Glossary

1	EMR	Electronic Medical Record
2	MRP	Most Responsible Physician
3	OMD	Ontario Medical Documentation

1. Encounter Labs

1.1 Summary

1.1.1 Business Need

Defined users:

MRP doctors, residents, nurses, team assistants and other medical staff with the credentials and rights to access OSCAR web-site. General user is given administrative rights.
Super User/Administrator with full rights:

Add/Edit/Delete
Reactivate account
Access to admin part of the OSCAR

Main purpose of Encounter Lab Display is:

To identify a lab result as abnormal
To separate data fields
To add text notes to lab reports
To associate lab requisition with lab report
To handle partial lab results
To create tickler from lab report

1.1.2. Description

Encounter Lab Display use cases are designed to view patients lab results and to identify which lab results within a lab report are abnormal. Lab result and normative range values should be recorded as separate data fields. Text notes (acknowledge or comment or use annotation notes) can be added to Lab report. Lab requisition should be associated with lab report and partial lab results should be handled (different versions will collapse into a single report but previous versions will be viewable).

1.1.3. Pre-action requirements/state:

OSCAR McMaster Test Version 12.1, system, and DB are up, configured and working as expected.

1.1.4. Post-action state:

OSCAR McMaster Test Version 12.1 is running and behaving as expected.
OSCAR McMaster Test Version 12.1 has all functionality prior to the change (outside of removing functionality intentionally)

1.2 Flow of Events

This section describes the main flow of the Use Case and system responses.

Identify abnormal Lab results

Num.	Step	Description	System Response	User
	Pre-condition:	Inbox abnormal Lab reports are available to view
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	View Lab Reports	Access Lab Reports page from Inbox Tab	Lab Reports page appears in a new window	General User
4	View Lab Results	Access Lab results page	Lab results page appears in a new window	General User
5	Abnormal results are identified	Verify that abnormal results are identified within a lab report	Abnormal results are identified within a lab report by red text	General User

1.2.1 Alternate Flows of Events

This section describes the alternative flow of events based on variations in the main Use Case scenario that still result in a Successful End Condition at completion of the Use Case.

Alternate Flow 1

Record lab results and normative range values as separate data fields

Num.	Step	Description	System Response	User
	Pre-condition	Inbox Lab Reports are available to view
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	View Lab Reports	Access Lab Reports page from Inbox Tab	Lab Reports page appears in a new window	General User
4	View Lab Results	Access Lab results page	Lab results page appears in a new window	General User
5	View Lab result values and normative range values	Verify that lab result values and normative range values records are separate data fields	Lab result values and normative range values records are separate data fields	General User

Alternate Flow 2

Add notes to lab report

Num.	Step	Description	System Response	User
	Pre-condition	Inbox Lab reports are available to view
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	View Lab Reports	Access Lab Reports page from Inbox Tab	Lab Reports page appears in a new window	General User
4	Activate Lab results	Select patient name hyperlink to open Lab results from the current record	Lab results module is opened for the selected patient	General User
5	Add notes	Add notes via Acknowledge Comment Annotation	Notes are added	General User

Alternate Flow 3

Link lab requisition to lab report

Num.	Step	Description	System Response	User
	Pre-condition	Inbox Lab reports are available to view
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	View Lab Reports	Access Lab Reports page from Inbox Tab	Lab Reports page appears in a new window	General User
4	Activate Lab results	Select patient name hyperlink to open Lab results from the current record	Lab results module is opened for the selected patient	General User
5	Associate lab req with lab report	Click "Req #" (link to requisition) button at top of report and link to lab requisition	Lab report is linked to lab requisition	General User

Alternate Flow 4

Lab Results Different versions

Num.	Step	Description	System Response	User
	Pre-condition	Lab results have different versions
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search patient name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	eChart module is opened for the selected patient	General User
5	View Lab Results	Access Lab Results page	Lab Results page appears in a new window	General User
6	View partial Lab results	Verify that different versions should collapse into a single report, but previous versions are also viewable	Different versions collapse into a single report and previous versions are viewable	General User

Alternate Flow 5

Create tickler from lab report

Num.	Step	Description	System Response	User
	Pre-condition	Lab reports are available to view
1	Connect to the OSCAR main page	Launch URL: http://192.168.1.202:8080/Oscar12_1/index.jsp	OSCAR main page with the login is opened	General User
2	Log In	Enter user's valid credentials (User Name / Password/2nd Level Pass code if applicable)	By entering right credentials user is getting system verification acceptance	General User
3	Search the patient name	Access Patient Search Results page from Search Tab	Patient search results page is accessible from Search Tab by name	General User
4	Activate eChart module	Select E hyperlink to open eChart from the current record	eChart module is opened for the selected patient	General User
5	View Lab Results	Access Lab Results page	Lab Resilts page appears in a new window	General User
6	Create tickler from Lab results	Click on Tickler button to access tickler page	Tickler is created	General User

1.2.2 Exception Flows of Events (Negative)

N/A

OSCAR EMR

Use Cases Encounter Lab Display