Potential Patient Safety
Abnormal Result Icon That Indicates Abnormal Order Results Does Not Appear in Electronic Lab Orders
Release Date
March 19, 2024
Known Issue #
KI201515
Issue
In NextGen® Office EHR, when order results are abnormal, the abnormal result icon 
appears in the Title field for the order on the Orders Dashboard and Orders page in the patient chart, and the Order History page in an encounter. For electronic lab results with multiple tests, the abnormal result icon received first is overwritten by a different test with a normal result, causing the abnormal result icon to not appear. This issue does not affect the flagging of abnormal results.
Steps to Reproduce
Example Workflow
- The provider creates an order with test A, test B, and test C.
- The lab returns result message 1 for test A (normal) and test B (abnormal), but not for test C (still pending).
On the Orders History page, the provider sees the abnormal result icon next to the order because test B is abnormal.
When the provider sees the actual result values, they see the normal value for test A, abnormal value for test B, and no value (or pending) for test C.
The result values on the Order Results page are accurate. On the Orders History page, select the electronic lab order's row and then select Results or select the electronic results icon 
under Options.
-
The lab returns result message 2 for test C only (normal).
On the Orders History page, the provider does not see the abnormal result icon next to the order because result message 2 does not have the abnormal flag indicator because test C is normal.
When the provider sees the actual result values, they see the normal value for test A, abnormal value for test B, and a normal value for test C.
The result values on the Order Results page are accurate. On the Orders History page, select the electronic lab order's row and then select Results or select the electronic results icon under Options.
Action Required
If you have an order with abnormal results and pending results, add a note to the order marking it as abnormal so you are aware that the order contains abnormal results.
Status
This issue was resolved on June 6, 2024.
Clients who are experiencing this issue can link their practice to this issue via the NextGen Healthcare Success Community homepage (https://www.community.nextgen.com). Just navigate to the Known Issues tab, select the Known Issue which is affecting your practice, and check the This Known Issue Affects me check box. A case will be created on your behalf and you will be kept updated on the status of this issue.
