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Report a Holter procedure

To report a Holter procedure in BeatBox, open the procedure then check and action the procedure as required.

Note: A procedure must be in either ‘Analyzed’ or 'Reviewed' status before it can be reported.

 

Open procedure

1. Go to https://www.beatbox.cloud/ and log in to BeatBox.

2. Filter your Worklist for procedures that are ready for reporting (i.e. in 'Analyzed' or 'Reviewed' status).

3. Go to the relevant procedure and click Report.

 

Check procedure

On the Report procedure page, you can:

 

Check report and conclusion

The procedure's PDF report displays to the right of the Report procedure page. You can:

  • scroll to view all pages and zoom in or out as required
  • download or print the report
  • choose a two-page view
  • view a list of all pages and select the relevant page to view

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The report's conclusion displays at the bottom of the page. Depending on your permissions, you can either update or view this field. Any updates will be saved automatically.

 

View patient and procedure details

1. On the Report procedure page click Details.

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2. Click each tab on the popup to view details about the patient, their procedure and their Medicare/insurance information (if relevant).

 

View related procedures

The Related studies button enables you to view the patient's four most recent procedures which have an 'Analyzed', 'Finalized', 'Repeat requested' or 'Repeat received' tag.

The procedure that currently displays on the Report procedure screen will also appear in this list if it fits within these parameters. If so, it will be highlighted and display the word ‘Current’.

If you need to view further procedures, go to your Worklist and perform a search.

Note: The procedures that you can view depend on your BeatBox permissions and access level. 

1. On the Report procedure page, click Related studies.

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Related procedures are sorted by date of recording, with the most recent at the top of the list.

 

2. Click to open any of the procedures to view the report's conclusions.

3. Click Show report to open the PDF report in a separate tab in your browser.

 

View support documents

The Review support docs option enables you to view any support documents that have been uploaded for the procedure.

1. On the left panel of the Report procedure page, click Review support docs.

If a support document has been uploaded for the procedure, it will display in a separate tab in your browser.

 

Action procedure

1. Once you have reviewed/checked the procedure, you can:

Mark procedure as Act Soon

If the procedure shows patient has condition(s) that require rapid medical attention but are not immediately life-threatening, you can mark the procedure as Act Soon.

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Mark procedure as requiring immediate attention

If the procedure shows an abnormal result and the patient’s referring doctor needs to be notified immediately, you can mark the procedure as requiring immediate attention.

1. On the left panel of the Report procedure page, turn the Immediate attention switch to ON.

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2. Add a message about your request for immediate attention.

The following occurs:

  • the section headers on the Report procedure page are highlighted pale red/orange
  • a message displays in the procedure header bar with your name and the date and time of your request
  • a system message is automatically added to the Conversation panel with your immediate attention request and the date and time of your request
  • your note is added to the Conversation panel, with your name and the date and time that it was added

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Note: The date and time in each message displays in your local time zone.

The procedure is highlighted in the Worklist, and an ‘Imm. attention’ tag will display next to the procedure.

When the patient's lab has acknowledged the immediate attention request, they will be prompted to add notes in the Conversation panel to indicate the action that they have taken.

 

Return procedure report for review

If you think that a report is incomplete, incorrect and/or needs further investigation, follow these steps to return the procedure to a Cardiac Technician for review.

1. At the bottom of the Report procedure page, click Request review.

The procedure's status will change to 'Sent for review' and an 'Under revision' tag will be attached to the procedure.

2.  In the popup that displays, type the reason that you requested the review, then click OK:

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3. Your notes will be added to the Conversations panel where they can be viewed by the Cardiac Technician:

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Note: Your name and the date and time you added the note will automatically display. A system message will also indicate that you sent this procedure for review.

4. The Cardiac Technician will view your notes and follow up any action required.

A response will be provided in the Conversations panel regarding the outcome of your query. Depending on the action required:

  • the procedure will be rejected, and/or
  • a repeated procedure will be added to BeatBox, or
  • the procedure's status will be updated to 'Reviewed'.

 

Confirm procedure

Note: You must have the relevant permissions to finalise a procedure. If you don't have these permissions, the Confirm button will be disabled.

1. At the bottom of the Report procedure page, click Confirm.

The PDF update process begins and a front page is added to the final report with your signature. Once the report has been successfully updated, the procedure's status changes to ‘Finalized’ and a ‘Finalized’ workflow tag is added to the procedure. The procedure's finalized date now displays in your Worklist and on the Patient details popup (see View patient and procedure details).

Depending on how you filtered/sorted your Worklist, the next procedure with either 'Analyzed' or 'Reviewed' status will display on the Report procedure page for you to action.

Note: When you action the last relevant procedure in the list (according to any filters that you have applied), you will automatically return to your Worklist.

Revise procedure

Note: You must have the relevant permissions to Revise a procedure. If you don't have these permissions, the Revise button will be disabled.

In the Finalized state, at the bottom of the Report procedure page, click Revise. This will:

1. Unlock the conclusion section for editing

2. Change the Status of the procedure to Sent for Review

3. Leave an audit trail in Conversations

You can now make changes and click Confirm to re finalize the procedure, clicking Confirm will:

1. Re finalize the Procedure. 

2. Update details of finalized date and user

3. Re generate PDF with new details

4. Leave an audit trail in Conversations  

5. A tag of Finalized Revised will also be visible on the worklist

6.  Conclusion will be locked again.

The above process can be repeated as many times as necessary.

Once the report has been successfully updated, the procedure's status changes to ‘Finalized’ and a ‘Finalized’ workflow tag is added to the procedure. The procedure's finalized date now displays in your Worklist and on the Patient details popup (see View patient and procedure details).

Depending on how you filtered/sorted your Worklist, the next procedure with either 'Analyzed' or 'Reviewed' status will display on the Report procedure page for you to action.

Note: When you action the last relevant procedure in the list (according to any filters that you have applied), you will automatically return to your Worklist.

Move to next procedure

The Next button enables you to move to the next relevant procedure in your list without actioning or changing the status of the current procedure.

1. At the bottom of the Report procedure page, click Next.

Depending on how you filtered/sorted your Worklist, the next procedure will display on the Report procedure page for you to action.

 

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