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Lab Test Request

Generate accurate and consistent data from any document, any layout.

Healthcare Document Intelligence

The world's best lab order extraction

Streamline laboratory workflows with automated lab order processing. Extract patient demographics, ordering provider details, requested tests with CPT codes, and clinical indications. Reduce transcription errors and accelerate specimen processing.

lab-test-request.pdf

Viewer

JSON

order_date

2024-03-20

order_number

LAB-2024-789012

stat_order

false

fasting_required

true

patient_name

David L. Chen

patient_dob

1975-09-30

patient_gender

Male

patient_phone

(555) 456-7890

patient_address

789 Pine Street, Portland, OR 97201

medical_record_number

MRN-2024-11223

insurance_name

United Healthcare

insurance_member_id

UHC456789012

ordering_provider_name

Dr. Rebecca Foster, MD

ordering_provider_npi

1472583690

ordering_practice

Portland Internal Medicine

ordering_phone

(555) 567-8901

ordering_fax

(555) 567-8902

clinical_indication

Annual wellness exam, diabetes monitoring

Diagnosis_codes

2 items

icd10_code

description

Z00.00

Encounter for general adult medical examination

E11.9

Type 2 diabetes mellitus without complications

Tests_ordered

6 items

test_name

cpt_code

specimen_type

Comprehensive Metabolic Panel

80053

Serum

Hemoglobin A1c

83036

Whole blood

Lipid Panel

80061

Serum

Complete Blood Count with Differential

85025

Whole blood

Thyroid Stimulating Hormone

84443

Serum

Urinalysis with Microscopy

81001

Urine

specimen_collection_date

2024-03-21

specimen_collection_time

08:30

collection_site

Portland Lab Services - Downtown

special_instructions

Patient fasting for 12 hours. Diabetic - schedule early morning draw.

Copy_results_to

2 items

provider

fax

method

Dr. Rebecca Foster

(555) 567-8902

Patient Portal

Electronic

{ "order_date": "2024-03-20", "order_number": "LAB-2024-789012", "stat_order": false, "fasting_required": true, "patient_name": "David L. Chen", "patient_dob": "1975-09-30", "patient_gender": "Male", "patient_phone": "(555) 456-7890", "patient_address": "789 Pine Street, Portland, OR 97201", "medical_record_number": "MRN-2024-11223", "insurance_name": "United Healthcare", "insurance_member_id": "UHC456789012", "ordering_provider_name": "Dr. Rebecca Foster, MD", "ordering_provider_npi": "1472583690", "ordering_practice": "Portland Internal Medicine", "ordering_phone": "(555) 567-8901", "ordering_fax": "(555) 567-8902", "clinical_indication": "Annual wellness exam, diabetes monitoring", "diagnosis_codes": [ { "icd10_code": "Z00.00", "description": "Encounter for general adult medical examination"}, { "icd10_code": "E11.9", "description": "Type 2 diabetes mellitus without complications"} ], "tests_ordered": [ { "test_name": "Comprehensive Metabolic Panel", "cpt_code": "80053", "specimen_type": "Serum"}, { "test_name": "Hemoglobin A1c", "cpt_code": "83036", "specimen_type": "Whole blood"}, { "test_name": "Lipid Panel", "cpt_code": "80061", "specimen_type": "Serum"}, { "test_name": "Complete Blood Count with Differential", "cpt_code": "85025", "specimen_type": "Whole blood"}, { "test_name": "Thyroid Stimulating Hormone", "cpt_code": "84443", "specimen_type": "Serum"}, { "test_name": "Urinalysis with Microscopy", "cpt_code": "81001", "specimen_type": "Urine"} ], "specimen_collection_date": "2024-03-21", "specimen_collection_time": "08:30", "collection_site": "Portland Lab Services - Downtown", "special_instructions": "Patient fasting for 12 hours. Diabetic - schedule early morning draw.", "copy_results_to": [ { "provider": "Dr. Rebecca Foster", "fax": "(555) 567-8902"}, { "provider": "Patient Portal", "method": "Electronic"} ] }

lab-test-request.pdf

Viewer

JSON

order_date

2024-03-20

order_number

LAB-2024-789012

stat_order

false

fasting_required

true

patient_name

David L. Chen

patient_dob

1975-09-30

patient_gender

Male

patient_phone

(555) 456-7890

patient_address

789 Pine Street, Portland, OR 97201

medical_record_number

MRN-2024-11223

insurance_name

United Healthcare

insurance_member_id

UHC456789012

ordering_provider_name

Dr. Rebecca Foster, MD

ordering_provider_npi

1472583690

ordering_practice

Portland Internal Medicine

ordering_phone

(555) 567-8901

ordering_fax

(555) 567-8902

clinical_indication

Annual wellness exam, diabetes monitoring

Diagnosis_codes

2 items

icd10_code

description

Z00.00

Encounter for general adult medical examination

E11.9

Type 2 diabetes mellitus without complications

Tests_ordered

6 items

test_name

cpt_code

specimen_type

Comprehensive Metabolic Panel

80053

Serum

Hemoglobin A1c

83036

Whole blood

Lipid Panel

80061

Serum

Complete Blood Count with Differential

85025

Whole blood

Thyroid Stimulating Hormone

84443

Serum

Urinalysis with Microscopy

81001

Urine

specimen_collection_date

2024-03-21

specimen_collection_time

08:30

collection_site

Portland Lab Services - Downtown

special_instructions

Patient fasting for 12 hours. Diabetic - schedule early morning draw.

Copy_results_to

2 items

provider

fax

method

Dr. Rebecca Foster

(555) 567-8902

Patient Portal

Electronic

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