Elation and Diagnostic Laboratory Services (DLS) have partnered to bring you a bidirectional interface to make the process for ordering labs more efficient for your practice.
- You will now be able to submit orders for labs to DLS directly within Elation, bypassing the additional step needed to print and manually send the order!
- We built DLS’ lab compendium and ask-on-entry prompts directly into the eOrdering requisition form, so you can be confident that your practice is always selecting a DLS-specific, DLS-approved lab test to be performed.
- Save more time when you answer all DLS’ ask-on-entry prompts associated with the selected test upfront, so DLS can proceed with testing immediately.
Table of Contents
In this article we will cover the following:
- How do I place a future order?
- How do I edit or cancel an eOrder?
- What if the test I am looking for is not available?
- How do I link a lab order to a visit note?
- Where can I view the orders placed for a patient?
- I want to print a copy of an eOrder that I’ve already placed.
- My staff can’t see the option to eOrder!
- How do I set a default lab vendor?
To submit an electronic order:
1.) Navigate to the patient's chart
2.) Click Orders in the grey Action bar at the top of the page
3.) Fill out the Lab Requisition Form. Required fields are indicated with an *
- Quick Tip! In the Lab field, select the DLS option appended with the ordering provider to ensure that the lab results associated with the order make it back to the correct provider, and not one of their colleagues in the practice. Each provider has been set up with a unique option in the ‘Lab’ dropdown. This is because DLS identifies each provider on the interface by a unique code, even for providers at the same practice. This means that, for a practice with 3 providers, there will be 3 options to choose from in the Lab field. Making this selection is critical to ensure that the round-trip results make it back to the original ordering provider, and not one of their colleagues. (You do not need to specify a site in the (Any site) dropdown field. All DLS locations will have access to the lab order.)
- Quick Tip! In the Tests field, the options that appear on search pull from the most updated lab compendium from DLS. For some tests, you will need to answer ask-on-entry question prompts. By filling out these prompts, you save yourself and DLS time; with this information, DLS will not need to contact you with clarifications, and can proceed to conduct the lab test immediately so you get your results more quickly.
4.) Click eOrder or eOrder & Print to send DLS your order!
Results for lab orders will appear in the Reports queue in your Practice Home and in the Requiring Action queue of the patient chart for review and sign off, once the results from the ordered labs are available.
How does this differ from the Lab Requisition Form I previously used when printing my orders?
If you have an existing e-results interface with DLS, you'll notice that the electronic ordering workflow closely mimics the print ordering workflow you are already accustomed to.
The eOrdering Lab Requisition Form is almost identical, except that:
- In the 'Tests' field, the orders that you make will pull from the most updated lab compendium from DLS to ensure that your lab orders go through smoothly
- With eOrdering turned on, you will see the eOrder and eOrder & Print at the bottom of the page, rather than the Print & Close and Sign & Close options.
1.) To place an order that you’d like to be To place an order that you’d like to be performed in the future, please enter the date that you’d like the order to be completed in the ‘do test on’ field next to the Pt Cond option
2.) Currently, you cannot place standing orders electronically. To place a standing order, enter the frequency and end date in the St. Order free text fields. Standing order information will show up on the printed requisition form (see figure attached as example). When handed to the lab, DLS will set this up as a standing order.
Quick Tip! Use Elation’s appointment reminders feature to remind yourself to send another order on a fixed date. Contact Elation support to request to have Appointment Reminders turned on as a feature for your practice and learn more.
The ability to edit or cancel eOrders is not currently available through the Elation-DLS eOrdering interface. Please call DLS to edit or cancel an eOrder.
If you can't find an order code, type the order code DLSEMRMISC into the Tests field of the Lab Requisition Form and select the option ’EMR Type-in Test(s) (DLSEMRMISC).’ From there a new field ‘Type-In Lab Test(s)’ will appear. Free text in the lab you want and a DLS team member will find the order or call your office to clarify if the test is unknown.
To include an order in a visit note, please follow the steps outlined below:
1.) Open a new visit note. Note: please ensure that you create the visit note prior to initiating the eOrder.
2.) Start a new eOrder and fill out the Lab Requisition Form
3.) Click eOrder or eOrder & Print
4.) The lab order will be referenced and linked in the visit note
Lab orders placed will be logged in the Chronological Record in the patient chart. To filter for all the lab orders placed for a patient, click into the search bar within the patient chart and click on 'Type'. Then choose 'Orders' from the drop-down.
If you need to print an eOrder that was already placed, find the lab order in the Chronological Record and click Actions > Print on the right-hand side to print, or reprint, as many times as needed.
Only authorized staff delegates will see the option to eOrder. To add an authorized staff member, go to Settings > User Settings > Authorized Staff Delegates and add the staff member as an Authorized Staff To Sign Orders. If you cannot add a staff delegate, please check your admin user settings.
To set a default lab vendor: Navigate to Lab Orders in the leftmost panel of your Settings page. Scroll to the bottom of the page to find the Lab Order Settings section, and select a Default Lab Vendor from the dropdown list.
Note: This default setting applies to the entire practice, not just a single provider, and should only be activated if all providers at the practice prefer for the selected lab to be their default.
Please also note that indicating a default lab in your Settings page will make the selected lab the default lab in your ordering workflow with the exception of the case where the patient's last lab order was done with a different lab. Only in this situation (if the patient’s last lab order was done with a different lab) will you need to manually change the lab to ‘DLS’ in the Lab Requisition Form.
I have seen canceled lab order results appear in Elation. Why am I receiving canceled order results?
Canceled order results will appear in Elation when:
- your practice cancels the lab order placed to DLS
- there are multiple orders for the same test placed for a patient – This is the most common scenario (duplicate test consolidation)
- If multiple orders exist for the same test due to a standing glucose order and comprehensive panel that also includes the standing order test, you will receive a canceled lab order result for one of the duplicate tests. For example, if an order for a comprehensive metabolic panel is placed and there is also already an existing standing order for a weekly glucose test, one of the glucose tests would be canceled.
- the test was not run due to quality issues with the specimen taken
If your practice comes across a canceled lab order result, please note that this may not mean that the entire order was canceled. Elation will receive a canceled lab order result for each test placed within an order. Additionally, if you cancel and reorder a lab, you will still receive the cancelation notification tied to the original order placed.
For practices that want a method by which to track the lab orders that were canceled by an employee of the practice, office messages are a powerful tool that aid in intraoffice communication. These office messages are stored in the patient chart and can be easily located via searching or scrolling through the chronological record. For more information on how to leverage office messages, please see our help center article on sending messages in Elation here.
If you have questions or need additional assistance, please contact Elation Support by submitting a ticket using the I Need Help button in Elation.
**If you are troubleshooting an issue with a specific patient, click the I Need Help button while you are in the patient’s chart. It will automatically notify our team of the impacted patient chart when you submit the ticket.