- Welcome
- Features
- Use Case
- Introduction
- Working with CCR
- Basic navigation and usage tips
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Working with patients
- Working with patients
- Searching for a patient
- Looking up a patient with an MRN
- Using the Quick Search Utility to search for a patient
- Performing an advanced search
- Performing a search with criteria based on study or cancer group specific attributes
- Restrictions on searches
- Adding a patient
- Adding a patient who has never been a UUHSC patient
- Removing a patient record from a cancer group database
- Viewing/editing a patient record
- Marking a patient record ready for review
- Viewing/editing the demographic information of a patient who has never been a UUHSC patient
- Viewing a patient's clinic visit patient review page
- Providers
- Treatment protocols
- Diagnoses and staging
- Tumors
- Race
- Patient classifications
- Aliases
- Cancer group studies administration
- Patient contacts
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Studies and study enrollment
- Studies
- Viewing/editing study-specific data for a patient
- Viewing/editing a patient's enrollment in a study
- Study enrollment
- Enrolling a patient in a study
- Removing a patient from a study
- Viewing/editing a patient's enrollment in a study from the patient detail window
- Patient consents
- Patient consents (study enrollment window)
- Recording a patient consents
- Recording a patient consents (study enrollment window)
- Deleting a patient consent record
- Deleting a patient consent record (study enrollment window)
- Editing a patient consent record
- Editing a patient consent record (study enrollment window)
- Scanned consent forms
- Scanned consent forms (study enrollment window)
- Uploading a scanned consent form
- Uploading a scanned consent form (study enrollment window)
- Removing a scanned consent form
- Removing a scanned consent form (study enrollment window)
- Viewing a previously uploaded consent form
- Viewing a previously uploaded consent form (study enrollment window)
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Specimens
- Specimens
- Adding a specimen to a patient record
- Linking a specimen from itBioPath to a patient record
- Removing a specimen from a patient record
- Viewing/editing a specimen in a patient record
- Accessing a specimen's itBioPath record
- Recording an alias for a specimen
- Deleting a specimen alias
- Editing a specimen alias
- Linking a previously unlinked specimen to an itBioPath record
- Specimens associated with a medical event
- Linking a medical event to an existing specimen in the patient record
- Adding a specimen to a medical event
- Linking a specimen from itBioPath to a medical event
- Removing a specimen from a medical event
- Viewing/editing a specimen that is associated with a medical event
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Lab tests
- Lab tests
- Setting up a lab test type to be automatically imported into the patient records of a cancer group
- Adding lab rest results to a patient record
- Reviewing a patient's UUHSC lab test records for importing into CCR
- Deleting a lab test result from a patient record
- Viewing/editing a lab test result
- Lab tests associated with a medical event
- Adding lab test results to a medical event
- Linking a medical event to a previously entered lab test result record
- Adding a lab test result to a medical event and a patient record at the same time
- Removing a lab test result from a medical event
- Viewing/editing a lab test result that is associated with a medical event
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Medical events
- Medical events
- Adding a medical event to a patient record
- Removing a medical event to a patient record
- Viewing/editing a medical event
- Tools to facilitate medical event data entry
- Associated medical events
- Associating a medical event with other medical events
- Removing a medical event's association with another medical event
- CPT codes
- Adding a CPT code to a medical event
- Removing a CPT code to a medical event
- Medical event classification
- Assigning a classification to a medical event
- Removing a classification from a medical event
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Chemo and systemic therapy events
- Chemo and systemic therapy events
- Therapy agents
- Entering the default agents for a specific therapy regimen
- Adding a therapy agent to a chemotherapy medical event record
- Removing a therapy agent from a chemotherapy medical event record
- Resetting therapy agents and dosages to match the default values for a selected regimen
- Editing a therapy agent record in a chemotherapy medical event
- Chemotherapy adverse events
- Adding an adverse event record to a chemotherapy medical event
- Removing an adverse event record to a chemotherapy medical event
- Editing an adverse event in a chemotherapy medical event
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Radiation therapy events
- Radiation therapy events
- Treatment summaries
- Adding a radiation therapy sequence to a radiation therapy medical event
- Deleting a radiation therapy sequence to a radiation therapy medical event
- Editing a radiation therapy sequence in a radiation therapy medical event
- Radiation therapy adverse events
- Adding an adverse event record to a radiation therapy medical event
- Deleting an adverse event record from a radiation therapy medical event
- Editing an adverse event record for a radiation therapy medical event
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Imaging events
- Imaging events
- Images
- Adding an image to an imaging event
- Uploading an image from an imaging event
- Adding an image to an imaging event without uploading it
- Viewing an image from an imaging event
- Deleting an image from an imaging event
- Editing the description of an image
- Findings
- Adding a finding from an imaging event
- Deleting a finding from an imaging event
- Editing a finding from an imaging event
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Enterprise data warehouse and tumor registry records
- ITS Enterprise Data Warehouse
- Linking an encounter (medical event) from the Enterprise Data Warehouse to a patient record
- Linking a previously unlinked medical event record to an EDW encounter
- Importing a lab test result from the EDW into a medical event and a patient record at the same time
- Performing a text search of EDW records using keywords associated with a medical event type
- Performing a text search of EDW records using keywords associated with pathology reports
- Performing a text search in an EDW report using a keyword that has not been automatically generated
- Refining the list of EDW reports included in a text search
- Reviewing a patient's UUHSC encounter and clinical records for medical events to add to their CCR record
- Viewing a patient's EDW records
- Viewing a patient's EDW records from within a pathology report record
- Viewing the details of a UUHSC clinical record
- Finding a UUHSC encounter for a patient in EDW
- Viewing a patient's tumor registry records
- Viewing the details of a UUHSC encounter
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Pathology reports
- Pathology reports
- Adding a pathology report to a medical event
- Linking an existing pathology report to a medical event
- Adding a new (not previously existing) pathology report to a medical event
- Removing a pathology report from a medical event
- Viewing/editing a pathology report
- Tools to facilitate pathology report data entry
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Using the Patient Review Summary page
- Adding a treatment protocol to a patient record from the patient review page
- Diagnoses and staging from the patient review page
- Diagnoses
- Adding a diagnosis to a patient record from the patient review page
- Deleting a diagnosis to a patient record from the patient review page
- Editing a patient's diagnosis from the patient review page
- Staging
- Adding staging information to a diagnosis
- Deleting staging information from a diagnosis
- Editing Staging Information
- Worklists
- Reports
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Cancer group administration
- Cancer group administration
- Starting the Cancer Group Administration
- Cancer Group Medical Events Administration
- Adding a Medical Event Type to the List of Medical Event Types of Interest to a Cancer Group
- Removing a Medical Event Type from the List of Medical Event Types of Interest to a Cancer Group
- Editing a Cancer Group Medical Event Type
- Making an Event Type Inactive
- Activating an Inactive Event Type
- Associating a Medical Event Type with a Specific Study
- Removing a Medical Event Type Study Association
- Sharing a Medical Event Type with Another Cancer Group
- Ending the Sharing of a Medical Event Type with a Specific Cancer Group
- Using an Event Type Owned and Shared by Another Cancer Group
- Ceasing the Use of an Event Type Owned and Shared by Another Cancer Group
- Adding a Standard of Care Profile
- Deleting a Standard of Care Profile
- Standard of Care Profiles
- Editing a Standard of Care Profile
- Adding a Checklist Item to a Standard of Care Profile
- Patient Education Materials
- Adding a Patient Education Packet to a Standard of Care Profile
- Removing a Checklist Item from a Standard of Care Profile
- Removing a Patient Education Packet from a Standard of Care Profile
- Viewing the Contents List of a Patient Education Packet
- Auto Generated Events
- Adding an Auto Generated Event to a Standard of Care Profile
- Removing an Auto Generated Event from a Standard of Care Profile
- Editing an Auto Generated Event in a Standard of Care Profile
- The Metabuilder
- Security
- Administering cancer group users
- Administering users — study-based roles
- Dictionaries
The UUHSC EDW database contains a number of records that are classified as "encounters." Essentially these are records of any interaction the patient has had with the University Health Care system. Many of these will qualify as medical events that are of interest to HCI clinicians and researchers, so data from these encounters can be imported automatically as medical events in CCR. Most of the time, this will be done within the Worklist module as a part of the normal process of checking potentially useful EDW records for adding to CCR — see New Data for Existing Cancer Group Patients. However, when working with a patient record, you can also view the list of encounters associated with the patient in the UUHSC database and import the data for any of those encounters into that patient record.
To review a patient's UUHSC Encounters for importing as medical events:
1. Open the patient detail record for the patient in question. See Viewing/Editing a Patient Record for instructions on how to do this.
2. Select the Medical Events tab.
3. Select UUHSC-UUHSC Encounter Review from the menu bar at the top of the patient detail window. The UUHSC Encounter and Clinical Record Review window will open.
4. Select a date in the Review From field in the Step 1 — Recall UUHSC Encounters for Review data group to indicate the earliest date from which you would like to review encounters from the EDW.
5. Click the Recall UUHSC Encounters for Review button to initiate the search of the EDW for applicable encounters. The results grid in Step 2 — Select Encounters to link as new Medical Events will be populated with encounters that have occurred since the date selected in step 4 above.
6. Select any encounter that you wish to import by clicking on it in the grid. The selected encounter will be highlighted in yellow.
You can see the details of any encounter to determine if you want to import it by double-clicking on that encounter in the grid. When you do this, the UUHSC Encounter Detail window will open for that encounter, displaying more information about the encounter.
You may select multiple encounters to import at the same time by holding down the CTRL key on your keyboard and clicking on each of the encounters to be imported; however, all of the selected encounters will be imported as the same type of medical event, so you should not select multiple encounters that ought to be entered into CCR as different kinds of medical events.
7. Select the kind of medical event you want the encounter imported as using the Select a Medical Event Type drop-down field in the Step 3 — Select the Medical Event Type and click the button to create the new Medical Events data group.
8. Click on the Link Selected as Medical Event button. A confirmation dialog window will open asking you to confirm that you really want to create medical events of the type you specified in step 7 above from the encounter(s) selected in step 6. Show me this confirmation dialog window.
9. Click Yes to confirm that you want to create the indicated medical events. The dialog will close and the new medical event(s) will be created and will appear in the Medical Events List grid on the Medical Events tab of the patient detail window.
Medical events added in this manner will appear in green letters on the Medical Events List grid signifying that the record is incomplete until you or someone else has opened the medical event record to add the additional medical event data that cannot be imported from the UUHSC database.
7. Repeat steps 6 through 9 — or 4 through 9 if the dates to import from are different — to import any other types of medical events that you wish to create from UUHSC encounters.
8. When you have created all of the medical events from UUHSC encounters that you wish to create for this patient, close the UUHSC Encounter and Clinical Record Review window by clicking on the close button in the upper right corner of the window.