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OpNote: LESI | Caudal | TFESI | CESI | TESI | SI Joint
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ENTER OpNote Macro then "Injectate LOT/Exp" Macro here OR 'click' options below:
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LESI
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with TPI (LESI)
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with SI Joint
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PREOPERATIVE DIAGNOSIS
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TPI Field
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PreOp
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POSTOPERATIVE DIAGNOSIS
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TPI Field
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PostOp
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PROCEDURE
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TPI Field
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Procedure
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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TPI Field
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Indication
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OPERATIVE PROCEDURE
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Prep
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Comments
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Level
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Contrast Yes / No
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Steroid
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Procedure Comments
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Caudal ESI
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with TPI (Caudal)
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PREOPERATIVE DIAGNOSIS
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TPI Field
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POSTOPERATIVE DIAGNOSIS
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TPI Field
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PROCEDURE
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TPI Field
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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TPI Field
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OPERATIVE PROCEDURE
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Prep
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Contrast Yes / No
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Procedure Comments
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TFESI
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with TPI (TFESI)
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PREOPERATIVE DIAGNOSIS
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TPI Field
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POSTOPERATIVE DIAGNOSIS
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TPI Field
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PROCEDURE
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with Other
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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TPI Field
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OPERATIVE PROCEDURE
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Prep
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Spinal Needle Size
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Location / Level
• • •
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Contrast Yes / No
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Steroid / Level
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Procedure Comments
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CESI
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with TPI (CESI)
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PREOPERATIVE DIAGNOSIS
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TPI Field
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POSTOPERATIVE DIAGNOSIS
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TPI Field
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PROCEDURE
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TPI Field
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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TPI Field
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OPERATIVE PROCEDURE
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Prep
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Level
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Contrast Yes / No
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Steroid Dose
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Procedure Comments
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Thoracic ESI
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with TPI (TESI)
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PREOPERATIVE DIAGNOSIS
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TPI Field
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POSTOPERATIVE DIAGNOSIS
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TPI Field
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PROCEDURE
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TPI Field
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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TPI Field
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OPERATIVE PROCEDURE
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Prep
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Level
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Contrast Yes / No
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Procedure Comments
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Sacroiliac Joint Injection
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with TPI (SI Joint)
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PREOPERATIVE DIAGNOSIS
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TPI Field
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POSTOPERATIVE DIAGNOSIS
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TPI Field
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PROCEDURE
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TPI Field
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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TPI Field
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OPERATIVE PROCEDURE
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Prep
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SI Joint Location
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Steroid Dose
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Procedure Comments
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TPI ONLY
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TPI ONLY
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PREOPERATIVE DIAGNOSIS
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PREOPERATIVE DX
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POSTOPERATIVE DIAGNOSIS
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POSTOPERATIVE DX
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PROCEDURE
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MAC [Yes] / Local [No]
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PreMed / Anxiolytic
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INDICATION
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OPERATIVE PROCEDURE
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Procedure Intro
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TRIGGER POINT INJECTION (TPI)
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Cervical (Right / Left)
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Cervical (B/L)
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Cervical / Trapezius (Right / Left)
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Cervical / Trapezius (B/L)
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Trapezius (Right / Left)
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Trapezius (B/L)
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Thoracic (Right / Left)
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Thoracic (B/L)
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Lumbar (Right / Left)
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Lumbar (B/L)
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TPI Comments
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Tolerated well? Yes / No
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Tolerated Procedure Free Write
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Recovery / Discharge
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Recovery / Discharge Free Write
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Injectate Product Information
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Fluoroscopy Image #1
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Fluoroscopy Image #2
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Fluoroscopy Image #3
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Fluoroscopy Image #4
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