Pathfinding Session: Lab Information Systems Lab Automation Managers Lab IVD devices POCT IVD devices POC Data Managers Robotized container dispensers IHE North America Webinar Series 2008 François Macary GMSIH (

IHE Laboratory: intra hospital profiles and their dependencies Laboratory Order mgmt.Automation Care unit Patient mgmt. Security LTW: Tests performed in lab LCSD: Sharing lab tests nomenclature LPOCT: Tests performed on the point of care LBL: Specimen containers robotized distribution ATNA CT PAM PDQ LDA: lab devices IT Infrastructure

Tests performed in lab (ordering & reporting): LTW Laboratory Order mgmt.Automation Care unit Patient mgmt. Security IT Infrastructure LTW Profile Order Filler LIS Auto- mation Manager Lab Automation System Order Placer Order Result Tracker CIS, EMR Orders placed Results Work Orders Orders added by lab ATNA CT PAM PDQ Test results ITI actors

Tests performed in lab (Automation): LDA Automation Manager (LIS or LAS) Work Order (e.g. CRP, INR) Analyzer Post-analytical processor Pre-analytical processor Step 1 Step 2 Step 3

Tests performed in lab (Robotized container distribution and labeling): LBL Medical examination Clinical Ward Specimen drawn Blood collection room Test order placed Laboratory Tests performed, results produced Robotic container dispenser & barcoder, connected to LIS, HIS or CIS

Tests performed on the point of care, under supervision of a laboratory: LPOCT Care Unit A Care Unit B Laboratory supervising the POCT process POC Data Manager LIS HIS: Patient Administration CIS or EMR Real time patient identity check Point of care observationsAccepted observations     Registration of POC order & observations Historic access to any observations Immediate decision POC testing devices

Consumer A of the common code set (e.g. CIS) Orders (coded tests and batteries) Consumer B Observations (coded tests and results) Owner of the common code set for batteries, tests and results (e.g. LIS) Code set Copy Provide new release of the code set Laboratory Code Set Distribution: LCSD

Healthcare setting (LIS, CIS, EHR) Care provider (EHR) Document sharing infrastructure (XDS) XD-LAB: Sharing laboratory reports as CDA r2 electronic documents

XD-LAB: The sharing of a CDAr2 laboratory report LIS, CIS or ambulatory EHRDocument Sharing infrastructure Security Sharing Laboratory Reports XD-LAB ATNA CT XDS XDR XDM

Thank you for attention These profiles will be presented on: –Session 5: Laboratory - Tuesday, July 8 –Session 9: IT Infrastructure: Profiles for Health Information Exchange - Tuesday, July 15 –Session 11: IT Infrastructure: Security and Privacy - Tuesday, July 22 They are also presented on: