18 Powerscribe OrderReportManagement Chapt18
18 Powerscribe OrderReportManagement Chapt18
Objectives
In this chapter, you will:
• Manage orders and reports on the Explorer tab
• Use the Dashboard tab
• Create templates for print, fax, and cover sheets
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Quick Search
Search Filters
Worklist
Search
Once you have found the order you want to see, you can take various actions on it. You can:
• Associate an order with a report
• Reset an order’s status to ‘Draft’
• Modify an order’s priority level
• Modify a report’s diagnosis codes
• Change values in the custom fields
• Change a patient’s MRN
• Download a printable version
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Report audio is available in the Explorer only if the Save Audio with Report dictation
preference is in effect (see page 75). A Nuance representative must configure the amount of
time the system is to save the audio files.
Retrieving Worklists
In the WL (worklist) box, you can execute previously-defined, system-wide worklists. For
information on creating worklists, refer to Chapter 16.
To retrieve a worklist:
1. In the WL drop-down list, select the desired worklist.
2. Click Search. Any orders or reports that meet the criteria in the worklist appear in the
results grid.
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Status Description
All Uses all order statuses in the search.
Canceled Order was canceled.
Completed Order has been completed and is ready for reporting.
Scheduled Order has been scheduled but not performed.
Temporary Indicates a temporary order.
Dictated Ext.
Status Description
Addended One or more addenda have been created for a final report. Addenda are
reports themselves and the aforementioned statuses apply to them too.
All Uses all report statuses in the search.
Completed (All) and Exam has been performed and is ready for dictation.
Completed (Unreported)
Draft Report has been started and saved, but not completed.
Draft (A) A indicates an addendum.
Draft (S) S indicates scheduled. Depending on the interface configuration the report
might not be eligible to be sent to the RIS until the order is completed.
Draft (T) T indicates temporary.
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Status Description
Final Report has been completed and signed by an attending.
Final (A) A indicates an addendum.
Final (Asgd) Asgd indicates an assigned report that is pending an addendum.
Final (S) S indicates scheduled. Depending on the interface configuration the report
might not be eligible to be sent to the RIS until the order is completed.
Final (T) T indicates temporary.
Pending Correction Report has been dictated and queued for correction.
Pending Signature Report has been dictated and queued for signature.
Preliminary Pertains to any report whose status is not final.
Rejected Appears when a corrected report is returned to an editor by an attending or
resident, or when a Pending Signature report is returned to a resident by an
attending.
Scheduled Exam has been scheduled but not yet completed. Sometimes, the exam has
been completed but the status has not been updated in the RIS. In this case,
reports can be dictated, but are not delivered to the RIS until they are marked
complete. Some sites may choose not to allow dictation for scheduled orders.
Temporary Exam has not been received by PowerScribe 360 Reporting so a temporary
order has been created. In this case, reports can be dictated, but are not
delivered to the RIS until the actual order is received.
Unreported No report has been dictated for the order.
Wet Read A “pre-draft” state. Either attending or resident providers can create a wet
read report. Any attending or resident provider can promote a wet read report
to a Draft status. The text of the wet read is maintained once the report is
promoted to Draft status.
• Section: Search based on customized site sections. This filter is disabled if you
have not selected a site.
• Ordering Physician: Search for exams ordered by the selected physician from a
site. This filter contains only active physicians who have ordered at least one exam,
and is disabled if you have not selected a site. Begin typing the physician’s name,
and then select the name from the list that appears.
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• Time Frame: Search for orders or reports based on a period of time. For unreported
orders, the filter is based on the time of the exam. For reported orders, the filter is
based on the time the report was last modified. This filter includes values such as
Past hour, Past 4 hours, Today, Yesterday, Past 2 days, Past 3 days, Past week, Past
2 weeks, Past month, Tomorrow, All Future, and No limit. To specify a range, click
Custom and then indicate the start and end dates. These dates are inclusive.
• Transfer Status: Use this filter to search based on report transfer status (All,
Exceptional, Not Ready, Ready, Sent, Rejected, Failed, Held, Queued, Force Send).
• Location: Use this filter to search based on the site location associated with the
order. This filter is disabled if you have not selected a site.
2. Click Search. Any orders or reports that meet your criteria appear in the results grid.
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Results Grid
Tip:
• If a report is associated with multiple orders, each order that satisfies the search
criteria appears separately in the grid.
• If the report has an addendum, the properties listed (status, attending, and so on) refer
to the addendum.
• If the search yields more than one page of results, click the page number at the bottom
right corner of the grid to navigate to a specific page. To view the entire list, click the
small down arrow at the right of the page number list. The arrow then reverts to an up
arrow; click the up arrow to see the results one page at a time.
• Hover your mouse cursor over the page label to see the total number of items found.
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• Click any column heading to change the sort order. The software remembers the order
you selected. Click the heading again to sort in reverse order.
• If you invoke a worklist that contains a sort order, the results initially appear in this
order, and the grid footer displays the order. Apply a different sorting by clicking a
column heading.
Note: There is a limit on the number of orders you can retrieve at one time. This limit is set
by default to 500 in the Maximum Explorer Search Records system preference, found on
the Explorer Screen tab in the System Preferences window.
The Locking and assignment status, Report transfer status and Priority columns
provide some important information about the reports and orders that appear in the list.
Column Description
Locking and assignment status The icon in this column can be either yellow or blue.
Yellow indicates that the report is open and therefore locked.
Hovering your mouse over the lock icon shows who has
locked the report.
Blue indicates an order that is assigned to a radiologist other
than the logged-in user. Depending upon a site preference,
(page 59) you might, or might not, be able to open this order.
Report transfer status Hover your mouse over the order’s icon to see the status:
Ready: Report is flagged for inspection; when it is sent
depends upon its status and interface options.
Queued: Report is queued for transmission.
Force Send: Report is queued for immediate
re-transmission.
Sent: Report has been successfully delivered.
Sent & Edited: Report has been edited since it was
distributed; the version of the report in the RIS/HIS is old
and does not match what is in PowerScribe 360 Reporting.
Final Exported: Final report has been successfully
transmitted.
Rejected: The RIS rejected the report.
Failed: An error occurred.
Held: An administrator interrupted the transmission.
Priority This column uses icons to indicate an order’s priority:
No icon: Routine priority
STAT priority
ASAP (red)
Timing-critical; Callback; or Pre-op (yellow)
Low priority (green)
TAT Deadline Indicates reports that have reached or surpassed their turnaround
time deadline:
Indicates the report is past its deadline. Hover your mouse
cursor over the icon to see a tool tip describing how far past
the deadline the report is.
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Order/Report Preview
Each accession number in Accession column of the results grid is a hyperlink to an order
and report preview page. This printer-friendly page also provides patient data, exams
associated with the report, the report’s addenda, and any notes, custom fields, or
attachments.
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In addition to the preview, there is an audit trail for the order and report, showing when the
report was received from the RIS, when it was created, edited, signed, and so on. In the
Content column of the audit grid, there are icons you can click to download the report
content at various steps in the reporting process.
You can download the plain text (.txt), the formatted text (.rtf), or the dictated audio (.wav)
of the current report independently of the audited content. These files are available for the
number of days specified in the Keep Content Audit for Final Reports option in the
System Configuration dialog box (Setup > System > Configuration). Final reports are
typically deleted after a few days so that the database does not grow too rapidly.
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4. In the To: field, select the recipient’s name. The default destination is the ordering
physician, or the referring physician if the ordering physician name is unavailable.
5. In the Number: field, type the fax number.
6. If you want a cover page to accompany the fax, select Cover Page and type the
Subject and Message that are to appear on the cover page. For information on defining
cover page templates, refer to Creating a Fax Cover Sheet, beginning on page 514.
7. Click Send to send the fax(es).
Unlocking an Order
While a provider is dictating a report on an order, the order is locked to prevent other users
from opening it. Later, the order is unlocked. The order might remain locked in some
circumstances, such as a loss of network connection. When the provider logs in again
when the connection is restored, any locks are automatically cleared. You can use the
method below to unlock an order manually, if necessary.
To unlock an order:
1. Find the order you want to unlock.
Tip: Use the Locking Status filter to search for all locked orders.
The locked order shows a padlock icon next to it.
2. Place a check mark next to the order.
3. Click Unlock. The lock is cleared.
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3. Indicate the action you want to take: Add an order to this report, or replace the existing
order with another one. Or, if there are multiple orders associated with a report, you
have the option of removing the currently selected order.
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4. Click Next >>. A list of unreported accessions for this patient is displayed.
5. Select the order you want to associate with the report and click Next >>. A
confirmation message indicates the association has been made, or removed, depending
on the action.
6. Click Close. The original list is updated to reflect your change.
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Routine: No icon
Low priority:
Timing-critical,
callback, or pre-op:
ASAP:
STAT:
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4. Place a check mark next to each code you want to assign to this order. Or, place a
check mark in the heading to select all the codes in the list.
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5. Click Add. The selected codes are added to the Selected Diagnosis Codes list at the
right. To remove a code, place a check mark next to it and click Remove.
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2. Float your mouse cursor over the Action link next to the order or report, and select
Edit Custom Fields… from the shortcut menu. The Order Custom Fields dialog box
opens.
3. Enter or select the appropriate value for each of the custom fields in the order or
report.
4. Click Save Changes.
5. Click Close Window to return to the report list.
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5. Click OK.
Canceling an Order
Because some RIS do not send order cancellations through HL7, you can set the status of
an exam to Canceled to keep the data synchronized between PowerScribe 360 Reporting
and your RIS. You can cancel only unreported orders whose status is not Temporary or
Entered.
To cancel an order:
1. Find the order you want to cancel.
2. Float your mouse cursor over the Action link next to the order, and select Cancel from
the shortcut menu. A confirmation message appears.
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OR
To save a copy of the report(s), click Save. A standard Save As window opens.
Navigate to and select the folder where you want to save a Word file containing the
report(s), and click Save. The file is stored at the location you specified.
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The options you see depend on the order or report you selected. For example, if you
delete an order associated with a visit that has no other unreported orders, you have an
option to delete the visit:
4. Select the appropriate option(s) and click Delete. A message indicates the successful
deletion of the item(s).
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The User Activity tab contains two actions that you can perform. In the far right column of the
list, a red and white icon allows you to terminate a client session. Or, in the lower-left portion
of the window, you can click the blue terminate link to terminate all open client sessions.
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Introduction to Templates
You can create print, fax, and cover sheet templates for your facility’s needs. You can design
templates for the entire system, for individual sites, and for locations within sites. If your
facility is converting from the RadWhere application, you can use your existing RadWhere
templates in PowerScribe 360 Reporting.
Templates allow your reports to have a consistent appearance when they are printed or faxed.
If you assign a template to the system, all reports printed in the system use that template,
unless you also assign templates to individual sites or locations within sites. With a template,
a report has the same appearance whether a radiologist prints it from the client application or
an administrator prints it from the Explorer tab in the Administrator Portal.
To tailor a template to your facility’s needs, you can use advanced features such as merge
fields, tabs, page numbering, headers, footers, tables, and embedded graphics such as logos.
And, you can design a template to show a different header or footer on the first page than on
the other pages. (Nested tables and separator lines are not supported.)
If desired, you can design separate templates with different headers and footers for each site or
location; for example, you might want reports to display a different department name and
address at the top of the page depending on the site or location. You can create the same or
different templates for printing and faxing.
You can create and edit simple templates in WordPad; for the more advanced features, you
will need to use Microsoft Word. You must save print and fax templates as .rtf files, not as
.doc files, before you upload them to your system in the Portal. You can use any .rtf file as a
basis for a new template.
Note: Cover sheet templates are not .rtf files; these have a .cov extension and you can
create them only in the Microsoft Fax Cover Page Editor utility that comes with Windows.
Use the procedures below to create and edit templates that will be available to all users in the
system, for individual sites, or for locations within sites.
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You can copy any merge field from the list to insert it in the document. For example, to
insert the visit number, copy the field <401:Visit Number> and paste it at the position
in your template where you want the visit number to appear. Although you can use the
field number alone or the field name alone, it is recommended that you copy the field
exactly as it appears, including the brackets.
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OR
To add a print template at the site level:
a. On the Sites tab in the Setup group, select the site from the drop-down list at the
upper right.
b. Click Templates.
c. Select the Print Template tab.
OR
To add a print template at the site location level:
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a. On the Sites tab in the Setup group, select the site from the drop-down list at the
upper right.
b. Next to the location for which you want to add a template, click Edit in the
Templates column.
2. Click New.
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7. To preview the template as it will appear with a report, click the link below the editing
window. At the prompt, click Open. A sample report appears in a preview window.
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(This preview does not display any real data in the merge fields, but shows how a
typical report might appear in the template.)
Close the preview window when you have finished viewing the sample report.
8. Click Save and Close to save the template on your server.
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Two example templates (Simple Reverse Template and the Complex Reverse
Template) and their example results are shown on the next two pages, using the new
merge fields to position the addendum text at the top of a printed report.
Simple Reverse Template Example and Result
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OR
To add the fax template at the site level:
a. On the Sites tab in the Setup group, select the site from the drop-down list at the
upper right.
b. Click Templates….
c. Select the Fax Template tab.
OR
To add the fax template at the site location level:
a. On the Sites tab in the Setup group, select the site from the drop-down list at the
upper right.
b. Next to the location to which you want to add a fax template, click Edit… in the
Templates column.
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2. Click New.
To preview the template as it will appear with a report, click the link below the editing
window. At the prompt, click Open. A sample report appears in a Word window.
Close the window when you have finished.
7. Click Save and Close to save the fax template.
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4. To add commonly used label and text boxes to the cover page, click the Insert menu,
and then do one or more of the following:
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• Click Recipient, and then click the type of recipient information that you want the
cover page to display.
• Click Sender, and then click the type of sender information that you want the cover
page to display.
• Click Message, and then click the type of message information that you want the
cover page to display.
5. To add text, click the Text button on the toolbar, and then drag your pointer to
draw a text box. Type the text that you want the cover page to display.
6. The following illustration shows an example fax cover sheet.
7. When finished, click File > Save and save the file to your preferred location. The
cover sheet file is saved with a .cov file extension.
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2. Use the utility’s editing features to create the cover sheet. For more information, refer
to the Fax Cover Page Editor’s online help.
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Note: The utility allows you to insert merge fields by selecting Insert from the
menu bar and then selecting fields from the Recipient, Sender, and Message
submenus. The PowerScribe 360 Reporting application supports only the
following fields:
Recipient: Name, Fax Number
Sender: Name, Fax Number
Message: Note, Subject, Date Sent, Number of Pages
3. Click File > Save As….
4. Save the cover sheet to a folder on your computer. The cover sheet file has a .cov file
extension.
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OR
To add the fax cover sheet at the site level:
a. On the Sites tab in the Setup group, click Templates….
b. Select the Cover Sheet tab.
OR
To add the fax cover sheet at the site location level:
a. On the Sites tab in the Setup group, select the site from the drop-down list at the
upper right.
b. Next to the location to which you want to add a fax template, click Edit… in the
Templates column.
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4. Navigate to and select the cover sheet file and click Open. Cover sheet files have a
.cov extension.
Modifying a Template
You can modify a print, fax, or cover sheet template for your system or site, and you can
modify a template for a location within a site.
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b. Next to the location to which you want to modify a print template, click Edit… in
the Templates column.
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a. On the Sites tab in the Setup group, select the site from the drop-down list at the
upper right.
b. Next to the location to which you want to modify a fax template, click Edit… in the
Templates column.
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