Using Shadowbox

Updated on October 1, 2024 • 4:30 Minutes to read

Updated on October 1, 2024
4:30 Minutes to read

The Shadowbox application is a smart browser that enables an authenticated end user to access multiple applications at once, transferring data safely and securely across their healthcare applications.

Logging in

Shadowbox is typically branded for each client, such that the application carries their brand name. For example, if you are using Shadowbox to process orders and results with your diagnostic lab or imaging center, the name of the application will likely be your lab’s name, and the icon for the application will carry your lab’s logo. For the sake of example, we’ll use ACME LABS as the  example client.

To open the application, click on the application icon (shown below as ACME LABS). The application icon is likely located on your desktop, your taskbar, or in your downloads folder. If you are having issues with the installation or finding the application, please refer to the installation instructions

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Enter your username and password. Your Username and your password will be provided to you by Shadowbox. It is recommended that you update the password after logging in for the first time. Once complete, click “LOG IN.”

Figure 1.4 Shadowbox Login
Figure 1.4 Shadowbox Login

Remember me – If checked, the application will store the Shadowbox application credentials locally on the computer.

Login automatically – If checked, this will automatically log in the user once Shadowbox is opened.

Change password after login – If checked, this will prompt the user to update their password after clicking “LOG IN.” It is recommended that you update the password provided by Shadowbox upon first login.

Note: These passwords are not stored by your ancillary service provider (e.g., lab, imaging center, etc.) You may reset your Shadowbox password at any time by reaching out to Shadowbox at support@shadowbox.com.

Placing an order

To place an order, you must first access the patient’s chart within the EHR displayed within the app. This generally requires searching for the patient, then clicking into the “information”, “hub” or “dashboard” tab of their chart.

 Note: Shadowbox connects many different EHR’s, and accessing the patient’s chart may work differently in the EHR that you use.

When ready to order a lab, click “ORDER” in the top right-hand corner, as seen below (figure 1.5). Remember to have the patient’s chart open before ordering a test.

Figure 1.5 Order Button
Figure 1.5 Order Button

The Shadowbox App will automatically activate the online requisition form alongside the EHR, with the EHR on the left and the online requisition form on the right. (Figure 1.6) Certain patient information will automatically transfer from the EHR to the requisition, including but not limited to patient demographic information (patient name, insurance, address, date of birth), the location, and the ancillary service provider (e.g., lab, imaging center, etc.).

Note: Shadowbox is a custom-built application, and how and when information is transferred to the online requisition form may vary from customer to customer.

Figure 1.6 EHR and Requisition Form Split Screen
Figure 1.6 EHR and Requisition Form Split Screen

You may update the information on the form as needed. Your ancillary service provider (e.g., lab, imaging center, etc.) may also offer a selection of multiple requisition forms depending on the type of test you need. To fill in the requisition form, please follow these steps:

  1. Online Requisition Form: Using the online requisition located on the right of the screen, use the “Select Requisition Form” drop down menu to select the appropriate form, and scroll down to add the appropriate test type, test order, and diagnosis codes.
  2. Diagnosis Codes: Please note that the application may pull over all active diagnosis codes within the patient chart into the diagnosis code section. Or your digitized requisition form may contain a button to select diagnosis codes from a list. To select additional diagnosis codes, click the button and select whichever codes apply to the test order before clicking ‘OK.’
  3. Medications: The application may pull over all active medications automatically. From there, you can edit the information by adding additional medications or editing the data transferred from the chart. *Note this section is only required if it is included in your digitized requisition form. Please be sure to complete the digitized requisition as instructed by the ancillary service provider (e.g., lab, imaging center, etc.).
  4. Insurance Carrier: The patient’s insurance is automatically pulled from the patient's chart and added to the order. The information included is, the subscriber, guarantor, policy ID, and insurance name, and will only appear if active in the patient chart. Please verify all insurance information is up to date and accurate so that the lab or imaging center has the information needed prior to submitting the order. If the lab or imaging center requires a copy of the insurance card, please print and send it with the order. If you have any questions about which information is required to submit a test, please reach out to your lab or imaging center representative.

When finished, click the “SUBMIT” at the top of the screen.  If the requisition is incomplete, you will be prompted to input missing information prior to submission. Once a requisition is submitted, Shadowbox will convert the order to a PDF file that will appear for you to print. The order is electronically sent to your lab or imaging center, and the pdf file is transferred to the EHR, available to download or print.

Figure 1.7 EHR and Req Form Split Screen Submit Button Location
Figure 1.7 EHR and Req Form Split Screen Submit Button Location

Reviewing results

To view results, you will need to click on the results box in the top right-hand corner of the screen. (Figure 1.8)

Figure 1.8 EHR Results Button
Figure 1.8 EHR Results Button

The results will load as a list on the right side of the screen, with your EHR on the left side of the screen, as shown below (Figure 1.9).

Figure 1.9 Results Split Screen
Figure 1.9 Results Split Screen

Shadowbox allows you to select multiple results at once by clicking on the checkboxes on the left side of the results list. You can view and accept results one-by-one by selecting “View” on each line item, and then clicking the “Accept” box.  You can accept a group of results by clicking the check box to the left of the list or select the check box at the top and select “Accept All” to accept all results into the EHR. The list highlights the results that are “consistent” vs. “inconsistent” to help you filter the list of results that require review.

Note: Shadowbox also offers a premium feature that enables fully automated results processing. Please contact our support team at support@shadowbox.com for more information.

Accessing end-user training & videos

Shadowbox provides user guides and videos. Our dedicated Customer Success Team will provide links for end-user training videos, guides and marketing documents via email. Please reach out to support@shadowbox.com if you need access to your training videos guides or marketing documents.