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Laboratory Information System

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The module is required to be fully integrated with the hospital information system and to include control on laboratory workflow from requisition and specimen collection and processing to results reporting. This includes the services, chemistry, microbiology, blood bank etc…The linking of the hospital information system with special laboratory equipment is required
The Laboratory Modules should manage the bulk of the administrative tasks involved in the Hospital . The system should enable laboratories throughout the Hospital to streamline the processing flow of patients’ specimens, flag abnormal test results , display result trends and monitor quality control.
Workloads statistics are needed to measure the work effort required to perform tests.

 
The following has been extracted from a recent RFP. I've included it here for your reference. It may prove useful for anyone preparing such a document.
Please feel free to comment on this list, and propose any items that you think should have been included in this list. 

 

Laboratory Modules

Description
Laboratory Modules
The module is required to be fully integrated with the hospital information system and to include control on laboratory workflow from requisition and specimen collection and processing to results reporting. This includes the services, chemistry, microbiology, blood bank etc…The linking of the hospital information system with special laboratory equipment is required
The Laboratory Modules should manage the bulk of the administrative tasks involved in the Hospital . The system should enable laboratories throughout the Hospital to streamline the processing flow of patients’ specimens, flag abnormal test results , display result trends and monitor quality control.
Workloads statistics are needed to measure the work effort required to perform tests.
The laboratory modules should consist of Phlebotomist collection , Chemical Pathology , Hematology, and Histology , Blood Bank and Donor Management , Microbiology and Serology.


>>> General
The Laboratory Module should have Hospital defined rules based logic capabilities , to assist in establishing , performing and maintaining laboratory policies and procedures
( ex: Order rules , site and workload rules , worksheet rules to streamline tasks , reflex rules for specimen tracking , interpretive resulting rules , charge rules , purge rules , reporting rules , calculation rules )
1   Phlebotomist collection
2   Blood Bank & Donor Management
3   Chemical Pathology
4   Cytology
5   Histology
6   Microbiology
7   Hematology
8   Serology
9   Allow for user defined numbering formats
10   Display patient's full history of Laboratory tests and results
11   Multi-facility specimen tracking and lab support
12   Perform patient searches and registration
13   On-line patient inquiries, reports and summaries
14   Allow for entry of patient condition and alerts
15   Calculation and reflex testing based on the results of trigger tests
16   Record financial transactions for the tests
17   Check for duplicate orders
18   Handle multiple/sub lab departments around the hospital
19   Allow other lab departments to view the tests/results
20   Authenticated viewing of sensitive lab tests/results (e.g. HIV)?
21   Automatic generation of collection lists, specimen labels, and worksheets
22   User defined specimen labels
23   Bar-coding support
24   Produce work-lists for tests requested and specimens received in labs
25   Wok lists production and rearrangement by work station
26   Transfer from one work-list to another
27   Sensitive archiving facilities
28   Instant comparison and statistical analysis of test results
29   Integrated inventory management and maintenance scheduling for laboratory instruments
30   Reference lab routines to accommodate individual client needs
31   Advanced telecommunications capabilities using system modems, network printers, and fax machines
32   Storage and retrieval of historical patient data
33   Multiple functions access for multiple patients and specimens from one screen

>>> Requisition Entry
 
34   Capability to establish sources, order tests and assign collection categories with requisition entry routines
35   Assign alpha / numeric test codes with profiles definition
36   Decentralized log-in at any workstation
37   Effective date ordering , with duplicate order checking
38   Facility to place orders from various sites on the network
39   User-definable reflex testing
40   Facility for free text or coded comments addition
41   Charge capture at test entry
42   Automatic credit issue with canceled requisition or specimen

>>> Specimen Collection
 
43   Specimen collection :- patient name
44   Specimen collection :- medical record number
45   Specimen collection :- Age
46   Specimen collection :- Gender
47   Specimen collection :- Weight
48   Specimen collection :- Location
49   Specimen collection :- ordering physician
50   Specimen collection :- test order
51   Specimen collection :- Order priority
52   Specimen collection :- Date and time for collection
53   Specimen collection :- Special handling or precautions
54   Specimen collection :- type of tubes to be collected
55   Specimen collection :- specimen volume
56   Specimen collection :- Specimen type
57   Specimen :- Date and time collected
58   Specimen :- Phlebotomist assigned to collection list
59   Specimen :- current status of lists
60   Specimen :- method of collection
61   Automatically transfer from a collection list to a work list
62   Hospital definable specimen and collection list labels
63   Automated specimen storage to identify location of specimens
64   Ability to generate bar code labels for specimens
65   Collection list and labels printed in room number order
66   Facility for Hospital defined collection categories for timed draws
67   Receipt of individual specimens or of an entire batch
68   Re-collection and reprint label capabilities
69   Ability to confirm receipts of samples

>>> Work Lists
 
70   Work Lists are needed to be used as load lists for automated analyzers or specimen lists for specific benches.
71   Arrange specimen by priority
72   User control of worksheet batch sizes and formats
73   Addition, deletion, or rearrangement of specimens
74   Ability to add comments per specimen
75   Capability to reprint worksheets with test results
76   The ability to define tasks which are automatically associated with laboratory and microbiology worksheets, such as instrument maintenance
77   Rules-based logic for inclusion/exclusion of specimens in a batch

>>> Results Entry
Laboratory technicians and supervisors should be able to enter, edit, review, and verify results for individual specimens or work-batches. All verified test results should be instantly available on-line throughout the Hospital.
78   Instant result entry with stat, urgent, or routine log-in
79   Result entry via workstations, on-line automated analyzers, and Hospital defined result entry screens with data checks.
80   Reflex testing for automatic ordering and deleting of tests
81   Result entry by specimen, patient, or worksheet
82   Result entry for groups of specimens with identical results via worksheet batches
83   Possibility to check for delta and percentage difference, abnormal and panic ranges by the test methodology, as well as a patient’s age and sex
84   Interpretive comments by test result value
85   Update of workload credits upon result entry and revisions
86   Ability to process multiple specimens created for tolerance test via analyzers

>>> Result Verification
 
87   Automatically produce results tests at predetermined elapsed times
88   Possibility to hold results printing until verified
89   Facility to broadcast results to a patient location by Hospital defined criteria ( test, location, priority)
90   Possibility for an Analyzer run and worksheet batch verification by batch number, entire specimen, or tests within a specimen
91   Attachment of comments to an edited result and to the audit trail of a transaction

>>> Query
 
92   Possibility for Hospital staff to review a patient’s test results and specimens on-line
93   Real-time, on-line inquiry by patient name, billing number, medical record number or partial name look-up, specimen number and laboratory test
94   “process Analyzer” routines which may be exited at any point in the resulting process

>>> Reports
 
95   Patient reports provide nurses and physicians patients’ test results and cumulative summaries
96   Activity reports by Doctor, patient, or location
97   Patient reports by collection data
98   Cumulative summaries by location and patient
99   Discharge summaries
100   Summary by Medical Record Number
101   Hospital definable format capabilities
102   Patient report details automatically linked with Microbiology, Anatomical Pathology, and Blood Bank applications
103   Capability to view and print multiple specimens on a patient
104   Capability to print multiple copies of the same activity or summary report, depending on insurers and patient status

>>> Quality Control
Quality Control features are needed to be imbedded in order to enable the Hospital to monitor the accuracy of test results through automated calculation functions.
105   Are there Quality Control features applied to specimen requisition and result entry .
106   Automatic; instantaneous updates of Means, SDs , etc..
107   Quality Control reports, including: Levey-Jennings Plot, Youden graphs.
108   Exception Quality Control Results Report , Daily Log
109   Workload statistics including technologists time, equipment and supplies.
110   Results Statistics to be compiled and analyzed in a number of ways

>>> Integration
 
111   Master Patient Index
112   Outpatient Appointments
113   Inpatients Admissions, Transfers & Discharges
114   Pharmacy
115   Radiology
116   Finance , Billing ( Outpatient )
117   Order Management
118   Theatre Management
119   Inventory Management
120   Data is integrated with pharmacy application for viewing antibiotics


Last Updated ( Tuesday, 28 October 2008 01:00 )  

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