Version 14.19
Clinical tab > More button (Customize group) > Diagnostic Tests button > Test Name Definitions tab
In this article, you will learn how to add a new diagnostic test to an outside lab facility.
Note: If you are interfacing with an outside lab, the lab compendium is provided to you. |
- Click the Test Name Definitions tab.
- Click the Filter icon in the Lab drop-down menu, select the checkbox for the Laboratory for which you wish to add a new diagnostic test, and verify the test does not exist in the list.
Adding a new Diagnostic Test
- Click the Add button . The Basic Definition tab is selected on the Diagnostic Test Name Information.
- Complete the below fields:
- Laboratory: Select a Lab from the drop-down menu.
- Test name: Enter the Name of the test.
- Purpose: The Purpose chosen will effect how a test is ordered and/or resulted.
- Order or Result = When choosing this purpose the test will be used at the top level to order and also a line entry for a result.
- Order only = When choosing this purpose the test will be used at the top level as an order only. There will be no result line entry.
- Result only = When choosing this purpose the test will be used to enter a result, typically this is used as a component of an order.
- Category: The Category chosen will result in where the test will appear in the patient chart.
- Lab = A test labeled as an -ology (pathology, serology, etc.); chemistry.
- Screen = Screen
- Imaging = CT scan, MRI, Xray, ultrasound, angiography, cardiac echo
- Procedure = Procedure
- LOINC: The test LOINC code is entered in this field.
Tip: It is recommended, if you do not know the LOINC code for the lab, you may search for the LOINC code using this resource loinc.org. When adding a LOINC code ignore the instructions that say no hyphen. The LOINC code must be entered exactly, including the hyphen. |
- Category: Select a Category from the drop-down menu.
- Test ID: Field is populated with the LOINC code. To change it, delete the LOINC code and enter the Test ID code in the field.
- CPT code: Enter the CPT code or use the ellipses button to search. The CPT code is required if billing for the diagnostic test.
- Default DX code (Optional): Enter the ICD-10 code or click the Search button.
- Result type: Select one of the following options from the drop-down menu:
- String: A string of answers can be separated by semicolons with first answer being default; can specify default normal (N) and abnormal (A) flags for each entry by adding an = sign at the end and following with N or A.
- Numeric: The answer contains numbers; can be formatted like a string set.
- Date: Answer is a date.
- Time: Answer is a time.
- Text: Answer is in text format.
- Coded entry: A list of answers can be separated by semicolons with first answer being default; can specify default normal (N) and abnormal (A) flags for each entry by adding an = sign at the end and following with N or A.
- Enter Default Result Value.
- The first answer in the list is the default: Negative=N; Positive=A
- Create a drop-down list of options you must separate choices by a semicolon ; (No spaces should be within the choices).
- type =N after the result answer to indicate a normal value; this will result in a green background line result.
- type =A after the result answer to indicate an abnormal value; this will result in a red background line result.
- Select Default visibility - Set to Any Staff Member.
- Click the OK button to save.
Adding New Tests to the Test Name Pick Lists
The Test Name Pick List is used to organize labs when adding a lab requisition through the Diagnostic Tests tab of a patient chart. This will allow you to quickly navigate to a Test Category and select from the associated labs.
- Clinical tab > More button (Customize group) > Diagnostic Tests.
- Click on the Test Name Pick Lists tab.
- Click the Activate button and select a lab.
- Select a category in the Test Category column where the lab test will be added.
- In the Test Name column, click the Add button.
- From the Test Name drop-down menu, select a diagnostic test.
- Click the Save button.
- Click the Exit button.
Version 14.10
In this section, you will review the process of how to add a new diagnostic test to an outside lab facility.
If you are interfacing with an outside lab, the lab compendium is provided to you. |
Accessing the HL7 Diagnostic Test Utilities
- Pathway: Utilities > Manage Clinical Features > Diagnostic Test Setup.
- Click the Test Name Definitions tab.
- Click the Filter icon from the Lab in the grouping area.
- Click the Laboratory into which you wish to add a new diagnostic test, and verify that it does not have a different naming factor.
HL7 Diagnostic Test Utilities
Adding a new Diagnostic Test
- Click to add a new Diagnostic Test Name. The Diagnostic Test Name Information form is displayed.
- Select the Laboratory from the drop-down menu where this new test is being created.
- Enter the Test name.
- Enter the Purpose (Order or Result).
- Options: Order or Result; Order only; Result only.
Purpose set to Order or Result: Allows you to enter a higher level result for this test. It can result the components and then indicate the overall result impression. |
- Enter the Category.
Categories: The Category selected determines how the test is labeled.
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- Create LOINC code: Use the Test ID issued by lab in this field. (May not exceed 7 characters.) If there is no Test ID, a user created code must begin with an X.
- Tab to the Test ID field, this populates the Test ID field with a code identical to the LOINC code, or you can manually enter it in this field.
- Enter ICD-10Code (only if it will always be the same).
- Select a Result type from the drop-down menu:
- String: A string of answers can be separated by semicolons with first answer being default; can specify default normal (N) and abnormal (A) flags for each entry by adding an = sign at the end and following with N or A.
- Numeric: The answer contains numbers; can be formatted like a string set.
- Date: Answer is a date.
- Time: Answer is a time.
- Text: Answer is in text format.
- Coded entry: A list of answers can be separated by semicolons with first answer being default; can specify default normal (N) and abnormal (A) flags for each entry by adding an = sign at the end and following with N or A.
- Enter the Default Result Value.
- The first answer in the list is the default: Negative=N; Positive=A
- To create a drop-down list of options you must separate choices by a semicolon ; (No spaces should be within the choices).
- Enter=N after the result answer to indicate a normal value; this will result in a green background line result.
- Enter =A after the result answer to indicate an abnormal value; this will result in a red background line result.
- Select Default visibility - Set to Any Staff Member.
- Click the OK button to save.
Creating the results template for the test
- Access HL7 Diagnostic Test Utilities using the same steps as above.
- Click to add a new Diagnostic Test Name. The Diagnostic Test Name Information form is displayed.
- Using the directions from above fill out the fields to create Results for each component associated with the test.
Note: The Purpose is Result Only. |
Adding the Results Template to the test
- Click the Access button in line with the test name to open the window.
- Click the Result Template tab.
- Click the Green Plus button .
- Select the desired result from the drop-down menu. Repeat this step to add in all the desired result options. The sort order can be changed by just changing the number.
- Click the OK button to save.
Adding New Tests Into Drop-Down Lists (Pick Lists)
- Pathway: Utilities > Manage Clinical Features > Diagnostic Test Setup.
- Click the third tab, Test Name Pick Lists.
- Click Activate.
- Select Laboratory in the Test Facility column by clicking the lab name.
- In the Test Category column, click the Category for the newly created diagnostic test.
- In the Test Name column, click the Green Plus button at the bottom to add another row and search for the diagnostic test you just created.
- In the blank field for Test Name, start entering the name of the test you are adding and select it from the drop-down menu.
- Click Green Checkmark button at the bottom to save.
- Click the X button in the upper right corner to close.
The same process can be used when adding Screening Tests, Imaging or Procedures.