Does anyone know of an automated way in CPS to create a flag or alert when a abnormal lab result is received. Is there a way to run a report which shows which active patients have a abnormal lab results.
I believe the only way to do this is with a custom interface. In other words, when the HL7 message arrives and contains an abnormal result, a custom program would be triggered to generate the alert message and transmit to the appropriate individual (e.g. responsible provider). I am uncertain if there is an API or other utility that specifies what information and format the message must be in (probably JSON formatted for an API) to generate the alert within Centricity. This would be a nice addition to the APIs Virence is working on if they aren't already addressing it. You could develop a custom solution that interacted directly with the database, but I would avoid that if possible; solutions like that will be increasingly difficult to maintain as Virence moves functionality to the cloud.
You should be able to use the Chart Reports/Inquiries utility within CPS to locate patients that have abnormal lab results. You can set up a favorite that allows you to change date and/or provider for further filtering.
To address the 2nd part of your question, OBS.ABNORMAL is the field that notes a status code if the result was abnormal. You can access this with a Crystal Report.
A Abnormal AA Very abnormal
B Better HH Panic high
D Downward change LL Panic low
H High MS Moderately sensitive
I Intermediate VS Very sensitive
L Low < Below low scale
N Normal > Above high scale
R Resistant NULL No statement
S Sensitive
U Upward change
W Worse
Thank you very much for the information a Crystal Report seems like a good option.
Thank you for the information it is greatly appreciated.