Resource Centre - Labs Module Overview

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The Labs module provides four different views for displaying patient lab results:

Components View - This view displays individual test and lab panel components such as Leukocytes, Hemoglobin, and Platelets which are part of the Complete Blood Count (CBC) panel along with the result values. This view is useful for clinicians who need to review and/or trend specific lab components that may be part of Lab panels (e.g. CBC, Electrolytes, Liver Enzymes) all in one view without having to expand multiple panels from the List view to find a specific component. Sorting or filtering labs in this view must be done by the lab test or component name rather than the panel name.
Note: Some component (analytes) names may differ between Labs.  

Expanded View – This view displays individual test and lab panels such as a CBC including all of the associated components and results. This view is useful for clinicians who prefer to see labs grouped by panels but also be able to see the panel component results all at once. Filtering and sorting can be done by specific test, component and panel name.  To graph results from this view, select the labs required to trend first then click on a lab test to display the graphed results below the test name.

Trended view – This view displays lab results including components that are part of a panel, to the left with date columns to the right. This allows clinicians to scroll down the result list and advance through the date columns from Newest to Oldest or the reverse based on their preference settings.  Clicking a lab will display the graphed results below the test name.  

List View – This view displays lab tests and lab panels such as a CBC in a list where abnormal results are coloured in orange.  To view the associated lab result details for any listed test or lab panel (component), the test or panel name must be selected from the list and then viewed in the details screen. Sorting or filtering labs in this view must be done by the lab test or panel name rather than the component.

If new results are available, the module will be flagged with a coloured indicator and a number showing how many new results are available. See the New Results section to learn more about how new results are flagged.

 OLIS data does not generate a new result flag and is not available in the New Results module. The New Results indicator is also not available in the Labs Component list and Labs Trended list views. 

To access the Labs module, click the Labs option from the Clinical Modules menu.

 

Lab View Features

Each lab view lists results in a different way, but still shares many common features. 

 

The following table provides a summary of some of the key features found in each lab view.

Feature Summary

Smart Filter

Text typed in the Smart Filter Search box narrows the list of results to display only those related to text you entered.

Encounter Type

The Encounter Type filter is available in select modules and by default, is set to All Regional Encounters in order to view data from provincial repositories.

Options include: 

  • Encounter - Displays information only for the selected encounter or visit.
  • Patient - Displays all information from all Patient encounters from that source hospital system only.
  • All Regional Encounters - Displays data from provincial repositories or all visits across all hospitals available in the portal.

Days Back

The Days Back filter refers to the amount of information presented in the view based on the number of days back from the date of patient discharge. For an admitted in-patient, the Days Back filter refers to the number of days back from the current date (today).

 NOTE: The Days Back filter in this module is set to 180 days as the default but can be changed to a maximum of ALL. However, the ALL Days Back setting may impact system performance if returning large volumes of data.

 TIP: Make sure that your Days back is set appropriately to include the available data in that date range. Example: If you’re looking for a result that was completed two weeks ago, and the Days Back is set to 7 days, then you will not be able to see that result.

Trend

Allows you to select multiple lab results and display them in a graph. 

 The Trend button is not visible from the Trended tab. 

View Multiple

Allows you to select and view multiple lab result details in a single Lab Details window.

Result Selection Options

Gives you options for selecting multiple lab results. Options include: 

  • Check All/Uncheck All – Toggle to selects or deselect all labs in the view 
  • Select similar enabled/disabled – When enabled you can click the checkbox of one lab and all other labs with the same name will automatically be selected. 

 

Viewing Lab Result Details

The Component, Expanded, and List views display lab results in a sortable list. Click the row of a result the view more details about the lab.

 

Depending on your preference settings, the Lab Details window will either display to the right of the results list or below the results list. 

 To customize where details are viewed on the screen, see the Navigation Layout section of this guide.

Printing Lab Details

To Print lab details:

1. Click the Print button  in the Lab Detail header.

2. Use the browser’s print window to complete the printing process (steps vary by browser).

 

Abnormal Results

An easy way to determine if a lab result is abnormal is to read the information in the Normalcy column:

  • H indicates a high test result (compared to the normal range for that lab)
  • L indicates a low test result (compared to the normal range for that lab)

 

Lab Preferences

Each lab view can be configured with its own set of preferences by clicking the Preferences button  in the view header or through your Global Preferences. 

After you have updated your preference settings, click the Apply button  to save your changes.

While each view does maintain its own set of preference, many of the preferences have the same functionality. The following table provides a summary of all available preference from each view:

Preference Description

Default Detail Location

Allows you to set the default location of the Details window: 

  • Bottom –Details are displayed below the results list.
  • Top –Details are displayed to the right of the results list. 

This preference is only available in the Components and List views.

Days Back

The Days Back filter refers to the amount of information presented in the view based on the number of days back from the date of patient discharge. For an admitted in-patient, the Days Back filter refers to the number of days back from the current date (today).

 NOTE: The Days Back filter in this module is set to 180 days as the default but can be changed to a maximum of ALL. However, the ALL Days Back setting may impact system performance if returning large volumes of data.

 TIP: Make sure that your Days back is set appropriately to include the available data in that date range. Example: If you’re looking for a result that was completed two weeks ago, and the Days Back is set to 7 days, then you will not be able to see that result.

Sort By

Allows you to set which column you want your lab results to be sorted by.

Sort Direction

After setting the Sort By column, you can select to sort the data in Ascending or Descending order. 

 If the Sort By column uses a date (numeric) field, selecting Descending order will display the most recent rows of data at the top of the list view. 

 If the contents of the Sort By column uses characters A through Z, setting the Sort Direction to Ascending will order the list view alphabetically from A to Z. Setting the Sort Direction to Descending will order the list view from Z to A.

Trend Direction

Allows you to sort trended information from Newest to Oldest, or Oldest to Newest.

This preference is only available in the Trended view.

 

Viewing OLIS Data

The Ontario Laboratories Information System (OLIS) is the main system used by Community Labs, Public Health Labs, and acute care hospitals in Ontario to enter and store patient lab results. ClinicalConnect has integrated information from OLIS and made it viewable in the Labs module.

 To view OLIS lab data make sure your Encounter preference is set to All Regional Encounters.

OLIS Lab Details

OLIS lab details contain information related to the test from the source labs. 

 In some cases, an OLIS test may display a full replace amendment indicator. A full replace amendment indicator is applied to a report when the contributing lab completely replaces the previous report. In such cases, the status field in the report details will also display Full replace amendment.

 OLIS Limitations 

There are limitations for accessing OLIS data from within ClinicalConnect. These limitations include:

  • An organization must have signed up for the appropriate eHealth Ontario access. Otherwise, you will not be able to access OLIS data (OLIS data will not be listed in the Labs module). If access permissions are not in place you will see the message OLIS matches filtered.
  • The patient must have had an acute care visit.
  • A patient’s record may have a consent directive limiting some or all of their OLIS data from displaying in ClinicalConnect. This will generate the message Some or all of the requested OLIS laboratory information was not returned due to a patient consent directive. OLIS restricted records cannot be overridden in ClinicalConnect.