[MEDITECH-L] Miscellaneous Lab Test Results in EMR

[Deirdre Garrett]

Can someone tell me what you do for miscellaneous Lab tests and how they appear in EMR? Do you build them in the Lab on the fly and hope for an existing EMR id? Currently we're building the most commonly ordered tests in lab and POM and keeping the obscure as Miscellaneous. We've been resulting them as See Note with the report in the comment with the test name as the first line of the comment so the physicians can see what test was ordered. We're still getting complaints that they are hard to find in EMR. I was just wondering if anyone out there has a better solution. We are CS 5.54.

Thanks,
Deirdre

Deirdre Garrett
Business Systems Analyst
Cook Children's Medical Center
deir...@cookchildrens.org<mailto:deir...@cookchildrens.org>

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[Massey, Kate]

Hi Deirdre,

I am C/S 5.5 and I have done the same thing at my facility. I built the most common tests and all others are ordered as MIS. The first result test of the MIS profile is the test name. For the MIS test result, the result is entered as Scanned/see EMR. The report is scanned at the sendout bench when it comes back from the reference lab and it appears in the EMR under the MIS folder. This has helped the techs tremendously, as they do not have to type in the entire report, but I still have complaints from the medical staff that they have trouble finding the lab reports. Once they find the report, they like seeing the actual report from the ref lab.

One thing that I started is having my Labcorp rep e-mail me a report of all MIS tests were sent out for the previous month and I build any tests that we sent more than twice. This has helped to keep my dictionary up-to-date. My site is interfaced to Labcorp, and the MIS tests are on a different account at Labcorp from the interfaced orders, so this was easy for Labcorp to do for me.

I would like to see the folders in the Lab portion of the EMR go away, or at least be able to modify them for our facility. The EMR IDs that are in the system are attached to folders that may or may not work for your lab. In our lab, CDIF is a micro test, and all of our staff think if it as Micro test but the EMR ID associates it to the serology folder. I have been told that the EMR is delivered as it is, no customs are allowed. Have you been successful in changing anything in the EMR?

I wait too long for new EMR Ids to be created. Most of the time we are ready to do the new test before I even know about it, so I'm playing catch-up from the start!

I would love to hear what others are doing.

Kate Massey
LIS Manager
Maury Regional Hospital
Columbia, Tennessee

Thanks,
Deirdre

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