SmartLink Reference Laboratories Guide
Contents
1. bee eens 3 DEXX orne one VOrK Work FIOW acoso 5 IDEXX Cornerstone Reference Laboratory Work FIOW cccccccccseeseeecececseesseeeceeesaeeseeeeesessueaseeeeeeessanaess 6 Step 1 Create a New Lab Request icicssisccnadaosdntsmsscsnmwnsasdnnsecbinentionnunenssunavava ew Giada Peas ra aaa da n en 7 Step 2 Print Lab Request Label and Place on Preprinted IDEXX Requisition Form 10 Step 3 Send the Sample to IDEXX Reference Laboratories for 10 Step 4 Automatically Download 11 VIEW SUES estera Ours SEN OU CS S Vinc 11 To View and Update Laboratory Requests Results from the Diagnostics Tab 19 Daily Step Check Lab Requests and Results Window nennen nnns 23 Other Reference Laboratory Tasks cccccccssssseecccecceesseecececcaeuseeeeeccsueusueceesessausueeeeesesauauseeeesssauaaesesesesaeas 24 Resources BEA Online IDEXX Cornerstone Customer Support Center 34 Common Troubleshooting Topics Causes and 35 Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 4 section 1 IDEXX Cornersto2. Patient ID 8002 Ben Neutered Male 5 Yrs 3 Mos K Owner Chris Brown McGilligan Canine Terrier Fox Smooth 14 4 pounds Cancel Status Posted m Completed Posted 5 7 2008 Wednesday 10 51 PM Fred Jones DYM Reassign ID 8002 IDE Reference Laboratory McGilligan Chris Brown Completed UA Microscopy 05 07 2008 McGilligan Lab 10 Completed UA Microscopy 05 07 2008 McGilligan Lab 11 Completed UA Microscopy 05 07 2008 BACTERIA MODERATE 9 40 l McGilligan Lab 12 Completed UA Microscopy 05 07 2008 BILIRUBIN NEGATIVE 1 McGilligan Lab 13 Completed UA Microscopy 05 07 2008 BLOOD TRACE H McGilligan Lab 14 Completed UA Microscopy 05 07 2008 CASTS NONE SEEN HPF McGilligan Lab 15 Completed UA Microscopy 05 07 2008 CLARITY CLOUDY McGilligan Lab 16 Completed UA Microscopy 05 07 2008 COLOR YELLOW McGilligan Lab 17 Completed UA Microscopy 05 07 2008 McGilligan Lab 18 Completed UA Microscopy 05 07 2008 McGilligan Lab 19 Completed UA Microscopy 05 07 2008 McGilligan Lab 20 Completed UA Microscopy 05 07 2008 McGilligan Lab 21 Completed UA Microscopy 05 07 2008 McGilligan Lab 3 Completed UA Microscopy 05 07 2008 McGilligan Lab 4 Completed UA Microscopy 05 07 2008 McGilligan Lab 5 Completed UA Microscopy 05 07 2008 McGilligan Lab 6 Completed UA Microscopy 05 07 2008 McGilligan Lab 7 Completed UA Microscopy 05 07 2008 CRYSTALS NONE SEEN HPF Step 3 The results will
3. 2 Inthe Patient list area click the green arrow button then move your cursor over the patients names to expand the Patient list Image Explorer 3 Select the patient Image Import DICOM 4 Inthe Patient File area select the Lab tab Image Request Invoice 5 Right click on the result Lab Request 6 Select View Detailed Lab Result View Cumulative Results Posted or View s Cumulative Results All Patient Visit List The View Cumulative Results options are available only if there are multiple results of xm the same type Cumulative results are shown below Problems Reminders Reservation Weight Next Lab Result F8 Previous Lab Result F7 View Detailed Lab Result View Cumulative Results Posted View Cumulative Results All This example compares the results for the Laboratory tests performed on 5 7 2010 and 6 17 2010 I Cumulative Lab Results for Jack Patient ID 8004 Jack Neutered Male 9 Yrs 2 Mos Feline Shorthair Domestic 8 6 pounds Reg ID 8004 8004 Time Run 6 17 2008 8 10 am 5 7 2008 8 09 am Staff Anne Carson DVM Anne Carson DYM Lab ID IDEXX IDE Status Posted Posted Client Chris Brown McGillig Chris Brown McGillig Comments Comments Optional You may graph the lab results To graph the test results select View Cumulative Results Posted or View Cumulative Results All Select the test names for the tests you want to graph
4. x Once all tests are added click OK 4dd on to Lab Request for Emma Patient information Patient ID 8507 Emma Spaved Female 11 Yrs 4 Mas k Owner Chris Brown Mchilligan Canine Spaniel Cocker blis 32 2 pounds _ Cancel Request details for requisition ID 8501 Spell Check Lab IDEs Reference Laboratory Requisition ID 8501 Staff amp nne Carson D ate time iy 05 2008 04 01 21 Drawn by ew Sample source Instructions Profiles tests Item ID Item Description Profile test Test List IL95 IDEM Electrolyte Panel 957 Electrolyte Panel 289 50 oe IDE HealthChek 1 HealthChek 46 50 6 Print the label and or tube label if applicable 7 Close the Add on to the Lab Request for patients name window C If the preliminary results are back the pending request cannot be changed If the results are final the request no longer appears on the Lab Requests and Results window In this case the veterinarian needs to call the lab ask for the additional profile find the request and use the Add on feature MODIFY A PENDING REQUEST You can modify a test request only if no part of the request has been completed and no results have been transmitted To modify a request Click and then double click the request 2 Make the necessary changes Patient information and some of the request details cannot be changed Note If the Cancel button is inactive the
5. 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 2012 IDEXX Laboratories Inc All rights reserved 06 29567 00 Cornerstone LabREXX Patient Clipboard SmartLink VetConnect vetconnect com and VetTest are trademarks or registered trademarks of IDEXX Laboratories Inc or its affiliates in the United States and or other countries All other product and company names and logos are trademarks of their respective holders IDEXX Computer Systems One IDEXX Drive Westbrook Maine 04092 USA idexx com cornerstone Introduction to the IDEXX SmartLink Reference Laboratory The purpose of this guide is to assist you in learning key skills and knowledge for IDEXX Reference Laboratory This training document will introduce you to the b
6. d This will launch the Reference Lab Interface IDEXX window that retrieves results from vetconnect com w Reference Lab Interface IDEXX Connecting to app vetconnect conm Retrieving results into C CStone RESULT S 16132622 Sending request Sent Hothiny to download STEP 5 VIEW RESULTS After your results have downloaded into Cornerstone you are ready to view the results Test results can be posted to patient records either automatically or manually Automatically post results recommended When a test result is returned to Cornerstone if the result can be matched to a pending request it is automatically posted and can be viewed in patient history You cannot reject results that are automatically posted but you can void results after posting Voided results remain in the patient s file e Manually post results then view When a test result is returned to Cornerstone it is displayed in the Lab Requests and Results window To add the result to the patient record you must manually change the result status to Posted It will then be shown on the Patient Clipboard You have the option to reject results instead of posting The following diagrams illustrate these options Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 11 AUTOMATICALLY POST RESULTS View results in the Patient File of the Patient Clipboard The results will automatically transfer into the patient s file if you
7. CHOL Potassium 4 97 mmol l 3 50 5 50 Sodium 150 1 mmol l 145 0 157 0 Manually entered Rows 1 to 1 of 4 At this point you may review the results graph cumulative results void results or reassign these results to another patient Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 12 MANUALLY POST RESULTS THEN VIEW View results in the Lab Requests and Results window before posting to the patient s medical record If you have chosen to view the results before posting to the patient file you will need to access the result from the Lab Request and Results window click Update and change the status to Posted Note If this result is not a valid result you do have an option to reject this laboratory result and NOT post it to the patient s file Pending requests V Orphan results No template Staff All Staff Completed results Not requested Rejected results Hide preliminary results e e Paent Paien Name Tene 3 Refresh CRAMER STACEY SEBASTIAN 5042 Orphan Chemistry INCLINIC 06 04 2004 DEL BALZO DENA MACK 5240 Drphan Chemistry INCLINIC 07 20 2004 Post Orphans OBLON JEFF DUKE 5249 Orphan Hematology INCLINIC 07 21 2004 Gray Tim and Amanda Pending INCLINIC 07 10 2004 Adams Gary amp Linda Pending Req INCLINIC 07 10 2004
8. e When the appropriate tests are selected highlighted click Line Graph and the test results graph will be displayed Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 15 To view the data point values move your mouse over a data point as shown below Lab Results Graph Patient information Patient ID 6004 Rogan Neutered Male ts O Mos Options Owner chris Brown Silverstein Feline Shorthair Domestico 8 5 pounds E 01052006 1 12PM Drz3 20086 10 71 54M 104 42006 5 04PM 11 02 2008 6 23PM Posted Posted Posted Posted ALB X ALEF ALT This graph does not depict actual result displayed in the database and is only for illustration purposes To print the graph click Print Close any open windows until you return to the Patient Clipboard To specify a date range to view click Options Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 16 7 To view the detailed result right click on the result and select Details 8 From the Detailed Lab Results for patient s name window view the detailed result IP Detailed Lab Results for Jack ees Patient ID 9004 Jack Neutered Male gre 2 Mos Owner Chris Brown Feline Shorthair Domestic 8 6 pounds 2008 Tuesday B 10 Anne Carson OM Heassign 0 9004 IDEs Reference Laboratory Frint ALB 3 3 g dL 25 40 OOO YOT MN X DTqge ALKP 392 H 10
9. provider for assistance The IDEXX Reference Laboratories connection is not If you have constant Internet access active or is not running properly l Double click the icon on the desktop to start the IDEXX Reference Laboratories interface Leave the connection running while Cornerstone is running Shut the interface down when Cornerstone software is not running If you connect to the Internet only to retrieve results 1 Make sure you are at the workstation used for downloading results and then dial the Internet service provider Double click the IDEXX Reference Laboratories icon on the desktop to start the download Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 36 Why are test prices incorrect Possible Causes The markup percentages are wrong for your See Setting the IDEXX Reference Laboratories SmartLink interface to IDEXX Reference Markup Percentage Laboratories The prices specified on individual invoice items are 1 Select List Invoice ltem Wrong Search for and select the invoice item you want to update Note For Cornerstone version 7 5 or earlier all 3 Click Update prices must be specified in invoice items On the Information tab change the price of the item in the Amount field and click OK Repeat to update other prices Click Close Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 37
10. 1 Require Requests Laboratory results Curent Meal z Ered iD Cae Depi are automatically matched to pending MESE era e 7 Pret using eh Sees muet requests Hex ri rem Ms annis kel E Use special actions Lets you create c paoa actions pT special actions that generate lab requests Commer units ule mM 2 Dirim coke e Wann manngi Ho Fog eadi weno e Warn in invoicing if Not Req results Cmte dete Pec m igen m j pcr PH 1 exist Displays a warning message at invoicing if a patient has not requested results Helps prevent missed lab charges Create LabREXX test request forms Lets you use bar coded LabREXX requisition forms Tips If you allow special actions for lab requests then do not select Hide request screen if special action Hiding the request screen will prevent you from reviewing the request form generated by the special action e f you prefer to post results manually select Review results before posting e Select Automatically update prices if you want to update Cornerstone reference laboratory prices whenever the LabREXX test list is updated Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 33 Section 2 Resources ONLINE IDEXX CORNERSTONE CUSTOMER SUPPORT CENTER The IDEXX Cornerstone Customer Support Ce
11. Adams Gary amp Linda 33 Pending Req 4 MI 70 Baker 5641 Pending Req 4 INCE Fredrica Jones Agnes L 5627 Pending Req 4 Jones Agnes L 5637 Pending Re gt rmm PP run poner m A 3 Resolve any outstanding orphan and or not requested results Procedural steps on resolving not requested results and resolving orphan results have been provided in the Other Reference Laboratory Tasks section 4 Close the Lab Requests and Results window Alternative Check on Daily Planner 1 Select Daily Planner gt Diagnostics tab to access the lab results 2 Use the Other Types to include filters and headings to customize and sort the results 3 Resolve any outstanding Orphan and or Not Requested results 4 Close the Daily Planner window Date range for posted results Other types to include E Saturday Wednesday Pending requests Orphan results No template T t g 4 Une 4 4 10 27 2010 D wj v Completed results v Notrequested Rejected results Hide preliminary results PaleniD Patient Name LabD Dae Call Bag Owner Name Reg ID Template Staff ID Date 6014 Grayson INCLINIC Completed 07 20 2006 Silverstein Lab 4 6511 Chemistry 1 135 Tequila INCLINIC Not 06 12 2004 Marvin Tony 5082 Chemistry 1 179 Ollie INCLINIC Not Reg 06 16 2004 King C
12. Ben McGilligan Lab 21 6616 07 q dl Ben McGilligan Lab 3 McGilligan Lab 4 reference laboratories Companion Animal gt Reference Laboratories Step 4 Automatically download results ing IDEXX SmartLink Technology automatic download of test results into your electronic patient recs amp 5 reliable accurate results link to IDEXX Cornerstone Save time by eliminating three or more steps required by other links Always have the information you need at hand ensure complete pa records without having to manually enter test results into files Increase pet owner compliance by showing printouts of their pets test re with your comments added 2 Using www VetConnect com VetConnect com Computer Links and Lab Reports We have years of experience providing and constantly improving Internet access to laboratory results Our site and computer software links are proven easier to use than other links and provide more information faster VetConnect com a free Internet portal to your patients results anytime anywhere 3 View Lab Results Log to verify results have been downloaded Lab Results Log __DateReceived Patient ID Pa entName OwnerName Ord Nbr Template 5 2006 02 17 54 PM Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 6 STEP 1 CREATE A NEW LAB REQUEST Overview of methods Cre
13. Lab Work gt Manually Enter Lab Results Type the patient ID in the Patient ID field You may press F2 to search Verify the correct owner displays in the Owner field If not select the correct owner from the list Select the lab for which you want to enter the results Select the staff member who is entering the lab results oo eS X9 Tw Verify the correct date and time If you need to change the date and or time place your cursor in the field and type the correct date and time 7 Select the Template for which you want to enter the results Ly You can create a custom template if necessary 8 Enter the results by filling in the following fields Ope rator Manually Enter Lab Results for Emma Patient information Value Patient ID 9501 Emma Spayed Female 11 frs 4 Mos as e Units Owner Chris Brown Canine Spaniel Cocker Mix 32 2 pounds Cancel H Ig h Low Lab results Low Value Lab JIDEXX IDER Reference Laboratory D ate time 08 05 2008 08 55 06 PI High Value Staff Janne Carson DVM Template Chemistry if default ranges do not gt per vae Ui Lowvake display after entering results they have not been set up If the patient falls into one of the Lab Age Groups set ae up on the system the units low values and high values entered will be saved as defaults 9 To add any applicable notes to the test result click Comments
14. Lab field select the lab 5 From the Staff list select the staff member who will get credit for the lab work 6 Optional Modify the date and time of the request in the Date time field Helga information T Optional In the Drawn by field if Patient ID ge Emma Spayed Female 11 Yrs 4 Mos applicable type the initials of the staff Owner Chris Brown McGiligan Canine Spaniel Cocker 32 2 pounds Cancel Request details ell Chec memper wng w COLEGI me POE Lab DEX x IDEX Reference Laboratory Requisition ID B50 EL 8 Optional In the Sample source field type Staff Anne Carson DVM 9 05 2308 060121 PM 6 the area and type of collection Drawn by RW 7 Semple source 9 Optional In the Instructions area type any staff instructions for the sample Oe 10 Select the profile tests to be completed by 1892 doing one of the following TestList_ EI a Click in the Item ID box and press F2 All profiles that have invoice items linked are displayed Double click a profile to select it b Click the Test List button All profiles are displayed Search for and select the test you want click Next and then click Finished If you selected a profile that doesn t have an invoice item ID assigned Cornerstone will create a new invoice item ID Unless you have disabled this feature 11 On the New Lab Request window click OK The Print Lab Request window appears Corners
15. or click Close to not print and close the window C You can change the number of copies you want to print on this window C Once the lab request has been processed the charge is sent to the Patient Visit List When you finish with the printing options you are returned to the Patient Visit List Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 9 C If additional labs are added to the Patient Visit List they will appear on the same lab request for the patient 12 Click OK once all items are entered on the Patient Visit List You can view your request on the Lab Requests and Results window STEP 2 PRINT LAB REQUEST LABEL AND PLACE ON PREPRINTED IDEXX REQUISITION FORM After you make the lab request in Cornerstone your lab request will print automatically or you ll receive a window for selecting print options Collect the sample according to the diagnostic test this process may vary based on the diagnostic test you are running An example of sample collection training can be found at idexxlearningcenter com See Section 3 Sample Collection in the IDEXX VetTest Certification manually Tube Label C 8002 8002 McGilligan Chris Brown Ben CAN 5 Yrs 0 Mos 7 31 2008 09 39am Req ID 8002 1 STEP 3 SEND THE SAMPLE TO IDEXX REFERENCE LABORATORIES FOR ANALYSIS After you collect the sample you re now ready to send your sample to IDEXX Reference Laboratories for analysis If you have a
16. post to the patient s file Ten atient Clipboard Client ID 8002 Chris Brown McGilligan Pet Owner Patient Balance Due 0 00 Cash Check CrCatc Patients Canine Terrier Fox Smooth Neutered Ma Search 987 654 3210 Cellular Active Canine Spaniel Cocker Spayed Fem 2 E Name Chris Brown McGilligan Active 8002 Addr 1 326 Amanda Drive Pet Owner Ben Status Active Addr 2 Class Family Pet Sex Neutered Male City Eau Claire Birthdate 7 12 2003 Breed Terrier Fox Smooth State Wl Postal Code 54703 5 Yrs 3 Mos Color Brown Black whit Weight 14 4 pounds Markings Ward Cage At this point you may review the results graph cumulative results void results or reassign these results to another patient Email McGilligan McGilligan com Referred by Yellow Pages Referred 0 clients Summary Text Problems Diagnosis Prescriptions MedicalNotes Lab Weights Full Size View Expanded History Find 7 27 2005 Chemistry results from Lab IDEXX VetLab In clinic Laboratory Requisition 0 Posted Final Find Next Test Result Reference Range Chloride 112 3 mmol l 105 0 119 0 CHOL Potessium 4 97 mmol l 3 50 5 50 Sodium 150 1 mmol l 145 0 157 0 Manually entered Rows 1 to 1 of 4 Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 13 To Manually Post Results to
17. 150 C o Y T T E F ALT 71 UAL 5 107 __ E ANION GAP 24 mEq L 12 24 1 aM AST 23 UAL 5 55 OCO T M T BICARB 18 mEq L 17 24 BUN UREA 18 mg dL 7 27 l1 Overall 1800594 SSL HE 281 HEMOLY LY From the Detailed Lab Results for patient s name window you can print void and reassign the test results Procedural steps on voiding results have been provided in the Other Reference Laboratory Tasks section Em _ Posted 37 Heassign Voided results are hidden in the patient history Clear the Hide Voided Items check box on the Patient Clipboard to view them VIEWING RESULTS WITH VETCONNECT PLUS Starting with version 8 3 Cornerstone includes optional access to VetConnect PLUS a powerful web based tool that lets you view and compare IDEXX in house diagnostics and IDEXX Reference Laboratories data side by side VetConnect PLUS works within the standard Cornerstone workflow for viewing results and has an enhanced format for viewing comparing and graphing result data You can also visit vetconnectplus com to view your results in a browser Here s an example of a VetConnect PLUS tab Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 17 VelConnect PLUS Lab Results Repot Lab 2 JF BILE JAKI SABINE APA 18 gt i r Lr alni xj I NOW 13 11 12 2018 Cedar
18. ERN Vert ab Laborsios Az MO Ll IDE results from IDES Vet ab Labor T 1 BF Vests lat results Proce Ls IDES Vest sb Laboratory APO results from Li IDEAA Viet breiro Laboralnes Azo 1 BF Ds sna hom Lab IDE ab leche Later Fewer 11 to 15 ol 3 z c To undo the void action repeat the steps above but select Posted from the Status field RESOLVE NOT REQUESTED RESULTS A not requested result occurs when tests listed on a pending request in Cornerstone do not match the tests run by the IDEXX Reference Laboratories tests that were not on the original pending request will transfer as not requested From the Lab Requests and Results window select the not requested lab result you want to resolve Click Update Select to either bill or not bill the client Select Bill this client if you want to bill the client If you select to bill the client you will be prompted to enter the invoice item that corresponds to the tests completed e Select Do not bill this client if the client is not to be billed Select the Staff member who requested the test 5 Enter the invoice item ID and revenue center if applicable Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 29 Not Requested Lab Work for Bud r Patient information Patient ID 1067 Bud Neutered Mal
19. IDEXX VetLab Station 2 open a result right click it and select Open C The IDEXX Message Center button appears in red and black when new messages and or lab results have been added since the last time you looked at the message center VIEWING RESULTS USING VETCONNECT COM Results can be viewed on vetconnect com whether they were requested in Cornerstone or on vetconnect com C If you are a VetConnect PLUS user you will see your results in a format similar to that described in Viewing Results with VetConnect PLUS above If you do not use VetConnect PLUS use the steps below to view your results online Open an Internet browser In the address bar type vetconnect com Press Enter owe Iw ox In the Member Login area type your practice User Name and Password C This information is not available to IDEXX Cornerstone Software Support You can use the email link or call VetConnect Client Services found on their website This may take up to 24 hours Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 20 5 Click Enter VetConnect This will take you to your practice s vetconnect com Home page IDEXX VetConnect IDEXX VetConnect helps veterinary practices deliver the highest possible quality of care by providing timely IDEXX Reference Laboratory results online Membership is free Password Enter VetConnect By entering this site you agreeing to VetConnect s Terms of Se
20. Mersed IKK Reference abnrabnrees 2 ELE gi 1 2 11 EX g1 13 2011 B aen Lael Updated Shi Details A 6 22 Hematocrit 47 m 55 1 15 4 1 19 4 HCY an 1 HCH 24 7 L 6 0 Wir Ba 8 45 amp n 53 Lymphocyte 29 35 Hon ate il i Using VetConnect PLUS you can e View the latest IDEXX test results in an enhanced and interactive window as soon as they are sent from the IDEXX Reference Laboratories or from your in house analyzers e See the complete history of a patient s known IDEXX test results Compare results from IDEXX Reference Laboratories and IDEXX VetLab Station tests side by side To do so you must activate VetConnect PLUS on IDEXX VetLab Station e Graph and view trends for IDEXX test results with the click of a button TO USE VETCONNECT PLUS FROM THE IDEXX LAB REPORT 1 In the Cornerstone software open the patient record and then use your preferred method to open an IDEXX Lab Report that contains the test results you want to see for example double click an IDEXX Lab Report on the Summary tab in the Patient Clipboard The Detailed Lab Result Set window opens 2 Select the VetConnect PLUS tab See the Cornerstone User s Manual or online help for more information about using VetConnect PLUS features 3 When finished close the results window Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 18 TO VIEW AND U
21. PDATE LABORATORY REQUESTS RESULTS FROM THE DIAGNOSTICS TAB From the Daily Planner select the applicable staff Click the Diagnostics tab Select the Posted results check box and select a date range In the Other types to include area select the check boxes for the types of requests and results you want to view Right click a request or result Depending the laboratory type callback status the following options may be available e Select Update Lab Request to open and update a pending laboratory request Click the magnifying glass icon to view the requested tests e Select Update Lab Result to open and update a recently received laboratory result e Select Update Call Back to open the Patient Reminders window and update an open or pending callback e Select Patient Clipboard to open the patient s record in the Patient Clipboard Select New Lab Request to open the New Lab Request window to enter a laboratory request Viewing the Cornerstone Lab Results Log I Daily Planner Bax Staff information hh Mark J Fiala View for all staff Correspondence Patient Visit List Invoices Exams Appointments Call Backs Diagnostics Checked In Medical Notes v Posted results Other types to include Thursday Thursday v Pending requests v Orphan results No template 4 07 22 2010 B m 07 29 2010 Compl
22. Q Be sure that the following setup tasks have been completed before you manually enter lab results 1 Setup any templates you want to use for manually entering lab results Activities gt Lab Work gt Templates then click New 2 Setup lab age groups for any species for which you ll be manually entering lab results Lists gt Species then select a species click Update and click Lab Age Grps 3 Setup default test ranges Activities gt Lab Work gt Default Test Ranges then fill in the Default Test Ranges dialog box click OK and repeat for additional test ranges This step can only be completed after steps 1 and 2 Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 26 ADD ON TO A LAB REQUEST This feature is useful when a sample has already been sent to an IDEXX Reference Laboratories and the veterinarian wants to request an additional profile to be run on the same sample The practice still needs to call the lab and ask for the additional profile to be run C The profile must be added to an existing requisition ID Patient information and previously requested tests cannot be changed From the Activities menu select Lab Work Add on to a Lab Request Type the patient ID in the ID field and press TAB Or press F2 to search Highlight the pending request and click Select Add the additional tests requested You may press F2 in the Item ID box to search the Profile test Item List PE s
23. alvin amp Daphne 5106 Hematology 1 d 114 Suzy INCLINIC Not Req 06 24 2004 Adams Belinda 5133 Chemistry 1 INCLINIC Orphan 06 04 2004 CRAMER STACEY SEBASTIAN 5042 Chemistry QUE a us mS gms pm Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 23 OTHER REFERENCE LABORATORY TASKS There are other tasks related to IDEXX Reference Laboratories that you may need to reference occasionally these topics include e Manually create request e View profiles Create a new profile e Manually enter lab results e Add onto a lab request e Resolve not requested results e Resolve orphan results e Reprint LabREXX form request form label and or tube label MANUALLY CREATE REQUEST This section covers an alternative method of creating a request which creates a new lab manually request by accessing the New Lab Request window from the Patient Clipboard 1 To begin from the Patient Clipboard a Inthe Client ID field enter the client ID and press TAB b If Client Alerts or Patient Alerts appear address the alerts and click OK c From the Patient list area right click on the patient s name for whom you will create a lab request d Select Lab Request e Continue with step 5 To begin from the Lab Requests and Results window in the toolbar click E and continue with step 5 2 3 To begin from the Daily Planner right click in the work area and select New Lab Request 4 Inthe
24. asic procedural steps using activities Note If you are located in Canada see DEXX Cornerstone Guide IDEXX Canada East West Reference Laboratory This guide is best suited to these learners in your practice Technicians Practice managers Owners decision makers PREREQUISITES The current version of the IDEXX Cornerstone Practice Management System installed at the practice Knowledge of basic Cornerstone navigation Access rights with appropriate laboratory security Setup and customization of Reference Laboratory Consult your laboratory specialist for configuration setup and work flow changes Call 1 800 695 2877 and select Cornerstone then Cornerstone Lab Support GUIDE CONTENT The guide covers these topics and tasks IDEXX Cornerstone Reference Library Workflow Other Tasks Support and Troubleshooting Information this training there are references to useful information These icons will help you identify this information Tips enhance the basic information covered in the content Notes provide additional information about a step or a procedure Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 3 IDEXX Cornerstone 8 3 Guide Reference Laboratory with IDEXX SmartLink Technology Table of Contents Introduction to the IDEXX SmartLink Reference Laboratory 3 BUT M ES saves ence Tm 3 Gude RTT TRU ee ne
25. ating lab requests is an essential part of utilizing the integrated practice concepts and improving the efficiency and effectiveness of your practice s laboratory There are several methods to create a new lab request On this page and the next the methods of creating a lab request are summarized and key advantages and disadvantages are listed Preferred method Use the Patient Visit List or use the invoice with special actions to create a new lab request Because some information is automatically filled in on the request this method requires fewer key strokes to create a new lab request There are four other advantages to starting from the Patient Visit List Changes or deletions made to a pending lab request also occur on the Patient Visit List e f using patient pictures you can ensure you are using the correct patient file You can view collective charges for the patient being treated This method is detailed on the following pages Manual methods You can also create a request manually starting from a number of different windows in Cornerstone Details of these methods are in the Other Reference Laboratory Tasks section later in this guide Patient Clipboard Using the Patient Clipboard with a client account listed right click on a patient s name and select Lab Request There are four advantages with starting from the Patient Clipboard e Changes or deletions made to a pending lab request also occur on the Patien
26. e B Yrs 9 Mos Owner n Anthony Canine Retriever Golden 90 pounds 3 Billing information Preview Bits ced G ste jeer Do not bill this client 5 InvoiceitemID _ Bees Revenue center work information Patient ANTHONY BUD Species C Laboratory IDEXX Reference Laboratory Req ID 1057 Template Hematology Date time of run 7 14 2007 05 03 00 Tests BLOOD TYPE 6 Click OK Lh You can also preview the results and or reassign the result to another patient on this window 7 To post the results follow the To Manually Post Results to the Patient File instructions RESOLVE ORPHAN RESULTS Orphan results occur when the client and or patient information on results received from the lab does not match client patient information in Cornerstone OR if the practice uses electronic requests and no request can be found in Cornerstone for the lab results that transfer Orphan results need to be assigned to the correct patient Once the patient is assigned the results are converted to a completed result or are posted directly to the patient file depending on how the system defaults are set It is possible to view the details of preliminary orphan lab results with use of the Preview button From the Lab Requests and Results window select the orphan result you want to resolve Click Update Type the Patient ID in the Patient ID field You may press F2 to search Verify the correct
27. e label Close to close the window without printing anything Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 8 CREATE A NEW LAB REQUEST FROM THE PATIENT VISIT LIST Prerequisites e Make sure Hide request screen if special action is not selected under Activities gt Lab Work gt Laboratories Invoice item has a special action of Lab Request immediately upon Patient Visit List Invoice C Consult your lab specialist for configuration setup and work flow changes Call 1 800 695 2877 and select Cornerstone then Cornerstone Lab Support Patient Visit List Ben ID 8034 Ben Owner Chris Brown MeGiligar v 0 Bits 4 Mos 14 4 pour Creckt code Cash Check Cr Card Cancel 2 Fox Smooth Neutered Male Payment d Desctiption Gy Amount Disc stat Due lg Puio gt 2208 IDEXX Calcium 100 2650 No 1 09 01 2008 gt m NETT cae Se ee ats aem From the Patient Visit List with the client and patient displayed to create a new lab request 1 Open a Patient Visit List for the patient 2 Type the item 10 in the Item ID field for the laboratory tests to perform The New Lab Request window will open and the ID you entered on the previous step will automatically be entered In the Lab field select the lab if necessary From the Staff list select the staff member who will get credit for the lab work Optio
28. e listed Select Post Orphans 3 the Post Orphans dialog box select a laboratory in the Lab ID drop down menu specify a date range and click OK Note It may take a few moments for Cornerstone to resolve the orphan results The software will resolve any orphan results that it can match based on patient ID or the combination of client name and patient name Resolved results will be posted to patient history but no new charges will be added to client accounts 4 the Lab Requests and Results window check to see if any orphan results from that time range remain on the list If so use the Resolve Orphan Requests instructions above REPRINT LABREXX FORM REQUEST FORM LABEL AND OR TUBE LABEL If for some reason you need to reprint your LabREXX form lost damaged soiled etc you can do so by following these simple steps C When reprinting the LabREXX form if additional information is required you will need to reenter that information Cornerstone does not remember the information previously entered 1 Select the Lab Requests and Result toolbar button to access the Lab Requests and Results window 2 Select the pending request for which you want to reprint the LabREXX form Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 31 Click Update If Client Alerts or Patient Alerts display read the messages and click OK 5 Click OK to access the Print Lab Request Requisition ID window C The Validat
29. e methods above because you could not find a test code in the Cornerstone test list you may need to download the most recent list of tests See Updating the Directory of Services Your practice called Laboratory Customer Support to Follow the steps in this guide for Resolving Orphan have results resent but the pending request no longer Results or Resolving Not Requested Results exists in Cornerstone Cornerstone must have a pending request to match with the results It is important to determine why the pending request no longer exists so you can take appropriate action For example if the original result was downloaded successfully then the status of the request was changed to completed Or someone may have inadvertently deleted the pending request Multiple pending requests were created for the same Follow the steps in this guide for Resolving Orphan patient When the results come into Cornerstone Results or Resolving Not Requested Results the software did not know which pending request to match This is only applicable for earlier versions of Cornerstone version 7 5 or earlier One or more profiles is incorrect Consult your lab specialist for assistance with troubleshooting profiles Call 1 800 695 2877 and select Cornerstone then Cornerstone Lab Support Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 35 Why getting orphan and or not requested test results Possible Causes Yo
30. eted results v Mat requested v Rejected results Hide preliminary results LabID Dae Call Backs Owner Mame Reg lD Template StaffiD Status Date StafflD 20 zen 1 IMCLINIE Pending e 07 23 2010 Brown Roland 1 9056 Kingsley IDEs Completed Offa 2010 Pattington Brad and Sheri a056 Hematology 3 9052 Eli 1 IDE Posted OF 23 2010 Completed 07728710 1 Biddgatdar Aaj a052 Hematology 3 8060 Billy ID EROS Completed OF 23 2010 Maddison Hannah 060 Hematology 3 9049 Fhinneaus IDER Completed OF 23 2010 Completed OF2910 1 Brigsby Graham 9049 Chemistry 3 9052 Eli ID EROS Completed 07232010 Pending 07 260 1 Biddgatdar 905 Chemistry 3 9020 Jack ID EROS Completed OF 23 2010 McGilligan Mikel 9020 Hematology 3 If you aren t finding your results in the Lab Requests and Results window or the patient file it may be helpful to view the Cornerstone Lab Results Log to verify that you are receiving results overall Whenever a new lab result is imported into Cornerstone an entry is written to the Lab Results Log This log allows staff to see when a new result is back from the laboratory as well as any preliminary results The log may be sorted by clicking on the column headings This screen automatically refreshes every five minutes Use the Refresh button to update information immediately The most current result will default to the top of the window and only has viewi
31. have chosen not to view the results before posting Access the patient s file to view the results Warning If you select this option you will not have the option to reject a result You do have the option to void a result in the patient s history voided results remain in the patient s file but are hidden in the patient s history F McGilligan Chris Brown Patient Clipboard Client ID 8002 Chris Brown McGilligan Pet Owner Patient Balance Due 0 00 Cash Check Cr Patients Canine Terrier Fox Smooth Neutered Ma Search 987 654 3210 Cellular Activa Patents Canine Spaniel Cocker Spayed Fem s s m d AE sw G d 39 an E A EL D 2 Name Chris Brown McGilligan Active ID 8002 Addr 1 326 Amanda Drive Pet Owner Name Ben Status Active Addr 2 Class Family Pet Sex Neutered Male City Eau Claire Birthdate 7 12 2003 Breed Terrier Fox Smooth State Wl Postal Code 54703 5 Yrs 3 Mos Color Brown Black whitr Weight 14 4 pounds Markings Email McGilligan McGilligan com mai iligan M cGilligan co Referred by Yellow Pages Referred 0 clients Summary Text Problems Diagnosis Prescriptions MedicalNotes Lab Weights Full Size View Expanded History a gl Chemistry results from Lab IDEXX VetLab In clinic Laboratory E Requisition ID 0 Posted Final Find Next Test Result Reference Range Chloride 112 3 mmol l 105 0 119 0 Co Ta Date
32. ing against IDEXX Test List Please wait displays briefly Validating against IDEXX Test List Please wait 6 Select the reprint item and number of copies and then click Print LY You can also reprint labels and tube labels from this window 7 Close the Lab Requests and Results window Setting the IDEXX Reference Laboratories Markup Percentage You can specify a markup percentage for IDEXX Reference Laboratories tests After you download the Directory of Services update your Cornerstone prices for the tests will be multiplied by the markup percentage This option is available in Cornerstone 7 6 or later To enable automatic markup Select Activities Lab Work Laboratories and then select the IDEXX Reference Laboratory ID Click Update In the IDEXX LabREXX area select Automatically update prices Enter the markup percentage Click OK te Iw x To apply different markup percentages to different groups of tests IMPORTANT Always apply the markup percentages in order of highest percentage to lowest percentage Select Activities Lab Work Update Lab Item Prices The Lab Item Price Update window opens 2 Make sure Allow prices to go down is not selected w CTRL click to select all the tests that you do not want to change to the new highest markup percentage and then press CTRL D to temporarily delete these items from the list Enter a new value in the Markup pct box and click OK You are asked whether t
33. n a result has already been returned and the request cannot be modified You can still add tests to the request using Activities gt Lab Work gt Add on to a Lab Request 3 Click OK Note Remember to update client billing if needed Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 27 DELETE A PENDING REQUEST If no results have been returned or the request was a duplicate or results don t match a pending request 1 Click al 2 Right click the request and select Delete If partial results have been returned 1 Click J find the request and then click the lookup button rel to display the Profiles on Order window 2 Select the line s to delete and click Delete IMPORTANT If a request is deleted and charges for the request are on the Patient Visit List the charges may be deleted depending on how the request was made REJECT OR VOID RESULTS If manual posting is enabled you can reject results instead of posting them If manual posting is not enabled you can void the posted results To reject a result 1 Click E and then double click the completed result to be rejected 2 Inthe Status drop down list select Rejected and click OK To see rejected results select the Rejected Results option at the top of the Lab Requests and Results window You can change the status of a rejected result to Posted at any time To void a posted result 1 On the Patient Clipboard type the client ID and p
34. nal Modify the date and time of the request in the Date time field Patient information 6 Optional In the Drawn by field If Patient ID em _ Spayed Female 11 Yrs 4 Mos applicable type the initials of the staff Owner Chris Brown McGilligan Canine Spaniel Cocker 32 2 pounds Cancel Request details ell Chec member me M Lab v IDEXX Reference Laboratory 10 85017 7 Optional the Sample source field type Staff Anne Carson DVM Date time 08 05 2008 04 01 21 PM 6 the area and type of collection Drawn by Kw 7 Sample source 8 Optional In the Instructions area type any staff instructions for the sample 9 9 Select the profile tests to be completed by doing one of the following a Click in the Item ID box and press F2 All profiles that have invoice items linked are displayed Double click a profile to select it b Click the Test List button All profiles are displayed Search for and select the test you want click Next and then click Finished If you selected a profile that doesn t have an invoice item ID assigned Cornerstone will create a new invoice item ID Unless you have disabled this feature 10 On the New Lab Request window click OK The Print Lab Request window appears 11 To print the form label or tube label click Print You also have the option to Preview
35. ne Reference Laboratory Work Flow WORK FLOW OVERVIEW By using the IDEXX Reference Laboratory you will see an increase in productivity a decrease in missed charges and a decrease in errors made during keyboard entry and writing of patient information Following is an overview of the Reference Laboratory work flow e Step 1 Create a new lab request e Step 2 Print a tube label and collect your sample e Step 3 Send the sample to IDEXX Reference Laboratories for analysis e Step 4 Automatically download results e Step 5 View results Other Reference Laboratory Tasks Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 5 IDEXX CORNERSTONE REFERENCE LABORATORY WORK FLOW Send sample s to IDEXX Reference Laboratories for analysis dE ss Wi 54703 v Tube Label and orm tim J 283 0306 Paan D Bp Ben Main 5 Yn 0 Mos Owar Chn Broom Mc digen oj Carne Tener Fon Seat 144 pounce 8002 1 bom Ad P 8002 Lat TESS DOK Redne Latoa Reisen BED McGilligan Chris Brown dupkc ae 00 b CAN 5 Yrs 0 Mos deii 7 31 2008 09 39am EN Req ID 8002 1 1013 Tota Heath 144850 7286 Lome Paantokap 501 Ovest 5 r 51 Gwde Avian note Create a new profile manually enter results add onto a lab request resolve orphan or not requested results and or re
36. nerstone then Cornerstone Lab Support 7 You must have account set up vetconnect com to do the following Lh Load must be performed at Server before loading the workstations Browse to the vetconnect com website 2 Enter the appropriate username and password Lh This information is not available to IDEXX Cornerstone Software Support On the vetconnect com Home page click the Lab Services tab 4 On the Links Tool Bar area click the Downloads link In the Directory of Services Update box click IDEXX Cornerstone Practice Management Software and click Download On the File Download window click Open or Run and the progress of the file download is displayed On the LabREXX Directory of Services window click Next When the update has completed click Finish on the LabREXX Directory of Services window en dm DX uM Repeat the above steps for each workstation on the network C With Cornerstone 7 5 or higher you may find some or all of your invoice items with an ID of IL and the IDEXX order number Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 25 MANUALLY ENTER LAB RESULTS This feature is available to all Cornerstone users to input test results into a patient s file for a specified laboratory e g Outsourced lab work If you re using Cornerstone version 6 0 or later a note appears in the patient s lab record to indicate that the results were entered manually 1 Activities gt
37. ng capabilities C You can use the Call Backs column to make or schedule call backs See Working with Laboratory Call Backs on the Diagnostics Tab in the Cornerstone User s Manual Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 19 To access the Lab Results Log 1 Select Activities gt Lab Work gt Lab Results Log 2 Sort the list by ascending or descending order by selecting the headings at the top e g Date Received Patient Name Lab ID and Req ID Lab Results Lop Chemistry Hematology 2114376 Chemin 2114376 Hemaoloqu 2153893 2163893 Hemabology 2114375 Chemistry 2114376 2153833 Microscopy 2163695 Chemin 2163893 Hematology IDEXXE 2114375 DESSE 2114376 LiA Microscopy IDEME 2163895 0 0 06 29 2008 11 3534 lt gt 3 Click Refresh to refresh the list with new labs downloaded into your Cornerstone system 4 Click Close to close the Lab Results Log window VIEWING NEW RESULTS THROUGH THE IDEXX MESSAGE CENTER The IDEXX Message Center lists all recently returned results from IDEXX Reference Laboratories and the IDEXX VetLab Station TFS TO i 2 25 HOD HW ADRES 10159088 3 T 1 Click the IDEXX Message Center button on the toolbar then click Lab Results The IDEXX Message Center lists all recently returned results from IDEXX Reference Laboratories and the
38. nine Terrier Fox Smooth 14 4 pounds Cancel e Changes or deletions made to a pending lab pRequest detai SpellCheck request also occur on the Patient Visit List ol Staff Anne Carson DVM v Date time 07 31 2008 10 20 18 You can view patient alerts Drawn bkw o Samplesouce e view other lab requests and results ee for that patient especially if needing to determine if lab requests on similar patient names were made before submitting a new Profiles tests lab request MemiD Item Description Profletes Price gi TestList IL1013 IDEXX Total Health 1013 TotalHealth 48 50 H e Daily Planner From the Daily Planner s Diagnostics tab right click in the work area and select New Lab Request to access the New Lab Request window There are four advantages with accessing the New Lab Request window from the Daily Planner e You can also easily access the other Daily Planner tabs e You can view add or modify lab callbacks e You can view patient alerts e Can view other lab requests and results for that patient especially if needing to determine if lab requests similar patient names were made before submitting a new lab request Printing forms and labels Once the lab request has been completed by these methods you may have the option to Print the LabREXX form request label and or the tube label Preview the LabREXX form request label and or the tub
39. nter offers an extensive knowledge base of information to help you find the answers you need 24 hours a day 365 days a year This resource section will familiarize you with the Cornerstone Customer Support Center and demonstrate search techniques for lab related topics There are two ways to access the online Cornerstone Customer Support Center and you ll arrive on the home page below 1 Access directly from within the IDEXX Cornerstone Practice Management System Help Support Center orl9 y 2 Atan Internet browse window enter www cornerstonehelp com Online Support Center Home Page Baum PG LABORATORIES Small Animal Health In house Diagnostics Reference Laboratories Practice Management Home gt Small Animal Health gt Practice Management gt Cornerstone Practice Management System gt Online Support IDEXX Cornerstone Customer Support Center Welcome to our online Cornerstone Customer Support Center We are excited to offer you this self service support option If you have an active support contract for Cornerstone you can search our extensive knowledge base of information to find the answers you need 4 hours day 365 days a year We know you re busy We want to help you find the answers you need to keep your computer system and your practice running smoothly Quickly and easily get help on Locating the correct report Setting up reminders Changing setups and defaults End of periad p
40. ny questions call 1 800 667 3411 for assistance Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 10 STEP 4 AUTOMATICALLY DOWNLOAD RESULTS Practices that have a constant Internet connection will be able to download their IDEXX Reference Laboratories results automatically into Cornerstone s electronic patient records If you do not have a continuous Internet connection it will download when you log on to the Internet Or you can go to vetconnect com to get your patients results anytime anywhere DOWNLOAD RESULTS INTO CORNERSTONE Results will automatically download into Cornerstone if you have a constant Internet connection If you connect only to retrieve results you will need to follow the steps below 1 If you have a constant connection a An Internet connection will be initiated each time the computer is restarted The Reference Lab Interface IDEXX application launches automatically and queued results are downloaded Minimize this window and keep running for Fa continuous download at preset intervals This application must be running in Reference order to receive results Lab interface 2 Ifyou connect only to retrieve results IDEXX a Open Cornerstone on the Cornerstone Lab Workstation and make sure it is connected to the internet b Dial the Internet service provider to connect c Double click the Reference Lab Interface IDEXX shortcut icon on the desktop to download results
41. o save the information Click Yes A message displays the number of records saved Click OK to close the message Reopen the Lab Item Price Update window By default only tests that have not yet been updated are displayed po gt um Repeat Steps 3 7 this time leaving the tests that will have the next highest markup percentage Repeat until all tests have the markup percentages you want you have special prices for certain individual tests i e the markup percentage does not apply update all the other tests as described above then manually change the prices on the special items Click OK to save Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 32 Recommended Interface Settings To update settings for the IDEXX Reference Laboratories interface 1 Select Lab Work gt Laboratories gt IDEXX Reference Laboratory 2 Click Update Recommended settings RP Lab information fer IDEXX Reference Laboratory mx Use patient ID for requisition ID um Required if your practice uses LabREXX habe mM forms If your practice uses handwritten Ne Cy forms select Manually enter requisition a C artes Use an del ult Lab E 3 Cope e Units In U S always use Common C Use requaiicn I xe Pri bead 8 Copes 3 patent if sesacbon I Wo Pit tube label E units Che rd
42. owner displays in the Owner field Se YS Select to either bill or not bill the client e Select Bill this client if you want to bill the client If you select to bill the client you will be prompted to enter the invoice item that corresponds to the tests completed e Select Do not bill this client if the client is not to be billed 6 Select the staff member who requested the test Enter the invoice item ID and revenue center if applicable Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 30 Orphan Lab Work 3 Patient ID Cancel Preview Bill this client 6 Staff Fredrick Jones C Do not bill this client 7 Invoice item ID Revenue center Patient VADA 1638 ZACH Species F Laboratom IDE Reference Laboratory ID 2425092 Template Chemistry Datetime of rum 107572008 06 58 00 Tests Ratio ALB ALEF ALT ANION GAF BC Ratio BICARB BLIM LIREA Ca 8 Click OK Lh You can also preview the results on this window 9 To post the results follow the To Manually Post Results to the Patient File instructions TO RESOLVE MULTIPLE ORPHAN RESULTS you have a number of orphan results you can resolve them by having Cornerstone automatically assign them to the patients that are the best matches 1 On the Lab Requests and Results window clear all the filter check boxes except Orphan and review the orphan results that ar
43. print forms or labels 5 d x Lab Requests and Results Orphan results Not requested Hide preliminary results Lab requests and results CRAMER STACEY SEBAST 5042 Orphan Step 5 P Hesults for Ben nformation nt ID 8034 Types to include Pending requests JV No template Rejected results Completed results hemistry DEI DCMA MACK 5240 Orphan Requests and Results Orphan Boarding Add on to a Lab Request Gian Status Posted AFER Thursday Pharmacy Formulary Manually Enter Results ding R Prescription Labels Communication Status diia R 03 t d Patient Visit List PVL Lab Results Log ee V nided Invoice Import Lab Results by File Pending Req elere nce CareCredit Create IDEXX LabREXX Test Request Form Pending Req ms 1 83 Completed X Client Account Laboratories 36 Completed Reminders Profiles 89 Completed Patient File Templates 92 Completed Default Test Ranges lient Correspondence Setup IDEXX LabREXX 35 Completed a Setup Lab Invoice Items for New INCLINIC Instruments is H E 1 r 0 mig dl omplete VICO STI Ben McGilligan Lab 17 6604 Completed CREA 1 01 mg dl Ben McGilligan Lab 18 6607 Completed Ben McGillgan Lab 19 6610 1180 mg dl Ben McGilligan Lab 20 6613
44. ress TAB Press F2 to search 2 Select the patient from the Patient list 3 In the Summary Text or Lab tab double click the result you want to void The Detailed Lab Results window opens 4 n the Status field select Voided from the drop down list and click OK Voided results are labeled voided in the patient file 5 see voided results in the patient record deselect the Hide voided items check box located in the lower right corner of the Patient Clipboard window Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 28 Adams Kimberly Patient Clipboard Lherd i 1 Eamberly Adam Owner _ 1 Patient Balance Due 947 87 Accept All Payments Tota Patent Canine Renever Golden Neutered Has Search 715 581 2805 Home Active Pal Casey Hadari Spaped Fem Leri inl F alier amp SAS F ug Kimberly Adams Status Active ID 15253 7365 Weel 172 T Clack Pet Oven Pur Cony 7 ie Toe Sine Aciva Retesed Clar Fonk Pet Sex Spaped Female au 2 CAMIS Riefened by 5325 Katie Jacks 1 1 2000 Breed Domeibe DO ving 9 Mera Color Caico hima c m 13 2 pounds 5 nan Home Practice 1 Waid Cage Summary Tet Probie De Ax Lab Vial Sigm Sane View Due Stal ueram Ll BF Cabs Ox results bom Lab D
45. results to print hide comments add additional tests and or notes email the results or request a consult IDEXX VetConnect caeastuser Caeastuser Home Lab Services Telemedicine Services Medical References Account Administration Lab Results LabREXX Directory of Services These results Modify Search More patient info Frint Hide comments E mail result All test results on file Text version Add Motes Import IDEXX Laboratories Client Tonelli Date 11 23 2009 Patient SIMON Gender MALE Species Canine Weight Breed Boston Terrier Age 1277 Accession Status Final Platelet clumping will artificially lower the Platelet Count Please contact the lab ifvau have questions about the clinical significance ofthe Platelet Court Hucleated REC Nucleated RAC OO VAC 13 Log out of vetconnect com and close your web browser Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 22 DAILY STEP CHECK LAB REQUESTS AND RESULTS WINDOW One important daily step to complete is checking your Lab Requests and Results window for orphan and or not requested results that need to be resolved Checking this window daily will help alleviate billing issues and patient record errors and it could improve the effectiveness and efficiency of your practice To check your Lab Requests and Results window on a daily basis to resolve orphan and not requested results 1 Use the Lab Request and Results toolbar but
46. rocedures Gand sa much more Log in and start searching now Is this your first visit Register now gt Don t have an active support contract Call 1 800 283 8386 option 4 to sign up If you dont find what you re looking for here contact customer support or call 1 800 695 2872 Business Hours Monday Friday 6 30 4 m 8 00 p m CT Saturday 7 00 4 00 p m CT By keeping your Cornerstone support contract current you will have access to all of these documents and much more Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 34 COMMON TROUBLESHOOTING TOPICS CAUSES AND SOLUTIONS The following table summarizes common issues Causes and more explanation where applicable Why getting orphan and or not requested test results Your practice did not create a lab request within Follow the steps in this guide for Resolving Orphan Cornerstone Therefore when test results were Results or Resolving Not Requested Results downloaded there was no corresponding test request to match with the test result To avoid this problem in the future create a request and a test order by using any of the methods described in this guide Creating a test order in any of the following ways will cause orphan results e selecting Activities gt Lab Work gt Create IDEXX LabREXX Test Request Form e By filling out a paper form e generating the form on vetconnect com If you used one of th
47. rvice Wu eue 6 In the Search Lab Results area enter in your search criteria You can search by e Laboratory account Owners last name e Patients name Doctor s name Date range from to Period x number of days e Requisition number Sort by Number of results 7 Click Search 8 In the Search Results area select the result you want to view and or print and click View 9 n the Search Lab Results area enter in your search criteria You can search by e Laboratory account Owners last name e Patients name Doctor s name Date range from to Period x number of days e Requisition number Sort by e Number of results 10 Click Search 11 In the Search Results area select the result you want to view and or print and click View Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 21 Owner Name Patient Name Doctor Name Status Tests Ordered Component Tests Aug 25 2008 EICHHORN THOR DHALIWAL R Process FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE 7684928 Aug 12 2008 EICHHORN DHALIWAL R Final FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE 7631003 Jul 09 2008 EICHHORN DHALIWAL R Final FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE 7798591 Jun 17 2008 EICHHORN DHALIWAL R Final FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE May 27 2008 12 View the results Lh You can also print the results create a text version of the
48. t Visit List e Patient and owner fields are automatically completed on the New Lab Request window You can view patient alerts e f using patient pictures you can ensure you are using the correct patient file Patient Visit List Ben Patient information Owner information ID 8002 Ben Owner Chris Brown McGilligan OK 2 5 Yrs OMos 14 4 pounds Credit code Cash Check Cr Card Cancel Terrier Fox Smooth Neutered Male Payment 2 i Description Qty Amount Disc Tax Staff Ctr Date JL Perform Lab Request E 153 IDEXX Comprehensive Canine 1 00 59 00 No No 1 08 01 2008 24 ab um Sort by Date zi im Patient information _ Departing Pracess ID 8002 Name Ben umm Age 5 Yrs 0 Mos Weight 14 40 pounds Conlinue owe sy ae Breed Terrier Fox Smooth Sex Neutered Male T Actions Travel Sheet zi Invoice LE 25 es m Include recommei Include accepted Include perform Total 53 00 Display blue comment line Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 7 Lab Requests and Results Window Use the Lab Request toolbar button to access the Lab Requests and Results wean gent information B There are three advantages with starting from the Om 8002 Ben Neutered Male 5 Yrs 0 Mos 7 Lab Req uests and Results window Owner Chris Brown McGilligan f Ca
49. the Patient File 1 Select the Lab Requests and Results button to access the Lab Requests and Results window 2 Select the completed lab result for the patient Lonza Jones Agnes L Pending Reg EJ INCLIMIC 07 12 2004 Olle King Calvin amp Daphne Mot Hematology INCLIMIC 06 16 2004 Tequila Marvin Tony Mot Chemistry INCLIMIC 06 12 2004 IDEXX 05 07 2008 Jack Chris Brown Completed Hematology ID Ea 06 17 2008 Jack Chris Brown Completed Chemistry IDEK 061772008 Ben Lab 10 Completed LIA Microscopy IDE 05 07 2008 Jack Lab 11 Completed Hematology IDEK 061772008 3 Select Update In the Status field select Posted You can also reject the results at this point Completed Completed aste d Click OK Close the Lab Requests and Results window Cornerstone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 14 VIEW DETAILED RESULTS SINGLE OR CUMULATIVE Once lab results are posted to the patient file they are stored as part of the patient s medical history and can be viewed and printed at any time Results can be viewed either as a single detailed result or as a cumulative result if available Cumulative results allow users to compare results from the same test over two or more dates and can be graphed 1 From the Patient Clipboard access the client Electronic Whiteboard Estimate IDEXX LabREXX Test Form Image Capture
50. ton to access the Lab Requests and Results window 2 Inthe Types to include area select the result type you want to view C You can also click the Type column heading to sort the lab results by lab type Sort using Types to include area check boxes Sort by click Type column heading EP Lab Requests and Results 7 Fr Lab R Requests and Results Pending requests No template Staff All Staff f Pending requests Orphan results VNo template Staff All Staff Completed results Rejected results 2 J Completed results 7 Not requested Rejected results Hide preliminary results Hide preliminary results a a CRAMER STACEY SEBAST 5042 Orphan D hemistry INCI DEL BALZO DENA MACK 5240 Rogan Silverstein Lab 20 6620 Completed i INC Chemistry Jack McGilligan Lab 19 8072 Completed OBLON JEFF DUKE 5249 Hematology INCUN Ben McGilligan Lab 20 8074 Completed UA Microscop IDE 179 Ollie King Calvin amp Daphne 5106 Hematology neue Ollie King Calvin amp Daphne 5106 Not Req Hematology 114 Suzy Adams Belinda 5133 Chemistry INCL Tequila Marvin Tony 5082 Not Req Chemistry Tequia Marvin Tony 5082 Chemistry Suzy Adams Belinda 5133 Not Reg Chemistry P CRAMER STACEY SEBAST 5042 Orphan Ei Chemis iun DEL BALZO DENA 5240 Orphan e OT aian ulus emm Suas aia e sama Un DBLON JEFF DUKE 5249 Hematology 30 Bandit
51. tone 8 3 Reference Laboratory with IDEXX SmartLink Technology Page 24 12 To print the form label or tube label click Print You also have the option to Preview or click Close to not print and close the window C You can change the number of copies you want to print on this window C Once the lab request has been processed the charge is sent to the Patient Visit List View Profiles Individual tests make up a profile which is used to request lab work 1 On the Activities menu select Lab Work gt Profiles 2 To view the tests within a profile select that profile in the list and click Update UPDATE THE DIRECTORY OF SERVICES TO USE THE LATEST PROFILES Each profile must have a corresponding invoice item in Cornerstone For IDEXX SmartLink interfaces profiles are linked to Cornerstone invoice items when the interface is installed when you order from the IDEXX Reference Laboratories test list or when you add a new analyzer When the IDEXX Reference Laboratory is installed invoice items and profiles are automatically created However IDEXX s commitment to research and development continues and you may encounter a situation where you ll want to update the IDEXX Reference Laboratories Directory of Services We recommend you visit vetconnect com every quarter to update your directory of tests and services Follow the instructions below or call your lab specialist to assist you with completing this task Call 1 800 695 2877 and select Cor
52. ur practice called Laboratory Customer Support Follow the steps in this guide for Resolving Not to add on an additional test to a current finalized Requested Results sample Further explanation If your practice added on an additional test to the original request through Activities gt Lab Work gt Add on to a Lab Request and_ also called Laboratory Customer Support to request additional testing then the additional test comes in as completed but all of the original results for that sample are resent and appear in Cornerstone as not requested results Your practice generated a request in Cornerstone but Follow the steps in this guide for Resolving Orphan also wrote on the printed form Results Further explanation If anything is handwritten on the printed form the laboratory policy is to manually enter the requisition information in case the bar code contains incorrect data The laboratory always enters 1 for the patient ID thus generating an orphan result that your practice must review Why haven t test results been downloaded Possible Causes The Internet connection is not working To determine whether your computer system is connected to the Internet open a browser and try to display one or more Web pages If the pages can t be displayed check that all cables are secure Try disconnecting the network or modem cable and reconnecting it If the Internet connection still does not work contact your Internet service
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