Orchard Harvest™ LIS Review Results Training

Introduction Order Choices vs. Lab Tests Text Results vs. Numeric Results Approve testing results Rerun assays and document quality assurance comments Reprint a Label Attach more Order Choices Edit the original order Order Choice Status

Introduction Review Clinical Information Suppress results Print from Review Results Export Comments Review of Rules triggered Attach more Order Choices Historical patient result review

Order Choices vs. Lab Tests

Order Choices vs. Lab Tests Lab tests are the assays that are performed to produce patient results. Order Choices are what the doctor chooses to order for his patient so that a clear clinical understanding is probable. CBC is an Order Choice as is TSH. When a CBC is ordered, the White Count, Hemoglobin and Platelet Count are just some of the test results obtained by completing the sample study. When a TSH is ordered, a TSH is the result obtained when the sample study is completed.

Order Choices vs. Lab Tests The Review Results window is divided into two distinct areas. The Order Choices are at the top and their corresponding Lab Tests are in the bottom half. The Lab Tests can only be seen when the Order Choice is highlighted in the top half of the Review Results window.

Order Choices vs. Lab Tests

Order Choices vs. Lab Tests

Order Choices vs. Lab Tests Highlight the Order Choice to see its associated lab tests. Lab Tests

Text Results vs. Numeric Results

Text Results vs. Numeric Results Numeric Results are documented in a different column than Qualitative or Text Results.

Text Results vs. Numeric Results The Text Result column is useful for documenting findings that are not Quantitative results.

Approve Test Results

Click [Approve] when testing is completed. Approve Test Results Lab Techs approve the test results after determining that the results make sense clinically. Click [Approve] when testing is completed.

Rerun tests to verify questionable Results

Rerun tests to verify Results Some results are reran and verified by the tech prior to approving them. Sometimes this is because the result is critically abnormal.

Rerun tests to verify Results In this example, the Potassium and Glucose will be rerun.

Rerun tests to verify Results Click on the line that you wish to rerun. Next, you will Click on [Rerun Test].

Rerun tests to verify Results After [Rerun Test] is used, the Result will appear as -999.99 indicating the current value is empty, there is no result.

Rerun tests to verify Results The test was run again, and the new result can now be seen.

Rerun tests to verify Results But, where did the original result go, the first value obtained when performing the assay?

Rerun tests to verify Results Highlight the test that you would like to review Alternate values for.

Rerun tests to verify Results Then, click [Rerun Test] while holding down the [ALT] key on the workstation keyboard.

Rerun tests to verify Results A window will appear giving a summary of previous results.

Rerun tests to verify Results Once the test has been rerun, most techs prefer to document that effort.

Rerun tests to verify Results Options for quick comments are available by clicking on the Drop Down Menu for each lab test.

Rerun tests to verify Results A variety of options can be developed that apply to your facility.

Reprint Labels

Reprint Labels Extra sets of labels are available in Review Results. Highlight the line that indicates the label you need and then click on [Label Set].

Attach more Order Choices

Attach more Order Choices If you need to add more Choices to an Order, highlight the current Order Choice that you would like to add to, and then click [Attach]. This will return you to Order Patient Samples where you can add the new Choice.

Edit the original Order

Edit the original Order If you need to edit the original Order, you can do that from Review Results. Highlight the current Order Choice that you would like to edit, and then click [Edit]. This will open a new window.

Edit the original Order There are many things about an order that could be edited.

Edit the original Order If you need to edit the diagnosis codes that apply to this order, click on [Edit Diagnoses].

Edit the original Order A new window appears that will allow you to add, delete or modify the codes.

Edit the original Order You may find there are times when you need to review the patient’s insurance information. Click on [Insurance].

Edit the original Order A new window will appear that allows you to review or edit the plan information.

Edit the original Order You could also adjust the delivery of additional reports if you click on [CC Reports].

Edit the original Order A window opens that will display the list of additional reports and there delivery method.

Edit the original Order By highlighting lines that should change and using the arrows, report recipients can be amended.

Edit the original Order The delivery method can be changed as well by using the drop down menu available by clicking the arrows.

Order Choice Status

Common Examples include: Order Choice Status The Order Choice Status feature can be used to organize testing in similar groups. Common Examples include: Chemistry Hematology Micro- 24 Hour Micro- 48 Hour Kit Tests

Review Clinical Information

Review Clinical Information Some testing result evaluation depends upon other information. It can be reviewed by clicking on the Clinical Info button if it is italicized.

Review Clinical Information A new window will open that shows the information that applies to this order choice.

Suppress results

Suppress results Sometimes specific test results will not be released. Automated Differentials being replaced by Manual Differentials is a good example of when this might occur. This WBC Count is high and I do not want to use the Auto Diff provided by the analyzer.

Suppress results Select the Lab Test that you would like to suppress and then click [Suppress].

Suppress results Once you have clicked on Suppress, the result will be italicized.

Suppress results Each lab test will have to be suppressed individually.

Print from Review Results

Print from Review Results Print creates a preliminary report for the highlighted patient. The preliminary report is a list of all of the order choices that contain results.

Print from Review Results Click [Print] to generate the preliminary report. Then choose the printer you would like the report to be delivered to.

Export

Export Select one or more items and click the [Export] button to export selected data in a delimited file format.

Export A new window will appear that will help you begin to construct the exported report. Click Ok once you have chosen the appropriate option.

Export A window will open that will allow you to direct the saved export to the appropriate location.

Export The export has been saved, in this case to the desktop.

Export That spreadsheet can now be used for a variety of purposes.

Comments

Comments The Comments feature allows you to enter manual or automatic comments for Patients, Sample IDs, Order choices, and Tests.

Comments The presence of previously entered comments is indicated by the italicized Comments box.

Comments To view those comments, click the [Comments] box and a window will open.

Comments If you highlight an order choice, you will only be allowed to access and add comments for the order choice, the order, and the related patient record. You will not be allowed to add comments for any tests related to the order choice. Any existing test or order choice comments will be accessible.

Comments If you highlight a test result and click [Comments], you can access and add comments for the selected test, as well as the related order choice, order, and patient. Any existing test or order choice comments will also be accessible.

Comments To add in a new comment, access the Comments window by clicking the [Comments] button. The Comments window will open to the comment level based on any item you highlighted in the previous window.

Comments Verify that you are on the tab that corresponds to the comment you wish to add or edit (Patient, Order, Order Choice, or Test). Select a different tab, or click a comment in the "Comments at Other Levels" field to access comments for a different level, if desired.

Comments Click [New] to add a comment, or highlight an existing comment in the Comments window to edit a comment.

Comments To enter a custom comment, type the desired comment in the "Add a comment for" field. If you are editing a comment, the field is called "Edit a comment for." Note: The "Add/Edit a comment for" field will include the patient, sample ID, order choice, or test name in the title of the field to indicate exactly where your comment will be added (e.g., "Add a comment for CBC").

Comments To enter a standard comment, click the … button (or press the [Ctrl] [T] hotkey) to open the Multiple Comments window. Select one or more comments and click [OK] to continue.

Comments Indicate a Reporting Status by selecting or clearing the "Don't Report" checkbox.

Review of Rules triggered

Review of Rules triggered Harvest can be configured to remind lab techs to do additional testing, and many other things to ensure quality assurance standards are being met.

Review of Rules triggered You can see that Rules were triggered by the italicized Rules box.

Review of Rules triggered Click the Rules box to see the message.

Attach more Order Choices

Attach more Order Choices There may be times when testing results will prompt additional testing. In this example, the Glucose is abnormally high and the doctor would like to add a Hemoglobin A1C.

Attach more Order Choices Highlight the Order Choice that is a part of the order you would like to attach new order choices to.

Attach more Order Choices Click Attach.

Attach more Order Choices An Order Patient Samples window will open with all of the previously entered order information. From here you could add the Hemoglobin A1C.

Historical patient result review

Historical patient result review There will be times when reviewing previous testing results will aid in determining the validity of results obtained on the current sample.

Historical patient result review Click on Details

Historical patient result review Harvest will take you to that Patient’s File. Double click the Order Choice to see the

Historical patient result review Double click on the result to view previous results obtained.

Historical patient result review Historical values can now be seen.

Using Help for Review Results

Using Review Results Help You can find Help available by clicking the word Help along the top of the application, and then choose the search method you prefer.

Using Review Results Help While in Review Results, you can use the F1 key on your keyboard to find information specific to this area of the software.

Sign Out of Harvest when your work is done

Sign Out Prior to leaving your workstation, it is important that you sign out of Harvest. Click on the red X when you are ready to sign out.

Questions and Answers Thank you for attending!