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We are currently updating the OP Help Center content for the release of OP 20. OP 20 (official version 20.0.x) is the certified, 2015 Edition, version of the Office Practicum software. This is displayed in your software (Help tab > About) and in the Help Center tab labeled Version 20.0. We appreciate your patience as we continue to update all of our content.

Well Visit: Diagnostic Tests

Version 14.19

About Well Visit: Diagnostic Tests

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

The Well Visit window charts a patient well-visit exam. The Well Visit window helps to code and complete a preventive encounter visit.  The Well Visit note encompasses both narrative and comprehensive formats. It also allows you to customize the layout of the note.  The note is added to the patient chart.

The diagnostic tests window displays, adds, and modifies the diagnostic tests for the preventive exam.

Well Visit: Diagnostic Tests Map

Number
SectionDescription
1
Diagnostic TestsThe Diagnostic Tests button opens the Diagnostic Tests window in the patient's well visit note.
2
Well Visit Function buttonsThe function buttons delete an entire well visit note, edit a well visit note, or save an well visit note.
3
Flag as Incomplete checkboxThe Flag as Incomplete checkbox will mark an encounter as unfinished.
4
Diagnostic Tests tabs
  • The Requisitions/Results tab lists the diagnostic tests for the patient based upon the icon selected (labs, screens, imaging, and procedures).  The status of each test can be changed in this tab.  Orders and Results can be reviewed, added, and modified.
  • The Grouped by Test Name tab provides a list of all the ordered tests.  Orders are 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.
  • The Cross-tab by Name/Date tab 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 in a cross-tab comparison by date with the most recent date to the left.
5
Order buttonsTests can be created and ordered using the New In-House, New Send-Out, and New Legacy buttons.  Clicking on one of the buttons opens the Diagnostic Test Requisition Form window.
6
Full Report buttonThe Full Report button generates full diagnostic report.
7
Send Message buttonThe Send Message button sends a message about the order to other users.
8
Print Requisition buttonThe Print Requisition button prints the requisition form.
9
Report buttonThe Report button creates a report about this order for the Department of Health.
10
Diagnostic Tests gridThe Diagnostic Tests grid lists all the diagnostic tests for the patient.

11

Function buttonsThe function buttons add, remove, edit, save, and cancel order result changes.  You can also refresh the data using the Refresh button.
12
Test Type IconsThe test type icons show the following:
13
Review AllThe Review All button marks all orders and results as reviewed.
Version 14.8

About Preventive Exam: Diagnostic Tests Tab

Path: Smart Toolbar > Chart button > Well Visits tab > Open Note button > Diagnostic Tests tab
Path: Smart Toolbar > Schedule Button > Well Visit tab >  Edit button > Diagnostic Tests tab

The Preventive Exam window charts a patient well-visit exam. The Preventive Exam window helps to code and complete a preventive encounter visit.  The preventive exam note encompasses both narrative and comprehensive formats. It also allows you to customize the layout of the note.  The note is added to the patient chart.

The diagnostic tests tab displays, adds, and modifies the diagnostic tests for the preventive exam.

Preventive Exam: Diagnostic Tests Tab Map

Number
SectionDescription
1
Well Visit Note Editor tab

The Well Visit Note Editor documents the patient preventive exam.  The Well Visit Note Editor contains the following tabs:


2
Test Type IconsThe test type icons show the following:
3
Care Plans tabThe Care Plans tab lists, prints, and manages care plans for a patient’s health maintenance schedule.
4
Prior Well Visits tabThe Prior Well Visits tab lists the previous preventive exam notes.
5
Templates tab

The Templates tab lists the templates that are created, edited, and reviewed in the Well Visit Template Editor. Templates are pre-written scenarios you can use in a well visit to document common pediatric diagnoses. Templates include detailed descriptions for the usual pertinent positive and negative findings of a wide variety of illnesses, with a standard assessment, plan and ICD-10 coding. Included with your installation of Office Practicum are Pediatric specific templates.

6
Diagnostic Tests tabs
  • The Requisitions/Results tab lists the diagnostic tests for the patient based upon the icon selected (labs, screens, imaging, and procedures).  The status of each test can be changed in this tab.  Orders and Results can be reviewed, added, and modified.
  • The Grouped by Test Name tab provides a list of all the ordered tests.  Orders are 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.
  • The Cross-tab by Name/Date tab 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 in a cross-tab comparison by date with the most recent date to the left.
7
Function buttonsThe Function buttons delete an entire well visit note, edit a well visit note, or save an well visit note.
8
Order buttonsTests can be created and ordered using the + In-House, + Send-Out, and + Legacy buttons.  Clicking on one of the buttons opens the Diagnostic Test Requisition Form window.
9
Report buttonThe Report button creates a report about this order for the Department of Health.

10

Message buttonThe Message button sends a message about the order to other users.

11

Print Requisition buttonThe Print Requisition button prints the requisition form.

12

Function buttonsThe function buttons add, remove, edit, save, and cancel order result changes.  You can also refresh the data using the Refresh button.
13
Review AllThe Review All button marks all orders and results as reviewed.