ABBREVIATIONS:

LIS: Laboratory Information System

HIS: Hospital Information System

HL7: Health Level 7

1. GENERAL FEATURES:

a. LAB Assistant is an information system managing the cycle beginning with the entrance of the sample to the laboratory to the conveyance of the results to the patients.

b. It increases the operation and result obtaining velocity of the laboratory.

c. It ensures the sample and operation security by barcode labels.

d. It ensures the results for all the samples accepted instantaneously for a patient submitted in the same report.

e. It ensures to reach all the previous results of the patients.

f. It supplies you to study scientifically and financially by statistical functions.

g. SI values can be given at the normal value definitions for each test. If requested, SI values can be also given in the result reports.

h. With the LOG module present in the LAB Assistant, all the details such as who registered the sample, when the results are encountered, who made the revision  -if a revision is made on the results, and what kind of revision was made can be registered. By the means of the LOG module, every kind of process being the cause of data revisions can be followed by the manager of the system.

ı. Every function expresses below can be made personnel according to the site it will be applied though it can be cancelled completely at that site.

2- OPERATION CYCLE:

a. Patient/sample acceptance and sample labelling

i. The patient identification and request information can be entered directly to LAB Assistant and also they can be accepted upon a HIS according to HL7 standards.

ii. Barcode labels are produced as the number of tube/cups according to patient requests. If requested, barcode labels can also be produced for patient to be used while obtaining the results.

iii. For the samples coming from the clinics as a total, the required acceptance and labelling operations are performed using the Patient Acceptance module again from a location in the laboratory.

iv. The material to be studied is accepted from the patient as these barcode labels are stuck to the tube and/or cup concerning the related request of the patient.

v. The label properties: The below information is involved on the barcode labels.

1. Number of the patient

2. Number of the sample

3. Name of the requesting clinic

4. Request date

5. Name of the tube/cup related with the barcode

6. Test groups to be studied

b. The entrance of the samples to the laboratory:

The labelled samples gathered at the bloodletting units or the clinic acceptance locations are accepted with the Sample Acceptance Module. By this way, the entrance process of the sample to the laboratory and the personnel who makes this process can be followed.

c. Serum Separations:

i. If there is an automatic serum separation instrument, integration with this instrument is supplied.

ii. If there is not a serum separation instrument, there are support functions for manual serum separation. For the requested samples, at this location, serum-separating barcode is produced so that each new tube/cup separated is labelled. The labels produced for the samples separated, bear the same properties with the labels on the primary tubes.

d. Study:

i. Manual Study

1. Study lists are obtained.

2. The analyses of the requested tests are realized.

3. The results related with the same test are entered completely. For this, according to the sequence of the study list, the portion where the patients who are waiting their results for related tests as a total is used.

4. If required, all the results of the tests concerning a patient are entered.

ii. Study with analysers

1. Primary sample tubes are loaded to the instruments directly after the centrifugal process. During this process, the samples can be placed in the racks or trays in random access.

2. The LAB Assistant supports bi-directional and uni-directional instrument integrations. It can transfer data through serial port, TCP / IP and USB.

3. The results analysed in the instruments are conveyed to the LAB Assistant automatically.

iii. Result Observing and Approval:

1. The results are checked and approved by authorized users.

2. The patient data can be reached separately using folder no, sample no, surname, name in the Result Observing Module.

3. Explanations can be entered for every test result and every test group (such as 30 minutes blood sugar, haemolysed blood)

4. The results that need to analyse again, rerun.

5. LAB Assistant helps the user during the check of the results and approval with the properties listed below:

a. The previous results of the patient can be monitored together with the new results on the same screen.

b. Delta check control

c. Cross check control

d. Rule control with user definition

e. Result revisions. All the results that were studied more than one for the same sample can be monitored together on the screen. (Manual or automatic rerun)

6. If the results accepted suitable, they are approved.

7. The approved results can be reported or observed from the other units.

e. Reporting:

i. All the results for an approved patients related sample can be reported together at once.

ii. The reports are printed as subgroups according to the test groups

iii. Results and reference intervals can be also be taken according to SI values in reports.

iv. Search can be done for the patient whose report will be obtained by patient number, sample number, name-surname and information as such.

v. All the previous results concerning a patient can be reported.

vi. Total report can be obtained in certain time intervals according to the units.

f. Internet

i. With web based Result Observation Module; the results can be distributed upon Internet/Intranet.

3. STATISTICS and EVALUATION:

a. Number of tests studied between specific date intervals can be obtained.

b. The number of samples coming from which sample, accepted between specific date intervals, according to test groups can be obtained.

c. The number of samples coming to the laboratory according to days, laboratory and test groups can be obtained in graphics.

d. The graphics of the number of samples coming to the laboratory can be obtained according to days.

e. The number of patients and samples coming to the laboratory in a specific date interval can be obtained.

f.  Decomposing according to test groups or portions can monitor number of tests studied in a certain date interval.

g. The list of the microorganisms reproducing in a certain date interval can be obtained.

h. Number of microorganisms produced for all micro organisms can be obtained according to sample types in a certain date interval.

i.  The number of cultures according to the types of samples and the ones of which antibiogrammes are made can be obtained.

j.  The statistics of the resistance ratio of each antibiotic can be obtained according to service and polyclinics for every microorganism type in a certain date interval.

k. This statistics can also be obtained for only a specific service and a specific sample type.

l.  Special Interrogation: Various statistics can be obtained according to the values such as certain date intervals, test groups, service/polyclinic, state of patients, age, sex, the requesting doctor, pre diagnosis and the values of the tests etc. For example, the patients whose glucose results are more than 70 mg/dl can be found for the official patients who are 25 years old from woman patients, came between dates 01.01.1999 and 01.02.1999.

4.QC ASSISTANT QUALITY CONTROL DECISION SUPPORT SYSTEM:

a. The control results used in all instruments in the laboratory can be followed.

b. The QC results are transferred automatically to the database by the way of the instruments connected on-line to the system.

c. “Standard Deviation”, “Deviation Index”, “Variant” values can be obtained from the quality control data according to a specific date.

d. The graphics of the Levy-Jennings and Cum-Sum of the control serums on test bases can be obtained according to specific dates and through the printer if requested.

e. The Levy-Jennings graphics for all the tests of a control serum can be obtained all to gather.