Setup manual entry lab information
Setup is necessary to manually enter lab results for tests sent to a laboratory that is not integrated with your Cornerstone software, or if you have in-house results not generated by an analyzer. Example: Fecal smear or glucometer result. Learn how to setup the following for manually entering lab information:
- Designated laboratory
- Age groups: Define test ranges
- Templates: for lab result entry
- Test ranges: Define low and high values
Note: These values are automatically set for integrated laboratory systems. Those settings are not affected when setting default values for manual result entry.
Before you start
- Lab Defaults Test Ranges
- Lab List
- Lab Information
- Lab Manually Enter Results
- Lab Template Information
- Lab Template List
- Species List
- Species Setup
- Never create a lab, template, or profile ID of IDEXX or INCLINIC. These are reserved for the IDEXX integrated laboratory systems only.
- Once a template is created, the name cannot be changed and the template cannot be deleted or inactivated.
Setup a laboratory for manually entering results
It’s recommended to set up a lab in Cornerstone for entering lab results manually. This way, the inhouse templates and profiles remain unchanged and integrations will not be impacted.
Navigate to Activities > Lab Work > Laboratories > New.
- Required settings:
- Enter a laboratory name and an ID.
- Optional settings:
- Enter the remaining information, if preferred: Address, city, state or province, and postal code.
- Retain settings as defaulted In the Requisition Numbers and requisition ID ranges boxes. Any changes to these values are best performed with support assistance.
- Select a color from the Display color drop-down list to display the laboratory name in a specific color within cumulative results.
- Select the order from the Cumulative display drop-down list. Descending = most recent to least recent; Ascending = least recent to most recent.
- Recommended settings:
- Clear the defaulted selections in the Preferences and Print preferences sections since manual lab entries do not utilize requests.
- If using requests, set values accordingly, but requests will need to be removed manually one results are entered.
- Click OK.
Setup species age groups
You can define default test ranges based on patient species and age for manually entered test results. These test reference ranges let you compare manually entered results to normal ranges for patients of the same species and age. You need to define the age groups for each species before setting default test ranges.
Navigate to Lists > Species > Select the appropriate species > Update.
- Click Lab Age Grps.
- Click New to add a new age group or Update to change an existing age group.
- Enter a description of the age type. Example: Adult or puppy
- Enter the age range for this group. If using multiple ranges, do not have gaps or overlaps between ranges.
- Click OK to save your changes.
Repeat steps as needed for additional ranges per species and per applicable species.
Tip: Create a single age range for the species. This simplifies the default test range setup, since test ranges are set per age range.
Setup manual entry result templates
Templates are used to determine which tests appear on the screen when manually entering results and have these results to appear on the Patient History Lab tab.
Note: Once created, existing templates can be modified, including tests and order of tests. Template names cannot be changed, nor can a template be deleted or inactivated.
Navigate to Activities > Lab Work > Templates > New.
- Name: Type the template name.
- Test column: Type the names of the tests on each individual line.
- To add additional rows after the tenth test, press TAB.
- Note: You can use the black arrows to position the tests in a particular order on the template.
- Click OK when all of the tests have been entered for this template.
Setup default test ranges
Default test result ranges let you compare a patient’s manually entered test results to normal ranges for patients of the same species and age. This setup also creates a lab report with a visual of low and high values. Species age groups must be set up prior to defining test result ranges.
Navigate to Activities > Lab Work > Default Test Ranges.
- In the Species field, enter the species ID or double-click to select from the species list.
- Select the age range.
- Select the associated laboratory.
- Select the template to set default values for.
- In the Units field, enter the unit of measurement for the test.
- In the Low field, enter the lowest normal value for the test.
- In the High field, enter the highest normal value for the test.
- Click OK.
Repeat steps as needed for additional ranges for each species age group and applicable lab templates.
- If making changes to requisition settings when setting up a lab for manual entries:
- In the Requisition Numbers box, select whether to enter requisition IDs manually or to specify a range of requisition IDs.
- If you choose requisition ID ranges:
- In the Requisition ID Ranges box, specify the range of requisition numbers you want to use. Cornerstone assigns requisition numbers in sequential order.
- In the Warning Trigger field, enter a number near the end of the range. When this number is reached, Cornerstone warns you that you are nearing the end of the range. When the numbers are used up, Cornerstone will begin using the range of numbers specified in the Next Range fields.
- If you do not specify a range of numbers in the Next Range fields and you run out of numbers, you cannot create any more laboratory requests until you assign a new range of numbers.
- Refer to IDEXX Reference Laboratories: Setup preferences and defaults for more information.
- If using requests for nonintegrated lab results, you must manually remove the test requests from Cornerstone. Requests from integrated laboratories are removed automatically.
- On the Manually Enter Results window, default values are displayed only after you’ve entered a value for that test.
- If no default ranges are displayed, the default values have not yet been set up or the patient does not fall into one of the Lab Age Groups set up on your system.
- If the patient falls into one of the Lab Age Groups set up on the system, the units and the low and high values you enter there will be saved as defaults.
- If you enter an incorrect range when you are manually entering results, follow the steps with default test ranges setup to correct the information on the Default Test Ranges window.
These Cornerstone reports provide information from the actions outlined in this article. Each report has its own security access under the Reports tab of the Security Setup window.
- Lab Templates report
- Lab Test Defaults report