Home Forums Discussions General Discussion how do I reprint a lab order?

Let's say, I order a lab test that has different individual components
for instance:
'CBC
Lead level
U/A'
I print the order, and give it to the patient.
all three items are listed on the order.

Now, another day, I need to reprint this order [parent lost the lab slip]
Is there a shortcut to reprint the order, or do I need to redo it from scratch?

I see in the 'past encounter' tab the order that is broken up into its individual parts; not the total order. When I try to print the order, I am unable to highlight all the components and can only use the print function one component at a time.

What version of AC are you on ? I am on 6.1.2 and under past encounters it shows up as message - Order - all on one page. You will have to sign as it does not reproduce signature.

P.S. you will find this under "All Encounters..." do not use orders tab or it will be as you said.

I am using 6.010.
I just realized that I save my orders without sending.

Thank you, that makes sense. I guess that I will send the order and then just save the order to the chart

Well, I tried it.
It prints as a message of an order, with the items ordered.
It would be nice to have the order printed as it was with all that goes into the order.

Is this possible?

You could always just go to the patient's chart, click "write orders", select the labs you want done then print the order. Then exit out of the chart without saving anything (It will come with a pop up window that states: "You have pending orders that haven't been sent. Do you want to send them now?"

Click no and you should be good. It will print as a lab order with all the demographic info, diagnosis and labs requested.

We do one of three things in this scenario of the "lost lab order."
1) open the office note in which I created the original lab order, copy the lab order which was SAVED (not SENT) into my note under the section:PLAN. Then paste this text into an order, print it, at which point you can close the window or SEND it to yourself to be saved as a message.
2) if my staff created the lab order (such as using one of our many templated lab orders for annual physicals, or thyroid panel, or anemia lab panel, etc), they go under Past Encounters, find the message the lab order was created under, copy the text, create a new order, paste the text, and print it.
3) or finally we create a new lab order, using one of our many templated lab orders to recreate the lab order originally given to the patient.

Given that the lab has not been done, then by default it would still show up as Ordered in your Orders Reconciliation Window.

We just click CTRL + O, select the order and print it. It will look exactly the same complete with your signature and the date it was created.

thank you Bert.
I think I am a little closer.
my issue is that I would order the labs from the 'lab tab'; for example I would order 'lead' and 'CBC'.
The order would initially print with both items on the order sheet.
But, the order reconciliation window, would print only one item at a time.
so it would print a single page for the 'CBC', and I would need to highlight the 'lead' to print an order for the 'lead'.
It would not automatically print both at the same time.

My thought is to create a template in the other tab.

OK, now I need help to do an order from the 'other tab using a template.
I tried an order on a pretend patient.

the order I chose from the template was
'cbc
lead'

I clicked to move this 'to the chart'
I clicked the 'add' button
it showed up as a 'custom order'.
I clicked the print and everything was ok, except that neither the cbc, nor the lead was listed in the printout.

I must be missing something simple here, and help would be appreciated.

If I am reading this correctly, the biggest issue is having to print two separate times, which could be 8, 9, 10, whatever.

It's not perfect, but if you highlight all the labs you wish: highlight (select) the CBC, then using either the CTRL key or the SHIFT key, highlight (select) the lead so that both are selected, then right click on them and choose print all. They will now both print at the same time.

OK, This will work;

but how would I do an order using the 'other tab' with templates

Richard,
I only use the "other" tab.
Click on other, Then do one of two
things:
1) either type in a commonly used lab or lab order set including your diagnosis codes, then press ALT+ RIGHT CLICK. This command creates a quick template, give it a name and voila you have a template.
2) or right click in the"other"field any where, opening the templates dialogue window. On the upper right click "edit template" then in the bottom of screen is where you add or modify template.

I can give you example of a template order set I use all the time.
Its called "cholesterol", the template looks like this:

Lipid panel reflex, LFT's, CK dx:272.4
Fasting 12 hours
Digitally signed by Adam Lauer, D. O.

Richard,

OK, here is the deal. When you do an order, on the right hand side you will the fields "Name" and "To"

It is the number of these fields in a column which determines how many orders you will have to print to equal what you ordered in the first place.

So, if you choose the Labs tab and then check off what labs you want, each one will give you another line in the column. See JPG #1 So, if you check three boxes for each lab or set of labs you want, you will get that many fields. Now you could check a box and then add labs in the comment section, and it will only count as one.

You are better off doing custom. You can use a template or type them in and you will only get one field (Name and To) on the right. See #2 for list of labs.

You can type a thousand labs, but the only thing that will show up on the right will be the word "Custom," meaning only one Order to print off if you need to print again. See #3.

So, keep that in mind. For each check you use in the Lab section, that will be how many lab fields which will show up and need to be printed. Each check box and the corresponding lab or labs it corresponds to makes its own field and is counted as one lab sheet.

Re "lost orders"- By using Updox I can import the order into a patient's chart and this can be used to reprint in the future.

The order is created and then I hit Print for patient to pick up at front desk (this automatically places order in encounter Plan) and then I use Send to message the order to the front desk. They in turn "Print" this message/order to Updox, bring up Updox, add my signature, and with one click it's imported to the patient's chart as a PDF for possible future use.

thank you all for your suggestions.
another plan would be to customize the section in the 'lab' tab.

instead of individual tests to check that will save as multiple orders, I can name lab test with the purpose of the test like 'anemia panel' and add in the 'comments' all the tests separated by semicolons. Then the name of the test will be seen in the order section and it will all print out. horizontally within parenthesis instead of vertically, but I think this will work.

Yes, exactly. You can go to Define Orders and Order Sets in Admin Properties and set up all your templates. Lab name: Anemia. The labs: HB,Ferritin, etc. would be typed in the comments section which would then populate the comments in the ordering section. These would then show up, as you said, in parentheses on in line form rather than a column. You can set a CPT or ICD-9 if you want, although the ICD-9 doesn't work for me.

If you do it this way, yes you only print one lab. The labs show up a comments. This is good if you only want to see Anemia in the Order Window and not the labs it represents, although it will print those again.

You could also put the labs after the name of the template, and they will show up where the lab name is on the left. This will allow you to see all the labs you did in the Orders Window. Comments added will go after the list of labs rather than inside them.

There are a few ways to do it. Kind of confusing. It also makes a difference as far as where you see extra information in the bottom window of the Orders window. Finally, if you are in the lab tab, you can select Quick Add. Anything written in there goes on the left. Some users like to put the ICD-9 codes directly in the comments section so it shows up each time, and you don't have to worry about finding an ICD-9 code or choosing it first.