Create New In-House Diagnostic Tests

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Version 20.15

Path: Clinical tab > More button (Customize group) > Diagnostic Tests

Add a New Diagnostic Test

1. Navigate to HL7 Diagnostic Test Utilities by following the path above.
2. Click on the Test Name Definitions tab.
3. Click the filter button on the Lab group, and click the checkbox for In House.

1. Click + to expand the line and display all lab tests associated with the lab facility.
2. Click the Add button . The Diagnostic Test Name Information window opens to the Basic Definition tab.
3. Click the Laboratory drop-down menu, and select In House.
4. Enter the test name in the Test name field. 
5. Complete the fields below.

• Purpose: The Purpose chosen will affect 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.

• Test ID: The Test ID field will populate with a code identical to the LOINC code. To change, backspace the code and enter the Test ID.
• CPT code: This code will be used to bill for the test.
• Default DX code: This code will be used for billing or if a lab required a specific ICD code.
• Result type: The result type is used for information entered in the result value.
  • String = A string result type is typically used for text rather than numbers, it can be a single word or a phrase.
  • Numeric = The answer contains numbers; can be formatted like a string set.
  • Date = The answer would be a date format.
  • Time = The answer would be a time entry.
  • Text = The answer would be in text format.
  • Coded entry = A coded entry result type is used for information that can be alpha or numeric. 
• (Optional) Normal range: Enter the normal range.
• (Optional) Critical range: Enter the critical range.
• (Optional) Units / Display mask: (Optional) Enter the lab display units, for example, % or mg/dL.
• Default result value(s): 
  • 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; and no spaces between each entry.
  • 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.
• Default visibility: The default visibility is set to Any staff member. To change, click the drop-down and select from the list.

1. Click the OK button.

Create an Alert Message for a Diagnostic Test

1. Navigate to the Diagnostic Test to which an Alert will be added, and click the Edit button . 
2. In the Basic Definition tab, locate the Alert Message section of the window.

1. Click the Add button, the Diagnostic Test Alerts window is displayed.
2. Click the Add/Edit Alert Messages tab.
3. Click + located in the Alert panel of the window.

1. In the Alert Message field, enter the text of the Alert Message. This is the exact message that will appear to a user when the Diagnostic Test is ordered.
2. Select a status, start date, and end date, if applicable.
3. Click the Save button .
4. Click the Add Link button to apply the new Alert Message to the Diagnostic Test. The message is displayed in the Basic Information tab of the Diagnostic Test. If you need to remove a message from a test, click the Delete button.

Create Results for an Order

1. Access HL7 Diagnostic Test Utilities using the same steps as above.
2. Click the Add button. The Diagnostic Test Name Information window opens to the Basic Definition tab.
3. Using the directions above, complete the fields. In the Purpose drop-down select Result only.

1. Repeat the above steps for all result-only test entries.

Add Results to an Order

1. Click the Access button to the left of the lab used to order.
2. Click the Result Template tab.
3. Click the Add button.
4. Click the Test Result Name drop-down and select a test result.

1. Repeat the above steps until all lab results are added.
2. Click OK 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.

1. Navigate to the HL7 Diagnostic Test Utilities window: Clinical tab > More button (Customize group) > Diagnostic Tests.
2. Click the Test Name Pick Lists tab.
3. Click the Activate button and select In House. 
4. Select a category in the Test Category column where the lab test will be added.
5. In the Test Name column, click the Add button.
6. From the Test Name drop-down, select a diagnostic test.
7. Click the Save button.
8. Click the Exit button.

Version 20.14

In this section, the user will review the process of how to add new in-house Labs, Screening tests, Imaging and Procedures and their Results. 

Access the HL7 Diagnostic Test Utilities

1. Navigate to HL7 Diagnostic Test Utilities window by following the path above.
2. Click on the Test Name Definitions tab.
3. Click the filter button on the Lab group, and click the checkbox for In House.
4. Click the + to expand the line and display all lab tests associated with the lab facility.

Add a New Diagnostic Test

1. Click the Add button . The Diagnostic Test Name Information window opens to the Basic Definition tab.

1. Click the Laboratory drop-down menu, and select In House.
2. Enter the test name in the Test name field. 
3. Complete the fields below.

• Purpose: The Purpose chosen will affect 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.

• Test ID: The Test ID field will populate with a code identical to the LOINC code. To change, backspace the code and enter the Test ID.
• CPT code: This code will be used to bill for the test.
• Default DX code: This code will be used for billing or if a lab required a specific ICD-10 code.
• Result type: The result type is used for information entered in the result value.
  • String = A string result type is typically used for text rather than numbers, it can be a single word or a phrase.
  • Numeric = The answer contains numbers; can be formatted like a string set.
  • Date = The answer would be a date format.
  • Time = The answer would be a time entry.
  • Text = The answer would be in text format.
  • Coded entry = A coded entry result type is used for information that can be alpha or numeric. 
• Normal range (optional): Enter the normal from and to range.
• Critical range (optional): Enter the critical from and to range.
• Units / Display mask (optional): Enter the lab display units, for example, % or mg/dL.
• Default result value(s): 
  • 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 ; and no spaces between each entry.
  • 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.
• Default visibility: The default visibility is set to Any staff member. To change, click the drop-down menu and select a default visibility.

1. Click the OK button.

Create an Alert Message for a Diagnostic Test

1. Navigate to the Diagnostic Test to which an Alert will be added, and click the Edit button  to open the Diagnostic Test Name Information window (if not already in the window).
2. In the Basic Definition tab, locate the Alert Message section of the window.

1. Click the Add button. The Diagnostic Test Alerts window is displayed.
2. Click the Add/Edit Alert Messages tab.
3. Click the + button located in the Alert panel of the window.
4. In the Alert Message field, enter the text of the Alert Message. This is the exact message that will appear to a user when the Diagnostic Test is ordered.
5. Select a status, start date, and end date, if applicable.
6. Click the Save button .
7. Click the Add Link button to apply the new Alert Message to the Diagnostic Test. 

• The message is displayed in the Basic Information tab of the Diagnostic Test. To delete the message from the test, click the Delete button.

• When the Diagnostic Test is ordered, the Alert Message is displayed in a Warning box where the user must click OK to acknowledge the message.

Create Results for an Order

1. Access HL7 Diagnostic Test Utilities using the same steps as above.
2. Click the Add button. The Basic Definition tab is selected on the Diagnostic Test Name Information window.
3. Using the directions above, complete the fields. In the Purpose drop-down menu select Result only.

1. Repeat the above steps for all result only test entries.

Add Results to an Order

1. Click the Access button to the left of the lab used to order.
2. Click the Result Template tab.
3. Click the Add button.
4. Click the Test Result Name drop-down and select a test result.

1. Repeat the above steps until all lab results are added.
2. Click OK 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.

1. Clinical tab > More button (Customize group) > Diagnostic Tests.
2. Click on the Test Name Pick Lists tab.

1. Click the Activate button and select In House. 
2. Select a category in the Test Category column where the lab test will be added.
3. In the Test Name column, click the Add button.
4. From the Test Name drop-down menu, select a diagnostic test.
5. Click the Save button.
6. Click the Exit button.