Laboratory
Lab History
1. Lab
History: This section
will allow you to view all lab history for the active patient.
2.
Change
View: This will change
the history from a view like the table above to a list view like the image
below.
3.
Filter: You can filter by Most recent, Past 6 months
or Past 1 year.
4.
Action: This drop-down will allow you to Edit, cancel (if the order has not been
sent to the facility), View the Request,
Print Labs or view/upload associated files (uploaded files in
the system related to that lab order).
Getting Started in Lab Order Input
1. Lab
Order Input: This is
where you will be able to enter a lab order for the patient.
2.
Lab
Info Tab: This tab is
where you will enter all information pertaining to the lab. That is explained
in more detail below.
3.
Diagnosis
Tab: This tab is where
you will enter the diagnosis code pertaining to the lab being ordered.
4. Completion
Status: You can save the lab order as signed and incomplete to save for
completion later or signed and complete
to send the lab.
5.
Submit/Reset: Reset will clear any inputs above to begin entering
new information.
Completing the Lab Info Tab
1. Site: Here you will select the site the lab
order is being sent from.
2.
Lab
Facility: You will
select the lab facility the lab order is being sent to.
3.
Provider: This will default to your name, but if
it is being sent for another provider you will select their name and they will
receive a pending lab notification
to approve the lab order.
4.
Order
Date: This will default
to today’s date but can be changed if needed.
5.
Specimen
Collected: If Yes complete the collection date and
time with the correct information, if No
then you can move on.
6.
Fasting: You will select Yes or No if the patient
is required or not to fast before the lab.
7. Priority: You will select Routine or Stat for the
lab priority.
8.
Time: You will select if the lab must be
performed in the AM, PM or Any time of day.
9.
Frequency: Here you will specify how often the selected
panels will need to be performed.
10. For x number of times: This will indicate how many times the
above information is needing to be completed. For example: If you select Once a week for frequency and 4 for x number of times then that lab
will need to be completed once a week for 4 weeks.
11. Clinical Info: Here you will enter clinical information pertaining to the selected panels.
12. Panels: Here you can search for lab panels and
select from the Panels List. For more information read below.
Finding and Selecting Lab Panels
1.
Find
Lab Test: Here you will type what lab you want to order by keyword, CPT Code or Lab Code.
2. Lab Panel Name: When you click Find Lab Test
this will populate a window with the search results. Then select the lab
you want to order from the list.
3.
Panels: Once you select the lab from the list
it will populate in this section to select. You can add additional labs after
each one is in the panel section. To select the lab to send to the Facility you
will need to select the checkbox next to the name of each lab you want to order.
Important: You must select the checkbox after choosing from your results list. If it shows in the Panels list but the checkbox is not marked it will NOT send to the Lab Facility
Completing the Diagnosis Tab
1. Diagnosis: Here you will start by selecting a
relevant diagnosis code from the patient’s problem list.
2.
Precedence: You will need to select the precedence
of the diagnosis code you are adding. If you are adding multiple this will need
to be done for each.
3.
Add
DX/Reset: Clicking Add DX will add the selected diagnosis
code into the list below. Reset will
clear out the selection so you can begin again.
4.
Diagnoses
Added: This is where
you will view the list of diagnosis codes added that are relevant to the lab
being ordered.
5. Action: This drop-down is used to edit or
delete diagnosis codes from this list only. When you are in the code you wish
to change, edit allows you to change
the precedence and delete removes it
from the Diagnosis Added list.
6.
Edit
Problem List: This will
open the stand-alone Problem List page into a new window to, add or remove
diagnosis codes before sending in the lab. If you make any changes to the list
and need to add it into the lab, you will click the refresh button and your changes will update in the
Diagnosis drop-down.
7. Submit/Reset: Reset will clear any inputs above to begin entering new information and Submit will save all labs information entered in the note.
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