1. Laboratory Information System Dr. Milind Bhide (M.D.)

2. LIS – How important is it ? • As important as a microscope. • If the LIS fails, Lab work stops • Information technology and logistics key components differentiating small and corporate labs. • Information and Communication skills are a must for today’s world.

3. LIS - Key Components • FRONT END • Part of the software visible to the user • eg. Visual Basic, JAVA, Web front end • BACK END • Part of the software not visible to the user • eg. Access, Sql server, Oracle, DB2

4. LIS FEATURES • Patient registration and report printing • Barcode printing • Instrument interfacing • Inventory management • Training • Interconnecting central lab with centers • SMS and email of reports

5. Patient Information Module • Unique Sample Id • Association of Patient Id with Sample Id • Information to be recorded • Age- related normal ranges • Relevant patient history • Patient preparation - Fasting etc. • Patient Contact Information - to convey critical values

8. Barcode • Numeric or Characters coded as lines • Different formats • Code 39 • Code 128 • Sample ID coded as Barcode • Barcode read by readers on instruments

10. CORRECT

11. Instrument Interfacing

12. Instrument Interfacing

13. Slide Review Criteria

14. INVENTORY MANAGEMENT

15. Inventory management • Record as the supplies come • Record reagents used as testing is done • The difference is inventory • Check it against average usage and order if necessary

16. INVENTORY MANAGEMENT • Use 2D barcode provided by the manufacturer. • Scan reagents as they arrive • LIS tells about lot and bottle use • Define re-order level • Reagent lot and bottle (Date and time of first use)

20. Quality management • We are expected to run 2 levels control for common tests • 30 X 2 ie. 60 values obtained • Print , feed the values • Plot charts • If the day starts at 9:30 when to take corrective action and when does the work begin ?

23. Interconnecting Laboratories CENTRAL LABORATORY WITH PROCESSING FACILITY Collection centers Collection centers Collection centers Collection centers

24. How to connect to a central lab ? • Central Lab location. • Located at a place where internet facilities are available. • Internet facility • Telephone broadband • Wifi • 3G • Leased lines

25. Internet Connections

26. Internet connections • Shared connections • MTNL Broadband • Tata photon / Reliance • Mobile 3 G • Bandwidth is not dedicated. • Speed depends on the number of users at that time.

27. Internet connections • Leased lines • Dedicated line with guaranteed download and upload speed. • Highly reliable • Guaranteed uptime • More expensive

28. Creating PDF of reports

29. Backup Policy • Well defined with a back policy in place • Best to keep multiple backup sets. • Best to store important data on a central server. • Managed servers are available. • Linus based NAS (Network attached storage) affordable

30. NAS (Network attached Storage)

31. Remote Desktop Protocol (RDP)

32. Remote Desktop Protocol

33. Sending SMS

34. Association of Practising Pathologist of India (APPI) • To increase the member by active membership drive • To conduct continual medical education to advance the knowledge and imbibe the good practices • To represent the interests of the practising pathologists • To start medico-legal cell to support pathologists • To create awareness amongst medical practitioners and general public with regards the quackery in diagnostic practices • To facilitate and improve quality and effectiveness in laboratory

35. THANK YOU