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approximately 28 views since Ferdinand Magellan turned an hourglass.
Hx: [text size="5"] yo [select value="M|F"] awaiting [text memo="specific surgery" memo_size="small" memo_color="yellow" size="50"]

-Functional Assessment - Patient able to perform - [checkbox name="Q1" value="Bicycling at a pace of 11 mph (6 METS)=1|Bowling (4 METS)=1|Dance, Slow Step (4 METS)=1|Dance, Square Dancing (5 METS)=1|Dance, Fast Step (Aerobic) (6 METS)=1|Exercise Equipment - Elliptical trainer, moderate effort (5 METS)=1|Exercise Equipment - Exercise bike bicycling, moderate to vigorous effort (6.8 METS)=1|Exercise Equipment - Exercise bike bicycling, spin class (8.5 METS)=1|Exercise Equipment - Rowing machine, moderate effort (4.8 METS)=1|Exercise Equipment - Ski machine (6.8 METS)=1|Fishing from river bank and walking (4 METS)=1|Golf without a cart, walking (4 METS)=1|Housework, perform *heavy* work around the house (4.3 METS)=1|Hunting deer, elk, large game (6 METS)=1|Jumping rope (12.3 METS)=1|Playing Sports - Baseball (5 METS)=1|Playing Sports - Basketball (6.5 METS)=1|Playing Sports - Football (touch or flag) (4 METS)=1|Playing Sports - Softball (5 METS)=1|Playing Sports - Tennis Singles (5 METS)=1|Playing Sports - Volleyball (4 METS)=1|Running/Jogging at 5 mph (8.7 METS)=1|Have sexual relations? (2.8 to 5.25 METS)=1|Shoveling (5 METS)=1|Skating at 10 MPH (5 METS)=1|Skiing, downhill snowskiing (8 METS)=1|Skiing, waterskiing (6 METS)=1|Swimming at 0.25 mph (4 METS)=1|Walk on level ground at 4 mph (4 METS)=1"]
Total --> [calc memo="number of activities" value="score=(Q1)"] activities which require at least moderate (4 to 6 METS) functional capacity.
-Cardiovascular Assessment - Fleisher-Eagle Algorithm for Preoperative Cardiac Risk Assessment
[select value="NO=0|YES=1" name="ischemic"] <-- Ischemic heart disease (angina or prior MI)?
[select value="NO=0|YES=1" name="chf"] <-- Heart failure?
[select value="NO=0|YES=1" name="riskysurg"] <-- High-risk surgery (including intraperitoneal, intrathoracic, and suprainguinal vascular procedures)?
[select value="NO=0|YES=1" name="diabetes"] <-- Diabetes mellitus (especially insulin-requiring)?
[select value="NO=0|YES=1" name="renal"] <-- Renal insufficiency?
[select value="NO=0|YES=1" name="poorfunc"] <-- Poor functional status (defined as the inability to walk four blocks or climb two flights of stairs)?
[conditional field="ischemic|chf|riskysurg|diabetes|renal|poorfunc" condition="(ischemic).is('YES=1')||(chf).is('YES=1')||(riskysurg).is('YES=1')||(diabetes).is('YES=1')||(renal).is('YES=1')||(poorfunc).is('YES=1')"][select value="NO=0|YES=10" name="coronary"] <-- History consistent with coronary heart disease? [/conditional]

A/P
#Pre-operative assessment Z01.818
-Laboratory Assessment/Recommendations: [textarea memo="CBC/BMP/UA if indicated" memo_size="small" memo_color="blue"]
-Cardiac Assessment/Recommendations: [calc value="score=(ischemic)+(chf)+(riskysurg)+(diabetes)+(renal)+(poorfunc)+(coronary); score>2?'Noninvasive testing should be performed, followed by cardiac catheterization if the results are positive.':score>0?'Perioperative beta blocker therapy may be recommended - see updated 2014 ACC/AHA perioperative guidelines - but no further testing is recommended.':'No further testing or treatment recommended.'" memo="score interpretation"]
[textarea memo="add'l testing/EKG/cards eval if needed" memo_size="small" memo_color="blue"]
-Pulmonary Assessment: [textarea memo="PFT if needed" memo_size="small" memo_color="blue"]
-Nutritional Assessment/Recommendation: [textarea default="no severe malnourishment detected, no restrictions or additional considerations to being NPO"]
-Chronic disease/medications assessment/recommendations:
[checkbox value="-DM2 - hold oral meds while NPO
"][checkbox value="-HTN - hold oral meds except b-blocker while NPO
"][textarea]
Hx: yo awaiting specific surgery

-Functional Assessment - Patient able to perform -
Total --> number of activitiesscore=(Q1) activities which require at least moderate (4 to 6 METS) functional capacity.
-Cardiovascular Assessment - Fleisher-Eagle Algorithm for Preoperative Cardiac Risk Assessment
<-- Ischemic heart disease (angina or prior MI)?
<-- Heart failure?
<-- High-risk surgery (including intraperitoneal, intrathoracic, and suprainguinal vascular procedures)?
<-- Diabetes mellitus (especially insulin-requiring)?
<-- Renal insufficiency?
<-- Poor functional status (defined as the inability to walk four blocks or climb two flights of stairs)?


A/P
#Pre-operative assessment Z01.818
-Laboratory Assessment/Recommendations:CBC/BMP/UA if indicated
-Cardiac Assessment/Recommendations: score interpretationscore=(ischemic)+(chf)+(riskysurg)+(diabetes)+(renal)+(poorfunc)+(coronary); score>2?'Noninvasive testing should be performed, followed by cardiac catheterization if the results are positive.':score>0?'Perioperative beta blocker therapy may be recommended - see updated 2014 ACC/AHA perioperative guidelines - but no further testing is recommended.':'No further testing or treatment recommended.'
add'l testing/EKG/cards eval if needed
-Pulmonary Assessment:PFT if needed
-Nutritional Assessment/Recommendation:
-Chronic disease/medications assessment/recommendations:

Result - Copy and paste this output:

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