Embedded OB Workflow

Labs

athenaClinicals

Use the Labs section of the OB Worksheet to review mapped lab results throughout a pregnancy. Timeline view groups labs by gestational week range. Trending view groups results by type so you can review changes over time. To review ultrasound and fetal surveillance results, use the Ultrasounds and Fetal Surveillance section beneath Labs.

What's new

For the latest advancements in OB Worksheet labs, see OB Worksheet — Ultrasound and Labs Enhancements. This information also appears in the 'Filter lab results' section that follows.

Review labs by gestational timeline

Open the patient's OB Worksheet and locate Labs. Timeline is the default view. Review the results within the applicable gestational week range. Printed and faxed OB summaries also use Timeline view.

Review trends by result type

In Labs, select Trending to review results grouped by result type. When a type has multiple historical results, the results appear in chronological order within a nested view. Select Collapse previous results to show the most recent result. Click Expand to review older results.

The Diabetes section groups diabetes-related results, including individual glucose tolerance test results, the 75g 2-hour glucose tolerance test, hemoglobin A1c, and fasting or random glucose results.

Filter lab results

Select filters in this section to view all or only labs with mapped results.

Gestational Age column

Review the GA (Gestational Age) column in Labs to see the number of weeks determined for a pregnancy. The number of days since the last full week appear in superscript to the right of the week value. athenaOne uses the Date Collected field on lab results to calculate this value.

Persistent row highlighting

Select the check boxes in the Highlight column to give focus to results of interest. The row remains highlighted for you or other providers to reference.

Deselect the check box to remove highlighting.

The highlighting on each row syncs with the Highlight checkbox in the lab document, so you can highlight or remove highlighting from either the lab document or from the Labs section of the OB Worksheet.

Review drug screen results

In Initial Supplemental, the Drug Screen subsection is collapsed by default. When expanded, this section displays the number of mapped results and a summary label. If any screening result is positive, the label is Positive; otherwise, it is Negative. Expand this subsection to review individual results.

Review diabetes-related results

To minimize the need to scroll through empty results, the 3hr GTT section remains collapsed by default but is automatically expanded when there are results mapped for any of the GTT result types.

Review Rhogam injections administered in office

To review Rhogam injections ordered and administered within athenaOne, locate Rhogam Injections Administered in Office at the bottom of Labs, beneath Other. Injections administered by an external facility do not appear in the OB Worksheet or its downstream encounter artifacts.

Note
In chart exports, printed or faxed forms, and closed OB episodes, these injections appear under the gestational week in which they were administered. Those documents do not use the separate Rhogam Injections Administered in Office subsection. You can also review administered Rhogam injections and their administration dates in the patient's Medications tab.

Map an OB lab result to a result type

When manually mapping a result to an OB episode, use the Result Type field to find the appropriate type.

Open the individual result document. If you are in a consolidated result view, open the individual document first.
In the OB mapping area, click Result Type to open its search box.
Enter a keyword and select the appropriate result type from the matching options.

Note
Result-type keyword search is available only in single result document views. For practice-level mapping configuration, see OB Lab Result Mappings.

Results mapped to Other

In Labs, results mapped to Other do not display the automatically appended lab label. To identify the lab, remap the result to an appropriate specific result type or enter the lab name in Note or Result Value. The appended label remains available in downstream documents, including chart exports and printed or faxed forms.

Run reports to check for lab mapping gaps

Access the following reports to identify gaps in lab result mapping.

OB Lab Mapping Accuracy Report: This report lists the number of results that were accurately mapped by athenaOne's automation, broken out by result type. To run the report: Click Reports > Report Library and select the Clinicals tab. Scroll down to OB Lab Mapping Accuracy Report and click Run.
OB Lab Results Admin Mapping Suggestions: This report shows a list of manually mapped lab results not currently covered by athenaOne's automated mapping or the OB Lab Result Mapping admin page. Practice admins may choose to add these to the OB Lab Result Mapping admin page to address gaps in automation. To run the report: On the main menu, click Reports > Report Library and select the Clinicals tab. Scroll down to OB Lab Results Admin Mapping Suggestions and click Run.