FOSHM Reports
Lipin/Dietz Associates, Inc.
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Lipin/Dietz Associates, Inc. |
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Audiometry Module: Full Page, for Highlighted Test AUDI01 Single Detail-Single, All Audiograms for a Person AUD_1ALL All for 1 Average of 2000Hz, 3000Hz and 4000Hz for the Most Recent Audiograms and Baseline for the Person AUD_234 Avg 234 Detail-Multi, by Department and Person for Date Range AUD_DEPT_RPT Dept & Date Average of 2000Hz, 3000Hz and 4000Hz for the Last Five Audiograms of the Current Person AVG234 Avg of 234 Audiogram on Screen, Graph on Left and Right Ear Frequency Responses CURRENT_AUD CURRENT_AUD Form, DOD 2215 (Department of Defense Hearing Conservation Data) DD2215 DD2215 Form, DOD 2215 Tractor Feed (Department of Defense Reference Audiogram Form) DD2215T DD2215T Form, DOD 2216 (Department of Defense Hearing Conservation Data) DD2216 DD2216 Form, DOD 2216 Tractor Feed (Department of Defense Hearing Conservation Data) DD2216T DD2216T Detail-Multi, for a Date Range DSLDATE DSLDATE Detail-Multi, 10dB STS for a Date Range DSLDATE10DB DSLDATE10DB Detail-Multi, 25dB STS for a Date Range DSLDATE25DB DSLDate25DB *Notes, attached to any Audiogram for the Current Person (Examiner Notes) ENTSSN1 NotesModule *Notes, attached to any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll *Notes, attached to Current Audiogram (Examiner Notes) ENTTEST NotesTest Full Page, by Department Code for a Date Range FPDPTDTE DeptDate Full Page, by Department Code for a Day FPDPTDY FullDeptDay Full Page, Current Audiogram with Employee Confirmation FPFEEDBACK FPFeedBack Full Page, Current Audiogram with Area for Physicians Remarks FPPHYSREMARK FPPhysRemark Full Page, Meeting Query Criteria Sorted by Date FPQ_DATE FPQueryDate Full Page, Meeting Query Criteria Sorted by Department and SSN FPQ_DEPT FPQueryDept Full Page, Meeting Query Criteria Sorted by Name FPQ_NAME FPQueryName Full Page, All Tests for a Person in a Date Range FPSSNDTE PersonDate *Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType *Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Letter, Interim Notification of Hearing Loss for Current Audiogram INTERIMLOSS InterimLoss *Letter, Normal Hearing Letter in Date Range for All Normal Hearing Audiograms NORMALNOTICE NormalNotice Letter, Normal Hearing Letter for Current Audiogram NORMALONE NormalOne *Summary List, No Audiogram in Date Range by Department and Name NOTEST NoTestDate *Summary List, No Audiogram in Date Range by Department and Name with Employment Status NOTESTEMPL NoTestEmpl Summary Line, All Tests in Date Range SLSDATE SLSDATE Summary Line, Tests with 10dB STS in a Date Range SLSDATE10DB SLSDATE10DB Summary Line, Tests with 25dB STS in a Date Range SLSDATE25DB SLSDATE25DB Summary Line, for a Department Code SLSDEPT SLSDEPT Summary Line, In a Department for a Date Range SLSDPTDTE SLSDPTDTE Summary Line, All in Current Month by Name SLSMN SLSMN *Summary Line, Tested Last Year in Date Range but NOT this Year SLSNOTEST SLSNOTEST *Summary Line, by Department Code, Tested Last Year in Date Range but NOT this Year SLSNOTESTDPT SLSNOTESTDPT Summary Line, Meeting Query Conditions SLSQ SLSQ Letter, Notification of a Standard Threshold Shift (STS) for Current Audiogram STSNOTICE STSNotice Testing the Graphing Function TEST testgraph *Summary List, Employees with Department/Job Based Noise Exposure Above a Given Level (Noise Level Survey Information) TWACUTOFF NoiseExpose Guided Selection of a Report (Report Wizard) WIZARD WIZARD
Blood Pressure Module: Detail, All Blood Pressure Exams by Person in a Date Range BPDATE DateRange Detail, All blood Pressure Exams for Current Person in Date Range BPPERSON Person Graph of Systolic and Diastolic Blood Pressure for the Current Individual BP_GRAPH Blood Pres. Notes, Attached to any Blood Pressure Exam for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Blood Pressure Exam (Examiner Notes) ENTTEST NotesTest Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Graph of the Most Recent Weight Measures for the Current Individual WGT_GRAPH Weight
Breath Alcohol Module: Full Page, Currently Highlighted Test BRE_1RPT Current Detail, All Breath Alcohol Tests on File by SSN BRE_ARPT AllTests Detail, All Tests in a Date Range by SSN BRE_ARPTDATE AllTestsDate Detail, All Breath Alcohol Tests for the Current Person BRE_IRPT OneEmplAll Detail, All Breath Alcohol Tests in a Date Range for the Current Person BRE_IRPTDATE OneEmplDate Notes, Attached to any Breath Alcohol Exam for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Breath Alcohol Exam (Examiner Notes) ENTTEST NotesTest Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML
Chemistry Module: Full Page, All Chemistry Screenings for Current Person in Column Format ALLEXAMS AllExams Full Page, Current Chemistry Screening CURRENT Current Notes, Attached to any Chemistry Analysis for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Chemistry Analysis (Examiner Notes) ENTTEST NotesExam Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Full Page, Last Five Chemistry Screenings for Current Person in Column Format SSNLASTFIVE Last5Tests
Cotton Dust Module: 10% or Greater Change from Baseline on % of Predicted FEV1 10BASELINE 10Baseline 10% Difference between Pre and Post Exposure on % of Predicted FEV1 10PREPOST 10PrePost 5% Change between Pre and Post Exposure on % of Predicted FEV1 5PREPOST 5PrePost 60% to 79% of Predicted FEV1 on Pre-Exposure Test 6079PERCPRED 60-70Perc 7% Difference between Current and Previous Test on % of Predicted FEV1 7DIFFCURPREV 7DiffCurPrev 80% of Predicted FEV1 on Pre-Exposure Test 80PERCPRED 80Percent Notification Letter for Highlighted Exam CTN_LTR NotifLetter Notes, Attached to Cotton Dust for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Cotton Dust Exam/Question Set (Examiner Notes) ENTTEST NotesTest Functional Category, Count and Percents by Company for Date Range FUNCCATSMRY FuncCatSum Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Employees Meeting Selected Criteria in the Date Range MEETCRITERIA MeetCriteria All Tests for Highlighted Person TESTREVIEW TestReview
Daily Log Module: Multi-Line, Monthly Incident Report ACCMONTH ACCMONTH Summary, Accident Totals for Month/YTD by Department DEPTACCMONTH DeptAccSmry Summary, Dispensed Items and Cost for a Date Range DSPSUMMARY DispenseSmry Notes, Attached to Any Visit for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Visit (Examiner Notes) ENTTEST NotesVisit Full Description, for Currently Highlighted Case Number FDCASE FDCASE Full Description, for Currently Highlighted Person in a Date Range FDSSNDATE FDSSNDATE Full Page, All Visits for Currently Highlighted Case Number FPCASE FPCASE Full Page, all Visits for Current Person in a Date Range FPSSNDATE FPSSNDATE Full Page, Currently Highlighted Visit FPSV FPSV Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Summary, Injury/Ilness Count by Department INJBYDEPT Injury Smry Summary, Month and YTD Totals for Occupational Injuries/Illnesses INJMONTH OSHADATA Summary, Injury/Illness Count by Injury/Illness and Body Part INJSUM INJSUM Multi-Line, Visits for a Date Range MLDATERANGE MLDateRange Multi-Line, Visits by Department in a Date Range MLDEPT MLVisitDept Multi-Line, Visits by Examiner for a Date Range MLEXAMINER MLExaminer Multi-Line, Visits by Injury for a Date Range MLINJURY MLInjury Multi-Line, Visits by Job for a Date Range MLJOB MLJob Multi-Line, Visits by a Person for a Date Range MLPERSON MLPerson Multi-Line, Visits by a Supervisor for a Date Range MLSUPER MLSuper OSHA First Report of Injury Data and Form OSHA101 OSHA101 OSHA 200 (Legal size paper) Log by OSHA Log Number OSHALOGNUM OSHALogNum Multi-Line, All Work Restrictions on File by Employee RESTRICTALL RestrictAll Multi-Line, All Work Restrictions for a Visit Date Range by Employee RESTRICTDATE RestrictDate Summary, Illnesses for a Given Month (OSHA Recordable) RPT_ILL_MNTH Illness Smry Summary, Injuries for a Given Month (OSHA Recordable) RPT_INJ_MNTH RptnjMnth Saturn Physicals due by Cost Center Report SATPHCST SaturnCost Saturn Physical Exam Notification Letters SATPHLTR SaturnLetter Summary, Daily Log Visits by Visit Type and Date Range VISSUMMARY VisitSummary
Demographics Module: Employees by Company, Department and Name DEM_CO_R by Company Employees Sorted by Name, Single Line DEM_NAM_R by Name Notes, Attached to Demographics for the Current Person (Examiner Notes) ENTSSN1 NotesModules Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Employees Meeting the Specified Query FORM1 Query Form1 Employees Receiving Hepatitis B Immunization by Name HEPATITISB HepatitisB Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Current Employees Demographic Information, Full Page IND_DEMO Full Page
Vision Module: Notes, Attached to Any Vision Exam for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Eye Exam(Examiner Notes) ENTTEST NotesTest Full Page, Currently Highlighted Test EYE_1RPT Current Detail, All Eye Exams on File by SSN EYE_ARPT AllExams Detail, All Eye Exams in a Date Range by SSN EYE_ARPTDATE AllExamsDate Detail, All Eye Exams for the Current Person EYE_IRPT OneEmplAll Detail, All Exams in a Date Range for the Current Person EYE_IRPTDATE OneEmplDate Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML
Hematology Module: Summary, All Module Exams/Tests for a Date Range ALLEXAMCOUNT All Exams Full Page, All Hematology Screenings for Current Person in Column Format ALLEXAMS AllExams Full Page, Current Hematology Screening CURRENT Current Notes, Attached to any Hematology Workup for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to Current Hematology Workup (Exminer Notes) ENTTEST NotesTest Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Full Page, Last Five Hematology Screenings for the Current Person in Column Format LAST5EXAMS Last5Exams Single Line, Last Five Years for Person (HGB, HCT, RBC, WBC) SSNFIVEYEAR Last5Year
HepatitisB Module: List of Employees Receiving Hepatitis B Immunizations by Name HEPATITIS Hepatitis Employees with the Selected Survey/History HISTYPE type Multi-Line, Currently Highlighted Persons' Survey(s) MLHISTYPESSN PersonTypeML
Physical Exam Module: Average AVGPHYSI Average Graph of Systolic and Diastolic Blood Pressure for the Individual Currently Selected BP_GRAPH Blood Pres. Notes, Attached to Any Physical Exam for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Physical Exam (Examiner Notes) ENTTEST NotesTest Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Detail-Multi 2, Physical Exams in Date Range by Name MLDATE DateRange Detail-Multi 2, Current Persons Exam for a Date Range MLPERSON Persons Physical Exams Meeting Query in Date Range, Multi-Line MLQUERY Query ML Full Page, Physical Exam Information for Current Exam PHY_1RPT Current Detail-Multi 1, All Exams for All People by SSN PHY_ARPT All Empl Detail-Multi 1, All Exams for All People by SSN in a Date Range PHY_ARPTDATE AllEmplDate Detail-Multi 1, All Exams for the Current Person PHY_IRPT OneEmplAll Detail-Multi 1, All Exams for the Current Person in a Date Range PHY_IRPTDATE OneEmplDate Most Recent Weight Measures for the Individual WGT_GRAPH Weight
Safety Module: Multi-Line, Monthly Incident Report ACCMONTH INJSUM Notes, Attached to Any Safety Log Entry for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Safety Log entry (Examiner Notes) ENTTEST NotesLog Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Summary, Month and YTD Totals for Occupation Injuries/Illnesses INJMONTH OSHADATA OSHA First Report of Injury (OSHA Form 101) OSHA101 OSHA101 OSHA 200 Log (Legal Paper Required and Small Fonts) OSHALOGNUM OSHA200 Multi-Line, All Work Restrictions by Employee RESTRICTALL RestrictAll Multi-Line, All Work Restrictions Attached to Visits in a Date Range RESTRICTDATE RestrictDate
Scheduling Module: Certification Form, All Appointments/People for a Day CERTDAY CertDay Certification Form, for Current Appointment/Person CERTONE CertOne Appointments in the Selected Date Range DATERANGE DateRange Appointments in the Selected Date Range by Department DEPT Dept Appointments in the Selected Date Range by Department with Form Feed DEPTFF DeptFF Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML NASA, Notification Letter for Martin Marietta NOT_LTR NotifLetter Appointments for TODAY TODAY Today Appointments for TOMORROW TOMORROW Tomorrow
Spirometry Module: Notes, Attached to Any Spirogram for the Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Spirogram (Examiner Notes) ENTTEST NotesTest Full Page, Current Spirogram with Baseline Comparison (Full Page) FULLPAGE Full Page Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Detail-Multi, All Spirograms for All People by SSN SPR_ARPT AllEmpl Detail-Multi, All Spirograms for All People by SSN in a Date Range SPR_ARPTDATE AllEmplDate Detail-Multi, All Spirograms for Current Person SPR_IRPT OneEmplAll Detail-Multi, All Spirograms for Current Person in a Date Range SPR_IRPTDATE OneEmplDate
Substance Module: Notes, Attached to Any Substance Screening for Current Person (Examiner Notes) ENTSSN1 NotesModule Notes, Attached to Any Module for the Current Person (Examiner Notes) ENTSSNA NotesAll Notes, Attached to the Current Substance Screening Exam (Examiner Notes) ENTTEST NotesTest Survey, List of Employees with the Selected Survey(s) HISTYPE SurveyType Survey, Employees and Their Answers to the Selected Survey(s) HISTYPEML SurveyTypeML Full Page, Currently Highlighted Test (All Information) SUB_1RPT Current Detail, All Substance Abuse Tests on File by SSN SUB_ARPT AllTests Detail, All Substance Abuse Tests in Date Range by SSN SUBARPTDATE AllTestsDate Detail, All Substance Abuse Tests for the Current Person SUB_IRPT OneEmplAll Detail, All Substance Abuse Tests for the Current Person in a Date Range SUB_IRPTDATE OneEmplDate
Instructions to add any of the reports to the FOSHM report list you should do the following: 1. Start the FOSHM program 2. Start the Module you want to add the report to 3. Press the Reports/Graphs button 4. Press the Add button (or press the Insert Key) 5. Confirm that you want to add a report 6. Enter the code for the report 7. Enter a description for the report; you may change the recommended title description to your preference 8. Select the output type "Report" 9. Enter the Procedure Name as shown in this list 10. Press the OK button The report should now be added to the list and be ready for use. For assistance, call 512/251-1536 to reach a Tremetrics Product Support Representative.
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