PART 9: IMMUNOCHEMISTRY
- Taib
How to access the immunohistochemistry module and create an immunohistochemistry test.
To access and create an immunohistochemistry test, follow steps 1 to 9 under How to create a laboratory analysis order for an existing patient.
Note: In this illustration, a patient by the name John Doe is used to capture an immunohistochemistry test request
Upon executing step 1, click on the Program drop-down menu.
Click on immunohistochemistry the drop-down menu.
Note: Upon selecting the immunohistochemistry program, OpenELIS will automatically display a page for capturing the specimen details. Therefore, you do not need to click on the next button.
Immunohistochemistry is selected by default under the Program drop-down. Select an option under the drop-down menu for the fields; Nature of Specimen, Site Specimen, Procedure performed, Provisional Clinical Diagnosis, type the Previous Surgery / Treatment and click on the Next button
Click on the Sample drop-down menu and select immunohistochemistry.
The date and time are picked from the system. Fill in the Collector field, the Order Tests will be populated upon choosing the available immunohistochemistry test. In this illustration, the AMACR(p 504 s) and anti-CD 3 are the selected tests.
To remove an ordered immunohistochemistry test, click the cancel (x) icon on the test
Note: An immunohistochemistry test can be referred to a reference lab by clicking on the Refer test to a reference lab checkbox and selecting the Reason for referral, Institute, and Sent Date the Test Name is auto populated.
Click on the Next button.
Fill in the order section by Scanning or manually entering the lab number or by clicking on the Lab Number text link to generate the lab number. Select the Priority from the drop-down menu. Fill in the Site name and the requester's details, select the payment status from the drop-down menu,select the Sampling performed for analysis from the drop-down menu and click on the Submit button.
Upon submitting the histopathology lab request, a Save successful message will be displayed. You can print the barcode for the test. To print the barcode, click on the print barcode button.
You can download the barcode or print it by clicking on either the download icon or the print icon at the top right.
How to access and process an immunohistochemistry test.
Hover the mouse over the hamburger icon and click to open the menu.
Hover the mouse and click on the drop-down menu under the ImmunoHistochemistry module
Click on Dashboard sub-menu item.
The dashboard provides summaries for Cases in progress, Awaiting Pathology Review, Additional Pathology Request and Complete test in a week
All the immunohistochemistry test requests entered under Add Order (Test Request) are displayed under a table that displays the Request Date, Stage, Last Name, Assigned Technician, Assigned Pathologist and Lab Number.
The immunohistochemistry module allows you to filter the test request . Click on the My cases checkbox to filter the cases.
The Status dropdown menu is used to filter the immunohistochemistry cases by their status. The status can be displayed as All, In Progress, Ready for Pathology and Completed.
You can filter the requests in an ascending or descending order for each menu item For instance, click on the Lab Number menu item.
To search for a pathology test, enter the patient name or the lab number under the Search by LabNo or Family Name text field. The search results will retort a list of matching patients.The cancel icon (x) is used to cancel the search.
Click on the desired patient from the search result. In this illustration, the start button is clicked.
Note: The top sections of the Immunohistochemistry page displays information about the immunohistochemistry case.
Note: There is a sequence of stages in immunohistochemistry examination. The Status drop-down menu provides a list of the different stages. The default stage is processing of the test. The select technician drop down menu allows for the selection of the technician processing the test. This is role based. Anyone with the immunohistochemistry permission will be displayed under this drop-down menu. Similarly, the select pathologist allows for the selection of a pathologist with immunohistochemistry permission.
Click on these select status drop-down menu and select the status. In this illustration, In Progress is the default status.
Click on the Select Technician drop-down menu and select the technician.
Click on the Save button.
The results panel displays the results for the immunohistochemistry case in a table format. The table has the following results field; Sample info, Test Date Analyzer Result, Test Name, Normal Range, Accept, Results, Current Results and Notes.
The laboratory technician can accept the results for the test by checking the checkboxes
Upon checking the Accept checkbox, a pop-up with some information will appear. Read the information and click on the Ok button.
Fill in the Result and Notes text fields and click on the Save button under the Results section.
Select the Ready for Pathology status, select the pathologist under the and click on the Save button
A quick search of the patient under the immunohistochemistry patient search will reveal a change in stage for the case to READY_PATHOLOGIST
The pathologist will click on the case to view the results and validate them by checking on the Accept check box, typing in results for pathology review and clicking on the Save button.
The Pathologist will click on the Select Status drop-down and select the Ready for Release status and click on the Save button.
The case will be listed as completed under the immunohistochemistry dashboard.
The lab technician can release the results for the immunohistochemistry case by clicking on the case, scrolling to the bottom of the page, checking the ready for release checkbox which signifies the validation of the and clicking on the Save button.
How to upload or generate an immunohistochemistry report.
Follow steps 1 to 3 under how to access and process an immunohistochemistry test.
Click on the desired patient whose immunohistochemistry state is completed.
Click on the desired patient under the dashboard. In this illustration, a patient by the name Cray Cray is clicked.
Scroll to the report section and click on the drop-down menu under report.
Click on a report to select from the drop-down menu.
The report will be selected successfully.
To add a report, click on the drop-down menu and select a report. For instance immunohistochemistry.
The report will be added successfully
To remove a report, click on the - Report button.
The Upload file button is used to upload a report that has been prepared by the pathologist for the added report. In this illustration, we shall upload a report for Breast Cancer Hormone Receptor Status Report
To upload a report, click on the Upload file button.
Upon clicking on the Upload file button, a file upload dialogue will be opened on your workstation. Navigate to the location where you have saved the report for immunohistochemistry. In this illustration, the report file for patient Cray Cray was saved under downloads. Click on the report to select it then click on the Open button.
Note: upon clicking on the Open button, the report will be uploaded successfully.
To remove the report, click on the cancel icon x. Otherwise, Click on the Save button at the bottom of the page.
Note: As a user, you can generate a report from the system as opposed to uploading one. To do so, you will need to set parameters for the report.
Before you generate a report, toggle the Show/Hide Report Parameters toggle switch to On so as to Show Report Parameter this will allow you to enter the report parameters. The toggle switch is set to Hide Report Parameters by default.
Enter the parameters.
Click on the Generate Report button
Note: a pdf containing the patient report will be generated successfully.
Click on the Save button at the bottom of the page.