Patient Encounter: Diagnostic Test Management

Version 20.14

This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page.

About Patient Encounter: Diagnostic Tests

Path: Clinical, Practice Management, or Billing tab > Patient Chart button > Encounter > New or Open Note button > Diagnostic Tests

The Diagnostic Tests window of an Encounter is used to order labs, complete open lab requisitions, monitor diagnostic tests, and perform a follow-up. This section of the Encounter Note is chart-driven, meaning that the information populated here is pulled from and pushed back to the same section in the Patient Chart.

Patient Encounter: Diagnostic Tests Map

Number
SectionDescription
1Diagnostic Tests buttonThe Diagnostic Tests button opens the Diagnostic Tests window in the patient's Encounter.
2Diagnostic Test tabs
  • Requisitions/Results: Lists the Diagnostic Tests for the patient. The status of each test can be changed in this tab. Orders and Results can be reviewed, added, and modified.
  • Grouped by Test Name: Provides a list of all orders, grouped by test type with the count of the number of tests performed. The tab provides the lab request date, result date/time, test name, result, range, LOINC Code, and notes.
  • Cross-tab by Name/Date: Displays the relationship between a test and the date the test was given. If the cell in the cross-tab is empty, then the test in that row was not given to the patient on that date. Tests results for the same test are shown in a cross-tab comparison by date with the most recent date to the left.

3

Test Type filter buttonsThe Test Type filter buttons are used to filter the list of Tests based on the following:
Labs: chemistries, serologies, cultures
Screens: hearing, vision
Imaging: X-rays, CT scans, sonograms
Procedures
4Diagnostic Test Order buttonsTests can be created and ordered using the New In-House, New Send-Out, and New Legacy buttons. Clicking one of the buttons opens the Diagnostic Test Requisition Form window.
5Action buttons
  • Print: Prints the requisition form.
  • Send Message: Opens a new Message window to send a message about the Diagnostic Test.
  • Full Report: Generates full diagnostic report.
6
Report buttonThe Report button creates a report about this order for the Department of Health.

7

Function buttonsThe function buttons add, remove, edit, save, and cancel order result changes. You can also refresh the data using the Refresh button.
8
Diagnostic Tests gridThe Diagnostic Tests grid lists all the diagnostic tests for the patient.
9Review buttons
  • Review All: Marks all of the orders displayed in the Orders/Results grid as "reviewed".
  • Reviewed Today: Marks the selected order as "reviewed today". This button counts the test in MDM calculation as Data Reviewed.
10Orders/Results Display options
  • In-line: Displays any notes entered for the result on the same line as the result itself
  • Below: Displays any notes entered for the result on the line below the result
  • Expand all: Expands all of the Orders/Results in the grid for the selected requisition
  • Show all: Displays all of the results that belong to a selected requisition
11Orders/Results grid
The Orders/Results grid displays the details and components of the requisition selected in the Diagnostic Test grid above.
Version 20.13

About Patient Encounter: Diagnostic Tests

Path: Clinical, Practice Management, or Billing tab > Patient Chart button > Encounter > New or Open Note button > Diagnostic Tests

The Diagnostic Tests window of an Encounter is used to order labs, complete open lab requisitions, monitor diagnostic tests, and perform a follow-up. This section of the Encounter Note is chart-driven, meaning that the information populated here is pulled from and pushed back to the same section in the Patient Chart.

Patient Encounter: Diagnostic Tests Map

Number
SectionDescription
1Diagnostic Tests buttonThe Diagnostic Tests button accesses the Diagnostic Tests window in the patient's Encounter.
2Diagnostic Test tabs
  • Requisitions/Results: Lists the Diagnostic Tests for the patient. The status of each test can be changed in this tab. Orders and Results can be reviewed, added, and modified.
  • Grouped by Test Name: Provides a list of all orders, grouped by test type with the count of the number of tests performed. The tab provides the lab request date, result date/time, test name, result, range, LOINC Code, and notes.
  • Cross-tab by Name/Date: Displays the relationship between a test and the date the test was given. If the cell in the cross-tab is empty, then the test in that row was not given to the patient on that date. Tests results for the same test are shown in a cross-tab comparison by date with the most recent date to the left.

3

Test Type filter buttonsThe Test Type filter buttons are used to filter the list of Tests based on the following:
Labs: chemistries, serologies, cultures
Screens: hearing, vision
Imaging: X-rays, CT scans, sonograms
Procedures
4Diagnostic Test Order buttonsTests can be created and ordered using the New In-House, New Send-Out, and New Legacy buttons. Click one of the buttons to open the Diagnostic Test Requisition Form window.
5Action buttons
  • Print: Prints the requisition form.
  • Send Message: Opens a new Message window to send a message about the Diagnostic Test.
  • Full Report: Generates full diagnostic report.
6
Report buttonThe Report button creates a report about this order for the Department of Health.

7

Function buttonsThe function buttons add, remove, edit, save, and cancel order result changes. You can also refresh the data using the Refresh button.
8
Diagnostic Tests gridThe Diagnostic Tests grid lists all the diagnostic tests for the patient.
9Review buttons
  • Review All: Marks all of the orders displayed in the Orders/Results grid as "reviewed".
  • Reviewed Today: Marks the selected order as "reviewed today". This button counts the test in MDM calculation as Data Reviewed.
10Orders/Results gridThe Orders/Results grid displays the details and components of the requisition selected in the Diagnostic Test grid above.