User Guide - PregSafe

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LMP Date to the LMP Date and open the date field either by pressing the space bar orclicking the checkbox. Click the arrow at the end of the field or key . A monthview calendar will appear.Use the left arrow button on the calendar to change to the appropriate month, and selectthe appropriate day of the month using the mouse. Then click outside the calendar torecord the selected date. Alternatively, you may enter the date by typing over the currentdate as described in Date of Birth entry.If you enter a future date, the program will assume that this is the estimated date ofdelivery, will calculate an LMP date and will give you the opportunity to accept or rejectthis date.The gestational age at the date of sample collection will be computed once the specimendate has been entered.Ultrasound DataThe Ultrasound date is selected in the same way as the LMP date. If you have anultrasound gestational age estimation, enter the weeks in the weeks field and tab toenter the days.If you have a gestational age estimated by ultrasound, but you do not have theultrasound date, open the ultrasound date field. Note that doing so enables theultrasound gestational age fields. Then close the ultrasound date field. The gestationalage fields remain enabled. Enter the gestational age by ultrasound. The system willassume that the ultrasound date is the same as the sample date, and will show you amessage to that effect when you leave the pregnancy screen.12
The allowed range of Gestational Age is 5 to 30 weeks. If the gestational age as of theultrasound date is less than 6 weeks, when you leave the pregnancy screen you will notsee the message box recommending a method of estimation. When you get to therequisition screen you will not see any gestational age information in the Gestational agesection. Click the calculator button to open the Calculate Gestational Age window andselect Ultrasound by clicking the button marked U/S on the right side of the window.Please ensure that the gestational age as of the ultrasound date is correct.If you have an NT measurement, enter it in millimeters, to one decimal, and select thesonographer from the selection list of sonographer codes. If you have specified Twins inthe Multiple field above, a second NT field will appear, allowing you to record the NTvalues for each twin. In this case, when the report is issued, the risk of the twin with thehigher risk will be reported for the pregnancy.CRL, BPD and HCEnter the Crown Rump Length (CRL), Bi-Pariental Diameter (BPD) to one decimal orHead Circumference (HC) for the fetus if you have it. The acceptable ranges for thesemeasurements are:CRL 2-84 mmBPD 15-72 mmHC 100-220 mmThe gestational age as of the date of the ultrasound will be computed and displayed. Forfetuses at less than 12 weeks gestation, the CRL measurement gives the more accurateestimation of gestational age. The CRL at 12 weeks is 54mm. At greater than 13 weeks,BPD or HC is preferred. The BPD at 13 weeks is 23 mm. Between 12 and 13 weeks,accuracy of CRL and BPD is equivalent.If you enter a CRL greater than 72, upon leaving this screen you will see a warningmessage stating that for fetuses over 13 weeks gestation, BPD will give more accurategestational age estimation. You will be given the opportunity to accept what you haveentered (OK) or to go back and make changes (Cancel). Likewise, if you enter a BPD ofless than 19mm, you will be warned that CRL would give a more accurate estimation forfetuses under 12 weeks, and given the opportunity to accept or change it.If you enter both the BPD and CRL, the program will compare the calculated gestationalages, and if they differ by more than 7 days, a warning message will be displayed, andyou will be given the opportunity to accept or change the entry.There are two additional method of GA estimation, physical examination (Exam) andEstimated Date of Delivery (EDD).Please see the note below regarding the entry of EDD as determined by ultrasound.Exam DateTo enter an examination date, tick the checkbox and enter the date as noted above forLMP. Ticking the date checkbox enables the GA date fields, allowing you to enter theestimated GA at the time of the examination.13
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 24 and 25: If you wish to skip this step, afte
Page 26 and 27: SmokerChoose Yes if the patient is
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

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