT<BR>.H: Height X}
= 226;         E= LSE {«Del»} <BR>IF VITAL_WGT[=3DTodaysDate] <> "&= quot; {Weight: VITAL_WGT<BR>.H: Weight X}
= 226;         E= LSE {«Del» «Declined to be weighed»}
= 226;        = ;           }||
= 226;
•The above logic prese= nts differently depending on whether it is embedded in a template or created as QuickText.  The QuickText also functions differently depending on whether it is activated by a QuickText label in a template or accessed from the QuickText button on the Toolbar.&= #13;
= 226;Issue is resolved in version 9.2.1.
Vit= als Logic Test Results

Log= ic Embedded in Template
Hei= ght: 65
Health Maintenance: Height X
Weight: 160
Health Maintenance: Weight X

QuickText Label Embedded in Template
Height: 65.H: Height X Weight: 160.H: Weight X

Usi= ng QuickText Button
Height= : 65
Hea= lth Maintenance: Height X
Weight= : 160
Hea= lth Maintenance: Weight X

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Compare Lab Result to Lab Data Element
•
||IF LAB<CHOLESTEROL> =3D "" AND LAB<TRIGLYCERIDES> =3D "" AND LAB<LDL- CHOLESTEROL> =3D "" AND LAB<HDL-CHOLESTEROL> =3D ""  {«*** No Lipids results in EHR...»<BR>}
= 226;         E= LSE {IF LAB<CHOLESTEROL> =3D "" {«*** No Total Cholester= ol results in EHR...» <BR>}
= 226;        &n= bsp;            = ;       ELSE {Lipids: <BR> TOTAL LAB<CHOLESTEROL>[- Date]
= 226;        = ;            &n= bsp;            = ;      IF LAB<CHOLESTEROL> >=3D LAB<Cholesterol Goal> {«*** Result is above Total LAB<Choleste= rol Goal>...» <BR>}
= 226;        &n= bsp;            = ;            &n= bsp;            = ; ELSE {«*** Result is positive= , below Total LAB<Cholesterol Goal>» <BR>}
= 226;        &n= bsp;            = ;            &n= bsp;     }
= 226;        &n= bsp;           IF LAB<LDL-CHOLESTEROL> =3D "" {«*** No LDL Cholesterol results in EHR...» <B= R>}
= 226;        &n= bsp;            = ;       ELSE {LAB<LDL-CHOLESTEROL>[= -Date]
= 226;        = ;            &n= bsp;            = ;      IF LAB<LDL-CHOLESTEROL> >=3D LAB<LDL Goal> {«*** Result is above LAB<LDL Goal>...» <BR>}
= 226;        &n= bsp;            = ;            &n= bsp;            = ; ELSE {«*** Result is positive= , below LAB<LDL Goal>» <BR>} = ;
= 226;        &n= bsp;            = ;            &n= bsp;    }
= 226;        &n= bsp;           IF LAB<HDL-CHOLESTEROL> =3D "" {«*** No HDL Cholesterol results in EHR...»<BR= >}
= 226;        &n= bsp;            = ;       ELSE {LAB<HDL-CHOLESTEROL>[= -Date]
= 226;        = ;            &n= bsp;            = ;      IF LAB<HDL-CHOLESTEROL> <=3D LAB<HDL Goal> {«*** Result is below LAB<HDL Goal>...» <BR>}
= 226;        &n= bsp;            = ;            &n= bsp;            = ; ELSE {«*** Result is positive= , above LAB<HDL Goal>» <BR>} = ;
= 226;        &n= bsp;            = ;            &n= bsp;     }           =             &nb= sp;            =             &nb= sp; 
= 226;        &n= bsp;           IF LAB<TRIGLYCERIDES> =3D "" {«*** No Triglycerides results in EHR...»} <= /span>
= 226;        &n= bsp;            = ;        ELSE {LAB<TRIGLYCERIDES>[-Date]
= 226;        = ;            &n= bsp;            = ;       IF LAB<TRIGLYCERIDES> >=3D LAB<Triglycerides Goal><= span style=3D'font-size:36%'> {«*** Result is above LAB<Triglycerides Goal>...» <BR>}
= 226;        &n= bsp;            = ;            &n= bsp;            = ;  ELSE {«*** Result is positive= , below LAB<Triglycerides Goal>» <BR>}
= 226;        &n= bsp;            = ;            &n= bsp;     }
= 226;        &n= bsp;         }
= 226;||
||IF LAB<CHOLESTEROL> =3D ""= ; AND LAB<TRIGLYCERIDES> =3D "" AND LAB<LDL- CHOLESTEROL>= =3D "" AND LAB<HDL-CHOLESTEROL> =3D ""  {&laqu= o;*** No Lipids results in EHR...»<BR>}
         ELSE {IF LAB<CHOLESTEROL> =3D "" {«*** No Total Cholesterol results in EHR...» <BR>}
           &nbs= p;            &= nbsp;   ELSE {Lipids: <BR> TOTAL LAB<CHOLESTEROL>[- Date]
       &nbs= p;            &= nbsp;           &nbs= p;      IF LAB<Cholesterol Goal> <> "" {IF LAB<CHOLESTEROL> >=3D LAB<Cholesterol Goal> {«*** Re= sult is above Total LAB<Cholesterol Goal>...» <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;                 &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  ELSE {«*** Result is positive, below Total LAB<Cholesterol Goal>» <BR>}
           &nbs= p;            &= nbsp;                  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     }
       &nbs= p;            &= nbsp;           &nbs= p;             ELSE {«*** No Total Cholesterol Goal assigned...» <BR>}
       &nbs= p;            &= nbsp;           &nbs= p;     }
           &nbs= p;        IF LAB<LDL-CHOLESTEROL> =3D "" {«*** No LDL Cholesterol results in EHR...» <= BR>}
           &nbs= p;            &= nbsp;   ELSE {LAB<LDL-CHOLESTEROL>[-Date]
       &nbs= p;            &= nbsp;           &nbs= p;      IF LAB<LDL Goal> <> "" {IF LAB<LDL-CHOLESTEROL> >=3D LAB<LDL Goal> {«*** Result= is above LAB<LDL Goal>...» <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;                 &nbs= p;            &= nbsp;           &nbs= p;     ELSE {«*** Result is positive, below LAB<LDL Goal>&raq= uo; <BR>}
           &nbs= p;            &= nbsp;                 &nbs= p;            &= nbsp;           &nbs= p;        }
        &nbs= p;            &= nbsp;           &nbs= p;           ELSE {«*** No LDL Cholesterol Goal assigned...» <BR>}
       &nbs= p;            &= nbsp;           &nbs= p;     }
           &nbs= p;       IF LAB<HDL-CHOLESTEROL> =3D "" {«*** No HDL Cholesterol results in EHR...»<B= R>}
           &nbs= p;            &= nbsp;   ELSE {LAB<HDL-CHOLESTEROL>[-Date]
       &nbs= p;            &= nbsp;           &nbs= p;      IF LAB<HDL Goal> <> "" {IF LAB<HDL-CHOLESTEROL> <=3D LAB<HDL Goal> {«*** Result= is below LAB<HDL Goal>...» <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;                 &nbs= p;            &= nbsp;           &nbs= p;     ELSE {«*** Result is positive, above LAB<HDL Goal>&raq= uo; <BR>}
           &nbs= p;            &= nbsp;                  &nbs= p;            &= nbsp;           &nbs= p;        }
        &nbs= p;            &= nbsp;           &nbs= p;           ELSE {«*** No HDL Cholesterol Goal assigned...» <BR>}
       &nbs= p;            &= nbsp;           &nbs= p;     }
           &nbs= p;       IF LAB<TRIGLYCERIDES> =3D "" {«*** No Triglycerides results in EHR...»}
           &nbs= p;            &= nbsp;    ELSE {LAB<TRIGLYCERIDES>[-Date]
       &nbs= p;            &= nbsp;           &nbs= p;       IF LAB<Triglycerides Goal> <> "" {IF LAB<TRIGLYCERIDES> >=3D LAB<Triglycerides Goal> {«*** Result is above LAB<Triglycerides Goal>...» <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;                  &nbs= p;            &= nbsp;           &nbs= p;             ELSE {«*** Result is positive, below LAB<Triglycerides Goal>» <BR>}
           &nbs= p;            &= nbsp;                  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        }
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; ELSE {«*** No Triglycerides Goal assigned...» <BR&g= t;}
       &nbs= p;            &= nbsp;           &nbs= p;      }
           &nbs= p;      }
||
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Compare Vitals to Lab Data Element
= 226;
= 226;
= 226;
= 226;
= 226;
= 226;
= 226;||IF VITAL_BPSYS =3D "" AND VITAL_BPSYS = =3D ""   {«*** No Blood Pressure results in EHR...»<BR>}
= 226;         E= LSE {VITAL_BPSYS / VITAL_BPDIA[-Date] 
= 226;        = ;            IF LAB<Systolic Goal> <> "" AND LAB<Diasto= lic Goal> <> ""
= 226;        = ;            &n= bsp;        {IF VITAL_BPS= YS >=3D LAB<Systolic Goal> OR VITAL_BPDIA >=3D LAB<Diastolic G= oal>
= 226;        = ;            &n= bsp;            = ;            &n= bsp;             {«*** Blood Pressure is above LAB<Systolic Goal> / LAB<Diastolic Goal>...» <BR>}
= 226;        = ;            &n= bsp;            = ;    ELSE {«*** Result is positive, below LAB<Systolic Goal>= / LAB<Diastolic Goal>» <BR>}
= 226;        = ;            &n= bsp;            = ;            &n= bsp; }
= 226;        = ;            &n= bsp;        ELSE {«*** No Blood Pressure Goal assigned...» <BR>}
= 226;        = ;           }||
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Health Maintenance Considerations
•
•Health Maintenance it= ems have multiple possible values:
§X – Done
§E – Done Elsewhere 
§O – Ordered
§P – Postponed
§R – Refused
§N – Not Applicable
= •However, you can only test for the presence or abse= nce of an entry, not its actual value.
•||IF HM<Hepatitis B> =3D "" {«*** No Hepatitis B Vaccinat= ion results recorded in Heath Maintenance...»}
•        ELSE {HM<Hepatitis B>[-Date]}||
•
•
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Clinical Element Considerations
•
•Similar to Lab Data Elements, if Attribute value of Clinical Data Element not used
•||CLINICALELEMENT<= LDL Goal>|| and ||LAB<LDL Goal>|| are equivalent at a basic level, since each may hold a single value.
•Although Clinical Ele= ment may have an Attribute value, this field cannot be accessed for conditional logic evaluation.&= nbsp;
•Only the Element value can be tested; however, Attribute value is retrieved with Element value.
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Example= :  Review of Systems
•
•See Notes= Page
Review of Systems

Constitutional:  negative «except» «wt_chng&raqu= o; «xNotd_abov» «ROSGener...»
Eyes:  negative «except» «xNotd_abov» «ROSEyes...»
   Most recent Eye Exam: ||IF LAB<EYE EXAM> =3D "Completed" OR LAB<EYE EXAM> =3D "Yes" {LAB<EYE EXAM>[- DATE] «UpdtEyeExm»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    ELSE {«Del» «None_EHR» «Unknown&raqu= o; «EyeComplet»}||
Ears, Nose, Mouth, Throat:  negative «except» «xNotd_abov&raqu= o; «ROSENMT...»
   Most recent Dental Exam: ||IF LAB<Dental Exam> =3D "Completed"= OR LAB<Dental Exam> =3D "Yes" {LAB<Dental Exam>[- DATE] «UpdtDenExm»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       ELSE {«Del» «None_EHR» «Unknown&raqu= o; «DentComple»}||
Cardiovascular: negative «except» «xNotd_abov» «ROSCVS...»
Respiratory:  negative «except» «xNotd_abov» «ROSResp...»
||IF PAT_SEX =3D "f" {Breasts:  negative «except» «xNotd_abov» «ROSBreast...»}
       &nbs= p; ELSE {Breasts: «Del» «negative» «except» «xNotd_abov» «ROSBreast...»}= ||
||IF PATIENT_AGE_IN_YEAR_MONTHS > "11" {IF PAT_SEX =3D "f&qu= ot; {Most recent Mammogram: IF LAB<Mammogram> <> "" {LAB<Mammogram>[- DATE] «UpdtMammo»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          ELSE {«Del» «None_EHR» «Unknown&raqu= o; «MammComple»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          }
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; ELSE {«Del»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       }
       &nbs= p;    ELSE {«No mammogram required for patient of this age»}= ||
Gastrointestinal:  negative «except» «xNotd_abov» «ROSGI...&raq= uo;
Genitourinary:  negative «except» «xNotd_abov» «ROSGU...&ra= quo;
   ||IF PAT_SEX =3D "f&q= uot; {Most recent PAP: IF LAB<Pap_Smear> <> "" {LAB<Pap_Smear>[- DATE] «UpdtPAP»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            ELSE {«Del» «None_EHR» «Unknown&raqu= o; «PapComple»}
       &nbs= p;            &= nbsp;           &nbs= p; }
       &nbs= p;     ELSE {«Del»}||
   ||IF PAT_SEX =3D "m" AND PAT_AGE > "39" {Most recent DR= E: IF LAB<Prostate> <> "" {LAB<Prostate>[-DATE] «UpdtProst»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; ELSE {«Del» «None_EHR» «Unknown&raqu= o; «ProsComple»}
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; }
       &nbs= p;     ELSE {«Del»}||
Musculoskeletal:  negative «except» «xNotd_abov» «ROSMusc...»
Skin:  negative «except» «xNotd_abov» «ROS_Skin...»
Neurological:  negative «except» «xNotd_abov» «ROSNeuro...»
Psychiatric:  negative «except» «xNotd_abov» «ROSPsych...»
Endocrine:  negative «except» «xNotd_abov» «ROSEndo...»
Hematologic/Lymphatic:  negative «except» «xNotd_abov» «ROSHemeLy...»
Allergic/Immunologic:  negative «except» «xNotd_abov» «ROSAllImm...»
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Example= :  Diabetes Template
•
•
•See This = and Five Following Notes Pages
Diabetes

Providers:  «REQ»

||PAT_FNAME|| ||PAT_LNAME|| is a «*age*» «*sex*» presents for «an initial» «a follow-up» evaluatio= n of diabetes mellitus. †C1‡
Patient accompanied by ||IF PAT_SEX =3D "m" {his}
           &nbs= p;            &= nbsp;           &nbs= p;            ELSE {her}||: «Del» «with_whom...»
Patient's last «Del» ||LAB<visit>[-Date]||

Subjective

Major Problems  «none»
Insert Major Problems:

Diabetes Mellitus:
     ||IF PAT_SEX =3D "f" {Her}
           &nbs= p;   ELSE {His}|| diabetes is usually managed by an endcrinologist: «Del» «yes» «no» «Endo_Dr...&ra= quo;
   ||IF PAT_SEX =3D "f" {She}
           &nbs= p;   ELSE {He}|| measures blood sugar as outpatient:  «Del» «yes» «no»
        Frequency of outpatient blood sugar measurement (days per week): «Del» «never»
     Fasting Blood Sugar: «Del»
     Post-Prandial Glucose: «Del»
     Bedtime (HS) Glucose: «Del»
     On Insulin therapy: «Del» «yes» «no»<= /font>
     Hypoglycemia: «Del» «yes» «no»=
          Frequency of hypoglycemia (days per month): «Del» «never»
     Recent Med changes:  «Del» «none»
     Medication compliance: «Del» «poor» «fair» «good» «excellent»
     Diet (patient estimate): «Del» «very-hlthy» «mod-hlthy» «poor» «DietInfo...»
     Exercise: «Del» «yes» «no» «walking» «running» «gym.» «other.»
           Frequency of exercise (days per week): «Del»  «never»
           Minutes of exercise per week:  «Del»
     Change in Wt: «Del»  «none»   «lbs»  «up.»  «down»  «in»   «months»
     Smoking: «Del» «yes» «no»
     Alcohol: «Del» «yes» «no»
     ||IF PAT_SEX =3D "m" {Erectile Dysfunction: «Del» «yes» «no»}
           &nbs= p;   ELSE {«Del»}||

Lab Results

||IF LAB<HEMOGLOBIN A1C> <> "" {IF LAB<HEMOGLO= BIN A1C> >=3D "7.0" {LAB<HEMOGLOBIN A1C>[- Date] «*** High...»}
        ELSE {LAB<HEMOGLOBIN A1C>[- Date]<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       }
           &nbs= p;  ELSE {«*** No Hemoglobin A1C results in EHR...»}||
||IF LAB<HEMO A1C (POC)> <> "" {IF LAB<HEMO A1C (POC)> >=3D "7.0" {LAB<HEMO A1C (POC)>[- Date] «*** High...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {LAB<HEMO A1C (POC)>[- Date]<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    }
           &nbs= p;  ELSE {«*** No Hemoglobin A1C (POC) results in EHR...»}||
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||IF LAB<MICROALBUMIN, UR> =3D "" AND LAB<MICROALBUMIN(POC)> =3D "" {«Spot Urine Microalb= umin: no results in EHR...»}
           ELSE {IF LAB<MICROALBUMIN, UR> > "18" {LAB<MICROALBUMIN, UR>[- Date]  «HIGH...»<BR>= ;}
           &nbs= p;            &= nbsp;        ELSE {IF LAB<MICROALBUMIN, UR> <> "" {LAB<MICROA= LBUMIN, UR>[- Date] <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;        }
           &nbs= p;            IF LAB<MICROALBUMIN(POC)> > "0" {LAB<MICROALBUMIN(POC)>[- Date]  «HIGH...»}=
           &nbs= p;            &= nbsp;        ELSE {IF LAB<MICROALBUMIN(POC)> <> "" {LAB<MICRO= ALBUMIN(POC)>[-Date]}
           &nbs= p;            &= nbsp;           &nbs= p;        }
           &nbs= p;           }||

||IF LAB<CREAT> <> "" {IF PAT_SEX =3D "m&quo= t; {IF LAB<CREAT> > "1.20" {Serum Creatinine:  LAB<CREAT>[-Date]  «HIGH...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         ELSE {Serum Creatinine:  LAB<CREAT>[-Date]}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {IF LAB<CREAT> > "1.10" {Serum Creatinine:  LAB<CREAT>[-Date]  «HIGH...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             ELSE {Serum Creatinine: LAB<CREAT>[- Date]}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;   }
           &nbs= p;            &= nbsp;           &nbs= p;      }
           &nbs= p;  ELSE {«*** Serum Creatinine: no results in EHR...»}||<= br>

||IF LAB<CHOLESTEROL> =3D "" AND LAB<TRIGLYCERIDES&g= t; =3D "" AND LAB<LDL- CHOL> =3D "" AND LAB<HDL-CHO= L> =3D ""  {«*** Lipids: no results in EHR...»<BR>}
            ELSE {IF LAB<CHOLESTEROL> =3D "" {«*** Total choles= terol: no results in EHR...»<BR>}
           &nbs= p;            &= nbsp;    ELSE {Lipids: <BR> TOTAL LAB<CHOLESTEROL>[- Date]<BR>}
           &nbs= p;            IF LAB<LDL-CHOL> =3D "" {«*** LDL cholesterol: no r= esults in EHR...»<BR>}
           &nbs= p;            &= nbsp;   ELSE {LAB<LDL-CHOL>[-Date]<BR>}
           &nbs= p;            IF LAB<HDL-CHOL> =3D "" {«*** HDL cholesterol: no r= esults in EHR...»<BR>}
           &nbs= p;            &= nbsp;    ELSE {LAB<HDL-CHOL>[-Date]<BR>}
           &nbs= p;            IF LAB<TRIGLYCERIDES> =3D "" {«*** Triglycerides: no results in EHR...»}
           &nbs= p;            &= nbsp;   ELSE {LAB<TRIGLYCERIDES>[-Date]}
           &nbs= p;             }||

||IF LAB<TSH> <> "" {Thyroid:<BR>IF LAB<TSH> <> "" {LAB<TSH>[- Date]<BR>}
          ELSE {«*** TSH: no results in EHR...»<BR>}||
||IF LAB<TSHR> <> "" {LAB<TSHR>[-Date]}
          ELSE {«*** TSHR: no results in EHR...»}||

Previous Exams

||IF LAB<Eye Exam-Done> =3D "Yes" {Most recent LAB<E= ye Exam-Done>[-Date]<BR>}
          ELSE {«Del» «*** Eye Exam may be needed - EHR indicates Eye = Exam not completed, or no results...»}||
«If needed, update with prior completion date» Eye Exam previously completed: «Del» «Yes_Eye_Dn» «no»

||IF LAB<Foot Exam-Done> =3D "" {«*** Foot Exam m= ay be needed - no results in EHR...»}
          ELSE {Most recent LAB<Foot Exam-Done>[-Date]}||
«If needed, update with prior completion date» Foot Exam previously completed: «Del» «Yes_Ft_Dn» «no»

||IF LAB<EKG> =3D "normal" OR LAB<EKG> =3D "abnormal" {Last recorded EKG information: LAB<EKG>[-Date= ]}
           ELSE {IF LAB<EKG> =3D "Yes" OR LAB<EKG> =3D "Y= " {Last recorded EKG information: LAB<EKG>[-Date]
«*** This result implies, but does not confirm that an EKG has been completed.  Check the EKG tab for complete information...» <BR> «*** Document previous EKG, if one exists...» «PrevEKG»}
           &nbs= p;            &= nbsp;       ELSE {IF LAB<EKG-Given> =3D "Yes" {Most recent LAB<EKG- Given>[-Date]}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; ELSE {«*** No current EKG status available.  Check EKG tab and docu= ment previous EKG, if one exists...» «PrevEKG»}
           &nbs= p;            &= nbsp;           &nbs= p;     }
           &nbs= p;           }||

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Immunizations

||IF LAB<Influenza Vaccine> =3D "" AND LAB<Influenza LIAV> =3D "" AND HM<Influenza Vaccine> =3D "" {«*** Influenza Vaccination may be needed - no results in EHR...&ra= quo; <BR>
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; «*** If Influenza Vaccination given in the past, use followi= ng QuickText to update status...»}
           ELSE {IF LAB<Influenza Vaccine> =3D "x" OR LAB<Influen= za Vaccine> =3D "X" {Most recent LAB<Influenza Vaccine>[- Date]<BR> }
           &nbs= p;            &= nbsp;        ELSE {IF LAB<Influenza LIAV> =3D "x" OR LAB<Influenza LIAV> =3D "X" {Most recent LAB<Influenza LIAV>[-Date]}=
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    ELSE {«*** Influenza Vaccination may be needed - results in EHR are= not conclusive...» <BR>
       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      «*** If Influenza Vaccination given in the past, use followi= ng QuickText to update status...»}
           &nbs= p;            &= nbsp;           &nbs= p;        }
           &nbs= p;            }||
«If needed, update with prior completion date» Influenza Vaccination previously given: «Del» «Updt_Flu» «no&raqu= o;

||IF LAB<Pneumo (PPV) Vacc> =3D "" AND HM<Pneum_Vacc= > =3D "" {«*** Pneumonia (PPV) Vaccination may be needed - no results in EHR...» <BR>
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= laquo;*** If Pneumonia (PPV) Vaccination given in the past, use following QuickText= to update status...»}
           ELSE {IF LAB<Pneumo (PPV) Vacc> =3D "x" OR LAB<Pneumo = (PPV) Vacc> =3D "X" {Most recent LAB<Pneumo (PPV) Vacc>[-Dat= e]}
           &nbs= p;            &= nbsp;     ELSE {«*** Pneumonia (PPV) Vaccination may be needed - results in EHR are not conclusive...» <BR>
           &nbs= p;            &= nbsp;           &nbs= p;      «*** If Pneumonia (PPV) given in the past, use following QuickText = to update status...»}
           &nbs= p;          }||
«If needed, update with prior completion date» Pneumonia (PPV) Vaccinat= ion previously given: «Del» «Updt_Pneum» «no&ra= quo;

Diabetes Education

||IF LAB<Diab Educ-Recomnd> =3D "" {«*** Diabetes Education Program recommendation - no results in EHR...»}
           ELSE {IF LAB<Diab Educ-Recomnd> =3D "Yes" {Diabetes Educa= tion was last recommended: LAB<Diab Educ- Recomnd>[-Date]}||
«If needed, update with prior recommendation date» Diabetes Education previously recommended: «Del» «Yes_EduRec» «no»

||IF LAB<Diab Educ-Done> =3D "" {«*** Diabetes Education Program completion - no results in EHR...»<BR>}
          ELSE {IF LAB<Diab Educ-Done> =3D "Yes" {Last Diabetes Edu= cation Class:  LAB<Diab Educ-Done>[-Date]}}||
«If needed, update with prior completion date» Diabetes Education previously completed: «Del» «Yes_Edu_Dn» «no»

Current Medications  «none»

Insert Current Medications:

||IF LAB<ACE/ARB Prescribed> =3D "" {«*** ACE / A= RB prescription status - no results in EHR...»}
           ELSE {IF LAB<ACE/ARB Prescribed> =3D "No" OR LAB<ACE/A= RB Prescribed> =3D "N" {«ACE / ARB has not been prescribed»}
           &nbs= p;            &= nbsp;     ELSE {LAB<ACE/ARB Prescribed>[-Date]}
           &nbs= p;          }||
«If information available, update» ACE / ARB previously prescribed: «Del» «YesACE_Old» «No_ACE_Old»

||IF LAB<Aspirin Prescribed> =3D "" {«*** Aspirin prescription status - no results in EHR...»}
           ELSE {IF LAB<Aspirin Prescribed> =3D "No" OR LAB<Aspir= in Prescribed> =3D "N" {«Aspirin has not been prescribed»}
           &nbs= p;            &= nbsp;      ELSE {LAB<Aspirin Prescribed>[-Date]}
           &nbs= p;          }||
«If information available, update» Aspirin previously prescribed:  «Del» «YesASA_Old» «No_ASA_Old»

Allergies
Insert Allergies:

Past Medical History
«Insert Past Medical History»
«Update Past Medical History»
Reviewed Past Medical History: «Del» «yes» «no» †P1‡

Social History
«Insert Social History»
«Update Social History»
Reviewed Social History: «Del» «yes» «no» = †P3‡

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Family History
«Insert Family History»
«Update Family History»
Reviewed Family History: «Del» «yes» «no» = †P2‡

Health Maintenance
Health Maintenance items that are not up to date:  ||HM[-notuptodate= ]|| «LineDelete»

Health Maintenance items that are up to date:  ||HM[-uptodate]|| «LineDelete»

Objective

||IF VITAL_HGT[=3DTodaysDate] =3D "" AND VITAL_WGT[=3DTodaysD= ate] =3D "" AND VITAL_BPSYS[=3DTodaysDate] =3D "" AND VITAL_BPDIA[=3DTodaysDate] =3D "" AND VITAL_PULSE[=3DTodaysDate= ] =3D "" AND VITAL_TEMP[=3DTodaysDate] =3D "" AND VITAL_OTHER[=3DTodaysDate] =3D "" AND VITAL_OFC[=3DTodaysDate] = =3D "" {«*** No Vitals have been entered in the Vitals tab for today» <BR>«*** Please enter Vitals using the Vitals Ta= b, then return here and click the entry below» <BR><BR>«Insert Today's Vitals»}
         ELSE
{IF VITAL_HGT[=3DTodaysDate] <> "" {Height: VITAL_HGT}= ELSE {«Del»} <BR>
IF VITAL_WGT[=3DTodaysDate] <> "" {Weight: VITAL_WGT}= ELSE {«Del» «Declined to be weighed»} <BR>
IF VITAL_BPSYS[=3DTodaysDate] <> "" {Blood Pressure:&= nbsp; VITAL_BPSYS}  /  IF VITAL_BPDIA[=3DTodaysDate] <> "&= quot; {VITAL_BPDIA} ELSE {«Del»} <BR>
IF VITAL_PULSE[=3DTodaysDate] <> "" {Pulse: VITAL_PUL= SE} ELSE {«Del»} <BR>
IF VITAL_TEMP[=3DTodaysDate] <> "" {Temperature: VITAL_TEMP} ELSE {«Del»} <BR>
IF VITAL_OTHER[=3DTodaysDate] <> "" {Respiration Rate: VITAL_OTHER} ELSE {«Del»}}||
||IF VITAL_OFC[=3DTodaysDate] <> "" {Head Circumference: VITAL_OFC}
           ELSE {«Del»}||

Body Mass Index: «Del» ||BODY_MASS_INDEX[-Date]||
     ||Height: VITAL_HGT[-Date]|| (Date at left also applies to BMI above)=
||IF PATIENT_AGE_IN_MONTHS >=3D "216" {«Del»}<= br>
           ELSE {Height Percentile: «Del» PERCENTILE_HEIGHT<BR= >

||IF LAB<Abdominal Girth> =3D "" {Abdominal girth: «Del» «Abd_Girth»}
          ELSE {LAB<Abdominal Girth>[-Date]<BR>New abdominal girth: «Del» «Abd_Girth»}||

General: «Del» «General» «except» «overweight» «ChronIllAp»
Skin: «Del» «skin-nl» «except»
Eyes: «Del» «eyes-nl»  «except»=
Mouth and nose: «Del» «mouth-nl»  «except»=
Thyroid: «Del» «neck-nl»  «except»=
Heart: «Del» «heart-nl»  «except»
Lungs: «Del» «lungs-nl»  «except»
Abdomen: «Del» «abdom-nl»  «except»
Neurologic: «Del» «neuro-nl»  «except»
Extremities: «Del» «extrem-Nl»  «except»


Tests Completed

||IF LAB<Foot Exam-Done> =3D "" {«*** Foot Exam m= ay be needed - no results in EHR...»}
       &nbs= p;  ELSE {Most recent «Del» LAB<Foot Exam-Done>[-Date]<BR>Most recent «Del» LAB<Foot E= xam- Done>[- Date]}||
Foot Screen done today: «Del» «Yes_Ft_exm» «no»

«EKG_Today»

«EKG_Rslts»


Assessment

Diabetes  -  «good»  «NotAtGoal»  «GoalHgbA1C»
«DM_Type_1»
«DM_Type_2»

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||IF LAB<MICROALBUMIN, UR> > "0" OR LAB<MICROALBUMIN(POC)> > "0" {.MP: Nephropathy, Diabet= ic : 583.81}
           ELSE {«DiabNephro»}||
||IF PAT_SEX =3D "male" {IF LAB<CREAT> > "1.20"{.= MP: Renal Insufficiency : 585.9}
           &nbs= p;            &= nbsp;           &nbs= p;       ELSE {«Del»}
           &nbs= p;            &= nbsp;           }
           ELSE {IF LAB<CREAT> > "1.10" {.MP: Renal Insufficiency= : 585.9}
           &nbs= p;            &= nbsp;    ELSE {«Del»}
      &nb= sp;            =    }||
«DiabRetin»
«DiabNeuro»

«DXType...»
«DXTop50...»
«Additional MP or DX»


Plan

Orders Made: «Del» «none»  «none» «Fasting2» «in»  «*»  «months»
   Blood tests: «Del»  «BloodTst...»
   Other tests: «Del» «FOB» «U/A.» «spotMA»
   Diagnostics: «Del» «none»
   «CXR_Ord»
   «PFT_Ord»
   «EKG_Ord»
     Laboratory: «Del» «Lab#...» †D1̶= 5;
     Diagnostic Imaging: «Del» «XRay...»  = †D2‡
     EKG: «Del» «yes» «no» ̶= 4;D3‡
     Spriometry: «Del» «yes» «no» <= u>†D3‡

Medications: «Del» «no change» «see medications below&ra= quo;
     Non-Prescription medication(s): «Del»

Medications:

||IF LAB<ACE/ARB Prescribed> =3D "" {«ACE / ARB prescription status - no results in EHR...»}
           ELSE {IF LAB<ACE/ARB Prescribed> =3D "No" OR LAB<ACE/A= RB Prescribed> =3D "N" {«ACE / ARB has not been prescribed»}
           &nbs= p;            &= nbsp;     ELSE {IF LAB<ACE/ARB Prescribed> =3D "Contraindicated" OR LAB<ACE/ARB Prescribed> =3D "Declined" OR LAB<ACE/ARB Prescribed> =3D "Allergic" OR LAB<ACE/ARB Prescribed> = =3D "Yes" {LAB<ACE/ARB Prescribed>[-Date]}
             =             &nb= sp;            =            ELSE {«ACE / ARB prescription status - no results in EHR...»}=
           &nbs= p;            &= nbsp;           &nbs= p;    }
           &nbs= p;           }||
«If needed, update» ACE / ARB Prescribed: «Del» «Yes_ACE»  «No_ACE»

||IF LAB<Aspirin Prescribed> =3D "" {«*** Aspirin prescription status - no results in EHR...»}
          ELSE {IF LAB<Aspirin Prescribed> =3D "No" OR LAB<Aspirin Prescribed> =3D "N" {«Aspirin has not been prescribed»}
           &nbs= p;            &= nbsp;   ELSE {IF LAB<Aspirin Prescribed> =3D "Contraindicated" OR LAB<Aspirin Prescribed> =3D "Declined" OR LAB<Aspirin Prescribed> =3D "Allergic" OR LAB<Aspirin Prescribed> = =3D "Yes" {LAB<Aspirin Prescribed>[-Date]}
           &nbs= p;            &= nbsp;           &nbs= p;         ELSE {«*** Aspirin prescription status - no results in EHR...»= ;}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;         }||
«If needed, update» Aspirin Prescribed:  «Del» «Yes_ASA» «No_ASA»

Non-Prescription medications: «Del»  «None»= ;

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Immunizations: «none»

||IF LAB<Influenza Vaccine> =3D "" AND LAB<Influenza LIAV> =3D "" AND HM<Flu_Vaccin> =3D "" {«***Influenza Vaccination may be needed - no results in EHR...&raq= uo;}
          ELSE {IF LAB<Influenza Vaccine> =3D "x" OR LAB<Influenza Vaccine> =3D "X" {Most recent LAB<Influenza Vaccine>[-= Date] <BR>}
           &nbs= p;            &= nbsp;    ELSE {IF LAB<Influenza LIAV> =3D "x" OR LAB<Influenza LIAV&= gt; =3D "x"  {Most recent LAB<Influenza LIAV>}
           &nbs= p;            &= nbsp;           &nbs= p;           ELSE {«*** Influenza Vaccination may be needed - results in EHR are not conclusive...»}
           &nbs= p;            &= nbsp;           &nbs= p;   }
           &nbs= p;         }||
Flu vaccine ordered today: «Del» «Yes_FluOrd» «no» «pt_declin.»

||IF LAB<Pneumo (PPV) Vacc> =3D "" AND HM<Pneum_Vacc= > =3D "" {«*** Pneumonia (PPV) Vaccination may be needed - no results in EHR...»}
          ELSE {IF LAB<Pneumo (PPV) Vacc> =3D "X" OR LAB<Pneumo (PPV) Vacc> =3D "x" {Most recent LAB<Pneumo (PPV) Vacc>[-Dat= e]}
           &nbs= p;            &= nbsp;    ELSE {«*** Pneumonia (PPV) Vaccination may be needed - results in EHR ar= e not conclusive...»}
           &nbs= p;        }||
Pneumonia vaccine ordered today: «Del» «Yes_PPVOrd» «no» «pt_declin.»

Patient Education: «none»
«Diet»
«Exercise - Pt Ed»
«Alcohol - Pt Ed»
«Smoking - Pt Ed»

Patient Counseling: «Del» «none» «Yes_Counsl»

Referrals: «Del» «colonoscpy» «ETT» «stressECHO&ra= quo; «podiatrist»

||IF LAB<Eye Exam-Recomnd> =3D "" {«*** No inform= ation on Eye Exam recommendation in EHR...»}
         ELSE {Most recent Eye Exam recommentation: LAB<Eye Exam- Recomnd>[- Date= ]}||

||IF LAB<Eye Exam-Done> =3D "" {Was an eye exam recomme= nded today? «Del»  «yes_EyeRec» «no» «pt_declin.»}
         ELSE {Most recent  LAB<Eye Exam-Done>[-Date]<BR>Was an eye ex= am recommended again today? «Del»  «yes_EyeRec»  «no» «pt_declin.»}= ||

Patient Counseling/Education: «none» «YesCnsl_DM»

Exercise: «Del» «yes» «no»
     Goal (in min.) of exercise per wk: «Del» «150»

||IF LAB<Self-Care Goal> =3D "" {«*** No informat= ion on Self-Care Goal counseling exists in EHR...» Was a Self- Care Goal discussed today? «Del» «Yes_Self» «no» «pt_declin.»}
         ELSE {The most recent recorded discussion of Self-Care Goal: <BR«Del» LAB<Self-Care Goal>[- Date] <BR>Was a Self- Care Goal discussed again today? «Del» «Yes_Goal»  «no»  «pt_declin.»}||

||IF LAB<Diab Educ-Recomnd> =3D "" {«*** No infor= mation on Diabetes Education Program recommendation in EHR...» Diabetes Education recommended today: «Del» «YesEduRec» «no»}
         ELSE {Diabetes Education was last recommended: LAB<Diab Educ- Recomnd>[-Date]<BR>Diabetes Education recommended again t= oday: «Del» «YesEduRec» «no»}||

Health Maintenance Updates: «none»
«Health Maintenance...»

Follow-up: «Del» «F/U...» «prn&raq= uo; «with Primary Care Provider» «at this clinic»

Patient agrees to above plan: «Del» «yes» «no»

Visit time/counseling/coordination of care: «Del» «Visit Time»

Lab: visit : -








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Example= :  Adult Physical Lab Letter
•
•
•See This = and Nine Following Notes Pages
Lab Letter - Physical

«*** PICK desired type of Print setup...»
«pgEMG_LH» «*** Designed for EMG LETTERHEAD paper...»

«***The following are designed for PLAIN PAPER, but include the clinic address in the header...»
«pgCAN» «*** Canyon Park...»
«pgDUV» «*** Duvall...»
«pgFMR» «*** FMR...»
«pgKEN» «*** Kenmore...»
«pgRFH» «*** Redmond Family...»
«pgRUC» «*** Redmond Urgent Care...»
«pgSAM» «*** Sammamish...»
«pgWDNV» «*** Woodinville...»
«pgWDNV_UC» «*** Woodinville Urgent Care...»

||DATE||


||PAT_FNAME|| ||PAT_LNAME||
||IF PAT_ADDR1 =3D "" {«Del»} ELSE {PAT_ADDR1}||<= br>
||IF PAT_ADDR2 =3D "" {«Del»} ELSE {PAT_ADDR2}||<= br>
||IF PAT_ADDR3 =3D "" {«Del»} ELSE {PAT_ADDR3}||<= br>
||PAT_CITY||, ||PAT_STATE||   ||PAT_ZIP||


Dear ||IF PATIENT_AGE_IN_MONTHS < "216" {parents of PAT_FNAME,}
           &nbs= p;      ELSE {IF PAT_SEX =3D "m" {Mr. PAT_LNAME,}
           &nbs= p;            &= nbsp;            ELSE {Ms. PAT_LNAME,}}||

«Thank you for choosing» «Sorry unable to reach by phone»  «Category.»

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The results of your most recent lipid (cholesterol) level tests follow: «Not_Ordrd2» «Norml_All» «LineDelete»=

||IF LAB<CHOLESTEROL> =3D "" {«*** No Total Chole= sterol level in the EHR...»}
         ELSE {LAB<CHOLESTEROL>[-Date]}||
||IF LAB<CHOLESTEROL> <> "" {IF LAB<CHOLESTEROL> &= lt;=3D "199" {Your total cholesterol level is within normal limits.   The goal for total cholesterol is less than 200 and y= ou are meeting this goal.  Eating healthy food that is low in fat and cholesterol may help protect the body from the damaging effects of cholesterol.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        ELSE {IF LAB<CHOL/HDL RATIO> < "4.98" AND LAB<CHOL/HDL RATIO> > "0" {Although your total cholesterol is elevated, this elevation alone is not worrisome since a significant portion of the elevation of your total cholesterol is due to the "good" cholesterol (the HDL cholesterol).<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; ELSE {Your total cholesterol is high. The goal for total cholesterol is l= ess than 200 and you are not meeting this goal.  If you have not already established a strategy to correct this problem, please make an appointmen= t to discuss the issue.  In any case, make plans to have your cholesterol levels rechecked within 4 months at the latest.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      }
           &nbs= p;            &= nbsp;           &nbs= p;             }||
||IF LAB<LDL-CHOLESTEROL> =3D "" {«*** No LDL Cholesterol level in the EHR...»}
         ELSE {LAB<LDL-CHOLESTEROL>[-Date]}||
||IF LAB<LDL-CHOLESTEROL> <> "" {IF LAB<LDL-CHOLESTEROL> < "100" {Congratulations, your LDL cholesterol level is at the optimal level.  The LDL is the unhealthy form of cholesterol and so the lower the number, the better your LDL level.<BR>}
                 &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        ELSE {IF LAB<LDL-CHOLESTEROL> < "130" {Your LDL cholesterol level is at (or close to) optimal level.  The LDL is the unhealthy form of cholesterol and so the lower the number, the better your LDL level.  Eating healthy food that is low in fat and cholesterol w= ill help lower the LDL cholesterol.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        ELSE {IF LAB<LDL-CHOLESTEROL> < "160" {Your LDL cholesterol level is borderline high.  The LDL is the unhealthy form= of cholesterol, so the lower the number, the better your LDL level.  Ea= ting healthy food that is low in fat and cholesterol will help lower the LDL cholesterol.  If you haven't already established a strategy to corre= ct this problem, please make an appointment to discuss the issue.<BR>}=
           &nbs= p;            &= nbsp;           &nbs= p;              &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            ELSE {IF LAB<LDL-CHOLESTEROL> < "190" {Your LDL cholesterol level is high.  The LDL is the unhealthy form of cholesterol, so the lower the number, the better your LDL level.  Ea= ting healthy food that is low in fat and cholesterol will help lower the LDL cholesterol.  The precise LDL goal for you depends upon other risk factors, but the current recommendations for an LDL of this level are tha= t at least Therapeutic Lifestyle Changes (TLC) should be started (see below).   If you haven't already established a strategy to corr= ect this problem, please make an appointment to discuss the issue.<BR>}=
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           ELSE {Your LDL cholesterol level is very high.  The LDL is the unhealthy form of cholesterol, so the lower the number, the better your L= DL level.  Eating healthy food that is low in fat and cholesterol will = help lower the LDL cholesterol.  The precise LDL goal for you depends upon other risk factors, but the current recommendations for an LDL of this le= vel are that cholesterol lowering medication should be started, in addition to Therapeutic Lifestyle Changes (TLC).  If you haven't already establi= shed a strategy to correct this problem, please make an appointment to discuss= the issue.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;             &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          }
           &nbs= p;            &= nbsp;           &nbs= p;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          }
           &nbs= p;                  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        }||
||IF LAB<HDL-CHOLESTEROL> =3D "" {«*** No HDL Cholesterol level in the EHR...» }
         ELSE {LAB<HDL-CHOLESTEROL>[-Date]}||
||IF LAB<HDL-CHOLESTEROL> <> "" {IF LAB<HDL-CHOLESTEROL> >=3D "60" {Congratulations, your = HDL cholesterol is excellent.  The HDL cholesterol is the healthy form of cholesterol, so the higher the HDL number the better!  The normal ra= nge is 40 – 100.  Exercise helps to maintain a very good HDL level.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            <= span style=3D'mso-spacerun:yes'>       &nbs= p;        ELSE {IF LAB<HDL-CHOLESTEROL> >=3D "40" {Your H= DL cholesterol is good.  The HDL cholesterol is the healthy form of cholesterol, so the higher the HDL number the better!  The normal ra= nge is 40 – 100.  Exercise helps to maintain a very good HDL level.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          &nbs= p;          ELSE {Your HDL cholesterol is too low.  The HDL cholesterol is the healthy form of cholesterol, so the higher the HDL number the better!  The normal range is 40 – 100.  Exerci= se helps to raise HDL level.  If you haven't already established a stra= tegy to correct this problem or if your current strategy is not allowing you to meet the HDL goal of greater than 39, please make an appointment to discu= ss the issue.  If you are on a new strategy to reduce your LDL to optim= al level, make plans to have your cholesterol levels rechecked within 4 mont= hs at the latest.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;                 &nbs= p;         }
           &nbs= p;            &= nbsp;           &nbs= p;           &nbs= p;        }||
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||IF LAB<TRIGLYCERIDES> =3D "" {«*** No Triglyceride lev= el in EHR...» }
         ELSE {LAB<TRIGLYCERIDES>[-Date]}||
||IF LAB<TRIGLYCERIDES> <> "" {IF LAB<TRIGLYCERIDES&g= t; < "150" {Your Triglyceride level is normal.  Triglyceri= de is a form of fat and the lower the number the better your triglyceride level.  The normal range is less than 150.  Following the TLC d= iet (see below) can help keep your triglyceride level in the normal range.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         ELSE {IF LAB<TRIGLYCERIDES> < "200" {Your Triglyceride level is borderline high.  Triglyceride is a form of fat, the lower = the number the better your triglyceride level.  The normal range is less than 150.  Following the TLC diet (see below) can help lower your triglyceride level.  If you haven't already established a strategy to correct this problem, please make an appointment to discuss the issue.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  ELSE {IF LAB<TRIGLYCERIDES> < "500" {Your Triglyceride leve= l is high.  Triglyceride is a form of fat, the lower the number the better your triglyceride level.  The normal range is less than 150.  Following the TLC diet (see below) can help lower your triglyceride level.  If you haven't already established a strategy to correct this problem, please make an appointment to discuss the issue.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         ELSE {Your Triglyceride level is very high.  Triglyceride is a form of fa= t, the lower the number the better your triglyceride level.  The normal range is less than 150.  Current recommendations are to begin medications to lower your triglyceride level immediately.  Following= the TLC diet (see below) can help lower your triglyceride level and you should begin it immediately.   If you haven't already established a strategy to correct this problem, please make an appointment to discuss t= he issue as soon as possible.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       }
           &nbs= p;            &= nbsp;           &nbs= p;            }||
||IF LAB<CHOLESTEROL> =3D "" AND LAB<LDL-CHOLESTEROL> =3D "" AND LAB<HDL- CHOLESTEROL> =3D "" AND LAB<TRIGLYCERIDES> =3D "" {«Del»}
         ELSE {
Therapeutic Lifestyle Changes (TLC) include the following:  eating a low saturat= ed fat, low cholesterol diet (TLC Diet), regular physical activity, and weig= ht management.  The following is a website detailing the TLC:  www.nhlbi.nih.gov/chd/lifestyles.htm.  The following is a brief summ= ary of the general diet guidelines:<BR>
     Less than 7% of the day's total calories from saturated fat.<BR>
     25-35 percent of the day’s total calories from fat.<BR>
     Less than 200 milligrams of dietary cholesterol a day.<BR>
     Limit sodium intake to 2400 milligrams a day. <BR>
     Just enough calories to achieve or maintain a healthy weight and reduce y= our blood cholesterol level. <BR>
<BR>
Major risk factors that, when present, suggest your LDL cholesterol should be lowered more aggressively: <BR>
     1. Cigarette smoking <BR>
     2. High blood pressure (BP above 140/90 or on a blood pressure medication) <BR>
     3. Low HDL cholesterol (<40) <BR>
     4. Family History of premature Coronary Heart Disease (CHD) (premature CH= D in male 1st degree relative <55 years old; female <65) <BR>
     5. Age (men >=3D 45 years old; women >=3D 55 years old) <BR><BR>}||

The results from your most recent tests for blood sugar levels:  «Not_Ordrd2» «Norml_All» «LineDelete»=

||IF LAB<GLUCOSE.> =3D "" {«*** No Glucose result= s in EHR...»}
        ELSE {LAB<GLUCOSE.>[-Date]<BR>}||
||IF LAB<HEMOGLOBIN A1C> <> "" {IF LAB<HEMOGLOBIN A1C= > >=3D "7.0" {LAB<HEMOGLOBIN A1C>[- Date] «*** High...»<BR>}
              &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          ELSE {LAB<HEMOGLOBIN A1C>[- Date]<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     }
         ELSE {«*** No Hemoglobin A1C results in EHR...»}||
||IF LAB<HEMO A1C (POC)> <> "" {IF LAB<HEMO A1C (POC)= > >=3D "7.0" {LAB<HEMO A1C (POC)>[- Date] «*** High...»<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           ELSE {LAB<HEMO A1C (POC)>[- Date]<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  }
           &nbs= p;  ELSE {«*** No Hemoglobin A1C (POC) results in EHR...»}||
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     «*** Please be aware that the results fr= om HEMO A1C (POC) are NOT included as part of the decision logic below...»
||IF LAB<GLUCOSE.> =3D "" {IF LAB<HEMOGLOBIN A1C> =3D "" {«Del»}
           &nbs= p;            &= nbsp;           &nbs= p;           ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Although there is no recorded value for your fasting blood sugar, your most recent hemoglobin = A1c level (a test of diabetes control over the past three months) is normal a= nd shows no evidence of diabetes.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    ELSE {Although there is no recorded value for your fasting blood sugar, your hemoglobin A1c level (a test of diabetes control over the past three mont= hs) is elevated.  A normal hemoglobin A1c level in a non- diabetic is be= low 6.0.   While your result does not necessarily mean that you have diabetes, it is cause for concern.  Please make an appointment to discuss this issue.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        }
           &nbs= p;            &= nbsp;           &nbs= p;    }
           &nbs= p;    ELSE {IF LAB<GLUCOSE.> > "100" {IF LAB<HEMOGLOBIN A1C> =3D "" {Your test results show an elevated blood sugar level.  A normal fasting blood sugar is less than 100.  While a single high reading does not mean diabetes for sure, it is suggestive of it.  Please make an appointment to discuss these results, you may ne= ed additional testing such as a repeat fasting blood sugar and a hemoglobin = A1c level (test of diabetes control over the past three months).}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Your test results sho= w an elevated blood sugar level, but your hemoglobin A1c level (test of diabet= es control over the past three months) is normal.  A normal fasting blo= od sugar is less than 100 and a normal hemoglobin A1c level is less than 6.0.   While a single high blood sugar reading does not mean diabetes for sure, it is suggestive of it.   Since your hemoglo= bin A1c level is normal, the results suggest that, on average, your blood sug= ars are normal or those of a very well controlled diabetic.  Please make= an appointment to discuss these results, you may need additional testing.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          ELSE {Your test results show an elevated blood sugar level and your hemoglobin= A1c level (test of diabetes control over the past three months) is also elevated.  A normal fasting blood sugar is less than 100 and a normal hemoglobin A1c level is less than 6.0.  While a single high blood su= gar reading and an elevated hemoglobin A1c level do not mean diabetes for sur= e, it is strongly suggestive of it.  Please make an appointment to disc= uss these results.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         }
           &nbs= p;            &= nbsp;         ELSE {IF LAB<GLUCOSE.> < "65" {IF LAB<HEMOGLOBIN A1C>= =3D "" {Your test results show a low blood sugar level.  A nor= mal fasting blood sugar is between 65 and 100.  While a single low blood sugar reading does not mean you are “hypoglycemic”, it is sug= gestive.  Please make an appointment to discuss these results, you may need additio= nal testing such as a repeat fasting blood sugar.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Your test results sho= w a low blood sugar level, but your hemoglobin A1c level (test of diabetes control over the past three months) is normal.  A normal fasting blo= od sugar is between 65 and 100 and a normal hemoglobin A1c level is less than 6.0.  While a single low blood sugar reading does not mean you are “hypoglycemic”, it is suggestive.  Since your hemoglobin= A1c level is normal, the results suggest that, on average, your blood sugars = are normal.  Please make an appointment to discuss these results, you may need additional testing.}
           &nbs= p;            &= nbsp;           &nbs= p;            <= span style=3D'mso-spacerun:yes'>       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       ELSE {Your test results show a low blood sugar level and your hemoglobin A1c level (test of diabetes control over the past three months= ) is elevated.  A normal fasting blood sugar is between 65 and 100 and a normal hemoglobin A1c level is less than 6.0.  While a single low bl= ood sugar reading and an elevated hemoglobin A1c level do not mean you are “hypoglycemic” or diabetic, it is worthy of further investigation.  Please make an appointment to discuss these results.= }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           }
           &nbs= p;            &= nbsp;           &nbs= p;            <= span style=3D'mso-spacerun:yes'>  ELSE {IF LAB<HEMOGLOBIN A1C&g= t; =3D "" {Your test results show a normal blood sugar level.  A normal fasting blood sugar is between 65 and 100.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Your test results show a normal blood sugar level and your hemoglobin A1c level (test of diabetes control over the past three months) is normal.  A normal fasting blood sugar is between 70 and 110 and a normal hemoglobin A1c lev= el is less than 6.0.  Your results indicate no evidence of diabetes.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;   ELSE {Your test results show a normal blood sugar level, but your hemoglobin A= 1c level (test of diabetes control over the past three months) is elevated.  A normal fasting blood sugar is between 65 and 100 and a = normal hemoglobin A1c level is less than 6.0.  While a single normal blood sugar reading is reassuring, your elevated hemoglobin A1c level suggests = the possibility of diabetes.  Please make an appointment to discuss these results.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            }
           &nbs= p;            &= nbsp;           &nbs= p;         }
           &nbs= p;            &= nbsp; }||

||IF LAB<SODIUM> =3D "" AND LAB<POTASSIUM> =3D "" AND LAB<CHLORIDE> =3D "" AND LAB<CO2> = =3D "" AND LAB<CALCIUM> =3D "" {«Del»}<= /font>
       &nbs= p; ELSE {The results from your most recent tests for electrolyte/mine= ral levels: «Not_Ordrd2» «Norml_All» «LineDelete»}||
«*** Use the  "Norml_All" label above if all the following resu= lts are normal...»
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||IF LAB<SODIUM> =3D "" {«*** No Sodium results in EHR...»}
         ELSE {IF LAB<SODIUM> < "138" {LAB<SODIUM>[- Date] «LineDelete» <BR>Your serum sodium is low.  The no= rmal range for serum sodium is between 138 and 148.  «Not_Sgnif&raq= uo; «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;   ELSE {IF LAB<SODIUM> > "148" {LAB<SODIUM>[- Date] «LineDelete» <BR>Your serum sodium is high. The normal range for serum sodium is between 138 and 148.  «Not_Sgnif&raq= uo; «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;          ELSE {«*** The serum sodium level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;        }||

||IF LAB<POTASSIUM> =3D "" {«*** No Potassium res= ults in EHR...»}
           &nbs= p; ELSE {IF LAB<POTASSIUM> < "3.6" {LAB<POTASSIUM>[- Date] «LineDelete» <BR>Your serum potassium is low.&nbs= p; The normal range for serum potassium is between 3.5 and 5.1.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;       ELSE {IF LAB<POTASSIUM> > "5.0" {LAB<POTASSIUM>[- Date] «LineDelete»<BR>Your serum potassium is high. The normal range for serum potassium is between 3.5 and 5.1. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            ELSE {«*** The serum potassium level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;            }
           &nbs= p;             }||

||IF LAB<CHLORIDE> =3D "" {«*** No Chloride resul= ts in EHR...»}
           &nbs= p;  ELSE {IF LAB<CHLORIDE> < "98" {LAB<CHLORIDE>[- D= ate] «LineDelete» <BR>Your serum chloride is low.  The normal range for serum chloride is between 98 and 107.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;       ELSE {IF LAB<CHLORIDE> > "107" {LAB<CHLORIDE>[- Date] «LineDelete» <BR>Your serum chloride is high. The normal range for serum chloride is between 98 and 107. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     ELSE {«*** The serum chloride level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;           }
           &nbs= p;            &= nbsp; }||

||IF LAB<CO2> =3D "" {«*** No Bicarbonate results= in EHR...»}
           &nbs= p; ELSE {IF LAB<CO2> < "22" {LAB<CO2>[-Date] «LineDelete» <BR>Your serum bicarbonate is low.  T= he normal range for serum bicarbonate is between 22 and 31.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;         ELSE {IF LAB<CO2> > "107" {LAB<CO2>[- Date] «LineDelete» <BR>Your serum bicarbonate is high.  = The normal range for serum bicarbonate is between 22 and 31.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     ELSE {«*** The serum bicarbonate level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;      }
           &nbs= p;             }||

||IF LAB<CALCIUM> =3D "" {«*** No Calcium results= in EHR...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     ELSE {IF LAB<CALCIUM> < "8.4" {LAB<CALCIUM>[- Da= te] «LineDelete» <BR>Your serum calcium is low. The normal range for serum calcium is between 8.4 and 10.2.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            ELSE {IF LAB<CALCIUM> > "10.2" {LAB<CALCIUM>[- D= ate] «LineDelete» <BR>Your serum calcium is high.  The normal range for serum calcium is between 8.4 and 10.2.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    ELSE {«*** The serum calcium level is normal» <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    }||

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||IF LAB<MICROALBUMIN, UR> =3D "" AND LAB<MICROALBUMIN(POC)= > =3D "" AND LAB<BUN> =3D "" AND LAB<CREAT> =3D "" AND LAB<BUN/CREAT RATIO> =3D ""  {«Del»}
       &nbs= p; ELSE {The results from your most recent tests for kidney functions: «Not_Ordrd2» «Norml_All» «LineDelete»= }||
«*** Use the  "Norml_All" label if all the following results are normal...»
||IF LAB<MICROALBUMIN, UR> =3D "" AND LAB<MICROALBUMIN(POC)= > =3D "" {«*** No Spot Urine Microalbumin results in EHR...&raq= uo;}
        ELSE {IF LAB<MICROALBUMIN, UR> > "18"
{LAB<MICROALBUMIN, UR>[- Date]  «*** High...» <BR>}
           &nbs= p;            &= nbsp; ELSE {IF LAB<MICROALBUMIN, UR> <> ""
{LAB<MICROALBUMIN, UR>[- Date] <BR>}
           &nbs= p;            &= nbsp;           }
           &nbs= p;       IF LAB<MICROALBUMIN(POC)> > "0"
{LAB<MICROALBUMIN(POC)>[- Date]  «*** High...»}
           &nbs= p;            &= nbsp;           &nbs= p;       ELSE {IF LAB<MICROALBUMIN(POC)> <> "" {LAB<MICROALBUMIN(POC)>[- Date]}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    }
           &nbs= p;       }||

||IF LAB<BUN> =3D "" {«*** No BUN results in EHR...»}
        ELSE{IF LAB<BUN> < "6" {LAB<BUN>[-Date] «LineDelete» <BR>Your blood urea nitrogen level is low.  The normal range for this test is between 6 and 20.  &laq= uo;Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
       ELSE {IF LAB<BUN> > "20" {LAB<BUN>[- Date] «LineDelete» <BR>Your blood urea nitrogen level is high.  The normal range for this test is between 6 and 20. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;  ELSE {«*** The serum BUN is normal»}
           &nbs= p;            &= nbsp;     }
           &nbs= p;      }||

||IF PAT_SEX =3D "f" {IF LAB<CREAT> =3D "" {«*** No Creatinine results in EHR...»}
           &nbs= p;            &= nbsp;            ELSE {IF LAB<CREAT> > "1.3" {LAB<CREAT>[- Date] «LineDelete» <BR>Your serum creatinine is high. The nor= mal range for serum creatinine for females is below 1.3. «Not_Sgnif&raq= uo; «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {«*** The serum creatinine level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;          }
           &nbs= p;            &= nbsp;    }
            ELSE {IF LAB<CREAT> =3D "" {«*** No Creatinine resu= lts in EHR...»}
           &nbs= p;            &= nbsp;     ELSE {IF LAB<CREAT> > "1.4" {LAB<CREAT>[- Date] = «LineDelete» <BR>Your serum creatinine is high.  The normal range for serum creatinine is below 1.4.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;           ELSE {«*** The serum creatinine level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;   }
           &nbs= p;           }||
||IF LAB<BUN/CREAT RATIO> =3D "" {«*** No BUN/Creat ratio results in EHR...»}
         ELSE {IF LAB<BUN/CREAT RATIO> < "12.0" {LAB<BUN/CRE= AT RATIO>[- Date] «LineDelete» <BR>Your BUN/Creat ratio= is low.  The normal range for this test is between 12.0 and 20.0.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete» <BR>}
           &nbs= p;            &= nbsp;  ELSE {IF LAB<BUN/CREAT RATIO> > "20.0"
{LAB<BUN/CREAT RATIO>[- Date] «LineDelete» <BR>Your BUN/Creat ratio= is high.  The normal range for this test is between 12.0 and 20.0. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete» <BR>}
           &nbs= p;            &= nbsp;           &nbs= p;        ELSE {«*** The serum BUN/Creat is normal»}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;       }||

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||IF LAB<BILIRUBIN TOTAL> =3D "" AND LAB<AST (SGOT)> =3D "" AND LAB<ALT (SGPT)> =3D "" AND LAB<ALKALI= NE PHOS> =3D "" AND LAB<PROTEIN, TOTAL> =3D "" = AND LAB<ALBUMIN> =3D "" AND LAB<GLOBULIN> =3D "&qu= ot; AND LAB<A/G RATIO> =3D "" {«Del»}
       &nbs= p; ELSE {The results from your most recent tests for liver functions: «Not_Ordrd2» «Norml_All» «LineDelete»= }||
«*** Use the  "Norml_All" label above if all the following resu= lts are normal...»
||IF PATIENT_AGE_IN_MONTHS > "12" {IF LAB<BILIRUBIN TOTAL> = =3D "" {«*** No Total Bilirubin results in EHR...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      ELSE {IF LAB<BILIRUBIN TOTAL> < "0.2" {LAB<BILIRUBIN TOTAL>[- Date] «LineDelete» <BR>Your total bilirubin= is low.  The normal range for total bilirubin is between 0.2 and 1.3.&n= bsp; «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           ELSE {IF LAB<BILIRUBIN TOTAL> > "1.3" {LAB<BILIRUBIN TOTAL>[- Date] «LineDelete» <BR>Your total bilirubin= is high. The normal range for total bilirubin is between 0.2 and 1.3.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;     ELSE{«*** The total bilirubin is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          }
           &nbs= p;  ELSE{IF LAB<BILIRUBIN TOTAL> =3D "" {«*** No Total Bilirubin results in EHR...»}
           &nbs= p;            &= nbsp;      ELSE {IF LAB<BILIRUBIN TOTAL> > "7.0"
{LAB<BILIRUBIN TOTAL>[- Date] «LineDelete» <BR>Your total bilirubin= is high.  The normal range for total bilirubin is less than 7.0.   «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           ELSE {«*** The total bilirubin is normal»}
           &nbs= p;            &= nbsp;           &nbs= p;    }
           &nbs= p;            }||

||IF LAB<AST (SGOT)> =3D "" {«*** No AST results = in EHR...»}
         ELSE {IF LAB<AST (SGOT)> < "15" {LAB<AST (SGOT)>= [- Date] «LineDelete» <BR>Your AST level is low.  The normal range for the AST level is between 15 and 37.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;    ELSE {IF LAB<AST (SGOT)> > "37" {LAB<AST (SGOT)>= [- Date] «LineDelete» <BR>Your AST level is high.  The normal range for the AST level is between 15 and 37. «Not_Sgnif&raq= uo; «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;        ELSE{«*** The serum AST level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;        }||

||IF LAB<ALT (SGPT)> =3D "" {«*** No ALT results = in EHR...»}
         ELSE {IF LAB<ALT (SGPT)> < '"20" {LAB<ALT (SGPT)>= ;[- Date] «LineDelete» <BR>Your ALT level is low.  The normal range for the ALT level is between 20 and 50.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;    ELSE {IF LAB<ALT (SGPT)> > "50" {LAB<ALT (SGPT)>= [- Date] «LineDelete» <BR>Your ALT level is high.  The normal range for the ALT level is between 20 and 50. «Not_Sgnif&raq= uo; «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;        ELSE{«*** The  ALT level is normal»}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;        }||

||IF LAB<ALKALINE PHOS> =3D "" {«*** No Alk Phos results in EHR...»}
        ELSE {IF LAB<ALKALINE PHOS> < "43" {LAB<ALKALINE PHOS>[- Date] «LineDelete» <BR>Your alkaline phospha= tase level is low. The normal range for alkaline phosphatase is between 43 and 126. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p; ELSE {IF LAB<ALKALINE PHOS> > "126"
{LAB<ALKALINE PHOS>[- Date] «LineDelete» <BR>Your alkaline phospha= tase level is high. The normal range for alkaline phosphatase is between 43 and 126. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;      ELSE {«*** The alkaline phosphatase is normal»}
           &nbs= p;            &= nbsp;           }
           &nbs= p;        }||
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||IF LAB<PROTEIN, TOTAL> =3D "" {«*** No serum to= tal protein results in EHR...»}
         ELSE {IF LAB<PROTEIN, TOTAL> < "6.0" {LAB<PROTEIN, TOTAL>[- Date] «LineDelete» <BR>Your serum total pro= tein is low.  The normal range for serum total protein is between 6.0 and 8.0. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;  ELSE {IF LAB<PROTEIN, TOTAL> > "8.0"
{LAB<PROTEIN, TOTAL>[- Date] «LineDelete» <BR>Your serum total pro= tein is high.  The normal range for serum total protein is between 6.0 and 8.0.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;       ELSE {«The serum total protien is normal»}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;        }||

||IF LAB<ALBUMIN> =3D "" {«*** No serum albumin r= esults in EHR...»}
         ELSE {IF LAB<ALBUMIN> < "3.5" {LAB<ALBUMIN>[- Da= te] «LineDelete» <BR>Your serum albumin is low.  The normal range for serum albumin is between 3.5 and 5.0.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;  ELSE {IF LAB<ALBUMIN> > "5.1" {LAB<ALBUMIN>[- Da= te] «LineDelete» <BR>Your serum albumin is high.  The normal range for serum albumin is between 3.5 and 5.0. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;        ELSE {«*** The serum albumin is normal»}
           &nbs= p;            &= nbsp;            }
           &nbs= p;        }||

||IF LAB<GLOBULIN> =3D "" {«*** No globulin resul= ts in EHR...»}
         ELSE {IF LAB<GLOBULIN> > "8.00" {LAB<GLOBULIN>[- Date] «LineDelete» <BR>Your serum globulin is high.&nbs= p; The normal range for serum globulin is between below 8.00.  &nb= sp; «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp; ELSE {«*** The serum globulin is normal»}
           &nbs= p;       }||

||IF LAB<A/G RATIO> =3D "" {«*** No A/G ratio in EHR...»}
         ELSE {IF LAB<A/G RATIO> < "1.5" {LAB<A/G RATIO>[- Date] «LineDelete» <BR>Your albumin/globulin ratio is low.  The normal range for the albumin/globulin ratio is between 1.5= and 2.2. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;  ELSE {IF LAB<A/G RATIO> > "107" {LAB<A/G RATIO>[- Date] «LineDelete» <BR>Your albumin/globulin ratio is high.  The normal range for the albumin/globulin ratio is between 1.5 and 2.2. «Not_Sgnif» «Make_appt» «Retest&ra= quo; «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;       ELSE {«*** The A/G ratio is normal»}
           &nbs= p;            &= nbsp;           &nbs= p; }
           &nbs= p;        }||

||IF LAB<WBC> =3D "" AND LAB<HEMOGLOBIN> =3D &quo= t;" AND LAB<HEMATOCRIT> =3D "" AND LAB<PLATELET COUNT> = =3D "" {«LineDelete»}
       &nbs= p; ELSE {The results from your most recent tests for blood cell count: «Norml_All» «Not_Ordrd2» «LineDelete»= }||
||IF LAB<WBC> =3D "" {«*** No WBC results in EHR...&raqu= o;}
         ELSE {«*** Normal WBC ranges vary by age; PICK Pt. age range----- >» «AGE_WBC...»}||
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||IF PAT_SEX =3D "m" {IF LAB<HEMOGLOBIN> =3D "" {&la= quo;*** No Hemoglobin results in EHR...»}
           &nbs= p;            &= nbsp;           &nbs= p; ELSE {IF LAB<HEMOGLOBIN> < "13.5" {LAB<HEMOGLOBIN&g= t;[- Date] «LineDelete» <BR> «*** The hemoglobin is lo= w; choose-- ->...» «IDA...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {IF LAB<HEMOGLOBIN> > "17.5" {LAB<HEMOGLOBIN&g= t;[- Date] «LineDelete» <BR>Your hemoglobin level is elevate= d. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
            = ;            &n= bsp;            = ;            &n= bsp;           ELSE {«*** The hemoglobin is normal» «Del» «IDA...»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          &nbs= p;     }
           &nbs= p;            &= nbsp;           &nbs= p;            }
           &nbs= p;            &= nbsp;        }
            ELSE {IF LAB<HEMOGLOBIN> =3D "" {«*** No Hemoglobin results in EHR...»}
           &nbs= p;            &= nbsp;     ELSE {IF LAB<HEMOGLOBIN> < "12.5"
{LAB<HEMOGLOBIN>[- Date] «LineDelete» <BR> «*** The hemoglobin is lo= w; choose-- ->...» «IDA...»}
           &nbs= p;            &= nbsp;           &nbs= p;           ELSE {IF LAB<HEMOGLOBIN> > "15.5" {LAB<HEMOGLOBIN&g= t;[- Date] «LineDelete» <BR>Your hemoglobin level is elevate= d. «Not_Sgnif» «Make_appt» «Retest» &laq= uo;Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {«*** The hemoglobin is normal» «Del» «IDA...»}
           &nbs= p;            &= nbsp;           &nbs= p;                &nbs= p;    }
           &nbs= p;            &= nbsp;           &nbs= p;    }
           &nbs= p;           }||

||IF PAT_SEX =3D "m" {IF LAB<HEMATOCRIT> =3D "&quo= t; {«*** No Hematocrit results in EHR...»}
           &nbs= p;            &= nbsp;           &nbs= p; ELSE {«*** Normal hematocrit ranges vary by age; PICK Pt. age range----- >» «AGE_Hct_m...»}
           &nbs= p;            &= nbsp;     }
            ELSE {IF LAB<HEMATOCRIT> =3D "" {«*** No Hematocrit results in EHR...»}
           &nbs= p;            &= nbsp;     ELSE {«*** Normal hematocrit ranges vary by age; PICK Pt. age range----->» «AGE_Hct_f...»}
           &nbs= p;          }||

||IF LAB<PLATELET COUNT> =3D "" {«*** No platelet= count results in EHR...»}
         ELSE {IF LAB<PLATELET COUNT> < "150" {LAB<PLATELET COUNT>[-Date] «LineDelete» <BR>Your platelet count is low.  The normal range is between 150 and 450.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;               ELSE {IF LAB<PLATELET COUNT> > "450"
{LAB<PLATELET COUNT>[- Date] «LineDelete» <BR>Your platelet count = is elevated.  The normal range is between 150 and 450. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;            &= nbsp;         &nbs= p;          ELSE {«*** The platelet count is normal» «Del»}
           &nbs= p;            &= nbsp;             }<= /font>
           &nbs= p;        }||

||IF LAB<TSH> =3D "" {«Del»}
       &nbs= p; ELSE {The results from your most recent tests for thyroid function: «Norml_All» «Not_Ordrd2» «LineDelete»= }||

||IF LAB<TSH> =3D "" {«*** No TSH results in EHR...»}
         ELSE {IF LAB<TSH> < "0.4" {LAB<TSH>[-Date] «LineDelete» <BR> «*** The TSH is LOW.  Use = the "abnTSH_Lo" button-- - >...» «abnTSH_Lo...»= ;}
           &nbs= p;            &= nbsp;  ELSE {IF LAB<TSH> > "4.0" {LAB<TSH>[-Date] «LineDelete» <BR> «*** The TSH is HI.  Use t= he "abnTSH_Hi" button--- >...» «abnTSH_Hi...»= }
           &nbs= p;            &= nbsp;           &nbs= p;        ELSE {LAB<TSH>[-Date] «LineDelete»<BR> «***= The TSH is NORMAL» Your thyroid function test (TSH) is normal.  «cntMED_thy» «Call2» «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
           &nbs= p;                  &nbs= p;      }
           &nbs= p;       }||
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||IF LAB<PSA, TOTAL> =3D "" {«Del»}<= br>
       &nbs= p; ELSE {The results from your most recent test for prostate screenin= g: «Norml_All» «Not_Ordrd2» «LineDelete»= }||

||IF LAB<PSA, TOTAL> =3D "" {«*** No PSA results = in EHR...»}
        ELSE {Your Prostate Specific Antigen (PSA, a screening test for abnormali= ties of the prostate) test result was LAB<PSA, TOTAL>[- Date].  The normal range is IF PAT_AGE >=3D "70" {0 - 5.6 ng/ml.}=
            ELSE  {IF PAT_AGE >=3D "65" AND PAT_AGE <=3D "6= 9" {0 - 5.1 ng/ml.}
           &nbs= p;            &= nbsp;       ELSE  {IF PAT_AGE >=3D "60" AND PAT_AGE <=3D "6= 4" {0 - 4.1 ng/ml.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; ELSE  {IF PAT_AGE >=3D "55" AND PAT_AGE <=3D "5= 9" {0 - 3.4 ng/ml.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         ELSE {0 - 2.5 ng/ml.}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            }
           &nbs= p;            &= nbsp;           &nbs= p;       }
           &nbs= p;             }<BR>

Your test was IF PAT_AGE >=3D "70" AND LAB<PSA, TOTAL&g= t; >=3D "0" AND
LAB<PSA, TOTAL> <=3D "5.6" {normal.<BR>}
           &nbs= p;            &= nbsp;      ELSE {IF PAT_AGE >=3D "65" AND PAT_AGE <=3D "69"= ; AND
LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL> <=3D "5= .1" {normal.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;             ELSE  {IF PAT_AGE >=3D "60" AND PAT_AGE <=3D "6= 4" AND LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL>= <=3D "4.1" {normal.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        ELSE  {IF PAT_AGE >=3D "55" AND PAT_AGE <=3D "5= 9" AND LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL>= <=3D "3.4" {normal.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  ELSE  {IF LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL> <=3D "2.5" {normal.<BR>}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        ELSE {high.   An elevated or changing PSA may indicate an abnor= mal prostate.  When compared to your last PSA, your level is «stable» «changing».  Please repeat the test= in «6months» «1year». «Make_Appt»}
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      }
           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            }
           &nbs= p;            &= nbsp;           &nbs= p;     }
           &nbs= p;       }||

||IF PAT_SEX =3D "f" {«For normal Paps, pick "Nl_Pap"» «Nl_Pap» «AbnPAP»}
          ELSE {«Del»}||


Sincerely yours,
||<BR><BR><BR>||
«Prov» «MA»

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<= /span>
•
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•Questions?????
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Second level
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Version 8.2.3 & 9.2.1
17 month
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 94
17 mo&= #13;
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 94
1 yr 5 mo
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 94

18 month
Del
18 mo&= #13;
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 13
1 yr 6 mo
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 13

20 Month
Del
20 mo&= #13;
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 13
1 yr 8 mo
Height Percentile: Del 0.00
Weight Percentile: Del 2.= 13
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Vitals Logic Test Results   
Logic Embedded in Template
Height: 65
Health Maintenance: Height X
Weight: 160
Health Maintenance: Weight X

QuickText Label Embedded in Template
Height: 65.H: Height X Weight: 160.H: Weight X
Using QuickText Button
Height: 65
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Weight: 160
Health Maintenance: Weight X
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||IF LAB<CHOLESTEROL> =3D "" AND LAB<TRIGLYCERIDES> =3D "" AND LAB<LDL- CHOLESTEROL> = =3D "" AND LAB<HDL-CHOLESTEROL> =3D ""  {«= ;*** No Lipids results in EHR...»<BR>}
   &nbs= p;     ELSE {IF LAB<CHOLESTEROL> =3D "" {«*** No Total Cholesterol results in EHR...» <BR>}
   &nbs= p;            &= nbsp;           ELSE {Lipids: <BR> TOTAL LAB<CHOLESTEROL>[- Date]
        = ;            &n= bsp;            = ;      IF LAB<Cholesterol Goal> <> "" {IF LAB<CHOLESTEROL> >=3D LAB<Cholesterol Goal> {«*** Res= ult is above Total LAB<Cholesterol Goal>...» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;             = ;            &n= bsp;            = ;            &n= bsp;  ELSE {«*** Result is positive, below Total LAB<Cholesterol Goal>» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;               = ;            &n= bsp;            = ;            &n= bsp;     }
        = ;            &n= bsp;            = ;             ELSE {«*** No Total Cholesterol Goal assigned...» <BR>}
        = ;            &n= bsp;            = ;     }
   &nbs= p;            &= nbsp;   IF LAB<LDL-CHOLESTEROL> =3D "" {«*** No LDL Cholesterol results in EHR...» <B= R>}
   &nbs= p;            &= nbsp;           ELSE {LAB<LDL-CHOLESTEROL>[= -Date]
        = ;            &n= bsp;            = ;      IF LAB<LDL Goal> <> "" {IF LAB<LDL-CHOLESTEROL> >=3D LAB<LDL Goal> {«*** Result = is above LAB<LDL Goal>...» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;             = ;            &n= bsp;            = ;     ELSE {«*** Result is positive, below LAB<LDL Goal>&raqu= o; <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;              = ;            &n= bsp;            = ;        }
         = ;            &n= bsp;            = ;           ELSE {«*** No LDL Cholesterol Goal assigned...» <BR>}
        = ;            &n= bsp;            = ;     }
   &nbs= p;            &= nbsp;  IF LAB<HDL-CHOLESTEROL> =3D "" {«*** No HDL Cholesterol results in EHR...»<BR= >}
   &nbs= p;            &= nbsp;           ELSE {LAB<HDL-CHOLESTEROL>[= -Date]
        = ;            &n= bsp;            = ;      IF LAB<HDL Goal> <> "" {IF LAB<HDL-CHOLESTEROL> <=3D LAB<HDL Goal> {«*** Result = is below LAB<HDL Goal>...» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;             = ;            &n= bsp;            = ;     ELSE {«*** Result is positive, above LAB<HDL Goal>&raqu= o; <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;               = ;            &n= bsp;            = ;        }           =             &nb= sp;            =             &nb= sp; 
         = ;            &n= bsp;            = ;           ELSE {«*** No HDL Cholesterol Goal assigned...» <BR>}
        = ;            &n= bsp;            = ;     }
   &nbs= p;            &= nbsp;  IF LAB<TRIGLYCERIDES> =3D "" {«*** No Triglycerides results in EHR...»} <= /span>
   &nbs= p;            &= nbsp;            ELSE {LAB<TRIGLYCERIDES>[-Date]
        = ;            &n= bsp;            = ;       IF LAB<Triglycerides Goal> <> "" {IF LAB<TRIGLYCERIDES> >=3D LAB<Triglycerides Goal> {«*** Result is above LAB<Triglycerides Goal>...» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;              = ;            &n= bsp;            = ;             ELSE {«*** Result is positive, below LAB<Triglycerides Goal>» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;               = ;            &n= bsp;            = ;            &n= bsp;        }
        = ;            &n= bsp;            = ;            &n= bsp; ELSE {«*** No Triglycerides Goal assigned...» <BR>}
        = ;            &n= bsp;            = ;      }
   &nbs= p;            &= nbsp; }
||
20
21
22
23
Review of Systems    = 3;

Constitutional:  negative «except» «wt_chng» «xNotd_abov&raqu= o; «ROSGener...»
Eyes:  negative «except» «xNotd_abov» «ROSEyes...»&nbs= p;
   Most recent Eye Exam: ||IF LAB<EYE EXAM> =3D "Completed" OR LAB<EYE EXAM> =3D "Yes" {LAB<EYE EXAM>[- DATE] «UpdtEyeExm»} = 3;
        = ;            &n= bsp;            = ;            &n= bsp;    ELSE {«Del» «None_EHR» «Unknown» «EyeComplet»}||
Ears, Nose, Mouth, Throat:  negative «except» «xNotd_abov» «ROSENMT...» 
   Most recent Dental Exam: ||IF LAB<Dental Exam> =3D "Completed" = OR LAB<Dental Exam> =3D "Yes" {LAB<Dental Exam>[- DATE] «UpdtDenExm»}
        = ;            &n= bsp;            = ;            &n= bsp;       ELSE {«Del» «None_EHR» «Unknown» «DentComple»}||
Cardiovascular: negati= ve «except» «xNotd_abov» «ROSCVS...» 
Respiratory:  negative «except» «xNotd_abov» «ROSResp...» 
||IF PAT_SEX =3D "f" {Breasts:  negative «except» «xNotd_abov» «ROSBreast...»}
         ELSE {Breasts: «Del» «negative» «except» «xNotd_abov» «ROSBreast...»}||
||IF PATIENT_AGE_IN_YEAR_MONTHS > "11" {IF PAT_SEX =3D "f&quo= t; {Most recent Mammogram: IF LAB<Mammogram> <> "" {LAB<Mammogram>[- DATE] «UpdtMammo»}
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;          ELSE {«Del» «None_EHR» «Unknown» «MammComple»}
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;          }
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;             ELSE {«Del»}
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;       }
        = ;    ELSE {«No mammogram required for patient of this age»}||
Gastrointestinal:  negative «except» «xNotd_abov» «ROSGI...» 
Genitourinary:  negative «except» «xNotd_abov» «ROSGU...» 
   ||IF PAT_SEX =3D "f&qu= ot; {Most recent PAP: IF LAB<Pap_Smear> <> "" {LAB<Pap_Smear>[- DATE] «UpdtPAP»}
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            ELSE {«Del» «None_EHR» «Unknown» «PapComple»}
        = ;            &n= bsp;             }
        = ;     ELSE {«Del»}||
   ||IF PAT_SEX =3D "m" AND PAT_AGE > "39" {Most recent DRE= : IF LAB<Prostate> <> "" {LAB<Prostate>[-DATE] «UpdtProst»}
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;             ELSE {«Del» «None_EHR» «Unknown»= ; «ProsComple»}
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp; }
        = ;     ELSE {«Del»}||
Musculoskeletal:  negative «except» «xNotd_abov» «ROSMusc...» 
Skin:  negative «except» «xNotd_abov» «ROS_Skin...»&nb= sp;
Neurological:  negative «except» «xNotd_abov» «ROSNeuro...» 
Psychiatric:  negative «except» «xNotd_abov» «ROSPsych...» 
Endocrine:  negat= ive «except» «xNotd_abov» «ROSEndo...»&nbs= p;
Hematologic/Lymphatic:=   negative «except» «xNotd_abov» «ROSHemeLy...» 
Allergic/Immunologic:&= nbsp; negative «except» «xNotd_abov» «ROSAllImm...» 
24
Diabetes=

Providers:  «REQ»

||PAT_FNAME|| ||PAT_LNAME|| is a «*age*» «*sex*» presents for «an initial» «a follow-up» evaluation of diabetes mellitus. R= 24;C1‡
Patient accompanied by ||IF PAT_SEX =3D "m" {his}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       ELSE {her}||: «Del» «with_whom...»
Patient's last «Del» ||LAB<visit>[-Date]||

Subjective

Major Problems = ; «none»<= /u>
Insert Major Proble= ms:

Diabetes Mellitus:<= /b>    = 3;
   &nbs= p; ||IF PAT_SEX =3D "f" {Her}
   &nbs= p;           ELSE {His}|| diabetes is usually managed by an endcrinologist: «Del» «yes» «no» «Endo_Dr...&raq= uo;
   ||IF PAT_= SEX =3D "f" {She}
   &nbs= p;           ELSE {He}|| measures blood sugar as outpatient:  «Del» «yes» «no»
   &nbs= p;    Frequency of outpatient blood sugar measurement (days per week): «Del» «never»
   &nbs= p; Fasting Blood Sugar: «Del»
   &nbs= p; Post-Prandial Glucose: «Del»
   &nbs= p; Bedtime (HS) Glucose: «Del»
   &nbs= p; On Insulin therapy: «Del» «yes» «no» &= #13;
   &nbs= p; Hypoglycemia: «Del» «yes» «no»
   &nbs= p;      Frequency of hypoglycemia (days per month): «Del» «never»
   &nbs= p; Recent Med changes:  «Del» «none»
   &nbs= p; Medication compliance: «Del» «poor» «fair&ra= quo; «good» «excellent»
   &nbs= p; Diet (patient estimate): «Del» «very-hlthy» «mod-hlthy» «poor» «DietInfo...» =
   &nbs= p; Exercise: «Del» «yes» «no» «walking» «running» «gym.» «other.»
   &nbs= p;       Frequency of exercise (days per week): «Del»  «never»
   &nbs= p;       Minutes of exercise per week:  «Del»
   &nbs= p; Change in Wt: «Del»  «none»   «lbs»  «up.»  «down»  «in»   «months»
   &nbs= p; Smoking: «Del» «yes» «no» =
   &nbs= p; Alcohol: «Del» «yes» «no» =
   &nbs= p; ||IF PAT_SEX =3D "m" {Erectile Dysfunction: «Del» «yes» «no»}
   &nbs= p;           ELSE {«Del»}||
 
Lab Results   &nbs= p;

||IF LAB<HEMOGLOBIN A1C> <> "" {IF LAB<HEMOGLOBIN A1C> >=3D "7.0" {LAB&= lt;HEMOGLOBIN A1C>[- Date] «= ;*** High...»}
   &nbs= p;    ELSE {LAB<HEMOGLOBIN A1C>[- Date]<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  }
   &nbs= p;          ELSE {«*** No Hemoglobin A1C results in EHR...»}||
||IF LAB<HEMO A1C (POC)> <> "" {IF LAB<HEMO A1C (POC)> >=3D "7.0" {LAB&= lt;HEMO A1C (POC)>[- Date] «*** High...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           ELSE {LAB<HEMO A1C (POC)>[- Date]<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            }
   &nbs= p;          ELSE {«*** No Hemoglobin A1C (POC) results in EHR...»}||
25

||IF LAB<MICROALBUM= IN, UR> =3D "" AND LAB<MICROALBUMIN(POC)> =3D "" {«Spot Urine Microalbumin: no results in EHR...»} =
   &nbs= p;       ELSE {IF LAB<MICROALBUMIN, UR> > "18" {LAB<MICROALBU= MIN, UR>[- Date]  «HIGH...»<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;    ELSE {IF LAB<MICROALBUMIN, UR> <> "" {LAB<MICROAL= BUMIN, UR>[- Date] <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   }
   &nbs= p;            &= nbsp;       IF LAB<MICROALBUMIN(POC)> > "0" {LAB<MICROALBUMIN(POC)>[- Date]  «HIGH...»}
   &nbs= p;            &= nbsp;           &nbs= p;    ELSE {IF LAB<MICROALBUMIN(POC)> <> "" {LAB<MICROA= LBUMIN(POC)>[-Date]}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   }
   &nbs= p;            &= nbsp;      }||

||IF LAB<CREAT> <> "" {IF PAT_SEX =3D "m" {IF LAB<CREAT> &= gt; "1.20" {Serum Creatinine:  LAB<CREAT>[-Date]  «HIGH...»} 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;     ELSE {Serum Creatinine:  LAB<CREAT>[-Date]}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           ELSE {IF LAB<CREAT> > "1.10" {Serum Creatinine:  LAB<CREAT>[-Date]  «HIGH...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        ELSE {Serum Creatinine: LAB<CREAT>[- Date]}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; }
   &nbs= p;          ELSE {«*** Serum Creatinine: no results in EHR...»}||

||IF LAB<CHOLESTEROL> =3D "" AND LAB<TRIGLYCERIDES> =3D "" AND LAB<LDL- CHOL> =3D "" AND LAB<HDL-CHOL= > =3D ""  {«*** Lipids: no results in EHR...»<BR>= ;}
   &nbs= p;        ELSE {IF LAB<CHOLESTEROL> =3D "" {«*** Total cholest= erol: no results in EHR...»<BR>} 
   &nbs= p;            &= nbsp;            ELSE {Lipi= ds: <BR> TOTAL LAB<CHOLESTEROL>[- Date]<BR>}
   &nbs= p;            &= nbsp;       IF LAB<LDL-CHOL> =3D "" {«*** LDL cholesterol: no re= sults in EHR...»<BR>} 
   &nbs= p;            &= nbsp;           ELSE {LAB<LDL-CHOL>[-Date]<BR>}
   &nbs= p;            &= nbsp;       IF LAB<HDL-CHOL> =3D "" {«*** HDL cholesterol: no re= sults in EHR...»<BR>} 
   &nbs= p;            &= nbsp;            ELSE {LAB<HDL-CHOL>[-Date]<BR>}
   &nbs= p;            &= nbsp;       IF LAB<TRIGLYCERIDES> =3D "" {«*** Triglycerides: no results in EHR...»} 
   &nbs= p;            &= nbsp;           ELSE {LAB<TRIGLYCERIDES>[-Date]}
   &nbs= p;            &= nbsp;        }||
 
||IF LAB<TSH> <> "" {Thyroid:<BR>IF LAB<TSH> <> "" {LAB<TSH>[- Date]<BR>}
   &nbs= p;      ELSE {«*** TSH: no results in EHR...»<BR>}||
||IF LAB<TSHR> <> "" {LAB<TSHR>[-Date]}
   &nbs= p;      ELSE {«*** TSHR: no results in EHR...»}||

Previous Exams<= /span>   &nbs= p;

||IF LAB<Eye Exam-Done> =3D "Yes" {Most recent LAB<Eye Exam-Done>[-Date]<BR>}
   &nbs= p;      ELSE {«Del» «*** Eye Exam may be needed - EHR indicates Eye E= xam not completed, or no results...»}||
«If needed, upda= te with prior completion date» Eye Exam previously completed: «Del» «Yes_Eye_Dn» «no»

||IF LAB<Foot Exam-Done> =3D "" {«*** Foot Exam may be needed - no re= sults in EHR...»}
   &nbs= p;      ELSE {Most recent LAB<Foot Exam-Done>[-Date]}|| 
«If needed, upda= te with prior completion date» Foot Exam previously completed: «Del» «Yes_Ft_Dn» «no»

||IF LAB<EKG> =3D "normal" OR LAB<EKG> =3D "abnormal" {Last record= ed EKG information: LAB<EKG>[-Date]}
   &nbs= p;       ELSE {IF LAB<EKG> =3D "Yes" OR LAB<EKG> =3D "Y&= quot; {Last recorded EKG information: LAB<EKG>[-Date] 
«*** This result implies, but does not confirm that an EKG has been completed.  Check = the EKG tab for complete information...» <BR> «*** Document previous EKG, if= one exists...» «PrevEKG»}
   &nbs= p;            &= nbsp;           &nbs= p;   ELSE {IF LAB<EKG-Given> =3D "Yes" {Most recent LAB<EKG- Given>[-Date]}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         ELSE {«*** No current EKG status available.  Check EKG tab and docum= ent previous EKG, if one exists...» «PrevEKG»} <= /div>
   &nbs= p;            &= nbsp;           &nbs= p;             }
   &nbs= p;            &= nbsp;      }||

26
Immunizations   &nbs= p;

||IF LAB<Influenza Vaccine> =3D "" AND LAB<Influenza LIAV> =3D ""= ; AND HM<Influenza Vaccine> =3D "" {«*** Influenza Vaccina= tion may be needed - no results in EHR...» <BR> 
        = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp; «*** If Influenza Vaccination given in the past, use followin= g QuickText to update status...»}
   &nbs= p;       ELSE {IF LAB<Influenza Vaccine> =3D "x" OR LAB<Influenza Vaccine> =3D "X" {Most recent LAB<Influenza Vaccine>[- Date]<BR> }
   &nbs= p;            &= nbsp;           &nbs= p;    ELSE {IF LAB<Influenza LIAV> =3D "x" OR LAB<Influenza LIAV> =3D "X" {Most recent LAB<Influenza LIAV>[-Date]} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            ELSE {«*** Influenza Vaccination may be needed - results in EHR are = not conclusive...» <BR> 
        = ;            &n= bsp;            = ;            &n= bsp;            = ;      «*** If Influenza Vaccination given in the past, use following QuickText to update status...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   }
   &nbs= p;            &= nbsp;       }||
«If needed, upda= te with prior completion date» Influenza Vaccination previously given: «Del» «Updt_Flu» «no»

||IF LAB<Pneumo (PP= V) Vacc> =3D "" AND HM<Pneum_Vacc> =3D "" {&laqu= o;*** Pneumonia (PPV) Vaccination may be needed - no results in EHR...» <BR> 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       «*** If Pneumonia (PPV) Vaccination given in the past, use following QuickText = to update status.= ..»}
   &nbs= p;       ELSE {IF LAB<Pneumo (PPV) Vacc> =3D "x" OR LAB<Pneumo (= PPV) Vacc> =3D "X" {Most recent LAB<Pneumo (PPV) Vacc>[-Date= ]}
   &nbs= p;            &= nbsp;           &nbs= p; ELSE {«*** Pneumonia (PPV) Vaccination may be needed - results in EHR are= not conclusive...» <BR> 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; «*** If Pneumonia (PPV) given in the past, use following QuickText to update status...»}
   &nbs= p;            &= nbsp;     }||
«If needed, upda= te with prior completion date» Pneumonia (PPV) Vaccination previously given: «Del» «Updt_Pneum» «no»

Diabetes Education<= /b>   &nbs= p;

||IF LAB<Diab Educ-Recomnd> =3D "" {«*** Diabetes Education Program recommendation - no results in EHR...»} 
   &nbs= p;       ELSE {IF LAB<Diab Educ-Recomnd> =3D "Yes" {Diabetes Educat= ion was last recommended: LAB<Diab Educ- Recomnd>[-Date]}|| <= /div>
«If needed, upda= te with prior recommendation date» Diabetes Education previously recommended: «Del» «Yes_EduRec» «no» &= #13;

||IF LAB<Diab Educ-Done> =3D "" {«*** Diabetes Education Program comp= letion - no results in EHR...»<BR>} 
   &nbs= p;      ELSE {IF LAB<Diab Educ-Done> =3D "Yes" {Last Diabetes Educ= ation Class:  LAB<Diab Educ-Done>[-Date]}}||
«If needed, upda= te with prior completion date» Diabetes Education previously completed: «Del» «Yes_Edu_Dn» «no»

Current Medications  «none»
Insert Current Medications:

||IF LAB<ACE/ARB Prescribed> =3D "" {«*** ACE / ARB prescription status = - no results in EHR...»}
   &nbs= p;       ELSE {IF LAB<ACE/ARB Prescribed> =3D "No" OR LAB<ACE/ARB Prescribed> =3D "N" {«ACE / ARB has not been prescribed»}
   &nbs= p;            &= nbsp;           &nbs= p; ELSE {LAB<ACE/ARB Prescribed>[-Date]} 
   &nbs= p;            &= nbsp;     }||
«If information available, update» ACE / ARB previously prescribed: «Del» «YesACE_Old» «No_ACE_Old»

||IF LAB<Aspirin Prescribed> =3D "" {«*** Aspirin prescription status - = no results in EHR...»} 
   &nbs= p;       ELSE {IF LAB<Aspirin Prescribed> =3D "No" OR LAB<Aspirin Prescribed> =3D "N" {«Aspirin has not been prescribed&r= aquo;}
   &nbs= p;            &= nbsp;           &nbs= p;  ELSE {LAB<Aspirin Prescribed>[-Date]} 
   &nbs= p;            &= nbsp;     }||
«If information available, update» Aspirin previously prescribed:  «Del» «YesASA_Old» «No_ASA_Old» <= /span>

Allergies
Insert Allergies:

Past Medical Histor= y   &nbs= p;   
«Insert Past Med= ical History»
«Update Past Med= ical History»
Revi= ewed Past Medical History: «Del» «yes» «no» †P1‡

Social History<= /span> 
«Insert Social History»
«Update Social History»
Reviewed Social History: «Del» «yes» «no» †P3‡

27
Family History = ;
«Insert Family History»
«Update Family History»
Reviewed Family History: «Del» «yes» «no» †P2‡

Health Maintenance<= /b>
Health Maintenance ite= ms that are not<= /b> up to date:  ||HM[-notuptodate]|| «LineDelete»

Health Maintenance ite= ms that are<= /b> up to date:  ||HM[-uptodate]|| «LineDelete»

Objective

||IF VITAL_HGT[=3DTodaysDate] =3D "" AND VITAL_WGT[=3DTodaysDate] =3D "" AND VITAL_BPSYS[=3DTodaysDate] =3D "" AND VITAL_BPDIA[=3DTodaysDate] =3D "" AND VITAL_PULSE[=3DTodaysDate] =3D "" = AND VITAL_TEMP[=3DTodaysDate] =3D "" AND VITAL_OTHER[=3DTodaysDate] = =3D "" AND VITAL_OFC[=3DTodaysDate] =3D "" {«*** No = Vitals have been enter= ed in the Vitals tab for today» <BR>«*** Please enter Vitals using the Vitals Tab, then return here and click the entry below» <BR><BR>&l= aquo;Insert Today's Vitals»}
   &nbs= p;     ELSE
{IF VITAL_HGT[=3DToday= sDate] <> "" {Height: VITAL_HGT} ELSE {«Del»} <BR> =
IF VITAL_WGT[=3DTodays= Date] <> "" {Weight: VITAL_WGT} ELSE {«Del» «Declined to be weighed»} <BR>
IF VITAL_BPSYS[=3DTodaysDate] <> "" {Blood Pressure:  VITAL_BPSYS}&nb= sp; /  IF VITAL_BPDIA[=3DTodaysDate] <> "" {VITAL_BPDIA} = ELSE {«Del»} <BR>
IF VITAL_PULSE[=3DTodaysDate] <> "" {Pulse: VITAL_PULSE} ELSE {«Del»} <BR>
IF VITAL_TEMP[=3DToday= sDate] <> "" {Temperature: VITAL_TEMP} ELSE {«Del»} <BR>
IF VITAL_OTHER[=3DTodaysDate] <> "" {Respiration Rate: VITAL_OTHER} ELSE {«Del»}}||
||IF VITAL_OFC[=3DTodaysDate] <> "" {Head Circumference: VITAL_OFC}
   &nbs= p;       ELSE {«Del»}||

Body Mass Index: «Del» ||BODY_MASS_INDEX[-Date]||
   &= nbsp; ||Height: VITAL_HGT[-Date]|| (Date at left also applies to BMI above)<= /span>
||IF PATIENT_AGE_IN_MO= NTHS >=3D "216" {«Del»}
   &nbs= p;       ELSE {Heig= ht Percentile: «= Del» PERCENTILE_HEIGHT<BR>

||IF LAB<Abdominal Girth> =3D "" {Abdominal girth: «Del» «Abd_Girth»} 
   &nbs= p;      ELSE {LAB<Abdominal Girth>[-Date]<BR>New abdominal girth: «Del» «Abd_Girth»}||

General: «Del&ra= quo; «General» «except» «overweight» «ChronIllAp»
Skin: «Del» «skin-nl» «except»
Eyes: «Del» «eyes-nl»  «except»
Mouth and nose: «Del» «mouth-nl»  «except» <= /span>
Thyroid: «Del&ra= quo; «neck-nl»  «except»
Heart: «Del&raqu= o; «heart-nl»  «except»
Lungs: «Del&raqu= o; «lungs-nl»  «except»
Abdomen: «Del&ra= quo; «abdom-nl»  «except»
Neurologic: «Del» «neuro-nl»  «except» <= /span>
Extremities: «Del» «extrem-Nl»  «except» =


Tests Completed<= /u>  

||IF LAB<Foot Exam-Done> =3D "" {«*** Foot Exam may be needed - no re= sults in EHR...»}
        = ;  ELSE {Most recent «Del» LAB<Foot Exam-Done>[-Date]<BR>Most recent «Del» LAB<Foot Ex= am- Done>[- Date]}||
Foot Screen done today: «Del» «Yes_Ft_exm» «no»

«EKG_Today»

«EKG_Rslts»


Assessment    = 3;

Diabetes=   -  «good»  «NotAtGoal»  «GoalHgbA1C»
«DM_Type_1»
«DM_Type_2»

28
||IF LAB<MICROALBUM= IN, UR> > "0" OR LAB<MICROALBUMIN(POC)> > "0&quo= t; {.MP: Nephropathy, Diabetic : 583.81} 
   &nbs= p;       ELSE {«DiabNephro»}||
||IF PAT_SEX =3D "male" {IF LAB<CREAT> > "1.20"{.MP: Renal Insufficiency : 585.9}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  ELSE {«Del»}
   &nbs= p;            &= nbsp;           &nbs= p;       }
   &nbs= p;       ELSE {IF LAB<CREAT> > "1.10" {.MP: Renal Insufficiency : 585.9}
   &nbs= p;            &= nbsp;            ELSE {«Del»}
      &nbs= p;            &= nbsp;  }||
«DiabRetin»
«DiabNeuro»

«DXType...»
«DXTop50...&raqu= o;
«Additional MP or DX»


Plan   &nbs= p; 

Orders Made: «Del» «none»  «none» «Fasting2» «in»  «*»  «months»
   Blood tes= ts: «Del»  «BloodTst...» 
   Other tes= ts: «Del» «FOB» «U/A.» «spotMA»
   Diagnosti= cs: «Del» «none»
   «CXR_Ord»
   «PFT_Ord»
   «EKG_Ord» 
   &= nbsp; Laboratory: «Del» «Lab#...» †D1‡
   &= nbsp; Diagnostic Imaging: «Del» «XRay...»  †D2‡
   &nbs= p; EKG: «Del» «yes» «no» †D3‡
   &nbs= p; Spriometry: «Del» «yes» «no» †D3‡
Medications: «Del» «no change» «see medications below»
   &nbs= p; Non-Prescription medication(s): «Del»

Medications:

||IF LAB<ACE/ARB Prescribed> =3D "" {«ACE / ARB prescription status - no results in EHR...»}
   &nbs= p;       ELSE {IF LAB<ACE/ARB Prescribed> =3D "No" OR LAB<ACE/ARB Prescribed> =3D "N" {«ACE / ARB has not been prescribed»}
   &nbs= p;            &= nbsp;           &nbs= p; ELSE {IF LAB<ACE/ARB Prescribed> =3D "Contraindicated" OR LAB<ACE/ARB Prescribed> =3D "Declined" OR LAB<ACE/ARB Prescribed> =3D "A= llergic" OR LAB<ACE/ARB Prescribed> =3D "Yes" {LAB<ACE/ARB Prescribed>[-Date]} 
             &= nbsp;           &nbs= p;            &= nbsp;          ELSE {«ACE / ARB prescription status - no results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;            }
   &nbs= p;            &= nbsp;      }||
«If needed, update» ACE / ARB Prescribed: «Del» «Yes_ACE»  «No_ACE»

||IF LAB<Aspirin Prescribed> =3D "" {«*** Aspirin prescription status - = no results in EHR...»} 
   &nbs= p;      ELSE {IF LAB<Aspirin Prescribed> =3D "No" OR LAB<Aspirin Prescribed> =3D "N" {«Aspirin has not been prescribed&r= aquo;}
   &nbs= p;            &= nbsp;           ELSE {IF LAB<Aspirin Prescribed> =3D "Contraindicated" OR LAB<Aspirin Prescribed> =3D "Declined" OR LAB<Aspirin Prescribed> =3D "Allergic" OR LAB<Aspirin Prescribed> =3D "Yes" {LAB<A= spirin Prescribed>[-Date]} 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    ELSE {«*** Aspirin prescription status - no results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;    }||
«If needed, update» Aspirin Prescribed:  «Del» «Yes_ASA» «No_ASA»

Non-Prescription medications: «Del»  «None»

29
Immunizations:<= /span> «none» &#= 13;

||IF LAB<Influenza Vaccine> =3D "" AND LAB<Influenza LIAV> =3D ""= ; AND HM<Flu_Vaccin> =3D "" {«***Influenza Vaccination may= be needed - no results in EHR...»} 
   &nbs= p;      ELSE {IF LAB<Influenza Vaccine> =3D "x" OR LAB<Influenza Vaccine> =3D "X" {Most recent LAB<Influenza Vaccine>[- = Date] <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;ELSE {IF LAB<Influenza LIAV> =3D "x" OR LAB<Influenza LIAV&g= t; =3D "x"  {Most recent LAB<Influenza LIAV>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {«*** Influenza Vaccination may be needed - results in EHR are not conclusive...»}
   &nbs= p;            &= nbsp;           &nbs= p;           }
   &nbs= p;            &= nbsp;    }||
Flu vaccine ordered to= day: «Del» «Yes_FluOrd» «no» «pt_declin.»

||IF LAB<Pneumo (PP= V) Vacc> =3D "" AND HM<Pneum_Vacc> =3D "" {&laqu= o;*** Pneumonia (PPV) Vaccination may be needed - no results in EHR...»}&n= bsp;
   &nbs= p;      ELSE {IF LAB<Pneumo (PPV) Vacc> =3D "X" OR LAB<Pneumo (PPV) Vacc> =3D "x" {Most recent LAB<Pneumo (PPV) Vacc>[-Date= ]}
   &nbs= p;            &= nbsp;           &nbs= p;ELSE {«*** Pneumonia (PPV) Vaccination may be needed - results in EHR are= not conclusive...»}
   &nbs= p;            &= nbsp;   }||
Pneumonia vaccine orde= red today: «Del» «Yes_PPVOrd» «no» «pt_declin.»
Patient Education: = «none» = ;
«Diet» = 3;
«Exercise - Pt Ed»
«Alcohol - Pt Ed»
«Smoking - Pt Ed»

Patient Counseling:= «Del» «none» «Yes_Counsl»

Referrals: «Del» «colonoscpy» «ETT» «stressECHO&raq= uo; «podiatrist»

||IF LAB<Eye Exam-Recomnd> =3D "" {«*** No information on Eye Exam recommendation in EHR...»}
   &nbs= p;     ELSE {Most recent Eye Exam recommentation: LAB<Eye Exam- Recomnd>[- Date]= }||

||IF LAB<Eye Exam-Done> =3D "" {Was an eye exam recommended today? «Del»  «yes_EyeRec» «no» «pt_declin.»}
   &nbs= p;     ELSE {Most recent  LAB<Eye Exam-Done>[-Date]<BR>Was an eye exam recommended agai= n today? «Del»  «yes_EyeRec»  «no» «pt_declin.»}||

Patient Counseling/Education: «none» «YesCnsl_DM» = 3;

Exercise: «Del» «yes» «no»
   &nbs= p; Goal (in min.) of exercise per wk: «Del» «150» = 3;

||IF LAB<Self-Care Goal> =3D "" {«*** No information on Self-Care Goal counseling exists in EHR...» Was a Self- Care Goal discussed today? «Del» «Yes_Self» «no» «pt_declin.»} 
   &nbs= p;     ELSE {The most recent recorded discussion of Self-Care Goal: <BR«Del» LAB<Self-Care Goal>[- Date] <BR>Was a Self- Care Goal discussed again today? «Del» «Yes_Goal»  «no»  «pt_declin.»}||

||IF LAB<Diab Educ-Recomnd> =3D "" {«*** No information on Diabetes Education Program recommendation in EHR...» Diabetes Education recommended today: «= Del» «YesEduRec» «no»} 
   &nbs= p;     ELSE {Diabetes Education was last recommended: LAB<Diab Educ- Recomnd>[-Date]<BR>Diabetes Education recommended again today: «Del&raqu= o; «YesEduRec» «no»}||

Health Maintenance Updates: «none»
«Health Maintenance...»

Follow-up: «Del» «F/U...» «prn» «with Primary Care Provider» «at this clinic»

Patient agrees to a= bove plan: «Del» «yes» «no»

Visit time/counseling/coordination of care: «Del» «Visit Time»

Lab: visit : - =




30
Lab Letter - Physical   

«*** PICK desired type of Print setup...»
«pgEMG_LH» «*** Designed for EMG LETTERHEAD paper...»

«***The following are designed for PLAIN PAPER, but include the clinic address in the header...»
«pgCAN» «*** Canyon Park...»
«pgDUV» «*** Duvall...»
«pgFMR» «*** FMR...»
«pgKEN» «*** Kenmore...»
«pgRFH» «*** Redmond Family...»
«pgRUC» «*** Redmond Urgent Care...»
«pgSAM» «*** Sammamish...»
«pgWDNV» «*** Woodinville...»
«pgWDNV_UC» «*** Woodinville Urgent Care...»

||DATE||


||PAT_FNAME|| ||PAT_LNAME||
||IF PAT_ADDR1 =3D "" {«Del»} ELSE {PAT_ADDR1}||
||IF PAT_ADDR2 =3D "" {«Del»} ELSE {PAT_ADDR2}||
||IF PAT_ADDR3 =3D "" {«Del»} ELSE {PAT_ADDR3}||
||PAT_CITY||, ||PAT_STATE||   ||PAT_ZIP||


Dear ||IF PATIENT_AGE_IN_MONTHS < "216" {parents of PAT_FNAME,}
   &nbs= p;            &= nbsp; ELSE {IF PAT_SEX =3D "m" {Mr. PAT_LNAME,}
   &nbs= p;            &= nbsp;           &nbs= p;        ELSE {Ms. PAT_LNAME,}}||  

«Thank you for choosing» «Sorry unable to reach by phone»  «Category.»

31
The results of your mo= st recent lipid (cholesterol) level tests follow: «Not_Ordrd2» «Norml_All» «LineDelete»

||IF LAB<CHOLESTEROL> =3D "" {«*** No Total Cholesterol l= evel in the EHR...»}
   &nbs= p;     ELSE {LAB<CHOLESTEROL>[-Date]}|| 
||IF LAB<CHOLESTEROL> <> "" {IF LAB<CHOLESTEROL> &l= t;=3D "199" {Your total cholesterol level is within normal limits.   The goal for total cholesterol is less than 200 and you are meeting this goal.  Eating healthy food that is low in fat and cholesterol may help protect the body from the damaging effects of = cholesterol.<BR>= } 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    ELSE {IF LAB<CHOL/HDL RATIO> < "4.98" AND LAB<CHOL/HDL RATIO> > "0" {Although your total cholesterol is elevated, this elevati= on alone is not worrisome since a significant portion of the elevation of your total cholesterol is due to the "good" cholesterol (the HDL cholesterol).<BR>= ;}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         ELSE {Your total cholesterol is high. The goal for total cholesterol is le= ss than 200 and you are not meeting this goal.  If you have not already established a strategy = to correct this problem, please make an appointment to discuss the issue.&nbs= p; In any case, make plans to have your cholesterol levels rechecked within 4 months at the latest.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        }|| 
||IF LAB<LDL-CHOLESTEROL> =3D "" {«*** No LDL Cholesterol= level in the EHR...»}
   &nbs= p;     ELSE {LAB<LDL-CHOLESTEROL>[-Date]}|| 
||IF LAB<LDL-CHOLESTEROL> <> "" {IF LAB<LDL-CHOLESTEROL> < "100" {Congratulations, your LDL cholesterol level is at the optimal level.  The LDL is the unhealthy form of cholesterol and so the lower the number, the better your LDL level.<BR&= gt;}
   &nbs= p;              = ;            &n= bsp;            = ;            &n= bsp;        ELSE {IF LAB<LDL-CHOLESTEROL> < "130" {Your LDL cholesterol level is at (or close to) optimal level.  The LDL is the unhealthy form of cholesterol and so the lower the number, the better your LDL level.  Eating healthy food that is low in fat and cholesterol will help lower the= LDL cholesterol.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;        = ;            &n= bsp;            = ;            &n= bsp;        ELSE {IF LAB<LDL-CHOLESTEROL> < "160" {Your LDL cholesterol level is borderline high.  The LDL is the unhealthy form of cholesterol, so the lower the number, the better your LDL level.  Eat= ing healthy food that is low in fat and cholesterol will help lower the LDL cholesterol.  If = you haven't already established a strategy to correct this problem, please mak= e an appointment to discuss the issue.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          = ;            &n= bsp;            = ;            &n= bsp;            ELSE {IF LAB<LDL-CHOLESTEROL> < "190" {Your LDL cholesterol level is high.  The LDL is the unhealthy form of cholesterol, so the lo= wer the number, the better your LDL level.  Eating healthy food that is l= ow in fat and cholesterol will help lower the LDL cholesterol.  The precise LDL goal for = you depends upon other risk factors, but the current recommendations for an LD= L of this level are that at least Therapeutic Lifestyle Changes (TLC) should be started (see below).   If you haven't already established a strategy to corre= ct this problem, please make an appointment to discuss the issue.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                  = ;            &n= bsp;            = ;            &n= bsp;           ELSE {Your LDL cholesterol level is very high.  The LDL is the unhealthy form of cholest= erol, so the lower the number, the better your LDL level.  Eating healthy f= ood that is low in fat and cholesterol will help lower the LDL cholesterol.&nb= sp; The precise LDL goal for y= ou depends upon other risk factors, but the current recommendations for an LD= L of this level are that cholesterol lowering medication should be started, in additio= n to Therapeutic Lifestyle Changes (TLC).  If you haven't already establis= hed a strategy to correct this problem, please make an appointment to discuss the issue.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          = ;            &n= bsp;            = ;            &n= bsp;          }
   &nbs= p;            &= nbsp;           &nbs= p;            <= span style=3D'mso-spacerun:yes'>        = ;            &n= bsp;            = ;            &n= bsp;          }
   &nbs= p;            &= nbsp;              = ;            &n= bsp;            = ;            &n= bsp;        }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    }|| 
||IF LAB<HDL-CHOLESTEROL> =3D "" {«*** No HDL Cholesterol= level in the EHR...» }
   &nbs= p;     ELSE {LAB<HDL-CHOLESTEROL>[-Date]}|| 
||IF LAB<HDL-CHOLESTEROL> <> "" {IF LAB<HDL-CHOLESTEROL> >=3D "60" {Congratulations, your H= DL cholesterol is excellent.  The HDL cholesterol is the healthy form of cholesterol, so the higher the HDL number the better!  The normal ran= ge is 40 – 100.  Exercise helps to maintain a very good HDL level.<BR>} 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;               = ;        ELSE {IF LAB<HDL-CHOLESTEROL> >=3D "40" {Your HDL cholesterol is good.  The HDL cholesterol is the healthy form = of cholesterol, so the higher the HDL number the better!  The normal range is 40 – 100.  Exercise helps to maintain a very good HDL level.<BR>} &#= 13;
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                   = ;          ELSE {Your HDL cholesterol is too low.  The= HDL cholesterol is the healthy form of cholesterol, so the higher the HDL number = the better!  The normal range is 40 – 100.  Exercise helps to raise HDL level.  If you haven't already established a strategy to correct this problem= or if your current strategy is not allowing you to meet the HDL goal of great= er than 39, please make an appointment to discuss the issue.  If you are= on a new strategy to reduce your LDL to optimal level, make plans to have your cholesterol levels rechecked within 4 months at the latest.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;              = ;         }
   &nbs= p;            &= nbsp;           &nbs= p;            <= span style=3D'mso-spacerun:yes'>        = ;        }|| 
32
||IF LAB<TRIGLYCERIDES> =3D "" {«*** No Triglyceride leve= l in EHR...» }
   &nbs= p;     ELSE {LAB<TRIGLYCERIDES>[-Date]}|| 
||IF LAB<TRIGLYCERIDES> <> "" {IF LAB<TRIGLYCERIDES> < "150" {Your Triglyceride level is normal.  Triglycerid= e is a form of fat and the lower the number the better your triglyceride level.  The no= rmal range is less than 150.  Following the TLC diet (see below) can help = keep your triglyceride level in the normal range.<BR>} 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;     ELSE {IF LAB<TRIGLYCERIDES> < "200" {Your Triglyceride level is borderline high.  Triglyceride is a form of fat, the lower <= /span>the number the better = your triglyceride level.  The normal range is less than 150.  Followi= ng the TLC diet (see below) can help lower your triglyceride level.  If = you haven't already established a strategy to correct this problem, please make an appointment= to discuss the issue.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          ELSE {IF LAB<TRIGLYCERIDES> < "500" {Your Triglyceride level= is high.  Triglyceride is a form of fat, the lower the number the better = your triglyceride level.  The normal range is less than 150.  Followi= ng the TLC diet (see below) can help lower your triglyceride level.  If = you haven't already established a strategy to correct this problem, please make an appointment= to discuss the issue.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    ELSE {Your Triglyceride level is very high.  Triglyceride is a form of fat, the lower the number the better your triglyceride level.  The normal range is l= ess than 150.  Current recommendations are to begin medications to lower = your triglyceride level immedia= tely.  Following the TLC diet (see below) can help lower your triglyceride level = and you should begin it immediately.   If you haven't already established a strateg= y to correct this problem, please make an appointment to discuss the issue as s= oon as possible.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       }|| 
||IF LAB<CHOLESTEROL> =3D "" AND LAB<LDL-CHOLESTEROL> =3D "" AND LAB<HDL- CHOLESTEROL> =3D "" AND LAB<TRIGLYCERIDES> =3D "" {«Del»} =
   &nbs= p;     ELSE {
Therapeutic Lifestyle Changes (TLC) include the following:  eating a low saturated fat, low cholesterol diet (TLC Diet), regular physical activity, and weight = management.  The following is a website detailing the TLC:  www.nhlbi.nih.gov/chd/lifestyles.htm.  The following is a brief summa= ry of the general diet guideli= nes:<BR> 
   &nbs= p; Less than 7% of the day's total calories from saturated fat.<BR>   
   &nbs= p; 25-35 percent of the day’s total calories from fat.<BR>   
   &nbs= p; Less than 200 milligrams of dietary cholesterol a day.<BR>   
   &nbs= p; Limit sodium intake to 2400 milligrams a day. <BR>   =
   &nbs= p; Just enough calories to achieve or maintain a healthy weight and reduce yo= ur blood cholesterol level. <BR> 
<BR>  =
Major risk factors tha= t, when present, suggest your LDL cholesterol should be lowered more aggressively: <BR> 
   &nbs= p; 1. Cigarette smoking <BR> 
   &nbs= p; 2. High blood pressure (BP above 140/90 or on a blood pressure medication) <BR> 
   &nbs= p; 3. Low HDL cholesterol (<40) <BR> 
   &nbs= p; 4. Family History of premature Coronary Heart Disease (CHD) (premature CHD= in male 1st degree relative <55 years old; female <65) <BR> 
   &nbs= p; 5. Age (men >=3D 45 years old; women >=3D 55 years old) <BR><BR>}||

The results from your = most recent tests for blood sugar levels:  «Not_Ordrd2» «Norml_All» «LineDelete»

||IF LAB<GLUCOSE.&g= t; =3D "" {«*** No Glucose results in EHR...»} <= /div>
   &nbs= p;    ELSE {LAB<GLUCOSE.>[-Date]<BR>}|| 
||IF LAB<HEMOGLOBIN A1C> <> "" {IF LAB<HEMOGLOBIN A1C> >=3D "7.0" {LAB<HEMOGLOBIN A1C>[- Date] «*** High...»<BR>}
   &nbs= p;           = ;            &n= bsp;            = ;            &n= bsp;          ELSE {LAB<HEMOGLOBIN A1C>[- Date]<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; }
   &nbs= p;     ELSE {«*** No Hemoglobin A1C results in EHR...»}||
||IF LAB<HEMO A1C (POC)> <> "" {IF LAB<HEMO A1C (POC)> >=3D "7.0" {LAB<HEMO A1C (POC)>[- Date] «*** High...»<BR>}             &n= bsp;            = ;            &n= bsp;    
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       ELSE {LAB<HEMO A1C (POC)>[- Date]<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;          }
   &nbs= p;          ELSE {«*** No Hemoglobin A1C (POC) results in EHR...»}||
33

   &nbs= p; «*** Please be aware that the results from HEMO A1C (POC) are NOT included as part of t= he decision logic below...»
||IF LAB<GLUCOSE.&g= t; =3D "" {IF LAB<HEMOGLOBIN A1C> =3D "" {«Del&ra= quo;}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Although there is no recorded value for your fasting blood sugar, your most recent hemoglobin A1c level (a test of diabetes control over the past three months) is normal and shows no evidence of diabetes.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            E= LSE {Although there is no recorded value for your fasting blood sugar, your hemoglobin A1c level (a test of diabetes control over the past three months) is elevated.  A no= rmal hemoglobin A1c level in a non- diabetic is below 6.0.   While yo= ur result does not necessarily mean that you have diabetes, it is cause for concern.  Please ma= ke an appointment to discuss this issue.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    }
   &nbs= p;            &= nbsp;           &nbs= p;            }
   &nbs= p;            ELSE {IF LAB<GLUCOSE.> > "100" {IF LAB<HEMOGLOBIN A1C> =3D "" {Your test results show an elevated blood sugar level.  A normal fasting blood sugar is less than 100.  While a single high reading d= oes not mean diabetes for sure, it is suggestive of it.  Please make an appointment to discuss these results, you may need additional testing such as a repeat fasting bl= ood sugar and a hemoglobin A1c level (test of diabetes control over the past t= hree months).}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Your test results show= an elevated blood sugar level, but your hemoglobin A1c level (test of diabetes control over the past three months) is normal.  A normal fasting blood sugar is less than 1= 00 and a normal hemoglobin A1c level is less than 6.0.   While a single high blo= od sugar reading does not mean diabetes for sure, it is suggestive of it.   Since your hemoglobin A1c level is normal, the results suggest th= at, on average, your blood sugars are normal or those of a very well controlled diabetic.  Please make an appointment to discuss these results, you may need additional testing.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     ELSE {Your test results show an elevated blood sugar level and your hemoglobin = A1c level (test of diabetes control over the past three months) is also elevated.  A normal fasti= ng blood sugar is less than 100 and a normal hemoglobin A1c level is less tha= n 6.0.  While a sin= gle high blood sugar reading and an elevated hemoglobin A1c level do not mean diabetes for sure, it is strongly suggestive of it.  Please make an <= /span>appointment to discuss these results.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          } =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    }
   &nbs= p;            &= nbsp;           &nbs= p;     ELSE {IF LAB<GLUCOSE.> < "65" {IF LAB<HEMOGLOBIN A1C> = =3D "" {Your test results show a low blood sugar level.  A norm= al fasting blood s= ugar is between 65 and 100.  While a single low blood sugar reading does n= ot mean you are “hypoglycemic”, it is suggestive.  Please ma= ke an appointment to discuss these results, you may need additional testing such as a repeat fasting bl= ood sugar.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Your test results show= a low blood sugar level, but your hemoglobin A1c level (test of diabetes control over the past three months) is normal.  A normal fasting blood sugar is betwee= n 65 and 100 and a normal hemoglobin A1c level is less than 6.0.  While a single= low blood sugar reading does not mean you are “hypoglycemic”, it is suggestive.  Since your hemoglobin A1c level is normal, the results suggest that, on average, = your blood sugars are normal.  Please make an appointment to discuss these results, you may need additional testing.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;               = ;            &n= bsp;            = ;            &n= bsp;            = ;       ELSE {Your test results show a low blood sugar level and your hemoglobin A1c level (test of diabetes control over the past three months) is elevated.  A normal fasting blood sugar is between 65 and 100 and a normal hemoglobin A1c level is less than 6.0.  While a single low blood sugar reading and = an elevated hemoglobin A1c level do not mean you are “hypoglycemic̶= 1; or diabetic, it is worthy of further investigation.  Please make an appointment to discuss these results.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;   }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         ELSE {IF LAB<HEMOGLOBIN A1C>= ; =3D "" {Your test results show a normal blood sugar level.  A normal fasting blood sugar is between 65 and 100.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {IF LAB<HEMOGLOBIN A1C> < "6.0" {Your test results show a normal blood sugar level and your hemoglobin A1c level (test of diabetes control over the past three months) is normal.  A normal fas= ting blood sugar is between 70 and 110 and a normal hemoglobin A1c level is less than 6.0.  Your results indicate no evidence of diabetes.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;           ELSE {Your test results show a normal blood sugar level, but your hemoglobin A1c level (test of diabetes control over the past three months) is elevated.  A normal fasting bl= ood sugar is between 65 and 100 and a normal hemoglobin A1c level is less than= 6.0.  While a sin= gle normal blood sugar reading is reassuring, your elevated hemoglobin A1c lev= el suggests the possibility of diabetes.  Please make an appointment to discuss these results.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    }
   &nbs= p;            &= nbsp;         }|| 

||IF LAB<SODIUM>= =3D "" AND LAB<POTASSIUM> =3D "" AND LAB<CHLORIDE= > =3D "" AND LAB<CO2> =3D "" AND LAB<CALCIUM> =3D "" {«Del»}
         ELSE {The results from your most recent tests for electrolyte/miner= al levels: «Not_Ordrd2» «Norml_All» «LineDelete»}||
«*** Use the&nbs= p; "Norml_All" label above if all the following results are normal...»
34
||IF LAB<SODIUM>= =3D "" {«*** No Sodium results in EHR...»} <= /div>
   &nbs= p;     ELSE {IF LAB<SODIUM> < "138" {LAB<SODIUM>[- Date] «LineDelete» <BR>Your serum sodium is low.  The nor= mal range for serum sodium is between 138 and 148.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           ELSE {IF LAB<SODIUM> > "148" {LAB<SODIUM>[- Date] «LineDelete» <BR>Your serum sodium is high. The normal r= ange for serum sodium is betw= een 138 and 148.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     ELSE {«*** The serum sodium level is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;   }||

||IF LAB<POTASSIUM&= gt; =3D "" {«*** No Potassium results in EHR...»} <= /span>
   &nbs= p;         ELSE {IF LAB<POTASSIUM> < "3.6" {LAB<POTASSIUM>[- Date] «LineDelete» <BR>Your serum potassium is low.  The normal range for serum potassium is between 3.5 and 5.1.  «Not_Sgnif&ra= quo; «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;   ELSE {IF LAB<POTASSIUM> > "5.0" {LAB<POTASSIUM>[- Date] «LineDelete»<BR>Your serum potassium is high. The normal range for serum potassium is between 3.5 and 5.1. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       ELSE {«*** The serum potassium level is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       }
   &nbs= p;            &= nbsp;        }||

||IF LAB<CHLORIDE&g= t; =3D "" {«*** No Chloride results in EHR...»}
   &nbs= p;          ELSE {IF LAB<CHLORIDE> < "98" {LAB<CHLORIDE>[- Da= te] «LineDelete» <BR>Your serum chloride is low.  The normal range for serum chloride is between 98 and 107.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;   ELSE {IF LAB<CHLORIDE> > "107" {LAB<CHLORIDE>[- D= ate] «LineDelete» <BR>Your serum chloride is high. The normal range for serum chlorid= e is between 98 and 107. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; ELSE {«*** The serum chloride level is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      }
   &nbs= p;            &= nbsp;         }||

||IF LAB<CO2> =3D "" {«*** No Bicarbonate results in EHR...»}
   &nbs= p;         ELSE {IF LAB<CO2> < "22" {LAB<CO2>[-Date] «LineDelete» <BR>Your serum bicarbonate is low.  The normal range for serum bicarbonate is between 22 and 31.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;    ELSE {IF LAB<CO2> > "107" {LAB<CO2>[- Date] «LineDelete» <BR>Your serum bicarbonate is high.  T= he normal range for serum bicarbonate is between 22 and 31.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; ELSE {«*** The serum bicarbonate level is normal»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; }
   &nbs= p;            &= nbsp;        }||

||IF LAB<CALCIUM>= ; =3D "" {«*** No Calcium results in EHR...»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p; ELSE {IF LAB<CALCIUM> < "8.4" {LAB<CALCIUM>[- Dat= e] «LineDelete» <BR>Your serum calcium is low. The normal r= ange for serum calcium is between 8.4 and 10.2.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        ELSE {IF LAB<CALCIUM> > "10.2" {LAB<CALCIUM>[- Da= te] «LineDelete» <BR>Your serum calcium is high.  The <= /span>normal range for serum calcium is between 8.4 and 10.2.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            ELSE {«*** The serum calcium level is normal» <BR>} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            }||

35
||IF LAB<MICROALBUM= IN, UR> =3D "" AND LAB<MICROALBUMIN(POC)> =3D "" = AND LAB<BUN> =3D "" AND LAB<CREAT> =3D "" AND LAB<BUN/CREAT RATIO> =3D ""  {«= ;Del»}
         ELSE {The results from your most recent tests for kidney functions: «Not_Ordrd2» «Norml_All» «LineDelete»}||
«*** Use the&nbs= p; "Norml_All" label if all the following results are normal...» 
||IF LAB<MICROALBUM= IN, UR> =3D "" AND LAB<MICROALBUMIN(POC)> =3D "" {«*** No Spot Urine Microalbumin results in EHR...»}
   &nbs= p;    ELSE {IF LAB<MICROALBUMIN, UR> > "18"
{LAB<MICROALBUMIN, UR>[- Date]  «*** High...» <BR>}
   &nbs= p;            &= nbsp;         ELSE {IF LAB<MICROALBUMIN, UR> <> ""
{LAB<MICROALBUMIN, UR>[- Date] <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;       }
   &nbs= p;            &= nbsp;  IF LAB<MICROALBUMIN(POC)> > "0"
{LAB<MICROALBUMIN(P= OC)>[- Date]  «*** High...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  ELSE {IF LAB<MICROALBUMIN(POC)> <> "" {LAB<MICROALBUMIN(POC)>[- Date]}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            }
   &nbs= p;            &= nbsp;  }||

||IF LAB<BUN> =3D "" {«*** No BUN results in EHR...»}
   &nbs= p;    ELSE{IF LAB<BUN> < "6" {LAB<BUN>[-Date] «LineDelete» <BR>Your blood urea nitrogen level is low.  The normal range for this test is between 6 and 20.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;   ELSE {IF LAB<BUN> > "20" {LAB<BUN>[- Date] «LineDelete» <BR>Your blood urea nitrogen level is high.  The normal range for this test is between 6 and 20. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;          ELSE {«*** The serum BUN is normal»}
   &nbs= p;            &= nbsp;           &nbs= p; }
   &nbs= p;            &= nbsp; }||

||IF PAT_SEX =3D "f" {IF LAB<CREAT> =3D "" {«*** No Creatin= ine results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;        ELSE {IF LAB<CREAT> > "1.3" {LAB<CREAT>[- Date] «LineDelete» <BR>Your serum creatinine is high. The norm= al range for serum creatin= ine for females is below 1.3. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  ELSE {«*** The serum creatinine level is normal»} <= /div>
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     }
   &nbs= p;            &= nbsp;            }
   &nbs= p;        ELSE {IF LAB<CREAT> =3D "" {«*** No Creatinine resul= ts in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p; ELSE {IF LAB<CREAT> > "1.4" {LAB<CREAT>[- Date] &= laquo;LineDelete» <BR>Your serum creatinine is high.  The normal range for serum = creatinine is below 1.4.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»} =
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {«*** The serum creatinine level is normal»} <= /div>
   &nbs= p;            &= nbsp;           &nbs= p;           }
   &nbs= p;            &= nbsp;      }||
||IF LAB<BUN/CREAT RATIO> =3D "" {«*** No BUN/Creat ratio results in EHR...»}
   &nbs= p;     ELSE {IF LAB<BUN/CREAT RATIO> < "12.0" {LAB<BUN/CREAT RATIO>[- Date] «LineDelete» <BR>Your BUN/Creat ratio = is low.  The normal range for this test is between 12.0 and 20.0.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete» <BR>}
   &nbs= p;            &= nbsp;          ELSE {IF LAB<BUN/CREAT RATIO> > "20.0"
{LAB<BUN/CREAT RATIO>[- Date] «LineDelete» <BR>Your BUN/Creat ratio = is high.  The normal range for this test is between 12.0 and 20.0. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete» <BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {«*** The serum BUN/Creat is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;  }||

36
||IF LAB<BILIRUBIN TOTAL> =3D "" AND LAB<AST (SGOT)> =3D "" AND LAB<ALT (SGPT)> =3D "" AND LAB<ALKALINE PHOS> =3D "" AND LAB<PROTEIN, TOTAL> =3D "" AND LAB<ALBUMIN> =3D "= ;" AND LAB<GLOBULIN> =3D "" AND LAB<A/G RATIO> =3D &quo= t;" {«Del»}
         ELSE {The results from your most recent tests for liver functions: «Not_Ordrd2» «Norml_All» «LineDelete»}||
«*** Use the&nbs= p; "Norml_All" label above if all the following results are normal...»
||IF PATIENT_AGE_IN_MO= NTHS > "12" {IF LAB<BILIRUBIN TOTAL> =3D "" {&laqu= o;*** No Total Bilirubin results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; ELSE {IF LAB<BILIRUBIN TOTAL> < "0.2" {LAB<BILIRUBIN TOTAL>[- Date] «LineDelete» <BR>Your total bilirubin is low.  The normal range for total bilirubin is between 0.2 and 1.3.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {IF LAB<BILIRUBIN TOTAL> > "1.3" {LAB<BILIRUBIN TOTAL>[- Date] «LineDelete» <BR>Your total bilirubin is high. The normal range for total bilirubin is between 0.2 and 1.3.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             ELSE{«*** The total bilirubin is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;      }
   &nbs= p;          ELSE{IF LAB<BILIRUBIN TOTAL> =3D "" {«*** No Total Bilirubin results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;  ELSE {IF LAB<BILIRUBIN TOTAL> > "7.0"
{LAB<BILIRUBIN TOTAL>[- Date] «LineDelete» <BR>Your total bilirubin = is high.  The normal range for total bilirubin is less than 7.0. &n= bsp; «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;       ELSE {«*** The total bilirubin is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;            }
   &nbs= p;            &= nbsp;       }||

||IF LAB<AST (SGOT)= > =3D "" {«*** No AST results in EHR...»} =
   &nbs= p;     ELSE {IF LAB<AST (SGOT)> < "15" {LAB<AST (SGOT)>[- Date] «LineDelete» <BR>Your AST level is low.  The normal range for the AST level is between 15 and 37.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            ELSE {IF LAB<AST (SGOT)> > "37" {LAB<AST (SGOT)>[- Date] «LineDelete» <BR>Your AST level is high.  The normal range for the AST level is between 15 and 37. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE{«*** The serum AST level is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;   }||

||IF LAB<ALT (SGPT)= > =3D "" {«*** No ALT results in EHR...»} =
   &nbs= p;     ELSE {IF LAB<ALT (SGPT)> < '"20" {LAB<ALT (SGPT)>= [- Date] «LineDelete» <BR>Your ALT level is low.  The normal range for the ALT level is between 20 and 50.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            ELSE {IF LAB<ALT (SGPT)> > "50" {LAB<ALT (SGPT)>[- Date] «LineDelete» <BR>Your ALT level is high.  The normal range for the ALT level is between 20 and 50. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE{«*** The  ALT level is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;   }||

||IF LAB<ALKALINE PHOS> =3D "" {«*** No Alk Phos results in EHR...»}
   &nbs= p;    ELSE {IF LAB<ALKALINE PHOS> < "43" {LAB<ALKALINE PHOS>[- Date] «LineDelete» <BR>Your alkaline phosphat= ase level is low. The normal range for alkaline phosphatase is between 43 and 126. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;         ELSE {IF LAB<ALKALINE PHOS> > "126"
{LAB<ALKALINE PHOS>[- Date] «LineDelete» <BR>Your alkaline phosphat= ase level is high. The normal range for alkaline phosphatase is between 43 and= 126. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;  ELSE {«*** The alkaline phosphatase is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;       }
   &nbs= p;            &= nbsp;   }||
37

||IF LAB<PROTEIN, TOTAL> =3D "" {«*** No serum total protein results in EHR...»}
   &nbs= p;     ELSE {IF LAB<PROTEIN, TOTAL> < "6.0" {LAB<PROTEIN, TOTAL>[- Date] «LineDelete» <BR>Your serum total prot= ein is low.  The normal range for serum total protein is between 6.0 and 8.0. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;          ELSE {IF LAB<PROTEIN, TOTAL> > "8.0"
{LAB<PROTEIN, TOTAL>[- Date] «LineDelete» <BR>Your serum total prot= ein is high.  The normal range for serum total protein is between 6.0 and= 8.0.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;   ELSE {«The serum total protien is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;   }||

||IF LAB<ALBUMIN>= ; =3D "" {«*** No serum albumin results in EHR...»} <= /span>
   &nbs= p;     ELSE {IF LAB<ALBUMIN> < "3.5" {LAB<ALBUMIN>[- Dat= e] «LineDelete» <BR>Your serum albumin is low.  The no= rmal range for serum albumin is between 3.5 and 5.0.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;          ELSE {IF LAB<ALBUMIN> > "5.1" {LAB<ALBUMIN>[- Dat= e] «LineDelete» <BR>Your serum albumin is high.  The normal range for serum albumin is between 3.5 and 5.0. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {«*** The serum albumin is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;        }
   &nbs= p;            &= nbsp;   }||

||IF LAB<GLOBULIN&g= t; =3D "" {«*** No globulin results in EHR...»}
   &nbs= p;     ELSE {IF LAB<GLOBULIN> > "8.00" {LAB<GLOBULIN>[- Date] «LineDelete» <BR>Your serum globulin is high.  The normal range for serum globulin is between below 8.00.    «Not_Sgnif&raqu= o; «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;         ELSE {«*** The serum globulin is normal»}
   &nbs= p;            &= nbsp;  }||

||IF LAB<A/G RATIO&= gt; =3D "" {«*** No A/G ratio in EHR...»}
   &nbs= p;     ELSE {IF LAB<A/G RATIO> < "1.5" {LAB<A/G RATIO>[- Date] «LineDelete» <BR>Your albumin/globulin ratio is low.  The normal range for the albumin/globulin ratio is between 1.5 and 2.2. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;          ELSE {IF LAB<A/G RATIO> > "107" {LAB<A/G RATIO>[- Date] «LineDelete» <BR>Your albumin/globulin ratio is high.  The normal range for the albumin/globulin ratio is between 1.5 and 2.2. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;   ELSE {«*** The A/G ratio is normal»}
   &nbs= p;            &= nbsp;           &nbs= p;         }
   &nbs= p;            &= nbsp;   }||

||IF LAB<WBC> =3D "" AND LAB<HEMOGLOBIN> =3D "" AND LAB<HEMATOCRIT> =3D "" AND LAB<PLATELET COUNT> =3D "" {«LineDelete»}
         ELSE {The results from your most recent tests for blood cell count: «Norml_All» «Not_Ordrd2» «LineDelete»}||
||IF LAB<WBC> =3D "" {«*** No WBC results in EHR...»}
   &nbs= p;     ELSE {«*** Normal WBC ranges vary by age; PICK Pt. age range----- >» «AGE_WBC...»}||
38
||IF PAT_SEX =3D "m" {IF LAB<HEMOGLOBIN> =3D "" {«*** No Hemoglobin results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;         ELSE {IF LAB<HEMOGLOBIN> < "13.5" {LAB<HEMOGLOBIN>= ;[- Date] «LineDelete» <BR> «*** The hemoglobin is low; choose-- ->...» «IDA...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  ELSE {IF LAB<HEMOGLOBIN> > "17.5" {LAB<HEMOGLOBIN>= ;[- Date] «LineDelete» <BR>Your hemoglobin level is <= span style=3D'font-family:"Arial Narrow";mso-ascii-font-family:"Arial Narrow"; mso-hansi-font-family:"Arial Narrow";font-size:67%'>elevated. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       ELSE {«*** The hemoglobin is normal» «Del» «IDA...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;                   = ;     }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;       }
   &nbs= p;            &= nbsp;           &nbs= p;    }
   &nbs= p;        ELSE {IF LAB<HEMOGLOBIN> =3D "" {«*** No Hemoglobin results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p; ELSE {IF LAB<HEMOGLOBIN> < "12.5"
{LAB<HEMOGLOBIN>= [- Date] «LineDelete» <BR> «*** The hemoglobin is low; choose-- ->...» «IDA...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;      ELSE {IF LAB<HEMOGLOBIN> > "15.5" {LAB<HEMOGLOBIN>= ;[- Date] «LineDelete» <BR>Your hemoglobin level is elevated= . «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           ELSE {«*** The hemoglobin is normal» «Del» «IDA...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            = ;    }
   &nbs= p;            &= nbsp;           &nbs= p;            }
   &nbs= p;            &= nbsp;      }||

||IF PAT_SEX =3D "m" {IF LAB<HEMATOCRIT> =3D "" {«*** No Hematocrit results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p;         ELSE {«*** Normal hematocrit ranges vary by age; PICK Pt. age range-= ---- >» «AGE_Hct_m...»}
   &nbs= p;            &= nbsp;           &nbs= p; }
   &nbs= p;        ELSE {IF LAB<HEMATOCRIT> =3D "" {«*** No Hematocrit results in EHR...»}
   &nbs= p;            &= nbsp;           &nbs= p; ELSE {«*** Normal hematocrit ranges vary by age; PICK Pt. age range-= ---->» «AGE_Hct_f...»}
   &nbs= p;            &= nbsp;     }||

||IF LAB<PLATELET COUNT> =3D "" {«*** No platelet count results in EHR...»}
   &nbs= p;     ELSE {IF LAB<PLATELET COUNT> < "150" {LAB<PLATELET COUNT>[-Date] «LineDelete» <BR>Your platelet count is low.  The normal range is between 150 and 450.  «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;          ELSE {IF LAB<PLATELET COUNT> > "450"
{LAB<PLATELET COUNT>[- Date] «LineDelete» <BR>Your platelet count is elevated.  The normal range is between 150 and 450. «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;                  = ;          ELSE {«*** The platelet count is normal» «Del»}
   &nbs= p;            &= nbsp;           &nbs= p;         }&#= 13;
   &nbs= p;            &= nbsp;   }||

||IF LAB<TSH> =3D "" {«Del»}
         ELSE {The results from your most recent tests for thyroid function: «Norml_All» «Not_Ordrd2» «LineDelete»}||

||IF LAB<TSH> =3D "" {«*** No TSH results in EHR...»}
   &nbs= p;     ELSE {IF LAB<TSH> < "0.4" {LAB<TSH>[-Date] «LineDelete» <BR> «*** The TSH is LOW.  Use t= he "abnTSH_Lo" button-- - >...» «abnTSH_Lo...»}
   &nbs= p;            &= nbsp;          ELSE {IF LAB<TSH> > "4.0" {LAB<TSH>[-Date] «LineDelete» <BR> «*** The TSH is HI.  Use the "abnTSH_Hi" button--- >...» «abnTSH_Hi...»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE {LAB<TSH>[-Date] «LineDelete»<BR> «*** = The TSH is NORMAL» Your thyroid function test (TSH) is normal.  «cntMED_thy» «Call2» «Not_Sgnif» «Make_appt» «Retest» «Retest2» «LineDelete»}
   &nbs= p;            &= nbsp;              = ;      }
   &nbs= p;            &= nbsp;  }||
39

||IF LAB<PSA, TOTAL= > =3D "" {«Del»}
         ELSE {The results from your most recent test for prostate screening: «Norml_All» «Not_Ordrd2» «LineDelete»}||

||IF LAB<PSA, TOTAL= > =3D "" {«*** No PSA results in EHR...»} <= /div>
   &nbs= p;    ELSE {Your Prostate Specific Antigen (PSA, a screening test for abnormalit= ies of the prostate) test result was LAB<PSA, TOTAL>[- Date].  The normal range i= s IF PAT_AGE >=3D "70" {0 - 5.6 ng/ml.} 
   &nbs= p;        ELSE  {IF PAT_AGE >=3D "65" AND PAT_AGE <=3D "69= " {0 - 5.1 ng/ml.} 
   &nbs= p;            &= nbsp;           &nbs= p;   ELSE  {IF PAT_AGE >=3D "60" AND PAT_AGE <=3D "64= " {0 - 4.1 ng/ml.} 
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         ELSE  {IF PAT_AGE >=3D "55" AND PAT_AGE <=3D "59= " {0 - 3.4 ng/ml.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;    ELSE {0 - 2.5 ng/ml.}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  }
   &nbs= p;            &= nbsp;        }<BR>          &nb= sp;         

Your test was IF PAT_A= GE >=3D "70" AND LAB<PSA, TOTAL> >=3D "0" AND=
LAB<PSA, TOTAL> <=3D "5.6" {normal.<BR>} 
   &nbs= p;            &= nbsp;           &nbs= p;  ELSE {IF PAT_AGE >=3D "65" AND PAT_AGE <=3D "69"= AND
LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL> <=3D "5.1" {normal.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;        ELSE  {IF PAT_AGE >=3D "60" AND PAT_AGE <=3D "64= " AND LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL> = <=3D "4.1" {normal= .<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;   ELSE  {IF PAT_AGE >=3D "55" AND PAT_AGE <=3D "59= " AND LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL> = <=3D "3.4" {normal.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          ELSE  {IF LAB<PSA, TOTAL> >=3D "0" AND LAB<PSA, TOTAL> <=3D "2.5" {normal.<BR>}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    ELSE {high.   An elevated or changing PSA may indicate an abnorm= al prostate.  When compared to your last PSA, your level is «stable&raqu= o; «changing».  Please repeat the test in «6months&raq= uo; «1year». «Make_Appt»}
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;          }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;  }
   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        }
   &nbs= p;            &= nbsp;           &nbs= p;             }
   &nbs= p;            &= nbsp;  }||

||IF PAT_SEX =3D "f" {«For normal Paps, pick "Nl_Pap"» «Nl_Pap» «AbnPAP»}
   &nbs= p;      ELSE {«Del»}||


Sincerely yours, =
||<BR><BR>= <BR>||
«Prov» «MA»
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{ var sld=3DGetObj("SlideObj") if( !g_supportsPPTHTML ) { sld.style.visibility=3D"visible" return } if( MakeNotesVis() ) return runAnimations =3D _InitAnimations(); if( IsWin("PPTSld") ) parent.SldUpdated(GetSldId()) g_origSz=3DparseInt(SlideObj.style.fontSize) g_origH=3Dsld.style.posHeight g_origW=3Dsld.style.posWidth g_scaleHyperlinks=3D(document.all.tags("AREA").length>0) if( g_scaleHyperlinks ) InitHLinkArray() if( g_scaleInFrame||(IsWin("PPTSld") && parent.IsFullScrMode() ) ) document.body.scroll=3D"no" _RSW() if( IsWin("PPTSld") && parent.IsFullScrMode() ) FullScrInit(); =09 MakeSldVis(); ChkAutoAdv() if( runAnimations ) { if( document.all("NSPlay") ) document.all("NSPlay").autoStart =3D false; if( sld.filters && sld.filters.revealtrans ) setTimeout( "document.body.start()", sld.filters.revealtrans.duration * = 1000 ); else document.body.start(); } } function MakeSldVis() { var fTrans=3Dg_showAnimation && SldHasTrans() if( fTrans ) { if( g_bgSound ) { idx=3Dg_bgSound.indexOf(","); pptSound.src=3Dg_bgSound.substr( 0, idx ); pptSound.loop=3D -(parseInt(g_bgSound.substr(idx+1))); } SlideObj.filters.revealtrans.Apply() } SlideObj.style.visibility=3D"visible" if( fTrans ) SlideObj.filters.revealtrans.Play() } function MakeNotesVis() { if( !IsNts() ) return false SlideObj.style.display=3D"none" nObj =3D document.all.item("NotesObj") parent.SetHasNts(0) if( nObj ) { nObj.style.display=3D"" parent.SetHasNts(1) } return 1 } function ChkAutoAdv() { if(SldHasTrans()) SlideObj.onfilterchange=3DAutoAdv else AutoAdv() } function AutoAdv() { if(!IsWin("PPTSld") || !gUseSldTimings )return var sld=3DGetCurSld() if( (sld.mAdvDelay>0) && !parent.IsFramesMode() ) setTimeout("parent.GoToNextSld()",sld.mAdvDelay) } function GetObj(id) { if(g_supportsPPTHTML) return document.all(id); else return document.getElementById(id); } function SldHasTrans() { return SlideObj.style.filter !=3D ""; } function GetSldId() { return sId=3Dlocation.href.substring(location.href.la= stIndexOf('/')+1) } function HideMenu() { if( frames["PPTSld"] && PPTSld.document.all.item("ctx= tmenu") && PPTSld.ctxtmenu.style.display!=3D"none" ) { PPTSld.ctxtmenu.styl= e.display=3D'none'; return true } return false } function IsWin( name ) { return window.name =3D=3D name } function IsNts() { return IsWin("PPTNts") } function IsSldOrNts() { return( IsWin("PPTSld")||IsWin("PPTNts") ) } function SupportsPPTAnimation() { return( navigator.platform =3D=3D "Win32"= && navigator.appVersion.indexOf("Windows")>0 ) } function SupportsPPTHTML() { var appVer=3Dnavigator.appVersion, msie=3DappVer.indexOf("MSIE "), ver=3D0 if( msie >=3D 0 ) ver=3DparseFloat( appVer.substring( msie+5, appVer.indexOf(";",msie) ) ) else ver=3DparseInt(appVer) return( ver >=3D 4 && msie >=3D 0 ) } function _RSW() { if( !g_supportsPPTHTML || IsNts() || ( !g_scaleInFrame && (!IsWin("PPTSld") || !parent.IsFullScrMode()) ) ) return var padding=3D0; if( IsWin("PPTSld") && parent.IsFramesMode() ) padding=3D6 cltWidth=3Ddocument.body.clientWidth-padding cltHeight=3Ddocument.body.clientHeight-padding factor=3D(1.0*cltWidth)/g_origW if( cltHeight < g_origH*factor ) factor=3D(1.0*cltHeight)/g_origH newSize =3D g_origSz * factor if( newSize < 1 ) newSize=3D1 s=3DSlideObj.style s.fontSize=3DnewSize+"px" s.posWidth=3Dg_origW*factor s.posHeight=3Dg_origH*factor s.posLeft=3D(cltWidth-s.posWidth+padding)/2 s.posTop=3D(cltHeight-s.posHeight+padding)/2 if( g_scaleHyperlinks ) ScaleHyperlinks( factor ) } function _InitAnimations() { animRuntimeInstalled =3D ''+document.body.localTime !=3D 'undefined'; isFullScreen =3D (window.name =3D=3D "PPTSld") && !parent.IsFramesMode(); g_animUseRuntime =3D g_showAnimation && animRuntimeInstalled && !(isFullSc= reen && parent.IsSldVisited()); if( g_animUseRuntime ) { collSeq =3D document.all.tags("seq"); if( collSeq !=3D null ) { for(ii=3D0;ii numSlds ) gSldJumpIdx =3D numSlds; if ( gSldJumpIdx >=3D 0 ) { if ( gSldJumpIdx =3D=3D 0 ) gSldJumpIdx =3D 1; var jumpTo =3D parseInt(gSldJumpIdx); gSldJump =3D 0; gSldJumpIdx =3D ""; win.GoToSld( parent.GetSldList().mList[jumpTo-1].mSldHref ) } } } function _KDH() { if( event.keyCode =3D=3D 8 ) { event.returnValue =3D 0; parent.GoToPrevSld(); } } function DocumentOnClick() { if( IsNts() || parent.HideMenu() ) return; if( ( g_allowAdvOnClick && !parent.IsFramesMode() ) || (event && (event.keyCode=3D=3D32) ) ) parent.GoToNextSld(); } var g_supportsPPTHTML =3D SupportsPPTHTML(), g_scaleInFrame =3D 1, gId=3D""= , g_bgSound=3D"", g_scaleHyperlinks =3D false, g_allowAdvOnClick =3D 1, g_showInBrowser = =3D 0, gLoopCont =3D 0, gUseSldTimings =3D 1; var g_showAnimation =3D g_supportsPPTHTML && SupportsPPTAnimation() && ( (w= indow.name=3D=3D"PPTSld" && !parent.IsFramesMode()) || g_showInBrowser );va= r g_animManager =3D null; var g_animUseRuntime =3D false; var g_animItemsToHide, g_animInteractiveItems, g_animSlideTime; var g_animMainSequence =3D null; var ENDSHOW_MESG=3D"End of slide show, click to exit.", SCREEN_MODE=3D"Fram= es", gIsEndShow=3D0, NUM_VIS_SLDS=3D26, SCRIPT_HREF=3D"script.js", FULLSCR_= HREF=3D"fullscreen.htm"; var gCurSld =3D gPrevSld =3D 1, g_offset =3D 0, gNtsOpen =3D gHasNts =3D gO= tlTxtExp =3D 0, gHasNarration =3D 0, gOtlOpen =3D true window.gPPTHTML=3DSupportsPPTHTML() var gMainDoc=3Dnew Array(new hrefList("slide0001.htm",1,-1,1),new hrefList(= "slide0003.htm",1,-1,1),new hrefList("slide0002.htm",1,-1,1),new hrefList("= slide0010.htm",1,-1,1),new hrefList("slide0016.htm",1,-1,1),new hrefList("s= lide0015.htm",1,-1,1),new hrefList("slide0008.htm",1,-1,1),new hrefList("sl= ide0017.htm",1,-1,1),new hrefList("slide0013.htm",1,-1,1),new hrefList("sli= de0012.htm",1,-1,1),new hrefList("slide0005.htm",1,-1,1),new hrefList("slid= e0009.htm",1,-1,1),new hrefList("slide0006.htm",1,-1,1),new hrefList("slide= 0007.htm",1,-1,1),new hrefList("slide0018.htm",1,-1,1),new hrefList("slide0= 019.htm",1,-1,1),new hrefList("slide0020.htm",1,-1,1),new hrefList("slide00= 21.htm",1,-1,1),new hrefList("slide0022.htm",1,-1,1),new hrefList("slide002= 3.htm",1,-1,1),new hrefList("slide0024.htm",1,-1,1),new hrefList("slide0025= .htm",1,-1,1),new hrefList("slide0026.htm",1,-1,1),new hrefList("slide0028.= htm",1,-1,1),new hrefList("slide0027.htm",0,-1,1),new hrefList("slide0029.h= tm",0,-1,1),new hrefList("slide0030.htm",0,-1,1),new hrefList("slide0031.ht= m",0,-1,1),new hrefList("slide0032.htm",0,-1,1),new hrefList("slide0033.htm= ",1,-1,1),new hrefList("slide0034.htm",0,-1,1),new hrefList("slide0035.htm"= ,0,-1,1),new hrefList("slide0036.htm",0,-1,1),new hrefList("slide0037.htm",= 0,-1,1),new hrefList("slide0038.htm",0,-1,1),new hrefList("slide0039.htm",0= ,-1,1),new hrefList("slide0040.htm",0,-1,1),new hrefList("slide0041.htm",0,= -1,1),new hrefList("slide0042.htm",0,-1,1),new hrefList("slide0043.htm",1,-= 1,1)); function FullScrInit() { g_allowAdvOnClick =3D GetCurSld().mAdvOnClk document.body.style.backgroundColor=3D"black" document.oncontextmenu=3Dparent._CM; document.onkeydown =3D _KDH; document.ondragstart=3DCancel document.onselectstart=3DCancel self.focus() } function Redirect( frmId ) { var str=3Ddocument.location.hash,idx=3Dstr.indexOf('#'), sId=3DGetSldId() if(idx>=3D0) str=3Dstr.substr(1); if( window.name !=3D frmId && ( sId !=3D str) ) { obj =3D GetObj("Main-File") window.location.href=3Dobj.href+"#"+sId return 1 } return 0 } var MHTMLPrefix =3D CalculateMHTMLPrefix(); function CalculateMHTMLPrefix() { if ( document.location.protocol =3D=3D 'mhtml:') { href=3Dnew String(document.location.href) Start=3Dhref.indexOf('!')+1 End=3Dhref.lastIndexOf('/')+1 if (End < Start) return href.substring(0, Start) else return href.substring(0, End) } return ''; } function GetTags(base,tag) { if(g_supportsPPTHTML) return base.all.tags(tag); else return base.getElementsByTagName(tag); } function UpdNtsPane(){ if(frames["PPTNts"]) PPTNts.location.replace( MHTMLP= refix+GetHrefObj( gCurSld ).mNtsHref ) } function UpdNavPane( sldIndex ){ if(gNavLoaded) PPTNav.UpdNav() } function UpdOtNavPane(){ if(gOtlNavLoaded) PPTOtlNav.UpdOtlNav() } function UpdOtlPane(){ if(gOtlLoaded) PPTOtl.UpdOtl() } function SetHasNts( fVal ) { if( gHasNts !=3D fVal ) { gHasNts=3DfVal UpdNavPane() } } function ToggleOtlText() { gOtlTxtExp=3D!gOtlTxtExp UpdOtlPane() } function ClearMedia() { if (PPTSld.pptSound) PPTSld.pptSound.loop =3D 0; } function FullScreen() { if ( PPTSld.g_animUseRuntime ) PPTSld.document.body.pause(); ClearMedia(); var href =3D ( document.location.protocol =3D=3D 'mhtml:') ? FULLSCR_HREF = : FULLSCR_HREF+"#"+GetHrefObj(gCurSld).mSldHref; if(PPTNav.event.ctrlKey) { var w =3D (window.screen.availWidth * 1.0) / 2.0 var h =3D w * (PPTSld.g_origH * 1.0) / PPTSld.g_origW win =3D window.open( MHTMLPrefix+href,null,"toolbar=3D0,resizable=3D1,top= =3D0,left=3D0," + "width=3D"+ w + ",height=3D" + h ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } else { win =3D window.open( MHTMLPrefix+href,null,"fullscreen=3Dyes" ); if( win.document.body && PPTSld.g_animUseRuntime ) win.document.body.PPTSldFrameset=3Dwindow; } } function ToggleVNarration() { rObj=3DPPTSld.document.all("NSPlay") if( rObj && !PPTSld.g_animUseRuntime ) { if( (rObj.playState =3D=3D 1)||(rObj.playState =3D=3D 0) ) rObj.Play() else if( rObj.playState =3D=3D 2 ) rObj.Pause() else return; } else if( PPTSld.g_animUseRuntime ) { narObj =3D PPTSld.document.all("narrationID") if( narObj ) narObj.togglePause() } } function GetCurSldNum() { obj=3DGetHrefObj(gCurSld) if( obj.mOrigVis =3D=3D 1 ) return obj.mSldIdx else return gCurSld } function GetNumSlds() { if( GetHrefObj(gCurSld).mOrigVis =3D=3D 1 ) return GetSldList().mNumVisSlds; else return GetSldList().mList.length } function GetSldNum( href ) { for(ii=3D0; ii 1 ) PopSldList(); else if( !IsFramesMode() ) { if( gLoopCont ) GoToFirst() else EndShow() } } function GoToPrevSld() { ii=3DgCurSld-1 if( ii > 0 ) { obj=3DGetHrefObj(ii) while ( obj && ( obj.mVis =3D=3D 0 ) && ( ii>0 ) ) obj=3DGetHrefObj(--ii) if( ii =3D=3D 0 ) ii=3D1 GoToSldNum(ii) } } function GoToFirst(){ GoToSld( GetHrefObj(1).mSldHref ) } function GoToLast() { ii=3DGetSldList().mList.length if( ii !=3D gCurSld ) GoToSld( GetHrefObj(ii).mSldHref ) } function GoToSldNum( num ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue obj =3D GetHrefObj( num ) obj.mVis=3D1 gPrevSld=3DgCurSld gCurSld =3D num; PPTSld.location.replace(MHTMLPrefix+obj.mSldHref) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function GoToSld( href ) { if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue GetHrefObj( GetSldNum(href) ).mVis=3D1 PPTSld.location.replace(MHTMLPrefix+href) } function SldUpdated( id ) { if( id =3D=3D GetHrefObj(gCurSld).mSldHref ) return gPrevSld=3DgCurSld gCurSld=3DGetSldNum(id) if( IsFramesMode() ) { UpdNavPane(); UpdOtlPane(); UpdNtsPane() } } function PrevSldViewed(){ GoToSld( GetHrefObj(gPrevSld).mSldHref ) } function HasPrevSld() { return ( gIsEndShow || ( gCurSld !=3D 1 && GetHrefO= bj( gCurSld-1 ).mVis =3D=3D 1 )||( GetCurSldNum() > 1 ) ) } function HasNextSld() { return (GetCurSldNum() !=3D GetNumSlds()) } function CloseWindow() { if( HideMenu() ) return; var event =3D PPTSld.event; if( !IsFramesMode() && event && (event.keyCode=3D=3D27 || event.keyCode=3D= =3D32 || event.type=3D=3D"click" ) ) window.close( self ); CatchNumKeys( self, event ); } function Unload() { gIsEndShow=3D0; } function SetupEndShow() { gIsEndShow=3D1; PPTSld.document.body.scroll=3D"no"; PPTSld.document.onkeypress=3DCloseWindow; PPTSld.document.onclick=3DCloseWindow; PPTSld.document.oncontextmenu=3D_CM; } function EndShow() { if( IsFramesMode() ) return if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue doc=3DPPTSld.document var dir =3D doc.body.dir if( dir !=3D "rtl" ) dir =3D "ltr"; doc.open() doc.writeln('


' + ENDSHOW_MESG + '

') doc.close() } function SetSldVisited(){ GetSldList().mList[gCurSld-1].mVisited=3Dtrue } function IsSldVisited(){ return GetSldList().mList[gCurSld-1].mVisited } function hrefList( sldHref, visible, advDelay, advClk ) { this.mSldHref=3D this.mNtsHref =3D sldHref this.mOrigVis=3D this.mVis =3D visible this.mVisited=3D false this.mAdvDelay=3D advDelay this.mAdvOnClk=3D advClk } function SldList(arr,curSld,fEnd) { this.mCurSld =3D curSld; this.mList =3D new Array(); var idx =3D 1; for(ii=3D0;ii 0) { PushSldList(sldList,fEnd); gCurSld =3D 1; } else if( PPTSld.event ) PPTSld.event.cancelBubble=3Dtrue } function PushSldList(arr,fEnd) { var ii =3D gSldStack.length; gSldStack[ii] =3D new SldList(arr,gCurSld,fEnd); GoToSld( gSldStack[ii].mList[0].mSldHref ); } function PopSldList() { if (gSldStack[gSldStack.length-1].fEndShow) EndShow() else { gCurSld =3D gSldStack[gSldStack.length-1].mCurSld; gSldStack[gSldStack.length-1] =3D null; gSldStack.length--; var sldList =3D gSldStack[gSldStack.length-1]; GoToSld( sldList.mList[gCurSld - 1].mSldHref ); } } var custShowList=3Dnew Array(); function ImgBtn( oId,bId,w,action ) { var t=3Dthis t.Perform =3D _IBP t.SetActive =3D _IBSetA t.SetInactive=3D _IBSetI t.SetPressed =3D _IBSetP t.SetDisabled=3D _IBSetD t.Enabled =3D _IBSetE t.ChangeIcon =3D null t.UserAction =3D action t.ChgState =3D _IBUI t.mObjId =3D oId t.mBorderId=3D bId t.mWidth =3D w t.mIsOn =3D t.mCurState =3D 0 } function _IBSetA() { if( this.mIsOn ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _IBSetI() { if( this.mIsOn ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } function _IBSetP() { if( this.mIsOn ) { obj=3Dthis.ChgState( gShadowClr,gHiliteClr,2 ) obj.style.posLeft+=3D1; obj.style.posTop+=3D1 } } function _IBSetD() { obj=3Dthis.ChgState( gFaceClr,gFaceClr,0 ) obj.style.posTop=3D0 } function _IBSetE( state ) { var t=3Dthis GetObj( t.mBorderId ).style.visibility=3D"visible" if( state !=3D t.mIsOn ) { t.mIsOn=3Dstate if( state ) t.SetInactive() else t.SetDisabled() } } function _IBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( t.ChangeIcon ) { obj=3DGetObj(t.mObjId) if( t.ChangeIcon() ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-4)*t.mWidth else obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-0)*t.mWidth } t.SetActive() } } function _IBUI( clr1,clr2,nextState ) { var t=3Dthis SetBorder( GetObj( t.mBorderId ),clr1,clr2 ) obj=3DGetObj( t.mObjId ) obj.style.posLeft=3Dobj.style.posLeft+(t.mCurState-nextState)*t.mWidth-obj= .style.posTop t.mCurState=3DnextState return obj } function TxtBtn( oId,oeId,action,chkState ) { var t=3Dthis t.Perform =3D _TBP t.SetActive =3D _TBSetA t.SetInactive=3D _TBSetI t.SetPressed =3D _TBSetP t.SetDisabled=3D _TBSetD t.SetEnabled =3D _TBSetE t.GetState =3D chkState t.UserAction =3D action t.ChgState =3D _TBUI t.mObjId =3D oId t.m_elementsId=3D oeId t.mIsOn =3D 1 } function _TBSetA() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gHiliteClr,gShadowClr,0,0 ) } function _TBSetI() { var t=3Dthis if( t.mIsOn && !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) } function _TBSetP() { if( this.mIsOn ) this.ChgState( gShadowClr,gHiliteClr,1,1 ) } function _TBSetD() { this.ChgState( gFaceClr,gFaceClr,0,0 ) this.mIsOn =3D 0 } function _TBSetE() { var t=3Dthis if( !t.GetState() ) t.ChgState( gFaceClr,gFaceClr,0,0 ) else t.ChgState( gShadowClr,gHiliteClr,1,1 ) t.mIsOn =3D 1 } function _TBP() { var t=3Dthis if( t.mIsOn ) { if( t.UserAction !=3D null ) t.UserAction() if( !t.GetState ) return if( t.GetState() ) t.SetPressed() else t.SetActive() } } function _TBUI( clr1,clr2,lOffset,tOffset ) { SetBorder( GetObj( this.mObjId ),clr1,clr2 ) Offset( GetObj( this.m_elementsId ),lOffset,tOffset ) } function Offset( obj, top, left ){ obj.style.top=3Dtop; obj.style.left=3Dle= ft } function SetBorder( obj, upperLeft, lowerRight ) { s=3Dobj.style; s.borderStyle =3D "solid" s.borderWidth =3D 1 s.borderLeftColor =3D s.borderTopColor =3D upperLeft s.borderBottomColor=3D s.borderRightColor =3D lowerRight } function GetBtnObj(){ return gBtnArr[window.event.srcElement.id] } function BtnOnOver(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetActive() } function BtnOnDown(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetPressed() } function BtnOnOut(){ b=3DGetBtnObj(); if( b !=3D null ) b.SetInactive() } function BtnOnUp() { b=3DGetBtnObj() if( b !=3D null ) b.Perform() else Upd() } function GetNtsState(){ return parent.gNtsOpen } function GetOtlState(){ return parent.gOtlOpen } function GetOtlTxtState(){ return parent.gOtlTxtExp } function NtsBtnSetFlag( fVal ) { s=3Ddocument.all.item( this.m_flagId ).style s.display=3D"none" if( fVal ) s.display=3D"" else s.display=3D"none" } function _BSetA_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etActive() } function _BSetI_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etInactive() } function _BSetP_Border(){ b =3D gBtnArr[this.mObjId]; if( b !=3D null ) b.S= etPressed() } function _BSetA_BorderImg() { b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gHiliteClr,gShadowClr,2 ) obj.style.posTop=3D0 } } function _BSetI_BorderImg() { b =3D gBtnArr[this.mBorderId] if( b !=3D null && this.mIsOn && !b.GetState() ) { obj=3Dthis.ChgState( gFaceClr,gFaceClr,1 ) obj.style.posTop=3D0 } } var gHiliteClr=3D"THREEDHIGHLIGHT",gShadowClr=3D"THREEDSHADOW",gFaceClr=3D"= THREEDFACE" var gBtnArr =3D new Array() gBtnArr["nb_otl"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOtlPan= e,GetOtlState ) gBtnArr["nb_otlElem"] =3D new TxtBtn( "nb_otl","nb_otlElem",parent.ToggleOt= lPane,GetOtlState ) gBtnArr["nb_nts"] =3D new ImgBtn( "nb_nts","nb_ntsBorder",10,parent.ToggleN= tsPane ) gBtnArr["nb_nts"].SetActive =3D _BSetA_BorderImg; gBtnArr["nb_nts"].SetInactive =3D _BSetI_BorderImg; gBtnArr["nb_ntsBorder"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.= ToggleNtsPane,GetNtsState ) gBtnArr["nb_ntsElem"] =3D new TxtBtn( "nb_ntsBorder","nb_ntsElem",parent.To= ggleNtsPane,GetNtsState ) gBtnArr["nb_prevBorder"] =3D gBtnArr["nb_prev"]=3D new ImgBtn( "nb_prev","n= b_prevBorder",30,parent.GoToPrevSld ) gBtnArr["nb_nextBorder"] =3D gBtnArr["nb_next"]=3D new ImgBtn( "nb_next","n= b_nextBorder",30,parent.GoToNextSld ) gBtnArr["nb_sldshw"]=3D new ImgBtn( "nb_sldshw","nb_sldshwBorder",18,parent= .FullScreen ) gBtnArr["nb_sldshwBorder"] =3D new TxtBtn( "nb_sldshw","nb_sldshwBorder",pa= rent.FullScreen,null ) gBtnArr["nb_sldshwBorder"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwBorder"].SetInactive =3D _BSetI_Border; gBtnArr["nb_sldshwText"] =3D new TxtBtn( "nb_sldshw","nb_sldshwText",parent= .FullScreen,null ) gBtnArr["nb_sldshwText"].SetActive =3D _BSetA_Border; gBtnArr["nb_sldshwText"].SetInactive =3D _BSetI_Border; gBtnArr["nb_voice"] =3D gBtnArr["nb_voiceBorder"] =3D new ImgBtn( "nb_voice= ","nb_voiceBorder",18,parent.ToggleVNarration ) gBtnArr["nb_otlTxtBorder"] =3D gBtnArr["nb_otlTxt"]=3D new ImgBtn( "nb_otlT= xt","nb_otlTxtBorder",23,parent.ToggleOtlText ) gBtnArr["nb_ntsBorder"].m_flagId=3D "nb_nts" gBtnArr["nb_ntsBorder"].SetFlag =3D NtsBtnSetFlag gBtnArr["nb_otlTxt"].ChangeIcon=3D GetOtlTxtState var sNext=3D"Next",sPrev=3D"Previous",sEnd=3D"End Show",sFont=3D"Arial",sAr= row=3D"Arrow",sFreeform=3D"Freeform",sRect=3D"Rectangle",sOval=3D"Oval" function ShowMenu() { BuildMenu(); var doc=3DPPTSld.document.body,x=3DPPTSld.event.clientX+doc.scrollLeft,y= =3DPPTSld.event.clientY+doc.scrollTop m =3D PPTSld.document.all.item("ctxtmenu") m.style.pixelLeft=3Dx if( (x+m.scrollWidth > doc.clientWidth)&&(x-m.scrollWidth > 0) ) m.style.pixelLeft=3Dx-m.scrollWidth m.style.pixelTop=3Dy if( (y+m.scrollHeight > doc.clientHeight)&&(y-m.scrollHeight > 0) ) m.style.pixelTop=3Dy-m.scrollHeight m.style.display=3D"" } function _CM() { if( !parent.IsFullScrMode() ) return; if(!PPTSld.event.ctrlKey) { ShowMenu() return false } else HideMenu() } function BuildMenu() { if( PPTSld.document.all.item("ctxtmenu") ) return var mObj=3DCreateItem( PPTSld.document.body ) mObj.id=3D"ctxtmenu" mObj.style.visibility=3D"hidden" var s=3DmObj.style s.position=3D"absolute" s.cursor=3D"default" s.width=3D"120px" SetCMBorder(mObj,"menu","black") var iObj=3DCreateItem( mObj ) SetCMBorder( iObj, "threedhighlight","threedshadow" ) iObj.style.padding=3D2 CreateMenuItem( iObj,sNext,M_GoNextSld,M_True ) CreateMenuItem( iObj,sPrev,M_GoPrevSld,M_HasPrevSld ) CreateSeparator( iObj ) CreateMenuItem( iObj,sEnd,M_End,M_True ) mObj.style.visibility=3D"visible" } function Cancel() { window.event.cancelBubble=3Dtrue; window.event.returnVa= lue=3Dfalse } function Highlight() { ChangeClr("activecaption","threedhighlight") } function Deselect() { ChangeClr("threedface","menutext") } function Perform() { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) e.Action() else PPTSld.event.cancelBubble=3Dtrue } function ChangeClr( bg,clr ) { e=3DPPTSld.event.srcElement if( e.type=3D=3D"menuitem" && e.IsActive() ) { e.style.backgroundColor=3Dbg e.style.color=3Dclr } } function M_HasPrevSld() { return( parent.HasPrevSld() ) } function M_GoNextSld() { if( gIsEndShow ) M_End(); else GoToNextSld() } function M_GoPrevSld() { if( gIsEndShow ) { gIsEndShow=3D0; history.back();= PPTSld.event.cancelBubble=3Dtrue; } else GoToPrevSld() } function M_True() { return true } function M_End() { window.close( self ) } function CreateMenuItem( node,text,action,eval ) { var e=3DCreateItem( node ) e.type=3D"menuitem" e.Action=3Daction e.IsActive=3Deval e.innerHTML=3Dtext if( !e.IsActive() ) e.style.color=3D"threedshadow" e.onclick=3DPerform e.onmouseover=3DHighlight e.onmouseout=3DDeselect s=3De.style; s.fontFamily=3DsFont s.fontSize=3D"9pt" s.paddingLeft=3D2 } function CreateSeparator( node ) { var sObj=3DCreateItem( node ) SetCMBorder(sObj,"menu","menu") var s=3DsObj.style s.borderTopColor=3D"threedshadow" s.borderBottomColor=3D"threedhighlight" s.height=3D1 s.fontSize=3D"0px" } function CreateItem( node ) { var elem=3DPPTSld.document.createElement("DIV") node.insertBefore( elem ) return elem } function SetCMBorder( o,ltClr,rbClr ) { var s=3Do.style s.backgroundColor=3D"menu" s.borderStyle=3D"solid" s.borderWidth=3D1 s.borderColor=3DltClr+" "+rbClr+" "+rbClr+" "+ltClr } ------=_NextPart_01C7DC5A.D62D0330 Content-Location: file:///C:/8AF92983/LLindquistCLogic_files/fullscreen.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; 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charset="us-ascii" Conditional Logic by Larry Lindquist ------=_NextPart_01C7DC5A.D62D0330 Content-Location: file:///C:/8AF92983/LLindquistCLogic_files/outline.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii"
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Outline
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