Effective Tuesday, February 7, 2012, there will be a re-organization of Results Review folders for laboratory test results in Epic. The purpose of these re-organizations is to eliminate miscellaneous categories like "Lab Tests-Others" and "Mailouts-Additional Testing" and also to consolidate folders to reduce visual clutter. This process incorporated extensive input from Epic users.

Some of the most significant changes are the following:

(1) All infectious disease results (cultures, serologies, etc.) are in categories based on organism type:
      INFECTION-BACTERIA
      INFECTION-FUNGI/PARASITES
      INFECTION-HIV/STDS
      INFECTION-SURVEILLANCE [e.g., air cultures, surface swabs in certain inpatient units]
      INFECTION-VIRUSES

(2) Endocrinology testing is consolidated into a set of folders:
      ENDOCRINE-ADRENAL
      ENDOCRINE-BONE/CALC/PTH
      ENDOCRINE-GLUCOSE/INSULIN
      ENDOCRINE-HYPOTHAL/PITUIT
      ENDOCRINE-NEUROENDOCRINE
      ENDOCRINE-REPRODUCTIVE
      ENDOCRINE-THYROID

(3) All drug of abuse testing is now consolidated into two folders:
      DRUG OF ABUSE, CONFIRM
      DRUG OF ABUSE, SCREENING

(4) All therapeutic drug monitoring (antibiotic levels, immunosuppressives, anti-epileptics) is consolidated into a single folder:
      THER DRUG MONITORING

Complete lists of the major changes are summarized in Tables 1 and 2.

• Table 1 shows new categories that have been created. In most cases, these categories replace and eliminate current smaller folders.
• Table 2 lists the folders that will be removed. All tests in vague categories like "Mailouts-Additional Testing" or "Lab Tests-Others" have been re-assigned to more specific categories.

Obviously, no system of organization is perfect but it is hoped that these changes improve accessing results.

Lastly, this re-organization does not affect tests ordered as "MISCELLANEOUS TEST" (Epic # LAB3621) or for results in the Media tab (e.g., scanned results).

Questions should be directed to Matthew Krasowski, MD, PhD, Director of Laboratories, 384-9380, matthew-krasowski@uiowa.edu.

Table 1 - New Epic Results Review Folders

Category of testing	Epic Result Review Folders
Biochemical tests (e.g., for inborn errors)	BIOCHEMICAL TESTING
Celiac disease	CELIAC DISEASE
Drug of abuse testing	DRUG OF ABUSE, CONFIRM DRUG OF ABUSE, SCREENING
Endocrine testing	ENDOCRINE-ADRENAL ENDOCRINE-BONE/CALC/PTH ENDOCRINE-GLUCOSE/INSULIN ENDOCRINE-HYPHOTHAL/PITUIT ENDOCRINE-NEUROENDOCRINE ENDOCRINE-REPRODUCTIVE ENDOCRINE-THYROID
Genetic testing	DNA/MOLEC GENETIC TESTS MOLECULAR ONCOLOGY
Heavy and trace metal testing (excluding iron)	HEAVY/TRACE METALS-BLOOD HEAVY/TRACE METALS-URINE
Infectious disease testing	INFECTION-BACTERIA INFECTION-FUNGI/PARASITES INFECTION-HIV/STDS INFECTION-SURVEILLANCE INFECTION-VIRUSES
Porphyrias (porphyrins, porphobilinogen)	PORPHYRIAS
Protein electrophoresis (including light chains)	ELECTROPHORESIS-SERUM ELECTROPHORESIS-URINE
Therapeutic drug monitoring (for all drugs)	THER DRUG MONITORING
Toxicology	TOXICOLOGY

Table 2 - Folders to be Phased Out

Current Epic Folders to be Removed	Replaced with
Vague categories LABS-OTHER TESTS MAILOUT ADDITIONAL TESTING MAILOUT-GENETIC TESTING MAILOUT-SEROLOGY/IMMUNOLOGY RANDOM URINE TESTS	Test reassigned to multiple categories Test reassigned to multiple categories Test reassigned to multiple categories Test reassigned to multiple categories Test reassigned to multiple categories
Infectious disease-related INFECTIOUS DISEASE TESTING MAILOUT-INFECTIOUS DISEASE TESTING MICROBIAL SEROLOGIES MICROBIOLOGY MOLECULAR INFECTIOUS DISEASE UHL OTHER TESTS COXACKIE A ANTIBODIES FUNGAL SEROLOGY	Multiple categories Multiple categories Multiple categories Multiple categories Multiple categories Multiple categories INFECTION-VIRUSES INFECTION-FUNGI/PARASITES
Endocrine-related GLUCOSE METABOLISM INSULIN METABOLISM PARATHYROID HORMONE THYROID FUNCTION ENDOCRINE TESTING ENDOCRINE-URINE TESTING CATECHOLAMINES/METANEPHRINES	ENDOCRINE-GLUCOSE/INSULIN ENDOCRINE-GLUCOSE/INSULIN ENDOCRINE-BONE/CALC/PTH ENDOCRINE-THYROID Multiple categories Multiple categories ENDOCRINE-ADRENAL
Therapeutic drugs ANTIARRHYTHMIC DRUGS ANTIBIOTICS ANTICONVULSANT DRUGS IMMUNOSUPPRESSIVE DRUGS SULFONYLUREA HYPOGLYCEMICS THERAPEUTIC DRUGS, OTHER	THER DRUG MONITORING THER DRUG MONITORING THER DRUG MONITORING THER DRUG MONITORING THER DRUG MONITORING THER DRUG MONITORING
Genetic testing MOLECULAR GENETICS	DNA/MOLEC GENETIC TESTS MOLECULAR ONCOLOGY
Coagulation testing COAGULATION FACTORS HYPERCOAGULUBILITY WORK-UP	COAGULATION COAGULATION
Electrophoresis and light chain analysis IMMUNOFIX. ELECTPHOR. SERUM SERUM PROTEIN ELECTROPHORESIS IMMUNOFIX. ELECTROPHOR. URINE URINE PROTEIN ELECTROPHORESIS	ELECTROPHORESIS-SERUM ELECTROPHORESIS-SERUM ELECTROPHORESIS-URINE ELECTROPHORESIS-URINE