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Type of consult
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Examples
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Vague
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Unspecified one to few word entries that may be interpreted too generically, i.e., “Capacity,” “Clearance,” “Reconciliation,” “Agitation,” “hx depression,” “Patient of Dr. N, talkative and requesting for his psychiatrist”
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Invalid
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Diagnosis given but without details, i.e., “schizophrenia,” “MAP,” “Mood/Anxiety/Psychiatric disorders,” “BPD,” “bipolar,” “substance abuse,” “depressed,” “f/u consult,” “change in mental status.” Those w/ assumed psych visit relationship: “Patient received a GSW to left forearm yesterday,” “Patient is newly diagnosed with HIV and was hospitalized three times for abdominal pain,” patient seen by psych. Please f/u.”
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Valid
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“Suicide” (one word-only entry, non-exclusion), “Please evaluate for depression,” “Self-destructive behavior”; those with no psych relationship may be for capacity for consent: “Pt has colon ca, please determine capacity for surgical consent,” “Pt s/p 20wk fetal demise,” “kindly evaluate 42-year-old for depression,” “flat affect, rule out postpartum depression,” “Patient with psychiatric history seen previously in CPEP,” “55-year-old male for jail clearance,” “postpartum patient with h/o anxiety. Please evaluate,” “psych meds reconciliation, prolonged QTC-484,” “Please evaluate this patient on antipsychotics complaining of throat closing up”
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