https://labpharma.labnexus.net/ 

Labpharma LabNexus Login

LabNexus is a web outreach solution that is accessed on the internet via a web browser.  The supported internet browsers include Internet Explorer 8, Internet Explorer 9, Firefox, and Chrome.  To log onto LabNexus type the address of the lab’s LabNexus site in the browser web address window.  The lab’s LabNexus web address is comprised of the following:  https://labpharma.labnexus.net.

The first screen on the LabNexus site is the login screen.  After a valid username and password combination have been entered the organization(s) that the user has rights to access will be populated in the Organization drop down box.  Once the organization has been selected the location(s) associated with that organization will be populated in the Location drop down box. 

How do the Organization and Location selected on the login screen impact the user’s experience in LabNexus?

Ø The user will be able to view demographic information for all Subjects that are associated with the organization that is selected on the login screen.

Ø The organization and location that the user is logged into when creating orders will be recorded as part of the subject’s order which can impact other users’ ability to view the subject’s order history. Subject order history and standing order information is only available at the location where the order was created. 

Ø The providers are associated with locations on LabNexus so the location that is selected on the login screen will determine what providers are visible to the user when creating a lab order.

General Menu

The menu bar (shown below) is how the users will navigate through the LabNexus site. 

Home – Clicking on the Home menu item will direct the user to the Inbox page (see LabNexus Inbox for more information).

Standing Orders – Clicking on the Standing Orders menu will allow the user to view the standing orders that are available to be released (see Standing Orders for more information).

Subject – Clicking on the subject menu item will allow the user to search for or add a new subject (see Adding/Searching Subjects for more information).

Lab Order – Clicking on the Lab Order menu item will allow the user to create a new lab order that is loaded into memory (see Creating a Lab Order for more information).

Reports – The Reports menu provides the user a list of reports available in LabNexus (see Reports for more information).

Admin – This menu item is only available to system administrators.  Through the Admin menu the system administrator can configure insurance, diagnosis codes, tests, test groups, order sets, etc…

My Account – The My Account menu provides the currently logged on user the ability to edit account information such as favorite diagnosis codes, order sets (grouping of panels), test groups and the ability to change his/her password.  Through the My Account menu item users can also view labs, organizations, locations, and providers that they have permission to access (see My Account for more information).

LabNexus Inbox

The Inbox allows the user to view lab orders created in LabNexus as well as Results that are exported to LabNexus. The comprehensive filtering options allow the user to easily maneuver through both results and orders. 

Results - When accessing the results section of the Inbox a user can select whether to view, New Results, All Results, or Copied Results.

Ø  New Results – The Inbox will display orders that have not been reviewed (this is the default filter view)

Ø  All Results – The Inbox will display all results regardless of their review status

Ø  Copied – The Inbox will display orders that have been copied to more than one provider in LabNexus.  

Orders – When accessing the Orders section of the Inbox a user can select whether to view Pending, Cancelled, Future, or Processing Orders.

Ø  Pending – The Inbox will display orders that have been created in LabNexus and all panels on the requisition have not been closed.

Ø  Cancelled – The Inbox will display orders that were created and canceled in LabNexus.  Only orders without results can be cancelled.

Ø  Future – The Inbox will display orders that were created as Future Orders in LabNexus.  Future Orders are used to create orders in LabNexus that are not ready to be released but the necessary information for the order is available.

Ø  Processing – The processing filter will only be displayed when the External Labeling feature is enabled on the LabNexus site.  When this filter is selected the Inbox will display orders that are waiting to receive an external accession number from an LIS.

Result Type - The Inbox can also be filtered by the result type.

Ø  Prelim Results – If Prelim is selected then only results with one or more pending panel(s) will be displayed (this option should not be selected with Final Results).

Ø  Abnormal Results – If Abnormal is selected then only results outside of the reference range or designated as abnormal will be displayed.

Ø  Final Results – If Final is selected then only orders where all panels are closed will be displayed (this option should not be selected with Prelim Results).

Ø  Unprinted Labels – If Unprinted Labels is selected then only orders where a requisition or label report has not been printed will be displayed.

Filter Options - Additional filter options can be added to further refine the user’s search.

Ø  Start Date & End Date – The Start Date and End Date are based on the order date in LabNexus, if the fields are left blank then no date filtering will be used.

Ø  Accession ID – The user can search for a specific requisition querying the Accession ID that was created in LabNexus.

Ø  External Number – The user can search for a specific requisition by querying the external id number.

Ø  Subject ID – The user can refine the search by the subject ID, this field is the Alt subject ID used when setting up a new Subject in LabNexus.

Print/Review/Print & Review Results

Ø  Print Results – Selecting Print Results allows the user to print a standard result report without marking the order as reviewed.

Ø  Review Results – Selecting Review Results will direct the user to the Review Results screen where the user will be able to mark the results as reviewed.  When filtering the Inbox an order that has been marked as reviewed will no longer appear when the New Results option button is selected. 

Ø  Print PDF Attachments – Selecting Print PDF Attachments allows the user to print any reports that are attached to requisition.

To use the Print Results, Review Results button the user must select one or more orders to review/print results.  To select/deselect all orders on the screen click the checkbox in the header row. To select specific orders check the checkbox in the row(s) that the user would like to review/print.

Print Results

In order to print reports from LabNexus the user will need a PDF reader such as Adobe Reader (available for free download at http://get.adobe.com/reader/) installed on his/her workstation.  Documents from LabNexus are printed to the screen in a PDF format.  If the user has selected to print multiple reports the reports will be delivered to the user as a single PDF with each subject’s report on a separate page. Once the report is printed to the user’s screen the PDF reader on the user’s workstation will be used to print the document to the printer.

Review Results

When the user clicks on the Review Results button in the Inbox the user will be directed to the Review Results screen.  The Review Results screen allows the user to Print, Review, Print & Review, and Skip results.

Print – Clicking the Print button will print the subject’s result report to the screen.

Review – Clicking the Review button will mark the order as reviewed so it will no longer appear in the Inbox as a New Result.  After clicking the Review button the user will be directed to the next order to review, or if reviewing the last order the user will be directed to the Inbox.

Print & Review – Clicking the Print & Review button will print the result report to the screen and mark the result as reviewed.

Skip – Clicking the Skip button will skip to the next result (or return to the Inbox if on the last result) and will not mark the current result as reviewed.  The order will remain as a New Result in the Inbox.

Viewing Results in the Inbox

The user has the ability to view subject test results directly in the Inbox.   To review which tests are associated with each order the user can click on the triangle in the row for the order he/she would like to review.  To view the results of the test the user will click on the triangle next to each panel name.  Once the panel information is expanded the user will be able to see the status of the test, the date the test was run, the user who ran the test, the test name, the test result, any attachments associated with the test, and the flags (if any) that are associated with the result.

Result Flag Definitions

LabNexus displays flags at both the order level and panel level to highlight abnormal results.  Because flags are displayed on the order level there is a hierarchy defined for orders that contain one or more abnormal test result and some additional order level flags are used to quickly communicate that information to the user.  The system administrator has the ability to configure the results types and flags through the administration menu so the flags outlined below are the default values used in LabNexus and may vary from site to site.

 Panel Flags – Below is the default list for panel level flags and their associated definition.

Flag Definition:

• Normal/No Value

• Abnormal/High/Equivocal

• Low

• Borderline Low

• Borderline High

• Panic Low/Critical Low

• Panic High/Critical High

• Invalid Low/Invalid High

• Positive

• Negative

Order Level Flags – Below is a list of order flags and their associated definition, these flags are displayed at the order level and are listed in the hierarchy of how they will be displayed in LabNexus.

 Flag Definition:

• Critical High & Critical Low results on the same order

• Critical High

• Critical Low

• Invalid High/Invalid Low

• High & Low results on the same order

• High/Abnormal/Equivocal

• Low

• Borderline High and Borderline Low on the same order

• Borderline High

• Borderline Low

• Positive

• Negative

• Normal Results

 Inbox Icon Definitions

• STAT – This icon will appear if one or more panels on the order have been created as STAT panel(s).

• Labels Printed – indicates that labels were printed for the specified order.

• Menu items – When placing the mouse over this icon it provides you with a menu displaying the items listed below. (Result Report, Oreder History, Copy results, Attachments)

• Results Report – When clicking this icon the result report for the selected order will print to the screen.  Report can be standard or cumulative.

• Order History – When clicking this icon the user will be directed to the order history screen to view past, canceled or future orders for the selected subject.

• Copy Results – When clicking on this icon the user will be able to copy the results from the order to another provider at the same location. 

• Attachments – When clicking on this icon the user will be able to view result attachments associated with the order.

Copy Results to Provider

To copy a result to other authorized personnel within the same location click on the Copy Results icon.  The Copy Result screen (shown below) will appear, providers at the same location will be displayed.  To add providers to be copied on the subject’s result click on the Green Plus icon next to the appropriate provider(s) name.  Once the results are final authorized personnel can only be added to the order so care will need to be taken when copying additional authorized personnel on results because once added authorized personnel cannot be removed. 

Order History

When clicking on the subject Order History icon the user will be directed to the Order History screen and the selected Subject’s record will be loaded into memory.  When a Subject is loaded into memory the subject’s unique ID will be visible at the top right of the screen.  To clear the Subject from memory, click the refresh icon.  To view the subject’s order history click on the order history icon. 

Note: The Subject’s Order History can only be viewed from the location where the order was created. 

On the Order History screen the user will be able to view all orders created for the subject in memory including Cancelled, Future, Final, Prelim, and Pending orders.  The user will also be able to print result reports for orders that are Final by clicking the checkbox(s) in the order row and clicking on the Print Results button.

• Cancelled Orders – Cancelled Orders are orders that were created in LabNexus and have been cancelled (for more information see Cancelled Orders).

•  Future Orders – Future Orders are orders that are created in LabNexus for a time in the future.  The order will not be exported from LabNexus until the order is created (for more information see Future Orders).

•  Preliminary (Prelim) Orders – Prelim Order are orders where one or more panels are pending.

•  Pending Orders – Pending Orders are orders that were created in LabNexus and are awaiting results for all panels on the order.

•  Final Order – Final Orders are orders where all panels on the order have been saved with a result.

Attachments

Attachments are an optional feature that allow users the ability to view uploaded result attachments on the subject order.  Attachments may be present at the Order level, the Panel level, or at both levels and will be indicated by the attachment icon.

Clicking on the attachment icon will open a dialog box, prompting the user to either view or delete the attachment.  Selecting the attachment link will open the attachment and allow the user to print the report.  Clicking on the trash can beside the attachment’s name will delete the attachment.