⚠️ Important: This is currently a beta feature, available to a few CHR beta users in order to test and provide feedback. It will be available to more users once the beta period is complete.
You can manually enter laboratory test results on a patient's chart. This is useful if you do not receive electronic lab reports from a specific lab provider, if the report is received as a fax, if you have scanned in a paper copy of the lab report, or if you are performing the test onsite. Manually entering lab results ensures you can graph these along with the other results and you have a complete view of a patient's lab results in one location.
You can add lab results from several areas of the patient's chart, as well as from the Inbox.
Each lab result you record is combined into one lab report that is saved in the Patient Files section of the chart. You can also send a copy of the lab report to providers' inboxes for their review.
Steps
1. Open the Lab report preview window from one of the following locations:
The patient Summary > Lab Results > click the + icon.
The patient Dashboard > Quick Menu > Lab Results > click the + icon.
Start/Open > Lab Results > click +Add lab results.
Start/Open > Patient Files > open an existing PDF and click +Lab results.
From the Inbox, open a file and click +Lab results.
📌 Note: If the file in the Inbox is not yet assigned to a patient, you must search for and select the patient before the Lab report preview window will open.
2. Record the general lab report information.
Field | Description |
Laboratory | The lab company that reported the results (e.g. LifeLabs, Excelleris etc.). |
Accession Number | The accession number provided on the lab report. |
Date Collected | The date the lab tests were collected. Type a date or select one from the calendar. |
Time Collected | The time the lab tests were collected. Type a time or select one from the list. |
Ordering Physician | The practitioner who ordered the lab tests. If the ordering provider is from your clinic, select a practitioner from the list. To record an ordering provider not in your clinic, type their name.
📌 Note: Only users identified with a Type of Practitioner in their Account information settings appear in this list. |
Reported To | The practitioners from your clinic who received the results. For example, if another provider was cc'd on the report. Select one or more practitioners from the list. To remove a practitioner from the field, select the x beside their name.
📌 Note: Only users identified with a Type of Practitioner in their Account information settings appear in this list.
💡 Tip: The number of practitioners selected appears on the right.  |
Send lab results to the above clinic members | Select the checkbox to send the lab report to the Ordering Physician and all selected Reported To practitioners. The report is sent once you save it. |
💡 Tip: Click Additional fields to record the Date Requested, Time Requested, Date Reported and Time Reported.
3. Click +Lab Result to add lab results to the report.
4. Complete the fields for each lab result.
📌 Note: You must record either a Result or a Note for each lab result.
Field | Description |
Category | The category or summary heading of the group of lab tests. For example, biochemistry, microbiology, urinalysis etc.
Any existing categories from electronically imported lab results are available in the list. Begin typing and select one of these existing categories, or type your own category.
⚠️ Important: Lab results graph together only if the categories are the same, so we recommend selecting a category from the list to ensure consistency. |
Lab Test | The name of the lab test. Begin typing the name and select the test from the list. You can search for the full name (e.g. Hemoglobin A1C) or by any lab synonyms that are configured in your CHR (e.g. HbA1C).
⚠️ Important: You can type your own lab test but, if you do this, a warning appears indicating that free-typed lab tests cannot be graphed together. We recommend selecting a lab test name from the list to ensure consistency. |
Result | The lab test value. |
Abnormality | If the result is abnormal, select an option from the list such as High, Very high, Very low etc. |
Units | Type the lab test units such as mmol/L, U/L, % etc. |
Low | Type the value of the low end of the normal range. |
High | Type the value of the high end of the normal range. |
Note | Enter any notes related to the result. For example, if the result is abnormal but is expected or not concerning. |
5. To add another lab result, click Save & add another. When you are finished adding lab results, click Save.
6. The lab results appear at the bottom of the Lab report preview window.
💡 Tip: You can edit or delete individual lab results or the category name before saving. For more information, refer to Editing or deleting manually entered lab results.
7. Click Save to save the lab report. The lab report appears and is saved to the Patient Files section of the chart. If you chose to send the lab results to clinic members, they receive a new message in their inbox with the lab report.
📌 Note: If you created the lab results from a file in the Inbox, the +Lab results button changes to View Lab Report.
Updated September 1, 2023