Home Forums Discussions General Discussion Lab data in Visit notes

What is the best way to document the most recent lab data in my note? I tried to search in the forum and couldn't come up with much.

Ideally, it would be nice to have some sort of lab repository which can be opened up like a spread-sheet (entering and displaying data in the "tracking data" does not work well)during patient visit and one can select the data to be imported into the note.

I am currently typing it in the Exam, but to update it on each visit is not easy. I do maintain an excel sheet in my imported items but cannot open both the current encounter and the imported tabs at the same time and can't cut/paste a row or column from it.

How is everybody coping with this? There got to be a better way. I like to have the following in my note-
Hb
Platelets
Creatinine
Potassium
Glucose
Lipid profile
HbA1C
LFT
TSH

Dear Anil,

I have made decision support for various items(such as Echo, CAT scan, PFT, CXR, TSH, PT/INR) I would like to see in my progress note and also coordinate this with the PQRS standard, so that my note automatically has what PQRS requires to be as this will translate further into CQMs

I have created a decision support rules based on this, using diagnosis codes,
A1C, Lipid profile are already in place.
The MA copies results over with the date in the desciption fild as this shows up in the note.

Sunil,

Can you clarify how you are creating decision support?

Thanks

Under Administrative options
Health maintenance
First create a test Echo, Cat scan, etc
Give it a grade of recommendation usually Screening or other
give age range and frequency and then save
Search for the test and reopen Under tab Additional settings
you can enter decision support rules or diagnosis codes, Medications etc.

When the patient has a specific diagnosis or decision support such as diabetes, COPD then the related test will show up.
The MA enters the date of the test in 2 places where it asks for the date and in the description along with the impression. This then appears in the note.
This is done as part of chart prep and she forwards me this chart to my inbox for use.