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