As a clinician, I would want to record Lab results done previously in a different facility and presented at my facility so that I refer to them for diagnosis and continuity of care.
Scenario: Jane a 32 year old woman visited Kivulini dispensary for family planning services, the nurse recommended that Jane gets a Pap smear test done. A lab request was given to Jane and she was advised to visit a private lab that offers that service. Since Kivulini dispensary is a low level facility without an obs/gynae, Jane was instructed to submit results to Makongeni Health centre for diagnosis and treatment.
Jane did as instructed and after two weeks, She visited Makongeni HC where she was registered in the EMR and sent to the clinical room. She presented the Pap smear results to the doctor for diagnosis and treatment.
How and where would the doctor document this result in the EMR to ensure that it forms part of the patient record going forward?
This sounds like a use-case for a clinical form or section in the general consultation. We’d probably need to add support for optionally collecting the observation date time in the form engine, but that feels like a straight-forward ticket.
@ibacher we are looking for a way to have this result as part of the lab results within the clinical view since only the clinician will interact with the results. However, if we capture this in the form, other clinicians attending to this clinician may not have information about this test and results and the patient may be subjected to a similar test hence delaying care
The main ask is to have the test, date ordered, results and date results were received captured as historical tests and visible within the results panel.
The results viewer is really just a viewer for obs from the obs table, which the form engine is capable of recording, so as long as the form captures the obs with the right code, they will appear in the results viewer.
I think the main thing we need to add is the ability to enter the value for the obsDateTime in the form engine. I couldn’t find that on a quick review of the form-engine-library. One thing I missed on the first read through was the ask about capturing the order date and I’m not sure there’s a sensible way to do that; order dates, currently are derived from the order in the EHR, but, obviously for results not ordered in the facility there won’t be an order at all. Is this a requirement that needs to be met or is this optional? (I’m not sure there’s a lot of clinical value in the order date, only in the time the test was actually performed, since that’s usually what determines whether or not the result is still “current”).