Home

What`s New in Cornerstone 8.2

1. 6 With the desired invoice items selected in the list click Edit The Update Whiteboard Invoice Item dialog box appears I Update Whiteboard Invoice Item ATROIN Atropine Injectable KET Al Ketamine Injectable WE Cancel Patient Order defaults Rules for Staff Class 1 00 1 line each time Staff Class lt Blank gt lt Blank gt When this default is changed on the Patient Orders Not required windows EI 4 Also change the above default lt Blank gt ba edit all Blank gt O Do not change the above default Editing permissions G Al staff O A Only staff with security Note The settings available on the Update Whiteboard Invoice Item dialog box are similar to those on the Invoice Item Information window s Whiteboard tab See Overview of Fields on the Whiteboard Tab on page 8 for information on these settings 7 Select a Patient Order field in the list on the left to display its associated rules on the right Note In the Patient Order defaults list on the left if the Value column is empty this means that there are differing settings for the selected invoice items Note that if lt Blank gt shows in the Value column for the field this means that the value is set up to appear blank by default on the Patient Orders window a lt Blank gt field is not the same as an empty field 8 Ifthe selected invoice items have differing settings for this field indicated by an empty Value column click edit all t
2. 10 11 12 Use IDEXX SmartLink Technology for Telemedicine To add a new provider click Add In the row that appears in the Name text box type the name that you want to be displayed for this provider on the Case Detail dialog box Skip the Homepage text box it has been provided to support future functionality In the API URL text box type the Web address you use to reach the telemedicine provider Be sure to start with http or httos per the instructions of your telemedicine provider For example you would type https api vetmedstat com VMSiIntegrations VMSTMS asmx for IDEXX Telemedicine Consultants In the Login and Password text boxes type the login name and password you use to log into the telemedicine provider s site In the Authentication drop down menu choose the password authentication method that your telemedicine provider specifies Click the row you just entered to select it Click Apply Click Test Tele provider A message will appear telling you whether the connection was successfully tested Click Save to save and close the Imaging Configuration window or click Apply to save without closing the window Creating a Case and Adding Images To create a case and add images in Cornerstone Imaging Note Before you create a case in Cornerstone Imaging you need to copy any images you want to attach to the case to a file location On the Patient Clipboard in the Patient Hist
3. 13 MORPHI Morphine Injection E 4 pari Cornerstone 8 2 What s New 2 Setup Electronic Whiteboard Hours to Show Option in Whiteboard Defaults The Whiteboard defaults have been reorganized into a Display settings area and an Invoicing settings area In addition a new Hours to show setting has been added to allow you to set a default for the number of hours to show on the Whiteboard main grid window Practice and Workstation Defaults Account m Alerts Appointment Schedule Boarding Check in Client Daily Entries Report Daily Planner r Documents End OF Period Estimate Imaging Inventory Tnyvoice Invoice Item Messages Passwords Patient Patient Advisor Performance Tracker Pharmacy Formulary Practice Prescriptions Purging Report Language Required Data Statement Print Optio Toolbar Unatkended EGP Vaccination Bookmark H Vaccine Tag web Links whiteboard Hae Whiteboard Whiteboard Display settings Whiteboard auto refresh timer Minutes Length of time to keep discharged patients on whiteboard Hours Hours to show current day only 2 current day with 3 hours for previous and next days Invoicing settings Doctor to use on invoice line Current Care Dr Use doctor from Patient Visit List Invoice when patient is not at Ready to go home status arr Allow invoice if uncomp
4. Oleg as ee ee 715 681 2606 Home HAI Accept Al Payments E oo ji Barksalol 60 44 puma 3 E Canis Netever Latin Ho 3 Mos Jat GO Neutered Male E Dampa Quick Teat SDAPALLAP He ekiana C Aei Immediately start typing your Conin Schule DWH Dae OAT a A aa notes in the template you ve designated as your Quick Text template F SQAPIHEAP SubpectverHistory Subjecttverkstory ObjeciveExans Ohjecive Exams You can get started immediately with no setup required by using the default Medical Note Quick Text template the Sample Quick Text Blank template If you don t want to use the blank default template you can create your own text only template in Lists gt Documents gt Templates and then assign your template as the Medical Note Quick Text document in Documents defaults See the setup steps starting on page 25 for more information Cornerstone 8 2 What s New 23 Text Only Medical Notes Note Although this section focuses on creating text only medical notes for patients note that the text only option is also available for correspondence templates and documents Text Only vs Enhanced Medical Notes Feature Comparison Table The following table summarizes the main features and functionality available with the two main styles of medical notes offered in Cornerstone 8 2 Text Only Feature Functionality Medical Notes Use a designated Medical Note Quick Text document for imme
5. 8 2 What s New 38 IDEXX SmartLink Technology for Telemedicine J I Case Detail ag Client Name Bloom leo Client ID 2 Patent Name Finnegan Patent ID Species Feline Breed Domestic Shorthair Sex Male Weight MA Age 2 Years 6 Months 24 Days Case Information Expand gt gt Add Image ABD R Lat ABD R Lat Case Actions Expand gt gt 3 If you want to attach supporting material do the following a Click Attach File The Open dialog box appears b Use the dialog box to select the file s you want to add and click Open c Repeat these steps if you want to attach additional files 4 Ifyou want to attach additional images do the following a Click Attach A small version of the Image Explorer window appears displaying thumbnail images for this patient b Click the image you wish to add or hold down the CTRL key and select multiple images c Click Select Image The images are added to the case 5 If you want to remove an attachment or image select its thumbnail and click Remove Submitting a Case to a Telemedicine Provider To submit a case to a telemedicine provider 1 On the Case Detail dialog box expand the Case Actions pane 2 Select the tab for the telemedicine provider you want to use or if you have set up more than one telemedicine provider select the Telemedicine tab and then select the provider you want from the Tele Provider drop down list Click Submit Case A Web browser opens
6. Blank Samples Medical Note Text Only 1771 Sample Quick Text Brief History Samples Medical Note Text Only 1772 Sample Quick Text Daily Care Samples Medical Note Text Only 1773 Sample Quick Text SOAP HEAP Samples Medical Note Text Only 1774 Cornerstone 8 2 What s New 28 10 Ti 12 13 14 15 16 Text Only Medical Notes Click on a text only template in the list to see a preview of the document in the preview area at the bottom of the window Once you have located the desired template select it and click OK or double click the template The template opens in the Cornerstone Editor in text only mode Depending on the setup for the selected template you may be prompted to complete one or more of the following tasks upon opening e lf the patient weight is not considered current based on the Ask for weight setting in Documents defaults the last entered weight appears in red If you are adding a medical note a weight entry dialog box appears automatically allowing you to update the weight for this patient e lf there are any Question Answer bookmarks included in the template the associated pop up boxes display e lf there are any Pick items included in the template with a status other than Blank you are prompted to pick the applicable items e lfthere are any Group items included in the template with a status other than Blank the group will be applied and any associated pop up boxes display Check
7. Caution GOWN GLOVE dit Immune Suppressed enter alert Has chew toy in cage IV Set Cath amp Fluids JY Set Cath amp Fluids 9Y Set Cath amp Fluids fV Set Cath amp Fluids FY Set Cath amp Fluids SI Set Cathit Fluids f Set Cath amp Flui IV Pump per day W Pump per day W Pump per day W Pump per day IV Pump per day IV Pump pef day IV Pump per day fje Alerts column The new Sort drop down list allows you to sort the Whiteboard Patients column by e Patient Name e Client Name e Reason for Visit e Check in Date Time e Doctor e Status e Treatments for Hour Cornerstone 8 2 What s New 14 Electronic Whiteboard Notes e Patients flagged as critical display at the top of the Patients column on the Whiteboard regardless of the selected sort order with the exception of the Treatments for Hour sort orders where critical patients display at the top only if they have treatments for that hour e The sort order defaults to Patient Name unless a different default sort option has been specified in Workstation defaults See Whiteboard Sort Option in Workstation Defaults on page 4 for more information Go to Now Button Quickly Resets Grid to Current Hour Click the Go to Now button to reset the grid to the current hour and day The current hour column header displays in bold black text on a yellow background with Now appearing to the right of the hour Show and Edit Whiteboard Filters In
8. New Edit Appointment window The secondary reason for visit displays on the following windows in Cornerstone e Whiteboard window e Patient Treatments window e Census List window e Image Request windows e Schedule for Today window shows in appointment detail pop up window On the Whiteboard and Patient Treatments windows a color coded dot indicates the primary reason for visit and adjacent text provides the secondary reason If a secondary reason is not assigned the primary reason text displays I Casey Patient Treatments Friday July 22 2011 Casey 15259 i Glucose Curve kis Adams Kimbery 1 715 681 2605 Admit U J Co 10ra 6 Mos 13 8 pounds Discharge ff 25 2011 FEL Mediumhair Domestic Spayed Female status Inpatient Hide discontinued Hide completed lt Al reasy Show only treatments for day a etA g sale Treatments f am S am Sam 10 am a a Note The primary reason for visit dot color is set in Controls gt Appointment Scheduler gt Reasons for Visit Secondary Reason for Visit on Reports The secondary reason for visit is included on the following reports e Appointment Report e Appointment Report Summary e Census Report e Check in Report e Checked in Census Report e Client List Future Scheduled Appointments Report e Whiteboard Patient Treatments Report Additional Updates e The Cornerstone Editors Send e mail button has been changed and now displays as in the Cornerstone Edito
9. TEST Room Roorn 1 2 Outpatient ward lal O Inpatient Cage Status Treatment Area Documents Doc ID Description Eal 1110 Cantant Infa om Travel Sheet Cancel 66 Examples Primary Reasons for Visit Surgery Dental Medical Exam Dermatology Medical Exam Ears Medical Exam Eyes Medical Exam Orthopedic Medical Exam Urinary Medical Exam Vomiting Diarrhea Preventative Care Lab Work Emergency Miscellaneous Secondary Reasons for Visit Neuter Spay Total hip replacement Cruciate Orthopedic Foreign body surgery Ureterolithotomy Dental extraction Routine cleaning Root canal Pyoderma Allergy Otitis Extern Otitis Media Yeast Otitis Bacterial Otitis Ear Mites Corneal Ulcer Conjunctivitis Lameness Osteoarthritis Obesity Urinary Tract Infection Bladder Stones PU PD Pancreatitis Gastroenteritis Inflammatory Bowel Disease New puppy New kitten Canine Feline Senior canine Senior feline Blood Glucose curve Liver panel Clotting Factors Kidney panel HBC Poisoning Toxicity Trauma Fight wound Note Secondary reasons are not tied to any particular primary reason at the time of use any secondary reason can be selected along with any primary reason Cornerstone 8 2 What s New 67 Miscellaneous Staff can specify a secondary reason for visit on the following windows in Cornerstone e Patient Orders window e Patient Check in out window e
10. a case with the series to which the selected images belong e Select Study to create a case with the study to which the selected images belong Click Select The Select Case dialog box appears In the Select Case drop down list select the case to which you want to add the images Click OK The Case Detail window appears and the information in the Case Details and Thumbnails area reflects the additional images If you do not want to do anything else with this case click Save and Exit If you want to do a case action follow the instructions later in this section To add images to a case from the Image Viewer Images can be added to cases if necessary Updated cases can be resent to a consulting radiologist or telemedicine service for repeat consultations Cornerstone 8 2 What s New 32 Cornerstone Imaging gt o select the image that you want to add to a case click the image thumbnail in the thumbnail pane so that red borders are displayed around the thumbnail Note When viewing dental images in template mode you can select images in either the template pane or the overflow pane Creating a Patient CD from a Case When you create a patient CD from a case the viewing software on the CD or DVD shows the images that are part of the case Any text that you ve added to the case on the Case Actions tab is recorded as a separate file on the CD or DVD To save patient CD information for a case to a file location Use this proce
11. am leo T Client Lasi Marre Spaced Bloom All T Lee FA Local Fall Deck Workstati All T All T Date ihtida fatta Patients In the Results Detail area a thumbnail is displayed on the left for the Case and thumbnails for each submission to the right Generally these thumbnails show a service to which the case has been submitted and the status of the submission for that service The thumbnails are updated with the latest status every five minutes Cornerstone 8 2 What s New 40 Client Name dicom digarn Patient Hamer dicor IDEXX SmartLink Technology for Telemedicine Chent ID 25 Patient IDy 30 Species Unknown Tudyr DICOM Study 1 maga 4 10 08 Series arpus LM y Cade DICOM Study Soudy for dicam di Double click a submission thumbnail to see general details about the submission on the Case Actions pane of the Case Detail dialog box To view full details of the case click View Case A Web browser will open and display the information on the telemedicine provider s Web site Submission statuses Started Sending Received In Process Attention Cancelled Completed You have created a case and entered some or all of the information but you have not yet submitted the case to a telemedicine provider To submit the case expand the Case Actions tab select the tab for the telemedicine provider you want and click Submit You have submitted the case In
12. and earlier versions the Medical Note Quick Text feature allows you to simply right click on the Patient Clipboard and select Medical Note Quick Text enter your staff ID and immediately start typing your notes in the Cornerstone Editor Name Species Breed Sex A atksalot Canine Re A ll ka a D 144 Casey Feline Me New Update Patient information rr l a Appointment Scheduler Es A Syg A Check In ID 6692 Correspondence Name Barksalot Diagnosis Status Active Drug Interaction Matrix With the patient s record open on oN eeno i Birthdate 9 10 2010 Bre Estimate 1 the Patient Clipboard right click the patient s name and select Medical Note Quick Text Enter your staff ID Patient list 9 Mos 3 Wks 6 Day Co 43 6 pounds 3 Markin Ward Ca Lab Request 89 Exp Jun 02 2014 0 of 0 Refills Filled by assisted feeding Either syringe of spoon fee IP Staff ID Required Medical Note Quick Text Select or enter a staff member Schulze DVM Corin CS v Se x IDEXX LabREXX Test Request Form Imaging gt Invoice Medical Note New Image Case Patient Advisor Exam Patient Reports Patient Visit List Prescribe Problems Reminders Reservation Vital Signs Weight IP Adams Barksalot 6692 Sample Quick Text SOAPAHEAP Medical Mote Canine 44 pounds Meutored Male 9 Mos 3 Wks 6 Days R
13. and displays the provider s Web site 4 Complete the information needed to submit the case e Although patient data is automatically filled in be sure to check that it is accurate e Select the service to which you want to submit such as cardiology or radiology e Include relevant history and information about the presenting complaint Cornerstone 8 2 What s New 39 IDEXX SmartLink Technology for Telemedicine 5 When you complete the submission process close the window for the telemedicine provider s Web site Note On the Case Detail dialog box in Cornerstone you ll see that the Submit Case button is now the View Case button Click this button to open a browser window to see the case on the telemedicine provider s Web site IP Case Detail Client ID 1 Patient ID Weight N A Age Babbie Kelly Patient Name Sydney Client Name Sex Female Case Information Thumbnails Patient CD E mail Export DICOM Telemedicine Tele Provider IDEXX Telemedicine Providers y Status Not Submitted History N A Viewing Case Status and Reports Species Canine max Breed Retriever Golden To view the status of a telemedicine submission 1 On the Patient Clipboard right click in the Patient History area and select Image Explorer 2 Click the Advanced Search tab and make sure that the Cases text box is selected Quirk Search Adwanced Search Client im Patian a Elin Pirit la i
14. box where you are able to edit them Select the type of file that the Cornerstone software should use to export the images in the Export File Type text box If you want to add annotations or overlays to the files that will be exported click Apply Annotations and or Apply Overlays Click Export The files are copied to the selected disc Image file names and formats Image file names have the following format PatientName OwnerlastName Imagelitle YYMMDD PG xxx Cornerstone 8 2 What s New 34 Cornerstone Imaging where YYMMDD is the date the image was captured PG is the page number of the image and xxx is the type of file Text file names and formats Text file names have the following format PatientName OwnerLastName_ CaseTitle YYMMDD txt The text files are described in the next section Text File Contents Text File Contents A text file is sent with the case whenever you email a case export a case to a CD DVD or create a patient CD with a case This text file contains e Information about the case e Patient information e Client information e Information about the images in the case e Contact information for your practice On a patient CD this text file is included on the CD separately from the patient CD viewer and can be accessed through the Windows operating system Cornerstone 8 2 What s New 35 IDEXX SmartLink Technology for Telemedicine Overview Using IDEXX SmartLink technology for teleme
15. client will automatically be marked Inactive e You now have the option to remove future appointments for a patient if the patient is marked as Deceased e When processing a payment with X Charge payment processing software if only a portion of the payment is approved that portion will process and Cornerstone will display a message indicating the amount that was declined so you can process another transaction for the remaining balance e Cornerstone now supports use of the Windows Tablet PC Input Panel and On Screen Keyboard features to enter data on tablet PCs and other computers with touch screen capabilities Secondary Reasons for Visit The Reason for Visit feature has been expanded in Cornerstone 8 2 to allow for both primary and secondary reasons for visit allowing you to provide staff with more information on the patient s visit Most commonly the primary reason would be used to indicate the general type of visit and the secondary reason would be used to provide more detail on the specific problem or procedure For example if the primary reason Is Surgery the secondary reason might be Spay Neuter Hip replace Cruciate or Orthopedic Option to Set Up Primary and Secondary Reasons for Visit The Reasons for Visit window Controls gt Reason for Visit now allows you to set up predefined lists of both primary and secondary reasons for visit Cornerstone 8 2 What s New 65 Reasons for Visit Primary reason for visit Pr
16. earlier Cornerstone versions filters were selected from drop down lists available at the top of the Whiteboard window In Cornerstone 8 2 a Showing area at the top of the window displays all currently selected filters with an Edit button that allows you to access the new Whiteboard Filter dialog box IF Whiteboard Monday July 11 2011 RAX Sort Treatments for Curent Hot 07 11 2011 Goto Now Showing All Practices All Wards Loc All Areas All Doctors Edit sn Patients 21 10 pm 1lpm F11 2011 gt lt F12 2011 12am 1am 2 am Next gt gt G R Romeo Referral Emergenc mien Surgicdl Cath Fluids Surgic Cath Fluids Cath Fluids a Cath Fluids Surgicll Cath Fluids Surgic IF Whiteboard Filter ll Practices gt v lt All Wards Loc gt lt All Areas gt v lt All Doctors gt v Show All Use the drop down lists on the Whiteboard Filter dialog box to narrow the list of patients on the Whiteboard by Practice Multi Location Single Database configurations only Ward Location Area and or Doctor You can also click Show All on the Whiteboard Filter dialog box or on the Whiteboard to quickly reset the filter criteria to display all patient treatments within the given timeframe Cornerstone 8 2 What s New 15 Patients Column Electronic Whiteboard The Patients column to the left of the grid displays any patient marked as an Inpatient
17. image request Cornerstone 8 2 What s New 60 IDEXX SmartLink Digital Imaging Selecting Image Shots on the Shot Selection Dialog Box The Shot Selection dialog box allows you to easily select the image shots to be associated with each of your imaging invoice items E Shot Selection iS DR 14x17 Head Left E Small Animal less than 20lbs a Medium Animal 20 to 40lbs aC Thaorax Routine aT Thorasx Met Check ao Thorax aT Front Extremities ao Front Extremities With Implants aC Rear Extremities ao Rear Extremities With Implants is R Lat ad Pelvis L Lat e Pelvis Extended VD m Pelvis Frog Leg YO E Pelvis Distracted VD aT Pelvis With Implants RL T L Myelo aT Myelo ao Abdomen aT Nasal Series LO skull ef TM ao Bulla aT Dental ao Spine PENMHip GD ora aT Portovenogram CIntra Op ao Excretory Uragram To select image shots on the Shot Selection dialog box 1 2 4 Double click to open the shot tree for the applicable IDEXX modality Click the plus sign to the left of the desired species or animal category to which the image shot s apply A list of image shots appears Click the check box to the left of the individual shots needed or click the check box to the left of a group anatomical region to choose all shots within that heading When you have selected all desired shots click OK to close the dialog box Managing Image Requests and Results The
18. invoice items that have been set up to initiate the Image Request special action Fields listed on the report include item ID invoice item description amount exam description and any preselected shots associated with the item The new report is available in the Invoice Item report group e Sort options for the report include invoice item description and invoice item ID e Range options include invoice item description and invoice item ID Cornerstone 8 2 What s New 63 IDEXX SmartLink Digital Imaging Image Request Special Action Item Report Service Type Invoice tems with Image Request Special Action kem Invoice Item ID Description Amount Exam Description 1740 Discount Hip Radiographs 0 00 1946 sm lt 20 lbs Barium Series Radiographs 125 00 Barium Series Small Animal Abdomen Preselected Shots DR 14x17 Head Left Small Animal less than 20lbs Abdomen ABD A Lat DR 14x17 Head Left Small Animal less than 20lbs Abdomen ABD DV DR 14x17 Head Left Small Animal less than 20lbs Abdomen ABD Left Lat 1947 Med 20 40 lbs Barium Series Radiograp 3 155 00 Barium Series Med Animal Abdomen Preselected Shots DR 14x17 Head Left Medium Animal 20 to 40lbsi Abdomen ABD Left Lat DR 14x17 Head Left Medium Animal 20 to 40lbs Abdomen ABD Lat DR 14x17 Head Left Medium Animal 20 to 40lbsi Abdomen ABD VD Radiographs 1 to 3 views 85 00 Radiographs 4 to 6 views 175 00 Radiographs 7 to 10 v
19. not be reflected and will need to be manually updated on the Whiteboard See Setting Up and Selecting Alerts to Display on the Whiteboard on page 4 for information on setting up alerts to display on the Whiteboard Viewing Alerts on the Whiteboard If more than three alerts exist for a patient a downward pointing arrow displays in the block to indicate there are more alerts to view Rest the mouse pointer on the alert block to view the patient s full alert list in a pop up window enter alert Call Or if BUN 100 edit SURG TODAY HPO Fractious es Harry Call Or if BUN 100 SURG TODAY NPO Fractious es Has chew toy in cage Alert text displays in red unless it is a Patient Prompt Alert that has been assigned a different color in Controls gt User Defined Prompts Cornerstone 8 2 What s New 19 Electronic Whiteboard Adding and Editing Alerts on the Whiteboard You can manually enter alerts to display in a patient s Alerts column on the Whiteboard window You can also change the order of the alerts as they are listed in the Alerts block remove an alert so it does not display in the block and edit a manually entered alert Click anywhere within a patient s Alerts block to open the Whiteboard Alerts dialog box to edit or add to the patient s Alerts list E Whiteboard Alerts for Jabow Enter or select an alert OK Whiteboard alerts for Jabow Description Type Surgery today Whiteboard alert C
20. that the information displayed in the Client Banner and Patient Banner looks correct If changes are necessary double click within the appropriate banner to update the information In the Hx description field if desired enter or modify the description of this document to appear in the patient s history Note If the Hx description is blank when the document is saved for the first time if there is text in the first line of the document that text will be used as the history description If you want this document to stand out in history line displays in history as white text on a bright red background select the Alert check box If you want this document to be automatically finalized click the Autofinalize in check box and enter the number of days after which this template will be marked as final Note A document saved with Draft status will never autofinalize If it is a tab through form document that contains Text Input fields make sure the Lock feature is enabled use the Lock Unlock document Ey button on the toolbar and tab through the entry fields Type the desired text to show in the patient s history for this text only medical note or correspondence document If desired click the Color All Text button and select a color to apply to all text in the document When you have finished creating the document click the drop down list in the upper right corner of the window and select a status setting for the document Draft Te
21. the original template is saved but inactivated e Bookmarks and invoice items are retained in the conversion but note that when converting to a text only template any non text bookmarks will be removed See the Cornerstone Administrator s Manual or the Cornerstone Help system for more information on converting templates Designating the Text Only Template to Use for Adding Quick Text Medical Notes Documents defaults have been reorganized slightly into new groupings and an option has been added for designating a default Medical Note Quick Text document IP Practice and Workstation Defaults Joe Account Documents Alerts Medical Note options Appointment Schedule C Display partial medical note in correspondence classic only Boarding Check in Client Autofinalize after 5 gt days C Medical Note must be finalized before patient can be checked out Daily Entries Report Ask for weight if last entry is older than 10 gt days Daily Planner Default templates Documents For new templates use Favorite Document End Of Period Medical Note ID 1366 Header Footer w fonts Imaging Text Only ID 1771 Sample Quick Text Blank Inventory Invoice Invoice Item Messages Passwords Patient Patient Advisor Performance Tracker Pharmacy Formulary Practice Prescriptions Purging Report Language Required Data Statement Print Optior Toolbar Unattended EOP Vaccination Bookmarks Vaccine Tag Web Li
22. upon check in In Cornerstone 8 2 the patient information blocks in the Patients column have been redesigned to provide a better at a glance view of important patient information Color coded Primary reason for visit indicator patient name Secondary reason for visit it POFPD workup FS patient FEL 13 6 pounds Corin Schulze DVM Critical icon New Feature Enhancement Color coded patient name Primary and secondary reasons for visit Critical amp icon Description Color coding of the patient name helps to identify the status of the patient or the status of the patient s treatment orders e Yellow m Indicates the patient does not have any treatment orders assigned OR is on the Whiteboard past the expected discharge date e Red Indicates the patient has overdue treatment orders e Black a Indicates the patient s treatments are up to date The color coded dot indicates the primary reason for visit and the adjacent bold text provides the secondary reason If a secondary reason is not assigned the primary reason text displays Note The primary reason for visit color is set in Controls gt Appointment Scheduler gt Reasons for Visit If the patient has been flagged as critical on the Patient Orders window or during check in the Critical amp icon displays next to the patient status Note The number shown in parentheses at the top of the Patients column indicates the current number of patients on t
23. 1 001 line each time Treatments Continuous a 0 Hospitalized Si Technician IV Pump per day 1 001 line each time Treatments Continuous Notrequired O C 09 01 2011 12 00PM 0 0 Hospitalized Si Technician 909 Lactated Ringers 3 13 DRPHI Morphine Injection 1 001 line each time Medications Every 6 hrs 1 00 No billing or inve Medications Even 24hrs Reqwhencom C C 09 01 2011 12 00 PM a 0 Hospitalized Si Technician Reqwhencom 09 01 2011 12 20 PM EEE 4 0 Hospitalized Si Veterinarian No Billing icon On the minute scheduling Cornerstone 8 2 What s New 11 New Feature Enhancement Critical check box Primary and secondary reasons for visit Alerts Left column for numbering patient treatment orders Cornerstone 8 2 What s New Electronic Whiteboard Description Select the Critical check box to flag a patient as critical and display the Critical amp F icon for the patient on all Electronic Whiteboard windows the Check in out window and the Census List window Patients flagged as critical display at the top of the Patients column on the Whiteboard regardless of the selected sort order with the exception of the Treatments for Hour sort orders where critical patients display at the top only if they have treatments for that hour Note The Critical check box can also be selected for a patient from the Check in out window You can now specify
24. A 40 Working with Submitted Cases A 42 IDEXX Digital Radiography and Diagnostic Imaging 43 The IDEXX l Vision Mobile Application es 43 SCG TEA ONO ee ete eect EAEn NE a E E EEE a EE ee 43 WMS Gi E a I Seems ota AEE TEE ER E FSN 44 EEE E A A A IA A A A T T T A 49 Determining Vertebral Heart Score ssssssssssssssssssssssssssssssssrssssttrtrtrrEEEEEEE LR 50 Setting Up Unique Imaging Email Accounts by USEr nnnnnanannnnnnrrrrrrrrrrrrrrrrrrrrrrrrrrrrrnrrrrrrnrrrrrrrrrrrrrrrrrrrrrrrrrna 53 IDEXX SmartLink Digital Imaging 1 c sceecensensenesensenseneseesensenseneeeeseesenseneseesensenseeessnsensensenens 55 ES TS asian E E E E EEE ngaki lan a 55 EU AEE A E E E E T E E O E E E E E E E E 55 maging DeraullS essri EEEE E NR ER AR E RSE ERROR 55 Setting Up an Invoice Item to Initiate the Image Request Special ACtiON iiiissssessessstrrrrrirrrirrrrrrrrrrrrrnrrnen 56 Current SmartLink Digital Imaging Practices Optimizing Your Imaging Invoice Item Setup 58 IS b s 58 Creating an Image Request During Invoicing Special Action Method 58 Creating an Image Request from the Patient Clipboard Manual Method cceceeceesteeeeeeeeeeeeeeeeeeees 59 Selecting Image Shots on the Shot Selection Dialog BOX ccccccccccccccsscccccccccccceccececceeeeceeeeceeceeeeeeseeeeeeeeseeeseeess 61 Managing Image Requests and Results cccccccccsssssssss
25. Female Age 2 Years 1 Month 2 Days f Paul Petowner 2 eei en Species Unknown PA Rocky kenni 4 Age 111 Years 7 Months 21 Days FY Ron Rodgers 5 si The mobile application opens on the Patient List screen You can have this screen display e Patients currently checked in to the census list e Patients who have recently had imaging activity e Results of a patient search When Patient List opens or you tap Al the list shows e if i displayed checked in patients Census List e if J displayed patients with recent imaging activity Imaging Dashboard Tap gt y at any time to toggle view This button is disabled when you search Search for patient 9 Fill in the Search for patient text box and tap to search Cornerstone 8 2 What s New 44 IDEXX Digital Radiography and Diagnostic Imaging Alerts are displayed for those patients who have image and or telemedicine requests either pending or completed Radiograph request pending OD Telemedicine request pending New radiograph s OD New telemedicine report s Species Feline F u ffy Breed Tonkinese Sex Female Age 2 Years 1 Month 3 Days Paul Pet 2 z FY Paul Petowner 2 Weight 12 0 pounds Tap patient bar to open Patient Summary screen Use the buttons in the upper right for application and screen level actions Clear search Show list of patients with alerts Tap patient row to open Patient Summary Log off Be f gt Display hel
26. Fluids Surgicdy CathFlui Surgi Completed 44 Purp per day treatments checked I Pump per day I Pump per day G R Romeo Practice THE GOOD VETERINARY HOSPITAL Overdue 15 Rimadyl 100mg Chewable tablet 1 each To Do Cephalexin capsules 250mg 1 each Completed CathsFluids Surgical 1 Cont FY Pump per day 1 Cont To ort treatments go to the Patient Orders and change the numbers in the left column Color coding indicates status of each treatment Cornerstone 8 2 What s New Pop up window provides details on all treatments for the hour 17 New Feature Enhancement Pop up window provides details on all treatments for the hour Treatment lines indicate incremental on the minute time scheduling Check mark displays next to completed treatments Color coding indicates status of each treatment line within a block Order of treatment lines within a block based on numbering of left column on Patient Orders window Electronic Whiteboard Description If more than three treatments are scheduled for a patient during the hour a downward pointing arrow displays in the block to indicate there are more treatments to view Rest the mouse pointer on the treatment block to view a pop up window providing the list of treatments scheduled to be performed for the patient in this time slot The pop up window lists treatments broken out into groupings of Ove
27. Group Manager provides a complete feature set for multi location management including Reporting Provides ad hoc and standard reporting capability by practice or in aggregate Data Distribution Enables users to share invoice items and pricing with all or some of the practices Patient Record Sharing Allows practices to view and or import medical records from others in the practice group To learn more contact your IDEXX Cornerstone sales representative at 1 888 224 4408 Cornerstone 8 2 What s New 69 support 800 695 2877 E sales 888 224 4408 et LABORATORIES
28. Image Requests and Results window is a central location where you can see the status of your image requests In Cornerstone 8 2 this window has been enhanced to provide the following new features Additional filter options for narrowing the list of image requests displayed A Shot Selection icon that allows you to view image shots selected for a request A View Images bution that allows you to open Completed Partial or Not Requested images in the Image Viewer Cornerstone 8 2 What s New 61 IDEXX SmartLink Digital Imaging I Image Requests and Results leg Date range Last modified nee Patient Name Barksalot 6692 Request status Other Requested Staff Schulze DVM Corin CS Partial Completed Not Requested Patient ID Client Name ipti Modified BERTELSON Dave Requested 7 12 2011 Adams Kimberly Requested 7 5 2011 Capture Images To manage image requests and results 1 3 Click the Image Requests and Results button on the toolbar The Image Requests and Results window appears To narrow the list of image requests displayed do one or more of the following If you want to narrow the list of image requests displayed to only view requests modified within a specific time frame select a Last modified timeframe in the Date range area If you want to narrow the list of image requests displayed to only view requests having a particular status select or deselect the check boxes in the Req
29. Imaging Dashboard in the Open Requests list in the lower right of the window If you are using Cornerstone requests you create on a tablet will be visible in the same places as other imaging requests you create using IDEXX SmartLink Digital Imaging with Cornerstone For more information about using SmartLink technology see the Cornerstone Diagnostic Imaging Users Guide Note To use the mobile application s request feature you must have SmartLink Digital Imaging activated in Cornerstone Primary Workflows Viewing Images To view images 1 Locate a patient on the Patient List screen 2 lap the patient 3 On the Patient Summary screen tap an image to select it and tap again to view tt 4 See the Viewer instructions above for more information Sending Images To email images 1 Locate a patient on the Patient List screen 2 lap the patient 3 On Patient Summary select radiograph s and tap Note You can use the same button to email an image while you re on the Viewer 4 Select Image s Series or Study 5 Type To From addresses and message and tap Submit To send images via DICOM 1 Locate a patient on the Patient List screen 2 lap the patient 3 On Patient Summary select radiograph s and tap Note You can use the same button to DICOM send an image while you re on the Viewer Cornerstone 8 2 What s New 49 IDEXX Digital Radiography and Diagnostic Imaging 4 Select Image s Series or Study 5 Sele
30. Limitations in Text Only Mode When setting up a text only template or adding a text only medical note the Cornerstone Editor displays in text only mode which has the following differences from the standard editor e A Color All Text button is available This text only option allows you to apply a single color to all text in the template or document Note If the Color All Text option is used the history description and document text will display in the selected color in patient history e The menus toolbar buttons and right click menus available are limited to those options that pertain to text based data entry e Only text based bookmarks can be used image or table based bookmarks are not available for selection e Inthe event that a text only document is saved for the first time with its Hx description field left blank if there is text in the first line of the document that text will be used as the history description Note If you copy and paste content into a text only template or document only plain text is pasted Any font properties formatting tables graphics check boxes etc copied from an enhanced document will not be included when pasted in a text only document Setup Setting Up a Text Only Template The Document Template List window Lists gt Documents gt Templates has been updated to add options for finding creating and converting text only templates I Document Template List Find Template F Titl
31. Only Template to Use for Adding Quick Text Medical Notes ssssssssssssessrssrersrrrrrrrren 27 USE asna nn ae eh 28 Adding a Quick Text M dical NOTE s cicasivanivanavdnadtwaninadindysenteeaeaeseeesehoeseoateeeseesteensiatleaearharbaria see abated 28 Adding a Text Only Medical Note Other than the Designated Medical Note Quick Text Document 28 Viewing the Full Contents of Text Only Medical Notes Inline in HIStory 30 Gornerston Imagini a rr aai 31 Quickly Archiving Images for Deceased or Inactive Patients sessssnissiiiiniinnnuueeesrrrrrrrrrrrrniieerrrrrrrrrrrrrrrrreet 31 Using Case 00 EXPO gt RA OR EKE VEKE VEK 31 Cornerstone 8 2 What s New ji Contents Creating a Case with Images Available in COrnerstone 0c nnn Ln LLL Sn nnn nnn rere 31 a a FANEN OCO TOM A CARO nett een a AR 33 KNANG Cee VE A A AR 33 FONS SO DO aa A 34 Te FIGO Sansa alinn SRB RA EE E ARA RBB SRA RAGNA RAS RNS RS HB RAS BR ARA 35 IDEXX SmartLink Technology for Telemedicine 1 c s esseesensenssensensensenssensensensensseesensensenens 36 VOT N oeer a ENN OR SNAR 36 OL vasa E E e E E A E E E 36 Setting Up SmartLink Technology for Telemedicine xi 36 USE arees aA EE E E 37 Creating a Case and Adding Mages asninn EE a a a A Ga aE AE aS 37 Submitting a Case to a Telemedicine Provider uusesununnikikikikiitiiittiiiii11111111 1111111 RL RL LR 39 viewing Gase Status and Repons ecse cee a ER ON NER ERENER GG RS
32. TANT Make sure you have a current backup of your database before using the Invoice Item Setup tool 1 On the Invoice Item Setup window Tools gt Invoice Item Setup click the Whiteboard tab 2 Use the fields in the nvoice item and location area to narrow the list of items to retrieve by specifying search criteria and specifying if you want to retrieve Inventory items Service items or both 3 Click Retrieve 4 Ifyou want to view the currently assigned rules for an invoice item select the single invoice item in the list Its associated rules display in the Patient Order Rules area at the bottom of the tab Note The fields in the Patient Order Rules area will be empty if rules have not been specified for the selected item or if multiple items are selected and those items have differing rules Cornerstone 8 2 What s New 9 Electronic Whiteboard 5 Inthe list of retrieved invoice items do any of the following to select the patient order items you want to update e lf you want to select more than one item hold down the CTRL key while you select the items you want e lf you want to select a group of consecutive items click the first item in the group and then hold down the SHIFT key while you click the last item in the group The first and last items and all the items between them are selected e lf you want to select all items in the list click Select All e lf you want to deselect all items in the list click Deselect All
33. The IDEXX Cornerstone Practice Management System Cornerstone 8 2 What s New e 7 2 LABORATORIES Proprietary Rights Notice Information in this document is subject to change without notice Companies names and data used in examples are fictitious unless otherwise noted No part of this document may be reproduced or transmitted in any form or by any means electronic mechanical or otherwise for any purpose without the express written permission of IDEXX Laboratories IDEXX Laboratories may have patents or pending patent applications trademarks copyrights or other intellectual or industrial property rights covering this document or subject matter in this document The furnishing of this document does not give a license to these property rights except as expressly provided in any written license agreement from IDEXX Laboratories 2011 IDEXX Laboratories Inc All rights reserved e 10102011 Cornerstone Catalyst Dx Chemistry Analyzer IDEXX CR IDEXX DR IDEXX Vision Mobile Patient Advisor Patient Clipboard and SmartLink are trademarks or registered trademarks of IDEXX Laboratories Inc or its affiliates in the United States and or other countries Microsoft and Windows are trademarks or registered trademarks of Microsoft Corporation in the United States and or other countries Safari and iPad are trademarks of Apple Inc registered in the United States and other countries Android is a trademark of Google Inc Dolphin Bro
34. What s New 1 Electronic Whiteboard Overview The Electronic Whiteboard encompasses three windows Patient Orders Whiteboard and Patient Treatments that work in conjunction to provide you with a comprehensive solution for ordering tracking and processing patient treatments within the hospital In Cornerstone 8 2 the Electronic Whiteboard windows provide improved display options faster access to information and a smarter patient treatment ordering process with the following enhancements e Improved display of patient and treatment information for at a glance scanning o Ability to view and set the display order for patient treatments o New Secondary Reason for Visit field allowing you to provide more detail on the specific problem or procedure associated with the patient s visit o Expanded treatment frequency options with added ability to schedule treatments using incremental on the minute time scheduling o New hours to show display options that allow staff to look back to the previous day and look ahead to the next day without changing the date o New icons designating critical patients and non billable items e Faster entry of patient treatment orders with new defaults and field level rules that can be set for each patient orders invoice item either individually or many at a time e New Whiteboard Alerts List with the ability to add and view multiple types of patient alerts sey Pa Orders Pati
35. age with either Safari or Dolphin do the following l E r SY Pinch spread A to zoom out in Swipe right to view previous radiograph A Swipe left to view next radiograph On the image with Safari only do the following Swipe on a curve Left to right to rotate clockwise Right to left to rotate counter clockwise Note Be sure your fingers stay inside the image for the entire gesture Cornerstone 8 2 What s New 47 IDEXX Digital Radiography and Diagnostic Imaging At bottom of screen e Tap re reveal thumbnails e Tap RM to hide Tap thumbnail to view or tap arrows da View previous radiograph in image series View next radiograph in series Request screen Fluffy Feline Female 2 Years 1 Month 2 Days 12 0 pounds Shots requested cervical spine sine lumbar spine thoracic spine pi wt abdomen shoulder thorax Back to Patient Summary To request radiographs 1 Tap a oax dot to see the top level menu 2 Tap gt to open a group in the menu 3 Tap view s to select Cornerstone 8 2 What s New 48 IDEXX Digital Radiography and Diagnostic Imaging Note Double tap a group name to select the whole group Shots Requested shows views you ve selected Shots requested Thorax L Lat 3 Thorax R Lat x 4 Tap to remove a view 5 RSET clear ist 6 SRE smit request After you create a request the request appears on the
36. all Or if Glucs 200 Manually entered Vaccine Reaction es Patient Prompt Take home bunny toy Manually entered Breeding Pet Patient Class To add a Whiteboard alert If needed you can manually enter patient alerts to display in a patient s Alerts column on the Whiteboard 1 On the Whiteboard Alerts dialog box type the alert in the text box and click Add 2 Click OK To edit a manually entered Whiteboard alert 1 Onthe Whiteboard Alerts dialog box select a manually entered alert in the patient s Whiteboard alerts list and click Edit 2 Make changes to the text to display for the alert and click OK 3 Click OK To reorder Whiteboard alerts The Whiteboard has room to display only three alerts in each patient s Alerts block and the Patient Orders and Patient Treatments windows are limited to displaying only one alert For this reason you may want to change the order so that the most important alerts are at the top of the list and always visible 1 On the Whiteboard Alerts dialog box select an alert in the patient s Whiteboard alerts list and then click the or arrow button as needed to move It within the list 2 Click OK To remove a Whiteboard alert 1 On the Whiteboard Alerts dialog box select an alert in the patient s Whiteboard alerts list and then click Remove 2 Click OK Cornerstone 8 2 What s New 20 Electronic Whiteboard Patient Treatments Window The Patient Treatments window disp
37. allowing you to provide more detail on the specific problem or procedure associated with the patient s visit A secondary reason can now be specified on the Patient Orders window and displays on the Whiteboard and Patient Treatment windows See Secondary Reasons for Visit on page 65 for information on this new feature Use Patient Orders Window The Patient Orders window is used to add and manage treatment orders for a specific patient on the Whiteboard In Cornerstone 8 2 Patient Orders enhancements allow for a smarter patient treatment ordering process that saves time and provides more detailed information about the patient Critical check box Alerts v Critical E Doctor lv Supervising CS Corrin Schulze DM Patient order information Patient ID 7337 Daise a LOPEZ Tammy 1468 7 Yrs 9 Mos 1 18 3 pounds 3 Reason for visit Primary EAEn a Primary and secondary Secondary PU PD workup i urent Care CS Corrin Schulze DFM CAN Pug Spayed Female Admit 09 01 2011 1200PM Cage reasons for Status Inpatient iv Discharge 09 05 2011 Ward Treatment Area 1 v axel Sheet Alerts Caution GOWN GLOVE tend tem Descriptor Quanity Biro Caeo Freeney Nas 8 PAN Now Urinalysis IDEX lt Ref Lab 1 001 line each time Diagnostics Until CompletecNot required _ Hide completed and discontinued trea
38. ard Thu G R Romeo Referral Emergenc Go to Now button sday September 01 2011 a 09 01 2011 B JoonNow _ O N 1p Noon Now m 3pm 4pm 5pm W Cath Fluids Surgicd Cath Fluids Surgic IV Cath Fluids Surgicl Cath Fluids Surgicil Cath Fluids 5 v Pump per day W Pump per day lV Cath Fluids Surgicdl Pump per day IV Pump per day IV Pump per day Whiteboard Showing THE GOOD VETERINARY HOSPITAL 1 All Wards Loc All Areas All Doctors 2 pm Inpatient Sabrina Barnwell Dk PU PD workup Inpatient Corrin Schulze DYM Radiology Inpatient Leonard E Aagard D Cleaning Inpatient Referral Emergenc Inpatient Leonard E Aagard D Radiology npatient Pancreatitis npatient Jennifer Abrams DVM Ultrasound Consul Room 1 Jennifer Abrams DYM Neurology Inpatient Kenneth G Boffke D Cardiology Inpatient Corin Schulze DM Detailed patient treatment blocks ee Refresh Patient Column Sort Options rinalysis IDEXX Ref Wrinalysis IDEXX Ref Urinalysis IDE Ref Urinalysis IDEX lt Ref Urinalysis IBEX Ref Urinalysis I DES eC M Catheter Placemer Catheter Placemer Catheter Placemer v Cathete Placeme Y Set Cath amp Fluids V Set Cath amp Fluids g V Set Cath amp Fluids g V Set Cathyi amp Fluids y I Catheter Plac Show and edit filters Al SURG TODAY NPO Fractious Yes Call Dr if BUN gt 100
39. ate in the Cornerstone Editor in text only mode See Cornerstone Editor Features and Limitations in Text Only Mode on page 25 for information 3 Click Edit Properties to set properties including the title category and history description Note that the Text only designation is indicated on the Template Properties dialog box I Template Properties Title Quick Text Blank Type Medical Note iv Text only Save Document p C Show past and future uses of this template on the Medical Notes tab Daily Planner Check in Report Patient Histon Report Category lt None gt a C Show in Practice Favorites Default Settings Hx description El Hs Alert C Autofinalize in l days 4 Save the template To create a text only template by copying a sample Quick Text template Using the Document Template List Copy button you can create a copy of a sample Quick Text template provided in Cornerstone and assign a new name to the copied new template The new template will contain all elements from the original copied text only template and any bookmarks will retain their functionality Note You cannot use copy paste to copy bookmarks from one template to another Sample templates for Quick Text medical notes are available in the Samples category You can easily create a copy of one of these templates and modify it to meet the needs of your practice 1 On the Document Template List window in the Find template ar
40. ave and Exit Note If you receive a message or warning about the safety of sending the email click OK Exporting Cases to a CD or DVD You can create a CD or DVD containing case images and notes Unlike the patient CD option this method does not put a streamlined version of the Cornerstone Image Viewer on the CD or DVD so the recipient of the disk will need to have software that can display the images To export a case to a CD or DVD 2 3 f On the Case Detail window if the Case Actions pane is not open click Expand gt gt Click the Export tab The export options are displayed Select CD DVD to save the case to a CD or DVD Note If you want to save the case to a file location select File Folder and choose a file location You might do this if you wanted to save the case onto a USB flash drive or to compile the burn the case onto CD at a later time using the CD burning capabilities in the Windows operating system Do one of the following a Inthe Medical Notes SOAP text box type any notes that you want included in the text file that will accompany the case These notes will be saved in a text file labeled with the name of the case b To add medical notes SOAP from the patient s medical history i Click Medical History ll Select the medical notes to include by using the Medical Notes SOAP Selection Screen dialog box iii Click OK The medical notes you have chosen are displayed in the Medical Notes SOAP text
41. b field descriptions provided earlier in this section for information on these settings Click OK to save your changes and close the Invoice Item Information window Repeat the steps above for each Patient Orders item for which you want to set up defaults and change rules Invoice Item Setup Tool s Whiteboard Tab Setting Patient Order Defaults for Multiple Items The Invoice Item Setup tool Tools gt Invoice Item Setup is used to set up your invoice items for the first time or to quickly make mass changes to many invoice items simultaneously In Cornerstone 8 2 the tool s new Whiteboard tab allows you to perform a mass setup of default values and field level rules for invoice items that staff may enter on the Patient Orders window IF invoice Item Setup Joes Move Items Copy Items Set Reorder Points Set Barcodes Expdate Lotnbr Whiteboard Invoice item and location Class ID ANES Anesthesia Type Blass thy Inventory Service Item ID A Propofol Select All Anesthetist coer Anesthesia first procedure lt 25 Ib eselect Anesthesia Surgery Anesthesia first procedure 26 50 Ib Anesthesia Anesthesia first procedure 51 80 Ib Anesthesia first procedcure gt 81 b Ketamine Injectable Propofol Injectable Patient Order Rules Quantity Billing Category Frequency Note Staff Class a ey eee re ee A nn R R R R R R To set patient order defaults for multiple items simultaneously IMPOR
42. both a primary and a secondary reason for visit allowing you to provide more detail on the specific problem or procedure associated with the patient s visit A Primary reason must first be specified in order to activate the Secondary field The secondary reason can then be selected from the predefined drop down list or staff can manually enter a different secondary reason See Secondary Reasons for Visit at the Time of Use on page 66 for more information Note The reason for visit fields can be set on the Patient Orders window New Edit Appointment window or the Patient Check in out window If Whiteboard alerts exist for the patient you can view and edit those alerts from the Patient Orders window If there is more than one alert for the patient a downward pointing arrow displays to the right of the Alerts field to indicate there are more alerts to view Rest the mouse pointer on the displayed alert to view the patient s full alert list in a pop up window To open the Whiteboard Alerts dialog box to edit or add to the patient s alert list click the blue edit link located to the right of the Alerts field To specify the order in which treatments should display on the Whiteboard and Patient Treatments windows renumber them as needed by changing the numbers in the left column The order of treatments specified on the Patient Orders window is the order that will be used to display the treatment lines within the patient s treat
43. ceased patients click Search e Jo search for particular inactive or deceased patients fill in additional search criteria and then click Search See the Cornerstone Users Manual or the Cornerstone Help system for more information about the imaging archive feature Using Case to Send or Export Images The case feature is new to Cornerstone Imaging Most of the time you ll want to use the feature as described in the next chapter IDEXX SmartLink Technology for Telemedicine However you can also create a case and email that case export the case to CD DVD or create a patient CD with the case Note Only images that you have available in Cornerstone on the Image Explorer window can be included in case emails exported cases or case patient CDs Images and other files that are attached to the case by using the Thumbnails pane on the Case Detail dialog box are not included Note The patient CD viewing software requires Java version 1 5 which is included on the disk Note To email cases you must have an email system configured on your computer Creating a Case with Images Available in Cornerstone To create a case from the Image Explorer 1 Select one or more images series or studies on the Image Explorer window 2 Click New Case or right click and select New Case The Select Images dialog box appears 3 Do the following e Select Image to create a case with only the images you have selected e Select Series to create a case wi
44. ct DICOM server for recipient and tap Submit To send images to a telemedicine provider 1 Locate a patient on the Patient List screen 2 Tap the patient 3 On Patient Summary select radiograph s and tap a Note You can use the same button to send an image to a telemedicine provider while you re on the Viewer 4 Select Image s Series or Study 5 Select DICOM server for recipient and tap Submit Requesting Images Note To use the mobile application s request feature you must have SmartLink Digital Imaging activated in Cornerstone To request images 1 Locate a patient on the Patient List screen 2 Tap the patient On the Patient Summary screen tap 4 Follow the Request Screen instructions above for more information Determining Vertebral Heart Score The Vertebral Heart Score VHS tool is used to measure the size of the heart in order to determine if it is enlarged The VHS is determined by measuring the length and width of the heart and then comparing these measurements to a section of the thoracic vertebrae Essentially you measure how many vertebrae long the heart is and how many vertebrae wide The sum of the two measurements is the VHS a ae RZY a Cornerstone 8 2 What s New 50 IDEXX Digital Radiography and Diagnostic Imaging Measure the length of the heart on the radiograph from the cranioventral border of carina to the cardiac apex Find the width at the widest point on the cardiac image usi
45. cteesseecceseseseeeeeceeeesseeennsseeseseeereeeeeeeseeeseneseseeeseeeeeessees 61 Image Request Special Action Item Report saa 63 PODA 918 ss aa E E E i 64 MISCO CONS ccinn siduaansmamenainasaaatinebensenunmdndinieeainees 65 New Installation Requirements for this Release 0008 ELLER 65 TIME SAVING lmprovements 00 LL EEE EEE EEEE EEE EEE EE EEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEE 65 cecondany Rodsons TOR SI psst a a 65 Option to Set Up Primary and Secondary REASONS for Visit 0000 sessa 65 Secondary Reasons for Visit at the Time of Use xi na 66 Secondary Reason ior Visit on Report Sossio iirinn arinn aria E iii bei 68 aaeh oa RG ele ie lt aa A r E ene ee en ee ee 68 Introducing Cornerstone Group Manager isss ELLIE 69 Cornerstone 8 2 What s New iil Getting Started Welcome To help ensure a smooth transition to your new IDEXX Cornerstone 8 2 software we recommend using the following resources in the order listed below Get started by reviewing a checklist of all pre installation tasks 1 Release Implementation Plan to help you prepare for and take advantage of the new features in this release 2 What s New this document View detailed ANN on setting up and using the new features and functionality in this release 3 Installation Guide Review hardware operating yen guidelines and follow the recommended steps for installation Reference this plan once again to review post installatio
46. d a separate treatment order line for each occurrence So for the Glucose Curve example the orders would look like this on the Patient Orders window OF 1 2011 05 10 PM 0772172011 05 20 PM 0772172011 05 30 PM and like this on the Whiteboard grid s treatment block l 5m l If an incremental time is specified the treatment line turns red as overdue on the Whiteboard when that specific time passes not at the end of the hour as with non incremental treatment times 13 Electronic Whiteboard Whiteboard Main Grid Window The Whiteboard window provides a centralized view of patients treatment schedules and statuses Also known as the main grid this window acts as a key entry point to ordering and editing treatments In Cornerstone 8 2 the Whiteboard allows quick access to important patient information at a glance while also offering more detailed information on scheduled treatments and flexible date time viewing options Patient column sort options Sort Doctor f Patients 11 CAN 56 pounds Daisey LOPEZ 1 468 CAN 18 3 pounds Bosley Abts 2995 CAN 23 7 Pounds Mic Sutherland 8008 CAN 35 pounds Nacho Dog Martinez 8975 CAN 50 pounds Samantha Ascher 202 FEL 10 pounds Valentine Diemert 1649 FEL 16 Pounds Barksalot Adams 1 CAN 41 pounds Harry Tait 8400 CAN 5 13 pounds Boomer Andre 8973 CAN 45 pounds Radar Sutherland 8008 CAN 3 14 Pounds Patients column IP Whitebo
47. diate text entry bypassing the Start New Document window steps Apply a single color to all text using the Color All Text option Apply multiple colors to select words or paragraphs throughout a document Apply text styles and formatting such as font selection bold italics outlining numbered bulleted lists etc Insert check boxes tables and other design elements Import graphic files photos and logos Add standard text based bookmarks Add image based bookmarks bookmarks that include signatures images etc or are inserted in a table format Insert a date time stamp Insert a problem description or diagnosis description Insert a table of problem details diagnosis details or vital signs Lock a medical note to create a quick tab through form using Text Input fields Use Spell Check Include attachments Include invoice items Use options for page setup and margins Email the client directly from the medical note Save a document with a Draft Tentative or Final status and return repeatedly to add to or update the document Void a document Add an addendum to a document Insert an entire medical note into a correspondence document View full contents of the medical note inline on the Patient Clipboard Text tab and Medical Notes tab View medical note in the Preview pane on the Patient Clipboard Cornerstone 8 2 What s New Enhanced Medical Notes 24 Text Only Medical Notes Cornerstone Editor Features and
48. dicine you are now able to use the Case feature to send cases to a telemedicine provider You can see the status of the submission from the Image Explorer and when a report comes back from the provider you are able to open it from the Cornerstone software Note Because the case feature in Cornerstone Imaging does not include the ability to send and receive DICOM images the telemedicine module work flow differs from what is available in the Diagnostic Imaging Module If you submit a case directly through the telemedicine provider s Web site the status will still be visible on the Image Explorer and you will still be able to open reports from Cornerstone In most cases Cornerstone matches these submissions to the proper patient Setup Setting Up SmartLink Technology for Telemedicine To set up SmartLink technology for the telemedicine module 1 On the menu bar select Controls gt Defaults gt Imaging The Imaging Configuration window appears 2 On the left click Telemedicine Provider Telemedicine provider configuration table appears on the right F Imaging Configuration Jag System Settings Fr 5 wwerayer https t C2323432 Case Categories Delete Dashboard Test Tele provider DICOM Services Exam Trees Archive Modality Layout E mail Export Formats Global Settings Imaging Keywords Monitor Preferences Presets System Type Remote Consult Telemedicine Provider Cornerstone 8 2 What s New 36
49. e Electronic Whiteboard windows Whiteboard Alerts List The new Whiteboard Alerts List Lists gt Electronic Whiteboard gt Alerts allows your practice to create a list of commonly used hospitalized patient alerts to be displayed on the Whiteboard for the current visit Note Whiteboard alerts can also be free form typed for each patient at the time of use as needed Cornerstone 8 2 What s New Electronic Whiteboard ES I Whiteboard Alerts List Description Brought own food Brought own meds Chews bandages In heat Liquid diet only Monitor incision MPO To create a Whiteboard alert on the Whiteboard Alerts List dialog box click New and type the alert text as you want It to display at the time of use on the Electronic Whiteboard windows Examples NPO Liquid diet only Monitor incision Surgery today In heat Chews bandages Brought own meds Brought own food see Alerts Column on page 19 to see an example of how these alerts display on the Whiteboard at the time of use Patient Prompts Whiteboard Alert Option Added You can designate certain Patient Prompts Controls gt User Defined Prompts gt Patient tab to display on the Electronic Whiteboard windows AAA I Patient Prompts Prompt text Seizures Data type Character Number ves No List Alert Patient Alert s Whiteboard Alert Status Options 2 Active O Inactive Required List Description To de
50. e added on the Case Actions tab To email a case 1 On the Case Detail window if the Case Actions pane is not open click Expand gt gt 2 Click the E mail tab The email options are displayed 3 Inthe To text box type the email address for the specialist to whom you are sending the case or select the address from your address book by doing the following e Click Address Book The Address Book dialog box appears e Select an address and click OK The address is displayed in the To text box 4 Do one of the following a Inthe Medical Notes SOAP text box type any notes that you in the text file that will accompany the case These notes will be saved in a text file labeled with the name of the case Cornerstone 8 2 What s New 33 Cornerstone Imaging b To add medical notes SOAP from the patient s medical history i Click Medical History li Select the medical notes to include by using the Medical Notes SOAP Selection Screen dialog box lil Click OK The medical notes you have chosen are displayed in the Medical Notes SOAP text box where you are able to edit them Select the type of file that the Cornerstone software should use to email the images in the E mail Attachment File Type text box If you want to add annotations or overlays to the files that will be emailed click Apply Annotations and or Apply Overlays Do one of the following e To email the case select Send e To save this case to send later click S
51. e or ID Category lt All Categories v Medical Note ai Document template C Search for word O ne rer cunt Y Medical Note text only Note text only Text only template C Include inactives i ccs bal L Correspondence Update Classic medical note template Correspondence text only MS Word document Title Category Sample Quick Text Blank Samples Medical Note T ext Only Sample Quick Text Brief History Samples Medical Note T ext Only Sample Quick Text Daily Care Samples Medical Note T ext Only Sample Quick Text SOAP HEAP Samples Medical Note T ext Only Tip Four sample Quick Text templates are included in the Samples category To find a text only template gt Onthe Document Template List window in the Find template area at the top of the window narrow the list of templates to text only templates by selecting the Medical Note text only and Correspondence text only check boxes clear all other template type check boxes The template list will display only text only templates Note If the Print Only check box is selected both standard Print Only templates and Print Only Text Only templates will display in the list distinguishable by looking at the designation in the Type column Cornerstone 8 2 What s New 25 Text Only Medical Notes To create a new text only template 1 Onthe Document Template List window click the New button and then select Text only template 2 Create the document templ
52. ea at the top of the window narrow the list of templates by selecting the Samples category and selecting only the Medical Note text only check box clear all other template type check boxes 2 Inthe template list select a Sample Quick Text template to copy and then click Copy 3 Enter anew description name for the template and click OK 4 To place the newly copied template into a different category update the template and in the Cornerstone Editor click Edit Properties Select a different category from the Category drop down list and click OK 5 Save the template To use text only template conversion options gt Onthe Document Template List window select a template in the list and then click Convert The conversion options available depend on the type of template you selected to convert Cornerstone 8 2 What s New 26 Text Only Medical Notes Text only template conversion options include e Enhanced converted to Text Only Converts the template and opens it for editing in the Cornerstone Editor in text only mode The template retains only text from the enhanced template tables images check boxes etc will be removed e Text Only converted to Enhanced Converts the template and opens it for editing in the Cornerstone Editor e Classic converted to Text Only Converts the template and opens it for editing in the Cornerstone Editor in text only mode Conversion notes e When you convert a template
53. eboard defaults IP Whiteboard Monday July 11 2011 Jag Sort Treatments for Current Hou j 07 11 2011 E GotoNow Showing All Practices All Wards Loc All Areas All Doctors Show All Patients 21 3 pm 10 pm 11pm 7 11 2011 gt 4 lt 7712 2011 12 am 1am 2 am Newt gt Alerts iis G R Romeo Referral Emergenc ath Fluids Surgic Cath Fluids Surgicyl Cath Fluids Surgicgl Cath Fluids Surgiql Cath Fluids Surgic Cath Fluids Strg S Ww ayne b655 Y Inpatient i CAN 56 pounds Sabrina Barnwell Dh Oreo PU PD workup ath Fluids Surgic I Cath Fluids Surgic l Cath Fluids Surgic Brian 3 QJ Inpatient Cornerstone 8 2 What s New 18 Electronic Whiteboard Alerts Column In Cornerstone 8 2 the new Alerts column on the Whiteboard window allows you to add edit and view selected types of patient alerts Emx nter alert A BITER Reacts badly to loud as chew boy in cage Depending on your setup the Alerts column may display the following types of alerts which are automatically added when a patient is initially placed on the Whiteboard e Whiteboard Alert List alerts e Patient Prompt alerts e Patient Classification alerts e Alerts manually entered in the Alert notes field on the Check in out window e Alerts manually entered on the Whiteboard Note After a patient is added to the Whiteboard changes to patient prompt patient classification or check in alert information will
54. ee ee eee eee ee eee ee ee E ime Se ee IDE ty 1 a a On the minute scheduling New Feature Enhancement Both the primary and secondary reasons for visit are now indicated providing staff with more detail on the specific problem or procedure associated with the patient s visit Primary and secondary reasons for visit The colored coded dot indicates the primary reason for visit and the adjacent text provides the secondary reason If a secondary reason is not assigned the primary reason text displays Critical E icon If the patient has been flagged as critical on the Patient Orders window or during check in the Critical icon displays within the patient information area near the top of the window Cornerstone 8 2 What s New 21 New Feature Enhancement Alerts No Billing icon Treatments ordered according to numbered left column on Patient Orders window Treatment blocks indicate incremental on the minute time scheduling Electronic Whiteboard Description If Whiteboard alerts exist for the patient you can view those alerts from the Patient Treatments window If there is more than one alert for the patient a downward pointing arrow displays to the right of the Alerts area to indicate there are more alerts to view Rest the mouse pointer on the displayed alert to view the patient s full alert list in a pop up window If an order item s Billing field was set to No billing or inventory reduction on t
55. eges See the Cornerstone Administrator s Manual or the Cornerstone Help system for more information on the Allow change options Current SmartLink Digital Imaging Practices Optimizing Your Imaging Invoice Item Setup If your practice is currently using SmartLink Digital Imaging with Cornerstone you most likely have many imaging invoice items that were set up to follow the one image shot per invoice item method that was previously required In earlier Cornerstone versions imaging invoice items were set up and maintained using the Imaging Invoice Item Setup and Imaging Invoice Item Maintenance windows that were available on the Activities menu In Cornerstone 8 2 the functionality previously available in these two windows has been replaced with the Image Request special action setup ability When you install Cornerstone 8 2 any imaging invoice items with linked shots will be automatically set up with the Image Request special action and the applicable shot will be selected in the shot tree Upon installing Cornerstone 8 2 you have several imaging invoice item setup options e Option 1 recommended You can reconfigure your current imaging invoice item setup to take advantage of the new multiple image shots per invoice item flexibility that s available in Cornerstone 8 2 This will allow you to consolidate many of your existing invoice items to result in fewer items and a more efficient image request and capture work flow To accom
56. ent order information IF Patient ID 7337 Reason for visit M Critical Doctor TP Danay Patient Treatments Thureday September TT lal Ses 2 Primary MR Supervising CS OPPO wot Signar r Comm Schule DVH ms LOPEZ Tammy 1468 me Daisey ia Secondary PU PD workup o i Current Care CS da LOPEZ Tang LSE FPS ES4155 Ait TEV Curent Can Or Coen Schulen Dive TYis 9Mos 1 18 3 pounds 3 iy Bos PA F meai OME20N1 Cage Wand Treatment Area 1 CAN Pug Spayed Female Admit 09 01 2011 12 00 PM Cage Cbd R a sva i fn SE ATS Soa an nile Status Inpatient v Discharge 09 05 2011 Ward Tre z j p ge 09 05 2011 chew Ji engin a nan rE a Se Pue Te Show Viel Seen Hide completed and discontinued treatments Alerts Ce Shi erip reri Fat elap 3 jan Wem 11 am 2om Jom A iii 5 on om Fon temo temDescipton Guy Bina c Mme KE Urinalysis IDEXX Ref Lab 1 001 line each time ot ll ee BR 2 55 LL I s and BB a it parnbie CBC IDEXX In House P eand Thani J Saptomber ar GHP General Health Profile Seal henda a eave Showing THE GOOO VETERINARY HOSPITAL 1 All Wasds Lne All Areas All Doctars Urine Culture Sensitivity IDE Paranee 1 Baytril tablet 68mg LY Catheter Placement IV Set Cath amp Fluids 500 nl nai nea a E 11 IVP IV Pump per day E 12 1909 Lactated Ringers
57. formation and image s are in the process of being sent All images and information for the case have been received by the telemedicine provider The case is ready for a specialist to read it A specialist is reading the case A problem has occurred Click the icon to find information about what has happened and what you should do Situations in which you might see this thumbnail include Case information was not successfully received Additional information is needed by the specialist The submission has been cancelled The specialist has completed reading the case and sent a report back Click the icon to read the report See the instructions below for further information To view and print a report 1 Double click a submission thumbnail with a status of Completed The report opens in the Adobe Reader software formerly Acrobat Reader 2 lf you want to print the report click Print Cornerstone 8 2 What s New 41 IDEXX SmartLink Technology for Telemedicine Working with Submitted Cases To add images or other attachments after submitting a case After a case has been submitted you can no longer add images or other material to the case in Cornerstone You need to use the attachment feature on the telemedicine provider s Web site instead 1 On the Patient Clipboard right click in the Patient History area and select Image Explorer 2 Click the Advanced Search tab and make sure that the Cases text box is selected 3 D
58. he Patient Orders window this icon displays as a reminder in the Treatments column The list of treatments displayed within the Treatments for selected hour area is ordered according to the invoice item numbering in the left most column on the Patient Orders window lf a treatment s Start Time was set up to use an incremental on the minute time e g 10 15 AM 2 30 PM on the Patient Orders window the incremental time will show on each applicable hour block on the Patient Treatments window For example if a treatment is scheduled for 10 30 AM the treatment s 10 AM block on the Patient Treatments window will display 30 Sched Tip As in previous versions you can right click in the Treatments column or within the treatments grid to display a list of menu options Cornerstone 8 2 What s New 22 Text Only Medical Notes Overview IDEXX Cornerstone 8 2 software introduces the new text only medical note option that allows you to create and designate a single Quick Text medical note template for quickly entering a medical note In addition the full contents of all text only medical notes can be viewed inline on the Patient Clipboard Text tab or Medical Notes tab without needing to open the note or use the Preview pane The Medical Note Quick Text feature offers a simpler faster option for adding information to a patient s medical record Similar to the None Classic medical note template available in Cornerstone 7 6
59. he Whiteboard note that any currently selected filters may affect the number shown Depending on the size and orientation of your monitor there may be more patients on the Whiteboard than can be displayed vertically in this column at one time This indication of the total number of patients serves as a reminder that you may need to use the right side scroll bar to view additional patients at the bottom of the list Cornerstone 8 2 What s New 16 View Additional Patient Information in a Pop up Window Electronic Whiteboard To view additional patient information in a pop up window rest the mouse pointer on a patient block The enhanced pop up window displays patient order information pertaining to this visit and includes the pet s picture if one is included in the patient record Oreo 2517 Cage 4 Feline Spayed Female ee Shorthar Domestic Black amp White critical 14 tis 5 Mas Reason for visit Internal Medicine secondary reason for visitt PUYPO workup Date admitted 77 2011 Expected discharge date 7 11 2071 Supervising doctor Corin Schulze DVM Curent care doctor Corin Schulze OM Detailed Patient Treatment Blocks Patient treatment blocks have been enhanced to include detailed information on each treatment scheduled for the time block as well as a new pop up window that provides an even greater level of detail On the minute scheduling ds Surgic M CathFluds Surgic 4 Cathe
60. iews 225 00 Lg 40 lbs Barium Series Radiographs 175 00 Barium Series Lg Animal Abdomen Preselected Shots DR 14x17 Head Left Larger Animal greater than 40lbs Abdomen ABD Lat DR 14x17 Head Left Larger Animal greater than 40lbs Abdomen ABD VD DR 14x17 Head Left Larger Animal greater than 40lbs Abdomen ABD Left Lat 1959 Thorax Routine Radiograph Series 95 00 2 Shots Thorax Routine Seres DENTS Dental X Rays Series 52 00 Select size skull At Lt and VD shots EMXRA Emergency Radiographs 227 00 Select proper shots upon use Note The Image Request Special Action Item Report allows you to view all imaging invoice items in a single list In Cornerstone 8 2 this report listing should be used as your reference for all imaging invoice items and their associated image shots versus viewing the items on the Imaging Invoice Item Maintenance window that was previously available in Cornerstone Additional Updates e The Image Request windows for adding and updating image requests have been updated to include the new Shot Selection icon as well as an Exam Description field These windows also now provide the patient s primary and secondary reasons for visit as well as the Vital Signs Weight button for accessing updating weight and vital signs information for the patient e The Imaging Dashboard window now displays the image request Exam Description if one exists e The Activities gt Imaging gt Setup Imag
61. imary Reasons for Wisik Secondary reason for visit Secondan Reasons for Wisik Allergies Cruciate Dermatology Foreign Body Ingestion Glucose Curve Grooming HBC Miscellaneous Note The primary reason for visit color is set in Controls gt Appointment Scheduler gt Reasons for Visit Tip To avoid staff having to select from a long list of secondary reasons you may want to set up the predefined list with only the most common secondary reasons and instruct staff to free form type other secondary reasons as needed Secondary Reasons for Visit at the Time of Use At the time of use a primary reason must first be specified in order to activate the secondary reason field The secondary reason can then be selected from the predefined drop down list or staff can type a different secondary reason in the field IP Patient Check in out Chent information Client ID 1 T965 West 172 Terrace Eau Claire Wil 54703 Kimberly Adams Phone s 715 681 2605 715 544 2674 Ext Patient information ID 15259 13 8 pounds TU Yrs b Mos Check in out information Staff ID CS Comin Schulze DM L Referral Recheck Casey Medumhar Domestic Spayed Female Reason for Visit Pinay R Secondary Glucose Curve ma Additional notez Cornerstone 8 2 What s New Accounts receivable Current 0 00 30 days 0 00 B0 days 0 00 90 days 0 00 Total due 0 00 Reminders FELY FMH TRIPLE
62. in Schulze DVM Patient Patient Advisor Performance Tracker Pharmacy Formulary Practice Prescriptions Purging Report Language Required Data Statement Print Optio Toolbar Unattended EOP vaccination Bookmarks Yaccine Tag Web Links Whiteboard Imaging Defaults Maximum files per folder 48000 Image Requests Activate image requests C Use billing staff on a new image request Default invoice item class Radiology v Apply Cornerstone 8 2 What s New 55 IDEXX SmartLink Digital Imaging New settings in the Imaging defaults mage Requests area include e Activate image requests If you purchase IDEXX SmartLink Digital Imaging this option activates the feature e Use Special Actions If selected invoice items set up to initiate the Image Request special action will activate the New Image Requests dialog box when the item is added to the Patient Visit List PVL or invoice for a patient e Use billing staff on a new image request If Use Special Actions is selected you can select this option to use the billing staff on the PVL or invoice as the staff who will be associated with an image request when the request Is initiated using a special action If this option is not selected the default Staff is based on the last staff member who performed an image request on that workstation e Staff to use on requests without Special Action You can specify the default staff to associate with an image req
63. ing Invoice Items and the Activities gt Imaging gt Maintain Imaging Invoice Items menu options are no longer available in Cornerstone as the functionality previously provided on these windows is now handled through the Image Request special action process and the new Image Request Special Action Item Report Cornerstone 8 2 What s New 64 Miscellaneous New Installation Requirements for this Release e The IDEXX Cornerstone 8 2 release is distributed on DVD which will require at least one networked computer in the practice with a DVD drive o Ifa DVD drive is not available on the server you can install across the network from a shared DVD drive on another computer See the Cornerstone 8 2 Installation Guide for detailed instructions o lf you do not have a computer with a DVD drive please contact your IDEXX Practice Solutions representative at 1 888 224 4408 for hardware upgrade or alternate media solutions e Cornerstone 8 2 software cannot be installed on the Windows 2000 or Windows 2000 Server operating systems For updates on Cornerstone system recommendations go to idexx com cornerstonespecifications and select the Specifications amp Hardware tab Time Saving Improvements e Cornerstone will automatically process the Sex Modification special action during invoicing if you have assigned Modified sexes for applicable patient sexes in Controls gt Sex e When aclient is marked Inactive all patients belonging to the
64. late average vertebra width e Use the options in the Font and Text Color areas to change how the VHS value is displayed Cornerstone 8 2 What s New 52 IDEXX Digital Radiography and Diagnostic Imaging EA VHS Annotation Settings Y Axis Axis Wertebrae Line No of Vertebrae 5 Arial Change Font Plain 14 Opacity 1 3 If you want to change the way the measurement lines are displayed click the tab for the Vertebrae Line X Axis vertical axis or Y Axis short axis and do the following e Change the color and opacity of the line in the Outline Color area e Selecta line pattern e g solid or dashed in the Line Pattern drop down menu e Change the line thickness in the Size text box Setting Up Unique Imaging Email Accounts by User You can now set up the email feature within the Digital Imaging Module so that it will send emails from a particular account for the staff member who is logged in If you set up a particular email account to be used for a staff member that account will be used for emails sent from the Image Explorer Image Viewer or the Email tab of the Case Actions pane on the Case Detail dialog box when that staff member is logged in to Cornerstone If you do not set up an email account for a staff member Digital Imaging emails will use the account that has been set up at the system level To set up Digital Imaging email to use staff member specific email 1 On the menu bar select Controls g
65. lays treatment orders for a specific patient and allows you to mark each scheduled treatment as Completed or Did not perform In Cornerstone 8 2 enhancements to this window allow you to view more detailed information about a patient and the scheduling of the patient s treatments Critical icon Alerts Primary amp z Daisey 7337 amp PU PD workup 2 Supervising r Corrin Schulze DVM secon dary 4 n LOPEZ Tammy 1468 715 695 4155 Tg m 2011 Pails Care i on ng DVM Fy 7 Yis 9 Mos 18 3 pounds 3 Discharge giii ar a ss fea reasons for CAN Pug Spayed Female Status Inpatient visit Si completed a 03 01 2011 J All Areas gt Treatments a Jam 10 am 11 am oc 1 om 2 om 3 om 4 om 5 om 6 om 7 om 8 om 3 om 10 om a me E ae ae e Se E a e eae ae SS SE aE SE SS Se es ee a parental SE ee eS I a SS a a PS ey ey es e es ee ee left column eS SS ES SS on Patient FF ro o eee eee ee See OOOO Orders P E PAN RN FAN PAN PNG PAN PAN PAN PRA window PT Eort Cot Cont Cont Cont Cont Cont Cont Cont Cont Cont O J Cot Cont Cont Cort Cont Cont Cont Cont Cont Cont Cont TE FE FT SE TE FE I _____ ____ Vital Signs Diagnostics CBC IDEXX In House TE e E a EG E E GHP General Health Profile la aS aaa ee A ee aes Eee een ee ee Sm sere ABD Lat a ae a ae O E eee eens E O O ee Sm i TET ABD VD Se es a a ne a a ce at ia Lina IDEXX Ref Lab E ee eee ee
66. leted treatments ham Future hours to check for uncompleted treatments when invoicing 24 Hours Apply Hours to show options include Current day only Includes 24 one hour columns on the Whiteboard window Current day with 3 hours for previous and next days Includes 24 one hour columns with 3 one hour columns added before and after this 24 hour period This option adds lt lt Previous and Next gt gt links that display when you scroll horizontally to the outer limits of the displayed hour columns You can click the appropriate link to move the grid columns to change the date and display the hours for the previous day or next day This ability to see into the next day without manually changing the date is helpful for preparing for the next day and especially useful for 24 hour clinics Note For both Hours to show options the number of columns visible at one time without scrolling depends on the monitor size Cornerstone 8 2 What s New 3 Whiteboard Sort Option in Workstation Defaults Electronic Whiteboard You can now specify a default sort order for the Whiteboard Patients column on each workstation e g Boarding may want a different default sort order than ICU Note If a sort order is not specified here the column is sorted by Patient Name as it was in earlier versions Practice and Workstation Defaults Appointment Schedule Boarding a il Check in Client Check in report Daily Ent
67. llowing change rules to be followed when this value is changed on the Patient Orders window o Also change the above default When this field s value is changed on the Patient Orders window Cornerstone will make the changed value the new default value for this field and automatically update the default value listed on the Whiteboard setup tab For all fields except Quantity this is the option that will be selected by default upon installing Cornerstone 8 2 and when setting up a new invoice item o Do not change the above default When this field s value is changed on the Patient Orders window Cornerstone will not make the changed value the new default value it will leave the default value as it is listed on the Whiteboard setup tab For the Quantity field this is the option that will be selected by default upon installing Cornerstone 8 2 and when setting up a new invoice item Editing permissions Allows you to select one of the following rules to determine which staff are allowed to edit overwrite the default value for this field on the Patient Orders window o Ei All staff may edit All staff with Patient Orders permissions are allowed to edit overwrite the default value for this field on the Patient Orders window regardless of whether they have been granted Whiteboard Orders Override security permissions This is the option that will be selected by default upon installing Cornerstone 8 2 and when setting up a new in
68. maging E Invoice Item Information for Sm lt 20 lbs Barium Series Radiographs ole ID 1968 Sm lbs Barium Seres Radiographs Oolnventom Service a A E Tan Dise mm Items Spec Actions ee Whiteboard Special actions Special action When to apply Image Request Immediately on invoice PL f Exam Desc Barium Series Sm Animal Abdomen wt w Note In order to set up an invoice item to initiate an Image Request special action SmartLink Digital Imaging must be activated Note the following when setting up an Image Request special action for an invoice item e The Image Request special action can be placed on service type items only Service must be selected as the item type at the top of the Invoice Item Information window e Image Request special actions cannot be attached to invoice items that have linked items on the Link Items tab e Only one Image Request special action can be applied to an invoice item To set up an Image Request special action for an invoice item 1 With a service type invoice item open for updating on the Invoice Item Information window click the Spec Actions tab 2 From the Special action drop down list select Image Request Note The When to apply setting is automatically set to Immediately on invoice PVL as this is the only available option for this particular special action 3 If you want to select shots to be associated with this item by default click the Shot Selectio
69. ment block for each hour on the Whiteboard To renumber a treatment order line change the number in the left column as desired and then press TAB Note For group items you cannot change the order of the individual items until after the patient orders have been saved by clicking OK on the Patient Orders window You can then reopen the window and reorder the individual items as desired 12 New Feature Enhancement No Billing icon Schedule treatments using incremental on the minute time scheduling Cornerstone 8 2 What s New Electronic Whiteboard Description If an item s Billing field is set to No billing or inventory reduction the No Billing icon displays in the blue line below the line item as a reminder to staff This icon also appears on the Patient Treatments window for the order item When a Patient Orders item is set to No billing the invoice item is not pulled from inventory and the client is not charged In previous versions the Start Time for a treatment was limited to on the hour times e g 10 AM 2 PM In Cornerstone 8 2 you can specify a Start Time using incremental on the minute times e g 10 15 AM 2 30 PM The incremental treatment times will show on the Patient Treatments window and the Whiteboard Note If you want to enter orders for a treatment needing to be completed every X minutes within a single hour for example a Glucose Curve test every 10 minutes you would need to ad
70. n 4 Release Implementation Plan tasks including security setup and defaults configuration To access these resources visit the new Cornerstone Resource Library available on IDEXX com at idexx com cornerstoneresources About This Document This document provides information on the new features and functionality in the IDEXX Cornerstone 8 2 software It includes key information needed to set up and use new features and provides examples of the new windows available in the Cornerstone 8 2 software Before using this document be sure to reference the Cornerstone 8 2 Release Implementation Plan to review pre installation information and make decisions on the new features you plan to implement in your practice You can then use this Cornerstone 8 2 What s New document to learn about the features that apply to your practice s specific feature implementation goals Intended Audience This document is for experienced users of the Cornerstone software and assumes that you have a good working knowledge of an earlier release If you are new to the software you should review the reference material and training documents available online at idexx com cornerstoneresources Note After installing Cornerstone 8 2 a Cornerstone Administrator will need to adjust security settings for your practice so that staff members can access the new features See the Cornerstone 8 2 Release Implementation Plan for a listing of these security settings Cornerstone 8 2
71. n E icon The Shot Selection dialog box appears Note The Shot Selection icon displays as a shot tree with a sign E if shots have not been added for the item and as a standard shot tree no sign if shots have already been selected for this invoice item 4 Select all image shots to be associated with this invoice item by default then click OK to return to the invoice item s Spec Actions tab See Selecting Image Shots on the Shot Selection Dialog Box on page 61 for more information on selecting image shots Note You are not required to select default image shots for the item during setup If desired you can set up the invoice item with no shots selected and instead add request notes in the Exam Description field so the technician can select the shots when completing the request Cornerstone 8 2 What s New Gr IDEXX SmartLink Digital Imaging 5 If you want specific request notes to display with this invoice item by default when an image request is made for this item in the Exam Desc field type a brief description up to 64 characters of the shots to be taken Tip To specify whether staff with security privileges can change pricing for image shots select the desired Allow change option on the Invoice Item Information window s Info tab for the item For example you can select Only increases which allows the price to be increased but never decreased except by a user with administrator security privil
72. ng a line perpendicular to the first line The measurement on the thoracic vertebra should start from the cranial edge of the 14 vertebra and move in a caudal direction When you ve made these measurements you are able to determine the length and width of the heart in vertebral units to one decimal place The sum of the length and width is the VHS To use the VHS tool al Open a thoracic lateral radiograph in the Image Viewer h Click Annotate and then select Vertebral Heart Score Two sets of lines appear on the image a pair of crossed lines for measuring the heart and a set of three parallel lines for the vertebrae The top and bottom vertebral lines are linked to the heart lines and will change size as the heart lines are adjusted The middle vertebral line is used to measure several vertebrae so that the software can calculate an average vertebra length By default this line will calculate based on a measurement of five vertebrae to change this see To change VHS tool settings below The VHS value also appears It is initially displayed as N A but is calculated when you adjust the measurement lines Click Zoom and zoom in so that you can see the relevant details of the image This will also make it easier to work with the lines e_y Click the annotation Pointer Adjust the measurement lines on the image of the heart a Click on a line to move it into position The heart lines are labeled Sho
73. ng this submission is created for this patient Submission status is displayed on the Image Explorer window and you are able to view information or reports for the case on the Case Detail dialog box Cornerstone 8 2 What s New 42 IDEXX Digital Radiography and Diagnostic Imaging Note If you have the Diagnostic Imaging module you have the features described in this section as well as the features described in the preceding Cornerstone Imaging section The IDEXX I Vision Mobile Application With the IDEXX I Vision Mobile Application you can use an iPad or Android tablet to view an IDEXX SmartLink Digital Imaging request or send radiographs Setting Up the Application To set up the IDEXX I Vision Mobile Application on an iPad device 1 Open the Safari browser 2 Type http followed by the IP address for your server and then type the following exactly 8081 i vision mobile Note The IDEXX representative who installed the IDEXX I Vision Mobile Application should have given you the IP address 3 Log into the mobile application ias 5 Close browser Tap and select Add to Desktop Be sure to do this after logging in 6 Tap IDEXX I Vision Mobile Application desktop icon to start application From now on always use the icon To set up the IDEXX I Vision Mobile Application on an Android tablet You ll need both the default Android browser and the Dolphin for Pad browser 1 Open the default Android b
74. nks Invoice Items Include invoice items when printing Medical Notes Also Include V Declined item C Amount Staff ID Include invoice items when printing Correspondence Also Include V Declined item C Amount Staff ID Apply In the Default templates area a new For Medical Note Quick Text documents use setting allows you to specify the text only template that will be used when you add a Quick Text medical note for a patient To designate this default template in the Text Only ID field enter the ID of the template by either typing the ID or pressing F2 to search for and select the template from the Document Template List Cornerstone 8 2 What s New 27 Text Only Medical Notes Note In Cornerstone 8 2 the default setup document template field used for creating or converting to a new enhanced document template has been moved to the Default templates area and the field has been renamed For new templates use Medical Note ID Use Adding a Quick Text Medical Note To add a Quick Text medical note for a patient i With the patient s record open on the Patient Clipboard right click the patient s name and select Medical Note Quick Text Enter your staff ID by typing the ID selecting the staff from drop down list or pressing F2 to select from the Staff List Follow steps 6 16 in the section that follows to create a text only medical note in the Cornerstone Editor Adding a Text Only Medical Note Other
75. nt 1 On the menu bar select Controls gt Defaults gt Imaging The Archive Images window appears 2 Onthe left click Email Email configuration options appear on the right 3 Click the System tab 4 Inthe SMTP Server Name text box type the name of your email server 5 In the SMTP User Name and SMTP Password text boxes type the information that Cornerstone needs to log into your email server 6 Inthe Default E mail Attachment File Type drop down menu select the type of file to use for sending images This default can be changed when emailing images In the Default Send E mail Address text box type the address to be listed as the sender In the Reply E mail Address text box type the address to which the recipient should reply Click Save to save and close the Imaging Configuration window or click Apply to save without closing the window Cornerstone 8 2 What s New 54 IDEXX SmartLink Digital Imaging Overview IDEXX SmartLink Digital Imaging allows an exchange of information between Cornerstone software and IDEXX Digital Imaging Systems This allows you to request digital images electronically anywhere in the clinic instantly capturing requests and charges in patient records and on invoices This integration reduces missed charges and preserves x ray revenue In Cornerstone 8 1 and earlier versions SmartLink Digital Imaging requests were handled on a per shot basis So each shot required its own invoice item Corne
76. nt to occur 11 00 AM 1200 AM 1300 AM 14 00 AM 15 00 AM 15 00 AM C1700 AM 18 00 AM C111 00 4M Noon 1 00 PM 1200 PM 13 00 PM 14 00 PM 15 00 PM 15 00 PM 17 00 PM 18 00 PM 19 00 PM 10 00 PM 11 00 PM Midnight Cornerstone 8 2 What s New Electronic Whiteboard To set up an Every x days frequency select this option select a recurrence of every 2 to 7 days and then specify the time you would like the treatment to occur on those days E Treatment Frequency Information F Er ID IMCATH Description Catheter Replacement Every day 2 Every x days Every x days Select the recurrence in days then specify the time you would like this treatment to occur Even 3 w days At 10 00 Invoice Item Information Window Whiteboard Tab for Setting Patient Order Item Defaults The Invoice Item Information window s new Whiteboard tab allows you to set default values and field level rules for each invoice item that staff may enter on the Patient Orders window F invoice Item Information for CBC IDEXX In House x ID CBC CEC IDE In House CO lrventoy Service Group ick Dispensing Spec Actions Travel Whiteboard Cancel Into Instructions Reminders Bi ET Patient Order defaults Rules for Billing Billing 1 line each time When this default is changed on the Patient Orders wind
77. ntative or Final If you want to print the document click the Print button or select File gt Print Note When printing a text only document the Print header and Print footer options are not available on the Print Options dialog box Do one of the following e Click OK to save a Draft Tentative or Final document and close the Cornerstone Editor Cornerstone 8 2 What s New 29 Text Only Medical Notes e Click Save to save the document and continue working on a Draft or Tentative document in the Cornerstone Editor Final documents will save and close e Click Cancel to cancel document changes and close a Draft Tentative or Final document Viewing the Full Contents of Text Only Medical Notes Inline in History Text only medical notes allow full inline viewing of text only document contents on the Patient Clipboard and Patient File windows This means that you can quickly view any text only medical note directly on the Text tab or Medical Notes tab without having to open the document in a separate preview or editor window IF adams Kimberly Patient Clipboard Sax Client Client information Kimberly Adams 7965 West 172 Terrace Eau Claire Wl 54703 Client ID 1 Kimberly Adams Pet Owner ket Balance Due 0 00 Search 15 681 2605 Home Se ss Ea SAR kimmyadams56 yahoo com Summary Text Problems Dx Rx Medical Notes Lab Vital Signs Patient list Name Species Sex A Accep
78. o confirm that you want to edit the field and set it to the same value for all selected invoice items at once 9 Depending on the field type selected on the left a drop down list text box or check box may display on the right Specify the desired default value to use for this field in its associated column on the Patient Orders window If you want to require staff to enter or select the value at the time the item is added to the Patient Orders set the default value to lt Blank gt Cornerstone 8 2 What s New 10 Electronic Whiteboard 10 Set the When this default is changed and Editing permissions settings for this field See Overview of Fields on the Whiteboard Tab on page 8 for information on these settings 11 Do one of the following e lf you want to save your updates and continue setting defaults for additional Patient Order fields for the selected items click Save and repeat steps 7 11 e lf you are finished setting Patient Order field defaults for the selected items click OK to save any unsaved changes and return to the Invoice Item Setup tool s Whiteboard tab See the Cornerstone Administrator s Manual or the Cornerstone Help system for more information on using the Invoice Item Setup tool Electronic Whiteboard Windows Include Secondary Reason for Visit The Reason for Visit feature Controls gt Reason for Visit has been expanded in Cornerstone 8 2 to allow for both primary and secondary reasons for visit
79. o create a case with only the images you have selected e Select Series to create a case with the series to which the selected images belong e Select Study to create a case with the study to which the selected images belong Click Select The Case Detail window appears If the Case Information pane is not open click Expand gt gt In the Case Title text box tyoe a name for this case In the Staff User drop down list select the staff member or Cornerstone software user associated with this case In the Case Categories list select a category that you want to assign to this case If you want to select more than one category hold down the CTRL key while you select the categories you want Note You can use case categories when using the Advanced Search tab on the Image Explorer Window If you do not want to do anything else with this case click Save and Exit If you want to do a case action follow the instructions later in this section To add images to a case from the Image Explorer Images can be added to cases if necessary Updated cases can be resent to a consulting radiologist or telemedicine service for repeat consultations iF 2 3 Select one or more images series or studies on the Image Explorer window Click Add to Case or right click and select Add to Case The Select Images dialog box appears Do the following e Select Image to create a case with only the images you have selected e Select Series to create
80. oice item listed in the image requests grid When you are finished click OK Creating an Image Request from the Patient Clipboard Manual Method If desired you can create an image request using the Imaging gt Image Request right click menu option on the Patient Clipboard Note In order to create an image request using the manual method SmartLink Digital Imaging must be activated To create an image request from the Patient Clipboard basic steps 1 With the patient s record open on the Patient Clipboard in the Patient list area right click the patient s name and select Imaging gt Image Request The New Image Request dialog box appears Note You can also access the New Image Request dialog box by clicking New on the Image Requests and Results window Cornerstone 8 2 What s New 59 IDEXX SmartLink Digital Imaging I New Image Request for Barksalot 6692 ole Patient information Ok Patient ID 6692 Barksalot 10 Mas 2 wks 3 Days 43 8 pounds 3 CAN Retriever Labrador Miz Neutered Male Client Kimberly Adams Ea Reason for visit Recheck Radiology Image Requests Staff Schulze DYM Corin CS temi Exam Desarpion Thoras Routine 115 75H 24 Thorax Routine select weight o at 2 Enter the ID of the staff member responsible for the image requests by typing the ID or selecting the Staff from the drop down list 3 Inthe image request grid s next available Item ID field enter an item ID by ei
81. ory area right click and select New Case The Case dialog box appears In the Case Title text box tyoe a name for this case In the Staff User drop down list select the staff member or Cornerstone software user associated with this case Expand the Thumbnails pane if it is not already open Cornerstone 8 2 What s New 37 IDEXX SmartLink Technology for Telemedicine IF Case Detail BAX Client Name Bloom leo Client ID 2 Patient Name Finnegan Patient ID 2 Species Feline Breed Domestic Shorthair Sex Male Weight N A Age 2 Years 6 Months 24 Days Case Information Expand gt gt ABD R Lat ABD R Lat Expand gt gt 5 Ifyou want to attach images and supporting material do the following a Click Attach File The Open dialog box appears b Use the dialog box to select the file s you want to add and click Open c Repeat these steps if you want to attach additional files 6 Ifyou want to remove an attachment or image select its thumbnail and click Remove To create a case and add additional images in the Diagnostic Imaging Module 1 Starting on either the Image Explorer or Image Viewer window create a case that includes the images you wish to submit to the telemedicine provider See section 4 2 Creating and Managing Cases in the Cornerstone Diagnostic Imaging User s Guide 2 Onthe Case Detail dialog box expand the Thumbnails pane if it is not already open Cornerstone
82. ouble click a submission thumbnail The submission Case Detail dialog box opens displaying Case Actions pane and the tab for the telemedicine provider 4 Click View Case A Web browser will open and display the information on the telemedicine provider s Web site 5 Use the attachment feature on the telemedicine provider s Web site to attach additional images or supporting material 6 Close the provider s Web site To assign a telemedicine submission created outside of Cornerstone In most cases if you submit a case to your telemedicine provider without using Cornerstone Cornerstone will be able to match the submission status and any resulting reports to the proper patient in Cornerstone If the status or report does not show up automatically use the following process to manually match the submission to the patient 1 Onthe menu bar select Activities gt Imaging gt Telemedicine Queue The Telemedicine Queue window appears and displays all telemedicine submissions that are not assigned to a patient EJ Telemedicine Queue x 2 To view a submission select it in the table and click View Case The Case Detail dialog box opens and displays the submission information 3 To assign this submission to a patient click Assign The Select Client and Patient dialog box appears 4 Type the patient s name or ID in the text box and click Search 5 Select the patient in the table and click Select A case containi
83. ow 4 Also change the above default Do not change the above default 1 line each time Diagnostics Frequency One time Note Not required Vital Signe F Area LAB Editing permissions w All staff OS Only staff with security BO BD BD 20 DiDi Stalf Class Technician Select a Patient Order field in the list on the left to display its associated rules on the right Cornerstone 8 2 What s New Electronic Whiteboard Overview of Fields on the Whiteboard Tab Patient Order defaults list left side of Whiteboard tab Type column The name of the Patient Order item field as it appears in its associated column on the Patient Orders window Value column The default value to use for this field on the Patient Orders window Rules column Icons in this column indicate the current change rules set for this field See the corresponding field explanations below for information on these icons Rules for selected field type area right side of Whiteboard tab Field type default Depending on the field type selected on the left a drop down list text box or check box may display allowing you to specify the default value for this Patient Orders item field If you want to require staff to enter or select the value at the time the order item is added on the Patient Orders window set the default value to lt Blank gt When this default is changed on the Patient Orders window Allows you to select one of the fo
84. p Note To display help on the Dolphin browser save the PDF then tap to open Patient Summary G A Matty Feline Female 2 Years 1 Month 2 Days 12 0 pounds 4 8 22 11 03 51 PM Thorax Routine 4 8 5 11 11 47 AM Thorax Routine 7 21 11 07 25 PM Cornerstone 8 2 What s New 45 IDEXX Digital Radiography and Diagnostic Imaging This screen shows the images for a patient It s the jumping off point for everything you can do in the mobile application Back to Patient List Open image series 4 Close image series Tap one or more thumbnails A then tap orcon to send via DICOM Ein to send to telemedicine to email Tap a thumbnail to select it then tap again to open the radiograph on Viewer Tap a telemedicine status to view submission status details or completed report Note To display reports on the Dolphin browser save the PDF then tap to open Ep Request radiographs on Request Screen Viewer Cornerstone 8 2 What s New 46 IDEXX Digital Radiography and Diagnostic Imaging At top of screen e Tap to reveal enhancement tools e Tap to hide Tap tools Go back to Patient Summary Revert to image as originally displayed Rotate 90 clockwise Tap a new setting on the slide bars window brightness on vertical level contrast on horizontal a 1 i Reverse light and dark Send via DICOM Send to telemedicine Email On the im
85. plish this you ll want to delete or mark many of your current single shot items as Inactive and create new invoice items that include multiple shots or a series of shots Note For assistance with quickly deleting unused imaging invoice items and optimizing your imaging invoice item setup in Cornerstone 8 2 contact Cornerstone Support at 1 800 695 2877 e Option 2 You can leave your imaging invoice item setup exactly the same Note however that each image shot you request will display as a separate line item or job listed on the Image Requests and Results window Using this one image shot per invoice item method will likely require more time for processing image requests Use Creating an Image Request During Invoicing Special Action Method With the new Image Request special action available in Cornerstone 8 2 invoice items set up to initiate the Image Request special action will activate the New Image Request dialog box when the item is added to the Patient Visit List PVL or invoice for a patient Note In order to create an image request using the special action method SmartLink Digital Imaging must be activated and the Use Special Actions option must be enabled in Controls gt Defaults gt Practice and Workstation gt Imaging In addition your imaging invoice items must be set up to initiate the Image Request special action Cornerstone 8 2 What s New 58 IDEXX SmartLink Digital Imaging To create an image reque
86. r both for text only and standard display of the Cornerstone Editor e Added support for the new TCO2 Bicarbonate test for total carbon dioxide and anion gap This test is available on the Catalyst Dx chemistry analyzer e Cornerstone now includes the Diagnostic Code Report with all Cornerstone installations regardless of whether the Patient Advisor module is installed Cornerstone 8 2 What s New 68 Miscellaneous Exclusive access to the Cornerstone database is no longer required to perform End of Year processing which means that End of Year can be completed while others in the practice are using Cornerstone The last used patient ID now correctly populates the Patient Information ID field when you click the Vital Signs Weight toolbar button When printing prescription labels Cornerstone now includes a zero 0 before the decimal point if the quantity is less than 1 to make the decimal point more noticeable For example 5 will now display as 0 5 Addressed issue where laboratory results were not included on the Check in Report in certain circumstances The Print birth date as age option is now enabled disabled appropriately based on whether this option is selected in Check in Print Option defaults Introducing Cornerstone Group Manager Cornerstone Group Manager is a new service that enables veterinary practice groups to efficiently manage multiple practices from a central location For groups of all sizes Cornerstone
87. rdue always displayed at the top To Do Completed and Did Not Perform If a treatment s Start Time was set up to use an incremental time e g 10 15 AM 2 30 PM on the Patient Orders window the incremental time will show for that treatment line on the Whiteboard window In both the treatment block and the pop up window a check mark displays next to any completed treatments Color coding indicates the status of each treatment line Green Completed Bright blue Scheduled Light blue Continuous Red Overdue Gray Discontinued or Did not perform The treatment lines listed within a block are ordered according to the numbering of the invoice items in the left most column on the Patient Orders window Expanded Hours for Whiteboard Column Display Depending on the option set in Whiteboard defaults the Whiteboard grid s hour columns may display for the current day only OR for the current day with 3 hours added for the previous and next days lf the current day with 3 hours default is selected for the workstation lt lt Previous and Next gt gt links display when you scroll horizontally to the outer limits of the 24 one hour columns You can click the appropriate link to move the grid columns to change the date and display the hours for the previous day or next day See Hours to Show Option in Whiteboard Defaults on page 3 for information on selecting an Hours to show display option in Whit
88. ries Report Estimate Daily Planner Invoice Documents Prescription label End OF Period Estimate Invoice Print Imaging Inventory 4 Invoice Whiteboard sort Invoice Item Messages Sort patients by Passwords Patient Mame Patient Patient Name Patient Advisor Client Marne Performance Tracker Reason for Visit Pharmacy Formulary Practice Prescriptions Doctor Hospital Status Report Language Required Data Statement Print Optio Toolbar Unattended EGP Waccination Bookmark arena Tag Web Links Whiteboard workstation E Workstation All W Jw gt Print Patient pictures on Boarding check in report as Check in Date Time Treatments for Current Hour Purging Treatments for Next Hour Document Settings hargins Left Right Top Bottom End of Period Workstation 1 00 1 00 1 00 1 00 Sax Effects Color is currently set as the end of period workstation Set end of period workstation Use this workstation to run unattended end of period processes Note You can also change the Patients column sort order at any time directly on the Whiteboard using the new Sort drop down list Setting Up and Selecting Alerts to Display on the Whiteboard In Cornerstone 8 2 you can create a Whiteboard Alerts List to display patient alerts in the new Alerts column on the Whiteboard You can also designate specific Patient Prompts and Patient Classifications to display as alerts on th
89. rowser 2 Type http followed by the IP address for your server then type the following exactly 8081 i vision mobile Note The IDEXX representative who installed the IDEXX Vision Mobile Application should have given you the IP address 3 Log into the mobile application 4 Use the browser s bookmark feature to add a bookmark to your device s home screen Be sure to do this after logging in 5 Goto the Android Market and download the Dolphin for Pad browser 6 Accept default settings in Dolphin setup wizard except On the User Agent screen select iPad 7 Tap tap Dolphin Settings on the left and select the Full screen mode check box 8 Close browser Cornerstone 8 2 What s New 43 IDEXX Digital Radiography and Diagnostic Imaging 9 Tap IDEXX I Vision Mobile Application desktop icon to start application From now on always use the icon To set up the application with IDEXX SmartLink Digital Imaging with Cornerstone 1 On the Cornerstone menu bar select Controls gt Defaults gt Imaging then click Imaging on the left Imaging configuration settings appear 2 Inthe Tablet Settings area select the invoice item that you wish to use for all image requests created in the mobile application The Screens Patient List mobile Q p Species Canine Augustina Breet Vista Sex Female Age 1 Year 7 Months 22 Days f Roberta Reynolds 10 Weight Species Feline F u ff Breed Tonkinese We y Sex
90. rstone 8 2 provides a more flexible image request work flow with the introduction of the Image Request special action feature making it easier for practices to bill for radiology services The Image Request special action can be set up for all of your imaging invoice items so that an image request is automatically initiated when the item is added to a Patient Visit List or invoice Note The SmartLink Digital Imaging functionality for processing image requests is available to those practices that have purchased an IDEXX Digital Radiology unit for use with Cornerstone software Contact your IDEXX Cornerstone sales representative at 1 888 224 4408 for information on purchasing this module Setup Imaging Defaults For those practices with IDEXX SmartLink Digital Imaging activated new Imaging defaults allow you to enable special actions to create image requests specify a default staff to be associated with different types of image requests and specify a default invoice item classification for imaging items FF Practice and Workstation Defaults BAX Account A Imaging Alerts F Appointment Schedule Boarding Pet picture image compression 90 Check in Client Daily Entries Report O Copy images to mobile computer Daily Planner Documents End Of Period Estimate Imaging Use Special Actions Inventory Invoice Invoice Item Messages Staff to use on requests without Special Action Passwords Specific staff v Staff ID CS Cor
91. rt Axis and Vertical Axis and can be moved independently b Click the handle on the end of a line and drag to change the size of the line Cornerstone 8 2 What s New 51 IDEXX Digital Radiography and Diagnostic Imaging 6 Adjust the vertebral measurement line a Click on the middle line to move the set of vertebral lines into position b Click the handle on the left caudal end of the middle line and drag so that the line measures the width of five vertebrae or a different number if you have changed the tool settings 7 Note the resulting VHS value Note If you have set up the Vital Signs feature you can record the VHS as a vital sign See the Cornerstone User s Manual or the Cornerstone Help system for more information about recording vital signs in Cornerstone Note Although the VHS is automatically recalculated you can recalculate the VHS at any time by right clicking any line or text in the annotation and selecting Calculate VHS 8 Save the annotation by clicking Save and selecting Save from the drop down menu To change VHS tool settings 1 After you have placed the VHS measurement lines on a radiograph click on any of the VHS lines then right click The VHS Annotation Settings dialog box appears 2 On the VHS tab you can change the following e Type anumber in the No of Vertebrae text box to set the number of vertebrae you will measure with the vertebrae line so that the software can calcu
92. signate a prompt to display as an alert on the Electronic Whiteboard windows update the prompt and select its Whiteboard Alert check box If desired select a color for the alert text by clicking on the colored square and then selecting a color or defining a custom color Cornerstone 8 2 What s New 5 Electronic Whiteboard Patient Classifications Whiteboard Alert Option Added You can designate certain Patient Classifications Controls gt Classifications gt Patient tab to display on the Electronic Whiteboard windows IP Classification Setup For Patient Description Yaccine Reactor Patient alert v Whiteboard alert To designate a classification to display as an alert on the Electronic Whiteboard windows update the classification and select its Whiteboard alert check box Treatment Frequencies Options for Every Day and Every X Days The Treatment Frequency List Lists gt Electronic Whiteboard gt Frequencies now allows you to set up treatment frequencies to occur Every day or Every x days The frequencies set up here display as options in the Frequency field on the Patient Orders window when adding treatment orders for a patient To set up an Every day frequency select this option and then select the hours you would like this treatment to occur I Treatment Frequency Information Frequency ID BANCHG Description Bandage Change Every day Select the hours you would like this treatme
93. ss if you want to bypass the patient CD process You might do this if you want to put the images in an email or on a USB flash drive or you might want to compile the information for patient CDs throughout the day and then burn the CDs at a later time using the CD burning capabilities in the Microsoft Windows operating system 1 On the Case Detail window if the Case Actions pane is not open click Expand gt gt 2 Click the Patient CD tab The patient CD options are displayed 3 Select File Folder and type the file folder location in the text box or click Browse and browse to the folder that you want to use 4 Doone of the following a Inthe Medical Notes SOAP text box type any notes that you want saved on the CD These notes will be saved in a text file labeled with the name of the case b To add medical notes SOAP from the patient s medical history i Click Medical History li Select the medical notes to include by using the Medical Notes SOAP Selection Screen dialog box lil Click OK The medical notes you have chosen are displayed in the Medical Notes SOAP text box where you are able to edit them 5 If you want to add annotations or overlays to the JPEG files that will be included on the CD click Apply Annotations and or Apply Overlays 6 Select a location in the Save In drop down list and click Save Sending Cases via Email The case feature allows you to email a case with its images and any text that you hav
94. st during invoicing basic steps 1 Add an imaging invoice item to the PVL or invoice for a patient The New Image Request dialog box appears I New Image Request for Barksalot 669 Patient information Ok Patient ID 6692 Barksalot 10 Mos 2Wks 3 Days 43 8 pounds 3 CAN Retriever Labrador Mix Neutered Male Client Kimberly Adams Reason for visit Recheck Radiology Image Requests Staff Schulze DVM Comin CS ET temp Amou Center Eram Desoto Thoras Routine 115 75H 4 Thorax Routine select weight Enter the ID of the staff member responsible for the image requests by typing the ID or selecting the staff from the drop down list To add or edit image shots for an invoice item in the image requests grid click the item s Shot Selection icon and specify the image shots to be captured for this item See Selecting Image Shots on the Shot Selection Dialog Box on page 61 for more information on selecting image shots Note The Shot Selection icon displays as a shot tree with a sign if shots need to be added for the item and as a standard shot tree no sign if shots have already been selected for this invoice item If necessary enter or edit request notes for an imaging invoice item in its Exam Description field up to 64 characters Note If image shots have not been selected for the item then an Exam Description is required Repeat steps 3 4 as needed for each inv
95. t Defaults gt Imaging The Archive Images window appears 2 On the left click Email Email configuration options appear on the right Cornerstone 8 2 What s New 53 IDEXX Digital Radiography and Diagnostic Imaging IF Imaging Configuration Mm ag System Settings System Schulze DVM Corrin Archive Case Categories SMTP Server Name Dashboard DICOM Services SMTP Port Ex Tr BEAS 25 Enable SSL Modality Layout SMTP User Name Export P SMTP Password Formats Global Settings Imaging Keywords E mail Attachment File Type Monitor Preferences jpeg 2000 Presets Default Send E mail Address System Type Remote Consult Reply E mail Address eeano Apply ecran Click the tab with the staff member s name In the SMTP Server Name text box type the name of your email server In the SMTP User Name and SMTP Password text boxes type the information that Cornerstone needs to log into your email server 6 Inthe E mail Attachment File Type drop down menu select the type of file to use for sending images This default can be changed when emailing images 7 Inthe Default Send E mail Address text box type the address to be listed as the sender In the Reply E mail Address text box type the address to which the recipient should reply 9 Click Save to save and close the Imaging Configuration window or click Apply to save without closing the window To set up the system level Digital Imaging email accou
96. t All Payments Peres Hooch Med Notes Canine Retriever Golden Male Total Patients 9 gg Canine Poodle Mix Male x Active Patients 8 Patient information BASE RI A Status Active ID 15295 Inpatient Name Ima Class Pet Owner R NIR Referred 0 clients Class Breeding Pet Sex Male Referred by 5325 Katie Jacks Birthdate 4 30 2008 Breed Poodle Mix 3 Yrs 2 Mos Color Black 24 8 pounds Markings Home Practice 1 Ward Cage Full Size View 5 26 2011 cs Rows 2 to 2 of 2 Date Staff Expanded History SOAP recheck on right ear TENTATIVE SUBJECTIVE still getting a significant bit of debris out of the ear She states he is eating well still taking medications daily as previously prescribed a OBJECTIVE bar mild yellow debris in right ear dental tartar myasthenia gravis ASSESSMENT myasthenia gravis stable under therapy mild otitis right ear under therapy DIAGNOSIS Otitis Externa Myasthenia Gravis PLAN Completed physical exam recheck right ear Recommend switch pt to TrizEDTA ear cleaner and refill B aytril Client to clean ears with TrizEDTA ear cleaner as regular cleaning while under therapy and treat with 4 5 drops of baytril daily for one week and recheck ear Demonstrated to client in the room how to clean the ears with a wet cotton ball and massage Told client not to use g tips to clean ears Recommend slow massaging motion upward to help loosen and lift the debris from the lo
97. t Frequencies Options for Every Day and Every X Days 6 Invoice Item Information Window Whiteboard Tab for Setting Patient Order Item Defaults 7 Overview of Fields on the Whiteboard TaD azza30smAisi is 8 Invoice Item Setup Tool s Whiteboard Tab Setting Patient Order Defaults for Multiple Items s on 9 Electronic Whiteboard Windows Include Secondary Reason for Visit 0000000000 000 11 USE eoar nn 11 PETE GIST Se VIC OWN ee E EEE RN TS STR E NI RT 11 Whiteboard Maini Grid VON RNA N 14 Pater CONRAN SCHL ONIONS FE RE EE EAE 14 Go to Now Button Quickly Resets Grid to Current Hour 15 SNOS SiG ECON MEDO AIS basa a aa Rf 15 SS 25 nvananenssexauansasesensaarsnenninsnieeitesseaetavsiaueiannsensianneavetesuisveiasbiansaes aia inaaasahan 16 Detailed Patient Treatment Blocks ccccccccssssssscccecceneeeececseaseseaseeeeseeaeseaeeseesseaeneaseseesseauaeaesesseesauanssseeees 17 Expanded Hours for Whiteboard Column Display oi ieee 18 ELS OLE aaa a AA SA A ra 19 Patient Treatments WiIndOw cccccccccccccccccsseeeceeeeeeeaeeeeeeeeeeeaeeeeeeeeeeeaseeaeeeeeeeeaeeeaseeeessaaeeeaseseessaauaaasseeeseaaenansss 21 Texto Iy Medical NOLES pr a 23 T N EEEE AEA EEEE nad 23 Text Only vs Enhanced Medical Notes Feature Comparison Table 24 Cornerstone Editor Features and Limitations in Text Only Mode ou rss 25 OLE e EE E AEE 25 Setting Up a Text Only TEMPLATE saa tanadaiA sd 25 Designating the Text
98. tandard shot tree amp no sign if shots have already been selected for this invoice item 4 Use the buttons on the Image Requests and Results window to perform any of the following tasks Note The New Update and Delete button tasks can also be selected by right clicking an image request line and selecting the task from the pop up menu e o create a new image request click New and create the request using the options on the New Image Request dialog box e Jo update an image request with a status of Requested Partial or Not Requested select the request and click Update Depending on the status of the request different updating options are available e lo delete an image request with a status of Requested select the request and click Delete e To view images for a request with a status of Completed Partial or Not Requested select the request and click View Images The image or images associated with the request open in the Image Viewer e To capture images for a request with a status of Requested or Partial select the request and click Capture Images Note The Capture Images button is enabled only when using an IDEXX DR or IDEXX CR capture workstation e Toview the most current information in the Image Requests list click Refresh 5 When you are finished click Close Image Request Special Action Item Report The new Image Request Special Action Item Report in Cornerstone 8 2 provides a listing of service type
99. th the series to which the selected images belong e Select Study to create a case with the study to which the selected images belong Click Select The Case Detail window appears If the Case Information pane is not open click Expand gt gt In the Case Title text box tyoe a name for this case In the Staff User drop down list select the staff member or Cornerstone software user associated with this case wD A 8 Inthe Case Categories list select a category that you want to assign to this case If you want to select more than one category hold down the CTRL key while you select the categories you want Note You can select case categories when using the Advanced Search tab on the Image Explorer Window Cornerstone 8 2 What s New 31 9 Cornerstone Imaging If you do not want to do anything else with this case click Save and Exit If you want to do a case action follow the instructions later in this section To create a case from the Image Viewer 1 A g 10 To select the image that you want to use to create a case click the image thumbnail in the thumbnail pane so that a red border is displayed around the thumbnail Note When viewing dental images in template mode you can select images in either the template pane or the overflow pane Right click the thumbnail and select Send to from the menu In the Select Action area of the Select Images dialog box select New Case Do the following e Select Image t
100. than the Designated Medical Note Quick Text Document Note This section applies when wanting to add a text only medical note other than the one designated as the default Medical Note Quick Text document For a Quick Text document simply right click on the patient on the Patient Clipboard and select Medical Note Quick Text To create a text only medical note or text only correspondence document for a patient 1 On the Patient Clipboard right click on a patient name in the Patient list area and select Medical Note or Correspondence On the Start New Document window complete the Client ID Patient ID and Staff ID fields as necessary press F2 or double click to select an ID from a list and press TAB to proceed to the next field In the Find template area at the top of the window narrow the list of templates to text only templates by selecting the Medical Note text only check box and or the Correspondence text only check box Clear all other template tyoe check boxes I Start New Document Joe New client patient document Client ID Kimberly Adams Patient ID Barksalot Staff ID CS Corrin Schulze DVM Merge from file Find Template Title or ID Category lt All Categories d Medical Note Medical Note text only Favorites All Templates E Correspondence C Correspondence text only C Print Only Title Category Type ID Quick Text Blank 1 Exams Routine Medical Note Text Only 1776 Sample Quick Text
101. ther typing the ID or pressing F2 to search for and select the item from the Invoice Item List Note To delete an item from the grid click in the item s Item ID field and press CTRL D 4 If necessary change the price for the item in the Amount field Note You may not be allowed to change the item s pricing based on the Allow change setting for this item on the Invoice Item Information window s Info tab If changes are allowed you may be required to select a price change reason 5 Inthe Center field type the revenue center ID or press F2 to search for and select from the Revenue Center List 6 To add image shots for the item click its Shot Selection E icon and specify the image shots to be captured for this item See Selecting Image Shots on the Shot Selection Dialog Box on page 61 for more information on selecting image shots Note If the invoice item has an Image Request special action associated with it the image shot defaults and exam description defined for the special action will be selected by default 7 lf desired enter capture notes for the item in its Exam Description field up to 64 characters Note If image shots have not been selected for the item then an Exam Description is required 8 Repeat steps 3 7 until all imaging invoice items that apply to the patient are selected 9 When you are finished click OK Each invoice item line is added to the Image Request and Results window as Its own separate
102. tments visit Duration Sato p Date Time Days Hrs Area Staff Class I LJ 0970142011 12 00 PM 0 OLAB Technician gt CBC IDE In House 1 001 line each time Diagnostics One time Notrequred 09 01 2011 12 00 PM 0 0 LAB Technician GHP General Health Profile labwork 1 001 line each time Diagnostics One time Notrequred 09 01 2011 12 00 PM 0 OLAB Technician Urine Culture S ensitivity IDEX lt Ref Lab 1 001 line each time Diagnostics One time Notrequired 09 01 2011 12 00PM 0 0 LAB Technician Column for Sm Cystogram ABD Lat 1 001 line each time Diagnostics One time Notrequred O O 09 01 2011 12 00PM 0 ORadiology Technician numbering Sm Cystogram ABD VD 1 001 line each time Diagnostics Onetime Notrequied C 09 01 2011 1200PM O ORadiology Technician patient Hospitalization per day 1 001 line each time Treatments Every 24 hrs Not required O CO 09 01 2011 12 00 PM 0 0 Hospitalized Si Veterinarian treatment Baytril tablet 68mg 1 001 line each time Treatments BID 2x per day Not required C 09 01 2011 12 00PM 0 0 Hospitalized Si Technician orders LY Catheter Placement 1 001 line each time Treatments Until Completec Not required M C 09 01 2011 12 00PM 0 0 Hospitalized Si Technician IV Set Cath amp Fluids 500 ml Reqwhencom O C 09 01 2011 12 00 PM
103. uest status area O O Requested items are radiographs for which images have not yet been captured Completed items are requested radiographs that have been captured Note If an image request does not have any default image shots assigned the request is considered Complete if any shots are captured for the request Note If you have filtering options set to display Completed items with the Last modified timeframe set to All the image request list will display Completed items for only the last 31 days Partial items are image requests where some of the radiographs have been completed and some have not Not Requested items are additional radiographs that been taken but are not part of an image request If you want to narrow the list of image requests displayed to only view requests assigned to a particular staff member select the staff from the Staff drop down list in the Other area default is All Staff If you want to verify the image shots that have been selected for a request click the request s Shot Selection icon to open the Shot Selection dialog box in view only mode Any image shots previously assigned to the request will be selected in the shot tree To change the shots selected for this request you must update the request Cornerstone 8 2 What s New 62 IDEXX SmartLink Digital Imaging Note The Shot Selection icon displays as a shot tree with a sign E if shots need to be added for the item and as a s
104. uest that is created without the use of a special action Options include o No default staff No default staff will be associated with the image request requiring you to select a staff at the time the request Is created o Last staff used on workstation Uses the last staff member who performed an image request on that workstation o Specific staff Designate a specific staff member by typing the staff ID or pressing F2 to search for and select a staff member from the Staff List e Default invoice item class Allows you to specify a default classification e g Radiology to narrow the list of items displayed when creating an image request This allows you to filter out non imaging invoice items and speed up the search process Setting Up an Invoice Item to Initiate the Image Request Special Action A special action is an option you can set up for an invoice item so that use of the item on the Patient Visit List PVL or invoice will automatically prompt Cornerstone to perform a certain action With the new Image Request special action available in Cornerstone 8 2 invoice Items set up to initiate the Image Request special action will activate the New Image Request dialog box when the item is added to the Patient Visit List PVL or invoice for a patient The Image Request special action can be set up for an item on the Invoice Item Information window s Spec Actions tab Cornerstone 8 2 What s New 56 IDEXX SmartLink Digital I
105. voice item o Q Only staff with security permissions may edit Only those staff members with Whiteboard Orders Override security permissions in Cornerstone are allowed to edit overwrite the default value for this field on the Patient Orders window Note If a field s default value is set to lt Blank gt on the Whiteboard setup tab and therefore appears blank on the Patient Orders window all staff with Patient Orders permissions are allowed to enter or select a value for this field regardless of whether they have been granted Whiteboard Orders Override security permissions in Cornerstone To set up patient order item defaults and change rules on the Whiteboard tab 1 In the Invoice Item List Lists gt Invoice Item double click the desired invoice item to update it 2 Click the Whiteboard tab Cornerstone 8 2 What s New 8 Electronic Whiteboard Select a Patient Order field in the list on the left to display its associated rules on the right Depending on the field type selected on the left a drop down list text box or check box may display on the right Specify the desired default value to use for this field in its associated column on the Patient Orders window If you want to require staff to enter or select the value at the time the item is added to the Patient Orders set the default value to lt Blank gt Set the When this default is changed and Editing permissions settings for this field See the Whiteboard ta
106. wer canal If pet s ear is better then decrease baytril to EOD for 2 weeks then every third day etc May even consider a pulse therapy strategy Staff CS h Go to Date Print History _ Hide Whiteboard Notes Hide voided items Note The Patient Clipboard graphic above shows an example of how the Color All Text option can be used to apply a single color to all text in a text only document in the editor and in patient history Text only medical note viewing options on the Patient Clipboard history tabs include e Text tab View the complete contents of the text only medical note inline in history e Medical Notes tab View the complete contents of the text only medical note inline in history e Summary tab View the text only medical note s Hx description inline in history or view the complete contents of the note in a pop up window by resting the mouse cursor over the note s history line Cornerstone 8 2 What s New 30 Cornerstone Imaging Quickly Archiving Images for Deceased or Inactive Patients An option has been added to the Archive Images window so that you can filter your search results to show only those patients who are inactive or deceased To filter for deceased or inactive patients when archiving 1 On the menu bar select Activities gt Imaging gt Archiving The Archive Images window appears 2 Select the Show only inactive deceased check box then e To search for all inactive and de
107. wser is a trademark or registered trademark of MoboTap Inc Acrobat Adobe and Reader are either registered trademarks or trademarks of Adobe System Incorporated in the United States and or other countries Accelerated Payment Technologies and X Charge are trademarks or registered trademarks of Accelerated Payment Technologies Inc All other product and company names and logos are trademarks or registered trademarks of their respective holders IDEXX Computer Systems Eau Claire Wisconsin 54703 USA idexx com cornerstone Click within the Contents listing below to go directly to a section or page BS sa snaa sr i l r ieadand a a A 1 RM ae a E E 1 FOOL ap a a a a R Binna 1 WU MES SSM SNC ERU ER FR vata tein a dete Me cette a eed da ada 1 FIGO VECO ANG assa da a 2 NE airs eee a a a annan ann AN anginn illa 2 E au i a nr e E 3 Hours to Show Option in Whiteboard DE AU Ske na alnafni 3 Whiteboard Sort Option in Workstation Defaults ssssssssnnnniiirrrnneettttttkkrr irinn nnne EEE EEEEEEEEEEEEEEEEEEE EEEE 4 Setting Up and Selecting Alerts to Display on the Whiteboard cc cccceccccccccccceeeeeeeeeesseeeeeeeeeeeeeeeeeeeeeeeseaenenaees 4 UM VO sita AEn LE ana E E E S 4 Patient Prompts Whiteboard Alert Option Added asteis tsiskiis bi J Patient Classifications Whiteboard Alert Option Added sssssssssssssssssssssssssnsennenennnnnnnnnnnennnnenennenenee nenene 6 Treatmen

What`s New in Cornerstone 8.2

Contents

Download Pdf Manuals

Related Search

Related Contents