| | Description | Laboratory Modules
The module is required to be fully integrated with the hospital information system and to include control on laboratory workflow from requisition and specimen collection and processing to results reporting. This includes the services, chemistry, microbiology, blood bank etc…The linking of the hospital information system with special laboratory equipment is required
The Laboratory Modules should manage the bulk of the administrative tasks involved in the Hospital . The system should enable laboratories throughout the Hospital to streamline the processing flow of patients’ specimens, flag abnormal test results , display result trends and monitor quality control.
Workloads statistics are needed to measure the work effort required to perform tests.
The laboratory modules should consist of Phlebotomist collection , Chemical Pathology , Hematology, and Histology , Blood Bank and Donor Management , Microbiology and Serology. |
| >>> General | The Laboratory Module should have Hospital defined rules based logic capabilities , to assist in establishing , performing and maintaining laboratory policies and procedures
( ex: Order rules , site and workload rules , worksheet rules to streamline tasks , reflex rules for specimen tracking , interpretive resulting rules , charge rules , purge rules , reporting rules , calculation rules ) | | 1 | | Phlebotomist collection | | 2 | | Blood Bank & Donor Management | | 9 | | Allow for user defined numbering formats | | 10 | | Display patient's full history of Laboratory tests and results | | 11 | | Multi-facility specimen tracking and lab support | | 12 | | Perform patient searches and registration | | 13 | | On-line patient inquiries, reports and summaries | | 14 | | Allow for entry of patient condition and alerts | | 15 | | Calculation and reflex testing based on the results of trigger tests | | 16 | | Record financial transactions for the tests | | 17 | | Check for duplicate orders | | 18 | | Handle multiple/sub lab departments around the hospital | | 19 | | Allow other lab departments to view the tests/results | | 20 | | Authenticated viewing of sensitive lab tests/results (e.g. HIV)? | | 21 | | Automatic generation of collection lists, specimen labels, and worksheets | | 22 | | User defined specimen labels | | 24 | | Produce work-lists for tests requested and specimens received in labs | | 25 | | Wok lists production and rearrangement by work station | | 26 | | Transfer from one work-list to another | | 27 | | Sensitive archiving facilities | | 28 | | Instant comparison and statistical analysis of test results | | 29 | | Integrated inventory management and maintenance scheduling for laboratory instruments | | 30 | | Reference lab routines to accommodate individual client needs | | 31 | | Advanced telecommunications capabilities using system modems, network printers, and fax machines | | 32 | | Storage and retrieval of historical patient data | | 33 | | Multiple functions access for multiple patients and specimens from one screen |
| 34 | | Capability to establish sources, order tests and assign collection categories with requisition entry routines | | 35 | | Assign alpha / numeric test codes with profiles definition | | 36 | | Decentralized log-in at any workstation | | 37 | | Effective date ordering , with duplicate order checking | | 38 | | Facility to place orders from various sites on the network | | 39 | | User-definable reflex testing | | 40 | | Facility for free text or coded comments addition | | 41 | | Charge capture at test entry | | 42 | | Automatic credit issue with canceled requisition or specimen |
| 43 | | Specimen collection :- patient name | | 44 | | Specimen collection :- medical record number | | 45 | | Specimen collection :- Age | | 46 | | Specimen collection :- Gender | | 47 | | Specimen collection :- Weight | | 48 | | Specimen collection :- Location | | 49 | | Specimen collection :- ordering physician | | 50 | | Specimen collection :- test order | | 51 | | Specimen collection :- Order priority | | 52 | | Specimen collection :- Date and time for collection | | 53 | | Specimen collection :- Special handling or precautions | | 54 | | Specimen collection :- type of tubes to be collected | | 55 | | Specimen collection :- specimen volume | | 56 | | Specimen collection :- Specimen type | | 57 | | Specimen :- Date and time collected | | 58 | | Specimen :- Phlebotomist assigned to collection list | | 59 | | Specimen :- current status of lists | | 60 | | Specimen :- method of collection | | 61 | | Automatically transfer from a collection list to a work list | | 62 | | Hospital definable specimen and collection list labels | | 63 | | Automated specimen storage to identify location of specimens | | 64 | | Ability to generate bar code labels for specimens | | 65 | | Collection list and labels printed in room number order | | 66 | | Facility for Hospital defined collection categories for timed draws | | 67 | | Receipt of individual specimens or of an entire batch | | 68 | | Re-collection and reprint label capabilities | | 69 | | Ability to confirm receipts of samples |
| 70 | | Work Lists are needed to be used as load lists for automated analyzers or specimen lists for specific benches. | | 71 | | Arrange specimen by priority | | 72 | | User control of worksheet batch sizes and formats | | 73 | | Addition, deletion, or rearrangement of specimens | | 74 | | Ability to add comments per specimen | | 75 | | Capability to reprint worksheets with test results | | 76 | | The ability to define tasks which are automatically associated with laboratory and microbiology worksheets, such as instrument maintenance | | 77 | | Rules-based logic for inclusion/exclusion of specimens in a batch |
| >>> Results Entry | | Laboratory technicians and supervisors should be able to enter, edit, review, and verify results for individual specimens or work-batches. All verified test results should be instantly available on-line throughout the Hospital. | | 78 | | Instant result entry with stat, urgent, or routine log-in | | 79 | | Result entry via workstations, on-line automated analyzers, and Hospital defined result entry screens with data checks. | | 80 | | Reflex testing for automatic ordering and deleting of tests | | 81 | | Result entry by specimen, patient, or worksheet | | 82 | | Result entry for groups of specimens with identical results via worksheet batches | | 83 | | Possibility to check for delta and percentage difference, abnormal and panic ranges by the test methodology, as well as a patient’s age and sex | | 84 | | Interpretive comments by test result value | | 85 | | Update of workload credits upon result entry and revisions | | 86 | | Ability to process multiple specimens created for tolerance test via analyzers |
| 87 | | Automatically produce results tests at predetermined elapsed times | | 88 | | Possibility to hold results printing until verified | | 89 | | Facility to broadcast results to a patient location by Hospital defined criteria ( test, location, priority) | | 90 | | Possibility for an Analyzer run and worksheet batch verification by batch number, entire specimen, or tests within a specimen | | 91 | | Attachment of comments to an edited result and to the audit trail of a transaction |
| 92 | | Possibility for Hospital staff to review a patient’s test results and specimens on-line | | 93 | | Real-time, on-line inquiry by patient name, billing number, medical record number or partial name look-up, specimen number and laboratory test | | 94 | | “process Analyzer” routines which may be exited at any point in the resulting process |
| 95 | | Patient reports provide nurses and physicians patients’ test results and cumulative summaries | | 96 | | Activity reports by Doctor, patient, or location | | 97 | | Patient reports by collection data | | 98 | | Cumulative summaries by location and patient | | 100 | | Summary by Medical Record Number | | 101 | | Hospital definable format capabilities | | 102 | | Patient report details automatically linked with Microbiology, Anatomical Pathology, and Blood Bank applications | | 103 | | Capability to view and print multiple specimens on a patient | | 104 | | Capability to print multiple copies of the same activity or summary report, depending on insurers and patient status |
| >>> Quality Control | | Quality Control features are needed to be imbedded in order to enable the Hospital to monitor the accuracy of test results through automated calculation functions. | | 105 | | Are there Quality Control features applied to specimen requisition and result entry . | | 106 | | Automatic; instantaneous updates of Means, SDs , etc.. | | 107 | | Quality Control reports, including: Levey-Jennings Plot, Youden graphs. | | 108 | | Exception Quality Control Results Report , Daily Log | | 109 | | Workload statistics including technologists time, equipment and supplies. | | 110 | | Results Statistics to be compiled and analyzed in a number of ways |
| 112 | | Outpatient Appointments | | 113 | | Inpatients Admissions, Transfers & Discharges | | 116 | | Finance , Billing ( Outpatient ) | | 120 | | Data is integrated with pharmacy application for viewing antibiotics |
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