SCL ECMO

Show hidden and conditional rows

Ventricular Assist Device	3/1/2020
	1100	1400
VAD
VAD Type	List	List	+
List options: Heartmate II Heartware Heartmate 3 P-VAD Syncardia Other longterm VAD Tandemheart Centrimag Impella Other shortterm VAD Synonyms: VAD TYPE Row type: Data Value type: Custom List Cross encounter Condition: Heartmate II Condition: Default groups/rows added when conditions are met Heartmate II Pump Flow (l/min) Pump speed (RPM) Pulsatility index Pump power (watts) Power source System controller on primary Backup controller at bedside, cell battery present Low speed limit (once daily) System controller self-test (daily) Condition: Default groups/rows added when conditions are met VAD Long-term Heartware LVAD Pump flow (l/min) LVAD Pump speed (RPM) LVAD Pump power (watts) Condition: Default groups/rows added when conditions are met P-VAD Power source Mode Right percent systole Right rate Right stroke volume Right output Right eject pressure Right fill vacuum Right flash test Left percent systole Left rate Left stroke volume Left output Left eject pressure Left fill vaccum Left flash test Hand pump Condition: Default groups/rows added when conditions are met VAD Flow Rate LVAD Flow Rate (L/min) RVAD Flow Rate (L/min) Condition: Default groups/rows added when conditions are met VAD Short-term Tandemheart Pump Flow (l/min) Pump Speed (RPM) Secured in thigh holster Infusate solution Visual verification/infusate rate at 10 ml/hr Infusate line pressure (mmHg) Infusate change date infusate change time Blood tubing color check Cannula visible at all times Chatter Approximate patient contribution to cardiac index (l/min) Pulses Left Dorsalis Pedis Pulse Right Dorsalis Pedis Pulse Left Posterior Tibial Pulse Right Posterior Tibial Pulse Condition: Default groups/rows added when conditions are met Impella Impella Device Type Ventricular Support Placement signal (mmHg) Placement signal mean (mmHg) AO placement signal (mmHg) AO placement signal mean (mmHg) LV placement signal (mmHg) P-perf level (P0-P9) Motor current (mA) Motor current mean (mA) Flow (l/min) Purge infusion rate (ml/hr) Purge pressure (mmHg) Cardiac power output (W) Power source Sidearm pressure bag @ 300 mmHg Pump speed (RPM) Placement monitoring (pictogram) Additional Documentation Condition: Condition: Default groups/rows added when conditions are met Syncardia LVAD C.O. LVAD Fill RVAD C.O. RVAD Fill Rate (bpm): LVAD drive pressure LVAD Vacuum % systole: RVAD drive pressure RVAD Vacuum Presence of ejection flag Hand pump present Backup controller present and backup batteries charging Condition: Default groups/rows added when conditions are met Centrimag VAD LVAD flow (l/min) LVAD speed (RPM) RVAD flow (l/min) RVAD speed (RPM) Secured in thigh holster Blood tubing color check Chatter Sensor change Safety equipment
VAD Long-term (Hidden by default)			Duplicable
VAD Long-Term Properties (Hidden by default)	Properties Group	Properties Group	+
Placement* Location VAD comment* Synonyms: VAD LONGTERM PROPERTIES Row type: Properties Group Allow completion *Changes LDA Group name
Driveline site assessment (Hidden by default)	List	List	+
List options: clean dry bleeding draining ecchymotic edematous firm leaking painful pink red soft tender other (see comment) Synonyms: DRIVELINE SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Multi-select *Changes LDA Group name
Dressing status (Hidden by default)	List	List	+
List options: clean dry intact drainage outline increased loose old drainage saturated stained wet other (see comment) Synonyms: DRESSING STATUS Row type: Data Value type: Custom List Allow completion Multi-select *Changes LDA Group name
Dressing intervention (Hidden by default)	List	List	+
List options: dressing changed dressing reinforced sterile dressing applied other (see comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion *Changes LDA Group name
(Read Only) Dressing change date (Hidden by default)	Date	Date	+
Read only Synonyms: (READ ONLY) DRESSING CHANGE DATE Row type: Data Value type: Date Allow completion *Changes LDA Group name
Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Synonyms: DRESSING CHANGE DUE Row type: Data Value type: Date Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
VAD Comment (Hidden by default)	Free Text	Free Text	+
Synonyms: VAD COMMENT Row type: Data Value type: String Type Allow completion *Changes LDA Group name
VAD Short-term (Hidden by default)			Duplicable
VAD Short-term Properties (Hidden by default)	Properties Group	Properties Group	+
Placement* Location* RVAD atrial cannula size (Fr) RVAD arterial cannula size (Fr) LVAD atrial cannula size (Fr) LVAD arterial cannula size (Fr) VAD Comment Synonyms: VAD SHORTTERM Row type: Properties Group Allow completion *Changes LDA Group name
Cannula site assessment (Hidden by default)	List	List	+
List options: clean dry bleeding draining ecchymotic edematous firm leaking painful pink red soft tender other (see comment Synonyms: CANNULA SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Multi-select *Changes LDA Group name
Femoral site assessment (Hidden by default)	List	List	+
List options: clean dry intact bleeding ecchymotic (Size __x__ cm) edematous (Size __x__ cm) firm hematoma leaking painful Phlebitis (Specify Grade 1-4) pink positional red soft Streak (Size __x__ cm) tender other (see comment) Row information: Infiltration ScaleGrade 1 - Skin blanched; edema <1 inch in any direction; cool to touch; with or without painGrade 2 - Skin blanched; edema 1-6 inches in any direction; cool to touch; with or without painGrade 3 - Skin blanched, translucent; gross edema>6 inches in any direction; cool to touch; mild-moderate pain; possible numbnessGrade 4 - Skin blanched, translucent; skin tight, leaking, discolored, bruised, swollen; gross edema >6 inches in any direction, deep pitting tissue edema; circulatory impairment; moderate-severe pain; infiltration of any amount of blood product,irritant or vesicantPhlebitis ScaleGrade 1 - Erythema at access site with or without painGrade 2 - Pain at access site with erythema and/or edemaGrade 3 - Pain at access site with erythema and/or edema; streak formation; palpable venous cord Grade 4 - Pain at access site with erythema and/or edema; streak formation; palpable venous cord >1 inch in length; purulent drainage Synonyms: FEMORAL SITE ASSESSMENT Row type: Data Value type: Custom List Allow completion Multi-select *Changes LDA Group name
Dressing status (Hidden by default)	List	List	+
List options: clean dry intact drainage outline increased loose old drainage saturated stained wet other (see comment) Synonyms: DRESSING STATUS Row type: Data Value type: Custom List Allow completion Multi-select *Changes LDA Group name
Dressing intervention (Hidden by default)	List	List	+
List options: dressing changed dressing reinforced sterile dressing applied other (see comment) Synonyms: DRESSING INTERVENTION Row type: Data Value type: Custom List Allow completion *Changes LDA Group name
Catheter length at insertion site (cm) (Hidden by default)	Number	Number	+
Decimal places: 2 Unit: cm Synonyms: CATHETER LENGTH AT INSERTION SITE (CM) Row type: Data Value type: Numeric Type Allow completion Can be graphed *Changes LDA Group name
(Read Only) Dressing change date (Hidden by default)	Date	Date	+
Read only Synonyms: (READ ONLY) DRESSING CHANGE DATE Row type: Data Value type: Date Allow completion *Changes LDA Group name
Dressing Change Due (Hidden by default)	Date	Date	+
Row information: Enter the date the next dressing change is due. Synonyms: DRESSING CHANGE DUE Row type: Data Value type: Date Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
VAD Comment (Hidden by default)	Free Text	Free Text	+
Synonyms: VAD COMMENT Row type: Data Value type: String Type Allow completion *Changes LDA Group name
Heartmate II (Hidden by default)
Pump Flow (l/min) (Hidden by default)	Number	Number	+
Synonyms: PUMP FLOW (LPM) Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Pump speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: PUMP SPEED (RPM) Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Pulsatility index (Hidden by default)	Number	Number	+
Synonyms: PULSATILITY INDEX Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Pump power (watts) (Hidden by default)	Number	Number	+
Synonyms: PUMP POWER (WATTS) Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Power source (Hidden by default)	List	List	+
List options: AC battery Synonyms: POWER SOURCE Row type: Data Value type: Custom List Allow completion Cross encounter
System controller on primary (Hidden by default)	List	List	+
List options: yes Synonyms: SYSTEM CONTROLLER ON PRIMARY Row type: Data Value type: Custom List Allow completion Cross encounter
Backup controller at bedside, cell battery present (Hidden by default)	List	List	+
List options: yes Synonyms: BACKUP CONTROLLER AT BEDSIDE, CELL BATTERY PRESENT Row type: Data Value type: Custom List Allow completion Cross encounter
Low speed limit (once daily) (Hidden by default)	Free Text	Free Text	+
Synonyms: LOW SPEED LIMIT (ONCE DAILY) Row type: Data Value type: String Type Allow completion Cross encounter
System controller self-test (daily) (Hidden by default)	Free Text	Free Text	+
Synonyms: SYSTEM CONTROLLER SELF-TEST (DAILY) Row type: Data Value type: String Type Allow completion Cross encounter
Heartware (Hidden by default)
LVAD Pump flow (l/min) (Hidden by default)	Number	Number	+
Synonyms: PUMP FLOW (L/MIN) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
LVAD Pump speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: LVAD PUMP SPEED Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
LVAD Pump power (watts) (Hidden by default)	Number	Number	+
Synonyms: LVAD PUMP SPEED Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Heartmate 3 (Hidden by default)
Pump Flow (l/min) (Hidden by default)	Number	Number	+
Synonyms: PUMP FLOW (LPM) Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Pump speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: PUMP SPEED (RPM) Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Pulsatility index (Hidden by default)	Number	Number	+
Synonyms: PULSATILITY INDEX Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Pump power (watts) (Hidden by default)	Number	Number	+
Synonyms: PUMP POWER (WATTS) Row type: Data Value type: Numeric Type Allow completion Allow copy forward Cross encounter Can be graphed
Power source (Hidden by default)	List	List	+
List options: AC battery Synonyms: POWER SOURCE Row type: Data Value type: Custom List Allow completion Cross encounter
Backup controller at bedside, cell battery present (Hidden by default)	List	List	+
List options: yes Synonyms: BACKUP CONTROLLER AT BEDSIDE, CELL BATTERY PRESENT Row type: Data Value type: Custom List Allow completion Cross encounter
Low speed limit (once daily) (Hidden by default)	Free Text	Free Text	+
Synonyms: LOW SPEED LIMIT (ONCE DAILY) Row type: Data Value type: String Type Allow completion Cross encounter
System controller self-test (daily) (Hidden by default)	Free Text	Free Text	+
Synonyms: SYSTEM CONTROLLER SELF-TEST (DAILY) Row type: Data Value type: String Type Allow completion Cross encounter
P-VAD (Hidden by default)
Power source (Hidden by default)	List	List	+
List options: AC battery Synonyms: POWER SOURCE Row type: Data Value type: Custom List Allow completion Cross encounter
Mode (Hidden by default)	List	List	+
List options: auto Synonyms: MODE Row type: Data Value type: Custom List Allow completion Cross encounter
Right percent systole (Hidden by default)	Number	Number	+
Synonyms: RIGHT PERCENT SYSTOLE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Right rate (Hidden by default)	Number	Number	+
Synonyms: RIGHT RATE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Right stroke volume (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: RIGHT STROKE VOLUME Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Right output (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: RIGHT OUTPUT Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Right eject pressure (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: RIGHT EJECT PRESSURE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Right fill vacuum (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: RIGHT FILL VACUUM Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Right flash test (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: RIGHT FLASH TEST Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left percent systole (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: LEFT PERCENT SYSTOLE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left rate (Hidden by default)	Number	Number	+
Synonyms: LEFT RATE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left stroke volume (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: LEFT STROKE VOLUME Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left output (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: LEFT OUTPUT Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left eject pressure (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: LEFT EJECT PRESSURE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left fill vaccum (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: LEFT FILL VACCUM Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Left flash test (Hidden by default)	Free Text	Free Text	+
Synonyms: LEFT FLASH TEST Row type: Data Value type: String Type Allow completion Cross encounter
Hand pump (Hidden by default)	Free Text	Free Text	+
Synonyms: HAND PUMP Row type: Data Value type: String Type Allow completion Cross encounter
Syncardia (Hidden by default)
LVAD C.O. (Hidden by default)	Number	Number	+
Synonyms: C.O. Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
LVAD Fill (Hidden by default)	Number	Number	+
Synonyms: FILL Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD C.O. (Hidden by default)	Number	Number	+
Synonyms: C.O. Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD Fill (Hidden by default)	Number	Number	+
Synonyms: FILL Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Rate (bpm): (Hidden by default)	Number	Number	+
Synonyms: RATE (BPM): Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
LVAD drive pressure (Hidden by default)	Number	Number	+
Synonyms: DRIVE PRESSURE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
LVAD Vacuum (Hidden by default)	Number	Number	+
Synonyms: VACUUM Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
% systole: (Hidden by default)	Number	Number	+
Synonyms: % SYSTOLE: Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD drive pressure (Hidden by default)	Number	Number	+
Synonyms: DRIVE PRESSURE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD Vacuum (Hidden by default)	Number	Number	+
Synonyms: VACUUM Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Presence of ejection flag (Hidden by default)	List	List	+
List options: yes Synonyms: PRESENCE OF EJECTION FLAG Row type: Data Value type: Custom List Allow completion Cross encounter
Hand pump present (Hidden by default)	List	List	+
List options: yes Synonyms: HAND PUMP PRESENT Row type: Data Value type: Custom List Allow completion Cross encounter
Backup controller present and backup batteries charging (Hidden by default)	List	List	+
List options: yes Synonyms: BACKUP CONTROLLER PRESENT AND BACKUP BATTERIES CHARGING Row type: Data Value type: Custom List Allow completion Cross encounter
Tandemheart (Hidden by default)
Pump Flow (l/min) (Hidden by default)	Number	Number	+
Synonyms: PUMP FLOW (LPM) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Pump Speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: RPM Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Secured in thigh holster (Hidden by default)	List	List	+
List options: yes no Synonyms: SECURED IN THIGH HOLSTER Row type: Data Value type: Custom List Allow completion Cross encounter
Infusate solution (Hidden by default)	List	List	+
List options: normal saline heparinized saline other (see comment) Synonyms: INFUSATE SOLUTION Row type: Data Value type: Custom List Allow completion Cross encounter
Visual verification/infusate rate at 10 ml/hr (Hidden by default)	List	List	+
List options: yes Synonyms: VISUAL VERIFICATION/INFUSATE RATE AT 10 ML/HR Row type: Data Value type: Custom List Allow completion Cross encounter
Infusate line pressure (mmHg) (Hidden by default)	Number	Number	+
Synonyms: INFUSATE LINE PRESSURE (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Infusate change date (Hidden by default)	Date	Date	+
Synonyms: INFUSATE CHANGE DATE Row type: Data Value type: Date Allow completion Cross encounter
infusate change time (Hidden by default)	Time	Time	+
Synonyms: INFUSATE CHANGE TIME Row type: Data Value type: Time Allow completion Cross encounter
Blood tubing color check (Hidden by default)	List	List	+
List options: red other (see comment) Synonyms: BLOOD TUBING COLOR CHECK Row type: Data Value type: Custom List Allow completion Cross encounter
Cannula visible at all times (Hidden by default)	List	List	+
List options: yes Synonyms: CANNULA VISIBLE AT ALL TIMES Row type: Data Value type: Custom List Allow completion Cross encounter
Chatter (Hidden by default)	List	List	+
List options: not present present other (see comment) Synonyms: CHATTER Row type: Data Value type: Custom List Allow completion Cross encounter
Approximate patient contribution to cardiac index (l/min) (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: APPROXIMATE PATIENT CONTRIBUTION TO CARDIAC INDEX (L/MIN) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Centrimag VAD (Hidden by default)
LVAD flow (l/min) (Hidden by default)	Number	Number	+
Synonyms: LVAD Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
LVAD speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: LVAD SPEED (RPM) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD flow (l/min) (Hidden by default)	Number	Number	+
Synonyms: RVAD FLOW (L/MIN) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: RVAD SPEED (RPM) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Secured in thigh holster (Hidden by default)	List	List	+
List options: yes no Synonyms: SECURED IN THIGH HOLSTER Row type: Data Value type: Custom List Allow completion Cross encounter
Blood tubing color check (Hidden by default)	List	List	+
List options: red other (see comment) Synonyms: BLOOD TUBING COLOR CHECK Row type: Data Value type: Custom List Allow completion Cross encounter
Chatter (Hidden by default)	List	List	+
List options: not present present other (see comment) Synonyms: CHATTER Row type: Data Value type: Custom List Allow completion Cross encounter
Sensor change (Hidden by default)	List	List	+
List options: yes Synonyms: SENSOR CHANGE Row type: Data Value type: Custom List Allow completion Cross encounter
Safety equipment (Hidden by default)	List	List	+
List options: vascular clamp at bedside backup controller present backup batteries charging Synonyms: SAFETY EQUIPMENT Row type: Data Value type: Custom List Allow completion Cross encounter Multi-select
Impella (Hidden by default)
Impella Device Type (Hidden by default)	List	List	+
List options: 2.5 CP 5.0 LD RP Other (Comments) Synonyms: IMPELLA DEVICE TYPE Row type: Data Value type: Custom List Allow completion Allow copy forward Cross encounter
Ventricular Support (Hidden by default)	List	List	+
List options: left right Synonyms: VENTRICULAR SUPPORT Row type: Data Value type: Custom List Allow completion Cross encounter Add to all templates where this row is start removed
Placement signal (mmHg) (Hidden by default)	Free Text	Free Text	+
Synonyms: PLACEMENT SIGNAL (MMHG) Row type: Data Value type: String Type Allow completion Cross encounter Add to all templates where this row is start removed
Placement signal mean (mmHg) (Hidden by default)	Number	Number	+
Synonyms: PLACEMENT SIGNAL (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
AO placement signal (mmHg) (Hidden by default)	Blood Pressure	Blood Pressure	+
Synonyms: AO PLACEMENT SIGNAL (MMHG) Row type: Data Value type: Blood Pressure Allow completion Cross encounter Can be graphed
AO placement signal mean (mmHg) (Hidden by default)	Number	Number	+
Synonyms: AO PLACEMENT SIGNAL (MEAN), AO PLACEMENT SIGNAL MEAN (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
LV placement signal (mmHg) (Hidden by default)	Blood Pressure	Blood Pressure	+
Synonyms: LV PLACEMENT SIGNAL (MMHG) Row type: Data Value type: Blood Pressure Allow completion Cross encounter Can be graphed
P-perf level (P0-P9) (Hidden by default)	List	List	+
List options: P-0 P-1 P-2 P-3 P-4 P-5 P-6 P-7 P-8 P-9 Synonyms: P-PERF LEVEL Row type: Data Value type: Custom List Allow completion Cross encounter
Motor current (mA) (Hidden by default)	Blood Pressure	Blood Pressure	+
Synonyms: MOTOR CURRENT (MA) Row type: Data Value type: Blood Pressure Allow completion Cross encounter Can be graphed
Motor current mean (mA) (Hidden by default)	Number	Number	+
Synonyms: MOTOR CURRENT MEAN (MA) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Flow (l/min) (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: FLOW (L/MIN) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Purge infusion rate (ml/hr) (Hidden by default)	Number	Number	+
Synonyms: PURGE INFUSION RATE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Purge pressure (mmHg) (Hidden by default)	Number	Number	+
Decimal places: 2 Synonyms: PURGE PRESSURE (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Cardiac power output (W) (Hidden by default)	Number	Number	+
Decimal places: 1 Synonyms: CARDIAC POWER OUTPUT (W) Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Power source (Hidden by default)	List	List	+
List options: AC battery Synonyms: POWER Row type: Data Value type: Custom List Allow completion Cross encounter
Sidearm pressure bag @ 300 mmHg (Hidden by default)	List	List	+
List options: yes Synonyms: SIDEARM PRESSURE BAG @ 300 MMHG Row type: Data Value type: Custom List Allow completion Cross encounter
Pump speed (RPM) (Hidden by default)	Number	Number	+
Synonyms: RPM Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
Placement monitoring (pictogram) (Hidden by default)	List	List	+
List options: OK unknown wrong Synonyms: PLACEMENT MONITORING (PICTOGRAM) Row type: Data Value type: Custom List Allow completion Cross encounter
Additional Documentation (Hidden by default)	List	List	+
List options: Impella 2 Synonyms: ADDITIONAL DOCUMENTATION Row type: Data Value type: Custom List Condition: Impella 2
Investigational Devices
Investigational Device 1 (Hidden by default)	Free Text	Free Text	+
Synonyms: INVESTIGATIONAL DEVICES Row type: Data Value type: String Type Allow copy forward Add to all templates where this row is start removed
VAD Flow Rate (Hidden by default)
LVAD Flow Rate (L/min) (Hidden by default)	Number	Number	+
Decimal places: 1 Unit: L/min Synonyms: LEFT VENTRICULAR ASSIST DEVICE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
RVAD Flow Rate (L/min) (Hidden by default)	Number	Number	+
Decimal places: 1 Unit: L/min Synonyms: RIGHT VENTRICULAR ASSIST DEVICE Row type: Data Value type: Numeric Type Allow completion Cross encounter Can be graphed
VAD Comments
VAD Additional Comments	Free Text	Free Text	+
Synonyms: VENTRICULAR ASSIST DEVICE Row type: Data Value type: String Type Allow completion Cross encounter
Additional Hemodynamic Monitoring (Hidden by default)
PVR (dyne*sec)/cm5 (Hidden by default)	Number	Number	+
Unit: (dynesec)/cm5 Row information:* PVR = Pulmonary Vascular ResistanceEnter value from monitoring device. Abbreviation: PVR Synonyms: PVR Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
PVRI (dyne*sec)/cm5 (Hidden by default)	Number	Number	+
Unit: (dynesec)/cm5 Row information:* PVRI = Pulmonary Vascular Resistance IndexEnter value from monitoring device. Abbreviation: PVRI Synonyms: SVRI Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
LCWI (Hidden by default)	Number	Number	+
Row information: LCWI = Left Cardiac Work IndexEnter value from monitoring device. Abbreviation: LCWI Synonyms: LCWI Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
RCWI (Hidden by default)	Number	Number	+
Row information: RCWI = Right Cardiac Work IndexEnter value from monitoring device. Abbreviation: RCWI Synonyms: RCWI Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
LVSW (Hidden by default)	Number	Number	+
Row information: LVSW = Left Ventricular Stroke WorkEnter value from monitoring device. Abbreviation: LVSW Synonyms: LVSW Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
LVSWI (Hidden by default)	Number	Number	+
Row information: LVSWI = Left Ventricular Stroke Work IndexEnter value from monitoring device. Abbreviation: LVSWI Synonyms: LVSWI Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
RVSW (Hidden by default)	Number	Number	+
Row information: RVSW = Right Ventricular Stroke WorkEnter value from monitoring device. Abbreviation: RVSW Synonyms: RVSW Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
RVSWI (Hidden by default)	Number	Number	+
Row information: RVSWI = Right Ventricular Stroke Work IndexEnter value from monitoring device. Abbreviation: RVSWI Synonyms: RVSWI Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Counterpulsation VS (Hidden by default)
Assisted Systolic (mmHg) (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mmHg Synonyms: ASSISTED SYSTOLIC (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Assisted Diastolic (mmHg) (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mmHg Synonyms: ASSISTED DIASTOLIC (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Mean (mmHg) (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mmHg Synonyms: IABP MEAN Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Augmented Pressure (mmHg) (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mmHg Synonyms: AUGMENTED PRESSURE (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Unassisted Systolic (mmHg) (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mmHg Synonyms: UNASSISTED SYSTOLIC (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Unassisted Diastolic (mmHg) (Hidden by default)	Number	Number	+
Minimum value: 0 Unit: mmHg Synonyms: UNASSISTED DIASTOLIC (MMHG) Row type: Data Value type: Numeric Type Allow completion Cross encounter Add to all templates where this row is start removed Can be graphed
Pacemaker (Hidden by default)			Duplicable
Properties Pacemaker (Hidden by default)	Properties Group	Properties Group	+
Pacer Type* Pacer Mode* Pacer Function* Synonyms: PROPERTIES PACEMAKER Row type: Properties Group Allow completion *Changes LDA Group name
Pacer Rhythm (Hidden by default)	List	List	+
List options: atrial paced ventricular paced AV paced P triggered V paced other (see comments) Synonyms: RHYTHM Row type: Data Value type: Custom List Allow completion Allow copy forward *Changes LDA Group name
Pacer Intrinsic Rate (Hidden by default)	List	List	+
List options: 100% paced 75% paced 50% paced less than 50% paced other (see comments) Row information: Item=AS pacer rhythm>>List=AS pacer rhythm>>Version=Spring 2009 Synonyms: PACER RHYTHM Row type: Data Value type: Custom List Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Intrinsic Underlying Rhythm (Hidden by default)	List	List	+
List options: normal sinus rhythm sinus arrest sinus pause junctional rhythm atrial fibrillation idioventricular Synonyms: INTRINSIC UNDERLYING RHYTHM Row type: Data Value type: Custom List Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Pacer Atrial MA (Hidden by default)	Free Text	Free Text	+
Row information: Item=AS pacer atrial ma FT>>Version=Spring 2010 Synonyms: PACER ATRIAL MA Row type: Data Value type: String Type Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Pacer Ventricular MA (Hidden by default)	Free Text	Free Text	+
Row information: Item=AS pacer ventricular ma FT>>Version=Spring 2010 Synonyms: PACER VENTRICULAR MA Row type: Data Value type: String Type Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Pacer Atrial Sensitivity (MV) (Hidden by default)	Free Text	Free Text	+
Row information: Item=AS pacer sensitivity art FT>>Version=Spring 2010 Synonyms: PACER ATRIAL SENSITIVITY (MV) Row type: Data Value type: String Type Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Pacer Ventricular Sensitivity (MV) (Hidden by default)	Free Text	Free Text	+
Row information: Item=AS pacer sensitivity vent FT>>Version=Spring 2010 Synonyms: PACER VENTRICULAR SENSITIVITY (MV) Row type: Data Value type: String Type Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Pacer Rate (Hidden by default)	Free Text	Free Text	+
Row information: Item=AS pacer rate FT>>Version=Fall 2009 Synonyms: PACER RATE Row type: Data Value type: String Type Allow completion Add to all templates where this row is start removed *Changes LDA Group name
Pacemaker BackUp Rate (Hidden by default)	Number	Number	+
Decimal places: 0 Synonyms: PACEMAKER BACKUP RATE Row type: Data Value type: Numeric Type Allow completion Allow copy forward Can be graphed *Changes LDA Group name
Pacer Interventions (Hidden by default)	List	List	+
List options: battery changed locked secured off wires insulated wires removed other (see comments) Row information: Item=INV pacemaker intervention>>List=INV pacemaker intervention>>Version=S11 Synonyms: PACER INTERVENTIONS Row type: Data Value type: Custom List Allow completion Allow copy forward Multi-select Add to all templates where this row is start removed *Changes LDA Group name
Pacemaker Atrial Threshold Checked? (Hidden by default)	List	List	+
List options: Yes No Synonyms: PACEMAKER ATRIAL THRESHOLD CHECKED? Row type: Data Value type: Custom List Allow completion Allow copy forward *Changes LDA Group name
Pacemaker Atrial Stimulation Threshold mA (Hidden by default)	Number	Number	+
Decimal places: 0 Synonyms: PACEMAKER ATRIAL STIMULATIONTHRESHOLD MA Row type: Data Value type: Numeric Type Allow completion Allow copy forward Add to all templates where this row is start removed Can be graphed *Changes LDA Group name
Pacemaker Ventricular Threshold Checked? (Hidden by default)	List	List	+
List options: Yes No Synonyms: PACEMAKER VENTRICULAR THRESHOLD CHECKED Row type: Data Value type: Custom List Allow completion Allow copy forward Add to all templates where this row is start removed *Changes LDA Group name
Pacemaker Ventricular Stimulation Threshold mA (Hidden by default)	Number	Number	+
Decimal places: 0 Synonyms: PACEMAKER VENTRICULAR STIMULATION THRESHOLD MA Row type: Data Value type: Numeric Type Allow completion Allow copy forward Add to all templates where this row is start removed Can be graphed *Changes LDA Group name
AICD Status (Hidden by default)	List	List	+
List options: on off unknown Synonyms: AICD STATUS Row type: Data Value type: Custom List Allow completion Allow copy forward *Changes LDA Group name

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AMB VENTRICULAR ASSIST DEVICE (VAD)