Master List of HCH Forms Currently Barcoded and - Department of ...
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>-12740 Authorization for Medical/Surgical Procedure Renal Artery Angiography & Intervention<br />
<strong>HCH</strong>-12729 Authorization for Medical/Surgical Procedure Sonohysterogram<br />
<strong>HCH</strong>-12735 Authorization for Medical/Surgical Procedure Stereotactic Biopsy <strong>of</strong> Breast Clip<br />
<strong>HCH</strong>-12751 Authorization for Medical/Surgical Procedure Thumb Carpometacarpal Arthroplasty Oct-10<br />
<strong>HCH</strong>-12755 Authorization for Medical/Surgical Procedure: Tonsillectomy Oct-11 Elissa Wagner/Donna G<strong>and</strong>za<br />
<strong>HCH</strong>-12736 Authorization for Medical/Surgical Procedure Total Hip<br />
<strong>HCH</strong>-12737 Authorization for Medical/Surgical Procedure Total Knee<br />
<strong>HCH</strong>-12756 Authorization for Medical/Surgical Procedure: Total Thyroidectomy Oct-11 Elissa Wagner/Donna G<strong>and</strong>za<br />
<strong>HCH</strong>-12757 Authorization for Medical/Surgical Procedure: Transnasal Esophagoscopy Nov-11 Elissa Wagner/Donna G<strong>and</strong>za<br />
<strong>HCH</strong>-12703 Authorization for Medical/Surgical Procedure Tubal Ligation<br />
<strong>HCH</strong>-12712 Authorization for Medical/Surgical Procedure Vagal Nerve Stim Implant<br />
<strong>HCH</strong>-12716 Authorization for Medical/Surgical Procedure: Electrophysiology Study/Ablation<br />
<strong>HCH</strong>-1342 Authorization for MedicalSurgical Procedure-Pill Enteroscopy Oct.-02 Feb.-06 Gastroenterology<br />
<strong>HCH</strong>-2124 NO LONGER A CHART FORM Authorization for Transfusion <strong>of</strong> Blood or Blood Products - NICU DEACTIVATED 10/2011<br />
<strong>HCH</strong>-1770 Authorization to Obtain <strong>and</strong> Release Pathology Slides/Reports Jan-07 Pathology<br />
<strong>HCH</strong>-1369 Authorization to Obtain <strong>and</strong>/or Disclose Health Information - Research Jul-10 Jul-03<br />
<strong>HCH</strong>-551 Authorization to Obtain or Disclose Health Information Jul-03 Aug-11 Medical Records-E.Albini<br />
<strong>HCH</strong>-962 Automatic Stop Orders-Pre-Percutaneous Coronary Angioplasty Mar-95 Apr-06 Cardiology<br />
<strong>HCH</strong>-1561 Back Pain Questionnaire OCC Med Employee Health Dec-06<br />
<strong>HCH</strong>-1611 Batch Cover Sheet Feb-09 Aug-11 HIM<br />
<strong>HCH</strong>-1627 Batch Cover Sheet Nov-06<br />
<strong>HCH</strong>-1914 Beck Depression Inventory (Sleep Disorders Center)<br />
<strong>HCH</strong>-1861 Beck Inventory (Dept <strong>of</strong> Psychiatry)<br />
<strong>HCH</strong>-1313 Beck Inventory Item #9 Jan.-00 Psych. Nursing<br />
<strong>HCH</strong>-894 Bedside Swallow Evaluation Jul-94 Aug.-06<br />
<strong>HCH</strong>-1915 Bedtime Questionnaire (Sleep Disorders Center)<br />
<strong>HCH</strong>-591 Behavioral Health Restraint/Seclusion Flow Sheet Replaced by <strong>HCH</strong>-2287 May-91 Mar-09 Nursing<br />
<strong>HCH</strong>-1975 Biologic Medication Monitoring Flowsheet (UMG)<br />
<strong>HCH</strong>-1142 Bipolar Disorder Carepath Manic Episode<br />
<strong>HCH</strong>-1895 Birthing Room Newborn Flow Sheet (Labor <strong>and</strong> Delivery) 00-05 Sep-10<br />
<strong>HCH</strong>-1240 Blood <strong>and</strong> Blood Components Transfusion Order Sheet Sept.-98 Mar-10<br />
<strong>HCH</strong>-2021 Blood Bank Emergency Blood Request (Blood Bank)<br />
<strong>HCH</strong>-1262 Blood Bank Requisition Nov-98 Oct-10<br />
<strong>HCH</strong>-1754 Blood Component Transfusion Dec-06 Dec-10 Jessie Riemer<br />
<strong>HCH</strong>-762 Blood Gas Analysis Requisition Apr-93 Oct-10 Resp. Care<br />
<strong>HCH</strong>-1048 Boarder Newborn - Deleted Jul-97 Sept.-00<br />
<strong>HCH</strong>-1951 Body MR Questionnaire (Diagnositc Imaging) Oct-07 Aug-10 Radiology<br />
<strong>HCH</strong>-1782 Botox Cosmetic Consent (JDH Dermatology) Jan-07 Apr-11 Dermatology/Cathy Sonnenberg<br />
<strong>HCH</strong>-1528 Botulinum Toxin Data Sheet UMG Nov-06<br />
<strong>HCH</strong>-1253 Patient <strong>and</strong> Family Teaching Record - Bowel Resection Feb.-99 Dec.-00<br />
<strong>HCH</strong>-1949 Brain Questionnaire (Diagnostic Imaging) Oct-07 Aug-10 Radiology<br />
<strong>HCH</strong>-1689 Breast Diagram (Cancer Center)<br />
Martha Hein-Neag Cancer<br />
<strong>HCH</strong>-1769 Breast Follow Up Encounter (Cancer Center) 00-05 Nov-06 Center<br />
<strong>HCH</strong>-2238 Breast History Reference Guide Mar-10 Lori Wilson<br />
8/3/2012 - 9:53 AM 4/28
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