Editing Lab Tests

This Guide will help you navigate and use tools on the Edit Tests Screen in GoRev. This screen is essential to setting up all of your individual lab tests, mapping external test IDs (to integrate with your lab equipment), setting detailed clinical ranges, and much more.

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1 : Getting Started

First, lets navigate to Edit Tests by clicking Lab Modules then click Configuration then selecting Edit Tests.

2 : Create a New Test

The Edit Tests Screen should now be visible. To create a new test click the New Test button as shown below:

The Create New Test window will appear.

Fields in this window are defined as follows

• Test Name = The name of the test you will see on the result and your users will see when placing an order.
• Test Type = This controls which order type this test will appear within when placing an order.
  
• Detection Method - Useful for tests where method is required to be displayed on the result. For example, GCMS vs LCMS tests.
• Unit of Measure - When set here it applies the unit of measure to all results for this test. You can specify different UoM's for each individual clinical range which will override this global UoM
• Precision - Specify the number of decimal positions allowed (remainder are truncated, it does not round) For example if you specify 2 in this field and a result of 2.869 is received from your instrument this specific test will show 2.86 on the result.
• Detection Window -
• Order Manual Dilution - This will send the test to your equipment with the flag requiring you specify dilution within the equipment directly.
• Order Test Dilution - By default it is assumed your ordered dilution is 1.0. You can change the ordered dilution to be sent to your equipment for this specific test here.
• Result Category - This controls the category block a specific test shows up within on the actual lab result as shown below.
  
• Order Category - This controls the section within Ordered tests on the order this specific test will show up within. This is useful to create "panels" of tests such as a CMB containing all the tests shown below. This makes it easy on users ordering the tests as they simply need to click the box just left of the entire category to select all tests within the category. You can add tests to multiple categories within this specific tab shown a bit later in this guide.
  
• Linked Lab Screen - Used for toxicology confirmation testing to link a quantitative confirmation to a qualitative screening test. Linking here allows the results to show the linked screen to confirm.
• LOINC - The Logical Observation Identifiers Names and Codes (LOINC) code specific to this test.
• Inbound Test Code - Used as a form of communication with an outside lab or device.
• Order Panel - The order category name that will be displayed within the Edit Lab Order window.
• Parent Analyte - Used to link tests to each other for display purposes on results. This is useful for tests such as opiate analytes where one test can result multiple test analytes.
• Disable Test - Toggle this on will prevent this test from being ordered. Note, a test can never be deleted for data integrity reasons, only disabled.
• Hide in Quality Control - Enable this will allow the test to be utilized for QC purposes but will prevent it from being ordered by users.
• Always Test - Toggling this on will add this test to every ordered test even if it was not ordered by a user
• Result Comment - You can add custom verbiage here that will show up on your result for this specific test. Useful for things such as FDA clearance, describing custom testing procedures, applying disclaimers, etc.

Click save once you have completed your entry

2: Copy Test

The Copy Test feature will allow you to copy from an existing test; saving time when adding a new test to any specific Result/Order Category or Test Type.

3: Clinical Ranges

This is where you will configure your reference ranges for a specific test. It can be accessed by selecting a test from your master test grid and click into the Clinical Ranges tab as shown below

To Add a new clinical range click the button. To edit an existing clinical range simply double click it.

The Edit Clinical Range window will appear:

Fields are defined as follows:

• Effective Date - The date at which point this clinical range becomes effective. For example, if you set it to 9/24/2020 and you run a test sample from 9/22/2020 this clinical range will not be available for result interpretation on this test.
• Unit of Measure - This allows you to specify a UoM specific to just this clinical range that is different from the global UoM set at the Edit Test level
• Lower Limit - This field will impact how a result is displayed. For example, if you specify a lower limit of 3.000 and the result comes back as 2.543. It will be displayed as < 3.0000 on the actual result.
• Upper Limit - This field will impact how a result is displayed. For example, if you specify an upper limit of 6.000 and the result comes back as 8.543. It will be displayed as > 6.0000 on the actual result.
• Patient Gender - Restricts this clinical range to specified patient sex
• Age Start/End - Restricts this clinical range to the specified patient age range. Specified in years as a decimal. For example, 1 month old would be .08333 and thus an age range of birth to 1 month would be entered as an Age Start = 0 and Age End = .08333. For tests where an age range has no upper bound we recommend inputting 150 as the Age End.
• Fasting Hours - Specify the number of hours a patient is required to have fasted before performing this test. During ordering users will specify the number of actual fasted hours. If their entry in the order is less than the entry on the tests clinical range the result will appear as "No Reference Range Found" due to the fasting hours criteria having not been met.
• Collection Time Start / Time End - Similar concept as Age Start and End except applied to the actual time a specimen was collected. Useful for tests such as Glucose where the time of specimen collected can impact the result ranges. Specify this field in miltary time. For example, midnight to 10am would be 00:00:00 to 10:00:00 (hh:mm:ss).
• Observation Ranges - GoRev supports a 4 tier low and 4 tier high set of observation ranges. Work from the inside Low/High fields out. For example, the screnshot below shows the clinical ranges for an ECO2 test. If your result came back as 13.5 it would appear on the actual lab result as CRITICAL LOW. If it came back as 18.000 it would come back as Low. If it resulted as 32.00 it would come back as High. If it resulted as 45.00 it would come back as CRITICAL HIGH. Both the description and comment fields can be customized with your preferred verbiage. Description allows you to specify more details to be visible on the result such as actions that must be taken now due to a critical result.
  

4: Billing Tab

This tab allows you to specify the CPT codes to be charged for this specified test. To add a new CPT code, click the button.

5: Inbound Mapping Tab

This tab allows you to specify the analyte code your specific equipment refers to this test as. Our example below shows the analyte code specific to the Vitros 5600 device. To edit an existing mapping simply double click it. To add a new mapping click the button.

The inbound test mapping window will appear. Specify your system in the External System drop down. Note, if you do not see any systems please contact GoRev IT support as one will need to be configured for you. Specify the External Test ID.

Analyte codes are typically found within the LIS integration guide for your equipment.

6: Prescriptions Tab

This tab will allow you to tie specific prescriptions to this test. If a user specifies this prescription while ordering and a negative result is returned for this test it will display an abnormal prescription result on the actual lab result. Useful for highlighting when a patient is prescribed a medication but tests negative as it can indicate a patient is noncompliant.

To Edit a prescription simply double click it. To add a new one click the button.

The Medication Mapping window will appear. Specify the medication name and click save.

7: Additional Categories Tab

This tab allows you to specify an additional order category a test will appear within on a lab order. For example, Creatinine is to be orderable within the Complete Metabolic Panel and the Basic Metabolic Panel.

The order itself will show the test in both categories as shown below.

You can remove a category by clicking . To add a new category click

The Edit Additional Categories window will appear. Note, you can select an existing used Category or you can free text enter a brand new category. Once you have entered a new category for the first time it will become selectable in the drop down going forward. Click Save.

8: Medical Necessity Tab

This section will allow you to active medical necessity mode for a specific test. This will require a user input one of the valid diagnosis codes during placing of the order in order to actually submit the order. If a user fails to enter a valid code they will receive a warning and will be unable to place the order. To add items simply type in the field and an instant search will show you relevant diagnosis codes. You can search by the actual code or by the description of the code.

This will impact the ordering process here. A diagnosis code from the list you have specified must be entered here in order for it to be considered medically necessary.

9: Ask On Entry Tab

This section will allow you to turn on specific AOE (Ask on entry) questions for this test. Once turned on a user will be required to answer them when placing an order for this test. You must first create your actual questions as shown in this card here:

Then you can toggle them on as shown below.

GoRev Support Team

If you have any additional questions or concerns regarding this tutorial, please contact the GoRev Support Team by phone at (317) 794-3900 or by email at ask@gorev.com

Note: Always submit an IT Support Ticket detailing the problem that you are experiencing with this portion of GoRev, if possible, as this will give GoRev Support Agents access to information that will help expedite the resolution of your issue. If you are unsure how to submit an IT Support Ticket in GoRev, please see the IT Support Ticket Creation tutorial for assistance.

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