Add New Diagnostic Test to an Outside Lab Facility

Version 14.8

In this section, the user 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 will be provided to you.

Access the HL7 Diagnostic Test Utilities

  1. Pathway: Utilities > Manage Clinical Features > Diagnostic Test Setup.
  2. Click on the Test Name Definitions tab.
  3. Choose the Filter icon from the Lab in the grouping area.  
  4. Click on the Laboratory into which you wish to add a new diagnostic test, and verify that it doesn't have a different naming factor.

HL7 Diagnostic Test Utilities

Add in a new Diagnostic Test

  1. Click to add a new Diagnostic Test Name. The Diagnostic Test Name Information form will open.
  2. Select the Laboratory from the Laboratory dropdown field where this new test is being created.
  3. Enter Test name
  4. Enter the Purpose (Order or Result).
  • Options: Order or Result; Order only; Result only.
Purpose set to Order or Result: This allows you to enter a higher level result for this test. It can result the components and then indicate the overall result impression.
  1. Enter the Category.
Categories: The Category chosen will result in which type of test it is labeled as.
  • Lab = any test labeled as an -ology (pathology, serology, etc.); chemistry
  • Screen = Screen
  • Imaging = CT scan, MRI, Xray, ultrasound, angiography, cardiac echo
  • Procedure = Procedure
  1. 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.
  2. Tab to the Test ID field, this will populate the Test ID field with a code identical to the LOINC code, or you can manually type it in this field.
  3. Enter ICD-10 Code (only if it will always be the same).
  4. Select Result type from drop-down:
  • 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.
  1. Enter Default Result Value.
  • the first answer in the list is the default: Negative=N; Positive=A 
  • to create a drop-down list of choices 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.
  1. Select Default visibility should be set to Any Staff Member.
  2. Click OK to Save.

Create the results template for the test

  1. Access HL7 Diagnostic Test Utilities using the same steps as above. 
  2. Click  to add a new Diagnostic Test Name. The Diagnostic Test Name Information form will open.
  3. Using the directions from above fill out the fields to create Results for each component associated with the test.
Note:  Purpose will be "Result Only."

Add the Results Template to the test

  1. Click on the Access button  in line with the test name to open the window.
  2. Click on the Result Template tab.
  3. Click on the Green Plus button .
  4. Choose the desired result from the drop-down. Repeat this step to add in all the desired result options. The sort order can be changed by just changing the number.
  1. Click OK to Save.

Adding New Tests Into Drop-Down Lists  (Pick Lists)

  1. Pathway: Utilities > Manage Clinical Features > Diagnostic Test Setup.
  2. Click on the third tab, Test Name Pick Lists
  3. Click Activate.
  4. Select Laboratory in the Test Facility column by clicking on the lab name. 
  5. In the Test Category column, click on the Category in which you wish to place the newly created diagnostic test.
  6. 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.
  7. In the blank field for Test Name, start typing the name of the test you adding to the pick list and select from the dropdown.
  8. Click Green Checkmark button at the bottom to Save.
  9. Click the X button in the upper right corner to close.

The same process can be used when adding Screening Tests, Imaging or Procedures.