YUse the SANDI Labs Module to request and receive labs form the VDL and VTH internal lab equipment. 

Selection Buttons

• Create VDL Order (New as of 10/31/24) - For requesting lab tests from our onsite Veterinary Diagnostic Lab (VDL)
• Create IDEXX Order - Used to submit orders to onsite IDEXX machines located in the SAC ER and 
• View Unmapped Labs - Worklist for unmapped NOVA results
• VDL VADDS Archive - Houses all onsite NOVA results and past/archived VDL VADDS results.
• Charge Entry - Shortcut to the Charge Entry screen for the current patient.

Lab Sources 

• VDL: New resulting from COFL
• VTH/VADDS: Nova and the old VDL results from VADDS
• IDEXX: Internal IDEXX resulting from IDEXX machines in the ER or VMSC

Visit - List the visit associated with the each lab request

Lab 

• IDEXX test names will be listed and be prefaced with "IDEXX"
• NOVA tests will display as "NOVA pofile"
• OLD VDL VADDS will display wit the test name. 
• VDL COFL test requests can have multiple specimesn and tests so there is no one to one mapping. Therefor you will see specimen and test counts here. 

Results - This will be the timestamp of the last Status completed on the test

Status - This the current action or in process on the test

Staff - This will be the performing doctor from the Visit unless overridden when submitting the test.

Order Ref. # - this is the VDL reference number and EXTREMELY important when contacting the VDL about your tests.  

Status and Results Overview

Both VDL COFL and IDEXX results will be available via PDF.  (Only IDEXX individual discrete data will display in the tables and graphs.  A future enhancement, TBD, will allow COFL discrete data.)

Lab Created

• IDEXX - The status confirms the order is created in SANDI and sent to the IDEXX instrument. etc. 
• VDL - The order has been created but has NOT been submitted to the VDL yet. 

Note: IDEXX tests can only be edited while in the Created status. 

Lab Submitted

• IDEXX - This status means the test is pending selection on the IDEXX instrument.
  • It may take 2-3 minutes to appear the instrument.
• VDL - This status means the test has been sent to the VDL system.

Note: VDL tests cannot be edited after submission.  Any changes must be coordinated directly with the VDL.

Lab Complete

• IDEXX and VDL - The test has completed running on the IDEXX instrument or the VDL has submitted results that are now viewable in SANDI.

Note: The VDL will NOT post the PDF of results until all tests are finalized. 

Lab Canceled 

• IDEXX - Test canceled only applies to unsubmitted tests. NO other status can be Canceled and they drop off the list after seven (7) days.
• VDL - The VDL has cancel the test and an email  goes out to the Dr(s) listed on the visit within SANDI where it is indicated that they "Want Updates".

Note: If you have any questions or concerns, contact the VDL directly and provide the Order reference number from the Lab test.

SANDI Actions

Print Specimen Label - VDL ONLY   

Edit: Shows detailed results listing, including past results and graphs (s). (You can edit before a test is submitted.)

View: Allows viewing of the provided report via your browser.

Delete: Removes the test Results. You can only delete a test before submission.

Report: the provided report is in PDF format and allows for printing if desired.

Charges NOT entered: SANDI: checks to ensure that charges are entered for the tests run. It will flag the uncharged test(s) with a red exclamation mark. Enter charges, then return, select the Edit icon, and add the correct visit.

Unmatched Results - This happens if the IDEXX instrument does not have a way to associate the test with the visit automatically.  When this happens the tests must be matched manually within the lab module.  

Step 1: Add the test charge to the Patient account in SANDI.  Adding the charge automatically does the following:

• Creates a lab result "placeholder" in SANDI for the test results to upload upon completion.
• A sticker will print on the NOVA printer containing the information needed to enter the test on the NOVA machine. 

Step 2: Retrieve the patient information sticker from the NOVA printer and go to the NOVA machine.

Step 3: CAREFULLY enter ALL info into the NOVA machine.  Accuracy is VITAL or the results will NOT upload to SANDI.  The following must be entered:

• Medical Record (MR#) 
• Last Name
• For the Accession number, enter the Visit Number
  • The accession number is very important because it links the results to the correct account when uploaded into SANDI.  If this number is not entered, the results will sit in a “queue” space until they are manually moved to the correct account.  If this happens please see Jessica Garrett in the ER.
• Check all information again.

Step 4: Do a final check to ensure that the patient info you are entering is correct and submit the test.

Resubmitting a NOVA Test

Ensure this is the proper course of action before proceeding.

How to resubmit a test on the NOVA Prim Plus Vet

From the Patient Dashboard, select VTH in the Labs box.

All Visits with associated, matched, and unmatched, results will appear with the following Actions available:

Edit: Icon to see detailed results listing, including past result list and graph(s).

Delete: will remove the test Results

Mark Results as received: Joins the unmatched result with the Visit.  

Note: Unmatched Results - When an unmatched result occurs it means that the NOVA does not have a way to associate the test with the visit automatically so they must be matched within the lab module. (This is typically caused by failing to create the charge for the test in SANDI before running the NOVA test or it can be a result of incorrect information being entered on the NOVA machine. 

Edit Screen

Results

Results will display values for all tests that were run.  If a value is empty the test was not run.

Test Reference Ranges

The test reference ranges are set as the baseline for the lower and upper normal results.

• Low - This is the lowest point of a normal result.
• High - This is the highest point of a normal result.
• Alert - This indicates that a result falls outside of the normal result range and should be studied further. 

Past Results

Past results, if prior tests have been run, will display, newest to oldest, in column format.  If a value is empty the test was not run.

Results Graph

When multiple results are available, the results graph will include red baselines indicating the test's reference ranges (low/high) s shown below.

If tests are unmatched or there is no data in between test points there will be no result line nor red reference range lines.  In the example below there is a GGT test result on 2/23/21 and 7/20/23 but there is a missing result on 3/3/22 which is why there are no graph lines. 

Import Results

This will list unmatched results for the visit currently open???  

Unmatched Results occur when the NOVA does not have a way to associate the test with the visit automatically.  When this happens the tests must be matched manually within the lab module. (\

What causes unmatched results:

1. Failing to create the charge for the test in SANDI before running the NOVA test.
2. Incorrect information being entered on the NOVA machine. 

Example of an unmatched result

As you can see there are no results for this test from 1/31/23.

1. Select the Edit Icon:  

2. Select Import Results Button:

3. We know the test is from 1/31/23 so we can enter that date into the search box to narrow down the list of unmatched tests. We then see that there is a test with the MR# entered instead of the Visit number.  We know this is the correct test to match. 

4. To Import the test, select the Import Iconbeside the test you want to map.

5. Ensure you are importing the correct results and select Yes.

6. Once complete you will see a box in the lower right corner, Lab Results Imported, confirming completion,

7. Close the Lab Results box and you will see the Results column is now populated with the date/time of the results.