Guided Notes

Results, Problem Lists & Chart Review

How lab and imaging results flow in and get acknowledged, the problem/allergy/medication lists that summarize the patient, in-basket messaging and how clinicians navigate a chart.

Results flow

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1. Order placed in the EHR → sent to lab/radiology system. 2. Specimen collected / exam performed. 3. Result produced (lab analyzer, radiologist report) → interface sends it back (HL7 ORU message). 4. Result files to the patient's chart and the ordering provider's in-basket. 5. Abnormal and critical results are flagged; critical values must be phoned to a clinician and documented (accreditation requirement). 6. Provider acknowledges/signs and communicates with the patient (often via the portal).