The province of Ontario has a unique lab report system that collects and aggregates lab reports from labs and hospitals, called the Ontario Lab Information System, or OLIS. This system stores past lab results in a repository that can be accessed through Juno EMR, allowing your providers much greater access to the vital information that will help guide their treatment decisions. 

The OLIS Search

There are two areas of the EMR in which your OLIS search functions will appear: the Inbox, and at the bottom of each patient’s Incoming column. The Inbox is a repository of lab results and documents that your clinic has received (or have been uploaded by your team). You can find more on the Inbox at this link. The Incoming column appears on the right-hand side of each patient’s Summary page and is a collection of the documents and lab results that have been assigned to that patient in particular. In the Inbox and at the bottom of each patient’s Incoming column, you will find a link or button to the OLIS search, pictured below: 

Clicking on that link or button will open a new window, pictured below.

  1. OLIS Search Links - Click the OLIS Search in either your Inbox or at the bottom of a patient’s incoming column in their Summary page to enter the OLIS Search. 

  2. Search Button - When your search filters are set to your liking, click this button at either the top or the bottom of the search window to query OLIS.

  3. Date/Time Filter (Required) - It is required that you include a start date for your search. You may want to include an end date to narrow your search results. 

  4. Quantity Limit: Checking this checkbox and entering a number into the Quantity text field will set the maximum number of results that will be displayed.

  5. Consent to View Filter - Some patient information is blocked from view without the direct consent of the patient. Unless the provider has confirmed that consent has been given, some results may not be displayed. If your patient has provided consent to view this blocked information, you can select “Temporary” from the drop down provided. If you do, please indicate if that consent was provided by the patient or by a substitute decision maker. 

  6. Substitute Decision Maker Record - If consent was given by a substitute decision maker in (4), identify that decision-maker and their relationship to the patient here. 

  7. Lab Filters - These filters will allow you to determine specific lab types to narrow down your results (eg. LifeLabs). 

  8. Patient (Required) - If you have opened this search window from a patient’s Summary page, this field will be filled in with that patient’s demographic information. If you have opened this window from the Inbox or Admin, you will need to search for a patient whose labs you would like to review. Type the patient’s name into the text field provided (last name, a comma and a space, and then their first name), and click on the name as it appears in the list below. You can search for partial names, so long as the beginning of the surname and given name are correct. You will only be able to search for patients who already have a demographic record in your Juno EMR system. 

  9. Requesting Health Information Custodian (HIC) (Required) - Select your name from the drop-down provided. If you are requesting this result on behalf of another provider, select that provider’s name instead.  

  10. Requesting Physician Filters - These filters will allow you to determine specific practitioners involved in the requisition of the labs to narrow down your results. 

Search Results

When you click Search (2) in the image above, results for that patient will appear, as in the image below.

  1. 10. Patient information - The patient’s name, sex, date-of-birth, health insurance number, and phone number will be listed along the top of the results for reference. 

  2. Show/Hide duplicates/removed - Shows or hides lab reports that already exist in Juno. The default is to hide duplicates and lab results that you have marked for removal. 

  3. Add to Inbox - Clicking this button will add the lab result to your EMR inbox (in-line with that button), allowing you to interact with it in the same manner as any other lab result received by your clinic. It will also add the lab result to the patient’s Incoming and Lab Results sections of the eChart. 

  4. Save/File - This button will add the lab to your inbox, but this time as a “Filed” report, meaning that you will not receive a notification for that lab result, and it will not appear when you click the Inbox link. The lab result will appear in the patient’s Incoming column in their eChart, or when searching for filed results in your Inbox. . 

  5. Acknowledge - This button will add the lab to your inbox, but this time as an Acknowledged document. Acknowledging a lab result indicates that you have reviewed the document and no longer need to see that document in your inbox. You will not receive a notification for that document and it will not appear when you click the Inbox link. The lab result will appear in the patient’s Incoming column in their eChart or when searching for acknowledged lab results in your Inbox. . 

  6. Preview - Opens a window that shows this specific lab’s results, allowing you to view the report without adding the lab to your inbox or patient chart. 

  7. Remove - This allows you to remove lab reports from the OLIS query results, so the next time you run a query, these specific results will not show again.

Lab information - These columns display information about the lab results. The order number used by the lab company that processed the specimen, the collection date/time, the last time that lab result was updated in the OLIS system, the lab’s discipline, the type of specimen that was tested, and the name of the specific test that was requested. This lab information can help you find exactly the lab that you are looking for. Note: Lab order numbers indicate which results are connected to a specific lab requisition and result. Lab results with the same lab order number will display all of the results that are associated with that lab order number.