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How to Use SchuyNet - Ordering Tests

To place an order, you start by bringing up the patient information. From the main page you can search by patient name or ID. Enter the Patient Id in the Patient ID box, or the Patient Name in the Patient Name box, and then click on the "Lookup Patient" button.

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If the patient information has not already been entered, your search results will indicate that “No matching Patient was found.” If this happens, or if your patient does not appear in the search results after you clicked Lookup Patient, you will want to create a new patient by clicking the “Create New Patient” button on the search results box and following the instructions in the “Adding a New Patient” section. You can also do this by clicking “New Patient” on the main screen, if you are sure your patient is not already in the system.

When you have selected your patient, a window will pop up with patient information and a Create Requisition button on it.

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Clicking on the "Create Requisition" button brings up the Accession Information window.

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The required fields are the collection date for the specimen to be tested, and the last name of the doctor ordering the tests. If you already have a requisition ID for this accession you can enter it in the Requisition ID box. If not, you can leave the Requisition ID box blank, and an ID will be generated automatically. Collection Date and Time default to the current date and time, and there is also a blank field labeled "By", where you can put in the initials of the person who collected the specimen.

When the "next" button is clicked, we come to the test ordering screen. The lab can configure the test ordering screen in a number of ways; there may be multiple tabs corresponding to different kinds of tests you can order. You will almost certainly have a number of check boxes allowing you to order various tests or panels; depending on the lab’s configuration, you may also have a Search box, allowing you to type in the name of a test to search for it. The right side of the screen, containing the ICD-9 codes you have entered and the list of tests you have ordered, will look the same no matter how the lab has configured their ordering system.

Here is a typical ordering screen showing a Quick Order for panels and a Search box. Two other tabs are available containing other Quick Order lists. To see more options, click on the name of one of these tabs (“Micro” or “Tests” in this example) at the top of the screen. The section of the screen containing the quick order will change accordingly.

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On the left hand side there is a series of checkboxes with the most commonly ordered tests and panels. This is the Quick Order area. If a test or panel is not on that list, you can search for it with the Search Tests box, if it is available. To do this, you type the test you searching for in the search box, and click on the "Search" button. SchuyNet will display Search results in the Tests column below the Search box. The tests column shows tests that have not yet been ordered. Tests or panels that you have ordered appear in Order column on the right side of the window. To move a test from the Tests column to the Order column and order that test, click “Order Test” below the Tests column. To remove a test from the Order, simply click “Cancel Test” below the Order column. The upper right hand corner is where you enter in up to 8 ICD-9 codes for this accession.

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SchuyNet also gives you additional information on this screen. In the example above you can see that the two panels ordered are a CBC and Chemistry and they appear in the Order Column beneath the Ordered heading in that column. Note that since POTASSIUM is a part of the CHEMISTRY panel, the Information box at the bottom of the screen warns you that it is part of an already selected (ordered) panel. You will not be able to order this test individually unless you decide not to order the panel that contains it.

When you are first making an order on an accession all tests and panels that you order will appear under the Ordered heading, but if you check on the Order later, once the laboratory has received the specimens SchuyNet they will appear under the In Progress heading, and when they have results, under the Completed heading. The checkboxes on the left side of the screen display certain tests and panels as grayed out and italicized. These are tests and panels that can be ordered separately, but will already be run as part of a currently ordered panel. If the panel that contains them is removed from the order, the entries will return to black, and become selectable again.

In the example, you can see that Potassium has been searched for and found, but the Information box below the two columns shows us that this is already part of a selected panel. If you try to add it at this point, SchuyNet sees that it is already ordered and doesn't make any changes. If you were making this order and decided you didn't mean to order a Chem 18, you could remove it in one of two ways. Since it is a common order found in the Quick Order list, the fastest way is simply to click that check box off. The other way is to highlight it on the order list and click on the "Cancel Test" button to remove it from the Order list and place it on the Tests list.

When you have finished with your order, click on the "Finish" button and SchuyNet will transmit your order to the laboratory. If problems are detected with the order, SchuyNet will create a popup window to let you what needs to be changed at this time. If additional information is required, a popup will come up stating that more information is needed and what additional information is required.

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In the example above, you need to indicate whether or not the patient has been fasting prior to the collection time. If all is good the order is placed and a requisition form comes up.

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A requisition number has been assigned (R44, in this example) for reference purposes. You can see this number in the title bar at the top of the window, and below the patient information on the right hand side under requisition. This requisition can be printed out, signed and sent along with the samples to be tested to the laboratory. (Check with your laboratory for exact procedures).

SchuyNet also allows orders to be edited after completion, so long as the test is not yet in progress or completed. Bringing the sample patient back up you can see in the Accession Record area at the bottom of the window that they have an accession that is still pending.

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With the accession record highlighted you can click on the tab with the collection date and time at the top of the window to bring up the accession tab. SchuyNet shows the accession as collected but not received or reported since the lab has not yet received the specimens.

If you click on Order Tests here, SchuyNet brings up the Order form with the current order information and you can edit it. Or if you want to change the accession information, you can click on the information you wish to change on the screen and SchuyNet brings up the Accession Information screen. In either case, if you make the changes and click finish, the corrected order will be sent to replace the previous one.

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