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Results

A result is a record of a test that has been run on a device and received by the RALS™ SYSTEM or entered manually into the RALS™ SYSTEM. Result types and details received with the results vary by device type.

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Result Statuses
Sample Types
Institution Access
Certification Group Access
Adding
Editing
Cloning
Deactivating or Deleting
Result Actions
Fields

Result Statuses

A result will be in one of the following states:

Icon Status Notes
Acknowledgement Pending Result was sent outbound; waiting to receive enhanced acknowledgement; see Interfacing System Settings for more information on option to fail Acknowledgement Pending results
Upload Pending Result is in the process of being sent outbound
Do Not Upload Result will not be sent outbound
Reassigned Result was reassigned to a different patient
Upload Complete Result was successfully sent outbound
Evaluate Result is flagged; action must be taken prior to upload
Incomplete Result cannot be evaluated until missing details are entered
Upload Failed Result failed to be sent outbound (check outbound failure field)

Sample Types

Every result has a device-type-specific sample type. All device-type-specific sample types are classified in one of the following groups:

Institution Access

A result’s institution identity is defined by the result’s location. Result location is determined automatically when the result is initially processed by the RALS™ SYSTEM. By default, the result’s location will be set to the device’s assigned location. However, some device types support an option for using the device’s download location instead.

Certification Group Access

A result’s certification group identity is defined by the certification group of the result’s location. Only results within a user’s certification group access will be visible. The certification group value will not be updated when reprocessing a result. See Certification Group Access for more information.

Adding

Results can be added manually for device types where manual test entry through the RALS™ SYSTEM is enabled.

In addition to normal institution access restrictions, you can only add results for your Device Access Locations.

When adding a result manually, if multiple time zone support is also enabled, the Result Time should be entered relative to your time zone preference. See Preferences for more information.

See Add Fields for more information.

Editing

Results can be edited. Results cannot be bulk edited.

See View or Edit Details Fields for more information.

Cloning

Results cannot be cloned.

Deactivating or Deleting

Results cannot be deactivated nor deleted.

Result Actions

The following actions are available for results:

Upload

Upload will attempt to send a flagged result outbound. This is typically performed after a flagged result has been reviewed or corrected. Patient results with the following statuses can be uploaded:

Multiple results can be selected; eligible results will have their statuses transitioned to Upload Pending.

Review

The Review action is used to add review notes to one or more results. See Result Reviews for more information.

Resend

Patient results with a status of Upload Complete can be manually resent to the LIS.

Multiple results can be selected; eligible results will have their statuses transitioned to Upload Pending. When a resent result is successfully uploaded to the LIS, the status is changed to Upload Complete and the Transfer Time is updated.

Do Not Upload

The Do Not Upload action is used to indicate a result should never be sent outbound. Patient results with the following statuses can be changed to Do Not Upload:

Multiple results can be selected; eligible results will have their statuses transitioned to Do Not Upload.

Override

The Override action is used to manually specify patient result details (identifiers, panel code, or other information) to be used when the result is uploaded. This is particularly useful in situations where the information cannot otherwise be automatically determined by the RALS™ SYSTEM. Your outbound interface will need to be configured to support override functionality.

Multiple results can be selected; if all selected patient results use the same type of outbound interface, then an override screen will be displayed.

Assign Orders

The assigned orders action allows users to assign one or more orders to a patient result. Orders can be assigned if:

Orders can be assigned or unassigned to the patient result.

If the patient associated with the result is changed, then any assigned orders are removed.

Record Notification

Record Notification is used to add notification notes to a result. See Result Notifications for more information.

Complete

The Complete action is used to finish the evaluation of an incomplete result. A result will have a status of Incomplete when certain required information was not received from the device. After the required information is added to the result, it can be evaluated to complete its processing within the RALS™ SYSTEM.

Only one result can be completed at a time.

After completing a result, there may be a slight delay while waiting for it to be evaluated.

Enter Respiratory Values

Respiratory values can be appended to patient results with the following statuses:

Selecting a respiratory setup will determine which respiratory values are appended. Once entered, respiratory values are treated as entered result values.

Respiratory values can be appended to a single result for device types that support respiratory entry.

Enter User-Defined Values

User-defined fields are only available for certain device types with the following statuses:

The labels for these fields are configurable.

Reassign

The reassign action allows you to assign a new patient to a result that has already been sent to the LIS. Patient results can be reassigned if:

When a result is reassigned, a clone of the result will be created and all result-related information will be copied except:

Field Name Notes
Patient You will be prompted to enter a new one
Order You will be prompted to enter a new one
Status Reassigned results will be set to Upload Pending
Review Notes No user input is needed
Notifications No user input is needed
Transfers No user input is needed
Recall

The recall action allows you to modify a result that has already been sent to the LIS by changing the values of specific parameters to a predefined value. Patient results can be recalled if:

A note that will accompany each changed value in the message to the LIS is required.

The recalled result’s status will be transitioned to Upload Pending.

Resolve Duplicates

The Resolve Duplicates action is used to select which duplicate values will be sent outbound. Some device types support sending multiple values for the same parameter. For patient results with multiple parameters, a single value must be selected for outbound upload.

The Resolve Duplicates action is available for patient results with the following statuses:

Send Message

A message can be sent to the operator for one or more results at a time. The Send Message action is available if the operator for at least one selected result is eligible to receive a message.

An operator is eligible to receive a device message if:

An operator is eligible to receive an e-mail message if:

See Messages for more information.

Fields

Result fields are located in the following places in the RALS™ SYSTEM:

Data Table Fields

When viewing results in a data table, the fields are defined as follows:

Field Notes
General
Key Unique identifier
Flags RALS™ SYSTEM flags added during result evaluation
Institution Parent institution of the result’s location
Location RALS™ SYSTEM location where the result was run
Operator Operator who ran the result
Orders Orders associated with the result
Patient For patient results only
Reviewed Indicates whether the result has at least one review
Sample ID Patient or lot identifier
Sample Type Type of result (e.g. patient, QC, etc.); see Sample Types for more information
Session Key Unique identifier
Specimen Site Specific specimen site used for the result; specimen sites are not device type specific
Specimen Type Specific specimen type used for the result; specimen types are device type specific
Status Current state of the result; see Result Statuses for more information
Test Type Specific test type of the result
Certification Group Device location’s certification group for the result; only displayed if certification groups are enabled; see Certification Group for more information
Times
Collection Time When the sample was collected; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Download Time When the result was received in the RALS™ SYSTEM; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Result Time When the test was performed; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Transfer Time When the result was sent out from the RALS™ SYSTEM; see Result Transfers for more information; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Devices
Collection Device Specific device that collected the result
Device Specific device that created the result
Device Type Device type of device that created the result
Firmware Version Version of device received with the result
Measurement Device Specific device that measured the result
Materials
Control Material used while performing the non-patient test
Reagent One or more materials used while performing the test
Outbound
Accession Identifier received back from LIS/HIS/EMR
LIS Comment Text to be transmitted to the outbound system
Outbound Failure Flag received when attempting to send the result
Outbound Panels All panels that matched against the result
Comments
Comments Operator comments added to the result
Values
(Varies by Device Type) Value, unit of measure, and icons for each visible result value; see Result Values for more information
Reviews
Last Review Note Memo recorded for the most recent review
Last Review Time Time of the most recent review; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Last Reviewed By Operator who performed the most recent review
Notifications
Last Notification Action Description of the most recent notification
Last Notification Status Whether the most recent notification was successful
Last Notification Time Time of the most recent notification; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Last Notified By Operator who performed the most recent notification
Last Notified Clinician Clinician most recently notified
Add Fields

When adding a result, the fields are defined as follows:

Field Notes
General
Location RALS™ SYSTEM location where the result was run
Manual Test Manual test associated with the result
Sample Type Type of result (e.g. patient, QC, etc.); see Sample Types for more information
Sample
Sample ID Patient or lot identifier
Collection Time When the sample was collected; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Result Time When the test was performed; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Specimen Type Specific specimen type used for the result; specimen types are device type specific
Specimen Site Specific specimen site used for the result; specimen sites are not device type specific
Values
Values See Result Values for more information
Comments
Comments Operator comments added to the result
View or Edit Details Fields

When viewing or editing a result’s details, the fields are defined as follows:

Field Notes
General
Status Current state of the result; see Result Statuses for more information
Sample Type Type of result (e.g. patient, QC, etc.); see Sample Types for more information
Sample ID Patient or lot identifier
Operator Operator who ran the result
Device Operator ID Original operator ID received with the result
Patient For patient results only
Orders Orders associated with the result
Location RALS™ SYSTEM location where the result was run
Test Type Specific test type of the result
Specimen Type Specific specimen type used for the result; specimen types are device type specific
Specimen Site Specific specimen site used for the result; specimen sites are not device type specific
Device Specimen Site Original specimen site value received with the result
Flags RALS™ SYSTEM flags added during result evaluation
Reviewed Indicates whether the result has at least one review
Notification Indicates whether a notification was attempted or successful
Certification Group Device location’s certification group for the result; read-only; only displayed if certification groups are enabled; see Certification Group for more information
Times
Collection Time When the sample was collected ; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Result Time When the test was performed; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Download Time When the result was received in the RALS™ SYSTEM; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Transfer Time When the result was sent out from the RALS™ SYSTEM; see Result Transfers for more information; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Devices
Device Type Device type of device that created the result
Device Specific device that created the result
Collection Device Specific device that collected the result
Measurement Device Specific device that measured the result
Firmware Version Version of device received with the result
Materials
Reagent One or more materials used while performing the test
Control Material used while performing the non-patient test
Range Evaluation
Patient Range Set The most recent patient range set the result was evaluated against
Range Evaluation Time The most recent date and time the result was evaluated using a patient range set; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Outbound
Accession Identifier received back from LIS/HIS/EMR
Outbound Failure Flag received when attempting to send the result
Outbound Panels All panels that matched against the result
LIS Comment Text to be transmitted to the outbound system
Comments
Comments Operator comments added to the result
Values
Name Name of the parameter
Value Parameter that has been entered, calculated, or measured; displays value, unit of measure, and icons (if applicable)
Range Range that the result value was flagged against (e.g., evaluation range, reference range, or critical range); displays in same unit of measure as the result value
Flag Flag added to the result value during evaluation
Material One or more identifiers for the materials used while testing the result value; applies to a limited set of device types
Reviews
Time Time the review occurred; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Reviewed By Operator who reviewed the result
Note Text describing the review
Notifications
Status Indicates whether the notification was Attempted or Successful
Time Time the notification was recorded; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Notified By Operator who recorded the notification
Action Text describing the notification action
Notified Clinician The person who was notified
Transfers
Time Time the transfer occurred; if multiple time zone support is enabled, this is displayed relative to your time zone preference
Status Status of the result after the transfer
Panels Panels to which the result was matched during transfer
Outbound Configuration Outbound configuration used for the attempted transfer
Application Acknowledgement Time When application acknowledgement was received from the hospital system (Only applies to systems using enhanced acknowledgement); if multiple time zone support is enabled, this is displayed relative to your time zone preference