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Total Electronic Patient Record

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Privacy Act Removal of False and Misleading Documentation

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Key witness of IG and JCAHO complaint

Airevac as psych in-patient

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Admission

Granted full admission privileges for Acute Care Service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Electronic Patient Record

 

 

 

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"Inbox" Msg:

1 of 674

From:

Stephen W Smith <stephen_w.smith@mamc.chcs.amedd.army.mil>

To:

stephen_w.smith@mamc.chcs.amedd.army.mil, stevewsmith@pol.net

Subject:

webcase (12 Dec 2000)

Date:

12/12/2000 08:57pm

Address Book:

Add Sender to Address Book  |  Go to Address Book

Move to Folder:


 



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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:33:13 (#125)
Subj: 01-HEADER (27 Mar 1998) Wed, 29 Jul 1998 12:12:32 10 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Personal Data - Privacy Act of 1974 (PL 93-579)
Automated Version of DA5008/USAF & USN SF600 Overprint
----------------------
Division: MADIGAN AMC, WA
Department of Emergency Medicine
Emergency Physician Assessment
-HISTORY-









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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:33:41 (#126)
Subj: 02-CHIEFCOMPLAINT (27 Mar 1998) Wed, 29 Jul 1998 12:12:35 22 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Chief Complaint: Shortness of Breath
Chief Complaint: Seizure
Chief Complaint: General Weakness
Chief Complaint: Syncope
Chief Complaint: Palpitations
Chief Complaint: Stroke
Chief Complaint: Overdose
Chief Complaint: Altered Mental Status
Chief Complaint: Trauma
Chief Complaint: Cardiac Arrest
Chief Complaint: Hematemesis
Chief Complaint: Melena
Chief Complaint: Fever
Chief Complaint: Abdominal Pain
Chief Complaint: Allergic Reaction
Chief Complaint: Headache
Chief Complaint: Dizziness
Chief Complaint: Diabetic Problem
Chief Complaint: Fracture
Chief Complaint: other-see HPI
Chief Complaint:







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:33:51 (#127)
Subj: 03-ALLERGIES (27 Mar 1998) Wed, 29 Jul 1998 12:12:38 7 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Allergies: No Known Drug Allergies
Allergies: Food Allergy to
Allergies: Urticaria to
Allergies: Anaphylaxis to
Allergies: Adverse effect to
Allergies: Unknown
Allergies:






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:33:59 (#128)
Subj: 04-PMHX (27 Mar 1998) Wed, 29 Jul 1998 12:12:41 10 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Past Medical History: 1 Coronary Artery Disease
Past Medical History: 2 Diabetes
Past Medical History: 3 Asthma
Past Medical History: 4 COPD
Past Medical History: 5 Hypertension
Past Medical History: 6 Seizure Disorder
Past Medical History: 7 Migraine
Past Medical History: 8 Renal Failure
Past Medical History: 9 Arthritis
Past Medical History: 10






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:05 (#129)
Subj: 05-LASTMEAL (27 Mar 1998) Wed, 29 Jul 1998 12:12:43 6 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Last Meal: Within 6 hours
Last Meal: 6-12 hours ago
Last Meal: 12-18 hours ago
Last Meal: more than 24 hours ago
Last Meal: Unknown
Last Meal:






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:14 (#130)
Subj: 06-PE_VS (27 Mar 1998) Wed, 29 Jul 1998 12:12:45 4 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
-PHYSICAL EXAM-


VITAL SIGNS Pulse Respirations BP Temperature PulseOx






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:20 (#131)
Subj: 07-SKIN (27 Mar 1998) Wed, 29 Jul 1998 12:12:48 17 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Skin: 1 Warm, dry and pink
Skin: 2 Trunk
Skin: 3 Periphery
Skin: 4 Legs
Skin: 5 Feet
Skin: 6 Toes
Skin: 7 Fingers
Skin: 8 Cool
Skin: 9 Clammy
Skin: 10 Cool and Clammy
Skin: 11 Diaphoretic
Skin: 12 Pale
Skin: 13 Mottled
Skin: 14 Cyanotic
Skin: 15 Purple
Skin: 16 Black
Skin: 17






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:23 (#132)
Subj: 08-HEENT_HEAD (27 Mar 1998) Wed, 29 Jul 1998 12:12:51 14 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Head: 1 Normocephalic
Head: 2 Contusion
Head: 3 Hematoma
Head: 4 Ecchymosis
Head: 5 Step-off
Head: 6 Tenderness
Head: 7 Right
Head: 8 Left
Head: 9 Frontal
Head: 10 Parietal
Head: 11 Occipital
Head: 12 Temporal
Head: 13 Vertex
Head: 14






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:27 (#133)
Subj: 09-EYES (27 Mar 1998) Wed, 29 Jul 1998 12:12:53 13 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Eyes: 1 Equal Reactive
Eyes: 2 Dilated L>R
Eyes: 3 Dilated R<L
Eyes: 4 Fixed-Midpoint
Eyes: 5 Fixed and Dilated
Eyes: 6 2 mm
Eyes: 7 3 mm
Eyes: 8 4 mm
Eyes: 9 5 mm
Eyes: 10 6 mm
Eyes: 11 Left
Eyes: 12 Right







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:30 (#134)
Subj: 10-EARS (27 Mar 1998) Wed, 29 Jul 1998 12:12:56 10 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Ears: 1 Tympanic Membranes Normal
Ears: 2 Left
Ears: 3 Right
Ears: 4 Tympanic Membrane Injected
Ears: 5 Tympanic Membrane Immobile
Ears: 6 Tympanic Membrane Ruptured
Ears: 7 Tympanic Membrane bulging
Ears: 8 Hemotympanum
Ears: 9 Both







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:33 (#135)
Subj: 11-NOSE (27 Mar 1998) Wed, 29 Jul 1998 12:13:00 9 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Nose: 1 Normal
Nose: 2 Turbinates Injested
Nose: 3 Septal Hematoma
Nose: 4 Septal Deviation
Nose: 5 Left
Nose: 6 Right
Nose: 7 Clear Rhinorrhea
Nose: 8 Purulent rhinorrhea







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:36 (#136)
Subj: 12-THROAT (27 Mar 1998) Wed, 29 Jul 1998 12:13:02 5 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Throat: 1 Oropharynx Normal
Throat: 2 Tonsillar Erythema
Throat: 3 Tonsillar Exudate
Throat: 4 Palatal Petechiae
Throat:






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:39 (#137)
Subj: 13-NECK (27 Mar 1998) Wed, 29 Jul 1998 12:13:05 15 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Neck: 1 Non-tender
Neck: 2 F-R-O-M
Neck: 3 Bony Tenderness
Neck: 4 Meningismus
Neck: 5 Paraspinous Spasm
Neck: 6 C2
Neck: 7 C3
Neck: 8 C4
Neck: 9 C5
Neck: 10 C6
Neck: 11 C7
Neck: 12 T1
Neck: 13 Left
Neck: 14 Right







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:42 (#138)
Subj: 14-RESPIRATION (27 Mar 1998) Wed, 29 Jul 1998 12:13:06 7 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Respiration: 1 Unlabored
Respiration: 2 Labored
Respiration: 3 Nasal Flaring
Respiration: 4 Suprasternal Retractions
Respiration: 5 Intercostal Retractions
Respiration: 6 Poor Air Movement







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:45 (#139)
Subj: 15-CHESTWALL (27 Mar 1998) Wed, 29 Jul 1998 12:13:08 7 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Chest Wall Expansion: 1 Symmetric
Chest Wall Expansion: 2 Asymmetric
Chest Wall Expansion: 3 L>R
Chest Wall Expansion: 4 R>L
Chest Wall Expansion: 5 Flail
Chest Wall Expansion: 6 Splinting







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:48 (#140)
Subj: 16-LUNGFIELDS (27 Mar 1998) Wed, 29 Jul 1998 12:13:10 12 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Lung Fields: 1 All FieldsClear
Lung Fields: 2 Wheezes
Lung Fields: 3 Rhonchi
Lung Fields: 4 Rales
Lung Fields: 5 Decreased Sounds
Lung Fields: 6 Absent Breath Sounds
Lung Fields: 7 Left
Lung Fields: 8 Right
Lung Fields: 9 Both
Lung Fields: 10 Base(s)
Lung Fields: 11 Apex(s)







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:51 (#141)
Subj: 17-HEARTSOUNDS (27 Mar 1998) Wed, 29 Jul 1998 12:13:12 17 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Heart Sounds: 1 Regular Rate and Rhythm
Heart Sounds: 2 S1
Heart Sounds: 3 S2
Heart Sounds: 4 S3
Heart Sounds: 5 S4
Heart Sounds: 6 Without Murmur
Heart Sounds: 7 Holosystolic Murmur
Heart Sounds: 8 Systolic Ejection Murmur
Heart Sounds: 9 Diastolic Murmur
Heart Sounds: 10 Diastolic Rumble
Heart Sounds: 11 Friction Rub
Heart Sounds: 12 Systolic click
Heart Sounds: 13 Apex
Heart Sounds: 14 Base
Heart Sounds: 15 Radiation to Axilla
Heart Sounds: 16 Radiation to Carotids







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:53 (#142)
Subj: 18-RHYTHM (27 Mar 1998) Wed, 29 Jul 1998 12:13:15 20 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Rhythm: 1 Regular Sinus Rhythm
Rhythm: 2 Sinus Arrhythmia
Rhythm: 3 Sinus Tachycardia
Rhythm: 4 Sinus Bradycardia
Rhythm: 5 Supraventricular Tachycardia
Rhythm: 6 Atrial Fibrillation: Ventricular Response
Rhythm: 7 Atrial Flutter: Ventricular Response
Rhythm: 8 Palpable Radial Pulse Rate
Rhythm: 9 Multifocal Atrial Tachycardia
Rhythm: 10 1st Degree AV Block
Rhythm: 11 2nd Degree AV Block - MOBITZ Type I
Rhythm: 12 2nd Degree AV Block - MOBITZ Type II
Rhythm: 13 Junctional
Rhythm: 14 Ventricular Tachycardia
Rhythm: 15 Ventricular Fibrillation
Rhythm: 16 Idioventricular
Rhythm: 17 Wolff-Parkinson-White
Rhythm: 18 Agonal
Rhythm: 19 Paced







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:56 (#143)
Subj: 19-ECTOPY (27 Mar 1998) Wed, 29 Jul 1998 12:13:17 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
243-257






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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:34:59 (#144)
Subj: 20-JVD (27 Mar 1998) Wed, 29 Jul 1998 12:13:20 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:02 (#145)
Subj: 21-CAPREFILL (27 Mar 1998) Wed, 29 Jul 1998 12:13:23 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:05 (#146)
Subj: 22-ABDOMEN (27 Mar 1998) Wed, 29 Jul 1998 12:13:25 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:07 (#147)
Subj: 23-RECTAL (27 Mar 1998) Wed, 29 Jul 1998 12:13:27 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:10 (#148)
Subj: 24-EXTREMITIES (27 Mar 1998) Wed, 29 Jul 1998 12:13:28 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:13 (#149)
Subj: 25-GENITALIAMALE (27 Mar 1998) Wed, 29 Jul 1998 12:13:30 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:15 (#150)
Subj: 26-PELVICFEMALE (27 Mar 1998) Wed, 29 Jul 1998 12:13:32 1 Line
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:18 (#151)
Subj: 27-PULSES (27 Mar 1998) Wed, 29 Jul 1998 12:13:34 20 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Pulses: 1 All Pulses present and equal bilaterally
Pulses: 2 Right>Left
Pulses: 3 Left>Right
Pulses: 4 Upper>Lower
Pulses: 5 Lower>Upper
Pulses: 6 Radial
Pulses: 7 Brachial
Pulses: 8 Femoral
Pulses: 9 Popliteal
Pulses: 10 Dorsalis Pedis
Pulses: 11 Posterior Tibialis
Pulses: 12 +2 Decreased
Pulses: 13 +3 Full
Pulses: 14 +4 Bounding
Pulses: 15 Doppler
Pulses: 16 Pulsus Alternans
Pulses: 17 Bigeminal Pulse
Pulses: 18 Pulsus Paradoxus
Pulses: 19 See Notes







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:21 (#152)
Subj: 28-BACK (27 Mar 1998) Wed, 29 Jul 1998 12:13:36 7 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Back: 1 Normal
Back: 2 Non-tender
Back: 3 Tender
Back: 4 Ecchymosis
Back: 5 L CVA
Back: 6 R CVA







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:24 (#153)
Subj: 29-LOCATION_ORIENTATION_VERBAL (27 Mar 1998)
Wed, 29 Jul 1998 12:13:37 8 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Location/Orientation/Verbal: 1 5 Alert and Oriented
Location/Orientation/Verbal: 2 4 Confused
Location/Orientation/Verbal: 3 3 Inappropriate Words
Location/Orientation/Verbal: 4 2 IncomprehensibleSnd
Location/Orientation/Verbal: 5 1 None/ET
Location/Orientation/Verbal: 6 Sedated
Location/Orientation/Verbal: 7 See Neuro Flow Sheet







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:26 (#154)
Subj: 30-MOTOR (27 Mar 1998) Wed, 29 Jul 1998 12:13:40 7 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Motor Response: 1 6 Obeys Commands
Motor Response: 2 5 Localizes Pain
Motor Response: 3 4 Withdraws to Pain
Motor Response: 4 3 Flexion (Pain) Decorticate
Motor Response: 5 2 Extension (Pain) Decerebrate
Motor Response: 6 1 None







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:29 (#155)
Subj: 31-EYEOPENING (27 Mar 1998) Wed, 29 Jul 1998 12:13:43 5 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Eye Opening: 1 4 Spontaneous
Eye Opening: 2 3 To Voice
Eye Opening: 3 2 To Pain
Eye Opening: 4 1 None







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:32 (#156)
Subj: 32-REFLEXES (27 Mar 1998) Wed, 29 Jul 1998 12:13:44 10 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Reflexes: 1 Biceps
Reflexes: 2 Triceps
Reflexes: 3 Patellar
Reflexes: 4 Achilles
Reflexes: 5 3+
Reflexes: 6 2+
Reflexes: 7 1+
Reflexes: 8 Trace
Reflexes: 9 0







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:35 (#157)
Subj: 33-SENSATION (27 Mar 1998) Wed, 29 Jul 1998 12:13:46 8 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Sensation: 1 Intact
Sensation: 2 Diminished
Sensation: 3 Absent
Sensation: 4 Light Touch
Sensation: 5 Pin Prick
Sensation: 6 Vibratory Sensation
Sensation: 7 Proprioception







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:37 (#158)
Subj: 34-CEREBELLAR (27 Mar 1998) Wed, 29 Jul 1998 12:13:48 5 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
Cerebellar Testing: 1 No Finger to Nose Dysmetria
Cerebellar Testing: 2 + Dysmetria
Cerebellar Testing: 3 Truncal Ataxia
Cerebellar Testing: 4 Gait Ataxia







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:40 (#159)
Subj: 35-LABORATORY (27 Mar 1998) Wed, 29 Jul 1998 12:13:50 8 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
-LABORATORY- Lytes:
-LABORATORY- CBC:
-LABORATORY- LFT:
-LABORATORY- LP:
-LABORATORY- Other Labs:
-LABORATORY- EKG:
-LABORATORY- X-RAY:







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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:43 (#160)
Subj: 36-ERCOURSE (27 Mar 1998) Wed, 29 Jul 1998 12:13:51 4 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
-ER COURSE-: Unchanged
-ER COURSE-: Improved
-ER COURSE-: Deteriorated







[PAGE]


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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:46 (#161)
Subj: 36-ERCOURSE (27 Mar 1998) Wed, 29 Jul 1998 12:13:58 4 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
-ER COURSE-: Unchanged
-ER COURSE-: Improved
-ER COURSE-: Deteriorated







[PAGE]


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MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:50 (#162)
Subj: 40E_ICD9 (27 Mar 1998) Wed, 29 Jul 1998 12:14:21 68 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
ICD-9-CM DIAGNOSES ED 918.1 Abrasion, Cornea
ICD-9-CM DIAGNOSES ED 477.9 Allergic Rhinitis
ICD-9-CM DIAGNOSES ED 493.90 Asthma w/o Status
ICD-9-CM DIAGNOSES ED 466.0 Bronchitis, Acute
ICD-9-CM DIAGNOSES ED 948.00 Burn
ICD-9-CM DIAGNOSES ED 496 COPD
ICD-9-CM DIAGNOSES ED 682.9 Cellulitis, Unspecified
ICD-9-CM DIAGNOSES ED 723.1 Cervicalgia
ICD-9-CM DIAGNOSES ED 372.30 Conjunctivitis, Unspec
ICD-9-CM DIAGNOSES ED 692.9 Dermatitis, Contact
ICD-9-CM DIAGNOSES ED 780.4 Dizziness
ICD-9-CM DIAGNOSES ED 995.2 Drug Allergy
ICD-9-CM DIAGNOSES ED 381.81 Dysfun, Eustachian Tube
ICD-9-CM DIAGNOSES ED 784.7 Epistaxis
ICD-9-CM DIAGNOSES ED 780.7 Fatigue
ICD-9-CM DIAGNOSES ED 780.6 Fever
ICD-9-CM DIAGNOSES ED 535.50 Gastritis, Unspecified
ICD-9-CM DIAGNOSES ED 558.9 Gastroenteritis
ICD-9-CM DIAGNOSES ED 346.90 Headache, Migraine
ICD-9-CM DIAGNOSES ED 784.0 Headache, Unspecified
ICD-9-CM DIAGNOSES ED 401.9 Hypertension
ICD-9-CM DIAGNOSES ED 380.4 Impacted Cerumen
ICD-9-CM DIAGNOSES ED 703.0 Ingrown Nail
ICD-9-CM DIAGNOSES ED 919.4 Insect Bite
ICD-9-CM DIAGNOSES ED 729.1 Myalgia, Myositis
ICD-9-CM DIAGNOSES ED 787.01 Nausea and Vomiting
ICD-9-CM DIAGNOSES ED 380.10 Otitis Externa
ICD-9-CM DIAGNOSES ED 382.00 Otitis Media
ICD-9-CM DIAGNOSES ED 381.4 Otitis Media, Serous
ICD-9-CM DIAGNOSES ED 789.00 Pain, Abdominal
ICD-9-CM DIAGNOSES ED 724.2 Pain, Back Low
ICD-9-CM DIAGNOSES ED 724.5 Pain, Back Unspecified
ICD-9-CM DIAGNOSES ED 786.5 0 Pain, Chest
ICD-9-CM DIAGNOSES ED 525.9 Pain, Dental
ICD-9-CM DIAGNOSES ED 719.46 Pain, Knee
ICD-9-CM DIAGNOSES ED 729.5 Pain, Limb
ICD-9-CM DIAGNOSES ED 462 Pharyngitis, Acute
ICD-9-CM DIAGNOSES ED 486 Pneumonia
ICD-9-CM DIAGNOSES ED 782.1 Rash
ICD-9-CM DIAGNOSES ED V68.1 Repeat Prescriptions


ICD-9-CM DIAGNOSES ED 799.1 Respiratory Arrest
ICD-9-CM DIAGNOSES ED V81.1 Screening, HTN
ICD-9-CM DIAGNOSES ED 461.9 Sinusitis, Acute
ICD-9-CM DIAGNOSES ED 728.85 Spasm, Muscle
ICD-9-CM DIAGNOSES ED 845.00 Sprain, Ankle
ICD-9-CM DIAGNOSES ED 847.2 Sprain, Lumbar


ICD-9-CM DIAGNOSES ED 847.0 Sprain, Neck
ICD-9-CM DIAGNOSES ED 848.9 Sprain/Strain


[PAGE]

Subj: 40E_ICD9 (27 Mar 1998) Page 2
------------------------------Expires: 07 Feb 2001----------------------------
ICD-9-CM DIAGNOSES ED 034.0 Strep Throat


ICD-9-CM DIAGNOSES ED V58.3 Suture Rvl, Dsg Chng
ICD-9-CM DIAGNOSES ED 780.2 Syncope
ICD-9-CM DIAGNOSES ED 726.90 Tendonitis, Unspecified
ICD-9-CM DIAGNOSES ED 463 Tonsillitis, Acute
ICD-9-CM DIAGNOSES ED 465.9 URI, Upper Respiratory
Infection
ICD-9-CM DIAGNOSES ED 599.0 UTI
ICD-9-CM DIAGNOSES ED 708.9 Urticaria
ICD-9-CM DIAGNOSES ED 616.10 Vaginitis, Bacterial
ICD-9-CM DIAGNOSES ED 079.99 Viral Syndrome








[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:52 (#163)
Subj: 41E_EVALMANAGEMENT (27 Mar 1998) Wed, 29 Jul 1998 12:14:24 12 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
EVAL & MNGMNT 99281 ER Visit, Problem Focused
EVAL & MNGMNT 99282 ER Visit, Exp Prob Foc Low
EVAL & MNGMNT 99283 ER Visit, Exp Prob Foc Mod
EVAL & MNGMNT 99284 ER Visit, Detailed
EVAL & MNGMNT 99285 ER Visit, Comprehensive
EVAL & MNGMNT 99288 EMS Direction
EVAL & MNGMNT 99291 Critical Care, First Hour
EVAL & MNGMNT 99292 Critical Care, Add 30 Min
EVAL & MNGMNT 99371 Telephone Consult,Brief
EVAL & MNGMNT 99372 Telephone Consult,Interm
EVAL & MNGMNT 99373 Telephone Consult,Complex







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:55 (#164)
Subj: 42E_DISPOSITION (27 Mar 1998) Wed, 29 Jul 1998 12:14:26 8 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
DISPOSITION (Unless Inpatient) Released without limitations
DISPOSITION (Unless Inpatient) Released w/work/dutylimitations
DISPOSITION (Unless Inpatient) Sick at home/quarters
DISPOSITION (Unless Inpatient) Immediate Referral
DISPOSITION (Unless Inpatient) Left without being seen
DISPOSITION (Unless Inpatient) Left without medical Admitted
DISPOSITION (Unless Inpatient) Expired







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:57 (#165)
Subj: 43E_ADMINISTRATIVE (27 Mar 1998) Wed, 29 Jul 1998 12:14:28 6 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
ADMINISTRATIVE (Optional) Consultation Requested
ADMINISTRATIVE (Optional) Referred to another provider
ADMINISTRATIVE (Optional) Convalescent leave
ADMINISTRATIVE (Optional) Medical board
ADMINISTRATIVE (Optional) Medical hold







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:35:59 (#166)
Subj: 44E_APPOINTMENTSTATUS (27 Mar 1998) Wed, 29 Jul 1998 12:14:30 5 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
APPOINTMENT STATUS Appt. Sched. Sick-call
APPOINTMENT STATUS Walk-in Tele. Consult
APPOINTMENT STATUS Cancelled by Patient No-show
APPOINTMENT STATUS Cancelled by Facility







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:02 (#167)
Subj: 45E_CPT (27 Mar 1998) Wed, 29 Jul 1998 12:14:31 12 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
CPT PROCEDURES 36600 ABG Draw
CPT PROCEDURES 46600 Anuscopy
CPT PROCEDURES 11730 AvulsionNailP
CPT PROCEDURES 92950 CPR
CPT PROCEDURES 53670 Catheterization
CPT PROCEDURES 30905 Control Epistaxis Poster
CPT PROCEDURES 30901 Control Epistaxis Simple
CPT PROCEDURES 30903 Control Epistaxis Complex
CPT PROCEDURES 31605 Cricothyroid Tacheostomy
CPT PROCEDURES 11040 Debride Skin, Part Thick
CPT PROCEDURES 16020 Dress/Debride Burn







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:04 (#168)
Subj: 46E_FMP_SSN (27 Mar 1998) Wed, 29 Jul 1998 12:14:33 12 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
FMP/SSN:
Birthdate:
Insurance Company:
Tel: (Home) (Work)
Subscriber's Name: ID Num:
Group: Pat Rel:
Num: Pat SSN:
Prov: ID:
PCM:
BHIAA/ EMERGENCY DEPARTMENT
This form is subject to the Privacy Act of 1974







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:07 (#169)
Subj: 50O_ICD9 (27 Mar 1998) Wed, 29 Jul 1998 12:14:43 36 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
ICD-9-CM DIAGNOSES Obs Unit 789.06 Abdominal Pain,Epigastric
ICD-9-CM DIAGNOSES Obs Unit 789.07 Abdominal Pain,Generalized
ICD-9-CM DIAGNOSES Obs Unit 789.04 Abdominal Pain, LLQ
ICD-9-CM DIAGNOSES Obs Unit 789.02 Abdominal Pain, LUQ
ICD-9-CM DIAGNOSES Obs Unit 789.03 Abdominal Pain, RLQ
ICD-9-CM DIAGNOSES Obs Unit 789.01 Abdominal Pain, RUQ
ICD-9-CM DIAGNOSES Obs Unit 789.00 Abdominal Pain,Unspecified
ICD-9-CM DIAGNOSES Obs Unit 305.00 Alcohol Intoxication
ICD-9-CM DIAGNOSES Obs Unit 995.3 Allergic Reaction
ICD-9-CM DIAGNOSES Obs Unit 493.90 Asthma w/o Status
ICD-9-CM DIAGNOSES Obs Unit 493.91 Asthma with Status
ICD-9-CM DIAGNOSES Obs Unit 496 COPD
ICD-9-CM DIAGNOSES Obs Unit 427.9 Cardiac Dysrhythmia
ICD-9-CM DIAGNOSES Obs Unit 682.9 Cellulitis
ICD-9-CM DIAGNOSES Obs Unit 784.0 Cephalgia
ICD-9-CM DIAGNOSES Obs Unit 786.52 Chest Pain, Respiratory
ICD-9-CM DIAGNOSES Obs Unit 786.50 Chest Pain, Unspecified
ICD-9-CM DIAGNOSES Obs Unit 276.5 Dehydration
ICD-9-CM DIAGNOSES Obs Unit 578.9 GI Bleed
ICD-9-CM DIAGNOSES Obs Unit 558.9 Gastroenteritis
ICD-9-CM DIAGNOSES Obs Unit 854.00 Head Injury
ICD-9-CM DIAGNOSES Obs Unit 401.9 Hypertension, NOS
ICD-9-CM DIAGNOSES Obs Unit 251.2 Hypoglycemia, w/o DM
ICD-9-CM DIAGNOSES Obs Unit 410.90 MI, Unspec. Episode
ICD-9-CM DIAGNOSES Obs Unit 959.8 Multiple Trauma, MVA
ICD-9-CM DIAGNOSES Obs Unit V71.7 Observe, Cardio/VasDisR/O
ICD-9-CM DIAGNOSES Obs Unit V71.49 Observe, S/P MVA
ICD-9-CM DIAGNOSES Obs Unit 977.9 Overdose, Drug
ICD-9-CM DIAGNOSES Obs Unit 590.10 Pyelonephritis, Acute
ICD-9-CM DIAGNOSES Obs Unit 788.0 Renal Colic
ICD-9-CM DIAGNOSES Obs Unit 780.3 Seizure Disorder
ICD-9-CM DIAGNOSES Obs Unit 282.62 Sickle Cell Dis w/ PainCrisis
ICD-9-CM DIAGNOSES Obs Unit 435.9 TIA
ICD-9-CM DIAGNOSES Obs Unit 780.4 Vertigo
ICD-9-CM DIAGNOSES Obs Unit 879.8 Wound, Gunshot/Stab,Multi.







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:09 (#170)
Subj: 51O_EVALMANAGEMENT (27 Mar 1998) Wed, 29 Jul 1998 12:14:45 5 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
EVAL & MNGMNT 99211 NURSE/TECH
EVAL & MNGMNT 99218 Observation, Expanded Prob
EVAL & MNGMNT 99219 Observation, Detailed/Mod
EVAL & MNGMNT 99220 Observation, Detailed/High







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:11 (#171)
Subj: 52O_DISPOSITION (27 Mar 1998) Wed, 29 Jul 1998 12:14:48 8 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
DISPOSITION (Unless Inpatient) Released without limitations
DISPOSITION (Unless Inpatient) Released w/work/dutylimitations
DISPOSITION (Unless Inpatient) Sick at home/quarters
DISPOSITION (Unless Inpatient) Immediate Referral
DISPOSITION (Unless Inpatient) Left without being seen
DISPOSITION (Unless Inpatient) Left without medical Admitted
DISPOSITION (Unless Inpatient) Expired







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:13 (#172)
Subj: 53O_ADMINISTRATIVE (27 Mar 1998) Wed, 29 Jul 1998 12:14:49 6 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
ADMINISTRATIVE (Optional) Consultation Requested
ADMINISTRATIVE (Optional) Referred to another provider
ADMINISTRATIVE (Optional) Convalescent leave
ADMINISTRATIVE (Optional) Medical board
ADMINISTRATIVE (Optional) Medical hold







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:16 (#173)
Subj: 54O_APPOINTMENTSTATUS (27 Mar 1998) Wed, 29 Jul 1998 12:14:51 6 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
APPOINTMENT STATUS Appt. Sched. Sick-call
Walk-in Tele. Consult
Cancelled by Patient No-show
Cancelled by Facility
Inpatient APV







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:18 (#174)
Subj: 55O_CPT (27 Mar 1998) Wed, 29 Jul 1998 12:14:53 17 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
CPT PROCEDURES 36600 ABG Draw
CPT PROCEDURES 93040 Cardiac Monitor
CPT PROCEDURES 53670 Catheterization, Urethra
CPT PROCEDURES 93000 EKG, 12 Lead, Complete
CPT PROCEDURES 90781 IV Infusion Each Add Hr
CPT PROCEDURES 90780 IV Infusion One/Hr
CPT PROCEDURES 90788 Injection Antibiotic
CPT PROCEDURES 90782 Injection SQ or IM
CPT PROCEDURES 36000 Introduction Needle Vein
CPT PROCEDURES 91105 Lavage, Gastric
CPT PROCEDURES 94664 Nebulizer Treatment, Init.
CPT PROCEDURES 94665 Nebulizer Treatment, Subsq
CPT PROCEDURES 94150 Peak Flows
CPT PROCEDURES 94762 Pulse Oximetry, Overnight
CPT PROCEDURES 94760 Pulse Oximetry, Single
CPT PROCEDURES 36415 Venipuncture







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:20 (#175)
Subj: 56O_FMP_SSN (27 Mar 1998) Wed, 29 Jul 1998 12:14:55 12 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
FMP/SSN:
Birthdate:
Insurance Company:
Tel: (Home) (Work)
Subscriber's Name: ID Num:
Group: Pat Rel:
Num: Pat SSN:
Prov: ID:
PCM: STD
DGEF/M-OBSERVATION UNIT
This form is subject to the Privacy Act of 1974







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:24 (#176)
Subj: 60G_ICD9 (27 Mar 1998) Wed, 29 Jul 1998 12:15:02 59 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
ICD-9-CM DIAGNOSES GOPC 477.9 Allergic Rhinits
ICD-9-CM DIAGNOSES GOPC 285.9 Anemia, Unspecified
ICD-9-CM DIAGNOSES GOPC 716.90 Arthritis
ICD-9-CM DIAGNOSES GOPC 493.9 Asthma w/o Status
ICD-9-CM DIAGNOSES GOPC 466.0 Bronchitis, Acute
ICD-9-CM DIAGNOSES GOPC 490 Bronchitis, NOS
ICD-9-CM DIAGNOSES GOPC 727.3 Bursitis
ICD-9-CM DIAGNOSES GOPC 428.0 CHF
ICD-9-CM DIAGNOSES GOPC 496 COPD
ICD-9-CM DIAGNOSES GOPC 564.0 Constipation
ICD-9-CM DIAGNOSES GOPC 786.2 Cough
ICD-9-CM DIAGNOSES GOPC 706.2 Cyst, Sebaceous,Inclusion
ICD-9-CM DIAGNOSES GOPC 692.9 Dermatitis, Contact
ICD-9-CM DIAGNOSES GOPC 250.00 Diabetes Mellitus, NIDDM
ICD-9-CM DIAGNOSES GOPC 787.91 Diarrhea
ICD-9-CM DIAGNOSES GOPC 780.4 Dizziness
ICD-9-CM DIAGNOSES GOPC V58.3 Drsng Chng, Wound Chk,SutRm
ICD-9-CM DIAGNOSES GOPC 786.09 Dyspnea, Short of Breath
ICD-9-CM DIAGNOSES GOPC 784.7 Epistaxis
ICD-9-CM DIAGNOSES GOPC V70.5 Exam, Work/School
ICD-9-CM DIAGNOSES GOPC V70.9 Exam, General Unspecified
ICD-9-CM DIAGNOSES GOPC 780.7 Fatigue
ICD-9-CM DIAGNOSES GOPC 530.81 GERD
ICD-9-CM DIAGNOSES GOPC 535.50 Gastritis, w/oHemorrhage
ICD-9-CM DIAGNOSES GOPC 274.9 Gout
ICD-9-CM DIAGNOSES GOPC 784.0 Headache
ICD-9-CM DIAGNOSES GOPC 455.6 Hemorrhoids, Unspec.
ICD-9-CM DIAGNOSES GOPC 272.4 Hyperlipidemia
ICD-9-CM DIAGNOSES GOPC 401.9 Hypertension
ICD-9-CM DIAGNOSES GOPC 380.4 Impacted Cerumen
ICD-9-CM DIAGNOSES GOPC 703.0 Ingrown Nail
ICD-9-CM DIAGNOSES GOPC 919.4 Insect Bite
ICD-9-CM DIAGNOSES GOPC 464.0 Laryngitis, Acute/NOS
ICD-9-CM DIAGNOSES GOPC 729.1 Myalgia/Myositis
ICD-9-CM DIAGNOSES GOPC 787.01 Nausea and Vomiting
ICD-9-CM DIAGNOSES GOPC 380.10 Otitis Externa
ICD-9-CM DIAGNOSES GOPC 789.00 Pain, Abdominal
ICD-9-CM DIAGNOSES GOPC 724.5 Pain, Back
ICD-9-CM DIAGNOSES GOPC 786.50 Pain, Chest
ICD-9-CM DIAGNOSES GOPC 719.45 Pain, Hip
ICD-9-CM DIAGNOSES GOPC 719.46 Pain, Knee
ICD-9-CM DIAGNOSES GOPC 729.5 Pain, Limb
ICD-9-CM DIAGNOSES GOPC 723.1 Pain, Neck/Cervicalgia
ICD-9-CM DIAGNOSES GOPC 719.41 Pain, Shoulder
ICD-9-CM DIAGNOSES GOPC 462 Pharyngitis
ICD-9-CM DIAGNOSES GOPC 728.71 Plantar Fasciitis
ICD-9-CM DIAGNOSES GOPC 486 Pneumonia
ICD-9-CM DIAGNOSES GOPC 782.1 Rash
ICD-9-CM DIAGNOSES GOPC V68.1 Repeat Prescriptions
ICD-9-CM DIAGNOSES GOPC 724.3 Sciatica
ICD-9-CM DIAGNOSES GOPC 461.9 Sinusitis, Acute
ICD-9-CM DIAGNOSES GOPC 709.9 Skin Lesion
ICD-9-CM DIAGNOSES GOPC 848.9 Sprain/Strain

[PAGE]

Subj: 60G_ICD9 (27 Mar 1998) Page 2
------------------------------Expires: 07 Feb 2001----------------------------
ICD-9-CM DIAGNOSES GOPC 034.0 Strep Throat
ICD-9-CM DIAGNOSES GOPC 463 Tonsillitis
ICD-9-CM DIAGNOSES GOPC 465.9 URI
ICD-9-CM DIAGNOSES GOPC 599.0 UTI
ICD-9-CM DIAGNOSES GOPC 707.9 Ulcer







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:27 (#177)
Subj: 61G_CPT (27 Mar 1998) Wed, 29 Jul 1998 12:15:04 10 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
CPT PROCEDURES 69210 Cerumen Removal
CPT PROCEDURES 16020 Dress/Debride Burn
CPT PROCEDURES 82962 Glucose, FS
CPT PROCEDURES 94665 Neb Tx
CPT PROCEDURES 94160 Peak Flows
CPT PROCEDURES 94761 Pulse Oximetry, Mult. Deter
CPT PROCEDURES 94760 Pulse Oximetry, Single Deter
CPT PROCEDURES 81000 Urine, Dip
CPT PROCEDURES 11040 Wound Cleaning, Skin, Part Th







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:30 (#178)
Subj: 62G_EVALMANAGEMENT (27 Mar 1998) Wed, 29 Jul 1998 12:15:07 12 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
EVAL & MNGMNT 99202 New Patient, Exp Problem
EVAL & MNGMNT 99203 New Patient, Detailed Exam
EVAL & MNGMNT 99204 New Patient, Complex/Mod
EVAL & MNGMNT 99205 New Patient, Complex/High
EVAL & MNGMNT 99212 Est Patient, Exp Problem
EVAL & MNGMNT 99213 Est Patient, Detailed Exam
EVAL & MNGMNT 99214 Est Patient, Complex/Mod
EVAL & MNGMNT 99215 Est Patient, Complex/High
EVAL & MNGMNT 99371 Telephone Consult, Brief
EVAL & MNGMNT 99372 Telephone Consult, Interm.
EVAL & MNGMNT 99373 Telephone Consult, Complex







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:32 (#179)
Subj: 63G_DISPOSITION (27 Mar 1998) Wed, 29 Jul 1998 12:15:09 6 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
ADMINISTRATIVE (Optional) Consultation Requested
ADMINISTRATIVE (Optional) Referred to another provider
ADMINISTRATIVE (Optional) Convalescent leave
ADMINISTRATIVE (Optional) Medical board
ADMINISTRATIVE (Optional) Medical hold







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:35 (#180)
Subj: 64G_APPOINTMENTSTATUS (27 Mar 1998) Wed, 29 Jul 1998 12:15:11 5 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
APPOINTMENT STATUS Appt. Sched. Sick-call
APPOINTMENT STATUS Walk-in Tele. Consult
APPOINTMENT STATUS Cancelled by Patient No-show
APPOINTMENT STATUS Cancelled by Facility







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:37 (#181)
Subj: 0000-65G_FMP_SSN (27 Mar 1998) Wed, 29 Jul 1998 12:20:54 14 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
FMP/SSN:
Birthdate:
(Home)
(Work)
Insurance Company:
Tel:
Subscriber's Name: ID Num:
Group: Pat Rel:
Num: Pat SSN:
Prov: ID:
PCM:
BHAC/GOPC
This form is subject to the Privacy Act of 1974







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:36:39 (#182)
Subj: 0000SWS (16 Jun 1998) Wed, 29 Jul 1998 12:21:01 9 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------
STEPHEN WHITLOCK SMITH, MD
LTC, MC 024-38-5114
Followup Scheduling: (253)968-2410/2415
Questions: (253)968-3866
Beeper; #3020
E-Mail: <stevewsmith@pol.net>
Mailing address: Adult Primary Care Clinic
MAMC, PENDLETON AVENUE, TACOMA, WA 98431







[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:38:31 (#417)
Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Tue, 13 Oct 1998 02:08:59 229 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------

MEMORANDUM FOR: CREDENTIALS AND DEPARTMENT OF MEDICINE
AS REQUESTED FOR REVIEW

FROM: STEPHEN WHITLOCK SMITH, MD



COMPLETE CLINICAL CHARTS FOR ALL OF THE PATIENTS SEEN BY ME ARE ACCESSIBLE
UTILIZING THE FOLLOWING MENUS IN CHCS FOR ALL PATIENTS ON THIS LIST:

1. HEALTH SUMMARY ("MD" TRIPLER SUBMENU
2. PROBLEM LIST (WITH ISD9 CODING)
3. ORDER ENTRY (FOR CLINICAL INTERVENTIONS AS A RESULT OF THE CLINICAL EXAM)
4. AFTERCARE INSTRUCTIONS (SPECIFIC FOR DEPARTMENT OF MEDICINE)
5. REFERENCE->PMI (FOR MEDICATION AFTERCARE INSTRUCTIONS)

PLEASE NOTE:
THIS PROJECT OF ENTERING ALL CLINICAL ENCOUNTER DATA AT THE TIME OF THE VISIT
IS MORE TIME-CONSUMING WITH JUST A CHCS VT420 TERMINAL, AS COMPARED WITH A
NETWORKED PC RUNNING QVT-WINDOWS OR KEA! (THE ALTERNATIVE PROGRAM).
HOWEVER, THIS ORDER-ENTRY (ESPECIALLY USING THE UPDATED CHCS DESKTOP) CREATES
A PERMANENT RECORD ACCESSIBLE BY ALL MAMC PHYSICIANS AND PA'S AND NURSE
PRACTITIONERS FROM THE DESKTOP. THIS PROJECT WAS UNDERTAKEN WITH THE HELP OF
THE NURSING STAFF OF APCC, AND IS EVOLVING. THE RATIONALE OF ITS USE,
PARTICULARLY FOR THE ACUTE-CARE PORTION OF THE ADULT PRIMARY CARE CLINIC, IS
THAT IT WILL BE VIRTUALLY IMPOSSIBLE FOR THE SAME PROVIDER TO SEE ONLY THOSE
PATIENTS ASSIGNED TO HIM OR HER; AT LEAST WITH A NETWORKED ELECTRONIC RECORD
LIKE THIS ONE, OR LIKE THE ONE IN PROGRESS BY LT KAITANI AND ALSO BY EPIC
SYSTEMS (WITH OR WITHOUT VOICE MACRO COMMAND INPUT), ANY APCC PROVIDER COULD
ACCESS ALL CLINICALLY RELEVANT DATA WITHOUT WAITING FOR THE PAPER RECORD,
EVEN IF IT IS AVAILABLE.

SINCE MY SCHEDULE IS KEPT FREE FOR ACUTE VISITS AND TELEPHONE CONSULTS, THERE
IS NO TEMPLATE WHICH WOULD ALLOW REVIEW OF MY RECORDS ARRANGED BY DAY OF
VISIT, CHRONOLOGICALLY.

THIS LACK OF TEMPLATE, A NECESSARY SITUATION AT PRESENT, HAS MADE IT
DIFFICULT TO ACCESS ALL OF MY CHARTING FOR ACUTE CARE WITHOUT USING A
SEPARATE LIST OF ALL PATIENTS WHICH I HAVE SEEN DURING ANY FIXED TIME PERIOD.
IF MY CHARTS ARE REQUIRED FOR REVIEW AT ANY TIME, PLEASE ASK ME OR THE ACUTE
CARE TEAM FOR A COMPLETE LIST OF MY PATIENTS.

STEPHEN WHITLOCK SMITH, MD
LTC, MC 024-38-5114
Followup Scheduling: (253)968-2410/2415
Questions: (253)968-3866
Beeper; # PENDING
E-Mail: <stevewsmith@pol.net>
Mailing address: Adult Primary Care Clinic
MAMC, PENDLETON AVENUE, TACOMA, WA 98431


[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998) Page 2
------------------------------Expires: 07 Feb 2001----------------------------


SMITH,STEPHEN W PATIENT LIST-SELECT
02 Oct 1998@1530
02 Oct 1998@1530 =======================================
=========================================
=========================================
> PL981002@1500 - 02 Oct 1998 (PRIVATE) 166 Patients
----------------------------------------------------------------------------
. ADAMES,WENDY L 33y F 31/450-35-1243
. AHRENS,FREDERICK R 52y M 20/537-40-5180
. ALAPAI,KIMBERLEY D 41y F 30/575-70-0648
. ALEXANDER,HENRY C 69y M 20/416-38-5428
. ALLEN,GRACIELA 25y F 30/456-35-5255
. ALLEN,VESTA L 69y F 30/497-24-8041
. ANDERSON,DEAN WELLS 53y M 20/397-42-5200
. ARROYO,AE CHA 42y F 30/263-77-5483
. BASSETT,JADE L 33y F 30/558-29-8383
. BATES,ILSE E 78y F 30/395-12-7528
. BEEN,HWA C 50y F 30/236-88-1800
. BLANKENSHIP,KAZUKO I 66y F 30/236-46-5287
. BLOUNT,ELSE H 61y F 30/565-40-7395
. BLOUNT,JOYCE L 28y F 30/265-57-0871
. BOOTH,DWIGHT I 59y M 20/551-52-6421
. BOYLE,KELLY 34y F 30/570-51-8712
. BROWN,LAYONA J 42y F 30/262-31-9796
. BROWN,WILLIAM R 67y M 20/535-38-3200
. BURTON,PETRA 38y F 30/559-41-5541
. CACCIOPPO,MERNICE E 39y F 30/587-47-4297
. CAMIRE,ELIZABETH A 52y F 30/002-32-4164
. CARITHERS,YONG H 44y F 30/425-68-2584
. CARMACK,GLEN A 87y M 20/550-36-5820
. CARTY,CHERYL S 32y F 30/003-62-7932
. CHILDERS,DARLENE 52y F 30/520-42-4888
. CHRISTENSEN,STEVEN D 48y M 20/392-56-2551
. CHUNG,ROSALIA 64y F 30/576-34-6741
. CLAWSON,CALVIN 75y M 20/444-20-4402
. CLAWSON,FRIEDA 76y F 30/444-20-4402
. CLONCE,ROBERT D 68y M 20/230-34-8760
. CLOPTON,SUN AE 51y F 30/421-74-7023
. CLOTHIER,ZENAIDA 52y F 30/515-14-2111
. CONNER,JOHN 77y M 20/554-07-5893
. CORRIDORE,AMEDEO A 79y M 20/122-12-8345
. CORRIDORE,VICTORIA R 65y F 30/122-12-8345
. CORTER,BETTY J 67y F 30/506-24-3603
. CROSS,LAWRENCE 48y M 20/517-60-7252
. DAUM,PETER K 47y M 20/585-54-3336
. DAVIS,CHRIS 36y F 30/418-21-2492
. DAVIS,LISA A 32y F 30/438-39-7749
. EATON,URSULA W 69y F 30/316-16-3875
. ELKINS,JOELLA M 63y F 30/559-40-1738
. ENDICOTT,GEORGE W 30y M 20/589-30-4577
. FEARS,ANTOINETTE M 78y F 30/042-32-5311
. FIGURACION,ALTHEA S 67y F 30/566-48-3511
. FIGURACION,FELICIANO 79y M 20/566-48-3511
. FOSTER,TOJA 64y F 30/541-22-3202

[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998) Page 3
------------------------------Expires: 07 Feb 2001----------------------------
. FRANCO,ALFRED F 65y M 20/575-32-5020
. FRIEDLY,HOWARD W 78y M 20/519-32-5144
. GALVEZ,WILHELMINE 60y F 30/581-66-6333
. GARLEY,SILVERIO 83y M 20/527-07-3111
. GARNICA,MICHELLE A 29y F 30/547-29-3827
. GRAY,MIRTHA 34y F 30/507-04-1424
. GRIGG,WILHELMINE 68y F 30/462-09-6214
. HADLEY,YVETTE A 59y F 30/288-28-5065
. HALE,JAMES E 45y M 20/421-76-6557
. HALL,VELMA L 50y F 31/436-76-7491
. HAMM,VIRGINIA 69y F 30/544-32-9108
. HANSEN,JESSICA S 35y F 30/484-86-5759
. HARMON,CAROLYN L 57y F 30/574-12-7084
. HARMON,MIEKO 74y F 30/564-20-4559
. HARRISON,LYNN 43y F 30/075-26-0426
. HAYES,YONG HUI 51y F 30/172-38-4273
. HERNANDEZ,REBECCA A 36y F 31/457-68-7321
. HEWEY,ROSEMARY 37y F 31/505-90-8466
. HILARIO,KUMIKO 74y F 30/721-16-4308
. HOWZE,MARION C 84y F 30/374-28-0513
. HUNT,CHUN S 63y F 30/226-48-8818
. HUNTER,GEORGE C 60y M 20/534-34-8551
. HUSTEAD,ANNETTE B 38y F 30/278-66-8239
. INMAN,SOP S 56y F 30/560-52-4075
. JACKSON,REGINA E 25y F 30/175-56-1014
. JANKER,FUJIE 66y F 30/091-22-9902
. JELLISON,KIMBERLY 27y F 30/571-06-3156
. JOHNSON,LOUIS L 39y M 31/576-48-9249
. JOSEPH,FLORENCE G 65y F 30/436-38-0252
. JUSTICE,HIRAM 58y M 20/431-70-1163
. KIENTZ,MICHAEL J 37y M 20/537-72-6772
. KIRK,SUE C 59y F 30/534-34-3236
. KLEIST,ANNETTE B 46y F 30/571-96-3956
. LARSON,AMY M 30y F 30/224-96-2110
. LEE,BEAUREGARD 60y M 20/564-48-4106
. LEE,XUE-YA WANG 48y F 30/564-48-4106
. LEWIS,CHARLES H 71y M 20/537-34-5625
. LLOYD,JEFFERY J 33y M 30/467-21-9037
. LOVETT,GARY 47y M 20/531-54-5063
. LUBBEN,SHELLEY L 30y F 30/555-93-6166
. LUNDE,GISELA G 66y F 30/249-48-7217
. LYNCH,JEFFREY GEORGE 58y M 20/260-58-9598
. LYONS,SEAN P 33y M 30/585-37-7945
. MARKUSSEN,HANS C JR 62y M 20/387-30-6489
. MARROW,SUK Y 37y F 30/246-17-7472
. MARTIN,CHARLES 69y M 20/062-22-9580
. MARTIN,KATHLEEN C 63y F 30/550-48-4942
. MARTIN,NORMA 57y F 30/538-28-2837
. MATTHEWS,MARCILYN B 62y F 30/450-56-5440
. MCELWEE,CAROLINE D 61y F 30/492-26-8428
. MCKINNEY,GRETCHEN M 36y F 30/453-19-2127
. MEEK,LINDA 51y F 30/433-37-8192
. MERCER,LORAINE 43y F 31/486-80-7723
. MERSON,CHERI L 27y F 30/227-74-6273
. MEYERS,JANICE D 47y F 31/473-78-3597
. MILLER,JENNIFER A 24y F 30/381-88-0584

[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998) Page 4
------------------------------Expires: 07 Feb 2001----------------------------
. MITCHELL,TRENA L 28y F 30/465-25-2119
. MOORE,JUDITH 49y F 31/546-70-4660
. MORRISON,DAGMAR 47y F 30/517-60-4775
. MORTENSEN,WENDY M 46y F 30/528-80-4982
. MULLEN,JAMES L 66y M 20/439-42-2051
. MUNOZ,KIMBERLY 43y F 30/547-41-1701
. NORTHEY,MAUREEN 53y F 30/521-52-8595
. NOTVEDT-HELLER,MARY K 29y F 30/079-46-5632
. NYE,KATHARINA 60y F 30/538-36-6549
. ONUFER,VERNA M 65y F 30/112-12-4333
. ORTEGON,T DARIEN 44y F 30/440-78-3221
. OWENS,MELL 49y F 31/257-46-4979
. PALACIOS,MARIANNE 66y F 30/456-42-2747
. PALMER,RAYMOND H 77y M 20/532-20-0651
. PALMER,VIVIAN A 78y F 30/532-20-0651
. PAPE,IRIS J 57y F 30/520-30-7603
. PARKER,ROY D 78y M 45/450-86-3126
. PASCOE,RICHARD M 64y M 20/563-40-1916
. PAUL,ILSEDORE 64y F 30/502-20-5423
. PAWELEK,STANLEY J 59y M 20/147-30-2197
. PEEK,BOBBY N 62y M 20/467-48-4462
. PETERSON,MARY E 62y F 30/417-40-2398
. QUERY,SHIRLEY 60y F 30/520-42-4905
. REECE,BILLY M 80y M 20/457-10-5474
. RICE,CATRIENA L 27y F 30/417-17-3015
. RITTENHOUSE,TRACIE S 33y F 30/432-35-0601
. ROSENBAUM,LYNN M 47y F 30/470-58-0530
. ROUSSEAU,VALERIE J 33y F 30/261-67-1983
. SAMPERE,ILSE H 71y F 30/530-22-9548
. SCARBORO,PATSY L 66y F 31/229-30-4587
. SCHULTZ,GERALD 45y M 31/541-64-2612
. SHOE,MARCELLA J 58y F 30/533-34-0344
. SILVIS,LISA M 31y F 30/516-96-7576
. SINCLAIR,LEAH M 26y F 30/226-35-8276
. SMITH,HEATHER LYNN 21y F 30/539-94-6803
. SMITH,STEPHEN W 51y M 20/024-38-5114
. SPRINGER,JANICE 44y F 30/413-90-5458
. STRADER,CATHERINE M 62y F 30/352-30-4481
. STRADER,HERMAN D 60y M 20/352-30-4481
. STRONG,DONNA 43y F 30/541-56-8790
. TERRY,JENNIFER L 20y F 30/167-58-5950
. THAGARD,DIANE M 36y F 30/418-78-5597
. THOMAS,LARRY W 45y M 20/452-78-6107
. THOMPSON,MILDRED K 79y F 30/332-12-0528
. THORNHILL,BRIAN E 41y M 20/049-52-5873
. THUMM,CHARLES F JR 77y M 20/167-16-9345
. TOTO,ANTHONY C 73y M 20/152-14-1335
. VAIL,MARTHA I 42y F 30/566-41-0768
. VELASQUEZ,TERESA K 44y F 30/530-46-8184
. WALKER,CAROLA A 64y F 30/538-30-0831
. WEHNER,BRIAN P 29y M 30/264-71-3929
. WEHUNT,SHEILA S 56y F 30/258-52-2799
. WEIGAND,JUDITH L 61y F 30/547-48-0232
. WESTMAN,SHARON J 59y F 30/538-30-8122
. WIESE,ILKA D 21y F 30/480-72-7986
. WILLIAMS,TANYA T 33y F 30/502-86-8023

[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998) Page 5
------------------------------Expires: 07 Feb 2001----------------------------
. WILLIAMS,VALERIE 22y F 30/424-98-4363
. WILLIS,ALEXANDER C 71y M 20/246-24-8501
. WOLF,ROBERT F 76y M 20/104-16-7432
. WOO,SANG-HEE 52y F 30/576-34-8930
. YOUNG,MONIKA B 56y F 30/552-58-3382
. ZEIGLER,FREDERICK G 86y M 20/535-09-4200
. ZURFLUH,SUSIE S 65y F 31/538-16-3687

[PAGE]





Local Message ID: 5309463@MAMC.CHCS.AMEDD.ARMY.MIL
Message expires on: Wed, 07 Feb 2001

SMITH,STEPHEN W (Internal Medicine) Last read: Tue, 12 Dec 2000 20:37:53

[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:40:54 (#478)
Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998)
Thu, 22 Oct 1998 08:04:12 340 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------

MEMORANDUM FOR: CREDENTIALS AND DEPARTMENT OF MEDICINE
AS REQUESTED FOR REVIEW
COL Les Reed and MAJ Rich Jordan

FROM: STEPHEN WHITLOCK SMITH, MD

Date: 22 October 1998

As requested, charts are attached for review, retrieved from computer
records. The others will follow shortly. (Please see previous memo of 2
October, attached.)

Thank you for streamlining the Acute Care system. The following improvements
are helping markedly: a) Allowing us to schedule patients directly with the
primary provider, so that the acute visit can become more focussed and
shorter, b) allowing nursing personnel to do a nursing assessment in the
S-O-A-P format, c) allowing charting time between patients as well as
designating one person to return charts, bubble sheets, and charts chosen for
audit directly to Dr Jordan, or Records, or bubble sheet area, whichever is
approriate. All of these changes seem to cost little in personnel time; these
changes help me personally to keep up with the work flow, and may be good
innovations to continue once the 2 Physician Assistants are in place.
The dramatic events unfolding from the 1 September 1998 visit of Dr Sue
Bailey, Assistant Secretary of Defense for Health Affairs, which I reported
promptly through official channels at the time and to Drs Reed, Jordan and
MAJ Rumph as appropriate, have impacted severely on the time and effort and
effort required to manage both the important assignment that you have given
me PLUS the required reporting of harassment clearly intended to silence a
high level complaint. The details are included in conversations which we have
had recently, as well as correspondence received in September by Secretaries
Cohen, Bailey and Caldera. Other government agencies are also investigating,
including a major investigation just now beginning in the MEDCOM centered on
USAREUR.

I made two requests to Ernestine Russell for administrative time in early
September in order to keep up with the increased demands on my time and
energy.

I know that this request WAS passed on up the chain of command, since it
was mentioned by MAJ Rumph at the counseling session which took place with
MAJ Jordan. I know now that the full circumstances underlying my request were
not known to you, since the Command had not informed you of the 1 September
incident.

I am proud to work for your Department, and I will try also to be responsible
as well as persistent, in presenting evidence from my past Command, since
adverse outcomes to patients did occur there. I reported what I reported in
order that these things would not occur in other Commands during the drawdown
in resources.

Thank you,

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 2
------------------------------Expires: 07 Feb 2001----------------------------

Stephen Whitlock Smith, MD
LTC, MC





MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Thu, 22 Oct 1998 07:22:05 (#186)
Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Fri, 02 Oct 1998 16:46:43 229 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.

MEMORANDUM FOR: CREDENTIALS AND DEPARTMENT OF MEDICINE
AS REQUESTED FOR REVIEW

FROM: STEPHEN WHITLOCK SMITH, MD


------------------------------------------------------------------------------

COMPLETE CLINICAL CHARTS FOR ALL OF THE PATIENTS SEEN BY ME ARE ACCESSIBLE
UTILIZING THE FOLLOWING MENUS IN CHCS FOR ALL PATIENTS ON THIS LIST:

1. HEALTH SUMMARY ("MD" TRIPLER SUBMENU
2. PROBLEM LIST (WITH ISD9 CODING)
3. ORDER ENTRY (FOR CLINICAL INTERVENTIONS AS A RESULT OF THE CLINICAL EXAM)
4. AFTERCARE INSTRUCTIONS (SPECIFIC FOR DEPARTMENT OF MEDICINE)
5. REFERENCE->PMI (FOR MEDICATION AFTERCARE INSTRUCTIONS)

PLEASE NOTE:
THIS PROJECT OF ENTERING ALL CLINICAL ENCOUNTER DATA AT THE TIME OF THE VISIT
IS MORE TIME-CONSUMING WITH JUST A CHCS VT420 TERMINAL, AS COMPARED WITH A
NETWORKED PC RUNNING QVT-WINDOWS OR KEA! (THE ALTERNATIVE PROGRAM).
HOWEVER, THIS ORDER-ENTRY (ESPECIALLY USING THE UPDATED CHCS DESKTOP) CREATES
A PERMANENT RECORD ACCESSIBLE BY ALL MAMC PHYSICIANS AND PA'S AND NURSE
PRACTITIONERS FROM THE DESKTOP. THIS PROJECT WAS UNDERTAKEN WITH THE HELP OF
THE NURSING STAFF OF APCC, AND IS EVOLVING. THE RATIONALE OF ITS USE,
PARTICULARLY FOR THE ACUTE-CARE PORTION OF THE ADULT PRIMARY CARE CLINIC, IS
THAT IT WILL BE VIRTUALLY IMPOSSIBLE FOR THE SAME PROVIDER TO SEE ONLY THOSE
PATIENTS ASSIGNED TO HIM OR HER; AT LEAST WITH A NETWORKED ELECTRONIC RECORD
LIKE THIS ONE, OR LIKE THE ONE IN PROGRESS BY LT KAITANI AND ALSO BY EPIC
SYSTEMS (WITH OR WITHOUT VOICE MACRO COMMAND INPUT), ANY APCC PROVIDER COULD
ACCESS ALL CLINICALLY RELEVANT DATA WITHOUT WAITING FOR THE PAPER RECORD,
EVEN IF IT IS AVAILABLE.

SINCE MY SCHEDULE IS KEPT FREE FOR ACUTE VISITS AND TELEPHONE CONSULTS, THERE
IS NO TEMPLATE WHICH WOULD ALLOW REVIEW OF MY RECORDS ARRANGED BY DAY OF
VISIT, CHRONOLOGICALLY.

THIS LACK OF TEMPLATE, A NECESSARY SITUATION AT PRESENT, HAS MADE IT
DIFFICULT TO ACCESS ALL OF MY CHARTING FOR ACUTE CARE WITHOUT USING A
SEPARATE LIST OF ALL PATIENTS WHICH I HAVE SEEN DURING ANY FIXED TIME PERIOD.
IF MY CHARTS ARE REQUIRED FOR REVIEW AT ANY TIME, PLEASE ASK ME OR THE ACUTE
CARE TEAM FOR A COMPLETE LIST OF MY PATIENTS.

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 3
------------------------------Expires: 07 Feb 2001----------------------------

STEPHEN WHITLOCK SMITH, MD
LTC, MC 024-38-5114
Followup Scheduling: (253)968-2410/2415
Questions: (253)968-3866
Beeper; # PENDING
E-Mail: <stevewsmith@pol.net>
Mailing address: Adult Primary Care Clinic
MAMC, PENDLETON AVENUE, TACOMA, WA 98431


[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Page 2
------------------------------------------------------------------------------


SMITH,STEPHEN W PATIENT LIST-SELECT
02 Oct 1998@1530
02 Oct 1998@1530 =======================================
=========================================
=========================================
> PL981002@1500 - 02 Oct 1998 (PRIVATE) 166 Patients
----------------------------------------------------------------------------
. ADAMES,WENDY L 33y F 31/450-35-1243
. AHRENS,FREDERICK R 52y M 20/537-40-5180
. ALAPAI,KIMBERLEY D 41y F 30/575-70-0648
. ALEXANDER,HENRY C 69y M 20/416-38-5428
. ALLEN,GRACIELA 25y F 30/456-35-5255
. ALLEN,VESTA L 69y F 30/497-24-8041
. ANDERSON,DEAN WELLS 53y M 20/397-42-5200
. ARROYO,AE CHA 42y F 30/263-77-5483
. BASSETT,JADE L 33y F 30/558-29-8383
. BATES,ILSE E 78y F 30/395-12-7528
. BEEN,HWA C 50y F 30/236-88-1800
. BLANKENSHIP,KAZUKO I 66y F 30/236-46-5287
. BLOUNT,ELSE H 61y F 30/565-40-7395
. BLOUNT,JOYCE L 28y F 30/265-57-0871
. BOOTH,DWIGHT I 59y M 20/551-52-6421
. BOYLE,KELLY 34y F 30/570-51-8712
. BROWN,LAYONA J 42y F 30/262-31-9796
. BROWN,WILLIAM R 67y M 20/535-38-3200
. BURTON,PETRA 38y F 30/559-41-5541
. CACCIOPPO,MERNICE E 39y F 30/587-47-4297
. CAMIRE,ELIZABETH A 52y F 30/002-32-4164
. CARITHERS,YONG H 44y F 30/425-68-2584
. CARMACK,GLEN A 87y M 20/550-36-5820
. CARTY,CHERYL S 32y F 30/003-62-7932
. CHILDERS,DARLENE 52y F 30/520-42-4888
. CHRISTENSEN,STEVEN D 48y M 20/392-56-2551
. CHUNG,ROSALIA 64y F 30/576-34-6741
. CLAWSON,CALVIN 75y M 20/444-20-4402
. CLAWSON,FRIEDA 76y F 30/444-20-4402
. CLONCE,ROBERT D 68y M 20/230-34-8760
. CLOPTON,SUN AE 51y F 30/421-74-7023

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 4
------------------------------Expires: 07 Feb 2001----------------------------
. CLOTHIER,ZENAIDA 52y F 30/515-14-2111
. CONNER,JOHN 77y M 20/554-07-5893
. CORRIDORE,AMEDEO A 79y M 20/122-12-8345
. CORRIDORE,VICTORIA R 65y F 30/122-12-8345
. CORTER,BETTY J 67y F 30/506-24-3603
. CROSS,LAWRENCE 48y M 20/517-60-7252
. DAUM,PETER K 47y M 20/585-54-3336
. DAVIS,CHRIS 36y F 30/418-21-2492
. DAVIS,LISA A 32y F 30/438-39-7749
. EATON,URSULA W 69y F 30/316-16-3875
. ELKINS,JOELLA M 63y F 30/559-40-1738
. ENDICOTT,GEORGE W 30y M 20/589-30-4577
. FEARS,ANTOINETTE M 78y F 30/042-32-5311
. FIGURACION,ALTHEA S 67y F 30/566-48-3511
. FIGURACION,FELICIANO 79y M 20/566-48-3511
. FOSTER,TOJA 64y F 30/541-22-3202

[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Page 3
------------------------------------------------------------------------------
. FRANCO,ALFRED F 65y M 20/575-32-5020
. FRIEDLY,HOWARD W 78y M 20/519-32-5144
. GALVEZ,WILHELMINE 60y F 30/581-66-6333
. GARLEY,SILVERIO 83y M 20/527-07-3111
. GARNICA,MICHELLE A 29y F 30/547-29-3827
. GRAY,MIRTHA 34y F 30/507-04-1424
. GRIGG,WILHELMINE 68y F 30/462-09-6214
. HADLEY,YVETTE A 59y F 30/288-28-5065
. HALE,JAMES E 45y M 20/421-76-6557
. HALL,VELMA L 50y F 31/436-76-7491
. HAMM,VIRGINIA 69y F 30/544-32-9108
. HANSEN,JESSICA S 35y F 30/484-86-5759
. HARMON,CAROLYN L 57y F 30/574-12-7084
. HARMON,MIEKO 74y F 30/564-20-4559
. HARRISON,LYNN 43y F 30/075-26-0426
. HAYES,YONG HUI 51y F 30/172-38-4273
. HERNANDEZ,REBECCA A 36y F 31/457-68-7321
. HEWEY,ROSEMARY 37y F 31/505-90-8466
. HILARIO,KUMIKO 74y F 30/721-16-4308
. HOWZE,MARION C 84y F 30/374-28-0513
. HUNT,CHUN S 63y F 30/226-48-8818
. HUNTER,GEORGE C 60y M 20/534-34-8551
. HUSTEAD,ANNETTE B 38y F 30/278-66-8239
. INMAN,SOP S 56y F 30/560-52-4075
. JACKSON,REGINA E 25y F 30/175-56-1014
. JANKER,FUJIE 66y F 30/091-22-9902
. JELLISON,KIMBERLY 27y F 30/571-06-3156
. JOHNSON,LOUIS L 39y M 31/576-48-9249
. JOSEPH,FLORENCE G 65y F 30/436-38-0252
. JUSTICE,HIRAM 58y M 20/431-70-1163
. KIENTZ,MICHAEL J 37y M 20/537-72-6772
. KIRK,SUE C 59y F 30/534-34-3236
. KLEIST,ANNETTE B 46y F 30/571-96-3956
. LARSON,AMY M 30y F 30/224-96-2110

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 5
------------------------------Expires: 07 Feb 2001----------------------------
. LEE,BEAUREGARD 60y M 20/564-48-4106
. LEE,XUE-YA WANG 48y F 30/564-48-4106
. LEWIS,CHARLES H 71y M 20/537-34-5625
. LLOYD,JEFFERY J 33y M 30/467-21-9037
. LOVETT,GARY 47y M 20/531-54-5063
. LUBBEN,SHELLEY L 30y F 30/555-93-6166
. LUNDE,GISELA G 66y F 30/249-48-7217
. LYNCH,JEFFREY GEORGE 58y M 20/260-58-9598
. LYONS,SEAN P 33y M 30/585-37-7945
. MARKUSSEN,HANS C JR 62y M 20/387-30-6489
. MARROW,SUK Y 37y F 30/246-17-7472
. MARTIN,CHARLES 69y M 20/062-22-9580
. MARTIN,KATHLEEN C 63y F 30/550-48-4942
. MARTIN,NORMA 57y F 30/538-28-2837
. MATTHEWS,MARCILYN B 62y F 30/450-56-5440
. MCELWEE,CAROLINE D 61y F 30/492-26-8428
. MCKINNEY,GRETCHEN M 36y F 30/453-19-2127
. MEEK,LINDA 51y F 30/433-37-8192
. MERCER,LORAINE 43y F 31/486-80-7723
. MERSON,CHERI L 27y F 30/227-74-6273
. MEYERS,JANICE D 47y F 31/473-78-3597
. MILLER,JENNIFER A 24y F 30/381-88-0584

[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Page 4
------------------------------------------------------------------------------
. MITCHELL,TRENA L 28y F 30/465-25-2119
. MOORE,JUDITH 49y F 31/546-70-4660
. MORRISON,DAGMAR 47y F 30/517-60-4775
. MORTENSEN,WENDY M 46y F 30/528-80-4982
. MULLEN,JAMES L 66y M 20/439-42-2051
. MUNOZ,KIMBERLY 43y F 30/547-41-1701
. NORTHEY,MAUREEN 53y F 30/521-52-8595
. NOTVEDT-HELLER,MARY K 29y F 30/079-46-5632
. NYE,KATHARINA 60y F 30/538-36-6549
. ONUFER,VERNA M 65y F 30/112-12-4333
. ORTEGON,T DARIEN 44y F 30/440-78-3221
. OWENS,MELL 49y F 31/257-46-4979
. PALACIOS,MARIANNE 66y F 30/456-42-2747
. PALMER,RAYMOND H 77y M 20/532-20-0651
. PALMER,VIVIAN A 78y F 30/532-20-0651
. PAPE,IRIS J 57y F 30/520-30-7603
. PARKER,ROY D 78y M 45/450-86-3126
. PASCOE,RICHARD M 64y M 20/563-40-1916
. PAUL,ILSEDORE 64y F 30/502-20-5423
. PAWELEK,STANLEY J 59y M 20/147-30-2197
. PEEK,BOBBY N 62y M 20/467-48-4462
. PETERSON,MARY E 62y F 30/417-40-2398
. QUERY,SHIRLEY 60y F 30/520-42-4905
. REECE,BILLY M 80y M 20/457-10-5474
. RICE,CATRIENA L 27y F 30/417-17-3015
. RITTENHOUSE,TRACIE S 33y F 30/432-35-0601
. ROSENBAUM,LYNN M 47y F 30/470-58-0530
. ROUSSEAU,VALERIE J 33y F 30/261-67-1983

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 6
------------------------------Expires: 07 Feb 2001----------------------------
. SAMPERE,ILSE H 71y F 30/530-22-9548
. SCARBORO,PATSY L 66y F 31/229-30-4587
. SCHULTZ,GERALD 45y M 31/541-64-2612
. SHOE,MARCELLA J 58y F 30/533-34-0344
. SILVIS,LISA M 31y F 30/516-96-7576
. SINCLAIR,LEAH M 26y F 30/226-35-8276
. SMITH,HEATHER LYNN 21y F 30/539-94-6803
. SMITH,STEPHEN W 51y M 20/024-38-5114
. SPRINGER,JANICE 44y F 30/413-90-5458
. STRADER,CATHERINE M 62y F 30/352-30-4481
. STRADER,HERMAN D 60y M 20/352-30-4481
. STRONG,DONNA 43y F 30/541-56-8790
. TERRY,JENNIFER L 20y F 30/167-58-5950
. THAGARD,DIANE M 36y F 30/418-78-5597
. THOMAS,LARRY W 45y M 20/452-78-6107
. THOMPSON,MILDRED K 79y F 30/332-12-0528
. THORNHILL,BRIAN E 41y M 20/049-52-5873
. THUMM,CHARLES F JR 77y M 20/167-16-9345
. TOTO,ANTHONY C 73y M 20/152-14-1335
. VAIL,MARTHA I 42y F 30/566-41-0768
. VELASQUEZ,TERESA K 44y F 30/530-46-8184
. WALKER,CAROLA A 64y F 30/538-30-0831
. WEHNER,BRIAN P 29y M 30/264-71-3929
. WEHUNT,SHEILA S 56y F 30/258-52-2799
. WEIGAND,JUDITH L 61y F 30/547-48-0232
. WESTMAN,SHARON J 59y F 30/538-30-8122
. WIESE,ILKA D 21y F 30/480-72-7986
. WILLIAMS,TANYA T 33y F 30/502-86-8023

[PAGE]

Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Page 5
------------------------------------------------------------------------------
. WILLIAMS,VALERIE 22y F 30/424-98-4363
. WILLIS,ALEXANDER C 71y M 20/246-24-8501
. WOLF,ROBERT F 76y M 20/104-16-7432
. WOO,SANG-HEE 52y F 30/576-34-8930
. YOUNG,MONIKA B 56y F 30/552-58-3382
. ZEIGLER,FREDERICK G 86y M 20/535-09-4200
. ZURFLUH,SUSIE S 65y F 31/538-16-3687

[PAGE]





Local Message ID: 5281549@MAMC.CHCS.AMEDD.ARMY.MIL

SMITH,STEPHEN W (Internal Medicine) Last read: Thu, 22 Oct 1998 07:21:50
STEVEWSMITH@POL.NET Sent: Fri, 02 Oct 1998 16:50:41 Time: 6 seconds.
Forwarded by: SMITH,STEPHEN W Fri, 02 Oct 1998 16:48:36 through
response
0.
REED,HARRELL L (Chief, Department of Medicine) Last read: Fri, 09 Oct 1998

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 7
------------------------------Expires: 07 Feb 2001----------------------------
15:48:55 Forwarded by: SMITH,STEPHEN W Fri, 02 Oct 1998 16:51:03
JONES,D E CASEY Not read. Forwarded by: SMITH,STEPHEN W Fri, 02 Oct 1998
16:51:03
JORDAN,RICHARD A (Chief, Internal Medicine Services.) Last read: Mon, 05 Oct
1998 16:26:01 Forwarded by: SMITH,STEPHEN W Fri, 02 Oct 1998 16:51:03

[PAGE]






Local Message ID: 5347329@MAMC.CHCS.AMEDD.ARMY.MIL
Message expires on: Wed, 07 Feb 2001

SMITH,STEPHEN W (Internal Medicine) Last read: Tue, 12 Dec 2000 20:40:34
STEVEWSMITH@POL.NET Sent: Wed, 11 Nov 1998 18:53:50 Time: 3 seconds.
Forwarded by: SMITH,STEPHEN W Wed, 11 Nov 1998 18:52:39 through response
0.
STEVEWSMITH@EPHYSICIAN.MD Sent: Fri, 15 Oct 1999 11:49:03 Time: 2 seconds.
Forwarded by: SMITH,STEPHEN W Fri, 15 Oct 1999 11:48:58 through response
0.

[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:41:14 (#479)
Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998)
Thu, 22 Oct 1998 08:06:19 118 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------

MEMORANDUM FOR: CREDENTIALS AND DEPARTMENT OF MEDICINE
AS REQUESTED FOR REVIEW
COL Les Reed and MAJ Rich Jordan

FROM: STEPHEN WHITLOCK SMITH, MD

Date: 22 October 1998

As requested, charts are attached for review, retrieved from computer
records. The others will follow shortly. (Please see previous memo of 2
October, attached.)

Thank you for streamlining the Acute Care system. The following improvements
are helping markedly: a) Allowing us to schedule patients directly with the
primary provider, so that the acute visit can become more focussed and
shorter, b) allowing nursing personnel to do a nursing assessment in the
S-O-A-P format, c) allowing charting time between patients as well as
designating one person to return charts, bubble sheets, and charts chosen for
audit directly to Dr Jordan, or Records, or bubble sheet area, whichever is
approriate. All of these changes seem to cost little in personnel time; these
changes help me personally to keep up with the work flow, and may be good
innovations to continue once the 2 Physician Assistants are in place.
The dramatic events unfolding from the 1 September 1998 visit of Dr Sue
Bailey, Assistant Secretary of Defense for Health Affairs, which I reported
promptly through official channels at the time and to Drs Reed, Jordan and
MAJ Rumph as appropriate, have impacted severely on the time and effort and
effort required to manage both the important assignment that you have given
me PLUS the required reporting of harassment clearly intended to silence a
high level complaint. The details are included in conversations which we have
had recently, as well as correspondence received in September by Secretaries
Cohen, Bailey and Caldera. Other government agencies are also investigating,
including a major investigation just now beginning in the MEDCOM centered on
USAREUR.

I made two requests to Ernestine Russell for administrative time in early
September in order to keep up with the increased demands on my time and
energy.

I know that this request WAS passed on up the chain of command, since it
was mentioned by MAJ Rumph at the counseling session which took place with
MAJ Jordan. I know now that the full circumstances underlying my request were
not known to you, since the Command had not informed you of the 1 September
incident.

I am proud to work for your Department, and I will try also to be responsible
as well as persistent, in presenting evidence from my past Command, since
adverse outcomes to patients did occur there. I reported what I reported in
order that these things would not occur in other Commands during the drawdown
in resources.

Thank you,

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 2
------------------------------Expires: 07 Feb 2001----------------------------

Stephen Whitlock Smith, MD
LTC, MC





MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Thu, 22 Oct 1998 07:22:05 (#186)
Subj: INTERNAL MEDICINE CHARTS: CHCS (02 Oct 1998)
Fri, 02 Oct 1998 16:46:43 229 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.

MEMORANDUM FOR: CREDENTIALS AND DEPARTMENT OF MEDICINE
AS REQUESTED FOR REVIEW

FROM: STEPHEN WHITLOCK SMITH, MD


------------------------------------------------------------------------------

COMPLETE CLINICAL CHARTS FOR ALL OF THE PATIENTS SEEN BY ME ARE ACCESSIBLE
UTILIZING THE FOLLOWING MENUS IN CHCS FOR ALL PATIENTS ON THIS LIST:

1. HEALTH SUMMARY ("MD" TRIPLER SUBMENU
2. PROBLEM LIST (WITH ISD9 CODING)
3. ORDER ENTRY (FOR CLINICAL INTERVENTIONS AS A RESULT OF THE CLINICAL EXAM)
4. AFTERCARE INSTRUCTIONS (SPECIFIC FOR DEPARTMENT OF MEDICINE)
5. REFERENCE->PMI (FOR MEDICATION AFTERCARE INSTRUCTIONS)

PLEASE NOTE:
THIS PROJECT OF ENTERING ALL CLINICAL ENCOUNTER DATA AT THE TIME OF THE VISIT
IS MORE TIME-CONSUMING WITH JUST A CHCS VT420 TERMINAL, AS COMPARED WITH A
NETWORKED PC RUNNING QVT-WINDOWS OR KEA! (THE ALTERNATIVE PROGRAM).
HOWEVER, THIS ORDER-ENTRY (ESPECIALLY USING THE UPDATED CHCS DESKTOP) CREATES
A PERMANENT RECORD ACCESSIBLE BY ALL MAMC PHYSICIANS AND PA'S AND NURSE
PRACTITIONERS FROM THE DESKTOP. THIS PROJECT WAS UNDERTAKEN WITH THE HELP OF
THE NURSING STAFF OF APCC, AND IS EVOLVING. THE RATIONALE OF ITS USE,
PARTICULARLY FOR THE ACUTE-CARE PORTION OF THE ADULT PRIMARY CARE CLINIC, IS
THAT IT WILL BE VIRTUALLY IMPOSSIBLE FOR THE SAME PROVIDER TO SEE ONLY THOSE
PATIENTS ASSIGNED TO HIM OR HER; AT LEAST WITH A NETWORKED ELECTRONIC RECORD
LIKE THIS ONE, OR LIKE THE ONE IN PROGRESS BY LT KAITANI AND ALSO BY EPIC
SYSTEMS (WITH OR WITHOUT VOICE MACRO COMMAND INPUT), ANY APCC PROVIDER COULD
ACCESS ALL CLINICALLY RELEVANT DATA WITHOUT WAITING FOR THE PAPER RECORD,
EVEN IF IT IS AVAILABLE.

SINCE MY SCHEDULE IS KEPT FREE FOR ACUTE VISITS AND TELEPHONE CONSULTS, THERE
IS NO TEMPLATE WHICH WOULD ALLOW REVIEW OF MY RECORDS ARRANGED BY DAY OF
VISIT, CHRONOLOGICALLY.

THIS LACK OF TEMPLATE, A NECESSARY SITUATION AT PRESENT, HAS MADE IT
DIFFICULT TO ACCESS ALL OF MY CHARTING FOR ACUTE CARE WITHOUT USING A
SEPARATE LIST OF ALL PATIENTS WHICH I HAVE SEEN DURING ANY FIXED TIME PERIOD.
IF MY CHARTS ARE REQUIRED FOR REVIEW AT ANY TIME, PLEASE ASK ME OR THE ACUTE
CARE TEAM FOR A COMPLETE LIST OF MY PATIENTS.

[PAGE]

Subj: INTERNAL MED CHARTS FOR REVIEW (22 Oct 1998) Page 3
------------------------------Expires: 07 Feb 2001----------------------------

STEPHEN WHITLOCK SMITH, MD
LTC, MC 024-38-5114
Followup Scheduling: (253)968-2410/2415
Questions: (253)968-3866
Beeper; # PENDING
E-Mail: <stevewsmith@pol.net>
Mailing address: Adult Primary Care Clinic
MAMC, PENDLETON AVENUE, TACOMA, WA 98431






Local Message ID: 5347346@MAMC.CHCS.AMEDD.ARMY.MIL
Message expires on: Wed, 07 Feb 2001

SMITH,STEPHEN W (Internal Medicine) Last read: Tue, 12 Dec 2000 20:41:01
REED,HARRELL L Last read: Thu, 29 Oct 1998 06:59:33 Forwarded by:
SMITH,STEPHEN W Thu, 22 Oct 1998 08:07:21
JONES,D E CASEY Not read. Forwarded by: SMITH,STEPHEN W Thu, 22 Oct 1998
08:07:21
JORDAN,RICHARD A Last read: Thu, 29 Oct 1998 14:19:37 Forwarded by:
SMITH,STEPHEN W Thu, 22 Oct 1998 08:07:21
CUSHNER,HOWARD M (COL, Chief Department of Medicine) Last read: Sun, 08 Nov
1998 15:21:10 Terminated: 08 Nov 98 15:21 Forwarded by: JORDAN,RICHARD A
Thu, 29 Oct 1998 14:20:05
STEVEWSMITH@POL.NET Sent: Wed, 11 Nov 1998 18:58:52 Time: 2 seconds.
Forwarded by: SMITH,STEPHEN W Wed, 11 Nov 1998 18:58:22 through response
0.

[PAGE]


[PAGE]


MailMan message for SMITH,STEPHEN W
Printed at MAMC.CHCS.AMEDD.ARMY.MIL Tue, 12 Dec 2000 20:39:23 (#418)
Subj: MAMC DEPLOYABLE TELEMEDICINE (04 Oct 1998)
Tue, 13 Oct 1998 02:09:54 145 Lines
From: SMITH,STEPHEN W (Internal Medicine) in 'DESK' basket.
------------------------------Expires: 07 Feb 2001----------------------------

From:
LTC_Stephen_Smith_at_MEDCEN4-MAMC@smtplink.mamc.amedd.army.mil
(LTC Stephen Smith)
To:
Col_Victor_Bell_at_MEDCEN5-MAMC@smtplink.mamc.amedd.army.mil (Col
Victor
Bell), MAJ_Mark_Bower_at_MEDCEN14-MAMC@smtplink.mamc.amedd.army.mil
(MAJ Mark Bower),
Fran_Clark_at_MEDCEN3__MAMC@smtplink.mamc.amedd.army.mil (Fran
Clark),
MAJ_James_Cook_at_MEDCEN12-MAMC@smtplink.mamc.amedd.army.mil (MAJ
James Cook),
SSG_James_Day_at_MEDCEN9-MAMC@smtplink.mamc.amedd.army.mil (SSG
James
Day),

COL_William_Eggebroten_at_MEDCEN3__MAMC@smtplink.mamc.amedd.army.mil
(COL William Eggebroten),
CPT_Teresa_Harrington_at_MEDCEN12-MAMC@smtplink.mamc.amedd.army.mil
(CPT Teresa Harrington),
MAJ_Timothy_Mallon_at_MEDCEN2__MAMC@smtplink.mamc.amedd.army.mil
(MAJ Timothy Mallon),
CPT_John_Mann_at_MEDCEN9-MAMC@smtplink.mamc.amedd.army.mil (CPT
John
Mann),
MAJ_Gregory_McKee_at_MEDCEN16-MAMC@smtplink.mamc.amedd.army.mil
(MAJ Gregory McKee),
COL_Matthew_Rice_at_MEDCEN16-MAMC@smtplink.mamc.amedd.army.mil (COL
Matthew Rice),
MAJ_David_Siegel_at_MEDCEN8-MAMC@smtplink.mamc.amedd.army.mil (MAJ
David Siegel),
SFC_London_Sykes_at_MEDCEN8-MAMC@smtplink.mamc.amedd.army.mil (SFC
London Sykes),
SFC_Norman_Warren_at_MEDCEN6-MAMC@smtplink.mamc.amedd.army.mil (SFC
Norman Warren),
Andrea_Shea_at_MEDCEN3__MAMC@smtplink.mamc.amedd.army.mil (Andrea
Shea),
SSG_George_Endicott_at_MEDCEN12-MAMC@smtplink.mamc.amedd.army.mil
(SSG
George Endicott), stevewsmith@pol.net,
MAJ_Richard_Jordan_at_MEDCEN3__MAMC@smtplink.mamc.amedd.army.mil
(MAJ Richard Jordan),
COL_Lester_Reed_at_MEDCEN12-MAMC@smtplink.mamc.amedd.army.mil (COL
Lester Reed)
Subject:
Re: SMART TEAMS
Date:
10/04/1998 07:49pm
Address Book:
Add Sender to Address Book | Go to Address Book
Move to Folder:

[PAGE]

Subj: MAMC DEPLOYABLE TELEMEDICINE (04 Oct 1998) Page 2
------------------------------Expires: 07 Feb 2001----------------------------




MAMC DEPLOYABLE TELEMEDICINE TEAM

Leader and Assistant that will be attending SMART training in
November
in San Antonio, as follows:


How many total people on the team?
3
1) Smith, Stephen Whitlock, MD LTC, MC MAMC Department of
Medicine
2) Endicott, George SSG 92B MAMC Department of Medicine
3) Stuffell, Manda PFC 92B MAMC Department of Medicine

How many training days required annually?
12 (one day per month)

Any other special training/readiness costs?
$3900 (one training TDY (Casualty Care Research Center $1300 for
one
week course, or equivalent, per person)
$100,000 one BMARSAT satellite-capable PictureTel-type (Dolch)
Telemedicine Workstation and spare parts


Stephen Whitlock Smith, LTC, MC
4 October 1998
968-3866


______________________________ Reply Separator
_________________________________
Subject: SMART TEAMS
Author: Andrea Shea at MEDCEN3_MAMC
Date: 10/02/98 11:17 AM


Please email me back with Leader and Assistant that will be attending
SMART training in November in San Antonio.

Need to know by COB 5 Oct 98.


Andrea


______________________________ Forward Header
__________________________________
Subject: SMART TEAMS
Author: COL Matthew Rice at MEDCEN16-MAMC
Date: 10/2/98 6:37 AM


[PAGE]

Subj: MAMC DEPLOYABLE TELEMEDICINE (04 Oct 1998) Page 3
------------------------------Expires: 07 Feb 2001----------------------------



Andrea,


Please contact each SMART leader and get name of person and
assistant that will go to San Antonio in November. Have them get
mentally ready to go.


Dr. Smith would be SMART TELEMED for now.



MR


























Local Message ID: 5309464@MAMC.CHCS.AMEDD.ARMY.MIL
Message expires on: Wed, 07 Feb 2001

SMITH,STEPHEN W (Internal Medicine) Last read: Tue, 12 Dec 2000 20:38:46

[PAGE]


[PAGE]


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