Flows/Enter diagnostic report results

flowclinicalCARE 3.1+

Clinical

Concepts

Patient

Encounter Care team Condition Allergy & Intolerance Observation Diagnostic Report Service Request Specimen Consent Clinical Notes

Questionnaire Response

Flows

Search for a patient

Register a patient View a patient's profile Update patient details Manage patient identifiers Manage patient tags Mark a patient as deceased Manage patient users View a patient's appointments and tokens Create an encounter Update encounter details Assign an encounter location Manage the encounter care team Manage encounter departments Manage encounter tags Discharge a patient Complete an encounter

Restart an encounter

References

Patient

Encounter Care team Condition Allergy Intolerance Observation Diagnostic Report Consent Notes Specimen Service Request

Questionnaire Response

Overview

This flow describes how to create a diagnostic report for a service request. You record the result of each observation, and you set the report status.

Pre-requisites

• The patient has a service request at the facility, and you record the diagnostic report for that service request.
• If the service request needs a specimen, the laboratory staff collect and process the specimen first.
• If an external laboratory sends the result as a document, you have that file on your device.
• You have the permissions listed below.

Permissions

Permission	Access
Can Create Diagnostic Report on Facility	Lets you create a diagnostic report and enter its observations. Facility Admin, Admin, Doctor, and Nurse have this permission.

Steps

1. Open the service request

Open the detail page of the service request. The page shows the specimen section, the processing section, and the diagnostic report form together.

2. Start the diagnostic report

Open the diagnostic report form on the service request page.

Components	What it captures
Category	The type of diagnostic service that produces the result.
Code	The test or panel that the report covers.

3. Enter the observation values

The form shows one row for each observation that the service request requires.

Enter the values for each row.

Components	What it captures
Value	The measured result of the observation.
Unit	The unit of measurement for the value.
Interpretation	The reading of the value, such as High, Low, or Normal. Enter it where it applies.

4. Attach a file

Attach a file to the report when an external laboratory sends the result as a document.

Choose a file from your device, or capture an image with the camera.

5. Set the status

A new report starts with the status Registered.

Set the status to Preliminary or Partial when you record the first results.

Set the status to Final when all results are complete.

📝 Note

You cannot change the observation rows after you set the status to Final.

6. Save the report

Save the diagnostic report.

Expected Outcome

• Care creates the diagnostic report for the service request.
• The report shows the observation values, the units, and the interpretations that you entered.
• The report shows the status that you set.

Clinical

Concepts

Patient · Encounter · Care team · Condition · Allergy · Observation · Dx Report · Service Request · Specimen · Consent · Notes · Q. Response

Flows

Search · Register · Profile · Update · Identifiers · Tags · Deceased · Users · Appointments · Create Encounter · Update Encounter · Location · Care Team · Departments · Tags · Discharge · Complete · Restart

References

Patient · Encounter · Care team · Condition · Allergy · Observation · Dx Report · Consent · Notes · Specimen · Service Request · Q. Response

Related

• Concept: Concepts/Diagnostic Report

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