Difference between revisions of "Sharing Laboratory Reports"

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* Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
 
* Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
 
* Allows a public health laboratory to share broadly its reports related to a suspected outbreak
 
* Allows a public health laboratory to share broadly its reports related to a suspected outbreak
 
===Objective & scope===
 
The aim is to extend the IHE initiative to [http://riftgold.wordpress.com/2011/02/21/is-rift-better-than-wow/ wow gold] anatomic pathology laboratories, their [http://dcuocash.wordpress.com/2011/02/22/dcuo-reviews/ dcuo cash] information, automation, imaging systems and equipments.
 
 
The scope of the [http://riftgold.wordpress.com/2011/02/22/rift-class-guide/ rift plat] anatomic pathology includes [http://www.gamerking.com/rift-character-creation-guide/ rift plat] surgical pathology, [http://www.warcraftgold.com/rift-toon-creation-guide/ rift plat] biopsies pathology, [http://www.ffxifactory.com/rift-character-creation-walkthrough/ rift plat] cytopathology, [http://www.platsupply.com/rift-toon-creation-walkthrough/ rift plat] autopsies, and other [http://atanium.blogspot.com/2011/02/rift-guide-how-to-create-new-character.html rift plat] related techniques (immunohistochemistry, molecular pathology, etc).
 
 
Information systems in anatomic [http://riftgold.wordpress.com/2011/02/23/rift-guide-how-to-build-a-fresh-toon/ rift plat] pathology laboratories gather medical data (text, images, etc) throughout the [http://riftgold.wordpress.com/2011/02/24/rifts-official-server-list/ rift plat] specimen management from specimen reception to report editing.
 
 
The diagnostic process in [http://yourgameupdates.blogspot.com/2011/02/dcuo-first-patch-goes-live.html dcuo cash] anatomical pathology (figure 1) differs from that in the clinical laboratory since it relies on image interpretation and [http://yourgameupdates.blogspot.com/2011/01/left-4-dead-2-cheats.html left 4 dead 2 cheats]. It also differs from that in radiology since it is specimen-driven and when digital imaging is performed many types of imaging equipments (gross imaging, microscopic still imaging, whole slide imaging, multispectral imaging, etc) may be involved for a single examination. Moreover, with [http://manuelcadaing.com/godaddy-promo-code-and-coupon-list/ GoDaddy Promo Code] you'll be advance in game and images of the same study may be related to different specimen (parts and/or slides) from one or even different patients (e.g Tissue Micro Array). Finally with [http://manuelcadaing.com/seo-elite-review/ SEO Elite Review], slides are always available to acquire more images, if needed. In radiology, the diagnostic process is patient-driven, an examination (study) usually involves a single image acquisition modality and all images of the study are related to one and only one patient.
 
 
 
  
 
==Details==
 
==Details==

Revision as of 09:25, 24 February 2011

Sharing Laboratory Reports (XD-LAB) addresses the sharing of laboratory reports among a community of healthcare settings and care providers.



Summary

This Content Integration Profile describes a clinical laboratory report as an electronic document to be published towards a document sharing resource such as an Electronic Health Record (EHR) or a Personal Health Record (PHR) shared by a community of care providers, using one of the document sharing profiles defined in ITI-TF. Such an electronic document contains the set of releasable results produced by a clinical laboratory in fulfillment of one or more test Orders for a patient.
The report is both human-readable and importable in the consumer systems so as to consolidate their patient medical records.
The scope of this profile covers all laboratory specialties except anatomic pathology.


Ihe lab xd-lab ip.jpg


Benefits

Facilitates Patient Care Coordination

  • Enables the caregiver to obtain at once the laboratory reports produced during previous episodes of care, which enhances continuity of care.
  • Reduces over-ordering and over blood sampling from the patient by sharing the last laboratory reports among the various physicians attending the patient.
  • Enables the physician to consolidate their patient biological history by importing into their EHR the structured and coded data embedded in the electronic laboratory report.
  • Allows a public health laboratory to share broadly its reports related to a suspected outbreak

Details

The Sharing Laboratory Reports (XD-LAB) Integration Profile provides an electronic format for the laboratory report, to make this report:

  • human-readable: displayed on screen or printed out, with a proper and clear layout and presentation.
  • machine-readable: Each observation displayed in the report is also represented in the document as a set of structured and coded data that can be imported in the database of any consumer of the document.

This double capacity is achieved by leverageing the [Clinical Document Architecture Release 2] (CDAr2) standard from [HL7]
The XD-LAB Integration Profile covers six major use cases:

  • At discharge time, a hospital physician publishing a summary laboratory report with the most significant results obtained during the patient stay.
  • The bio-medical scientist of a private laboratory publishes a report for a patient into the regional Patient Health Record.
  • An ambulatory physician shares a laboratory report obtained from a laboratory.
  • A private or public laboratory publishes automatically all its reports in a shared document repository.
  • A healthcare institution produces a cumulative report of all laboratory tests performed for the patient during the encounter.
  • A public health laboratory shares its reports into a regional repository.


The standard CDAr2 leveraged by XD-LAB enables to share reports embedding images and charts, which are faithfully rendered by a web browser supporting RFC 2397:

Ihe lab xd-lab example.jpg


Systems Affected

Systems involved in this profile are:

  • A system owning a laboratory report and willing to publish it into a document sharing infrastructure. Depending upon the use cases, this can be the system of a clinical laboratory (LIS), the EHR of an ambulatory physician, the EMR of a care setting, the system of a public health laboratory. Each of these systems can play the role of Content Creator.
  • The system operated by a professional caregiver who wants to view a laboratory report, and may want to import its structured and coded results into its own database. This system plays the role of Content Consumer.

Actors & Transactions:

Xd-lab actor transaction.JPG


Specification

Profile Status: Final Text

Documents: IHE Laboratory Technical Framework:


Underlying Standards:

See Also

Related Profiles

  • Integration Profiles XD-LAB depends on


Consumer Information

This page is based on the Profile Template