pathfinding session: lab information systems lab automation managers lab ivd devices poct ivd...
TRANSCRIPT
Pathfinding Session: Lab Information SystemsLab Automation ManagersLab IVD devices POCT IVD devicesPOC Data ManagersRobotized container dispensers
IHE North America Webinar Series 2008IHE North America Webinar Series 2008
François MacaryFrançois Macary GMSIH (GMSIH (www.gmsih.fr) )
IHE Laboratory: intra hospital profiles and their dependencies
Laboratory
Order mgmt. Automation
Care unit
Patient mgmt.
Security
LTW: LTW: Tests performed in labTests performed in lab
LCSD: LCSD: Sharing lab tests nomenclatureSharing lab tests nomenclature
LPOCT: LPOCT: Tests Tests performed on the point of careperformed on the point of care
LBL: LBL: Specimen containers Specimen containers robotized distributionrobotized distribution
ATNAATNA
CTCT
PAMPAM
PDQPDQ
LDA: LDA: lab deviceslab devices
IT Infrastructure
Tests performed in lab (ordering & reporting): LTW
Laboratory
Order mgmt. Automation
Care unit
Patient mgmt.
Security
IT Infrastructure
LTW ProfileLTW 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
ATNAATNA
CTCT
PAMPAM
PDQPDQ
Test results
ITI actors
ITI actors
ITI actors
Tests performed in lab (Automation): LDA
Automation Manager
(LIS or LAS)
Work OrderWork Order(e.g. CRP, INR)(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 observations Accepted 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
CopyCopy
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 EHRDocumentSharing
infrastructure
Security
Sharing Laboratory ReportsSharing Laboratory ReportsXD-LABXD-LAB
ATNAATNA
CTCT
XDSXDS
XDRXDR
XDMXDM
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:http://wiki.ihe.net/index.php?title=Profiles