HGB A1C - Order and Result for In Office Testing | Scribe

HGB A1C - Order and Result for In Office Testing

    1
    If patient is not being seen by provider use the New Nurse Note to order and result an A1C. If the patient is seeing the provider Order and enter the results from a New Full Note Composer. For this demo we will use the New Nurse Note.
    2
    If you are starting this note from the Patient demographics and not from a schedule, then insure the billing and rendering provider and service site is correct on this screen and click OK. Otherwise if you are starting this note from the Schedule, this screen will not appear.
    3
    If a DX has not been entered, you are using the nurse note, then go to the DX tab to first select a DX.
    4
    Typically the "Patient Name List" has all of their current DX and is the best option for choosing a DX for the test.
    5
    If there is no DX on the "Patient Name List", you can choose a DX form the list below such as the "Diabetes" specific pick list. This demo will use this method.
    6
    Click on the appropriate DX from the resulting list to add to your DX list for the tests you will order. You can choose as many as is applicable.
    7
    Once All DX are chosen, go to the "Procedures" tab to select your tests.
    8
    Choose the "In house labs" from the list.
    9
    Choose the "(83037)HGB A1C" from the Test/Procedure/Lab column.
    10
    The test will show up at the top of the screen and be associated with the DX(s) you had chosen in step 6. Click the "Save Note" icon to save your tests. This step insures the tests you have chosen will be available to result in the "Results" tab in the next step.
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    Go to the "Results" tab.
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    Click the "Refresh Results View" button to insure all orders you have placed in "Procedures" tab will show in Results tab.
    13
    Click on the + button in front of the "Other" heading.
    14
    You will see all tests you ordered on the "Procedures" tab listed below. Click on the test name to begin to result that test.
    15
    The test will show in the field below the previous window. Note the check box for "Include In Note" If this is a office visit and you would like this result to be part of the office visit note, check this box. If you are just entering results in a nurse note, it is up to you if you would like to include in note or not. Uncheck if not needed in the note. To result this test, click on the blue "Pending"
    16
    Click on the Magnifying glass at the end of the Template field to open up the pick list for the Laboratory template.
    17
    If the resulting screen is blank or you do not see the HGB A1C listed in the search box at the bottom of this window type in HGB and then click Search. You should see this show up now. Chose the HGB A1C only! This is the appropriate Lab template for your in office test. If others do show up, please only select the HGB A1C for this test.
    18
    Note that the Template name and the Outstanding SP/SO Mapping names are the same HGB A1C. The template name should always match the Outstanding SP/SO mapping name. This insures you are resulting the correct test. Next click on the magnifying glass to enter the Received date.
    19
    Choose the applicable date for receiving the test (usually the same date as the collected, preformed and resulted date)
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    Do the same for Preformed and resulted fields.