The Laboratory Technical Framework

1. The Laboratory Technical Framework • Laboratory Information Reconciliation Michael Müller (iSOFT Deutschland, Germany)Nicola Ferrari (Omnilab, Italy) IHE Educational Workshop

2. Laboratory Information Reconciliation • Match clinical lab observations produced on specimens collected from misidentified or unidentified patient with the patient’s record. • Match clinical lab observations produced on specimens with orders created afterwards, either in the Order Placer or in the Order Filler application. IHE Educational Workshop

3. Laboratory Information ReconciliationUse Cases 1, 2, 3, 4 • Unidentified Patient registered at ADT. Clinical lab tests ordered at Order Placer level. • Unidentified Patient registered at ADT . Clinical lab tests ordered at Order Filler level. • Unidentified Patient registered at Order Placer. Clinical lab tests ordered at Order Placer level. • Unidentified Patient registered at Order Filler. Clinical lab tests ordered at Order Filler level. The Unidentified Patient cases cover scenarios in which the care situation requires that tests be ordered immediately, even before proper Patient registration. IHE Educational Workshop

4. Laboratory Information ReconciliationUse Case 5 • Clinical lab tests performed on laboratory automation before creation of the order. • The order is created automatically from the results (similar to POCT). • The order is created afterwards at Order Filler and matches to the results. LIR also covers the scenario of tests performed before the order is entered, no matter the patient is identified or not. IHE Educational Workshop

5. LIR Use Case 1 Unidentified Patient registered at ADT and ordered at Order Placer IHE Educational Workshop

6. LIR Use Case 2 Unidentified Patient registered at ADT and ordered at Order Filler IHE Educational Workshop

7. LIR Use Case 3 Patient Information (LAB-X) Patient Registration (RAD1) Creates Same as Use Case 1 placer order Placer Order Schedules Mgmt filler order Order Results Mgmt Work Order Mgmt Processes - work order Test Results Mgmt Results post Patient Reconciliation processing - John Doe > Bob Smith Patient Update/Merge (RAD12) ADT Order Placer Order Filler Automation Order Result Manager Tracker Registers John Doe Unidentified Patient registered and ordered at Order Placer IHE Educational Workshop

8. LIR Use Case 4 ADT Order Placer Order Filler Automation Order Result Manager Tracker Registers Patient Information John Doe (LAB-X) Patient Registration (RAD1) Creates filler order Filler Order Mgmt … and so on like Use Case 2 Unidentified Patient registered and ordered at Order Filler IHE Educational Workshop

9. LIR Use Case 5 Tests performed on laboratory devices prior to the order IHE Educational Workshop

10. Thank you for your attention… IHE Educational Workshop