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Master List of HCH Forms Currently Barcoded and - Department of ...

Master List of HCH Forms Currently Barcoded and - Department of ...

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Bar Coded <strong>Forms</strong> by <strong>HCH</strong> Number for eHIMS website.xls Sorted by Form Name<br />

<strong>HCH</strong>-2133 Special Procedure Note - Heterotoptic Bone (Rad Onc)<br />

<strong>HCH</strong>-2134 Special Procedure Note - IMRT Therapy (Rad Onc)<br />

<strong>HCH</strong>-2135 Special Procedure Note - LDR Brachytherapy (Rad Onc)<br />

<strong>HCH</strong>-2138 Special Procedure Note - Prostate Seed Implant (Rad Onc)<br />

<strong>HCH</strong>-2141 Special Procedure Note - Stereotactic Radiosurgery (Rad Onc)<br />

<strong>HCH</strong>-37 Special Vital Signs Record Apr-75 Oct.-2008 ICU<br />

<strong>HCH</strong>-896 Speech Pathology Communication Evaluation Jul-94 Jul-06 J. Lounsbury<br />

<strong>HCH</strong>-892 Speech Pathology Interagency Discharge Form Jul-94 Jul-06<br />

<strong>HCH</strong>-1517 Speech Therapy Encounter Note - ENT Oct-06<br />

<strong>HCH</strong>-1631 Speech Therapy Progress Note Nov-06 E.Wagner<br />

<strong>HCH</strong>-1128 Patient <strong>and</strong> Family Teaching Record General Surgery Nov.-97<br />

<strong>HCH</strong>-1656 Spirometry Flowsheet (OCC Med/Emp Hlth) May-94 Nov-06 S.Barnosky/Occ.Med<br />

<strong>HCH</strong>-46 Sports Medicine Referral Dec.-93 Jun-11 B.Boucher-Rehab. Services<br />

<strong>HCH</strong>-770 Sports Rehab <strong>and</strong> Assessment Referral Form<br />

<strong>HCH</strong>-1333 St<strong>and</strong>ard Care Plan1 Dec.-01 Mar-06<br />

SueEllen Goodrich/Karen<br />

<strong>HCH</strong>-2326 St<strong>and</strong>ard Care Plan-Hyperemesis Gravidarum Oct-11<br />

Loscher<br />

<strong>HCH</strong>-2331 St<strong>and</strong>ard Care Plan: Infection Risk or Confirmed Nov-11 SueEllen Goodrich<br />

<strong>HCH</strong>-794 St<strong>and</strong>ard Care Plan Laparotomy: Care <strong>of</strong> the Patient Admitted to OB-GYN Nov-93 Jan-09<br />

<strong>HCH</strong>-952 St<strong>and</strong>ard Care Plan-Third Trimester Bleeding Antepartum Patient Mar-95<br />

<strong>HCH</strong>-1315 St<strong>and</strong>ard Medical Admission Order Sheet Feb.-00 Feb.-06 Medical Staff Office<br />

<strong>HCH</strong>-1940 Statement <strong>of</strong> Electing Voluntary Status (Psych)<br />

<strong>HCH</strong>-2388 Stelara (Ustekinumab) Jul-12 Jane Grant-Kels<br />

<strong>HCH</strong>-1632 Subjective Analysis <strong>of</strong> the Singing Voice UMG Nov-06 E.Wagner<br />

<strong>HCH</strong>-2354 Subjective Intake Form May-12 Jennifer Smedberg<br />

<strong>HCH</strong>-2389 Superficial <strong>and</strong> Medium Depth Chemical Peels Jul-12 Jane Grant-Kels<br />

<strong>HCH</strong>-2064 Supplement to St<strong>and</strong>ard Care Plan for Infant with Jun-08 Sep-11 Newborn Nursery<br />

<strong>HCH</strong>-2223 Supplement to St<strong>and</strong>ard Care Plan: Infection Risk or Confirmed Jan.-10 Sharon Zaffetti<br />

<strong>HCH</strong>-1251 Patient & Family Teaching Record - Surgical Admission General Teaching Oct.-98 Dec.- 00<br />

<strong>HCH</strong>-2131 Surgical Safety Checklist (OR) Apr-09 Feb-12 C.Schramm<br />

<strong>HCH</strong>-1471 Surgical Scheduling Orders Jun-06 N.Maxwell/OB GYN<br />

<strong>HCH</strong>-1789 Suture Removal (JDH Dermatology) Jan-07 Apr-11 Dermatology/Cathy Sonnenberg<br />

<strong>HCH</strong>-2111 Target100 Patient Data Log<br />

<strong>HCH</strong>-1849 TB Respiratory Isolation Respiratory Training <strong>and</strong> Fit-Test Protocol<br />

<strong>HCH</strong>-1923 Technician Study Log (Sleep Disorders Center)<br />

<strong>HCH</strong>-1913 Technician Study Summary (Sleep Disorders Center)<br />

HCh-2305 TEE Discharge Instructions - Ambulatory Patient Information May-11 Linda Manzelli<br />

<strong>HCH</strong>-1441 Telephone Triage Documentation Record Apr-07<br />

<strong>HCH</strong>-2390 Terbinafine (Lamisil) Jul-12 Jane Grant-Kels<br />

<strong>HCH</strong>-1105 Termination <strong>of</strong> Pregnancy Second Trimester Oct.-97 Oct.-00<br />

<strong>HCH</strong>-1501 Test Result Letter UMG Jan-02 Oct-06<br />

<strong>HCH</strong>-1845 Test Result/Biopsy Result Letter (Division <strong>of</strong> Infectious Disease)<br />

<strong>HCH</strong>-2391 Tetracycline Jul-12 Jane Grant-Kels<br />

<strong>HCH</strong>-2176 The DOC Consent to Basic Treatment Sep-09<br />

<strong>HCH</strong>-2065 Thyrogen Administration (Cancer Center)<br />

<strong>HCH</strong>-2232 Tinnitus Rating Scale Feb.-10 E. Wagner<br />

<strong>HCH</strong>-2245 Tocilizumab (Actemra) After Care Instructions May-10 C.Kay<br />

<strong>HCH</strong>-2247 Tocilizumab (Actemra) Infusion Record May-10 C.Kay<br />

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