1 <?xml version="1.0" encoding="ISO-8859-1"?>
2 <!-- Generated by Hand -->
4 <table type="form">form_pelvic_soap</table>
5 <RealName>POP</RealName>
6 <safename>pelvic_soap</safename>
7 <style cells_per_row="2">layout</style>
8 <acl table="patients">med</acl>
12 <section name="subjective" label="Subjective">
13 <field name="pelvic_complaints" label="Complaints"
14 type="checkbox_combo_list" list="Pelvic_Complaints" size="140" maxlength="255"
15 labelcols="1" cols="1" />
18 <section name="objective" label="Objective">
19 <field name="pelvic_exam" label="Exam"
20 type="checkbox_combo_list" list="Pelvic_Exam" size="140" maxlength="255"
21 labelcols="1" cols="1" />
24 <section name="assessment" label="Assessment">
25 <field name="pelvic_assessment" label="Assessment"
26 type="checkbox_combo_list" list="Pelvic_Assessment" size="140" maxlength="255"
27 labelcols="1" cols="1" />
30 <section name="plan" label="Plan">
31 <field name="pelvic_plan" label="Pelvic Plan" type="checkbox_combo_list"
32 list="Pelvic_Plan" size="140" maxlength="255" labelcols="1" cols="1" />
33 <field name="plan_discussion" label="Discussion" type="textarea"
34 columns="151" labelcols="1" cols="1" />
39 <list id="Pelvic_Complaints" name="Pelvic_Complaints" label="Pelvic Complaints"
40 type="standard" import="yes">
41 <listitem id='1' label="Pressure" order="1">Pressure</listitem>
42 <listitem id='2' label="Something Down There" order="2">Something Down There</listitem>
43 <listitem id='3' label="Bladder Changes" order="3">Bladder Changes</listitem>
44 <listitem id='4' label="Bleeding" order="4">Bleeding</listitem>
45 <listitem id='5' label="Pain" order="5">Pain</listitem>
46 <listitem id='6' label="Other" order="6">Other</listitem>
49 <list id="Pelvic_Exam" name="Pelvic_Exam"
50 label="Pelvic Exam" type="standard" import="yes">
51 <listitem id='1' label="Apical" order="1">Apical</listitem>
52 <listitem id='2' label="Cystocele" order="2">Cystocele</listitem>
53 <listitem id='3' label="Rectocele" order="3">Rectocele</listitem>
54 <listitem id='4' label="POP Q" order="4">POP Q</listitem>
55 <listitem id='5' label="Urethra" order="5">Urethra</listitem>
56 <listitem id='6' label="Kegels" order="6">Kegels</listitem>
57 <listitem id='7' label="Other" order="7">Other</listitem>
60 <list id="Pelvic_Assessment" name="Pelvic_Assessment"
61 label="Pelvic Assessment" type="standard" import="yes">
62 <listitem id='1' label="POP" order="1">POP</listitem>
63 <listitem id='2' label="Cystocele" order="2">Cystocele</listitem>
64 <listitem id='3' label="Rectocele" order="3">Rectocele</listitem>
65 <listitem id='4' label="Apical Prolapse" order="4">Apical Prolapse</listitem>
66 <listitem id='5' label="Hypermobile Urethra" order="5">Hypermobile Urethra</listitem>
67 <listitem id='6' label="Other" order="6">Other</listitem>
70 <list id="Pelvic_Plan" name="Pelvic_Plan" label="Pelvic Plan"
71 type="standard" import="yes">
72 <listitem id='1' label="Anterior Repair Elevate" order='1'>Anterior Repair Elevate</listitem>
73 <listitem id='2' label="Posterior Repair Elevate" order='2'>Posterior Repair Elevate</listitem>
74 <listitem id='3' label="Robotic ASC" order='3'>Robotic ASC</listitem>
75 <listitem id='4' label="Mini-arc" order='4'>Mini-arc</listitem>
76 <listitem id='5' label="Transobterator" order="5">Transoperative Tape (TOT)</listitem>
77 <listitem id='6' label="Transvaginal Tape (TVT)" order="6">Transvaginal Tape (TVT)</listitem>
78 <listitem id='7' label="Sonogram" order="7">Sonogram</listitem>
79 <listitem id='8' label="Cystoscopy" order='8'>Cystoscopy</listitem>
80 <listitem id='9' label="Cystometrogram" order='9'>Cystometrogram</listitem>
81 <listitem id='10' label="Pessary" order='10'>Pessary</listitem>
82 <listitem id='11' label="Kegels" order='11'>Kegels</listitem>
83 <listitem id='12' label="Other" order='12'>Other</listitem>