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2020-NTX-Medical City Heart Hospital-Dallas Valve Institute Referral-PI
Appointment priority
Date of birth
Procedure

Diagnostic testing

(please note most recent date the tests have been performed)

Echocardiogram
Echocardiogram date
Right and/or left Heart Cath
Heart Cath date
TEE
TEE date
Pulmonary function test
Pulmonary function test date
Carotid doppler
Carotid doppler date
Stress test (any type)
Stress test date
INR/PT, BUN/CREAT,H&H
INR/PT, BUN/CREAT, H&H date
EKG
EKG date
CT of Chest, ABD and Pelvis
CT of Chest, ABD and Pelvis date