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