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#45831
06/08/2012 7:32 AM
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Does anyone know of a method of Organizing/Grouping Lab tests in the "Lab" tab of Orders and Requisitions window. I Thought I saw a post on this somewhere. I would like to group the tests and supersede the Alpha listing. I know about using spaces and * to push them up in the list,in the Admin. Any other work arounds for this?
Riz
Constructing a LIS using "stone knives and bearskins". C.Q.I.
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Riz,
You need to go into the Admin section, Define Orders & Order Sets. From there you can add a numerical number in front of the order name and it will put it at the top of the list in numerical order. I use this for our most common ordered labs as this way they appear at the very top.
To group things you can either make a template and order it from the "OTHER" window in the ORDERS section or you can do that in the Define Orders & Order Sets section. For example I have a panel I call "Diabetes Panel". The Order Name is "Diabetes Panel" and in the comments section I have "HgbA1C ; ALT, Urine Microalbumin". When I print out the lab order all these appear.
Marty Physician Assistant Fullerton, CA
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You can also use a In front of the lab name. (that's a space or spaces) to keep something above the numbered lab tests.
Roger (Nephrology) Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --
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Here is an old thread where David Grauman describes this in a little more detail, followed by some discussion.
Jon GI Baltimore
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David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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David, what happened to your bird? Is that considered bad luck for someone in aviation?
Jon GI Baltimore
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Gene Nallin MD solo family practice with one PA Cumberland, Md
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David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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Gene, Your avatar has me curious. Back in my old west virginia days I visited Harper's Ferry a few times, and I think there was a fairly long train tunnel along the old two line highway that senator byrd turned into a 4 or 6 lane highway since I visited in the skinny part of Maryland, if i recall not too far from Cumberland.
jimmie internal medicine gab.com/jimmievanagon
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David, I liked your bird story and avatar, but I am glad for the return of weasel. He has gotten very flat though, did you hit him too? 
Donna
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Jimmie, We are in the Appalachian mountains, and trains HATE grades, so tunnels and the Altoona Horseshoe Curve were made to avoid climbing steep grades. I'm not sure of the tunnel you are speaking of. The most notable tunnel I have seen was not a train tunnel, but on the C+O canal, http://www.nps.gov/choh/index.htmnow a bike trail from Washington DC to Cumberland. This actually connects with another bike trail, the Great Allegheny Passage http://www.atatrail.org/so you can bike from DC to Pittsburgh. Anyway, the tunnel. Called the Paw Paw tunnel, about 3/4 mile long, hand dug in the early 1800s, no lights at all. A friend and I tried to bike through it, a couple hundred feet in it became pitch black. To your right is a rough stone wall, you are on a narrow path (the canal towpath), to your left a ten foot drop which had been the canal. We walked our bikes with our right hands touching the walll, and left hands holding the bikes. It got really interesting when we had to cross another group of bikers, going the opposite direction, in mid tunnel. That, and Cumberland's scenic railroad (a steam train that carries tourists) is one reason I picked that avatar. The second is that I grew up in Scranton, Pa, formerly a big railroading town, now home of Steamtown USA National Park (and home of "The Office") Third, and perhaps most importantly, is the feeling that the light at the end of the tunnel truly is an oncoming locomotive.... Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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Another piece of railroad/tunnel trivia. Why does the Pa Turnpike (first superhighway in the nation) run where it does?
Back in the heyday of railroads, the Pennsylvania Railroad and the New York Central were the two big east-west RRs in this part of the country. One of the Robber Barons, Jay Gould, decided to challenge them and build another east-west RR through southern Pa. He laid out the course of it, did some grading and dug numerous tunnels.
At this point the big boys saw that he was serious, did not want the competition, and bought Gould out. They then abandoned the project, anf the tunnels were all but forgotten....
Until Pa decided it wanted a major east-west highway. Where else to put it than in a pre-laid out course, with tunnels already dug?
And that is why the Pa turnpike runs where it does.
Gene
Gene Nallin MD solo family practice with one PA Cumberland, Md
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David, I liked your bird story and avatar, but I am glad for the return of weasel. He has gotten very flat though, did you hit him too?  Oh, great. Now I need to find where I put the weasel. He is kind of cute. I will return him to his rightful place when I find him again.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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We've got the most eclectic, educational forum on the net.
Sorry, Riz.
Jon GI Baltimore
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Egads, Ive been highjacked. Its all good I think it Rocks! Thanks for the responces, they got headed in the right direction. I love the templates in the other tab. Would be nice to have more tinkerablity in the Lab tab. 
Constructing a LIS using "stone knives and bearskins". C.Q.I.
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Sorry too Riz-but I liked your question. Gene, I had to dig the old map out but can't recall exactly where the tunnel was located, and I usually call my dad on saturdays and he has a memory like an elephant, so he may remember--so I'll have to let you know later about which tunnel I was thinking of. But thank you for the great info--I did rotations at York Pa and Pittsburgh as a 4th year med student and that was the last time i was on the Pa turnpike, but my thought at the time was people really pay money to drive on this bumpy poorly maintained road--its probably a lot better now. One of my partners, a pulmonologist grew up near scanton in moosic.
jimmie internal medicine gab.com/jimmievanagon
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On the subject of trains, one of the members of my family, who shall remain nameless, greased a railroad track with her church camp group in her youth and stopped a train. Turns out that is a federal crime also. Guess criminal behavior runs in the family.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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David,
Did it happen to be goose grease???? sorry but i couldn't resist.
jimmie internal medicine gab.com/jimmievanagon
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During the depression my dad, with some other teenagers decided to fill a pickup with coal from the railroad fueling "station". They couldn't raise the coal chute and get the coal stopped, so the coal covered the track and buried the truck. Somehow they got the truck out, but the local railroad manager got called out in the middle of the night to clean up the mess. You guessed it, that manager was my grandfather.
Roger (Nephrology) Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --
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Roger,
Did your dad ever tell your grandfather??
jimmie internal medicine gab.com/jimmievanagon
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I was born, therefore I assume my father survived his teen years. I infer from that he never told his dad.
Roger (Nephrology) Do the right thing. The rest doesn?t matter. Cold or warm. Tired or well-rested. Despised or honored. ? --Marcus Aurelius --
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What is best for AC system efficiency and speed? Updating an order to "Completed" status when finished with it. or Deleting the Order when finished with it.
Also: What does the "remove" button next to the "reconcile" button do?
Riz
Constructing a LIS using "stone knives and bearskins". C.Q.I.
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Riz, If by "AC system efficiency and speed" you mean that it requires the least memory and is least likely to cause issues, I would guess that "deleting" is very slightly better than "completing" (which should only make a small change in the database). On the other hand, perhaps someone who understands this better will respond. I certainly would not have expected that a couple of hundred of un-deleted messages could severely slow the system, so what do I know?
Jon GI Baltimore
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