We scan all outside laboratory reports (including consultations, flow cytometry, special immunohistochemistry, molecular tests, etc) and insert the scanned material into an addendum which is electronically tied to the primary report. If the outside report has graphic material (ie, material that cannot be converted into a "WORD" format) it has to be excised because at least our vision of Cerner Millenium will not permit non-text material to be inserted into the report document (We use an Epson scanner and Epson program that does a very handy job of converting PDF documents into WORD documents and allows for the excision of non-WORD material---like fancy headers). When appropriate, ie, it is not obvious what the results mean, we may add our own comment about how these results should be interpreted in the setting of our other material. This saves a lot of transcription (which use to be the way we accomplished this) and avoids transcriptional errors. It generally allows capture of the name and address of the outside laboratory, which is a CLIA requirement. Incorporating the results of special tests into the report is a CAP requirement. Bill Tench Associate Dir. Laboratory Services Chief, Cytology Services Palomar Medical Center 555 E. Valley Parkway Escondido, California 92025 [email protected] Voice: 760- 739-3037 Fax: 760-739-2604
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