Ordering labs through Junction

Junction is Ona's electronic lab ordering route. The order goes straight to the lab. Its status updates on its own as the sample is collected and processed, and the results come back into the patient's chart as a lab report. You don't need to fax or re-key anything.

Connecting Junction

An Owner or Admin sets Junction up once for the practice:

1. In the left sidebar, click Settings (at the bottom). In the settings menu, under Dispensary, click Labs and turn on Labs.
2. Under Integrations, select Connect Junction. The same page is under Dispensary → Junction in the settings menu.
3. Select Provision clinic in Junction. When the card reads Ready and the webhook shows Registered, anyone with an ordering role can place orders.

Connecting Junction and Fullscript covers setup in detail.

If lab ordering is unavailable when you try to order, an Admin can select Open lab settings from the error message and finish setup. If the page says the deployment has no Junction credentials, contact Ona support. That part is configured on our side.

Placing an order

In the left sidebar, click Patients, then click the patient's name. In the patient sidebar, click Lab Orders. Ona syncs the patient to Junction, then opens the ordering panel inside the chart.

1. Select Order labs.

If the menu shows Connect Junction instead, the practice isn't connected yet (see above).

The launch page is labeled Lab orders. Before the Junction ordering panel, Ona shows an Insurance for lab billing card with the patient's lab billing insurance status and available actions.

If Junction needs to refresh the embedded session, the page title is Resuming lab ordering and the screen says Resuming your Junction session… before returning to ordering.

When you submit the order in Junction, Ona records the order and opens its detail page.

If the order won't open

Message	What to do
Complete patient profile	Select Complete patient profile. Junction needs a few patient details before lab ordering can open. Closing the patient sheet tries the launch again.
Lab ordering is unavailable	Junction isn't fully set up for the practice. An Admin can select Open lab settings and finish setup.
You can't order labs for this patient	Your role can't order labs. Ask an Owner or Admin.
Couldn't start lab ordering	Select Retry.
Couldn't load Junction ordering	Select Retry. If your browser keeps blocking it, Order in Junction instead opens Junction directly, when your practice allows it.

Following an order

In the left sidebar, click Patients, then click the patient's name. In the patient sidebar, click Lab Orders to see the patient's Junction lab orders.

Each row shows the tests, lab, marker count, collection method, status, ordering clinician, ordered date and last update. A red Action required badge means Junction needs something from you, such as a missing answer or a redraw. The ordering clinician is also notified.

Owners, admins and staff can also use the clinic worklist named Lab orders to review Junction orders across the clinic. Clinicians see the orders available to them.

• All orders shows the clinic's Junction orders.
• Action required shows orders that need attention.
• Needs ops review is available to owners, admins and staff.
• Unmatched results is available to owners, admins and staff.
• Use All and the other status filters, From, To, and Refresh to narrow or update the list.

The order page

In the left sidebar, click Patients, then click the patient's name. In the patient sidebar, click Lab Orders, then select an order to open it.

The order header shows the order status and any Action required badge. Depending on the order, it can also show these actions:

• Share shares the order with the patient when the order is matched to a patient. After sharing, it changes to Shared. Open the Shared menu to see the share date or select Stop sharing with patient.
• Mark draw completed is available for on-site collection orders that are not terminal.
• Cancel order is available until the order is completed, cancelled or failed.

The page is organized into cards:

• Results: Awaiting results until the lab reports. After that, it shows Results ready, Partial results in or Critical value to review, with the marker count and when the results arrived. Select Open lab report to read them. See Reviewing lab reports.
• Tests & markers: what was ordered, the lab and sample type, and whether fasting is required.
• Timeline: every status change from Junction, newest first. For example, Ordered, Requisition created, Partial results, Completed.
• Details: collection method, lab, who ordered it and when, origin when available, the Junction order ID, and when it last synced.
• Appointment: appointment status, time and provider when Junction sends appointment details.
• Documents: the Requisition from Junction, plus an ABN when the lab issued one. The Requisition is disabled until Junction creates it.
• Related orders: redraws or related orders that share the same Junction transaction.

For orders with no matched patient, results can appear inline on the order page. A critical result shows Critical result — acknowledge now with Acknowledge for clinicians. A final result can be marked with Mark as reviewed, and View lab report opens the lab report PDF when one is available.

Cancelling an order

In the left sidebar, click Patients, then click the patient's name. In the patient sidebar, click Lab Orders, select the order, select Cancel order, then confirm Cancel order in the Cancel this lab order? dialog. Select Keep order to leave without cancelling.

Cancel order is offered until the order is completed, cancelled or failed. Junction decides whether the order can still be cancelled. Once the sample is at the lab, it usually can't be. If Junction refuses, its reason is shown.

When an order looks stuck

In the left sidebar, click Patients, then click the patient's name. In the patient sidebar, click Lab Orders, then select the order. If an order hasn't moved in a while, but you know the sample was collected, an Owner or Admin can select Resend updates under Admin on the order page. Junction redelivers the order's latest status, and the timeline catches up.

Notifications

Junction events notify the ordering clinician in Ona. If Ona can't find that clinician, the practice owners are notified instead.

• Lab results ready: final results are in, and every marker is within range.
• Abnormal lab result: final results include values outside the reference range.
• Critical lab result: review and acknowledge now. Clinicians are re-paged every 15 minutes until someone acknowledges it.
• Lab order needs attention: the order has an Action required issue.
• Lab order cancelled or failed: no results will arrive.
• Lab order placed outside Ona: someone ordered for this patient directly in Junction. It still appears in the patient's Lab Orders.