Professional Documents
Culture Documents
Data Reviewed: ER Notes Chart Nursing Notes/Vitals log Labs Radiology data ECHO ECG Stress Test PFT
Care Coordinated with: HCPOA PCP Case Mgmt or SW Pharmacy Nursing
©MB and RR 2006-2008 Revised 26Feb08 Indicates Physician Quality Reporting Initiative (PQRI) Physician Quality Measures
Gastroenterology Evaluation Patient Name Patient DOB MRN
Prior Diagnostic Data Exam
Blood cultures
Blood type and screen
CT of abdomen and pelvis
CT colonography
MRI of liver
MRCP
Barium esophagram
Barium enema
Upper GI series
(small bowel follow through)
RUQ Ultrasound
HIDA scan
Endoscopy Follow Up Signature
ERCP cc
Paracentesis
Data Reviewed: ER Notes Chart Nursing Notes/Vitals log Labs Radiology data ECHO ECG Stress Test PFT
Care Coordinated with: HCPOA PCP Case Mgmt or SW Pharmacy Nursing
©MB and RR 2006-2008 Revised 26Feb08 Indicates Physician Quality Reporting Initiative (PQRI) Physician Quality Measures