Laboratory Information Systems

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Laboratory Information System

Dr. Milind Bhide

(M.D.)

LIS – How important is it ?

As important as a microscope.

If the LIS fails, Lab work stops

Information technology and logistics key components differentiating small and corporate labs.

Information and Communication skills are a must for today’s world.

LIS - Key Components

FRONT END

Part of the software visible to the user

 eg. Visual Basic, JAVA, Web front end

BACK END

Part of the software not visible to the user

 eg. Access, Sql server, Oracle, DB2

LIS FEATURES

Patient registration and report printing

Barcode printing

Instrument interfacing

Inventory management

Training

Interconnecting central lab with centers

SMS and email of reports

Patient Information Module

Unique Sample Id

Association of Patient Id with Sample Id

Information to be recorded

Age- related normal ranges

Relevant patient history

Patient preparation - Fasting etc.

Patient Contact Information - to convey critical values

Barcode

Numeric or Characters coded as lines

Different formats

Code 39

Code 128

Sample ID coded as Barcode

Barcode read by readers on instruments

CORR

ECT

Instrument Interfacing

Instrument

Analyzer

Host

Instrument interface Software

Instrument Interfacing

Unidirectional

Operator loads samples.

Tests to be performed selected by operator manually

Instrument performs tests

Results captured by Host

Interfacing

Bidirectional

Operator loads samples

Instrument reads barcodes on sample tubes

Queries host for tests to be perfomed

Performs tests

Results captured by host

Slide Review Criteria

INVENTORY MANAGEMENT

Inventory management

Record as the supplies come

Record reagents used as testing is done

The difference is inventory

Check it against average usage and order if necessary

INVENTORY MANAGEMENT

Use 2D barcode provided by the manufacturer.

Scan reagents as they arrive

LIS tells about lot and bottle use

Define re-order level

Reagent lot and bottle (Date and time of first use)

Quality management

We are expected to run 2 levels control for common tests

30 X 2 ie. 60 values obtained

Print , feed the values

Plot charts

If the day starts at 9:30 when to take corrective action and when does the work begin ?

Interconnecting Laboratories

CENTRAL

LABORATORY

WITH

PROCESSING

FACILITY

Collection centers

Collection centers

Collection centers

Collection centers

How to connect to a central lab ?

Central Lab location.

Located at a place where internet facilities are available.

Internet facility

Telephone broadband

Wifi

3G

Leased lines

Internet Connections

Internet connections

Shared connections

MTNL Broadband

Tata photon / Reliance

Mobile 3 G

Bandwidth is not dedicated.

Speed depends on the number of users at that time.

Internet connections

Leased lines

Dedicated line with guaranteed download and upload speed.

Highly reliable

Guaranteed uptime

More expensive

Creating PDF of reports

Backup Policy

Well defined with a back policy in place

Best to keep multiple backup sets.

Best to store important data on a central server.

Managed servers are available.

Linus based NAS (Network attached storage) affordable

NAS (Network attached Storage)

Remote Desktop Protocol (RDP)

Remote Desktop Protocol

Sending SMS

Association of Practising Pathologist of India (APPI)

 To increase the member by active membership drive

To conduct continual medical education to advance the knowledge and imbibe the good practices

To represent the interests of the practising pathologists

To start medico-legal cell to support pathologists

 To create awareness amongst medical practitioners and general public with regards the quackery in diagnostic practices

To facilitate and improve quality and effectiveness in laboratory

THANK YOU

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