Knowledgebase : > Test Ordering and Results

Sometimes a lab result is sent to you incorrectly.  In the Message Centre > My Mail, marking it as 'Seen' will only hide it from the display but it will still be included if you use the 'Print All' option.

To completely remove the result:

  1. Go to the configuration icon (left-hand window - far left icon) and UNCHECK the option the 'Hide message if: Seen'
    

  2. Find and select the result to be deleted

  3. In the right-hand window, check you have the correct result selected then click on the Delete button (you may need to stretch the window further to see the icon).
     

  4. Go back into the configuration and check ON the 'Hide message if: Seen'

Tasks are message types that have a Start or End date and remain active until they are marked as Completed.

You can create tasks for yourself or you can assign to others.

Tasks can be linked to a patient and also message or file.

The following training video provides an overview of creating and completing a task.

http://incisivesupport.com/train/vid/mymail_maketask.mp4 (3:02 mins)

 

Histology, Pathology & Radiology results can all be imported into the Incisive application.
 
Once they have been imported, you can choose how you want to review and action the results.  These are some of the methods used:
1. Doctor reviews the result and manages ALL the ensuing actions.  
2. Doctor reviews results and sets TASKS for the staff to action.  
3. Normal results are reviewed by the NURSE; Abnormal results are reviewed and actioned by the Doctor. 
4. SECRETARY processes all results to the patient's Notes and informs doctor if abnormal.
 
You can choose the method that works best for you.
 
The following video shows the steps involved with option 1.

Incoming test results are delivered to your server by a messaging carrier application. The results are then imported into the Incisive application using a special application.  There are several things you can check if you think they are not being delivered.

  1. Check the Unclaimed Lab Results option.  Any lab results that do not have a Medical Council number or Provider number for the receiving doctor, will be put into the Unclaimed mailbox.
    These unclaimed results need to be read by a staff member and directed to the relevant Provider.
  2. On the computer that recieves the incoming test files, use Task Manager to see if the files HL7.exe or HL7AUS.exe are running or not responding.  There should only be one copy of the file running.  If there are multiple copies of either of these files you need to use the 'End Task' option to cancel them.
  3. Go to Setup -> System -> Message Carriers and check where the files are meant to be delivered.  Use Windows Explorer and navigate to the location to see if there are any files at this location that have not yet been imported into the database. 

    If there are no files in the incoming directory then you can call the labs and check that they have sent some to you.

    If there are files then you can manually run the HL7.exe or HL7AUS.exe files to start the import process.
    Once the files have been successfully been imported they are moved into the Archive directory.

Test results are usually sent by the laboratories in the HL7 format.  This protocol allows the Incisive application to automatically send acknowledgement replies back to the laboratory to indicate that the tests have been received.  The laboratories match the acknowledgement messages with the original test result.

If no acknowledgement is received by the laboratory then the test result is resent.

The acknowledgement files are automatically created when the test results are imported into the database - not when the tests are read by the Provider. 

  1. Check the importing application (HL7.exe or HL7AUS.exe) is working.  On the computer that receives the incoming test results, use Task Manager to see if there are either multiple copies of the files running or if either of these files are not responding.  Use End Task to cancel multiple or non-working instances of these files.
  2. Manually restart the HL7.exe or HL7AUS.exe (in the SPMWIN directory)
  3. Check that a scheduled task has been set up to run the HL7.exe or HL7AUS.exe files on a regular basis (hourly) or, if there is a task scheduled, check that it is working correctly.
  4. Once the reason for the acknowledgements failing has been established and rectified you can use the 'Strip Duplicates' option in the Incisive application to remove duplicate or multiple copies of the same test result on the patient's file.  Go to Utilities -> Repair -> Data Repair and use the 'Strip Dupl' option.
    CAUTION - this should only be used after discussion with the Incisive Helpdesk.