Sentinel 5.17.5 User Guide

Lab Reports Tab

The Lab Reports tab page contains summary information for each laboratory report (tests used to diagnose the disease) associated with the patient. The laboratory tests can be entered into Sentinel from two sources:

• Electronically via an HL7 import
• Manually via the Lab Reports tab page

You can view both electronic and manual reports from the Lab Reports tab page, but you can only edit the manual lab report from the Lab Reports tab page.

For instructions on how to view or edit the Lab Reports tab page, see View/Edit Case Details.

The available fields, options, buttons, and columns on the Lab Reports tab page are as follows:

Create a New Manual Lab Report

To create a new manual lab report, first search for the case and/or locate it in the case list on the main Investigations tab page and then click the Edit button. The Case Reporting tab page opens. Click the Lab Reports tab, then click the Create New Lab Report button. The Lab Order Information page opens. Enter the lab report details and click the Save & Finish New Lab button. Click the Cancel button to return to the Lab Reports tab page.

The available fields, options, and buttons on the Lab Order Information page are as follows:

Field/Option/Button	Description
Ordered Test Description (only for ELR entries)	Displays the electronic lab test description. This field is displayed when you view the ELR lab entry.
Laboratory
Name *	Select the laboratory name where the specimen was tested from the drop-down list. This field is required. CAUTION: Once the laboratory name has been entered, it cannot be changed.
CLIA #	Clinical Laboratory Improvement Amendments (CLIA) number for the laboratory where the specimen was tested. This is a read-only field.
Other	If blank or no name is selected in the laboratory Name field, enter the name of the laboratory.
Mapping Name	Displays the name of the mapping for electronic and manual lab reports if set for the facility. This is a read-only field. NOTE: This field does not contain a mapping name if the mapping has not been added to the facility. Therefore, when adding an observation, the Reported Test Name and Coded Result fields may not contain the expected drop-down menu items.
Laboratory Report Date	Click in the field to enter the date the laboratory report was completed or select it from the calendar pop-up. Today's date is the default date.
Lab Order Number	Enter the laboratory order number.
Ordering Provider
Name	Enter the name of the physician who ordered the lab report.
Phone	Enter the phone number of the physician who ordered the lab report.
Ordering Facility Name	Enter the facility name that ordered the lab report. Example: Hospital, Physician's office, clinic, etc.
Isolate sent to another lab(s) for additional testing	Select No, Unknown, or Yes from the drop-down list to indicate if the isolate was sent to another lab for testing or not.
Labs to which the isolate was sent	If Yes is selected in the Isolate Sent To Another Lab(s) For Additional Testing field, select the lab to which the isolate was sent.
Date isolate was sent	If Yes is selected in the Isolate Sent To Another Lab(s) For Additional Testing field, click in the field to enter the date the isolate was sent or select it from the calendar pop-up. Today's date is the default date.
Specimen Information
Specimen ID	Enter the specimen ID.
Specimen Collection Date	Click in the field to enter the date the specimen was collected for testing or select it from the calendar pop-up. Today's date is the default date.
Specimen Site	Select the anatomical site from which the human specimen was collected from the drop-down list.
Specimen Source	Select the origin of the specimen/sample from the drop-down list. Example: Amniotic fluid, Aspirate, Biopsy, etc.
Organism Information
Organism Name	Select the name of the organism from the drop-down list.
Organism Species	Select the organism species from the drop-down list. This is the fundamental category of taxonomic classification, ranking below a genus or subgenus and consisting of related organisms capable of interbreeding. Example: For Herpes simplex, Herpes is the genus name and Herpes simplex describes a species (or category) of Herpes virus.
Organism Serogroup	Select the organism serogroup from the drop-down list. It is used when an organism may have a serogroup designation.
Organism Serotype	Select the organism serotype from the drop-down list. It is used when an organism may have a serotype designation.
Organism Serotype Other	If Other is selected in the Organism Serotype field, enter the name of the serotype.
PFGE
Pattern created by pulsed field gel electrophoresis (PFGE), used to identify genetically similar (and, therefore, potentially epidemiologically-linked) isolates. Enter up to three pattern areas in the following fields.
[State] (Pattern 1 through 3)	Enter the name of your state.
Other State  (Pattern 1 through 3)	Enter the name of the other state.
CDC  (Pattern 1 through 3)	Enter CDC here.
Observations
New Observation	Click this button to add a new observation to both new and existing manual lab reports. See Add a New Observation to a Manual Lab Report.
Search	Enter the first few characters of the search name to narrow the listed results. The list automatically filters based on what is entered in the field.
(Add button)	Click this button to expand the row to view the test result description.
Test Name	The name of the test conducted.
Result	The result of the test conducted.
Edit	Click this button to edit the observation. This button displays when you click the Edit button on the main Investigations tab page. See Edit an Observation of a Manual Lab Report.
Delete	Click this button to delete the observation. This button displays when you click the Delete button on the main Investigations tab page. See Delete an Observation from a Manual Lab Report.

Edit a Manual Lab Report

A manual lab report is a laboratory report that you enter directly into the Lab Reports tab page for an existing case.

To edit a manual lab report, first search for the case and/or locate it in the list on the main Investigations tab page, then click the Edit button corresponding to the case. The Case Reporting tab page opens. Click the Lab Reports tab and locate the manual lab report you want to edit, then click the Edit button for that report. The Lab Order Information page opens. Make any necessary changes and click Submit Changes. Click the Cancel button to return to the Lab Reports tab page. See Create a New Manual Lab Report for available fields and their descriptions.

To add a new observation to an existing manual lab report, click the New Observation button in the Observations section. See Add a New Observation to a Manual Lab Report.

Delete a Manual Lab Report

To delete a manual lab report, first search for the case and/or locate it in the case list on the main Investigations tab page, then click the Edit button corresponding to the case. The Case Reporting tab page opens. Click the Lab Reports tab, search for and/or locate the lab report you want to delete, and click the Delete button corresponding to the report. Click OK to confirm.

View an Electronic or Manual Lab Report

You can view both electronic and manual lab reports by clicking the View button on the main Investigations tab page for the case.

View an Electronic Lab Report

When the State Public Health Laboratory confirms the diagnosis of a disease, the laboratory sends this information to the application in form of an Electronic Laboratory Report (ELR). The ELR file is formatted using HL7 v. 2.5.1. ELRs are read-only; you cannot change them, but they can be deleted if they were appended or created incorrectly.

ELR files are processed several times per day via a background process that requires no intervention. The background process checks for the existence of an ELR file and processes the records contained in the file.

Each record that is received within an ELR file undergoes the same procedures as manually entered cases (geocoding and deduplication). Therefore, an ELR can create a new case within Sentinel or it can add information to an existing case.

To view an electronic lab report, first search for a case and/or locate it in the case list on the main Investigations tab page, then click the View button corresponding to the case. The Case Reporting tab page opens. Click the Lab Reports tab, locate or search for the lab report in the list and click the View button corresponding to that report. The Lab Order Information page opens. To view the HL7 log entry, click the View HL7 Log Entry button. Click the Cancel button to return to the Lab Reports tab page. See Create a New Manual Lab Report for available fields and their descriptions.

View the Electronic HL7 Log Entry

To view the electronic HL7 log entry, click the View HL7 Log Entry button. The ELR Log pop-up window opens. Click the Close button to close the window.

The available fields on the ELR Log pop-up window are as follows:

ELR - SNOMED Codes

Systematized Nomenclature of Medicine (SNOMED) codes, where available, are sent within the electronic laboratory reports. Within Sentinel, these codes are associated to a disease name. If a laboratory report does not have a SNOMED code or if the SNOMED code does not relate to a disease name, the laboratory report is assigned to an administrator for review in the pending work queue.

ELR - New Case Assignment

When a new case is initiated from an electronic laboratory report (ELR), the case must be assigned to a jurisdiction and to an investigator. In addition, electronic laboratory reports that are associated with an existing case may provide dissimilar address information. Case assignment and jurisdiction determination for an electronic laboratory report are handled as follows:

• If an ELR is associated with a case and the laboratory report contains patient or physician address information that is different from the patient or physician address information within the associated case, the investigation address could be affected along with the case assignment and jurisdiction
• If an ELR cannot be associated with an existing case and it does not contain address information, a new case is created and assigned to the state

View a Manual Lab Report

To view a manual lab report, first search for the case and/or locate it in the case list on the main Investigations tab page, and then click the View button corresponding to the case. The Case Reporting tab page opens. Click the Lab Reports tab, either search for or locate the lab report you want to view and click the View button corresponding to the report. The Lab Order Information page opens. Click the Cancel button to return to the Lab Reports tab page. See Create a New Manual Lab Report for available fields and their descriptions.

Delete an Electronic Lab Report

To delete an electronic lab report that was inadvertently appended or created, first search for the case and/or locate it in the case list by looking at the ELR column on the main Investigations tab page, then click the Edit button corresponding to the case. The ELR column displays either C or C A. The Case Reporting tab page opens. Click the Lab Reports tab, search for and/or locate the lab report you want to delete, and click the Delete button corresponding to the report. Click OK to confirm.

Add a New Observation to a Manual Lab Report

You can add a new observation to both new and existing manual lab reports.

To add a new observation to both new and existing manual lab reports, search for the case and/or locate it in the case list on the main Investigations tab page and click the Edit button. The Case Reporting tab page opens. Click the Lab Reports tab, then click one of the following buttons:

• Create New Lab Report - Click this button to create a new manual lab report and to add a new observation to the lab report. Click the New Observation button to add a new observation. Enter the parameters and click Add Result. The added lab result appears in the Observations section at the bottom of the new manual lab report. To continue without adding a new observation to the manual report, click Cancel. See Create a New Manual Lab Report for available fields and their descriptions
• Edit - Click this button to add a new observation to an existing manual lab report. Click the New Observation button on the Observations section. Enter the parameters and click Add Result. The added lab result appears in the Observations section at the bottom of the manual lab report. To continue without adding a new observation to the manual lab report, click Cancel

The available fields and options on the page are as follows:

New Observation Section - If the facility has a lab observation mapping set for manual lab reports, the following fields are displayed in the New Observation section:

Edit an Observation of a Manual Lab Report

To edit an observation of a manual lab report, first search for the case and/or locate it in the case list on the main Investigations tab page, then click the Edit button corresponding to the case. The Case Reporting tab page opens. Click the Lab Reports tab and locate the manual lab report for which you want to edit the observation for, then click the Edit button. In the Observations section, either search for or locate the observation you want to edit, then click the Edit button. Make any necessary changes and click Submit Changes. To continue without making any changes, click Cancel and select OK to confirm. See Add a New Observation to a Manual Lab Report for available fields and their descriptions.

Delete an Observation from a Manual Lab Report

To delete an observation from a manual lab report, first search for the case and/or locate it in the case list on the main Investigations tab page, then click the Edit button corresponding to the case. The Case Reporting tab page opens. Click the Lab Reports tab and locate the manual lab report for which you want to delete an observation, then click the Edit button. In the Observations section, either search for or locate the observation you want to delete, then click the Delete button for the observation.

Related Topics:

• Case Investigations
• View/Edit Case Details