1. February 7-10, 2005Noordwijkerhout, IHE Workshop 1 A new Profile for the Laboratory Domain: Laboratory Device Automation Francois Macary GWI Medica France Cochair IHE Laboratory Committee together with Yoshimitsu TakagiHitachi Cochair IHE Laboratory Committee Integrating the Healthcare Enterprise

2. February 7-10, 2005Noordwijkerhout, IHE Workshop 2 Laboratory Device Automation (LDA) Order FillerOrder Placer Order Result Tracker ADT Placer order Filler order Demographics Results Demographics Results Work order LSWF Clinical Laboratory LDA Work Order Steps Automation Manager

3. February 7-10, 2005Noordwijkerhout, IHE Workshop 3 Scope of LDA Integration Profile Workflow between an Automation Manager and the automated devices that it handles. Workflow specimen based: A sequence of steps, each of which uses a specimen on a device. Scope limited to devices operated by the lab staff. Goal: To fulfill a Work Order and its clinical tests on the related specimens, using the various devices connected to the Automation Manager. Except for the robotic transportation of the specimen, this profile does not address electromechanical command interface. Its transactions carry the needed or produced specimen related data back and forth between Automation Manager and Devices

4. February 7-10, 2005Noordwijkerhout, IHE Workshop 4 Fulfillment of a Work Order A Work Order is split into a sequence of steps according to the devices involved in its process. This sequence of steps includes three main phases:  the pre-analytical process of the specimens (sorting, centrifugation, aliquoting, transportation, decapping)  the analytical process (run of the clinical tests on the specimen)  the post-analytical process (recapping, transportation, rerun, dilution, storage and retrieval).

5. February 7-10, 2005Noordwijkerhout, IHE Workshop 5 Example of workflow Automation Manager Robotic Specimen Transportation System decapper Step 2: decap Chemistry Analyzer Step 3: Convey to chemistry analyzer centrifuging Test Na, K, Cl Perform electrolye Work Order for serum n° 123 Step 4: Query for test? Schedules steps 1 to 6 Downloads steps 1, 2, 3, 5, 6 Schedules steps 1 to 6 Downloads steps 1, 2, 3, 5, 6 Send the results Step 1: Convey to decapper recapper Step 6: recap Step 5: Convey to recapper Blood specimen Serum

6. February 7-10, 2005Noordwijkerhout, IHE Workshop 6 Main use cases (1) Step downloaded on the device before specimen arrival Automation Manager Automated Device Work Order received from Order Filler Step Download Specimen recognized Step Status Change: Specimen arrived Step completed Step Status Change: Step complete

7. February 7-10, 2005Noordwijkerhout, IHE Workshop 7 Main use cases (2) Step query triggered by specimen recognition on device Automation Manager Automated Device Work Order received from Order Filler Specimen recognized Step Query (What must I do with this specimen?) Step completed Step Status Change: Step complete Step scheduled

8. February 7-10, 2005Noordwijkerhout, IHE Workshop 8 Main use cases (3) Step manually entered on the device Automation Manager Automated Device Work Order received from Order Filler Specimen recognized Step completed Step Status Change: Step complete Step scheduled and printed out Step entered and started

9. February 7-10, 2005Noordwijkerhout, IHE Workshop 9 Main use cases (4) Rerun can be decided at different times  Decided on the device immediately after obtention of the first results. E.g. Results out of scale  Rerun with dilution  Decided by the laboratory staff during the technical validation of the first results, using the Automation Manager application  Decided by the laboratory clinical expert during the clinical validation of the first results, using the Order Filler application

10. February 7-10, 2005Noordwijkerhout, IHE Workshop 10 LAB-22 Query for WOS LAB-26 SWOS status change LAB-21 WOS download LAB-22 Query for WOS LAB-23 AWOS status change LAB-21 WOS download Pre/Post-processorAnalyzer Automation Manager LDA: Actors & Transactions WOS = Work Order Step  AWOS = Analytical Work Order Step: Produces observations  SWOS = Specimen processing Work Order Step. Does not produce any observation

11. February 7-10, 2005Noordwijkerhout, IHE Workshop 11 LDA: Actors and transactions ActorsTransactionsOpt HL7 2.5 messages Automation Manager LAB-21 : WOS DownloadR OML^O33 / ORL^O34 LAB-22 : WOS QueryR QBP^Q11 / RSP^K11 LAB-23 : AWOS Status ChangeR OUL^R22 / ACK^R22 LAB-26 : SWOS Status ChangeO SSU^U03 / ACK^U03 AnalyzerLAB-21 : WOS DownloadO OML^O33 / ORL^O34 LAB-22 : WOS QueryO QBP^Q11 / RSP^K11 LAB-23 : AWOS Status ChangeR OUL^R22 / ACK^R22 Pre/Post Processor LAB-21 : WOS DownloadO OML^O33 / ORL^O34 LAB-22 : WOS QueryO QBP^Q11 / RSP^K11 LAB-26 : SWOS Status ChangeR SSU^U03 / ACK^U03

12. February 7-10, 2005Noordwijkerhout, IHE Workshop 12 LDA: Options ActorOptions Automation ManagerManagement of Pre/Post-processor AnalyzerQuery mode WOS Download mode WOS Pre/Post-processorQuery mode WOS Download mode WOS

13. February 7-10, 2005Noordwijkerhout, IHE Workshop 13 Thank you for your attention…