Investigation requests

Create an imaging or pathology request from within a patient's clinical record.

To request a pathology or imaging investigation, you must belong to a user group that has the Investigations system right enabled.

A default claiming provider may be selected for your organisation in Organisation Maintenance. The default provider is an organisation-wide option and is available only for the encounter places where the provider has a provider number.

Note:

Providers other than those identified as investigation claimants for an encounter place can order investigations if Allow Investigation Request on Behalf of another claiming provider is enabled in Organisation Maintenance and they have a Medicare Provider number. Providers who have a Medicare Provider Number and have Ix Claimant set for an encounter place in File > Providers > provider, are not given the option to order investigations on behalf of another provider. If a provider with a Medicare Provider Number needs to order tests on behalf of another provider, Ix Claimant should not be set for the required encounter place. For more information, see Providers.

The process for requesting a pathology or imaging investigation is similar.

To request a new investigation:

In a patient's Clinical Record, click:
- Pathology to add a pathology investigation for a patient
- Imaging to add an imaging investigation for a patient
In the Add Investigation Request window, from the Investigation Provider list, if there is more than one provider defined for your encounter place, select an investigation provider.
If you are not an investigation claimant for your encounter place, from the Claiming Provider list, select the provider who you would like to make the request on behalf of. The Claiming Provider list contains only providers who are investigation claimants for the current encounter place.

Tip:
If you are an investigation claimant provider at the encounter place from which you are ordering the test, you will not get the option to select a different claiming provider.
In the short list of available investigations, select the required investigation and click >Add, or double-click the investigation. To add all items in a filtered list, click >>Add All. The investigations you have selected are listed in the Investigations Requested pane. These tests will be printed on the request form. To remove a requested item, click <Remove.
If the investigation you want to request is not in the short list, in the Search Investigations field, enter a keyword, or two keywords separated by a space to find the investigation you require. For information about adding an investigation to the short list for future requests, see Creating new request types.
Set clinical options. For any options that you set, an X is placed in the relevant box on the request form. If an option doesn't exist on the printed template, the label is added to the clinical notes format, for example, Fasting.
1. If your patient is fasting, set Fasting.
2. If your patient is pregnant, set Pregnant.
3. For imaging requests, if your patient is breastfeeding, set Breastfeeding.
4. For imaging requests, if your patient is unwell and poses a risk to imaging staff, set Infection Risk. Add details about the infection to the text field.
In the Copy To field, enter the names and details of any other providers the results of the investigation should also be sent to, other than yourself.
From the Investigation Reason list, select an existing clinical item for the patient to which this investigation relates, or click Clinical Item and select a new clinical item.
If an investigation must be performed urgently, set Urgent and in the Reply To field, enter your monitored phone or email details.
If a patient's welfare is at risk, set Critical if result outstanding. The investigation will be given a higher priority in the Report > Investigations > Outstanding requests by provider report.
From the Printing Format list, select a predefined print format. The format defaults to that specified for the Investigation Provider in the Address Book.
In the Clinical Notes field, add any extra information that the lab or imaging practice needs to know. Carriage returns are replaced with spaces.

Note:
For most clients, clinical notes longer than 145 characters are truncated in the investigations template. If you are using a custom template, you may be able to include extra information.
Do not send reports to My Health Record shows the patient's preference recorded in Patient Consents to Upload to My Health Record. This preference will be printed on the investigation request form. Communicare does not upload the request or result to My Health Record, irrespective of whether this option is set or not. This option is displayed irrespective of whether the My Health Record module is enabled or disabled.
Click Print & Save.

The imaging request is displayed in a PDF viewer. The patient's details, tests requested and the clinical details set are displayed in the template. Depending on the template, the clinical detail information you provided is displayed either in the clinical notes or the relevant checkboxes are selected. Clinical information is displayed before any other clinical notes. For example, in the following request forms, the standard Communicare template displays the infection risk in the clinical notes, the second template displays the infection risk details separately.
Example imaging request details - standard template

Example imaging request details - standard template

Example imaging request template with specific field for infection details

For some health services, for imaging requests using templates that show allergies, any adverse reactions recorded in the clinical record are also transcribed into the Allergies field. If no adverse reactions are recorded, Allergies is left blank. If you have recorded Nil Known adverse reactions in the clinical record, Nil known is checked on the imaging request form.

Tip:

Check that your clinical notes are complete in the investigations template and have not been truncated.

To print the request, click Print.

Requests are displayed as clinical items on the Detail tab: Class of Ix Request; or Topic of Investigations. Select a request to display its details in the right pane.

To view requested tests that have not had a result matched to them, run the reports in Report > Investigations > Outstanding Requests by Provider.

Next, match and review results.

Printing and Reprinting Requests

To update and reprint a request in the current service:

On the Progress Notes or Details tab, double-click the request to open it.
Make the required changes.
Click Print & Save.

To reprint a request, right-click on the request and select Print Investigation Request.

Creating new request types

If you belong to a user group with the Reference Tables system right right enabled, you can update the short list of investigations displayed in the investigation request form.

If one of your commonly requested tests is not on the short list:

Select File > Reference Tables > Investigations > Investigations.
Set Short Listed for any test you want added to the list.
Click Save.

If a keyword does not find the correct test, go to File > Reference Tables > Investigations > Investigations Keywords and add an appropriate keyword.

Bulk Assignment

When this option has been selected as a system parameter (see System Parameters - Clinical), for plain paper pathology request forms only a label is appended to the top right of the form indicating that this is a bulk assignment request and where the requester's signature is normally added is a label indicating that a signature is not required. This option should only be used with the express permission of all pathology labs used at the health service and should not be enabled if the feature to use another claiming provider is enabled.