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Laboratory: requesting, printing, returning and matching

Dialysis claims depend on current laboratory results, so the console treats a lab request as part of the session record rather than as loose paperwork. The loop is deliberately a paper one: you print a requisition, the laboratory does the work on paper or in its own system, and you bring the result back in. There is no direct analyser interface today.

Role: nurse, doctor, clinical lead and records.

Open the patient and add the tests you need. The catalogue carries the renal panel with its units and reference ranges already set, so you choose a test rather than typing a name. Requesting the same test twice in a short window is suppressed, so a duplicate order does not reach the laboratory by accident.

Each request is grouped into a requisition and given its own number. That number is what ties the paper you hand over to the result that comes back.

Print the requisition and send it with the sample. It carries the facility, the patient, the tests requested and the requisition number.

Upload the result against the patient. The system reads what it can from a clear PDF or photograph and leaves the rest for you to key in, so a handwritten or poorly scanned report still gets recorded rather than rejected. Only PDF, PNG and JPEG files are accepted, and the file type is checked by content rather than by its name.

A result older than 31 days no longer counts as current for claim readiness, and you will see a warning from about a week before that point. This is not the system being fussy: a claim submitted with a stale result is a claim that comes back. The billing readiness strip shows the state at a glance, so the gap is visible before assembly rather than after rejection.

A request sent in error can be withdrawn, and one raised against the wrong patient can be marked as entered in error. Neither deletes anything. The original and the correction both stay in the record, which is what an audit expects to see.

See also Nursing for the session itself, and Billing for how lab evidence reaches the claim.