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Cortex GOLD Audit Report Decoder

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Cortex GOLD Audit Report Decoder. Heather Sousa Cortex User Group 2011 New Orleans. Reasons to Audit. To Track who entered or deleted information on a Case or a Patient. To track what information was entered or deleted on a Case or Patient. CAP Lab General Checklist question: - PowerPoint PPT Presentation
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Cortex GOLD Audit Report Decoder Heather Sousa Cortex User Group 2011 New Orleans
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Page 1: Cortex GOLD Audit Report Decoder

Cortex GOLDAudit Report Decoder

Heather SousaCortex User Group

2011New Orleans

Page 2: Cortex GOLD Audit Report Decoder

Reasons to Audit

•To Track who entered or deleted information on a Case or a Patient.

•To track what information was entered or deleted on a Case or Patient.

• CAP Lab General Checklist question:– GEN.43800 Data Input ID

Page 3: Cortex GOLD Audit Report Decoder

CAP; Laboratory General Checklist Compliance

There is an adequate system to identify all individuals who have entered and/or modified patient data or control files.

NOTE: When individual tests from a single test order (e.g. multiple tests with same accession number) are performed by separate individuals and the test result is entered into the LIS, the system must provide an audit trail to document each person involved. For example, a single accession number having orders for electrolytes and a lipid panel may have testing done by two or more individuals. The laboratory should be able to identify the responsible personnel who performed each test and posted the data. This includes sequential corrections made to a single test result. If autoverification is used, then the audit trail should reflect that the result was verified automatically at a given time.With point-of-care testing, if the individual performing the test is different than the individual entering test data into the LIS, both should be uniquely identified by the system and retrievable by audit trail.REFERENCES1) Jones JB. The importance of integrating POCT data into an organized database. Advance/Laboratory. 1999;8(9):8-10 2) Halpern NA, Brentjens T. Point of care testing informatics. The critical care-hospital interface. Crit Care Med. 1999;15:577-591

GEN.43800 Data Input ID Phase II

Page 4: Cortex GOLD Audit Report Decoder

Gold 20097

Archive Reports

• With Gold 2008 SP1 all Gold Users have AutoAudits set up in their system.• Gold versions prior to this must have the AutoAudit scripts installed and

running for these reports to produce results.• The Audit_Archive_Reports are used if you have too much data audited,

and want to store/archive it in these reports. This way when you run Audit_Report it won’t take so long, because you’ve archived, for example, all cases except the past 3 years.

Page 5: Cortex GOLD Audit Report Decoder

AUDIT_REPORTby Accession Number

Note: Even though you have a choice for Accession Range, Audit will use the “From” Accession number only.

Tables Audited by this Report

Cases Case_Screener Case_Diagnosis Case_SpecialStatus Case_Procedure PrintJob

Page 6: Cortex GOLD Audit Report Decoder

AUDIT_REPORT_BY_ACTION_TYPEby Accession Number

Note: You should only Audit one Accession number at a time, even though you get the choice to enter a range of Accession numbers.

Tables Audited by this Report

Cases Case_Screener Case_Diagnosis Case_SpecialStatus Case_Procedure PrintJob

ACTION TYPE = Delete, Insert, View, Update

Page 7: Cortex GOLD Audit Report Decoder

AUDIT_REPORT_FOR_PATIENTby Patient Number or Patient Name

Enter Patient’s last name and choose from a list

OR

Enter the Patient Number

Tables Audited by this ReportPatientPayor Patient

You may use this report to see who changed a Patient’s name or Insurance Information

Page 8: Cortex GOLD Audit Report Decoder

AUDIT_REPORT_FOR_PATIENT_BY_ACTION_TYPEby Patient Number or Patient Name

Enter Patient’s last name and choose from a list

OR

Enter the Patient Number

Tables Audited by this ReportPatientPayor Patient

You may use this report to see who changed a Patient’s name or Insurance Information

ACTION TYPE = Delete, Insert, View, Update

Page 9: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: Cases(Only Columns Listed Below are Audited in AUDIT_REPORT)

10 ID Internal Case ID. Hover over Accession # in Case Management

AccessionNo Accession Number

11 ClinicianID ID number of Clinician on the case on Requisition Tab

12 ClinlocationID ID number of Clinician Location on the case on Requisition Tab (not copies to)

CompletedDate Date case was completed

ElectronicallySigned Flag =Y when it goes to pathologist review (button)

or N when it doesn’t

LastUpdatedyBy Last person who saved

LastUpdatedDate Last time it was saved by this person

13 StatusCode 50006 Completed/Locked

50008 Final Print

50002 Gross Entered

50004 Gross Printed

50000 Open

14 PatientID ID number of the patient on the Case. Hover curser over patient name to see Patient ID number.

Page 10: Cortex GOLD Audit Report Decoder

Cases.CaseID

Hover over the Accession number on the case to get the CaseID

Page 11: Cortex GOLD Audit Report Decoder

Cases.ClinicianID

• Clinician ID: See number to the right of the Clinician Name in Maintain Clinicians area.

Page 12: Cortex GOLD Audit Report Decoder

Cases.ClinLocationID

Clinician Location ID: See the number to the Right of the Location.

In Maintain Clinician Locations area.

Page 13: Cortex GOLD Audit Report Decoder

Cases.StatusCodeThe status of the case as it is signed out.• 50006 Completed/Locked• 50008 Final Print• 50002 Gross Entered• 50004 Gross Printed• 50000 Open

Page 14: Cortex GOLD Audit Report Decoder

Cases.PatientID

Patient ID: Hover with your curser over the Patient Name

Or look at the bottom right corner of Case Management screen

Page 15: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: Case_Diagnosis (All Columns are Audited in AUDIT_REPORT)

16 AreaCode Diagnosis Area Code. Identical to AreaCode column in Diagnosis TableGYN 40004 Comments 40000 Diagnosis

40002 Hormonal 40001 Inflammation

40005 Maturation Index 40006 Other

40003 Quality

NON GYN 45004 Comments 45000 Diagnosis

45003 Quality

17 CaseID Internal Case ID. Hover over Accession # in Case Management

18 DiagnosisCode The Internal Code ID (only gyn and hybrid non gyn because they are code based)

19 PrimaryFlag Primary screener is marked “Y”, all others are marked “N”CYTOLOGY: Order of precedence highest to lowest: Pathologist/QC2/QC1/CytotechnologistHISTOLOGY: Order of precedence highest to lowest: Pathologist Diagnosis/Pathologist Frozen/Pathologist Microscopic/Pathologist Gross

20 ScreenerType Screener Type and StaffTypeCode are the same thing.

Sequence The order diagnosis codes should display on the case. This is also the order the rows were saved and should be retrieved. Per case. Allows system to order multiple codes. Organization tool that SQL uses.

Page 16: Cortex GOLD Audit Report Decoder

Case_Diagnosis.AreaCode

• GYN– 40004 Comments– 40000 Diagnosis– 40002 Hormonal– 40001 Inflammation– 40005 Maturation Index– 40006 Other– 40003 Quality

• NON GYN– 45004 Comments– 45000 Diagnosis– 45003 Quality

The codes entered for a case are broken down into the Groups below. Each group has a numerical code that is reference in the Audit. Codes are used with Hybrid version of Non Gyns.

Page 17: Cortex GOLD Audit Report Decoder

Case_Diagnosis.CaseID

Hover over the Accession number on the case to get the CaseID

Page 18: Cortex GOLD Audit Report Decoder

Case_Diagnosis.DiagnosisCode

• Internal code for each Diagnosis on the case. See your Maintain Diagnosis area for your Lab’s specific codes.

Page 19: Cortex GOLD Audit Report Decoder

Case_Diagnosis.PrimaryFlag

• The primary screener is marked “Y”, and all other screeners are marked “N”.

• Primary Screener = the highest ranked person signing out the case.– CYTOLOGY ranking from highest to lowest:

Pathologist/QC2/QC1/Cytotechnologist– HISTOLOGY ranking from highest to lowest:

PathDiagnosis/PathFrozen/PathMicroscopic/PathGross

Case_Screener.PrimaryFlag = Case_Diagnosis.PrimaryFlag

Page 20: Cortex GOLD Audit Report Decoder

Case_Diagnosis.ScreenerType

StaffTypeCode is in the Case_Screener table

ScreenerType is in the Case_Diagnosis table

Cytotechnologist = 1Pathologist = 2 (for all case types)

StaffTypeCode and ScreenerType are the same animal.

Page 21: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: Case_Screener(Only Columns Listed Below are Audited in AUDIT_REPORT)

22 CaseID Internal Case ID. Hover over Accession # in Case Management

23 ControlNumber Column number:Histology Only: 2 = Gross, 4 = Microscopic, 6 = Diagnosis, 8 = FrozenCytology Only: All are set to 1

24 Date Date diagnosis was entered in the grid - for this screener

25 PrimaryFlag Primary screener is marked “Y”, all others are marked “N”CYTOLOGY: Order of precedence highest to lowest: Pathologist/QC2/QC1/CytotechnologistHISTOLOGY: Order of precedence highest to lowest: Pathologist Diagnosis/Pathologist Frozen/Pathologist Microscopic/Pathologist Gross

QCComment Non-Printing Comments per screener in the grid. Diagnosis Tab in Case Management

Sequence Internal spreadsheet grid row number for this screener in Diagnosis tab.GYN sequence: 2= Cytotech, 3=Pathologist, 4=QC1, 5=QC2This information may not be useful in an audit. Use StaffTypeCode instead.

26, 27 StaffID Internal Staff ID Number for this screener

28 StaffTypeCode

Page 22: Cortex GOLD Audit Report Decoder

Case_Screener.CaseID

Hover over the Accession number on the case to get the CaseID

Page 23: Cortex GOLD Audit Report Decoder

Case_Screener.ControlNumberControl number lets you know where you are (which column) in the diagnosis grid, and whether you are in Cytology or Histology.

2 4 6 8

GYN

HISTO

1

Cytology control number is always = 1Histology is Pathologist type dependent: Gross=2, Micro=4, Diagnosis=6, Frozen=8

Page 24: Cortex GOLD Audit Report Decoder

Case_Screener.DateDate the diagnosis was entered into the grid

GYN

HISTO

Page 25: Cortex GOLD Audit Report Decoder

Case_Screener.PrimaryFlag

• The primary screener is marked “Y”, and all other screeners are marked “N”.

• Primary Screener = the highest ranked person signing out the case.– CYTOLOGY ranking from highest to lowest:

Pathologist/QC2/QC1/Cytotechnologist– HISTOLOGY ranking from highest to lowest:

PathDiagnosis/PathFrozen/PathMicroscopic/PathGross

Case_Screener.PrimaryFlag = Case_Diagnosis.PrimaryFlag

Page 26: Cortex GOLD Audit Report Decoder

Case_Screener.StaffID

• Internal Staff identification code for this screener.• Find this in the Maintain Staff area in the

Restricted Files

Page 27: Cortex GOLD Audit Report Decoder

Case_Screener.StaffID

• Internal Staff identification code for this screener.

Page 28: Cortex GOLD Audit Report Decoder

Case_Screener.StaffTypeCode

StaffTypeCode is in the Case_Screener table

ScreenerType is in the Case_Diagnosis table

Cytotechnologist = 1

Pathologist = 2 (for all case types)

QC1, Transcriptionist = 3

QC2, Consultant 1 = 4 (see chart for other StaffTypeCodes)

StaffTypeCode and ScreenerType are the same animal.

Page 29: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: Case_SpecialStatus(All Columns Audited in AUDIT_REPORT)

30 CaseID Internal Case ID. Hover over Accession # in Case Management

31 EnteredDate Date the Special Status code was entered in Case Management (Coding Tab)

32 OnsetDate Second Date next to the Special Status Code in Case Management (Coding Tab)

33 Sequence Organizes multiple special status codes entered on the case for data retrieval

34 SpecialStatusCode Code number assigned to the Special Status codes you use in your lab.

Page 30: Cortex GOLD Audit Report Decoder

Case_SpecialStatus.CaseID

Hover over the Accession number on the case to get the CaseID

Page 31: Cortex GOLD Audit Report Decoder

Case_SpecialStatus.EnteredDate

Page 32: Cortex GOLD Audit Report Decoder

Case_SpecialStatus.OnsetDate

Page 33: Cortex GOLD Audit Report Decoder

Case_SpecialStatus.Sequence

The sequence = which row the Special Status codes were entered into.

1

2

Page 34: Cortex GOLD Audit Report Decoder

Case_SpecialStatus.SpecialStatusCode

Page 35: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: PrintJob(Columns Audited in AUDIT_REPORT)

37 CaseID Internal Case ID. Hover over Accession # in Case Management

38 ClinLocationNumber Is the same as ClinLocationID. Located to the right of the Clinician Location in Maintain ClinLocations.

39 ClinicianNumber Is the same as ClinicianID. Located to the right of the Clinician Name in Maintain Clinicians area.

DestinationTitle This field changes depending upon how your are printing.

ErrorDescription Reasons a case did not print. Status Message in red in Print Job Viewer. For example: “possible Pre-conversion case”

40 FinalPrint When you press the fax/print button from Case Management. Default to send to Final Print is unchecked = N. Final Print checked = Y

ID Not important for auditing

41 NumberOfCopies The audit will pull “Number of Copies” from wherever the print job was sent to. For example, if the case is printed via the default printer then it’s the number of copies associated with this Report Location “default printer”.

42 PrintServerWorkstationName Shows Print Server that is processing Print Job. Can see this in print job viewer, scroll to the right.

Priority Internal setting to determine print order, set to PrintJob.ID at this time.

44 ReportLocationDestination In Print Job viewer this is “Device/Fax#”. Detailed version of Rpt. Location Name

43 ReportLocationName Set up for each user as they log into GOLD. In Print Job viewer “Location”

45 RequestedByStaffNumber Staff number found in Maintain staff files, name in tracking tab.

46 ScheduleTime For each Report Location set up in ClinLocation, or at Designator level. The audit will show whatever your lab has Schedule Time setup as.

PRINT JOB TABLE CONTINUED ON NEXT PAGE

Page 36: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: PrintJob CONTINUED(Columns Audited in AUDIT_REPORT)

47 SystemCodeSource 370003 ClinLocation 370002 Designator Rule

370006 ClinLocation Rule 370009 Interface

370004 Copies To 370005 One-Off

370001 Designator

48 SystemCodeStatus 270005 Deleting 270003 Error

270002 Paused 270001 Processing

270004 Ready

49 SystemCodeType 230002 Default Fax 230001 Default Printer

230004 Fax 230006 Interface

230003 Printer 230008 SaveToFile

230005 Secure Delivery System

50 SystemCodePrintFileType 440001 Adobe PDF

440004 Post Script

440002 Word Doc

440003 Word Docx

51 SystemCodePrintFileSchema 430002 AccessionNumber and Clinician and Location

430003 Accession Number and Time Stamp

430001 Accession Number Only

Page 37: Cortex GOLD Audit Report Decoder

PrintJob.CaseID

Hover over the Accession number on the case to get the CaseID

Page 38: Cortex GOLD Audit Report Decoder

PrintJob.ClinLocationNumberClinician Location ID:

See the number to the Right of the Location. In Maintain Clinician Locations area.

Page 39: Cortex GOLD Audit Report Decoder

PrintJob.ClinicianNumber

• Clinician ID: See number to the right of the Clinician Name in Maintain Clinicians area.

Page 40: Cortex GOLD Audit Report Decoder

PrintJob.FinalPrintFor example: From Case Management, press Print/Fax button

On your Audit

Final print button checked = Y

Final print button not checked = N

Page 41: Cortex GOLD Audit Report Decoder

PrintJob.NumberOfCopiesThe audit will pull “Number of Copies” from wherever the print job was sent to. For example, if the case is printed via the default printer then it’s the number of copies associated with this Report Location “default printer”.

Page 42: Cortex GOLD Audit Report Decoder

PrintJob.PrintServerWorkStationName

Scroll to the right when in print job viewer

Used to indicate that a job is in processing.  Whenever a Print Server grabs a group of jobs to process, the first thing it does is stamp them with the name of the PrintServer that is processing them.  It does this for single Printserver systems as well as multiple.

Page 43: Cortex GOLD Audit Report Decoder

PrintJob.ReportLocationNameDefault Can be set up when you first log into GOLD

One-offs Can be chosen when you Print from Case Management (drop down)

Where your patient reports are printing

Page 44: Cortex GOLD Audit Report Decoder

PrintJob.ReportLocationDestinationIn Print Job viewer this is “Device/Fax#”. Detailed version of Rpt. Location Name

BizHub 451 is specific Report Printer

Individual Fax number is specific to Fax to Brooks-office

Page 45: Cortex GOLD Audit Report Decoder

PrintJob.RequestedByStaffNumberStaff name can be found on Tracking tab on case, but the Audit_Report lists that persons “StaffNumber” found in “Maintain Staff Codes” in Restricted Files area.

Page 46: Cortex GOLD Audit Report Decoder

PrintJob.ScheduleTime

The audit shows the Scheduled Time that is in the Print Job Viewer. Therefore it audits the time dependent upon how your lab has this set up.

Scheduled Time can be set up in ClinLocation or at the Designator level

Page 47: Cortex GOLD Audit Report Decoder

PrintJob.SystemCodeSourceInternal Codes audited:

370003 ClinLocation

370006 ClinLocation Rule

370004 Copies To

370001 Designator

370002 Designator Rule

370009 Interface

370005 One-Off

Page 48: Cortex GOLD Audit Report Decoder

PrintJob.SystemCodeStatusInternal Codes Audited:

270005 Deleting, 270003 Error

270002 Paused, 270001 Processing , 270004 Ready

Page 49: Cortex GOLD Audit Report Decoder

PrintJob.SystemCodeTypeInternal Codes Audited:

230002 Default Fax, 230001 Default Printer, 230004 Fax

230006 Interface, 230003 Printer 230008 SaveToFile

230005 Secure Delivery System

= Report Location Types

Page 50: Cortex GOLD Audit Report Decoder

PrintJob.SystemCodePrintFileTypeInternal Codes Audited

440001 Adobe PDF

440004 Post Script

440002 Word Doc

440003 Word Docx

Page 51: Cortex GOLD Audit Report Decoder

PrintJob.SystemCodePrintFileSchema

Internal Codes Audited

430002 AccessionNumber and Clinician and Location

430003 Accession Number and Time Stamp

430001 Accession Number Only

= Print Naming Schema

Page 52: Cortex GOLD Audit Report Decoder

See PowerPointslide

Table: Case_Procedure(All Columns are Audited in AUDIT_REPORT)

53 AuthorizationNumber Rarely used, but when a service requires an authorization to bill

54 BilledDate Auto filled when case is generated across to Soloman.

55 CaseID Internal Case ID. Hover over Accession # in Case Management

56 ICD1 PSMG uses codes in Coding tab for more flexibility.

56 ICD2

56 ICD3

56 ICD4

57 InjuryDate InjuryDate should flow from the Case_Procedure into the Service.InjuryDate

58 Modifier1 Specific to your lab. Gives insurance co an added code to procedure codes. Ex. Have an S case and an N case with same procedure code, use modifier to explain to the ins. Co this is NOT a duplicate charge.

58 Modifier2

58 Modifier3

PayorNumber Number associated with the patient’s insurance company in your system

59 ProcedureCode Internal Code associated with procedures on the case on Requisition tab.

Quantity The Quantity of each procedure code to be billed

Sequence Organizes multiple procedure codes in the Procedure grid in Case Management

60 WherePerformed Scroll to the right in the Procedure grid, press F3 for a drop down list. For laboratories with multiple sites.

NOTE: Not all laboratories use the extra fields in the Procedures Grid in Gold.

Page 53: Cortex GOLD Audit Report Decoder

Case_Procedure.AuthorizationNumber

Page 54: Cortex GOLD Audit Report Decoder

Case_Procedure.BilledDate

Go to Procedures and scroll to the right

Page 55: Cortex GOLD Audit Report Decoder

Case_Procedure.CaseID

Hover over the Accession number on the case to get the CaseID

Page 56: Cortex GOLD Audit Report Decoder

Case_Procedure.ICD1, Case_Procedure.ICD2, Case_Procedure.ICD3, Case_Procedure.ICD4,

Go to Procedures and scroll to the right

Page 57: Cortex GOLD Audit Report Decoder

Case_Procedure.InjuryDate

Workers Comp information, should generate across

Page 58: Cortex GOLD Audit Report Decoder

Case_Procedure.Modifier1, Case_Procedure.Modifier2, Case_Procedure.Modifier3

Specific to your lab. Gives insurance co an added code to procedure codes. Ex. Have an S case and an N case with same procedure code, use modifier to explain to the ins. Co this is NOT a duplicate charge

Page 59: Cortex GOLD Audit Report Decoder

Case_Procedure.ProcedureCode

Page 60: Cortex GOLD Audit Report Decoder

Case_Procedure.WherePerformedFor labs with multiple laboratory sites

Press F3 to get a drop down list of locations

Page 61: Cortex GOLD Audit Report Decoder

Power Point Slide

Table: PatientPayor(Only Columns Listed Below are Audited in AUDIT_REPORT_FOR_PATIENT)

62 Comment Billing Data Tab in Patient Demographics area.

62 SignatureSourceCode Billing Data Tab in Patient Demographics area.p “signature generated by provider because….” ??? Get exact wording

62 RelatedPayorNumber Billing Data Tab in Patient Demographics area.– secondary insurance

62 GroupNumber Billing Data Tab in Patient Demographics area.

62 Authorization Billing Data Tab in Patient Demographics area.?same as AuthorizationNumber in Case_Procedure?

62 SubscriberName Billing Data Tab in Patient Demographics area.

62, 63 SubscriberSocSecNo Billing Data Tab in Patient Demographics area.

62 SubscriberBirthDate Billing Data Tab in Patient Demographics area.

63 SubscriberSex Demographics tab in Patient Demographics area.

63 PatientNumber Hover over patient name or find it on the Demographics tab in Patient Demographics area.

62 PayorNumber Billing Data Tab in Patient Demographics area.

Page 62: Cortex GOLD Audit Report Decoder

1.PatientPayor.PayorNumber2. PatientPayor.SubscriberName3. PatientPayor.Comment

8. PatientPayor. SubscriberBirthDate 9. PatientPayor.SubscriberSocSecNo

4. PatientPayor.RelatedPayorNumber5. PatientPayor.GroupNumber 6. PatientPayor. Authorization 7. PatientPayor.SignatureSourceCode

1 4

3

2 8

7

6

5

9

Most of the PatientPayor table is found in the Billing Data Tab in Patient Demographics

Page 63: Cortex GOLD Audit Report Decoder

PatientPayor.PatientNumber, PatientPayor.SubscriberSex,

PatientPayor.SubscriberSocSecNo

These 3 items from the Patient Payor Table are found on the Demographics Tab in the Patient Demographics area

Page 64: Cortex GOLD Audit Report Decoder

Power

Point

Slide

Table: Patient(Only Columns Listed Below are Audited in AUDIT_REPORT_FOR_PATIENT)

65 AddressLine1 Demographics tab in the Patient Demographics area

65 AddressLine2 Demographics tab in the Patient Demographics area

BillingStatusCode Billing Status Codes:

Y “Suspend All Billing”

S “Suspend Billing Statements”

C “Suspend Billing Claims”

65 City Demographics tab in the Patient Demographics area

CreditStatusCode Credit Status Codes:

0 None 6 Sent To Collections

2 On Pre-Collection Report 7 Account Written Off

3 Pre-Collection Letter Sent 10 On Contract Payment Schedule

5 On Collection Report

LastUpdatedBy Saved by whom

LastUpdatedDate When it was saved

65 MedicalRecordNo Demographics tab in the Patient Demographics area

65 Name Demographics tab in the Patient Demographics area

65 SocialSecurityNo Demographics tab in the Patient Demographics area

65 State Demographics tab in the Patient Demographics area

65 ZipCode Demographics tab in the Patient Demographics area

Page 65: Cortex GOLD Audit Report Decoder

1. Patient.Name

2. Patient.SocialSecurityNo

3. Patient.MedicalRecordNo

4. Patient.Address1

5. Patient.Address2

6. Patient.City

7. Patient.State

8. Patient.Zip

1

3

2

87

6

5

4

Most of the Patient Table can be found on the Demographics tab in the Patient Demographics area.

Press the … button to get to Pt. Demographics!

Page 66: Cortex GOLD Audit Report Decoder

“Actions”

• Insert

• View

• Delete

• Update

Page 67: Cortex GOLD Audit Report Decoder

At PSMG the Internal Procedure Code for 88175 = 1003

Items audited when a case is first created.

Page 68: Cortex GOLD Audit Report Decoder

AUDIT_REPORT: Run by Accession number

Created a new case for this patient.

Look at your Cases & Case_Procedure Table Audit Decoder

Page 69: Cortex GOLD Audit Report Decoder

Coding tab:

Diagnosis tab:

Cytotech Adds Diagnosis Code, Quality Code and initials in the grid

Special Status code added

Page 70: Cortex GOLD Audit Report Decoder

Control Number is always 1 for Cytology

Cytotech entering dx in the grid

Added Special Status code # 27 = “HPV Test Ordered”

Whoever Modifies the case will be tracked in this column (This is a test

case, so Hsousa is the only person modifying data)

Date and time case saved after modification

Cytotech’s Staff ID = 0009 (Deryl) StaffTypeCode = 1 (cytotech)

Dx area code for “Quality” = 40003 Dx Code for “Satisfactory for Eval” = 148 Cytotech is the highest ranked screener, therefore PrimayFlag = Y

Dx area code for “Diagnosis” = 40000 Dx Code for Low Grade = 173 Cytotech is the highest ranked screener, therefore PrimayFlag = Y

View:

Tracks cases that have just been Opened

Page 71: Cortex GOLD Audit Report Decoder

Diagnosis Tab

2nd Procedure Code added :Physicians interpretation (auto inserted see Lab Pref)

Requisition Tab

Pathologist Dx and initials in the grid, completed date, saved

Page 72: Cortex GOLD Audit Report Decoder

Old Value New Value

Old Values are re-Inserted

Except Cytotech is no longer highest ranking screener (Primary Flag=N)

Pathologist = ScreenerType 2 Path argreed with Cytotech, see Diagnosis Codes are unchanged (148, 173)

Must Delete Old Values first

New Information is also Inserted (Pathologist’s dx in the grid)

Pathologist is the Primary Screener=Y

Case was completed, and the Status Code changed from “50000” = Open to “500006” = Completed/Locked.

Case_Diagnosis Table

Page 73: Cortex GOLD Audit Report Decoder

Old Value New Value

Case_Screener Table

Must Delete Old Values first

Old Values are re-Inserted

Except Cytotech is no longer highest ranking screener (Primary Flag=N)

New Information is also Inserted (Pathologist’s dx in the grid)

Pathologist is the Primary Screener=Y

Cytotech StaffID

Path StaffID

Must Delete Old Values firstCase_Procedure Table

Old Values are re-Inserted

2nd Procedure code is added: 1023 = Physicians Interpretation code.Case viewed by new

Staff “lmcomber”, StaffID “0026”

Page 74: Cortex GOLD Audit Report Decoder

Print Case and go to Print Job Viewer

Scroll to the right to get these audited fields

Displayed in Gold Audited as

Schedule Time Schedule Time

Report Source System Source Code

Report Clinician Name Clinician Number

Report ClinLocation Name

ClinLocation Number

Final Print Final Print (Y or N)

Requested By Requested By Staff Number

Displayed in Gold Audited as

Accession Accession number

Copies Number of Copies

Location Report Location Name

Title Destination Title

Status System Code Status

Device/Fax# Report Location Destination

Print Server Workstation Print Server Workstation Name

Page 75: Cortex GOLD Audit Report Decoder

Notes on the Print Job Table

• Think of it as a “holding bin”. • There are many ways from many screens to

print a report in Gold.• The AUDIT_REPORT takes a “snap shot” of

how the report is printed but this information is not necessarily available to see in the case. Pay attention to the Modified Time…everything is done at once.

• The best way to Track printing is to use the Tracking/Files Tab in Case Management. See Print Tracking below.

Page 76: Cortex GOLD Audit Report Decoder

Printed Case (pg 1)

Status is changed from Locked: 50006 to

Final Print: 50008

Print Job has been printed by PSMG Print server

Update using Print server from system Status Code “270004=Ready” to “270001 = Processing”

Old Value New Value

PrintJob Table

Print Job billed by llaman.

Delete old

values

Page 77: Cortex GOLD Audit Report Decoder

Printed Case (pg 2)

System Code Source = ClinLocation:370003

System Code Status = Ready: 270004 (Shown out of order. Here Ready “270004” is inserted, on the prior page it was Updated from Ready “270004” to

Processing “270001”, and then once the print job was finished Processing “270001” was Deleted.)

System Code Type = Printer: 230003

Final Print = Y (The box was checked to go to Final Print status. And you saw on the last slide that the case went to Final Print because

the Case.StatusCode changed from 50006-Locked to 50008-Final Print)

New ValueOld Value

PrintJob Table

Insert New

Values

Page 78: Cortex GOLD Audit Report Decoder

AUDIT_REPORT_FOR_PATIENTby Patient Number or Patient Name

Enter Patient’s last name and choose from a list

OR

Enter the Patient Number

Tables Audited by this ReportPatientPayor Patient

You may use this report to see who changed a Patient’s name or Insurance Information

Page 79: Cortex GOLD Audit Report Decoder

Audit_Report_By_Patient

PatientPayor.PolicyNumber

is updated

And it was done by L

Briggs

Old Value New Value


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