Description

The Order Choice AP Setup page allows the user to set up AP order choices.

Note

This page is only available when the Anatomic Pathology module license is enabled.

Access

AdminCenter > Order Choice Setup > Order Choices > Add > Anatomic Pathology module > AP Setup > Order Choice AP Setup



Technical Manual

Expand All/Collapse All

Expand AllSelect to expand all menus on the page.
Collapse AllSelect to collapse all menus on the page.
Valid AP Items

Select to open the Valid AP Items pop-up, where you can add AP items as valid AP order choices. This allows faster configuration when setting up a new AP Order Choice. 

Use the search-as-you-type fields to search for and select the Valid AP Case Templates, Valid AP Container Groups, Valid AP Protocols, and Valid AP Tests users can use when setting up a new AP Order Choice.


AP General Settings

Default record when adding slides

Select in or enter text into the search-as-you-type field to search for and select a default record for when you are adding slides.

Select the magnifying glass icon to manually search for a default record, or select X to remove the selection from the field.

Default record when adding blocks

Select in or enter text into the search-as-you-type field to search for and select a default record for when you are adding blocks.

Select the magnifying glass icon to manually search for a default record, or select X to remove the selection from the field.

Region of Interest Image Test

Select in or enter text into the search-as-you-type field to search for and select the region of interest images the system will parse as a ZIG segment in the OBR message to a digital pathology or workflow management system. This setting only allows active case-level image tests to be selected.


AP ID Overrides

Part ID

ActiveSelect the checkbox to make the Part ID active in the system.
DelimiterThe delimiter is a divider/prefix that is added to the generated Part ID.
Suffix

Select an option from the drop-down list to prevent the suffix from being added to the generated Part ID.

None prevents the suffix from being added to the generated Part ID. Alpha adds a series of capital letters starting with A; beyond Z the series goes to AA followed by AB. Duplicating Alpha adds a series of capital letters starting with A; beyond Z the series goes to AA followed by BB. Roman Numeral adds a series of roman numerals.

Single Digit adds a series of numbers starting with 1. Two Digit adds a series of numbers starting with 01. The Preview displays a generic Sample ID generated from the currently set Order Choice Type. The Order Choice Type must be saved in order for the Preview to generate the generic Sample ID. If no Order Choice Type is set, the ID <Sample ID> is used. A generic Part ID, Block ID, and Slide ID is added after the displayed Sample ID.

For example:

  • None: N/A
  • Alpha: A, ..., Z, AA, AB, AC, ..., AZ, BA, BB, BC
  • Duplicating Alpha: A, ..., Z, AA, BB, CC, ..., ZZ, AAA, BBB, CCC
  • Roman Numeral: I, II, III, IV
  • Single Digit: 1, 2, 3, ..., 10, 11, 12
  • Two Digit: 01, 02, 03, ..., 10, 11, 12
ID FormatDisplays the ID format. These IDs are based on the set Order Choice Type. If the Order Choice Type is not set, the IDs are <Part ID>, <Block ID>, and <Slide ID>. Changes made to the Part ID, Block ID, and Slide ID can be seen in the Preview.
Example PartDisplays the IDs. The IDs are <Part ID>, <Block ID>, and <Slide ID>. Changes made to the Part ID, Block ID, and Slide ID can be seen in the Preview.

Block ID

ActiveSelect the checkbox to make the Block ID active in the system.
DelimiterThe delimiter is a divider/prefix that is added to the generated Block ID.
Suffix

Select an option from the drop-down list to prevent the suffix from being added to the generated Block ID.

None prevents the suffix from being added to the generated Block ID. Alpha adds a series of capital letters starting with A; beyond Z the series goes to AA followed by AB. Duplicating Alpha adds a series of capital letters starting with A; beyond Z the series goes to AA followed by BB. Roman Numeral adds a series of roman numerals.

Single Digit adds a series of numbers starting with 1. Two Digit adds a series of numbers starting with 01. The Preview displays a generic Sample ID generated from the currently set Order Choice Type. The Order Choice Type must be saved in order for the Preview to generate the generic Sample ID. If no Order Choice Type is set, the ID <Sample ID> is used. A generic Part ID, Block ID, and Slide ID is added after the displayed Sample ID.

For example:

  • None: N/A
  • Alpha: A, ..., Z, AA, AB, AC, ..., AZ, BA, BB, BC
  • Duplicating Alpha: A, ..., Z, AA, BB, CC, ..., ZZ, AAA, BBB, CCC
  • Roman Numeral: I, II, III, IV
  • Single Digit: 1, 2, 3, ..., 10, 11, 12
  • Two Digit: 01, 02, 03, ..., 10, 11, 12
ID FormatDisplays the ID format. These IDs are based on the set Order Choice Type. If the Order Choice Type is not set, the IDs are <Part ID>, <Block ID>, and <Slide ID>. Changes made to the Part ID, Block ID, and Slide ID can be seen in the Preview.
Example PartDisplays the IDs. The IDs are <Part ID>, <Block ID>, and <Slide ID>. Changes made to the Part ID, Block ID, and Slide ID can be seen in the Preview.

Slide ID

ActiveSelect the checkbox to make the Slide ID active in the system.
DelimiterThe delimiter is a divider/prefix that is added to the generated Slide ID.
Suffix

Select an option from the drop-down list to prevent the suffix from being added to the generated Slide ID.

None prevents the suffix from being added to the generated Slide ID. Alpha adds a series of capital letters starting with A; beyond Z the series goes to AA followed by AB. Duplicating Alpha adds a series of capital letters starting with A; beyond Z the series goes to AA followed by BB. Roman Numeral adds a series of roman numerals.

Single Digit adds a series of numbers starting with 1. Two Digit adds a series of numbers starting with 01. The Preview displays a generic Sample ID generated from the currently set Order Choice Type. The Order Choice Type must be saved in order for the Preview to generate the generic Sample ID. If no Order Choice Type is set, the ID <Sample ID> is used. A generic Part ID, Block ID, and Slide ID is added after the displayed Sample ID.

For example:

  • None: N/A
  • Alpha: A, ..., Z, AA, AB, AC, ..., AZ, BA, BB, BC
  • Duplicating Alpha: A, ..., Z, AA, BB, CC, ..., ZZ, AAA, BBB, CCC
  • Roman Numeral: I, II, III, IV
  • Single Digit: 1, 2, 3, ..., 10, 11, 12
  • Two Digit: 01, 02, 03, ..., 10, 11, 12
ID FormatDisplays the ID format. These IDs are based on the set Order Choice Type. If the Order Choice Type is not set, the IDs are <Part ID>, <Block ID>, and <Slide ID>. Changes made to the Part ID, Block ID, and Slide ID can be seen in the Preview.
Example PartDisplays the IDs. The IDs are <Part ID>, <Block ID>, and <Slide ID>. Changes made to the Part ID, Block ID, and Slide ID can be seen in the Preview.
SaveSelect to save changes made on the Order Choice AP Setup page.
CancelSelect to return to the Order Choices administration page without saving changes.


AP Label Format Overrides

ActiveSelect the checkbox to make the AP label format overrides active in the system.
Container Label Format

Select to open the Container Label Format pop-up.

See the Label Format and Label Format Sections sections below for configuration information.

Part Label Format

Select to open the Part Label Format pop-up.

See the Label Format and Label Format Sections sections below for configuration information.

Block Label Format

Select to open the Block Label Format pop-up.

See the Label Format and Label Format Sections sections below for configuration information.

Slide Label Format

Select to open the Slide Label Format pop-up.

See the Label Format and Label Format Sections sections below for configuration information.

Default Block Hopper Value

Enter a value in the field to specify the default block hopper value. The hopper value you set here is only printed on the label when the Tube/Container, Specimen Source, and Specimen Source Category hopper values are blank.

Note

This is only used with the Block Label Format button.

Default Slide Hopper Value

Enter a value in the field to specify the default slide hopper value. The hopper value you set here is only printed on the label when the Tube/Container, Specimen Source, and Specimen Source Category hopper values are blank.

Note

This is only used with the Slide Label Format button.

Label Format

Label TypeSelect a type of label from the drop-down list.
Rotate LabelSelect an option from the drop-down list to rotate the label. Select either 0 Degrees or 180 Degrees from the drop-down list.
Apply to EPL PrintersSelect the checkbox to have the label format configuration apply to EPL printers.
Apply to ZPL PrintersSelect the checkbox to have the label format configuration apply to ZPL printers.
ActiveSelect the checkbox to make the AP label configurations active in the system.
Label WidthEnter the width of the label (in inches) in the available field. The default value is 2 inches.
Label HeightEnter the height of the label (in inches) in the available field. The default value is 1.25 inches.
Restore DefaultSelect to restore the default width/height values in the Label Width and Label Height fields.
Default bar code typeSelect an option from the drop-down list to specify the default bar code type. This varies depending on your unique system.
Date/Time Format

Select an option from the drop-down list to specify the date/time format on labels.

Select either AM/PM, Military, or AM/PM (with space before) from the drop-down list.

Replace Order Choice with ProfileSelect the checkbox to replace the order choice with the user's profile.

Label Format Sections

Add SectionSelect to open the Label Section Edit pop-up. See Label Printing for more information.
Label DimensionsDisplays the label dimensions. For example, "Width 400 dots Height 250 dots."
Zoom

Select an option from the drop-down list to specify the label zoom percentage.

Select an option ranging from 25% to 300%. The default value is 100%.

SaveSelect to save changes made on the pop-up.
CancelSelect to close the pop-up without making any changes.

File Drop Label Format

Codes for File Drop Label FormatSelect a field code from the list and double-click to add it to the File Drop Label Format text box.
File Drop Label FormatUse the text box to enter your label text. The exact text in this section will print to the label printer. You can also select field codes from the Codes for File Drop Label Format and double-click to add them to this text box.


AP Allowed Specimen Sources

Require specimen part informationSelect the checkbox to have the system require specimen part information.
Use default category when ordering

Select the checkbox to have the system use the default category when ordering.

Select the category from the Default Category search-as-you-type field below.

Default Category

Select in or enter text in the search-as-you-type field to search for and select a default category for ordering.

Select X to remove the selection, or select the magnifying glass icon to manually search for a category.

Limit to default specimen source category

Select the checkbox to have the system limit to the default specimen source category.

This is defined by the Limit Specimen Sources button below.

Limit Specimen Sources

Select to open the Limit Specimen Sources pop-up.

Select in or enter text in the search-as-you-type field to search for and select a specimen source.

Select the Select checkbox to add or remove specimen sources from the table.

Select Save to save changes, or Cancel to close the pop-up without making changes.

Use default group when ordering

Select the checkbox to have the system use the default group when ordering.

This is defined by the Default Group button below.

Default Group

Select to open the pop-up.

Select in or enter text in the search-as-you-type field to search for and select a group.

Select the Select checkbox to add or remove groups from the table.

Select Save to save changes, or Cancel to close the pop-up without making changes.

Take user directly to Specimen Part DetailsSelect the checkbox to have the system automatically navigate the user directly to the Specimen Part Details pop-up upon order.
SaveSelect to save changes made on the Order Choice AP Setup page.
CancelSelect to return to the Order Choices administration page without saving changes.


AP Default Case Composition

Bypass Case Setup Screen

Allows the pop-up to be bypassed for the order choice.

Require Specimen Source For Bypass: When this checkbox is selected, the Case Setup screen will not be bypassed by HL7 if any of the received specimen parts do not have a specimen source. This checkbox is enabled when the Bypass Case Setup Screen checkbox is selected. 

Testing FacilitySelect an option from the drop-down list. The drop-down list defaults to All.
All Ordered Order Choices get these items:

Select in or enter text in the following search-as-you-type fields to search for and select items for the order choices:

  • Default AP Case Templates: Select a default AP case template for the order choice.
  • Default AP Protocols: Select a default AP protocol for the order choice.
  • Default AP Container Groups: Select a default AP container group for the order choice.
  • Default AP Tests: Select a default AP test for the order choice.

Select the Select checkbox to add or remove the selections from the table.

Additional items when Ordered Parts meet Specimen Source Category criteria:

Select a category from the Specimen Source Category drop-down list.

Select the Show inactive specimen source categories checkbox to have the system show inactive specimen source categories when searching.

Select in or enter text in the following search-as-you-type fields to search for and select additional items for when ordered parts meet the specimen source category criteria:

  • Default AP Case Templates: Select a default AP case template for the order choice.
  • Default AP Protocols: Select a default AP protocol for the order choice.
  • Default AP Container Groups: Select a default AP container group for the order choice.
  • Default AP Tests: Select a default AP test for the order choice.

Note

Items associated with the Part, Block, or Slide level will only be added to Parts with the selected Specimen Source Category or Specimen Source.

Select the Select checkbox to add or remove the selections from the table.

Additional items when Ordered Part meet Specimen Source and/or Procedure criteria:

Select an option from the Source drop-down list to specify the ordered specimen part. For example, BE Skin.

Select an option from the Procedure drop-down list to specify what the procedure is. For example, Biopsy or Excision.

Select the Show inactive specimen sources checkbox to have the system show inactive specimen sources when searching.

Select in or enter text in the following search-as-you-type fields to search for and select additional items for when ordered parts meet the specimen source category and/or procedure criteria:

  • Default AP Case Templates: Select a default AP case template for the order choice.
  • Default AP Protocols: Select a default AP protocol for the order choice.
  • Default AP Container Groups: Select a default AP container group for the order choice.
  • Default AP Tests: Select a default AP test for the order choice.

Select the Select checkbox to add or remove the selections from the table.

SaveSelect to save changes made on the Order Choice AP Setup page.
CancelSelect to return to the Order Choices administration page without saving changes.

AP Report Settings

Default Report Type Settings

Issue AP Report window default AP Report Type

Search for and select an AP report type to set as the default report type listed in the Report Type field in the Issue AP Report pop-up when it is opened on a case that has not yet had a Final Report issued.

Only report types with report levels of Final or Preliminary will appear in this search-as-you-type field.

Reopen for Addendum default AP Report Type

Search for and select an AP report type to set as the default report type listed in the Report Type field in the Issue AP Report pop-up when it is opened on a case that has been Reopened for Addendum.

Only report types with report levels of Addendum will appear in the search-as-you-type field.

Reopen for Amended default AP Report Type

Search for and select an AP report type to set as the default report type listed in the Report Type field in the Issue AP Report pop-up when it is opened on a case that has been Reopened for Amended.

Only report types with report levels of Amended will appear in the search-as-you-type field.

Performing Location Settings

The pathologist's performing location is the physical location where the pathologist reads the slide. Use this section to set up the report's performing location line and where it appears on the report.

Performing Location Position

Select from the drop-down list where the performing location line should appear on the report. Choose one of the following options:

  • Not Used: A performing location line is not being used for this order choice.
  • After Primary Signature: Displays the performing location line after the primary signature on the report.
  • Use Template Cell: Uses the Report Footer cell content type or the Anatomic Pathology Report cell content type of AP Performing Location Text (configured on the Layout Templates page) to determine the position of the performing location line. 
Report Performing Location LineEnter the performing location line. Use the text editing tools to format the line. You can also use the field codes in the Performing Location Field Codes list to build the line (see below). Use the Performing Location Line Preview (see below) to see how it will look on the report. 
Performing Location Line PreviewDisplays a preview of how the performing location line will appear on the report. 
Performing Location Field CodesUse the field codes in the list to create the performing location line in the Report Performing Location Line field. 

Report Title Settings

AP Report Type

Select an AP Report Type to configure the desired type of report. Select one or more of the following report types:

  • Provisional Report
  • Final Report
  • Amended Report
  • Addendum Report
  • Corrected Report
Title Text

Configure the AP report title text using the following options:

  • B: Select to make the text bold.
  • I: Select to make the text italicized.
  • U: Select to make the text underlined.
  • Color menu:
    • Select the color square to open a menu where you can choose or enter the color for the title text.
  • Text alignment drop-down list:
    • Choose to have the title text left aligned, center aligned, right aligned, or justified.
  • Font drop-down list:
    • Arial
    • Courier
    • Helvetica
    • Times New Roman
    • Verdana
  • Font size drop-down list:
    • Select a font size for the title text.

Anatomic Pathology Report

The Anatomic Pathology Report section uses a layout template to organize the report sections on the patient report. Layout templates are made up of two components: T (Tables) and C (Cells). Use tables to organize data on the page into sections and groups. Use cells to create data fields within the template.

T

Select to open the Edit Table pop-up. Use the following settings to customize the report:

  • Outer Border Width: Enter an outer border width.
  • Inner Border Width: Enter an inner border width.
  • Background Shaded: Select the checkbox to make the background of the report shaded.
  • OK: Select to save changes made on the pop-up.
  • Cancel: Select to close the pop-up without making changes.
C

Select to open the Cell Menu pop-up. Use the following settings to customize the report.

  • Move Cell: Select to move the cell up, down, right, or left.
  • Add Cell: Select to add a new cell.
  • Edit: Select to edit a cell. See Edit Cell Pop-up.
  • Delete: Select to delete a cell.
  • Move Row: Select to move the row up, down, right, or left.
  • Add Row: Select to add a new row.
  • Delete Row: Select to delete a row.
  • Make Table: Select to make a table in the report area.
  • OK: Select to save changes made on the Cell Menu pop-up.
SaveSelect to save changes made on the Order Choice AP Setup page.
CancelSelect to return to the Order Choices administration page without saving changes.


AP Worksheet Settings

Specify which order choices should be shown in the Patient History section of the AP Worksheet pop-up for these order choices.

Clinical Information Section

Display option for Questions with Diagnosis Code Answer Type

Select an option to define how diagnosis code–type questions are displayed on the Clinical Information section of the AP Worksheet. Choose to display only the code, only the text, or both code and text.

  • Code Only: Displays the diagnosis code for diagnosis type questions. This option is selected by default.
  • Text Only: Displays the diagnosis description instead of the code. 
  • Code and Text: Displays the code followed by the description.
Patient History Section
Date to display in Patient History

Select either Collection Date or Order Date to specify which date to display for the patient's history.

  • Select Collection Date to display the collection date on the AP worksheet.
  • Select Order Date to display the order date on the AP worksheet.
Enterprise AP Order Choices

Select either the All, None, or Selected option.

  • Select All to display all order choices for Orchard Enterprise Pathology.
  • Select None to display no order choices for Orchard Enterprise Pathology.
  • Select Selected to manually select specific order choices to be displayed on the AP worksheet.

Select in or enter text into the search-as-you-type field to search for and select specific order choices. Select the Select checkbox to add or remove the order choice(s) from the table. The table displays an abbreviation, name, CPT codes, local name, added collection information, and active status.

Enterprise Micro Order Choices

Select either the All, None, or Selected option.

  • Select All to display all order choices for Orchard Enterprise Lab Microbiology module.
  • Select None to display no order choices for Orchard Enterprise Lab Microbiology module.
  • Select Selected to manually select specific order choices to be displayed on the AP worksheet.

Select in or enter text into the search-as-you-type field to search for and select specific order choices. Select the Select checkbox to add or remove the order choice(s) from the table. The table displays an abbreviation, name, CPT codes, local name, added collection information, and active status.

Enterprise Hematology Order Choices

Select either the All, None, or Selected option.

  • Select All to display all order choices for hematology.
  • Select None to display no order choices for hematology.
  • Select Selected to manually select specific order choices to be displayed on the AP worksheet.

Select in or enter text into the search-as-you-type field to search for and select specific order choices. Select the Select checkbox to add or remove the order choice(s) from the table. The table displays an abbreviation, name, CPT codes, local name, added collection information, and active status.

Enterprise Advanced Order Choices

Select either the None or Selected option.

  • Select None to display no order choices for advanced order choices.
  • Select Selected to manually select specific order choices to be displayed on the AP worksheet.

Select in or enter text into the search-as-you-type field to search for and select specific order choices. Select the Select checkbox to add or remove the order choice(s) from the table. The table displays an abbreviation, name, CPT codes, local name, added collection information, and active status.

Basic Order Choices

Select either the None or Selected option.

  • Select None to display no order choices for basic order choices.
  • Select Selected to manually select specific order choices to be displayed on the AP worksheet.

Select in or enter text into the search-as-you-type field to search for and select specific order choices. Select the Select checkbox to add or remove the order choice(s) from the table. The table displays an abbreviation, name, CPT codes, local name, added collection information, and active status.

Default Focus
Add

Select Add to add a default focus condition with settings to control which test result input field the cursor should initially be placed in when opening an AP worksheet.

 You can add multiple conditions.

The system will go through the conditions in order from top to bottom and will set focus in the first that applies. Manually sort the conditions in the list by dragging and dropping them. If there are no fields to place the focus in, the system will place the focus on the Save button. 

Workflow Status

 Select or begin typing in the search-as-you-type field to search for and select a workflow status in which the condition will apply.

Report Section

Select or begin typing in the search-as-you-type field to search for and select a report section that the focus will be set in.

Default cursor position for Report Section

Select whether you want the cursor placed in the first test or the first empty test.

  • First Test in the Section
  • First Empty Test in the Section 
    • Use First Test if there are no Empty Tests: If you selected the First Empty Test in the Section option, you can also choose to place the focus on the first test when there are no empty tests. 


AP Case Assignment Settings

Specify what roles are allowed to be assigned the order choice. Users who posses any of those roles can be assigned to orders of the order choice.

Users with these Roles can be assigned to this Order ChoiceType or select in this search-as-you-type multiselect field to search for and choose which roles can be assigned this order choice.


AP Correlation Settings

Use this section to define the original result tests and the correlating result tests for each correlation test that will be used on the order choice.

Current Case Correlations

AddSelect to add a new Correlation Test section of settings.
Correlation Test

Select in or begin typing in the search-as-you-type field to search for and select the correlation test to add to the order choice. Only tests set to the Current Case Correlation AP test type will display.

Optional Settings

  • Test(s) with original results: Select in or begin typing in the search-as-you-type field to search for and select the original result tests to use on the order choice. Only Report Data, Diagnosis, Quality Assurance, and Stain tests that have the current order choice in their Valid AP Order Choice settings will display for selection. Tests in this list will be used in correlation reports when the user who entered the original results is needed for statistics.
    • After you make your selections, the tests will display in the table:
      • Select: Select the checkbox to include the original result test on the order choice.
      • AP Tests: Displays the name of the test to include on the order choice.
      • Level: Displays the test's Associate with setting configured during test setup, either Case, Part, Block, or Slide.
      • Active: Displays the active or inactive status of the test.
  • Test(s) with correlating results: Select in or begin typing in the search-as-you-type field to search for and select the correlating result tests to use on the order choice. Only Report Data, Diagnosis, Quality Assurance, and Stain tests that have the current order choice in their Valid AP Order Choice settings will display for selection. Tests in this list will be used in correlation reports when the user who entered the correlating results is needed for statistics.
    • After you make your selections, the tests will display in the table:
      • Select: Select the checkbox to include the correlating result test on the order choice.
      • AP Tests: Displays the name of the test to include on the order choice.
      • Level: Displays the test's Associate with setting configured during test setup, either Case, Part, Block, or Slide.
      • Active: Displays the active or inactive status of the test.
  • Automatically add this Correlation when a Test from each list is present: Select the checkbox to automatically add the correlation test when both an original result test and a correlating result test are present.
  • Delete: Select the X button in the top-right of the Correlation Test section of settings to delete the section.


AP GYN Cytology Settings

Select the Advanced GYN Cytology Order Choice checkbox to designate this order choice as an advanced GYN cytology order choice and will use the advanced GYN cytology settings. Settings specific to GYN cytology will appear.

Cytology Test Setup

Cytology Protocol

Select or begin typing in the search-as-you-type field to search for and select a cytology protocol. 

Whenever this protocol is added, the system will create three copies of every test on the protocol. One copy for the primary screener, one copy for the QC screener, and one copy for the pathologist. You can only enter results on the AP Worksheet for tests for your cytology role. For example, pathologists can only result pathologists tests and QC screens can only result QC screener tests. 

Interpretation TestFrom the drop-down list, select an interpretation test from the selected cytology protocol to assign as the interpretation test. The interpretation test must have an enterability of coded results.
Adequacy TestFrom the drop-down list, select an adequacy test from the selected cytology protocol to assign as the adequacy test. The adequacy test must have an enterability of coded results.
Correlation TestFrom the drop-down list, select a correlation test from the selected protocol test to assign as the correlation test. Selecting a correlation test is required to store the correlations between users when multiple users enter interpretations for a case.

Correlation Result Matrix

Use the Correlation Result Matrix settings to allow the system to automatically enter results into a correlation test when two users enter interpretation results into the same GYN cytology case. The Correlation Result Matrix will only display when an Interpretation test and a Correlation test are specified in the Cytology Test Setup section.

Cases that need a Correlation test are those with:

  • A primary screener and a QC screener
    • QC screener correlates against the primary screener
  • A primary screener and a Pathologist
    • Pathologist correlates against the primary screener
  • A primary screener, a QC screener, and a Pathologist
    • QC screener correlates against the primary screener
    • Pathologist correlates against the primary screener
    • Pathologist correlates against the QC screener

Note

Not every GYN Cytology case will need a Correlation.


CorrelatingEach row on the Correlating axis of the matrix displays the coded results from the Interpretation test.
Correlating AgainstEach column on the Correlating Against axis of the matrix displays the coded results from the Interpretation test.
CellsWithin each cell of the matrix, select from a choice list of the options from the Correlation test. This allows the system administrator to specify which choice list option should be used to automatically result the Correlation test when two users' results have been entered into their respective Interpretation tests. 
Add Coded ResultSelect the button to add another coded result answer as a row or column to the matrix.
Reset MatrixSelect the button to reset the matrix back to its default state for the selected tests. Note that this will reset rows and columns, but saved answers will remain and modified answers will not.

High Risk Patient Criteria

Use this section to define what is considered a high-risk patient. A case for a high-risk patient will automatically be flagged for rescreen. You can have multiple sets of high risk patient criteria; select the Add button to add another section. 

Note

If you enter invalid values or dates into the fields in this section, a red box appears around the field(s). Hover your mouse pointer over the field(s) to see the error message.


Patient Age Rescreen Criteria

Rescreen patients in high-risk age groupsSelect the checkbox to tell the system to rescreen patients that are in a high-risk age group, which you can define below.
Patients need to be

Define what the high-risk age group criteria should be. 

Select from the drop-down list if the patient should be Equal to, Younger than, Older than, or Between the ages of the value you place in the field. Select Days, Weeks, Months, or Years from the drop-down list. Then select if you're comparing the values you set to the Current Date, Collection Date, or Order Date.

User-Defined Question Response Criteria 

Use this section to set custom patient-level fields to ensure those patients are always treated as high-risk. 

Any of the Following User-defined Question Response(s)

Select the option to set one or more user-defined question responses as criteria for the system to label the patient as high risk. 

When this option is selected, you can choose one or more of the user-defined question responses listed.

All of the Following User-defined Question Response(s)Select the option to set all of the user-defined question responses listed below as criteria for the system to label the patient as high risk.
Do not use User-defined Question Response(s)Select the option to not use user-defined question responses as criteria for the system to label the patient as high risk.
User-defined Question Responses

Select the checkbox to choose an answer for the system to use as criteria to label a patient as high risk. When the user answers the question with a response that meets the criteria set, the system will label the patient as high risk.

Clinical Info Response Criteria

Use this section to set certain clinical information question responses as criteria to label the patient as high risk. 

Any of the Following Clinical Info Response(s)Select the option to set one or more clinical information question responses as criteria for the system to label the patient as high risk. Use the Clinical Questions field (below) to search for and select clinical questions to use.
All of the Following Clinical Info Response(s)Select the option to set all of the clinical information question responses as criteria for the system to label the patient as high risk. Use the Clinical Questions field (below) to search for and select clinical questions to use.
Do not use Clinical Info Response(s)Select the option to not use clinical information question responses as criteria for the system to label the patient as high risk. 
Clinical Questions

Select or begin typing in the search-as-you-type field to search for and select clinical questions to use as criteria for high-risk patients. Once you select one or more questions, they will appear in the table.

Select the Select checkbox or the question name link to remove the question from the table.

Use the Condition and Value fields to set the criteria.

Specimen Adequacy Criteria

If you want cases with adequacy issues to be automatically flagged for rescreen, use this section to define the coded results that will trigger the system to rescreen. Once you've defined the Adequacy Test, configure the criteria based on the possible coded results for that test. 

Coded Result

Select or begin typing in the search-as-you-type field to search for and select coded results from the adequacy test that will flag the case for rescreen. Once you select one or more coded results, they will appear in the table.

Select the Select checkbox or the code name to remove the coded result from the table.

The coded results will trigger the rescreen after a user saves the result of the adequacy test.

Manual Rescreen Request

Allow Primary Screener to send this case to be rescreened

Select the checkbox to enable the ability for a primary screener to manually request that a case be rescreened. 

If this checkbox is selected, and if the user is a primary screener, a Request Rescreen button is available on the Issue AP Report pop-up. 

Primary Screener Percentage Calculation Settings

The system will calculate how many of a primary screener's cases will be rescreened and will randomly identify cases resulted as negative to be rescreened. The settings in this section tell the system whether to count high risk criteria, specimen adequacy criteria, and manual rescreen requests toward the primary screener's rescreened cases percentage.

High-Risk patientsSelect the option to include high-risk patients in the primary screener's rescreen percentage.
Specimen AdequacySelect the option to include specimen adequacy in the primary screener's rescreen percentage.
Manual rescreenSelect the option to include manual rescreen requests in the primary screener's rescreen percentage.

Workflow Status for Rescreen Cases

Use this section to specify what status the Workflow Status should be changed to when a case is flagged for rescreen.

When a case is flagged for rescreen, change the Workflow Status to the specified StatusSelect or begin typing in the search-as-you-type field to search for and select a Workflow Status to change the case to when a case is flagged for rescreen.

AP Combined Report Order Choices

Use the AP Combined Report Order Choices section to select the order choices that will be combined onto the AP order choice's report when on the same order. The system will also prevent the AP report from being issued until all of the order choices have been completed. 

Combined Report Order Choices

Select in or begin typing in the search-as-you-type field to search for and select the order choices you'd like to link to the AP order choice.

When any of the order choices you select here are on the same order as the AP order choice you're configuring, the current AP order choice you're configuring can't be approved until all of the selected order choices are approved. Also, the results of the selected order choices are eligible to be included in the AP Report Settings template. 

Note

You can only select basic, advanced, and hematology order choices to link with the AP order choice.

When a combined report order choice is amended, the system checks the entire order to see if there are any AP order choices that should be reopened for amendment and if so, then reopens the AP case.

SelectA selected checkbox indicates the system will attach the order choice to the AP order choice you're configuring. Clear the checkbox to remove the order choice from the list of order choices to link.
AbbreviationDisplays the order choice abbreviation. Select to remove the order choice from the list of order choices to link. 
NameDisplays the full name of the order choice.
CPT CodesDisplays the CPT code assigned to the order choice.
Local NameDisplays the order choice's local name.
Collection InformationDisplays the order choice's collection information.
ActiveDisplays the order choice's inactive/active status. 
Suppress reference rangesSelect the checkbox to remove reference ranges from AP reports containing combined report order choices.


AP Work Request Settings

Use the AP Work Request Settings section to select the roles that can be assigned to work requests; the slides and container groups to use for the IHC, Special Stain, Cut Through, and deepers/recuts requests; and the facilities where send-out testing and external consult requests can be sent to.

All Types

Select the Roles that can be assigned to Work Requests for this Order Choice

Select in the field to search for and select the roles that can be assigned to work requests. The roles you select display in a table below the field. Clear the Select checkbox to remove the role from the list.

IHC Request

Slide to use

Select in the field to search for and select a slide to use for IHC work requests. This list contains only AP slide tube/containers. 

Container Groups to useSelect in the field to search for and select container groups that users can select for IHC work requests. The container groups you select display in a table below the field. Clear the Select checkbox to remove the container group from the list. 

Special Stain Request

Slide to use

Select in the field to search for and select a slide to use for special stain requests. This list contains only AP slide tube/containers. 

Container Groups to useSelect in the field to search for and select container groups that users can select for special stain requests. The container groups you select display in a table below the field. Clear the Select checkbox to remove the container group from the list. 

Deepers/Recuts Request

Slides to use

Select in the field to search for and select slides to use for deepers/recuts requests. This list contains only AP slide tube/containers. The slides you select display in a table below the field. Clear the Select checkbox to remove the slide from the list.

Container Groups to useSelect in the field to search for and select container groups that users can select for deepers/recuts requests. The container groups you select display in a table below the field. Clear the Select checkbox to remove the container group from the list. 

Cut Through Request

Slide to use

Select in the field to search for and select a slide to use for cut through requests. This list contains only AP slide tube/containers. 

Send Out Testing Request

Facility NameEnter the name of the facility where send out testing can be sent. Select the Add button to add the facility to the list of facilities below the field. Select the X button in the Remove column to remove the facility from the list. 

External Consult Request

Recipient NameEnter the name of the facility that should receive the external consult. Select the Add button to add the facility to the list of of facilities below the field. Select the X button in the Remove column to remove the facility from the list. 


AP Automatic Annotations

Use the AP Automatic Annotations section to add sets of annotations that will automatically be added to the order choice via an image annotation rule.

After you've defined one or more annotation sets, the section will display tables of the sets grouped by the base image. You can add conditions to each separate set of annotations so that the annotation set is only automatically added to the report image when the conditions are met. Select a row in any of the tables to display a preview of the set of annotations. 

AddSelect the button to add an annotation set to the order choice. The Annotate Image pop-up appears, where you can select a base image and create the annotation set. 
Image Test to receive AnnotationSelect or begin typing in the search-as-you-type field to specify the image test that you'd like to use to hold the annotated image. This field is required.
SortSelect to drag the annotation set to a different location in the table. 
EditSelect the link (if the annotation set has a name) or the Edit button (if the set doesn't have a name) to open the Annotate Image pop-up, where you can edit and format the annotation set.
Base ImageDisplays the base image used in the annotation set. 
SourceDisplays the specimen source for the image annotation rule.
Laterality/Top1Displays the laterality/top1 condition for the image annotation rule, if used.
Site/Top2Displays the site/top2 condition for the image annotation rule, if used.
Anatomic LocationDisplays the anatomic location condition for the image annotation rule, if used.
ProcedureDisplays the procedure condition for the image annotation rule, if used.
Test Conditions

Select the Edit button to configure the test conditions that will trigger the image annotation rule. The Test Conditions pop-up opens.

  • All Test Condition groups are met: Select to trigger the image annotation rule when all test condition groups (you define below) are met.
  • Any Test Condition group is met: Select to trigger the image annotation rule when any of the test condition group (you define below) is met. 
  • Add Group: Select the button to add a new test condition group to the list.
  • Add Test Condition: Select to add a new test condition to the group.
  • Remove Group: Select to remove the test condition group from the list.
  • Test Name: Choose an option from the list to set a condition for the test name. Use the corresponding text box to enter the condition's value.
  • Result Value to Compare: Choose an option from the list to define the result value to compare. 
  • Result Value: Choose an option from the list to set the result value being compared. Use the corresponding text box to enter the value.
  • Abnormal Flags Value: Choose an option from the list to set the abnormal flags used in the condition.
  • Delete: Select the X button to delete the condition from the test condition group.
  • Save: Select to save your changes and return to the Annotate Image pop-up.
  • Cancel: Select to discard your changes and return to the Annotate Image pop-up.
RemoveSelect the X button to remove the image annotation rule from the table.


AP Workflow Management System

Use the AP Workflow Management System section to configure your system to send messages to and receive messages from an AP workflow management system. To send and receive messages from the workflow management system, define the workflow management system middleware interface and/or instrument for the order choice. You can also configure the workflow management system to add new blocks, slides, and stains, change stains on slides, and cancel blocks, slides, or stains. 

With these settings configured, messages will be sent upon case setup and any time that changes are made to case's blocks, slides, and stains.

Workflow Management MiddlewareSelect in the search-as-you-type field to search for and select the middleware interface used for outbound messages to the AP workflow management system. 
Workflow Management InstrumentSelect in the search-as-you-type field to search for and select the instrument used for the AP workflow management system. This allows you to send messages directly to an instrument interface rather than going through middleware.
Tube/Container Type of Added BlocksSelect in the search-as-you-type field to search for and select the block that the workflow management system can add to the case.
Tube/Container Type of Added SlidesSelect in the search-as-you-type field to search for and select the slide that the workflow management system can add to the case.