1. Orchard Harvest™ LIS Review Results Training

2. 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

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

4. Order Choices vs. Lab Tests

5. 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.

6. 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.

7. Order Choices vs. Lab Tests

8. Order Choices vs. Lab Tests

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

10. Text Results vs. Numeric Results

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

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

13. Approve Test Results

14. 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.

15. Rerun tests to verify questionable Results

16. 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.

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

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

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

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

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

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

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

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

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

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

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

28. Reprint Labels

29. 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].

30. Attach more Order Choices

31. 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.

32. Edit the original Order

33. 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.

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

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

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

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

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

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

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

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

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

43. Order Choice Status

44. 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

45. Review Clinical Information

46. 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.

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

48. Suppress results

49. 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.

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

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

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

53. Print from Review Results

54. 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.

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

56. Export

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

58. 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.

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

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

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

62. Comments

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

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

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

66. 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.

67. 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.

68. 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.

69. 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.

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

71. 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").

72. 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.

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

74. Review of Rules triggered

75. 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.

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

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

78. Attach more Order Choices

79. 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.

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

81. Attach more Order Choices
Click Attach.

82. 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.

83. Historical patient result review

84. 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.

85. Historical patient result review
Click on Details

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

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

88. Historical patient result review
Historical values can now be seen.

89. Using Help for Review Results

90. 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.

91. 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.

92. Sign Out of Harvest when your work is done

93. 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.

94. Questions and Answers Thank you for attending!