Download GEN SmartLinks for Labs

Lab Smart Links in System Database
Common
general
overview labs
.lastapclabs, .lastfplabs or .lastimlabs
(cbc, lfts, basic, inr, tsh, a1c)
.lasta1c, .lastglyco or .lasthba1c
.lastdiabetes3
(last three a1c, fbs, microalbumin, ldl calc and
creat)
.lastfbs (fasting blood sugar)
.lastldl (ldl calc)
.lastlipids3
GI
Metabolic
panel
.lastchem or .last chemistry
(Na, K, Cl, CO2, BUN, creatinine, glu,
calcium, alk phos, ALT, AST, Tbili)
.lastlytes (Na, K, Cl, CO2)
.lastk
.lastca or .lastphos (Ca and phos)
.lastcbc
.lasthct
.lasthgb
.lastplt
.lastwbc
.lastaborh or .lastbloodtype
Endocrine
.lastama .lastasma or .lastsma
(antismooth muscle & antimitoch abs)
.lastana (ana)
.lastrf (rheum factor)
.lastrheum (ana, rf, esr)
.lastesr
.lastcrp
.lastsedrate
Coags
OB
.lastpregnancy (pregnancy test, urine, serum
qual or serum quant)
.lastenclmp (last recorded lmp)
.lastanticonvulsantdruglevel
.lastcarbamazipine
.lastdepakane
.lastdepakote
.lastdilantin
.lastphenobarb
.lastphenytoin
.lastseizuredruglevel
.lastvalproate
.lastvalproic
.lasttegretol
.lastpb
.lastlead
Infectious
Disease
.lasthiv (hiv antibody)
.lastrpr
.lastrubella
.lastcd4
.lastppd
.lasttbskintest
Iron
studies
.lastcardiacenzymes
.lastck
.lasttroponin
Psych
.lastibc or .lasttibc (iron, ferritin & TIBC)
.lastiron
.lastferritin
.lastlithium
.lastfolate
.lastb12
CBC
ABO and Rh
Rheum
Inflammatory
markers
Neurology
Lead
Cardiology
.lastamylase
.lastlipase
.lastafp
.lastprot (total prot, albumin)
.lastalbumin
.lastggt
.lasthcv (hep c antibody)
.lasthepatitis
.lastlft
.lastlfts
.lastliver
.lastalt
.lastalkp
.lasttbili
.lastparathyroidhormone or
.lastpth (pth, calcium, phosphorous)
.lasttestosterone
.lasttsh
.lastthyroid (tsh, t3, t4, tpo antibody)
Stool
occult
blood
.lastguaiac3
.lastoccultblood3
.laststoolhemoccult3
.laststooloccultblood3
HemeOnc
.lastanc (absolute neutrophil count)
.lastretic
.lastspep or .lastupep (serum/urine protein
electrophoresis)
.lastca125
.lastafp
.lastcea
.lastpsa
.lastpsa3
.lastinr3
.lastddimer
.lastptt
Vitals
Note: only the most recent vital sign for each encounter will populate; it will not populate multiple readings from the same encounter
.lastht[n (replace n w # of
.lastbp[n (replace n w # of
Height
BP
last n height readings you
last n bp readings you want)
want)
.lastbp1
.lastht1
.lastbp3
.lastht3
.lastencbp
.lasthgt3
.last 3
.lastencht
.lastweight1
.lastvitals3
Weight
Vitals
.lastweight3
(weight, temp, bp, pulse)
.lastwgt3
.lastwt[n (replace n w # of
last n weights you want)
.lastwt1
.lastwt3
.lastencwt
.lastpulse[n
.lastpulseox3
HR
Pulse Ox
.lastpulse1
.lastsao2
.lastpulse3
.lastsao23
.lastencpu
.lastspo2[n
.lastoximetry3
.lastO2sat3
.lastencsp
.lastencre
.lasttemp[n (replace n w # of
Resp Rate
Temp
.lastresp[n (last n resp
last n temps you want)
readings)
.lasttemp1
.lastresp1
.lasttemp3
.lastresp3
.lastencte
.lastencpf
.lastpeakflow1
.lastpeakflow3
.lastpf[n
Peak Flow
Head Circumference
.lasthc
.lasthc1
.lastheadcirc1
.lastheadcirc3
.lasthc3
.lastenchc
Customized Smart Links to Retrieve Lab Values
The following SmartLinks require the user to type in parameters for processing. You can determine which lab test component and how
many results to display. The variables are added to the original SmartLink.
.labbrief
Ex:
.labbrief[creatinine:4
Displays a table with component, value, date/time resulted.
Here I have the last 4 results for creatinine
.lablast
or
.lastlab
.lablast[hgb
Displays a table with component name, date/time resulted, value, range, and status
Here I have just the most recent Hgb
result.
.labrcnt
.labrcnt[hgb,hct
.labrslt
.labrslt[bun,glu
.labrsltline
.labrsltline[bun,creati
nine,glu,k,na
Recent labs done in the last 72hrs only. You will get an error message if there are no
lab results for the component in the last 72 hours.
Lab result for letters to pts can only pull in labs done in the last 30 days. It will also
reference previous results for the pts if available.
Will pull in lab results for letters in a line format.
10/12/2010: BUN 18 mg/dL (Range: 9.8-20.1, 9.8-20.1); Creatinine, Ser 1.1 mg/dL (Range: 0.6-1.1, 0.61.1); Glucose 226 mg/dL* (High; Range: 74-99, 74-99); Potassium 4.5 mmol/L (Range: 3.4-4.8, 3.4-4.8);
Sodium 134 mmol/L* (Low; Range: 136-145, 136-145)
9/28/2010: BUN 27 mg/dL* (High; Range: 9.8-20.1, 9.8-20.1); Creatinine, Ser 1.2 mg/dL* (High; Range:
0.6-1.1, 0.6-1.1); Glucose 300 mg/dL* (High; Range: 74-99, 74-99); Potassium 4.7 mmol/L (Range: 3.44.8, 3.4-4.8); Sodium 137 mmol/L (Range: 136-145, 136-145)
1.
First, decide what lab component(s) you want. You may need to experiment a few times to see which lab components are
accepted and which are not. It will have to be spelled correctly.
a. Here are a few that will be accepted: na, ka, cl, creatinine, co2, glu, wbc, hgb, hct, plt, inr, ptt, hgba1c
b. It will not accept names such as cbc, bmp, cmp, lft, gfr,
pap
Second, you will want to specify how many results you want to see.
a. Type the component name followed by a colon, then with:
i. A number for the number of results you want
ii. * for all available results
iii. or blank for just the last result
mcv:4 Last 4 results for MCV
mcv:* All results for MCV
mcv
Most recent result for MCV
3. You can list as many lab components as you want, separated by commas. Once you hit the space key, it will fill in the
SmartLink. If I were seeing my patient for followup of diabetes and wanted to see the last 3 results for her creatinine, all available
A1c’s, and just the last glucose value, I would type: .labbrief[creatinine:3,hgba1c:*,glu
2.
These next two SmartLinks take different variables. They will accept two parameters, separated by commas, which specify the
duration and the format of the output. They are helpful if you do not know what labs the patient had done.
For example, a user may enter .LASTLABV[6M,1
1. Duration paramenter:
a. The "6M" instructs EpicCare to search 6 months back from the day of the visit the user is presently in to find and
display all lab component values in that time period.
b. Entry for this parameter may be in the form #D, #W, #M, or #Y. The "#" indicates a number and the D, W, M, Y
stand for days, weeks, months, or years respectively.
c. If no entry is specified for this parameter (.LASTLABV[,1), or if there are no results that fall within the time period
indicated, then EpicCare will display the last known result.
2. The second parameter controls the display of the SmartLink. It accepts a blank entry, "1", or "2".
A blank entry will cause EpicCare to display the component name, value, high and low ranges, status and any comments.
An entry of "1" will display everything stated above except for the comments.
An entry of "2" will cause an abbreviated display of just the name and value for each component.
.lastlabv
.lastlabv[4w,
This SmartLink shows lab results for previous visits.
.lastlabg
.lastlabg[3w,2
This SmartLink shows lab results for visits on the day of current visit & previous visits.