PrognoCIS Help: External Lab Result Entry

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It is likely that the Patient’s Referring Doctor has send a copy of his Lab Order Results to the Clinic. Although the Clinic had not ordered the Lab Order, the results could form an important part of the Patient’s medical history. Hence this also needs to be stored as a part of Prognocis.

Click on this option to pop up a Search List for selecting existing External Labs (Non Reviewed) or User may click on Add New button to enter a new External Lab.

Order No is generated based on Prefix and Length in property, Lab Params > lab.ext_orderno.prefix and Lab Params > lab.ext_orderno.length respectively, as for Lab Order. Typically user would use a different prefix to differentiate the external Lab from the Clinic’s Lab Orders.

Results Received: Date as seen on the Result page.

Patient: Use the Search Button to select a Patient. Note only those Patients who have at least one encounter are included in the list. (This is because a Lab Order has to be associated with an encounter). The Lab Order is associated with the Last Encounter of the selected Patient.

Doctor: Is the Primary Doctor of selected Patient.

RESULTS TAB

Click on the Button to select Tests Orders (including Panel Tests). The Result Tab now shows Tests grouped by Category. If one of the tests is a Panel it is shown in Bold, followed by all the individual tests (indented) constituting the Panel. It is also likely that two Panels were ordered, and that there were some tests common. These tests will be shown under each panel, and as such might seem to be duplicate.

All other fields are identical to that explained in Lab Results.

Type, Location, Notes: These three columns will be displayed only if the results are imported from HL7.

Note that for Attach Tab, Attach Button is disabled, till the External Lab Order is saved for the first time.

Save: Results can be Approved only if
a) Remarks Tab has some entry
b) Attach Tab has an attachment
c) Results are entered for tests.

On saving External Lab Order Results, if the Login Person is a Doctor, or has Approve rights, the status is set to Complete.

If a Nurse without Approve rights enters results, status is set to Results Received and an Alert is send to the Doctor, so that he can Approve it. If the Nurse has Approve rights, status is set to Complete, and Only a Notification is send to Doctor to inform him.