Glossary of Terms

After reviewing this information, you will be able to explain the different types of laboratory interfaces or laboratory terms.

Term

Definition

Advance Beneficiary Notice (ABN)

An advance beneficiary notice is a document printed for the patient to sign acknowledging they will be personally responsible to pay for the laboratory testing services should his or her insurance carrier deny payment to the laboratory.

Base Lab (Manual Lab)

Base lab or manual lab is the lab module included with the base Intergy EHR system. It allows the practice to build test catalogs for their in-house lab testing and for labs outside the practice where lab interfaces are not available. The practice uses the Results Entry screen to post lab test results to the patient medical record. Requisition printing is not available in the base lab.

Bi-directional Lab Interface

A bi-directional laboratory interface is a system that automates communication between the practice and laboratory. Lab orders are created locally by the practice using test catalog and medical necessity master files. Requisitions and advanced beneficiary notices (ABNs) are printed and transmitted to the laboratory. Once the tests are performed.

In-House Laboratory

An in-house laboratory is one that is owned and operated within the practice.

An in-house laboratory may use an LIS interface or the practice can use the base lab in Intergy to record lab results.

Lab Analyzer

A lab analyzer is the machine that performs the laboratory test and produces raw test results.

Lab Order

A lab order is the set of tests the provider is requesting.

Lab Portal Services

Intergy EHR Lab Portal Services is available with Intergy and Intergy EHR 3.00.01 and higher. Lab Portal Services integrates the multi-lab national Web-based Clinician clearinghouse lab order entry and results reporting solution.

LOINC Code

Logical Observation Identifiers Names and Codes (LOINC) codes allow the practice to create a cross-reference table to map components from different labs to each other using LOINC codes. LOINC codes can be used in Intergy EHR Health Management and flowsheets to satisfy lab orders.

Medical Necessity

Medical necessity refers to services or items reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

Practice Owned Lab Interface

The Practice Owned Lab Interface (POL) uses Lab Portal Services as the conduit to create and transmit lab orders from Intergy EHR to the practice's in-house laboratory information system and receive and post lab results to the patient chart.

Reference Laboratory

A reference laboratory is one that is independently owned and operated outside the practice. A reference lab can be a commercial clinical laboratory; a national concern with laboratories in many states like Quest Diagnostics, Inc. or Laboratory Corporation of America (LabCorp). Reference labs can also be smaller laboratories servicing a small geographic area or can be a laboratory in a local hospital with an outreach program.     There are two different types of bi-directional lab interfaces to reference labs: Direct connect (also called point-to-point) lab interface and Lab Portal Services.

Requisition

A requisition is the laboratory test order. Requisitions typically include data about:

  • Patient demographic data.

  • Patient insurance data.

  • Ordering provider.

  • Lab tests ordered.