Reference Laboratories Guide (Canada East/West)
Contents
1. ppointment Scheduler gt CRAMER STACEY SEBAST 5042 Orphan N z maging gt DEI DALZN DEMA MACK E gt 4 Orphan hemistry Lab Work A Requests and Results Ad gt ae Status Posted 272006 Thursday Pharmacy Formulary gt Manually Enter Results Prescription Labels Communication Status Pending Req Posted i R en O Patient Visit List PYL Lab Results Log Pending Heq Woided Invoice Import Lab Results by File Pending Req T est atte sult F ef ererice CareCredit Create IDEXX LabREXX Test Request Form 021 Pending Req i FS 83 Completed k dient Account Laboratories 06 Completed ALEF 1 2 J L 46 2 3 harana i 89 Completed atient File emplates 7 Default Test Ranges pe Completed A L T ne 3 O U FL a lient Correspondence Setup IDEXX LabREXX A 95 Completed pindar Selection t Setup Lab Invoice Items for New INCLINIC Instruments o alee E U M AU H EA 1 f 0 mg dl i 0 Ben McGiligan Lab 17 6604 Completed CRES 1 01 modi 0 3 Ben McGilligan Lab 18 6607 Completed Ben McGilligan Lab 19 6610 E 1180 mg dl 2 Ben McGilligan Lab 20 6613 i Ben McGiligan Lab 21 6616 E a q dl Ben McGilligan Lab 3 McGilligan Lab 4 IDEXX VetConnect at vetconnect ca Send sample s to IDEXX Reference Laboratories for analysis Step 3 reference laboratories IDEXX gt Companion Animal gt Reference Laboratories St2. AA A AVDA 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 29562 00 Cornerstone LabREXX SmartLink Patient Clipboard VetConnect 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 Y _3 gt _ 2AooooO oooO A Introduction to the IDEXX Canada East West Reference Laboratory The purpose of this guide is to assist you in learning key skills and knowledge for IDEXX Canada East West Reference Laboratory Note If y
3. Date Received Patient Name Lab ID and Req ID Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 19 Lab Results Lop DateReceived Patient ID PatientName OwmerMame Ord Nbr Template Labib FiegiD AA 11 41 05 AI DOLLY 3 0 lermaboloqy DEE HE El 05642320089 11 41 08 4H 06232008 11 41 07 4H 06 29 2008 11 41 06 AH 06 29 2008 11 40 24 AM 056232008 11 40 23 4H 06 AS40038 11 40 22 4H 06 29 2008 11 40 21 AM 06 29 2008 11 37 49 AH 06232008 11 37 49 4H 06 29 2008 11 37 49 AM 06 29 2008 11 37 47 AM 06232008 11 37 45 AM 06232008 11 3634 4M 2114376 2114376 2163653 2163893 114376 2114376 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 View Results using vetconnect ca Results can also be viewed on vetconnect ca Using the following steps you can easily view your results anywhere using an Internet connection 1 Open an Internet browser 2 Inthe address bar type vetconnect ca 3 Press Enter 4 In the Member Login area type your practice User Name and Password LY This information is not available to IDEXX Cornerstone Software Support You can use the E mail link or call VetConnect Client Services found on their website This may take up to 24 hours 5 Click Enter VetConnect Home IDEXX VetConnect Contact Us IDEXX VetConnect Canada helps veteinay im practices deliver the highes
4. 8 3 IDEXX Canada East West Reference Laboratory Page 8 Optional Notes and Instructions General Information a Clinical history signs and notes on patient 255 characters max previous IDES reference labs ook p submission Previous Requisition Date m Previous requisition description Fay results to additional number O hide these comments on the final results report Oooo Fis Requisition ID For other test types like cytology you will receive a screen in addition to above to complete In this Cytology example you would use the list to select the sample type for the specimen you are submitting including dragging the red circle Cytology Slide 1 Select Sample Types Notes for this site 255 characters max v Select Sample Method v Select the location of Slide 1 Drag dot to indicate Site eye A gt Dorsal Ventral L How to show cytology sites 12 Click the Next button in the bottom right corner of the page Review Form 13 On the last phase follow the review guidelines on the Review Form tab 14 After reviewing click Print and Finalize 15 Close the browser Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 9 LabHEXKA 1 Patients amp Staff 2 Tests 3 Specimen Details 4 Review Form Back Save Dratt Venty the requisition before printme and subnutting Before sending your order to IDEXX Re
5. ID 5 Click the Search button The patient will appear in the Selected Patient section Lh You will only be able to search for a patient if the patient has been added to the system ADD NEW PATIENT If this is the first time for requesting laboratory tests for this patient follow these steps 5a Click on the ADD NEW PATIENT link 5b Complete the fields for client last name client first name patient name species patient ID gender age fields and Client is a Staff member if applicable 5c Click Save This will add the patient to the requisition you have started 6 Select the doctor and staff from the lists 7 Click the Next button in the bottom right corner of the page Tests 8 Atthe test phase click on the tab that will allow you to most efficiently select the tests LabREXX 1 Patients amp Staff 2 Tests Top 20 search Tests Add ons Favorites Search by Test Code or Name All Categories he Search Code Name BILT Bilirubin Total CHCB Canine HealthChek with Cardiopet proBNP FHEB Feline HealthChek Plus with Cardiopet proBNP TE Mare Pregnancy Total Estrogens Total Iron Binding Capacity Panel Protein Total 6 tests match total health Clear Search 9 Click the appropriate Select link s for the tests 10 Click the Next button in the bottom right corner of the page Specimen Collection and Details 11 Complete optional notes and instructions on the Specimen Details tab Cornerstone
6. benefits to producing the LabREXX from vetconnect ca versus printing a lab request label and placing on a carbon copy of the lab requisition form Some of the most important benefits are e Bar code ensures the right tests are run and prevents human error at the practice and reference laboratory e Fast and convenient method to run tests using Favorites and Top 20 lists e Print the newest LabREXX form at any time Follow these steps to generate the LabREXX form from vetconnect ca 1 Open a browser and go to vetconnect ca Lh Log into vetconnect ca This will take you to the LabREXX Home tab On the LabREXX Home tab click Start a Requisition in the LabREXX Create Lab Requisitions dialog box Search clients fpatients or Add a New Patient eee Start a Requisition LabREX Home Pace view batch and draft requisitions create customized reports and view helpful tips Starta Batch Requisition There is a navigation status at the top of the page that you can follow as you create the requisition IDEXX VetConnect caeastuser Firstname Lastname f Telemedicine Services Medical References Account Administration Lab Results LabREXX Directory of Services LabREXX 1 Patients amp Staff Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 7 Patients and Staff 4 Enter any of the following search criteria in the Search for Patient field e Patient ID e Patient name e Client last name e Client
7. 2 Eli 1 IDE Posted 0723 2070 Completed 10722810 1 Biddgatdar Raj 2052 Hematology 3 18060 Billy IDE Completed 07232010 Maddison Hannah S060 Hematology 3 8045 PhinreoLs IDE Completed 0722322070 Completed 07729710 1 Brigsby Graham 2048 Chemistry 3 8052 Eli IDE Completed 0723 2010 Pending 02600 1 Biddgatdar Ral 805 Chemistry 3 80 20 Jack IDE Completed OF 23 2010 McGilligan Mikel 80 20 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 viewing capabilities Lh 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 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
8. 74 Ben McGilligan Lab 20 8074 Completed 8078 Ben McGilligan Lab 21 8078 Completed 8006 Ben McGilligan Lab 3 8006 Completed 8010 Ben McGilligan Lab 4 8010 Completed 8014 Ben McGilligan Lab 5 8014 Completed 8018 Ben McGilligan Lab 6 8018 Completed 8022 Ben McGilligan Lab 7 8022 Completed UA Microscopy IDE 05 07 2008 UA Microscopy IDE 05 07 2008 UA Microscopy IDE 05 07 2008 UA Microscopy IDEA 05 07 2008 UA Microscopy IDE 05 07 2008 UA Microscopy IDEXX 05 07 2008 UA Microscopy IDE 05 07 2008 UA Microscopy IDEXX 05 07 2008 UA Microscopy IDEXX 05 07 2008 UA Microscopy IDEA 05 07 2008 UA Microscopy IDEXX 05 07 2008 UA Microscopy IDEXX 05 07 2008 UA Microscopy IDEA 05 07 2008 UA Microscopy IDEXX 05 07 2008 Soe se hems A mtm x herz y wath O Lan Y Hotagen lab Air eure 32 Amarda Dre Clave Pet Owns A w Malena 0 oherte Cady Mot o imasees t4 a Metened by Y velos ages 07171900 s Ll Osere stm O o A Oa an Ce 10 vee 2 hos oa Partierrs Un Me Eonia Histone At this point you may review the results graph cumulative results void results or reassign these results to another patient fioann sitsen on cheeteney values tan at feet on mc ey rre later ono tober meo y Femme Peference Pango o A Tree ALI Cee LL 2 oe e v P yius sub Sh WELLTON Ak 7 Tous suk ane pano gt uk anm oe sn MATAS mee Pree 7 tate wosia anns Cornerstone 8 3 IDEXX Canada E
9. 74 UA Microscor IDES 179 Ollie King Calvin amp Daphne 5106 Hematology neue 179 Ollie King Calvin amp Daphne 5106 nof 114 Suzy Adams Belinda 5133 Chemistry INCLITs 135 Tequila Marvin Tony 5082 Adams Belinda CRAMER STACEY SEBAST DEL BALZO DENA MACK 5240 Tequila Marvin Tony 5082 Chemistry INCL Suzy Orphan cam a be Orphan OF eee AO ol A aaa od O tl i OBLON JEFF DUKE 5249 30 Bandit Adams Gary amp Linda 33 Pending Req 70 Harriet Baker Vern 5641 Pending Req INCE 786 Fredrica Jones Agnes L 5627 Pending Reg 4 INCLIte 39 Lonzo Jones Agnes L 5637 Pending Regae 0 a y AN SO Meda gro A _ ag Me 9 Resolve any outstanding orphan results See following section 10 Close the Lab Requests and Results window 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 r
10. CENTER The IDEXX Cornerstone Customer Support Center offers an extensive knowledge base of information to help you find the answers you need 24 hours a day 365 days a year 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 gt Support Center or 2 Atan Internet browser window enter cornerstonehelp com Online Support Center Home Page 1 1 ooh Va a IDEXX com kF hee FOSS LABORATORIES Small Animal Health In house Diagnostics Reference Laboratories Practice Management Education 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 24 hours a 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 e Locating the correct report e Setting up reminders e Changing setups and defaults End of period procedures and so much more Log in or activate your account using the link
11. XX VetConnect at vetconnect ca and print form and label s e Step 3 Send the sample to IDEXX Reference Laboratories for analysis e Step 4 Download results e Step 5 View results e Other Reference Laboratory Tasks Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 5 Step 1 estimate 20 y Complete LabREXX form on Add charges to Patient Visit List Abdominal Exploratory ay 5 Anesthesia A stimate 20 F e H i f Estimate 20 2011 IDEXX SNAF Feline Triple Hospitalization Venty the requestion before proving and sobruultmz Before sending your order to IDEXX Reference Laboratories le Check the reparos farm that appears belo q Prisa Draft d peu maed te check a hard topy per bo A e onl a Glick the Print aed Finalize bitten to tand the region information to IOE EEE ico de Draft LabREXA Requ Form i a kL LLL Tet AEB Far 10 BAA A uy Create a new profile manually enter results add onto a lab request resolve orphan results and or reprint forms or labels ES7AWHBOHUME Me Lab Requests and Results JV Orphan results IV Not requested IV Hide preliminary results ab requests and results Anformation dent iD 8034 ypes to include JV Pending requests JV No template TT Rejected results IV Completed results Owner C T
12. ast West Reference Laboratory Page 13 Recommended Setup This one time setup procedure is required in order to post downloaded results 1 Select Activities gt Lab work gt Laboratories 2 Select the laboratory ID and click Update 3 Under Preferences select Review results before posting if you want to view results and then post 4 Under Requisition IDs select Manually enter requisition IDs This facilitates the posting of results To Manually Post Results to 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 Tye eme D oe Lonza Jones Agnes L Pending Reg K INELINIC 04122004 Olle King Calvin amp Daphne Not Req Hematology INELINIC 06 16 2004 Tequila Marvin Tony Not Req Chemistry INELINIC 0612 2004 IDE 05 07 2008 Jack Mecilligan Chris Brown Completed Hematology ID Eo 061772008 Jack Mecilligan Chris Brown Completed Chemistry IDEK O61 2008 Ben McGilligan Lab 10 Completed UArhicroscopy IDEK 057 0772008 Jack Mchilligan Lab 11 Completed Hematology ID Es 061772008 Select Update In the Status field select Posted You can also reject the results at this point Completed e Completed Posted Click OK Close the Lab Requests and Results window DAILY STEP CHECK LAB REQUESTS AND RESULTS WINDOW One important daily step to complete is checking your Lab Requests and Results window for
13. e 9Yrs 2 Mos Shorthair Domestic 8 6 pounds Line Graph Req ID 8004 8004 Time Fun 6 17 2008 8 10 am 5 7 2008 8 09 am Staff Anne Carson DYM Anne Carson DYM Lab ID IDEA IDEXX Status Posted Posted Client Chris Brown McGillig Chris Brown McGillig Comments Comments ALT e Optional You may graph the lab results To graph the test results select View Cumulative Results Posted or View Cumulative Results All e Select the test names for the tests you want to graph e When the appropriate tests are selected highlighted click Line Graph and the test results graph will be displayed To view the data point values move your mouse over a data point as shown below Lab Results Graph Patient information Patient ID Eon Rogan Neutered Male rz O Mos Options Owner chris Brown Silverstein Feline Shorthair Domestic 6 6 pounds i Chemistry 0105 2006 1 12PM 03232006 10 7 5 4 104 42006 5 04P hd 11 02 2006 6 23PM Posted Posted Posted Posted O x ALEF E ALT This graph does not depict actual result displayed in the database and is only for illustration purposes e To print the graph click Print e Close any open windows until you return to the Patient Clipboard e To specify a date range to view click Options 7 To view the detailed result right click on the result and select Details Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 17 8 From the Detailed Lab Results for pati
14. ect this Laboratory result and NOT post El it to the patient s file Hide preliminary results ve Template CRAMER STACEY SEBASTIAN 5042 Orphan Chemistry INCLINIC 06 04 2004 Patient ID 8002 paj Neutered Male 3 Wie 3 Mos DEL BALZO DENA MACK 5240 Orphan Chemistry INCLINIC 07 20 2004 Post Orphans Owner Chris Brown McGilligan Canine Terrier Fox Smooth 14 4 pounds Cancel OBLON JEFF DUKE 5249 Orphan Hematology INCLINIC 07 21 2004 Cancel Ashley Gray Tim and Amanda 34 Pending Req Je INCLINIC 07710 2004 2 Bandit Adams Gary amp Linda 33 PendingReq 0 INCLINIC 07 10 2004 O eee en oo Beat bcos 8002 Ben McGilligan Chris Brown 8002 Completed UA Microscopy 05 07 2008 Completed Req ID 8002 IDEXX Reference Laboratory 8034 Ben McGilligan Lab 10 8034 Completed UA Microscopy 05 07 2008 ial 8038 Ben McGilligan Lab 11 8038 Completed UA Microscopy IDEXX 05 07 2008 BACTERIA MODERATE 9 40 E 8042 Ben McGilligan Lab 12 8042 Completed UA Microscopy IDE 05 07 2008 BILIRUBIN NEGATIVE BLOOD TRACE H 3 CASTS NONE SEEN HPF CLARITY CLOUDY COLOR YELLOW CRYSTALS NONE SEEN HPF 8046 Ben McGilligan Lab 13 8046 Completed 8050 Ben MeGilligan Lab 14 8050 Completed 8054 Ben McGilligan Lab 15 8054 Completed 8058 Ben McGilligan Lab 16 8058 Completed 8062 Ben McGilligan Lab 17 8062 Completed 8066 Ben McGilligan Lab 18 8066 Completed 8070 Ben MeGilligan Lab 19 8070 Completed 380
15. ent s name window view the detailed result Detailed Lab Results for Jack o gt Patient ID 8004 Jack Neutered Male 9 Yre 2 Mos DE Owner Chris Brown Mchilligan Feline Shorthair Domestic 8 6 pounds Cancel EE 6 17 2008 Tuesday 8 10 AM Anne Carson Dhi Reassign Reg ID 8004 IDEs Reference Laboratory 7 Frint ALB 3 3 g dL 25 40 Ooo T E 51 e ALKP 392 U L H 10 150 O TI y b ALT 71 U L 5 107 HI Tr ANION GAP 24 mEq L 12 24 O y AST 23 UAL 5 55 A a TI BICARB 18 mEq L 17 24 JT BUN UREA 18 mg dL fee hb TIT NM 1 _ Overall Ascen LE005945 de SSL RE 281 HEMOLY ki Update Lh 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 int o O Roasso Poed Ei Fosted VWoided Aeassigh AA Lh Voided results are hidden in the patient history Clear the Hide Voided Items check box on the Patient Clipboard to view them VIEW AND UPDATE 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 SAN In the Other types to include area select the check boxes for the types of requests and results you want to view Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 18 5 R
16. ep 4 Automatically download results _ aT eee lt a VetConnect ca f Pa DOLLY DOLLY TEAL 24 TEAL 242 DOLLY 3 DOLLY 2 TEAL 2 TEAL DO E Date Received 06 29 2008 11 41 09 AM 06 29 2008 11 41 08 AM 06 29 2008 11 41 07 AM 06 29 2008 11 41 06 AM 06 29 2008 11 40 24 AM 06 29 2008 11 40 23 AM 06 29 2008 11 40 22 AM 06 29 2008 11 40 21 AM 29 2008 11 37 49 AM 242008 11 37 49 AM 20 11 37 48 AM Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 6 STEP 1 ADD CHARGES TO THE PATIENT VISIT LIST 1 On the Patient Visit List window if the patient s information is not displayed type the ID in the Patient ID box or press F2 to search for the patient 2 In the next available Item ID field type the invoice item ID or press F2 to search for the item 3 Complete the remaining fields in the line as needed 4 If necessary change the status of the item by clicking the button in the first column of the grid 5 When finished adding items click OK You can also start by adding charges to an estimate or invoice If you are an existing IDEXX Reference Laboratories user who is familiar with adding charges to an estimate or invoice you may continue to use this work flow STEP 2 PRINT LABREXX FORM FROM VETCONNECT CA After you add charges to the Patient Visit List it s time to enter information at vetconnect ca print your LabREXX form and collect your sample Print LabREXX form from vetconnect ca There are many
17. erence Laboratories icon on the desktop to start the download Why are test prices incorrect Possible Causes The prices specified on individual invoice items are wrong Select List gt Invoice Item Search for and select the invoice item you want to update Click Update 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 IDEXX Canada East West Reference Laboratory Page 26
18. esult you want to resolve Click Update Type the Patient ID in the Patient ID field You may press F2 to search Verify the correct owner displays in the Owner field se 2 1 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 Select the staff member who requested the test 7 Enter the invoice item ID and revenue center if applicable Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 15 Orphan Lab Work Ml ES 3 Patient ID 6 Staff Fredrick A Jones 7 Invoice tern ID Revenue center Bill this client C Do not bill this client Patient VADA 1638 ZACH Species F IDEs Reference Laboratory Chemistry Reg ID 2225092 Datertime of run 10 75 2008 06 58 00 Laboratory Template Tests ALKP ALT ANION GAP BICARE EUNURES 8 Ca 4G Ratio ALE B C Ratio 8 Click OK LF 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 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 eit
19. ference Laboratories Check the requisition form that appears below e Print a Draft if you need to check a hard copy prior to submitting the information to the Reference Laboratories Click the Print and Finalize button to send the requisition information to IDES and send this requisition to the printer IDEXX y Draft LabREXX Requisition 1345 Denison Street LABORATORIES Markham Ontario LaR Sv Form Tel 1 476 798 4988 Fax 1 905 475 7309 Vw vetconmectca Practice caeastuser Client hicGilligan Chris Brown Species Canine Account Code 251 Client ID Breed Fox Terrier Phone a00 667 341 1 Patient Ben Sex Meutered Male Fax 905 475 5557 Patient ID 5002 Age 5 Years Doctor c User Staff C User 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 2 Sample Collection in the IDEXX VetTest Certification Course Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 10 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 any questions call 1 800 667 3411 for assistance STEP 4 DOWNLOAD RESULTS Download Results into Cornerstone 1 Open Cornerstone on the Cornerstone Lab Workstation and make sure it
20. her 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 2 Inthe Patient list area click the green arrow button then move your cursor over the patients names to expand the Patient list Select the patient In the Patient File area select the Lab tab Right click on the result oO e p Select View Detailed Lab Result View Cumulative Results Posted or View Cumulative Results All The View Cumulative Results options are available only if there are multiple results of the same type Cumulative results are shown below Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 16 Cancel Preview izza Electronic Whiteboard Estimate IDEXX LabREXX Test Form Image Capture Image Explorer Image Import Image Import DICOM Image Request Invoice Lab Request Medical Note New Image Case Patient Visit List Physical Exam Prescribe 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 ME Unb Restate for lack ston Patient ID 8004 Neutered Mal
21. ight click on a request or result Depending on 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 e Select New Lab Request to open the New Lab Request window to enter a laboratory request Viewing the Cornerstone Lab Results Log RP Daily Planner Jia Stalf information ha Mark J Fiala Dt View for all staff Correspondence Patient isit List Invoices Examz ES Appointments Call Backs Diagnostics Checkedin Medical Motes e Posted resulte Other types to include Thursday Thursday v Pending requests w Orphan results w No template t aa a 07 22 2010 0 m to 04 a 07 25 2010 0 1 Completed results w Not requested w Rejected results Hide preliminar resulte Labib Type Dae Call Backs is OwnerName RegiD Template Staffib Status Date StaffID 20 Zero 1 INCLINIC Pending Reg 43 0723 2010 Brown Roland nro a056 Kingsley IDES Completed 0232070 Pattington Brad and Sheri a056 Hematology 3 805
22. is connected to the internet 2 Double click the Reference Lab Interface IDEXX shortcut icon on the desktop to download results This will launch the Reference Lab Interface IDEXX window that retrieves results from vetconnect ca Reference Lab Interface IDEXX 3 Minimize the Reference Lab Interface IDEXX window but leave it active The program will download results into Cornerstone every 15 minutes Note If the Reference Lab Interface IDEXX window is closed accidentally double click the Reference Lab Interface IDEXX shortcut icon to relaunch it w Reference Lab Interface IDEXX Connecting to app vetconnect com Retrieving results into C CS8tonesRESULTS516132622 rtu Sending request Sent Nothing 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 e Automatically post results recommended When a test result is returned to Cornerstone if the result can be matched to a patient 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
23. lligan Canine Spaniel Cocker Mix 32 2 pounds following fields e Operator Lab results Vv Lab IDEK IDEs Reference Laboratory D atetime 08 05 2008 08 55 06 Pl e AS Staff Janne Carson DVM Template Chemistry e Units DO o PETES PEE ETE e High Low o Low Value e High Value Lh If default ranges do not display after entering results they have not Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 23 been set up lf the patient falls into one of the Lab Age Groups set 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 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 Set up 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 IDEXX Canada East West Reference Laboratory Page 24 Section 2 Resources ONLINE IDEXX CORNERSTONE CUSTOMER SUPPORT
24. nnconononanonnnonos 5 Step 1 Add Charges to the Patient Visit List oooccccccconccnnccconnnnccononccnnononnnnncnnnncnnnnnnnnnnnnnononennncnonnnos 7 Step 2 Print LabREXX Form from vetconnect ca sirios 7 Step 3 Send the Sample to IDEXX Reference Laboratories for AnalySiS ooncccccoonnccncccnocconnononnnononnnnoos 11 Step 4 Download RES Susi os e daDicna 11 Step 5 View ResullS ocooiiindaan a riartarn daras etarra ias 11 Daily Step Check Lab Requests and Results Window ccoocccccccccnccoccnnccnncncnnnnnnnonaconononcncnnnnnnnnacononos 14 View and Update Laboratory Requests Results from the Diagnostics Tab ooocccccccocconccccnnnnncconanonnnonos 18 Other Reference Laboratory Tasks Resources OOOO 25 Online IDEXX Cornerstone Customer Support Center Common Troubleshooting Topics Causes and SoOlU IONS occcccoccncccoccnncnonnnoconconcnnnnnnnnancnnnnnnnnnnnncnonnnnns 26 Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 4 Section 1 Reference Laboratory Training IDEXX CANADA EAST WEST REFERENCE LABORATORY 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 Add charges to the Patient Visit List e Step 2 Complete LabREXX form on IDE
25. ornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 21 i i IDEXX VetConnect caeastuser caeastuser Lab Services Lab Results LabREXX Directory of Services These results Modify Search More patient info Print Hide comments E mail result All test results on file Text version Add Motes Import IDEXX Laboratories Client Tonelli Date 1123 2009 Patient SIMON Gender MALE Species Canine Weight Breed Boston Terrier Age 177 Accession Level Comments Accession Status Final Platelet clumping will artificially lower the Platelet Count Please contact the lab if you have questions aboutthe clinical significance ofthe Platelet count Nucleated REC Test Mucleated RBC Reference Rang E OO WAC 10 Log out of vetconnect ca and close your web browser Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 22 OTHER REFERENCE LABORATORY TASKS There are other tasks related to IDEXX Reference Laboratories that you may need to reference occasionally these topics include e View profiles e Create a New Profile e Manually enter lab results View Profiles Individual tests make up a profile which is used to request lab work For more information about a particular profile see the Directory of Services on vetconnect ca or call VetConnect Client Services at 1 800 667 3411 Create a New Profile Call Cornerstone Support When the IDEXX Canada Reference Laboratory is installed profiles are a
26. orphan 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 results 7 Use the Lab Request and Results toolbar button to access the Lab Requests and Results window 8 Inthe Types to include area select the result type you want to view Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 14 Lh 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 IP Lab Requests and Results A IP Lab Requests and Results _ Pending requests Y Orphan results No template Staff All Staff rd v Pending requests V Orphan results V No template Staff All Staff _ Completed results Rejected results V Completed results V Not requested Rejected results 4 Hide preliminary results J Hide preliminary results e PatentiD Fater Name OwnerName ReaiD Tye Temse La CRAMER STACEY SEBAST 5042 Orphan E Chemien INCL Rogan Silverstein Lab 20 Completed S Chemistry INC YP DEL BALZO DENA MACK 5240 Chemisty INCLY 8072 Jack McGiligan Lab 19 8072 Completed Hematology IDE OBLON JEFF DUKE 5249 Hematology INCLUIR 8074 Ben McGilligan Lab 20 80
27. ou are located in the US see IDEXX Cornerstone Guide Reference Laboratory with SmartLink Technology This guide is best suited to these learners in your practice e Technicians e Practice managers e Owners decision makers PREREQUISITES e The current version of the IDEXX Cornerstone Practice Management System installed at the practice e Knowledge of Basic Cornerstone navigation e Access rights with appropriate laboratory security e Setup and customization of Reference Laboratory Consult your lab specialist for configuration setup and work flow changes Call 1 800 695 2877 and select Cornerstone then Cornerstone Lab Support TRAINING CONTENT The guide covers these topics and tasks e IDEXX Cornerstone Reference Laboratory Workflow e Other Tasks e Support and Troubleshooting Information Throughout 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 L Notes provide additional information about a step or a procedure Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 3 IDEXX Cornerstone 8 3 Guide IDEXX Canada East West Reference Laboratory Table of Contents Introduction to the IDEXX Canada East West Reference Laboratory coocccoccconnccccnconcnconanonnnos 3 so AP A 3 o A e oo 3 IDEXX Canada East West Reference Laboratory Work Flow Overview occcccccoooccncccconcnnnono
28. r Fox Smooth State wl Postal Code 54703 5 Yrs 3 Mos Color Brown Black White Weight 14 4 pounds Markings Email McGilligan McGilligan com mal illigan illigan co ad ae Referred by YP Yellow Pages Referred 0 clients Summary Text Problems Diagnosis Prescriptions Medical Notes Lab weights Full Size View Expanded History a F Chemistry results from Lab IDEXX VetLab In clinic Laboratory 3 Requisition ID 0 Posted Final 5 Find Next Test Result Reference Range Chloride 112 3 mmol l 105 0 119 0 TaD abe 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 IDEXX Canada East West Reference Laboratory Page 12 VIEW RESULTS THEN POST View results in the Lab Requests and Results window before posting to the patient s medical record Step 1 Access the result from the Lab Request and Results window Select the completed result you wish to post to a patient s file click Update and change the status to Posted Pending requests v Orphan results vi No template Staff All Staff E Note If this result is not a valid result you do have v i i V Completed results Y Not requested Rejected results an option to rej
29. s on the home page Log in and start searching now Is this your first visit Register now gt By keeping your Cornerstone support contract current you will have access to all of these documents and much more Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 25 COMMON TROUBLESHOOTING TOPICS CAUSES AND SOLUTIONS The following table summarizes common issues causes and more explanation where applicable Why haven t test results been downloaded Possible Causes The Internet connection is not working The IDEXX Reference Laboratories connection is not active or is not running properly 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 provider for assistance If you have constant Internet access 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 Ref
30. t possible quality of g care by providing timely IDEXX Reference EA n Laboratory and Telemedicine results online User Name Enter VetConnect By entering this site you are agreeing to WetConnect s Terms of Service Lh This will take you to your practice s IDEXX vetconnect ca Home page Cornerstone 8 3 IDEXX Canada East West Reference Laboratory Page 20 6 Inthe Search Lab Results area enter in your search criteria You can search by e Laboratory account e Owner s last name e Patients name e Doctor s name e Date range from to e Period x number of days e Requisition number e Sort by e Number of results 7 Click Search In the Search Results area select the result you want to view and or print and click View EA Print Bf Reset Requisition Order Date Owner Name Patient Name Doctor Name Status Tests Ordered Component Tests Aug 25 2008 EICHHORN DHALIWAL R In Process FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE 7684928 Aug 12 2008 EICHHORN DHALIWAL R Final FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE Jul 09 2008 EICHHORN DHALIWAL R Final FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE 7798591 Jun 17 2008 EICHHORN DHALIWAL R FOLLOW UP HEALTHCHEK CHEM 25 CBC COMPREHENSIVE May 27 2008 9 View the results Lh You can also print the results create a text version of the results to print hide comments add additional tests and or notes email the results or request a consult C
31. utomatically created However new tests will need to be added individually Consult your lab specialist to assist you with setting up new profiles for new reference laboratory tests Call 1 800 695 2877 and select Cornerstone then Cornerstone Lab Support Each profile must have a corresponding invoice item in Cornerstone 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 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 oa e w DN 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 Manually Enter Lab Results for Emma Patient information PE Patient ID feso Emma 5 payed Female 11 Yrs 4 Mas 8 Enter the results by filling in the Owner Chris Brown McGi
32. you must manually change the result status to Posted You have the option to reject results instead of posting Note If you are currently receiving faxes or emails with results you will continue to receive them unless you contact IDEXX Reference Laboratories to change this The diagrams on the following pages illustrate these options Cornerstone 8 3 IDEXX Canada East West Reference Laboratory 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 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 FL McGilligan Chris Brown Patient Clipboard Client ID 8002 Chris Brown McGilligan Pet Owner Patient Balance Due 0 00 Cash Check Cr Carce Total Patients 4 Lanine Terrier Fox Smooth Neutered Ma Search 987 654 3210 Cellular Activa Patente 4 Canine Spaniel Cocker Mix Spayed Fem S sis mlaloislAlE a aslviBlala elinaje ole 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 Terrie
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