LABKA II

Introduction
 LabkaII users

 Doctors
 Laboratory
technicians
 External labs

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Base definitions
 SOI (Subject Of Investigation)
 Patient
 Animal
 Material

 CPR (Civil Registration Number)

 Unique ID of each patient in
Denmark
 Has special format:
DDMMYY-XXXX

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Investigation
 Clinical analysis
 What to measure?
 How to measure?
 In what units the
result is informed?

 Investigation types:
 Simple
 Lists
 Reflex-tests

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 Versions of Investigation
 Tables of
Investigations
 Global

 Laboratory

 Versions
 Global and lab investigation versions
 Behaves like a separate investigation
 Has its own set of settings
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 HealthCare Organization(HCO)
Basic Type Functions as Client type to log in
Internal Lab LAB JAVA
Internal LSP LAB JAVA
Internal Not LAB HTML
organization
External org Not LAB HTML

Lab - Owns Investigation Tables

LSP LSP LSP - Performs investigations

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 HealthCare Professional (HCP)
User Type Functionality Logs to client of type
Clinic Request analyses / HTML
receive results
Laboratory Process analyses JAVA

Rights
Laboratory Clinical
Rights Rights

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LabkaII
workflow

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 Requesting
 LSO – the main object
 Request for performing set of
investigations
 Known in the system globally
 Sample collection procedure
(How and When samples will be
collected)
 Ordered Investigation, priority
 Processing LSP
 Types of requesting:
 Online, by clinical users
 Offline, by OMR-forms and EDI messages
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 1. Info about SOI 4. Clinical Info
7. List of investigations

2. Info
about
requesters

3. Info
about
receivers
of reports
6. List of selected
investigations
5. Sampling information

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 Clinical Information
 Additional information related to the:

Particular Investigation Whole LSO

 Types
 System’s
(Height,
Weight, Age….)
 User’s
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 Sampling
 LSO release
 Generally happens once for non-
released LSO
 Adds investigations and clinic info
 Sample generation

 PTB printing
 PTB - a list of samples to be collected
 Contains labels for containers with materials
 Used by laboratory technicians
 Re-printing is possible in another lab
 Rounds
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 PTB – Sample Collection Blank
1 - Upper 2 - Name 3 - Requester 4 - Central 5 - Present 8 - Barcode head
line labels label name label information label label

9 - Glass labels
(barcode labels)
6 - Investigation
lines

7 - Priority
labels

10 - Extra labels

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Sample
 Material to be analyzed
 Contains one or several
investigations
 Has unique number
 Placed in Containers
 Can be distributed between
LSPs
 Sample states:
Printed, Received, Sent, Saved, Destroyed,
Canceled
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 Container
 Vessel for keeping and
transportation material
for analyses
 Test-tube

 Types:
 Separate container
 Shared container (several investigations in
the same test tube)
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 Receiving of samples

Event Collection Reception

Difference of Material is taken, Includes Collection. Sample
events but sample’s is collected and the lab of its
location is not location is defined. LSP of
defined receiving is Processing LSP
To occur Define “Start date” Receive the sample in m09
in module 07
After the event Sample can only Work distribution process
has occurred be replied by User starts
manually in m16

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 LABKAII subsystems
Instrument Instrument 1

Laboratory Server
Instrument 2
Client Labka II
Server
Instrument 3

Clinical …
IS Client
Client Instrument N

Instrument N+1

Instrument Simulator was developed for testers

to simulate instrument functioning
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 Work Distribution
Ordered Work
WD
investigations orders

 Creates work orders for ordered investigations on

suppliers
 Distributes work orders to workplaces and
instruments
 Work Order is a set of tests to be sent to the
instrument in order to perform one or more ordered
investigations belonging to one sample

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 Work Distribution
 Consists of 2 phases:
 Creating of preliminary WO
 Creating of released WO

 Additional tasks of WD
 Canceling WO when replies are done
 Sending WO to IS

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Suppliers
LSP
WP N investigations

WP1 … WPN Spl 1

investigations

… … … Spl N
Spl 1 Spl N Spl 1 Spl N
investigations

 Instrument
Manual

{


Types of suppliers  External lab

 Internal lab
 Sorter
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 Supplier investigations
 Define Instrument settings:
 Instrument Model: tests, sample identification, m41BD
 Workplaces and Suppliers, m41F
 Workplace Investigations, m41G
 Supplier Investigations, m41H

Supplier investigation:
Spl 1 = SI_1 Test1 ▲
=
Test2 
INV
Test 1’ 
Spl 2 = SI_2 Test 2’  = 
Test 3’ 
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 Measurement Processing
 How reply can be Measurement
entered: IS
Manually LS

Work Order
 Received from
Instrument Server  Approval flow:
 By reflex-test  Starts each time a source
 Automatically value appears
(when events occur)  Each rule produces a flag
 By external LSP  Approval. Final reply is seen
(EDI)
on reports
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 Source
value
Limit check

Archetype
conversion
QC test

Sample
Converting
resolving

Investigation Internal
resolving Reply

Checking for
flags and
Check against reply
comments
format

Check for duplicate

enering

Numeric Interval Text Date Measurement

Check for ordered

investigation

Correction

Checking against
Reference Interval

Corrected Corrected
Numeric Interval
Check against previous
reply

Dilution /
Concentration
checking Check for alarm and
panic limits

Correction for
dilution factor Reply

Approve
Result

Approved
Reply

Workflow from Source Value to Reply Auto-commenting

Deepening

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 QC rules
 Measurements: QC
and patient
 Each measurement
must be evaluated
against quality
assurance rules, m42
 All of the failed rules produce
their own flags separately

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Runs

 Approving sets of measurements at once

 Defined on the specified supplier investigation
 9 types, one is used
 May check patient average value (depends on run type)
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 Reporting
 Results are delivered to
recipients in the form of
reports
 If the reply is changed,
everyone who already saw it
must be informed via
reporting
 In Denmark a patient is the
owner of this information
(POC rules)

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Reporting system processes
 Immediate reporting
 report criteria + alarm/panic limits
 constantly monitors the replies
 collects replies from one patient at a time
 Batch reporting
 specified time + launched manually
 collects replies on many patients at a time

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 Report formats
 EDI
 The replies are sent
through EDI from LABKAII
to External Labs
 Cumulated reply
 New replies + the last
already printed so that 10
columns on each page
 Single reply
 One LSO per one logical page
 Special format
 Cumulated, Single, Graphic; condition - selected investigations
 Format is defined for Recipient of Report in m44

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 Report Criteria
 Used to define when to print a reply to a Recipient of Report
 RC is related to Recipient of Report in m44

Type Data to report Process

Incomplete All new replies whatever the LSO is Batch reporting
complete (starts at certain
Complete All new replies of completed LSO time or launched
which satisfy the defined criterion manually in m25)
Complete All new replies of completed LSO Immediate
immediately reporting ( report
Prioritized All new replies satisfying the specified criteria +
reply criteria as time passed after first reply, alarm/panic limits
sample collection or receiving time )
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 Be careful!

Questionnaire is ahead!

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Thank You !!!

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