The document discusses the transition from paper-based to electronic laboratory reporting using a Laboratory Information System/Laboratory Information Management System (LIS/LIMS). It describes how LIS/LIMS interfaces with instruments, sorts data into reports, and stores data for future use. The document outlines the benefits of LIS/LIMS, including fewer errors, faster processing, multi-level checks, and easier access to reports. Finally, it discusses important considerations for LIS/LIMS implementation and validation.

1. CEUTEH‘16
Dr. Raghavendra Lingaiah
 MBBS, MD (LABORATORY MEDICINE)
Assistant Professor, Laboratory Medicine, A.I.I.M.S

2. Dr. Raghavendra. L, MBBS,MD
Assistant Professor
Dept. Of Laboratory Medicine, AIIMS

3.  Management of the Information Explosion
 Paper to electronic based reports
 Need for quality lab report which is
 Accessible
 Accurate
 Timely
 Secure
 Confidential
 Private
 Included in the technical requirements (5.10)
of ISO 15189:2012 standards
Paper-
based
Electronic

4.  Laboratory Information System / Laboratory Information
Management System (LIMS)
 Computerized information management system designed for
laboratories
 Manages lab data from sample log-in to reporting
 Interfaces with analytical instruments
 Sorts and organizes data into various report formats
 Stores data for future reference and use

5.  1960s - Massachusetts General Hospital Utility Multi-Programming
System (MUMPS)
 1980s - Structured Query Language (SQL), relational database
management systems (RDBMS) expanded the functionality and
interoperability of the LIS
 Today - web-based and database-centric Internet applications
of laboratory informatics software

6. LIS workflow

8. Traditionally can be divided into
 Pre analytical phase
 Analytical phase
 Post analytical phase

9.  Patient management with unique ID
 Patient data tracking
 Test ordering
 Sample tracking with ID
 Workload and Workflow management
 Billing
LIS workflow

10. Age not
recorded
Village name
not recorded
Results
recorded
in village
column

11. Unidirectional/bi
directional LIS
Real time QC monitoring
Single window operation
Auto rechecks for critical
parameters
Sample quality
information

12.  Fewer transcription errors

13. Unreadable-
thick felt-tip
pen used on
other side Writing illegible

14.  Fewer transcription errors
 Faster processing with direct instrument uploads
 Multi-level checks before releasing the report
 Direct report generation meeting specific requirements - Auto-
verification

15.  Easy access and correlation with previous reports
 Direct communication of critical values to treating physicians
 Timely information to the patients for consultation
 Report management

16.  Improve data management in lab to increase lab potential
 Enable centralization of information
 Support and enhance business processes of the lab
 Take advantage of new lab information technology
 Provide easy access to data

17. 17
Integrate
with other
sites
Financial
management
Access
control
Track,
analyze
trends
Track
reports
Detailed,
legible
reports
Data
retrieval
options
QC
Error
reduction

18. 18
Back-up
requirements
Costs:
purchase
and
maintenance
Adapting
to a new
system
Training:
time
and money

19.  Evaluate LIMS capabilities
 System validation/maintenance
 Interfacing capabilities
 Confidentiality/data integrity protection
 Regulatory compliance/accreditation

20.  It improves the efficiency hence productivity.
 Improve data quality (all instrument are integrated).
 Saves time because the information is obtained at the snap of the button
 Improve level of data access for all stakeholders of any project.
 Automated customer reports (TAT, Work Load)