Recording Lab Results
You can record patients’ lab results, which are included in clinical summary and patient health history CCR files, in the Lab Results window. For more information on creating CCR files, go to Creating Clinical Summary Documents.
This section tells you how to record lab results, including how
- Click Tools on the ExamWRITER main window and select Enter Lab Results.
OR
Open the patient’s Patient Information Center window and click Enter Lab Results.
The Lab Test Results window opens.
- Click New in the middle of the window.
- Select the Test Name, Test Type, and Code Type from the drop-down menus and enter the Code.
- Select the Order Link by clicking the ellipsis (…) and selecting the exam where the lab tests were ordered.
- Record the lab details in the appropriate fields.
- For each element reported on the lab result:
- Click New at the bottom of the window.
- At minimum, type the Element, Result Value, and UOM (unit of measure).
- Select a Test Date.
- Click Save at the bottom of the window.
- Click Save in the middle of the window.
In addition to the procedure above, watch this video.
- Click the Patient Hx icon.
- Click the eDocuments tab.
- Click Import Lab Results.
- Browse for the HL7 lab results file and click Open.
The Importing Patient Match window opens and displays the name, date of birth, and gender of patient you have open in ExamWRITER and of the patient listed in the lab results file.
- Verify that you are importing the correct patient’s lab results.
- Click Import if the patient matches.
- Click Select Another File if the patient does not match.
ExamWRITER displays the contents of the lab results file for your review.
- Click Import.
- On the Patient Information window, click Enter Lab Results.
- Double-click the lab results listed under Lab Order Results.
- Select the Order Link by clicking the elopes (…) and selecting the exam where the lab tests were ordered.
- Click Save.
For more information on recording lab results, watch this video.