- Laboratory Result Retrieval
- Anatomic Pathology Result Retrieval
Lab Result Retrieval
Orders and results from the Department of Pathology chemistry, hematology, blood bank, and some microbiology tests are displayed in Lab Results. Microbiology cultures and anatomic pathology results are available through separate functions on the Profiles/Results tab in IPR.
Patient Selection
IPR offers patient selection options:
Patient Number: Enter patient medical record number in formation
XX-XXXXX-X
Social Security Number: Enter Social Security Number in format
XXX-XX-XXXX
IDX#: Enter EDX visit # in format
XXXXXXXX (8X’s)
University ID: Enter University ID# in format
XXXXXXXX (8X’s) or enter last name, first name, meddle initial, gender, age or birthdate.
Select the Time Frame for the Lab Results: Select from the predefined time frames (24 hrs, 48 hrs, 3 days, 7 days, 14 days, 30 days, 3 months, 6 months or 13 months), by calendar using start date and end date or by visit.
The window is split in two halves. On the left, orders and results are displayed on four tabs: Lab Results, Pending Orders, Canceled Orders, and Non UIHC. On the right, results are profiled on two tabs, Graph Profile and Tabular Profile. The IPR system will remember which tabs you last displayed, and will default to those tabs the next time you use the Lab Results function. The dividing line between the two halves of the page may be clicked and dragged to adjust the relative sizes of each half. The Graph Profile may take a little longer to display than the Tabular Profile.
Results Tab
Resulted tests are displayed in medically logical groups approved by the Diagnostic Services Subcommittee. Groups are sorted in reverse date/time of the newest result in each group.
Each group line shows the group name, collection date/time, ordering physician, accession number, status, and InBox review. Each group line will have a "+" or "-" icon at the left. Click to show or hide the individual test results within the group. To expand or collapse all groups, select View/Collapse All or View/Expand All from the menu, or the (+) Expand All or (-) Collapse All buttons from the tool button bar.
The test result lines under each group contain the test name, the result, and result units. Textual results, if present, are displayed after the test line.
Selecting Lines for Profiling and Pasting
| 1. | Click on a group line to highlight the group and all of its components. Click again to de-select. |
| 2. | Click on a test line to highlight just that test and it’s group line. Click again to de-select. |
| 3. | Select lines – all the selected tests will be profiled in the Graph and Tabular Profiles. |
| 4. | Highlight the desired lines and select Edit/Paste from the menu or Paste from the tool button bar in order to paste results into a document. |
Abnormal Results
If any result in the group is abnormal, the group line will be red and an "A" will appear in the status column on the right indicating the test result is abnormal. The abnormal result line will be red and an abnormal flag will prefix the test name: Abnormal results are marked with symbols in the left margin and the color red.
| + (underlined) | critically high | * (underlined) | critical |
| + | high | * (underlined) | abnormal |
| - (underlined) | critically low | A | abnormal alpha result |
| - | low | R | abnormal, reviewed by pathology |
If a result has been entered and later changed, the group line will be pink and an M will appear at the end. The changed test result line will also be in pink and Mod will appear at the end. M and Mod will appear on modified abnormal groups and results but the lines will be red. To view previous results, use the "Info" selection (see below) for the individual test result.
Info
Right-click on any test result or result text line, then click "Info" to see more information about each test. (This will not work on group lines.) Each test has Specimen, Order and Test tabs to display additional information. The "Test" info tab contains all previous versions and the current version of any modified result. In addition, the test result mnemonic will be displayed in the Info screen. These mnemonics can be of assistance when building user profiles (see below).
Global Profiles:
To create new global profiles, submit your request via e-mail to Susan Dane. Diagnostic Services Subcommittee will review all requests for new global profiles.
User Profiles:
To create a new User defined laboratory retrieval profile:
| 1. | Enter a profile name into the field "Profile name" in the column Selected Profile. |
| 2. | Tab or click in the "Search for: Tests" field to begin entering the components (tests) of your profile. As you type, the list of displayed test will change to match your entry. |
| 3. | Drag the component test into the Test Name field under your Profile Name. Repeat steps 1-3 for all components of your profile. NOTE: You may resort the tests by dragging the test up or down into the correct sequence. Click Delete Test to delete a highlighted test in the user profile. |
| 4. | Click Save Profile to save all entries. The new User profile will be alphabetized into the section of "Define Profiles: User" on the left. |
Copy Other User’s Profile:
To copy another user’s profile.
| 1. | Click Copy User Profile. |
| 2. | Enter all or part of the user’s last name or INFORMM ID. |
| 3. | After clicking "Ok" the user’s profiles will display in the section of "Define Profiles: Other –". |
| 4. | To view the components or tests of the profile, double click on the profile or drag the profile into the "Selected Profile" section. |
| 5. | You can change the name of the profile or edit the profile tests by following the steps listed above under creating User Profiles. |
| 6. | Click Save Profile and your new User profile will be inserted into the section of "Defined Profiles: User". |
Other Features:
Modifications:
Modify of an existing user profile:
| 1. | Double click on the defined profile. |
| 2. | Your profile and its components will populate the center column. |
| 3. | Modify either the Profile Name or Test Name with your changes. |
| 4. | Click Save Profile to save all modifications. |
Replace/Append:
The Replace or Append button toggles between these two actions.
| 1. | When a profile is displayed in the selected profile, with append displayed, another profile will be appended to the end of the selected profile to the maximum of ten components. |
| 2. | When a profile is displayed in the selected profile, with replace displayed, another profile will replace the displayed profile. |
Clear Profile: When a profile is displayed in the Selected Profile column, place the cursor in the Profile Name field and click Clear Profile to clear the displayed profile.
Delete Profile: When a profile is displayed in the Selected Profile, click the Delete Profile button to delete the User profile from the list of Defined Profiles.
Pending Orders Tab
The Pending Orders Tab displays all pending and partially complete orders in reverse order of the date/time the order was placed. All pending orders are displayed regardless of the date range selected when entering the function. Each line contains the order name, accession number, order date/time, ordering physician, and status.
Status includes:
SCHD - scheduled
AR – awaiting results
PART – partially complete (completed results will appear on the Lab Results tab).
OR – ordered tests
Right-click pending orders for Info. Info has Specimen and Order tabs for additional information.
Canceled Orders Tab
All canceled orders within the selected date range are displayed. The reason for cancellation will appear in text after each order. Use the +/- icons or the Expand All/Collapse All buttons. Right-click canceled orders for Info which has Specimen and Order tabs containing additional information.
Non UIHC Results Tab
The patients listed in this tab had laboratory testing performed at the University of Iowa Hospitals and Clinics, Department of Pathology while being seen at other healthcare institutions. Because the testing was submitted from an external organization, the UIHC patient number may not have been used, therefore other attempts to match this patient to the UIHC medical record number are made using name, birthdate, sex, and social security number. Because an exact match to the UIHC medical record number may not be made, there is no guarantee that the person you select is the same patient as the UIHC patient you are viewing. Verify this information with the patient to assure that they had a specimen obtained from an external health care institution.
The system will display all exact and partial matches to the information with the following fields: Match, Name, Birthdate, Sex, SSN (Social Security Number), Where Seen, and the Patient No of the referring institutions. Select the patient if it matches the demographics for your patient. The Match column uses the following legend to assist you in identifying your patient.
Match Legend:
"*" = exact match to the UIHC patient
"+" = name match with exact birthdate (DOB) OR social security number
"+" = soundex name match with exact DOB AND social security number
"-" = soundex name match with exact DOB OR social security number
The Laboratory result retrieval display for the Non UIHC tab is the same as the Lab Result display except that InBox notification is not utilized for the specimens referred in from an external healthcare organization.
Graph and Tabular Profile Tabs
| 1. | Click on a test result line to create a graph or or table of all instances of that test within the selected date range. |
| 2. | Clilck on a group line to profile the tests performed at that time against those same tests throughout the selected date range. |
| 3. | Click View/Profile from the menu, or Profile on the button bar, to open the Edit Lab Profile window. From here you can select any predefined global or personal "user" profile, create or modify a personal profile, or copy another user’s profile. See information above regarding global and personal user profiles, or click ? (Help) on the Edit Lab Profile window for more details. |
| 4. | A button on the button bar switches between "Append" and "Replace" when you click it. To add additional tests to the graph or tabular profile, click it to say "Append". To replace all profiled tests with the next one you select, click the button to say "Replace". |
| 5. | Click and hold on a point on the graph to see the source value. |
| 6. | Click on a table entry to highlight the source value in the Results tab. |
Problems or questions concerning the use of the laboratory portion of the computerized Hospital Information System may be answered by: 1) nursing or patient care area personnel, 2) the IPR Support Team (4-7007) or 3) the Clinical Pathology resident or staff (131-3404). The IPR system has tutorials for all the applications at their website.
Representative IPR laboratory result retrieval screens are displayed below:
Lab Result Display
-
Pending Orders
Canceled Orders
Non UIHC Result
Pending Orders
Canceled Orders
Non UIHC Result