Accessing Returned Lab Results
When a lab order has completed processing, the results are transmitted back into the RxWorks Lab Manager for review. Read on to see the different ways to access and view patient lab results.
RxWorks will check periodically to see if new results have been imported and are ready for review. If new results are ready a notification is displayed. Clicking the notification will take you to the main lab manager window.
Patient & Visit Records
Results linked to a patient or visit record are indicated by highlighted Lab icon on the ribbon bar. Clicking the lab icon from the record will open the lab manager main screen to display the related results.
You can also see if there are results attached to a visit from the Visit List display. Click the arrow in the Lab Results section to access the attached results.
Lab Manager Main Menu
Completed lab results can be viewed from the links shown on the Lab Manager main menu. Select from one of three results options in the list:
View the most recently imported results. By default this is the last 10 lab results, but may be increased to show up to the last 100.
Results by Patient
Lab results for the current open patient or visit record are easily accessible from the main menu. The record must be open before opening the Lab manager for this to display.
If the current record has no lab results, clicking ‘By Patient’ will open an advanced search window to help locate a patient.
An unattached result is not linked to either a Patient or Visit record. This is usually due to a missing or incorrect requisition ID. If results have returned but not attached to a record as expected, check the unattached list and reassign the results to the correct patient or visit.
Features of the Lab Results Work Area
The Lab Results Work Area is divided into three across the window to help you find and review test results. Read on to find out more information about each section.
Lab Results List
The Lab Results list shows the most recent lab results imported into RxWorks. The results are displayed in the main lab window when a result is selected from the list. You can find older results by using search filters like clinic name or by date range.
Use the filters to narrow down the results listing to specific clinic, or a person that requested the test. You can also choose to display results within a specific date range instead of just the most recent.
Simply click the Change Filter button to show the filter options.
The results information is a graphical display of the test results received back into RxWorks. When the result is attached to a patient & visit record the history and chart functions are available to track current results against previous results. You can find out more about the Results Information display in the next section of this article.
The summary bar shows basic client, patient, and visit information for quick reference. You can use the ‘arrow’ icons to navigate to the relevant records.
Lab results that are unattached will have a blank display in the summary until the record is attached to a patient.
View Lab Results Information
The full detail view of lab results is shown when a selection is made from the list. The detail view has alternative display options, as well as some management tools such as:
The result display will vary depending on the device/reference lab capabilities. The general presentation of results is as follows:
Range Indicators & Abnormal Results
Graphical results are presented with colour coded indicators as follows:
Results that contain values outside of normal range are flagged with an ‘Abnormal results Alert’ on the Lab Results List and result values shown in red text.
Lab History, Chart Views & Printing
Charting results allows you to see a graphical representation of patient laboratory result history. Click the CHARTS button & choose normalised or history view using the tabs at the top of the window.
History Chart View
The ‘History’ chart can compare two analytes (with appropriate scales) on a left and right axis. Choose the analytes to display on each axis, and then click the ‘Plot’ button to refresh the graph.
Key features include:
Normalised Chart View
The ‘Normalised’ chart view shows normalised analyte trends over time. You can choose which analytes to display by selecting the check boxes.
Key features include:
Viewing Historical Lab Results
The option to view patient test result history is a powerful tool for Veterinarians. If an analyte has been tested previously, historical results can be compared easily to the most recent results.
Click the toggle History button to show the last result or the full history for the patient.
Key features include:
Printing Lab Results
You can print lab results along with key patient information from the ‘Print’ button.
Managing Unattached Lab Results
Unattached lab results are results that are not linked to a patient or visit record. The results are imported to the lab manager results list for later attachment to a patient or visit record. Unattached results can be viewed from the main lab display along with other recently imported results.
You can choose to show only unattached results by using the ‘Unattached Results’ link from the lab manager main menu.
Why are some results unattached?
Results will not attach to a record if the requisition ID is missing or incorrect. In most cases this is the result of human error when adding the requisition details onto the lab device or reference lab order forms.
If you regularly find unattached results, you may wish to check that the patient or visit ID is being entered correctly on the lab device or requisition form. Check that the appropriate prefix is added to the ID e.g. P1234 for patient IDs, and V1234567 for visit IDs.
You can minimise the frequency of unattached results by using the semi-automated lab workflow. The workflow includes printing a Lab Order Request Form containing all required information including the correct ID.
This ensures that the returned results are correctly attached to patient/visit records.
Editing The Lab Result Link
The RxWorks lab manager provides a convenient tool to help link the unattached results to a record.
- Select an unattached record from the unattached list or the main results list.
- Click the ‘Edit Link’ button.
- Choose to link to a patient or a visit.
- Use the search dialogue provided to find the record that you want to attach the lab result to & click ‘OK’ to complete the attachment.
Link to Patient
If link to Patient is chosen, use the advanced search box to locate the patient record. Click OK after making a selection from the list.
Link to Visit
If link to Visit is chosen, use the search dialogue to locate the patient before selecting from a list of that patient’s visits, or search the visit number directly. Click OK after making a selection from the list.
Editing a Linked Lab Result
If a lab result is wrongly attached, you can edit the link to attach to another patient or visit record. If you are unsure where the result should be attached, use the set to Unattached button to leave the result unattached and correct it at a later time.