32 / CAP TODAY
November 2009
Laboratory information systems
Part 1 of 17
Antek HealthWare
Paul Taylor ptaylor@antekhealthware.com
228 Business Center Drive
Reisterstown, MD 21136
800-359-0911 www.labdaq.com
Aspyra
Jason Skolnick jskolnick@aspyra.com
4360 Park Terrace Drive, Suite 220
Westlake Village, CA 91361
818-880-6700/800-437-9000 www.aspyra.com
Name of laboratory information system
LabDaq
CyberLab (version 7.2)
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1991/September 2009
March 2008
2,331
233/300
1,786/7
0/5 (clinics)
123
15 (1/2/12 clinics, POLs)
138
2,637 (6–Dubai, Malawi, Uganda, Virgin Islands)
not tracked
1982/August 2009
September 2009
156
67/36
43/2
5 (donor, genomic testing, veterinary labs)/3 (reference labs)
4
1 (0/1/0)
1
425+ (25–Jamaica, Malaysia, Singapore)
30%/70%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
25/67/60
13/35/27
20/30/27
12/19/27
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
not tracked
1–150+ (mean, 9–10)
15,000–4,000,000 (mean, 650,000)
3–250 (mean, 40)
Central hardware or service type
How central server failure is handled
Intel/AMD
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Dell, HP
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Delphi, C++, ASP .Net
Windows 2003, 2008, XP, Vista
Oracle
yes
none
C, C++, HTML, Java, Cobol
Windows, Linux
SQL, Oracle
yes
user can define screen labels and error messages in any language
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
65%
not available
not available
15%/2%
not available
not available/not available
not available/not available
2%
55%
28%/55%
40%
not available/not available
100%/100%
100%
25%
95%/not available
not available
20%/55%
100%
20%/15%
100%
100%
not available
not available/installed
not available
100%
100%
5%
15%
100%/2%
via interface to Mediware and Wyndgate blood bank systems
10%/90%
not available/not available
60%
75%
60%/70%
5%
available but not installed/available but not installed
100%/100%
100%
100%
100%/25% via interface to third-party billing system
not available (but planned)
100%/100%
100%
60%/50%
available in 2010
100%
5%
2%/15%
2%
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
yes
fixed fee
browser based
operates over the Internet
218
by vendor
no
no
—
—
—
—
—
available but not in use
14 sites
available but not in use
1 site
2 sites
2 sites
Laboratory automation systems interfaced
Cerner, CPSI, Healthland, McKesson, Meditech, Siemens, Misys, GE Healthcare,
Allscripts, eClinicalWorks, Greenway, IKnowMed, NextGen, others
Beckman Coulter, Siemens, Roche
Allscripts, McKesson, Siemens, Cerner, Sunquest, Meditech, CPSI, Healthland,
Eclipsys, NextGen, VitalWorks, Atlas, Telcor, Misys, others
planned to Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, others
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (proprietary)
yes (Quest, LabCorp, CodeMap)/yes
yes (test environment, testing scripts)
yes (ICD-9 table from CMS)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
no
yes (65%)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
450+
escrow/yes (meets via Internet; in person four times per year)
no (offer user-defined report writer, custom programming)
SQL
500+
escrow/yes (meets via Webinars biannually; in person; monthly calls; forums)
yes (offer user-defined report writer, custom programming)
SQL (ODBC compliant)
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$1.7k/$6k/$0.1k
$75k/$500k/$5k
—
—
Distinguishing features (supplied by vendor)
• rules can be created for ordering, processing results, results delivery,
billing, and more
• complete system integration with EMR, billing, HIS, and reference
laboratories
• experienced and responsive support staff; 98 percent of calls are answered
by support personnel
• more than 30 years of experience working with clinical reference, hospital,
and clinic laboratories and offering cost-effective hybrid LISs
• user-defined, rules-based system offering robust functionality based on
user policies and procedures
• integrated with Aspyra’s RIS and PACS for enterprise-wide data and image
sharing
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
Survey editors: Raymond D. Aller, MD, and Hal Weiner
34 / CAP TODAY
November 2009
Laboratory information systems
Part 2 of 17
Cerner Corp.
Lori Cross lori.cross@cerner.com
2800 Rockcreek Parkway
Kansas City, MO 64117
816-201-1024 www.cerner.com
Clinical Software Solutions
Kimberly Mays sales@clin1.com
20940 E. Mewes Rd.
Queen Creek, AZ 85142
800-570-0474 www.clin1.com
Name of laboratory information system
Cerner Millennium PathNet
Clin1 Laboratory†
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1982/August 2009
August 2009
301
263/1
1/1
0/35 (hospitals)
29
35 (35/0/0)
—
301 (35–Canada, Saudi Arabia, Germany, U.K., Singapore, others)
80%/20%
1988/August 2009
August 2009
200+
50+/140+
10+/—
3/—
4
1 (1/0/0)
—
—
10%/90%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
1,609/3,277/2,618
133/141/146
3/5/3
3/5/3
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
<500,000–21,000,000
not tracked
—
1–50
Central hardware or service type
How central server failure is handled
HP, Compaq, IBM RS/6000
system continues uninterrupted
Dell, IBM compatible
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Java, Visual Basic, C++, Visual C
HP-UX, AIX, VMS
Oracle
yes
French, German, Spanish
4GL
Windows
4GL
yes
—
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
10%
installed
100%/installed
75%
75%/75%
10%/10%
50%
100%
100%/100%
installed
not available/in development
100%/100%
100%
50%
installed/10%
installed
installed/installed
100%
less than 10%/less than 10%
100%
100%
10%
installed/installed
installed
95%
55%
30%
5%
25%/—
—
5%/5%
—
—
75%
75%/100%
45%
75%/—
90%/90%
90%
40%
75%/10%
15%
100%/75%
100%
30%/30%
90%
100%
—
—
—
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
transaction based
browser based or requires that software be installed on a client PC
operates over the Internet
279
by vendor
yes
yes
fixed fee
browser based
operates over Internet or requires use of a VPN or other dedicated connection
—
by vendor
48 sites
48 sites
1 site
3 sites
available but not in use
available but not in use
Information systems interfaced
Laboratory automation systems interfaced
McKesson, Siemens, Epic, Eclipsys, Meditech, others
Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, Abbott, others
Siemens, Healthland, Medical Manager, Allscripts, MedicaLogic, others
Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, Abbott, others
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (certification guidelines, documentation, consulting services)
no/yes
—
—/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
yes
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
yes (50%)
yes (25%)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
811
escrow/yes (meets via Internet quarterly; in person annually)
yes (offer user-defined report writer, custom programming)
Cerner Discern Explorer
300+
—/yes (meets via Internet; in person)
no (offer user-defined report writer, custom programming)
any ODBC-compliant reporting tool, including SQL, MS Access, Crystal Reports
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
—
—
—/$10k/percent of total
—/$250k/percent of total
Distinguishing features (supplied by vendor)
• 30 years of continuous innovation in the LIS market
• support for increased efficiencies through key capabilities such as
online secondary review (pre- and post-verification), autoverification
throughout multiple departments, expert rules, integrated document
imaging for requisitions, advanced quality control, more
• support for the entire clinical lab within a single LIS and EMR
architecture
• versatile and flexible for any size facility
• Web access and customization available
• fully integrated with other hospital departments and systems
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• T umor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
†formerly CSSWin LIS
35 / CAP TODAY
November 2009
Laboratory information systems
Part 3 of 17
Clinlab
Allen Wilson sales@clinlabinc.com
2411 E. Graves Ave., Suite 1
Orange City, FL 32763
800-487-5227 www.clinlabinc.com
Comp Pro Med
Ken Beerman kbeerman@comppromed.com
3418 Mendocino Ave.
Santa Rosa, CA 95403
800-276-4522 www.comppromed.com
Name of laboratory information system
ClinLab
Polytech
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1987/July 2009
July 2009
50
5/15
19/1
9/1 (hospital)
2
1 (0/1/0)
2
50 (1–Saudi Arabia)
10%/90%
1981/July 2009
July 2009
99
26/6
36/0
1 (veterinary)/30 (national and regional hospital labs)
15
1 (1/0/0)
16
133 (40–Eritrea, Ethiopia, Phillipines, Bhutan)
13%/87%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
2/3/2
2/3/2
6/4/5
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
25,000–500,000 (mean, 100,000)
2–100 (mean, 15)
30,000–110,000 (mean, 50,000)
1–38 (mean, 8)
Central hardware or service type
How central server failure is handled
PC based
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
any (client supplied)
system continues uninterrupted
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Microsoft .Net, Delphi
all Windows
Sybase Advantage, SQL
depends on database, server customer chooses
none
C++
Windows Vista, XP, NT, 2000, 98
Pervasive
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
not available
not available
90%/10%
not available
available but not installed/available but not installed
available but not installed/available but not installed
installed
80%
80%/80%
90%
not available/not available
100%/available but not installed
100%
60%
100%/not available
not available
installed/60%
100%
60%/60%
10%
30%
not available
installed/not available
not available
100%
100%
available but not installed
available but not installed
13%/available but not installed
not available
not available/2%
not available/not available
2%
71%
38%/47%
not available
not available/not available
100%/100%
100%
22%
100%/67%
not available
100%/95%
not available
installed/27%
not available
100%
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
yes
fixed fee
requires that software be installed on a client PC
operates over the Internet
0
—
1 site
1 site
1 site
not available
not available
not available
Laboratory automation systems interfaced
Meditech, Cerner, Atlas, CSS, Misys, CareEvolve, Allscripts, eClinicalWorks,
GE Healthcare, Pyramed, Medical Manager, others
Beckman Coulter, Siemens, Olympus America, Roche
GE Healthcare, Siemens, Intermed, Healthland, eClinicalWorks, Healthmatics,
Misys, Medical Manager, Cerner, VitalWorks, others
no
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
no
no/no
no
yes/no
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
yes
LIS supports use of SNOMED CT?
yes
no
Market modules for other hospital departments? (percent of installs lab only)
no
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
300+
escrow/no
yes (offer user-defined report writer, custom programming)
SQL
230+
escrow/no
yes (offer user-defined report writer, custom programming)
SQL, Pervasive, ODBC, built-in query capability
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
—/$10k/$0.125k
—/$300k/—
0/$15k/$0.15k
0/$145k/$1.29k
Distinguishing features (supplied by vendor)
• custom software
• external system interface flexibility
• specialized support
• extensive rules-based capabilities allow customization of system
functionality
• standard HL-7-based interfacing capabilities to other systems
• requires little to no IT department support; low network bandwidth
requirements
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
36 / CAP TODAY
November 2009
Laboratory information systems
Part 4 of 17
CPSI
Sales Department sales@cpsinet.com
6600 Wall St.
Mobile, AL 36695
800-711-2774 www.cpsinet.com
CSS (Computer Service and Support)
Jim O'Neill Jr. jimjr@csslis.com
2106 New Rd., Building E-6
Linwood, NJ 08221
609-653-6444 www.csslis.com
Name of laboratory information system
CPSI System
CLS 2000
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1986/September 2009
February 2009
414
413/1
0/0
0/0
35
11 (11/0/0)
35
414 (0)
1%/99%
1980/August 2009
September 2009
99
0/79
16/2
1 (contract research)/1 (reference lab)
7
2 (0/2/0)
9
99 (1–Canada)
42%/58%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
152/503/340
49/220/0
6/9/5
6/9/5
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
148,000–665,000 (mean, 310,000)
6–500 (mean, 100)
22,587–3,387,261 (mean, 757,231)
2–58 (mean, 15)
Central hardware or service type
How central server failure is handled
IBM x3850
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
IBM
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Visual C++, AcuCobol
Red Hat Linux
Acucorp
no
none
C++
AIX 6.1
MS SQL, MySQL, Lab Base
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
16%
1%
100%/0
0
1%/1%
0/0
0
100%
100%/100%
100%
100%/100%
100%/100%
100%
100%
100%/100%
100%
100%/100%
100%
40%/10%
not available
100%
0
0/0
0
100%
100%
not available
not available
86%/not available
not available
12%/31%
not available/not available
not available
0
67%/81%
81%
40%/not available
74%/100%
100%
42%
100%/82%
0
25%/100%
100%
52%/41%
100%
100%
0
0/0
0
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
fixed fee
browser based or requires that software be installed on a client PC
operates over Internet or requires use of a VPN or other dedicated connection
26
by vendor
no
yes
fixed fee
browser based
operates over the Internet
39
by vendor
not available
not available
not available
not available
not available
not available
Information systems interfaced
—
Laboratory automation systems interfaced
planned to Beckman Coulter, Sysmex, Siemens, A&T Corp., Roche
Aspyra, McKesson, Misys, SCC Soft Computer, eClinicalWorks, Medisoft,
GE Healthcare, NextGen, others
Beckman Coulter, Sysmex, Siemens, Olympus America, Roche, Abbott
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
no
yes (Micromedex, 3M NEBO, Caremedics)/yes
yes (Ingenix)
yes (Ingenix, CSS)/no
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
no
Market modules for other hospital departments? (percent of installs lab only)
yes (2%)
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
357 (Dawning Technologies for interface)
escrow/yes (online forum; eight regional and one national meeting per year)
yes (offer user-defined report writer, custom programming)
CPSI ad hoc reports, optional ODBC database
~350
escrow/no
yes (offer custom programming)
SQL
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$95.586k/$250k/$4.583k
$496.986k/$643.353k/$7.934k
$7.5k/$15k/$0.25k
$50k/$200k/$2.7k
Distinguishing features (supplied by vendor)
• fully integrated EMR HIS/LIS
• build libraries and data dictionaries as a standard part of installation
and conversion
• on-site training and support for all end users (not train the trainer)
• end-to-end reference lab automation, including comprehensive Web-based
outreach, production-oriented LIS, and full lab billing software
• patient payment portal allows patients to see their statements online and
pay electronically using a credit card or electronic check
• StatisticsViewGenerator data warehouse with ad hoc reporting across all
LIS and billing data
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
38 / CAP TODAY
November 2009
Laboratory information systems
Part 5 of 17
Custom Software Systems
DeWitt Rhaly dewitt@css-corporate.com
7012 Westbelt Drive
Nashville, TN 37209
615-350-8111 www.css-corporate.com
Epic
Conan Noronha conan@epic.com
1979 Milky Way
Verona, WI 53593
608-271-9000 www.epic.com
Name of laboratory information system
StarLab
EpicLab Laboratory Information System
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1984/April 2005
—
19
17/1
1/0
0/0
—
1 (1/0/0)
—
19
5%/95%
1980/September 2008
August 2009
3
2/0
1/0
0/0
0
61 (60/0/1–Wisconsin State Lab of Hygiene)
16
34 (0)
3%/97%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
8/9/12
4/6/3
1,450/1,700/150
25/14/1
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
—
2–80
0
1–21
Central hardware or service type
How central server failure is handled
IBM xSeries
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
HP 9000, HP Integrity, Sun Sparc, IBM p5 Series
system continues uninterrupted
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Cobol
Linux
T-ISAM
yes
none
Visual Basic, Caché, .Net
Unix, Windows
Chronicles Extended Relational Database Management System
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
80%
5%
not available
10%/—
not available
installed/installed
—
—
80%
80%/80%
installed
35%/—
45%/available but not installed
10%
50%
100%/10%
available but not installed
available but not installed/75%
10%
available but not installed/available but not installed
installed
—
—
—
—
100%
100%
available but not installed
available but not installed
100%/available but not installed
not available
available but not installed/available but not installed
not available/not available
available in 2011
100%
100%/100%
available but not installed
not available/not available
100%/100%
100%
available but not installed
not available/100%
not available
100%/100%
100%
available but not installed/available but not installed
100%
100%
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
no
—
—
—
—
—
—
—
—
not available
not available
not available
Information systems interfaced
Laboratory automation systems interfaced
—
planned
integrated with EpicCare inpatient clinical system, EpicCare ambulatory EMR
available through middleware such as Data Innovations
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
no
no/no
yes (Data Integrity, testing toolkits)
yes (LOINC)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
no
yes
Market modules for other hospital departments? (percent of installs lab only)
yes (20%)
yes (0)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
42 (Dawning Technologies for interface)
escrow/no
yes (offer custom programming)
Microsoft Access, other PC-based tools
15 (Data Innovations or customer’s choice for interface)
yes/yes (meets in person annually)
yes (offer user-defined report writer, custom programming)
Reporting Workbench, SQL Report Writer, ODBC Open Access
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$25k/$35k/$0.6k
$250k/$350k/$6k
—
—
Distinguishing features (supplied by vendor)
• standardized screens and functions make system easy to use
• total system integration eliminates duplication of work effort
• developed from the clinical perspective with an emphasis on results
reporting to improve efficiency
• part of integrated suite of applications, providing seamless data transfer
from LIS to the patient’s chart without the need for interfaces
• includes an integrated anatomic pathology module that communicates
with the clinical module, allowing seamless workflows between core
lab, microbiology, surgical pathology, and cytology labs
• customer base has the opportunity to contribute to the design and
direction of the application
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
39 / CAP TODAY
November 2009
Laboratory information systems
Part 6 of 17
eTeleNext
Joseph Nollar sales@etelenext.com
213 Technology Drive
Irvine, CA 92618
949-365-0952 www.etelenext.com
Fletcher-Flora Health Care Systems
Terry Watson terryw@fletcher-flora.com
1580 Orangethorpe Way
Anaheim, CA 92801
800-777-1471 www.fletcher-flora.com
Name of laboratory information system
eTeleNext LIS
FFlex eSuite LIS†
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
2004/June 2009
February 2009
14
0/14
0/0
0/0
2
2 (0/2/0)
16
14 (0)
30%/70%
1972/2009
May 2009
126
18/23
79/0
2 (prison laboratories, equipment vendors)/4
60
16 (1/4/11–group practices, clinics, county health)
76
250+ (5–Bahamas, Virgin Islands)
30%/70%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
9/3/3
9/3/3
9/14.5/12.5
9/14.5/12.5
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
12,845–104,341
40–175 (mean, 108)
10,000–5,000,000
1–75
Central hardware or service type
How central server failure is handled
IBM, Dell, others
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Dell
manual intervention necessary to restore operation
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
C++ .Net
Windows server 2003
SQL
yes
none
Java
Linux, Windows
Oracle, Microsoft SQL server, Microsoft SQL Express, MySQL, Unify
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
not available
not available
30%/10%
10%
95%/85%
95%/95%
95%
available but not installed
65%/80%
80%
10%/5%
10%/100%
100%
55%
100%/25%
not available
—/100%
100%
100%/40%
100%
40%
not available
not available/not available
not available
100%
100%
not available
not available
10%/not available
not available
not available/not available
not available/available but not installed
not available
70%
40%/60%
100%
not available/not available
30%/100%
100%
75%
40%/10%
not available
75%/95%
100%
85%/100%
60%
100%
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
fixed fee
browser based
operates over the Internet
2
by a third party
yes
yes
fixed fee
browser based or requires that software be installed on a client PC
operates over the Internet
4
by a third party
available but not in use
available but not in use
available but not in use
not available
not available
not available
Information systems interfaced
Laboratory automation systems interfaced
Cortex, GE Healthcare, Misys, Meditech, Cerner
available but not yet operational to Beckman Coulter, Sysmex, Siemens,
Olympus America, Roche, Abbott, Bayer
McKesson, Cerner, Misys, GE Healthcare, Epic, iMedica, NextGen, others
Roche
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (proprietary)
no/yes
yes (internally developed)
yes (Yost Engineering, CodeMap)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
no
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
24 (Data Innovations and Dawning Technologies for interface)
escrow/yes (meets via Internet every six months)
yes (offer user-defined report writer, custom programming)
SQL, ODBC, XML, HL7
500+
escrow/no
yes (offer user-defined report writer)
SQL
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
—/$50k/$0.5k
—/$299k/$2k
$0.7k/$3.5k/$0.103k
—/$200k/$1.533k
Distinguishing features (supplied by vendor)
• advanced Web-based technology
• customized, user-defined reporting solution
• proven outreach solution
• many Web-based modules; provide outreach and integrate multiple sites,
systems, and devices seamlessly, securely, and in real time
• 30 years in LIS industry with more than 1,500 LIS customers
• proven Web-based technology that can be scaled from small POLs to the
largest independent labs
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• T umor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
†formerly encaLaber
40 / CAP TODAY
November 2009
Laboratory information systems
Part 7 of 17
Fletcher-Flora Health Care Systems
Terry Watson terryw@fletcher-flora.com
1580 Orangethorpe Way
Anaheim, CA 92801
800-777-1471 www.fletcher-flora.com
GE Healthcare
Janet Landsberg janet.landsberg@ge.com
3100 Steeles Ave. E, Suite 900
Markham, Ontario L3R 8T3 Canada
905-413-9032 www.gehealthcare.com/centricitylaboratory
Name of laboratory information system
LabPak LIS
Centricity Laboratory†
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1972/May 2008
spring 2008
1,460
230/36
1,124/0
40/30 (hospitals, POLs)
3
0
0
1,500+ (30–Canada, Bahamas)
0/100%
1990/2009
2009
43
14/3
1/0
0/25
1
0
1
220+ (sites in Australia, New Zealand, U.K., Canada, India, Hong Kong, others)
75%/25%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
9/14.5/12.5
9/14.5/12.5
45,000 total
31/41/6
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
2,000–3,000,000
5–40
not tracked
20–500+ (mean, 200)
Central hardware or service type
How central server failure is handled
Dell
manual intervention necessary to restore operation
IBM RS/6000, Sun Solaris, HP-UX
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
C++, Java
Windows
Pervasive
no
none
C, C++, 4GL, Java
Unix
Unify Dataserver
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
60%
not available
not available
30%/not available
not available
not available/installed
not available/available but not installed
not available
50%
30%/75%
100%
not available/not available
100%/100%
100%
10%
100%/50%
0
20%/100%
—
20%/20%
0
100%
not available
not available/not available
not available
95%
100%
8%
installed
80%/installed
12%
40%/40%
installed/installed
installed
100%
80%/90%
not available
not available/not available
100%/100%
100%
installed
installed/90%
not available
100%/installed
100%
installed/not available
100%
installed
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
yes
fixed fee
browser based or requires that software be installed on a client PC
operates over the Internet
0
—
no
no
—
—
—
—
—
—
—
—
installed (HL7 2.3, 2.4, 2.5 supported)††
installed (HL7 2.3, 2.4, 2.5 supported)††
installed (HL7 2.3, 2.4, 2.5 supported)††
Laboratory automation systems interfaced
TechTime, CPSI, Healthland, QSI, Experior, iMedica, eClinicalWorks, Medical
Manager, NextGen, GE Healthcare, Emdeon, Pyramed, others
no
Affinity, Epic, McKesson, GE Healthcare, Meditech, Siemens, MediSolution,
others
Beckman Coulter, Siemens, Ortho, Roche, Abbott, Bayer, Labtronics
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
no
no/no
no
yes (from any vendor that can provide data in GE-specified format)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
no
Market modules for other hospital departments? (percent of installs lab only)
no
yes (80%)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
500+
no/no
yes (offer user-defined report writer, custom programming)
—
300+ (Data Innovations and GE for interface)
escrow/yes (meets in person every 12 to 18 months)
yes (offer custom programming)
SQL, ODBC-compliant query tools and languages
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
—
—
$100k/$100k/$1.5k
$250k/$1.5m/$22.5k
Distinguishing features (supplied by vendor)
• comprehensive, feature-rich system at a reasonable cost
• 30 years in LIS industry with more than 1,500 LIS customers and more
than 60 host system vendor partners
• intuitive, easy-to-use screens simplify training and facilitate daily
operation
• proven high-volume processing for multi-site and single-lab operations
• all laboratory modules available on one integrated relational database
• flexible and scalable
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
†formerly Triple G Ultra
††don’t track No. of sites installed
42 / CAP TODAY
November 2009
Laboratory information systems
Part 8 of 17
Healthvision
Allison Kelso info@healthvision.com
5030 Riverside Drive
Irving, TX 75039
469-420-2500 www.healthvision.com
Hex Laboratory Systems
Susan Bollinger sbollinger@hexlab.com
1042B El Camino Real, Suite 308
Encinitas, CA 92024
800-729-2085 www.hexlab.com
Name of laboratory information system
TDSynergy†
Lab/Hex
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1972/September 2009
February 2009
765+
8/1
—
1/760
3
2 (2/0/0)
2
765+ (sites in Canada, France, Italy, Zambia, U.K., Germany, Phillipines, others)
60%/40%
1981/June 2009
June 2009
139
9/68
42/1
9 (veterinary, research)/10 (independent)
3
1 (0/1/0)
4
152 (10–Mideast)
50%/50%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
425 total
79/25/7
4/7/3
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
140,000–5,200,000 (mean, 675,000)
1–700 (mean, 40)
250,000–18,000,000+ (mean, 3,500,000)
3–64 (mean, 24)
Central hardware or service type
How central server failure is handled
Sun, Unix, Linux, Windows, IBM, HP
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Dell PowerEdge
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
C++, Java
Sun, Windows XP, 2003, 2000, Unix, Linux
SQL server, Oracle
yes
French, Spanish, Dutch, Flemish, Chinese, Italian, German, Korean
Thoroughbred
Linux
—
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
95%
100%
6%
5%
85%/available but not installed
35%
40%/35%
5%/5%
5%
85%
25%/45%
5%
—
100%/100%
100%
55%
6%/55%
3%
100%/100%
100%
40%/35%
25%
100%
available but not installed
available but not installed/65%
5%
100%
100%
2%
2%
100%/1%
not available
50%/100%
1%/1%
1%
50%
75%/75%
50%
50%/50%
100%/100%
100%
75%
100%/75%
1%
100%/100%
100%
75%/75%
10%
100%
available but not installed
available but not installed/available but not installed
available but not installed
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
yes
fixed fee
browser based
operates over the Internet
50
by vendor
not available
not available
3 sites
available but not in use
available but not in use
available but not in use
Laboratory automation systems interfaced
Meditech, Misys, Healthvision, SCC Soft Computer, McKesson, self developed,
others
Beckman Coulter, Sysmex, Siemens, Roche, Bayer
McKesson, Cerner, Sunquest, PSI, Siemens, Experior, Hearts, WebMD, Practice
Partners, Allscripts, GE Healthcare, proprietary, others
Roche
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (self developed)
yes (SNOMED, Info-X, NCCLS)/yes
yes (Hex)
yes (Medicare, CodeMap, others)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
yes (80%)
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
475
escrow/yes (meets in person annually)
yes (offer user-defined report writer, custom programming)
SQL, Access, Excel, Crystal Reports
250+
escrow/no
no (offer user-defined report writer, custom programming)
SQL
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$6k/$30k/$6k
$300k/$2m/$33k
$5k/$10k/$0.25k
$50k/$180k/$2.5k
Distinguishing features (supplied by vendor)
• proactive turnaround time and management-alerting system
• multilingual
• easy to use and sophisticated rules-based logic
• flexible; user definable; easy to use
• billing fully integrated or standalone with electronic HIPAA-compliant
billing, remittance, financial and management reports; plans for 5010 and
ICD-10 in place
• stable, reliable system with personalized customer support 24/7, on-site
hardware support, and annual software upgrades at no charge
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• T umor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
†formerly marketed under MediSolution
Tabulation does not represent an endorsement by the College of American Pathologists.
44 / CAP TODAY
November 2009
Laboratory information systems
Part 9 of 17
Impac Medical Systems
sales@impac.com
100 Mathilda Place, 5th Floor
Sunnyvale, CA 94086
408-830-8000 www.elekta.com
LabSoft
Sales Department sales@labsoftweb.com
9104 Shenandoah Run
Wesley Chapel, FL 33544
800-767-3279 www.labsoftweb.com
Name of laboratory information system
IntelliLab
LabNet
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
2003/September 2008
September 2008
65
1/2
60/1
0/1 (educational)
2
1 (0/0/1–clinic/group practice)
1
177 (5–Canada)
30%/70%
1992/2009
2008
300+
61/47
180/3
3 (research)/0
6
1 (0/1/0)
1
317 (1–Trinidad)
30%/70%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
150/150/200
5/6/6
3/2/2
3/2/2
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
20,000–500,000
3–50 (mean, 15)
1,000–1,000,000 (mean, 10,000)
1–77 (mean, 3)
Central hardware or service type
How central server failure is handled
Dell, HP
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Dell
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Visual Basic, C++
Windows 2000, 2003, XP, Vista
mvBase
yes
—
Delphi
Windows
Microsoft SQL
—
—
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
not available
—
20%/not available
not available
not available/not available
not available/not available
not available
installed
85%/85%
installed
not available/not available
100%/100%
100%
installed
100%/10%
not available
100%/100%
100%
installed/installed
not available
not available
not available
not available/not available
not available
100%
100%
not available
30%
20%/2%
not available
2%/not available
not available/not available
not available
90%
70%/70%
20%
not available/not available
30%/50%
100%
25%
70%/100%
not available
100%/50%
not available
30%/30%
60%
not available
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
yes
fixed fee
browser based
operates over the Internet
13
by a third party
available but not in use
available but not in use
not available
—
—
—
Laboratory automation systems interfaced
Siemens, Healthland, Impac, NextGen, GE Healthcare, Allscripts, QSI,
MedicaLogic, HealthWorks, Varian
no
GE Healthcare, Epic, Misys, Cerner, Meditech, Siemens, SCC Soft Computer,
others
Beckman Coulter, Olympus America
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
no
no/yes
no
yes (CodeMap)/no
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
no
no
LIS supports use of SNOMED CT?
no
—
Market modules for other hospital departments? (percent of installs lab only)
yes (50%)
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
400 (Dawning Technologies and Data Innovations for interface)
escrow/yes (meets in person annually)
no (offer user-defined report writer)
AQL, SQL with ODBC
200+
escrow/no
no (offer custom programming)
SQL
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$10k/$25k/—
$30k/$200k/—
$3.5k/$6k/$1k
$30k/$150k/$18k
Distinguishing features (supplied by vendor)
• fully integrated with Impac’s medical oncology information system
• reflex rules engine
• quality control module
• intuitive: easy to learn and use
• flexible and user definable
• high value and reliable
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
46 / CAP TODAY
November 2009
Laboratory information systems
Part 10 of 17
McKesson
Joseph R. Stabile joseph.stabile@mckesson.com
5995 Windward Parkway
Alpharetta, GA 30005
404-338-6000 www.mckesson.com/laboratory
Medical Information Technology
Paul Berthiaume pberthiaume@meditech.com
Meditech Circle
Westwood, MA 02090
781-821-3000 www.meditech.com
Name of laboratory information system
Horizon Lab
Meditech Laboratory Information System–6.0
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1972/August 2009
March 2009
115
110/2
0/0
0/3 (hospitals)
15
10 (10/0/0)
5
197 (3–Canada, Saudi Arabia)
85%/15%
1970/April 2009
April 2008
not tracked
—
—
—
1 (site)
2 (sites)
—
2 (0)
—
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
32,000 total–McKesson; 9,000 total–McKesson Provider Technologies
80 total
643/1,577/499
22/80/5
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
not tracked
10–400 (mean, 35)
not tracked
not tracked
Central hardware or service type
How central server failure is handled
HP, IBM, Dell
system continues uninterrupted
JJWild, Dell, IBM, EMC, HP, others
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Delphi, C, Java, .Net
Windows, Red Hat Enterprise Linux
Oracle, HP-UX, AIX, Linux
yes
none
Meditech Magic
client: Windows 2000, XP, Vista; server: Windows 2000, 2003
Meditech hierarchical database
yes
Spanish in development
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
installed
installed
installed
installed
installed/installed
installed (transfusion only; donor through Horizon blood bank product)
through Horizon AP product/through Horizon AP product
not available/not available
through Horizon AP product
installed
installed/installed
through Horizon AP product
not available/not available
installed/installed
installed
through Horizon OutReach for Lab
installed/through Horizon Lab Financials
not available
installed/installed
installed
through Horizon OutReach for Lab/through Horizon OutReach for Lab
installed
installed
installed
installed/installed
not available
100%
100%
installed
installed
100%/installed
installed
installed/installed
not available/not available
not available
installed
installed/installed
installed
not available/not available
100%/100%
100%
installed
installed/installed
installed
100%/100%
100%
installed/installed
100%
installed
not available
installed/installed
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
fixed fee
physician order entry browser based; LIS deployed on client or via Citrix
operates over Internet or requires use of a VPN or other dedicated connection
1
by vendor
no
no
—
—
—
—
—
9 sites (HL7 2.3 in operation)
9 sites (HL7 2.3 in operation)
not available
HL7 in operation (Meditech does not track No. of sites using HL7)
HL7 in operation (Meditech does not track No. of sites using HL7)
HL7 in operation (Meditech does not track No. of sites using HL7)
Cerner, Siemens, McKesson, others
Laboratory automation systems interfaced
McKesson, Siemens, GE Healthcare, Meditech, Cerner, Epic, Atlas, SCC Soft
Computer, Sunquest, homegrown, others
interfaces to lab automation systems available through Data Innovations
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (internal McKesson tools)
yes (CMS, ICD-9, CPT, others)/no
yes (proprietary)
yes (Info-X, SNOMED)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
yes (50%)
yes
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
350+ (Data Innovations for interface)
escrow/yes (meets in person annually)
no (offer user-defined report writer, custom programming)
any ODBC software package
1,000+
yes/yes (meets via Internet; in person)
yes (offer user-defined report writer)
Meditech Magic
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
—
—
—
—
Distinguishing features (supplied by vendor)
• a dvanced bi-directional pharmacy integration with McKesson’s pharmacy
information solution
• S upport Center Practices (SCP) certified for eight consecutive years
• s ubstantially decreased total cost of ownership with availability of Linux
platform
• integrated with clinical, administrative, and financial applications
• provides the flexibility to serve a range of organizations—from small
community labs to multi-site university labs and large IDNs
• automates time-consuming tasks such as paperwork, phone calls, and
results verification
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
Beckman Coulter, Sysmex, Roche, Bayer
48 / CAP TODAY
November 2009
Laboratory information systems
Part 11 of 17
Medical Information Technology
Paul Berthiaume pberthiaume@meditech.com
Meditech Circle
Westwood, MA 02090
781-821-3000 www.meditech.com
Medical Information Technology
Paul Berthiaume pberthiaume@meditech.com
Meditech Circle
Westwood, MA 02090
781-821-3000 www.meditech.com
Name of laboratory information system
Meditech Laboratory Information System–Client/Server
Meditech Laboratory Information System–Magic
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1970/August 2009
April 2008
not tracked
—
—
—
43 (sites)
39 (sites)
24 (sites)
360 (30–Canada, Singapore, Bahamas, United Arab Emirates, United Kingdom)
—
1970/June 2009
July 2008
not tracked
—
—
—
12 (sites)
9 (sites)
18 (sites)
805 (68–Ireland, United Kingdom)
—
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
643/1,577/499
22/80/5
643/1,577/499
22/80/5
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
not tracked
not tracked
not tracked
not tracked
Central hardware or service type
How central server failure is handled
JJWild, Dell, IBM, EMC, HP, others
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
JJWild, Dell, IBM, EMC, HP, others
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Meditech Magic
client: Windows 2000, XP, Vista; server: Windows 2000, 2003
Meditech hierarchical database
yes
Spanish in development
Meditech Magic
Windows 2000 Professional, XP, Vista
Meditech hierarchical database
no
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
installed
installed
100%/installed
installed
installed/installed
not available/not available
not available
installed
installed/installed
installed
not available/not available
100%/100%
100%
installed
installed/installed
installed
100%/100%
100%
installed/installed
100%
installed
not available
installed/installed
not available
100%
100%
installed
installed
100%/installed
installed
installed/installed
not available/not available
not available
installed
installed/installed
installed
not available/not available
100%/100%
100%
installed
installed/installed
installed
100%/100%
100%
installed/installed
100%
installed
not available
installed/installed
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
no
—
—
—
—
—
HL7 in operation (Meditech does not track No. of sites using HL7)
HL7 in operation (Meditech does not track No. of sites using HL7)
HL7 in operation (Meditech does not track No. of sites using HL7)
HL7 in operation as an A/D/T interface (No. of sites unknown)
HL7 in operation as an A/D/T interface (No. of sites unknown)
HL7 in operation as an A/D/T interface (No. of sites unknown)
Information systems interfaced
Laboratory automation systems interfaced
Cerner, Siemens, McKesson, others
Beckman Coulter, Sysmex, Roche, Bayer
Cerner, Siemens, McKesson, others
Beckman Coulter, Sysmex, Roche, Bayer
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (proprietary)
yes (Info-X, SNOMED)/yes
yes (proprietary)
yes (Info-X, SNOMED)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
yes
yes
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
1,000+
yes/yes (meets via Internet; in person)
yes (offer user-defined report writer)
Meditech Magic
1,000+
yes/yes (meets via Internet; in person)
yes (offer user-defined report writer)
Meditech Magic
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
—
—
—
—
Distinguishing features (supplied by vendor)
• integrated with clinical, administrative, and financial applications
• provides flexibility to serve a range of organizations—from small
community labs to multi-site university labs and large IDNs
• automates time-consuming tasks such as paperwork, phone calls, and
results verification
• integrated with clinical, administrative, and financial applications
• provides flexibility to serve a range of organizations—from small community
labs to multi-site university labs and large IDNs
• automates time-consuming tasks such as paperwork, phone calls, and
results verification
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
49 / CAP TODAY
November 2009
Laboratory information systems
Part 12 of 17
Multidata Computer Systems
Michael Slater mrslater@mul.com
160 Broadway, Suite 1010
New York, NY 10038
212-967-6700 www.mul.com
NetLims
Avi Allerhand avi@netlims.com
111 Town Square Place, Suite 700
Jersey City, NJ 07310
201-894-5300 www.netlims.com
Name of laboratory information system
MultiTech LIS
AutoLims
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1983/2005
2009
41
7/33
1/0
0/0
0
0
0
41 (0)
45%/55%
1996/August 2009
July 2009
14
2/7
0/0
0/5 (hospitals, central laboratories)
1
0
1
43 (35–Israel, India)
90%/10%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
4/5/2
—
58/38/15
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
50,000–5,500,000
4–120+ (mean, 30)
400,000–10,000,000 (mean, 1,500,000)
19–550 (mean, 60)
Central hardware or service type
How central server failure is handled
Intel x86 compatible, most Unix RISC, HP Alpha
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
IBM, Dell, HP, others
system continues uninterrupted
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Caché (M), Visual Basic, HTML, Java, Javascript
Windows, Linux
Caché (M)
optional
none
C++, Visual Basic, Java, .Net, Flex
Windows 2000, 2003, XP, Linux, Unix
Oracle, Microsoft SQL 2000, 2005, Caché
yes
Hebrew
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
90%
90%
—
—
80%/—
—
15%/40%
20%/—
25%
30%
30%/30%
15%
—
40%/90%
100%
90%
80%/90%
20%
100%/80%
90%
35%/25%
10%
50%
—
—
—
95%
100%
available but not installed
not available
85%/25%
40%
30%/55%
15%/10%
10%
75%
55%/40%
available but not installed
not available/not available
100%/100%
100%
100%
50%/40%
available but not installed
100%/100%
100%
60%/50%
60%
70%
not available
10%/40%
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
yes
fixed fee
browser based
operates over the Internet
5
by vendor
no
no
—
—
—
—
—
1 site
20 sites
—
15% of sites
20% of sites
25% of sites
Eclipsys, GE Healthcare, Siemens, Misys, Cerner
Laboratory automation systems interfaced
Epic, GE, NextGen, eClinicalWorks, Cerner, Siemens, Netsmart, Reliable
Health, Smart Management, Compliance Information Systems
Sysmex, Siemens, Bayer
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
no
yes (PMIC, CMS)/optional
yes (complete test environment)
yes (Info-X, AMA, Quest, Specialty, SNOMED, CodeMap)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
no
yes
Market modules for other hospital departments? (percent of installs lab only)
no
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
125+
escrow/no
no (offer user-defined report writer, custom programming)
any ODBC compliant, including Crystal Reports, SQL, Access
150+
escrow/yes (meets in person biannually)
yes (offer user-defined report writer, custom programming)
SQL
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$20k/$50k/$0.75k
$250k/$400k/$5k
$30k/$80k/$1k
$700k/$2.8m/$55k
Distinguishing features (supplied by vendor)
• e xtensive capabilities for integrating commercial labs with large-scale
and networked primary care organizations
• c omplete billing, A/R, and management reporting for commercial labs and
hospital outreach, including electronic eligibility, authorization, and more
• integrated document-management system for imaging/retrieval of
requisitions and related documents
• technology variety and flexibility—Windows system with Web, HTML,
choice of database, others
• customizable—tailored for any environment and work procedure
• integrated—all lab disciplines and billing in one database
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, Abbott, Bayer
50 / CAP TODAY
November 2009
Laboratory information systems
Part 13 of 17
Omnitech
Sylvain Fontaine s.fontaine@omnitechlabs.net
38800 Ash Rd.
Waltz, MI 48164
877-336-6664, ext. 265 www.omnitechlabs.net
Orchard Software
Kerry Foster sales@orchardsoft.com
701 Congressional Blvd., Suite 360
Carmel, IN 46032
800-856-1948 www.orchardsoft.com
Name of laboratory information system
OmniLab†
Orchard Harvest LIS
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1994/2009
2007
98
4/1
0/0
0/93
6
7 (4/3/0)
6
150 (145–Canada, Belgium)
35%/65%
1993/September 2009
September 2009
946
209/111
549/18
59 (universities, student health centers, research, veterinarian labs)/0
84
20 (4/3/13–clinics, POLs, student health labs)
104
1,117
40%/60%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
30/16/10
28/14/10
27/73/40
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
20,000–10,000,000 (mean, 150,000)
4–300 (mean, 50)
5,000–4,000,000 (mean, 500,000)
1–500 (mean, 30)
Central hardware or service type
How central server failure is handled
Dell, IBM, HP
system continues uninterrupted
HP Business Class
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Visual Basic 6, Visual Basic .Net
Windows 2003, 2008
SQL 2008
yes
French, Spanish, Portuguese
4D, C++, Java, HTML
Windows 2000, XP Professional, Vista, Windows Server 2003 standard edition
4D, SQL
yes
—
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
94%
100%
available but not installed
available but not installed
75%/available but not installed
available but not installed
20%/14%
available but not installed/available but not installed
not available
not available
not available/75%
50%
not available/not available
100%/100%
100%
13%
20%/8%
not available
100%/80%
installed
20%/20%
100%
10%
10%
not available/not available
not available
100%
100%
available but not installed
1%
15%/1%
not available
4%/5%
1%/1%
2%
90%
60%/65%
15%
not available/not available
100%/100%
100%
20%
100%/not available
20%
25%/100%
100%
65%/60%
100%
100%
not available
1%/2%
available but not installed
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
transaction based
browser based
operates over the Internet
40
by a third party
no
yes
fixed fee
browser based
operates over Internet or requires use of a VPN or other dedicated connection
1
by vendor
available but not in use
available but not in use
available but not in use
5 sites
5 sites
available but not in use
Information systems interfaced
McKesson, Healthvision, Momentum Healthware, Per-Sé, Sphere Health,
Mardon Healthcare, Siemens
Allscripts, NextGen, CPSI, Healthland, HealthQuest, Misys, GE Healthcare,
NetSolutions, Meditech, QuadraMed, Impac, Medisoft, others
Laboratory automation systems interfaced
Beckman Coulter, Roche
Beckman Coulter, Ortho, Roche
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes
yes/yes
yes (proprietary)
no/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
yes (97%)
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
300+ (Data Innovations for interface)
escrow/yes (meets in person annually)
yes (offer user-defined report writer, custom programming)
SQL, ODBC
400+
escrow/yes (meets via Internet unlimited; in person 14 times per year)
yes (offer user-defined report writer, custom programming)
ODBC-compliant query languages
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$10k/$75k/$1.125k
$200k/$1m/$15k
$12k/$20k/$0.25k
$100k/$800k/$6k
Distinguishing features (supplied by vendor)
• hybrid design to support hospital, commercial, and esoteric labs
• functional leader in the industry
• industry standard-setter for implementation and support
• rules-based advanced decision support logic
• interfacing and integration with other host systems, departments, and
reference labs
• industry leader in product development, service, and support
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
†formerly Cortex TNG
Tabulation does not represent an endorsement by the College of American Pathologists.
52 / CAP TODAY
November 2009
Laboratory information systems
Part 14 of 17
Psyche Systems Corp.
Lisa-Jean Clifford lj@psychesystems.com
321 Fortune Blvd.
Milford, MA 01757
508-473-1500 www.psychesystems.com
Quality Software Systems
Jeff Caspari jcaspari@labhealth.com
252 Old Nyack Turnpike
Spring Valley, NJ 10977
845-352-4313 www.labhealth.com
Name of laboratory information system
LabWeb
LabHealth
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1976/2009
2006
20
15/3
0/2
0/0
2
2 (1/1/0)
2
18 (0)
22%/78%
1984/2009
2009
43
3/23
17/0
0/0
3
—
—
13
—
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
16/20/9
5/5/2
4/4/1
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
—
1–120 (mean, 20)
—
5–150
Central hardware or service type
How central server failure is handled
HP, Pentium compatible
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Dell
system continues uninterrupted
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Visual Basic, .Net, C, Fortran
Windows Vista, XP, NT, 2000, Open VMS
Microsoft SQL, Oracle, Crystal Reports
yes
—
Basic, ASP .Net
Windows, Linux
multi-value DBMS
yes
—
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
available but not installed
available but not installed
33%/not available
40%
33%/33%
10%/10%
10%
90%
75%/75%
30%
25%/not available
100%/25%
100%
100%
20%/not available
available but not installed
100%/100%
100%
35%/40%
installed
not available
not available
not available/not available
not available
95%
95%
50%
25%
80%/75%
—
35%/40%
—
—
60%
100%/100%
80%
90%/—
100%/80%
90%
90%
90%/100%
80%
100%/100%
100%
80%/90%
80%
75%
—
—
—
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
fixed fee
browser based or requires that software be installed on a client PC
operates over Internet or requires use of a VPN or other dedicated connection
1
by vendor
yes
yes
fixed fee
browser based
operates over the Internet
35
by vendor
available but not in use
available but not in use
2 sites
—
—
—
—
Laboratory automation systems interfaced
Meditech, McKesson, CPSI, Siemens, QuadraMed, Cerner, Misys, Keane,
SysCore, Seacoast Laboratory Data Systems, others
Beckman Coulter, Sysmex, Ortho, Olympus America, Roche
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (proprietary and blood bank guidelines)
yes (CodeMap)/yes
—
—/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
yes
yes
yes
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
yes (43%)
no
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
350+ (Dawning Technologies for interface)
escrow/yes (meets via Internet quarterly; in person biannually)
yes (offer user-defined report writer, custom programming)
Microsoft SQL, ODBC compliant
—
yes/no
yes (offer user-defined report writer, custom programming)
—
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$4k/$20k/—
$100k/$400k/$6k
$5k/$10k/$0.5k
$25k/$150k/$4k
Distinguishing features (supplied by vendor)
• ability to extend the life, functionality, and IT investment of LIS through
such add-on modules as outreach, EMR, interfacing, and customized
reporting
• leader in laboratory solutions for cost-conscious laboratories
• full anatomic pathology and clinical lab systems that are fully integrated
with other systems, including other LISs, HISs, billing, and more
• customizations
• flexibility
• customer support
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, Abbott
54 / CAP TODAY
November 2009
Laboratory information systems
Part 15 of 17
SCC Soft Computer
Ellie Vahman ellie@softcomputer.com
5400 Tech Data Drive
Clearwater, FL 33760
727-789-0100 www.softcomputer.com
Schuyler House
Janet Chennault jlc@schuylerhouse.com
26027 Huntington Lane, Unit F
Valencia, CA 91355
800-706-0266 www.schuylab.com
Name of laboratory information system
SoftLab
SchuyLab
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
1985/June 2009
April 2009
337
269/26
9/3
0/30 (hospitals)
8
12 (10/2/0)
12
676 (51–Canada, Brazil)
60%/40%
1994/August 2009
July 2009
734
115/241
321/0
37 (veterinary, vendor, school)/20 (hospitals, POLs)
27
1 (0/0/1–clinic/group practice)
27
729 (20–Carribean, Guam)
5%/95%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
785/456/281
779/450/281
4/11/8
4/11/8
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
150,000–20,000,000+
10–4,000 (mean, 75)
5,000–7,000,000 (mean, 5,000)
1–64 (mean, 3)
Central hardware or service type
How central server failure is handled
IBM pSeries
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
any PC (Dell recommended)
manual intervention necessary to restore operation
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
C, C++, Java, .Net
server: IBM AIX; workstation: Microsoft Windows
Oracle, RDM++
yes
French, ABN forms available in Spanish
C Language
Windows XP, Vista
Pervasive, Btrieve
no
ABN forms available in Spanish
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
13%
15%–20%
84%/5%
3% donor; 54% transfusion
47%/47%
3%/2%
15%
99%
85%/88%
installed
available but not installed/available but not installed
100%/100%
100%
100%
30%/22%
—
100%/100%
available
13%/13%
100%
25%
2%
not available/81%
in development
100%
40%
—
—
70%/—
—
10%/10%
—
1%
20%
20%/20%
—
—
100%/installed
100%
30%
40%/30%
not available
not available/40%
100%
5%/5%
not available
not available
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
yes
yes
fixed fee or transaction based
Web portal
operates over Internet or requires use of a VPN or other dedicated connection
2
by vendor
no
no
—
—
—
—
—
4 states live
4 states live
8 sites
1 site
1 site
not available
Laboratory automation systems interfaced
4Medica, McKesson, Meditech, Alliance-Plus, Allscripts, Healthland, CPSI,
Keane, Cerner, NextGen, Atlas, Eclipsys, Emdeon, GE Healthcare, others
Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, Abbott, others
QuadraMed, Logician, Siemens, McKesson, A4, Atlas, MedGenix,
GE Healthcare, eClinicalWorks, Varian, others
Roche, Bayer
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (Model Soft, Camtasia)
yes (Quadax, 3M/Info-X, ICD-9/10 codes, LOINC, Vitek, others)/yes
no
yes/no
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
no
Market modules for other hospital departments? (percent of installs lab only)
yes
yes (100%)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
400+
escrow/yes (meets via Internet; in person annually)
yes (offer user-defined report writer, custom programming)
ODBC, SQL, XML
250+
escrow/no
yes (offer user-defined report writer)
—
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$30k/$75k/$1.5k
$1m/$8m/$150k
$1k/$1.5k/$0.08k
$40k/$30k/$3.5k
Distinguishing features (supplied by vendor)
• innovative, comprehensive, integrated suite of genetics modules for
molecular, cytogenetics, HLA/immunogenetics, biochemistry, and flow
cytometry
• powerful set of integrated laboratory-specific outreach tools
• core lab multi-site and specimen-tracking module to track across multiple
testing locations and perform workstation redirection when necessary
• comprehensive system at a reasonable price
• ease of use–training in minutes
• integrates lab results with other systems; secure Internet access
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
Information systems interfaced
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
56 / CAP TODAY
November 2009
Laboratory information systems
Part 16 of 17
Seacoast Laboratory Data Systems
Jim Whitehurst jim@sldsi.com
195 New Hampshire Ave., Suite 140
Portsmouth, NH 03801
603-431-4114 www.sldsi.com
Siemens Medical
Theresa McGillvray-Dodd theresa.mcgillvray-dodd@siemens.com
18724 66th Ave., NE
Kenmore, WA 98028
425-487-0179 www.usa.siemens.com/medical
Name of laboratory information system
SurroundLab Plus
Novius Lab
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
—/September 2009
June 2009
24
0/24
0/0
0/0
4
4 (0/4/0)
—
24
95%/5%
1983/2009
2009
42
39/1
0/1
0/1
4
14 (14/0/0)
4
56 (1–Canada)
45%/55%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
15/15/15
7/11/3
—
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
300,000–4,000,000 (mean, 1,500,000)
3–100+ (mean, 30)
80,000–3,000,000 (mean, 650,000)
6–75 (mean, 20)
Central hardware or service type
How central server failure is handled
HP, Dell
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
IBM pSeries, IBM xSeries
manual intervention necessary to restore operation
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
Caché, M-21
Windows, Linux
Caché, SST
—
none
C++
Linux, AIX, Unix
Sybase
yes
none
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
100%
100%
not available
not available
75%/not available
not available
not available/0
10%/not available
not available
100%
100%/100%
30%
not available/not available
100%/100%
100%
100%
100%/100%
not available
100%/100%
100%
45%/15%
100%
70%
not available
not available/not available
not available
100%
100%
5%
50%
98%/5%
installed
installed/installed
installed/installed
installed
95%
95%/95%
not available
not available/not available
100%/100%
100%
installed
installed/installed
not available
100%/98%
installed
installed/not available
installed
installed
not available
not available/not available
not available
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
no
—
—
—
—
—
3 sites
2 sites
—
available but not in use
available but not in use
not available
Information systems interfaced
Laboratory automation systems interfaced
Misys, Meditech, SCC Soft Computer, McKesson
Beckman Coulter, Sysmex, Siemens, Olympus, Roche, Bayer
McKesson
Beckman Coulter, Siemens, Tecan
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (developed in-house)
yes (CodeMap)/yes
yes (proprietary)
no/no
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
no
no
LIS supports use of SNOMED CT?
no
no
Market modules for other hospital departments? (percent of installs lab only)
no
yes (5%)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
200
escrow/no
no (offer custom programming)
SQL
300 (Siemens OpenLink and Data Innovations for interface)
no/yes (meets in person annually)
yes (offer user-defined report writer)
SQL, ODBC
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$1k/$50k/$1.1k
$50k/$60k/$7.5k
—
—
Distinguishing features (supplied by vendor)
• commercial laboratory specific
• infinitely scalable
• completely multi-site capable
• workflow efficiency: turnaround time alerts, paperless operations with
robust online searches, rules-based automation and knowledge, critical
call management, document links
• excellent services with six-month implementation cycle times
• proven performance and reliability: ranked No. 1 in KLAS LIS ranking for
2008
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
58 / CAP TODAY
November 2009
Laboratory information systems
Part 17 of 17
Starlims Corp.
Ed Krasovec ed.krasovec@starlims.com
4000 Hollywood Blvd.
Hollywood, FL 33021
954-964-8663 www.starlims.com
Sunquest Information Systems
Sylvia Rothrock sylvia.rothrock@sunquestinfo.com
250 S. Williams Blvd.
Tucson, AZ 85711
877-239-6337 www.sunquestinfo.com
Name of laboratory information system
Starlims
Sunquest Laboratory
First ever/most recent LIS installation (based on September survey deadline)
Last major product release for featured LIS
Total No. of contracts for sites operating LIS
• Hospital/independent lab contracts in U.S.
• Clinic or group practice contracts in U.S./public health lab contracts in U.S.
• Other contracted U.S. sites/contracts for foreign sites
1979/2009
2009
400+
350+/40+
—
—/20+ (hospitals)
• No. of these contracts that went live between Sept. 2008–Sept. 2009
Contracts signed but LIS not yet operational (hospitals/independent labs/other sites)
• Total No. of contracts (live and not live) signed between Sept. 2008–Sept. 2009
Total No. of sites operating LIS (No. of these sites outside the U.S.)
Percentage of high-volume* sites installed/low-volume** sites installed
2001/July 2009
2009
44
1/5
0/20
2 (plasma testing, biotechnology immunology lab)/16 (hospitals, reference
labs, biobanks, public health)
16
30 (10/5/15–research labs, public health labs, biobanks)
15
68 (18–Russia, U.K., Jamaica, Germany, Belgium, Malaysia, Singapore, others)
56%/44%
Staff to develop/install & support/other*** in entire firm
Staff to develop/install & support/other*** in LIS division
38/96/34
9/36/11
253/235/126
—
No. of billed tests generated annually by LIS
Range in No. of interactive workstations in sites operating LIS
10,000–20,000,000
5–1,000
<500,000–17,000,000 (mean, 8,500,000)
4–500
Central hardware or service type
How central server failure is handled
—
system continues uninterrupted
HP, IBM
manual intervention necessary to restore operation or system continues
uninterrupted (lab’s choice)
Programming language(s)
Operating system(s)
Databases and tools
System includes full transaction logging?
Languages (other than English) offered on system
C++
Windows
SQL server, Oracle
yes
French, Spanish, Chinese, Czech, Polish, Russian, Dutch, Korean, others
ANSI Standard M, Caché Script, Standard C/C++, Visual Basic, others
AIX, HP-UX, OpenVMS, Linux, Windows XP
InterSystems Caché
yes
—
Features/modules (listed as percent of live installs or based on availability)
• Chemistry and hematology
• Bar-coded collection labels
• Handheld devices for bedside-positive patient ID
• NCCLS POCT-1A standard interface for POCT devices
• Microbiology/public health microbiology
• Blood bank donor and transfusion
• Surgical pathology/cytology
• Molecular pathology/cytogenetics
• Flow cytometry
• HIS or EMR interface for A/D/T
• HIS or EMR interface for order entry/results reporting
• HIS or EMR interface for packaging results into PDF format
• HIS or EMR interface for packaging results into CDA1 format/CDA2 format
• Ad hoc reporting/rules-based system
• Management and statistical reporting
• Outreach and commercial laboratory
• Compliance checking/billing and accounts receivable
• Materials management and inventory
• Test partition/remote faxing and printing
• HIPAA-standard transaction formats
• Web-based remote inquiry of reports/Web access for order entry
• Specimen management and tracking
• Compliance and quality assurance tools
• HLA (tissue typing)
• Environmental health/newborn screening
• Stem cell laboratory
32%
95%
available but not installed
installed
10%/59%
3%
2%/7%
55%/available but not installed
9%
8%
16%/16%
installed
installed/available but not installed
95%/95%
100%
installed
installed/50%
95%
100%/21%
installed
38%/38%
95%
75%
available but not installed
20%/7%
available but not installed
100%
100%
20%
20%
100%/1%
80%
60%/50%
5%/3%
10%
99%
99%/99%
—
—
90%/100%
100%
75%
30%/10%
—
100%/90%
100%
15%/15%
100%
100%
—
—
—
Complete LIS application service provider solution?
ASP for physician order entry and results reporting?
Method of charging for ASP service
Client software required
ASP information conduit
Client contracts supported from data center not operated by client
How data center is operated
no
no
—
—
—
—
—
no
no
—
—
—
—
—
24 sites
31 sites
available but not in use
5% of sites
5% of sites
10% of sites
Information systems interfaced
Laboratory automation systems interfaced
NetSuite, Heron Systems, Haemonetics, Mak-System, others
Beckman Coulter, Sysmex, Ortho, Olympus America, Roche, Abbott
McKesson, Cerner, Siemens, GE Healthcare, Epic, Eclipsys, others
Beckman Coulter, Sysmex, Siemens, Ortho, Olympus, Roche, Abbott, others
LIS provides validation or testing tools?
LIS allows third-party updates of tables and rules/image capture, display, and reporting?
yes (IQ/OQ templates, functional requirements specifications, others)
yes (any that use Web services, provide updates in structured file format)/yes
yes (validation scripts)
yes (3M, ICD-9)/yes
Software provides indexed field in each test definition for LOINC code?
Provide LOINC dictionary for each new installation?
yes
no
yes
no
LIS supports use of SNOMED CT?
yes
yes
Market modules for other hospital departments? (percent of installs lab only)
no
yes (95%)
No. of different lab instruments interfaced with LIS
Source code?/User group that meets regularly?
User can modify screens?
Query languages to retrieve information from LIS database
200+ (native tools or Data Innovations for interface)
escrow/yes (meets via e-mail forums; in person every 12–18 months, others)
yes (offer user-defined report writer, custom programming)
SQL
800+
escrow/yes (meets via Internet; in person)
yes (offer user-defined report writer, custom programming)
SQL
Smallest cost for LIS hardware/software/monthly maintenance
Largest cost for LIS hardware/software/monthly maintenance
$2k/$50k/$0.67k
$100k/$1m/$13k
—
—
Distinguishing features (supplied by vendor)
• user-intuitive dashboard provides personalized “at-a-glance” view to key
performance metrics and pending tasks
• integrated LIS capabilities with LIMS, clinical study management,
biorepository, electronic laboratory notebook, and scientific
data-management system functionality
• customer-configurable workflow tools
• eliminates misplaced specimens with cradle-to-grave specimen tracking
starting wherever specimen acquisition occurs
• customers report clinical and anatomic workflow that is virtually error
free, which decreases cost and increases lab’s testing capacity
• allows client to deliver the Five Rights of Laboratory Testing
LIS provides surveillance data to public health agencies via computer-to-computer
interface using CDC, HL7, LOINC, SNOMED standards for:
• Microbiology data
• Other reportable diseases
• Tumor diagnosis or registry data (using NAACCR Pathology Laboratory Electronic
Reporting, vol. V, version 2.2, February 2009 edition)
*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day
**generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day
***other=sales, marketing, administration, and other company functions
Note: a dash in lieu of an answer means company did not answer question or question is not applicable
Tabulation does not represent an endorsement by the College of American Pathologists.
14
21 (21/0/0)
16
990+ (60+–Canada, U.K., Western Europe, Middle East)
65%/35%