User Guide - PregSafe
User Guide - PregSafe User Guide - PregSafe
If you wish to skip this step, after you have finished the race entry (or user defined field ifused), press to move to the pregnancy section and to open thepregnancy window. Or with the mouse, double-click in the first empty field in thepregnancy window.If you are adding a pregnancy to an existing patient who already has at least onepregnancy, double click in the blank pregnancy fields below the existing pregnancy(ies)to open a new pregnancy screen.2.1.3. Pregnancy InformationThis screen is used to record patient information specific to this pregnancy.Para and GravidaPara refers to the number of live infants that the patient has already borne. Gravida isthe number of times the patient has been pregnant, including the current pregnancy.These numbers are not used in the risk calculation. This information is provided to thephysicians for their convenience, but on only some of the patient report formats. If theresponse is unknown, leave the fields at zero.8
MultipleChoose from the selection list whether the pregnancy is singleton, twins, triplets ormultiple (i.e. more than triplets, or more than one but actual number unknown). If youhave not been given this information, select Unknown. If Unknown is selected, theprogram will calculate the risk based on a singleton pregnancy, and the report will statethat this assumption has been made and that the risk is calculated based on partialinformation. You may use the keyboard to type U for unknown, S for singleton, T forTwins, and T a second time for triplets, or M for multiple, which means either more than3 or more than 1 but you don’t know how many.IDDM, IVF, Smoker, RhChoose from the selection list whether each of these conditions applies to this patientduring the current pregnancy. The choices are Yes, No or Unknown. You may type Y, Nor U. You may also leave the IVE, Smoker and Rh fields blank. If blank, the fields aretaken as unknown.Median adjustment factors for each of these conditions can be entered in the markerconfiguration screen for the markers that are affected, as noted below (see section 3.2.2of this chapter). The default adjustment factors are 1.0 (no adjustment), except for serumAFP in IDDM patients. If adjustment factors are modified to be other than 1.0, they willbe applied to those samples for which these items are positive. If median adjustmentfactors are used, then the medians themselves should be established for populationsthat are negative for the respective conditions. If the median adjustment factors are notmodified, no adjustment will be made.If you wish to remove the Smoker and/or Rh fields from this screen , you can do so byinstituting the customization keys AFPX_SUPSK and AFPX_SUPRH respectively.Please see chapter 3, section 2 for more information.IDDMChoose Yes only if the patient is an insulin dependant diabetic. IDDM patients have adifferent prevalence for Down Syndrome and OSB, and also their AFP medians differfrom the non-diabetic population. The default median adjustment factor in PRA is 0.80,i.e. theAFP median is multiplied by 0.80 in the MoM calculation. If the patient is nondiabeticor has pregnancy-induced diabetes, choose No.IVFChoose Yes if this pregnancy was the result of in vitro fertilization. A field will open forthe birth date of the donor mother, and it will default to the birth date of the patient. Ifthere is a separate donor mother, enter her birth date in this field. It will be used in therisk calculation. Pregnancies that result from IVF have higher levels of hCG, free betahCG and uE3.If you have a Donor age, but not the date of birth, then use the mouse to uncheck theDonor DOB field, and another field will appear that will allow you to enter the Donor Age.The program will estimate the Donor DOB as the current date minus one year more thanthe patient age, ie the earliest birthdate the donor can have, assuming that she saw thephysician at least one day before the sample collection. When you return to this screenin the future the estimated donor DOB will appear in the Donor DOB field.9
- Page 1 and 2: © Lilac Medicare (P) Ltd.User Guid
- Page 3: The PregSafe WarrantyDisclaimer ofW
- Page 6 and 7: 3 Navigating in PregSafeThis sectio
- Page 8 and 9: The Patient Entry ShortcutsOpens th
- Page 10 and 11: will remove the character to the le
- Page 12 and 13: 3.2.11 Date FieldsThe date fields i
- Page 14 and 15: might be considered responsible if
- Page 16 and 17: 7 Closing PregSafeThere are three w
- Page 18 and 19: Table of ContentsTable of Contents
- Page 20 and 21: Not Saved: the data entered has not
- Page 22 and 23: 2.1.1. Patient InformationThe patie
- Page 26 and 27: SmokerChoose Yes if the patient is
- Page 28 and 29: LMP Date to the LMP Date and open t
- Page 30 and 31: EDDTo enter an estimated date of de
- Page 32 and 33: Requisition NumberYou may enter a r
- Page 34 and 35: Internal and Printable NotesThese f
- Page 36 and 37: 2.1.5. Adding a new pregnancy/requi
- Page 38 and 39: 2.2. ASSAY RESULTS ENTRY USING THE
- Page 40 and 41: Choose either the Requisition,Speci
- Page 42 and 43: 2.3.1. Editing a Patient RecordWhen
- Page 44 and 45: 2.3.2. Editing Critical DataCertain
MultipleChoose from the selection list whether the pregnancy is singleton, twins, triplets ormultiple (i.e. more than triplets, or more than one but actual number unknown). If youhave not been given this information, select Unknown. If Unknown is selected, theprogram will calculate the risk based on a singleton pregnancy, and the report will statethat this assumption has been made and that the risk is calculated based on partialinformation. You may use the keyboard to type U for unknown, S for singleton, T forTwins, and T a second time for triplets, or M for multiple, which means either more than3 or more than 1 but you don’t know how many.IDDM, IVF, Smoker, RhChoose from the selection list whether each of these conditions applies to this patientduring the current pregnancy. The choices are Yes, No or Unknown. You may type Y, Nor U. You may also leave the IVE, Smoker and Rh fields blank. If blank, the fields aretaken as unknown.Median adjustment factors for each of these conditions can be entered in the markerconfiguration screen for the markers that are affected, as noted below (see section 3.2.2of this chapter). The default adjustment factors are 1.0 (no adjustment), except for serumAFP in IDDM patients. If adjustment factors are modified to be other than 1.0, they willbe applied to those samples for which these items are positive. If median adjustmentfactors are used, then the medians themselves should be established for populationsthat are negative for the respective conditions. If the median adjustment factors are notmodified, no adjustment will be made.If you wish to remove the Smoker and/or Rh fields from this screen , you can do so byinstituting the customization keys AFPX_SUPSK and AFPX_SUPRH respectively.Please see chapter 3, section 2 for more information.IDDMChoose Yes only if the patient is an insulin dependant diabetic. IDDM patients have adifferent prevalence for Down Syndrome and OSB, and also their AFP medians differfrom the non-diabetic population. The default median adjustment factor in PRA is 0.80,i.e. theAFP median is multiplied by 0.80 in the MoM calculation. If the patient is nondiabeticor has pregnancy-induced diabetes, choose No.IVFChoose Yes if this pregnancy was the result of in vitro fertilization. A field will open forthe birth date of the donor mother, and it will default to the birth date of the patient. Ifthere is a separate donor mother, enter her birth date in this field. It will be used in therisk calculation. Pregnancies that result from IVF have higher levels of hCG, free betahCG and uE3.If you have a Donor age, but not the date of birth, then use the mouse to uncheck theDonor DOB field, and another field will appear that will allow you to enter the Donor Age.The program will estimate the Donor DOB as the current date minus one year more thanthe patient age, ie the earliest birthdate the donor can have, assuming that she saw thephysician at least one day before the sample collection. When you return to this screenin the future the estimated donor DOB will appear in the Donor DOB field.9
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