LIS Core Components

Order Entry

Apex provides 5 ways to enter orders. When deployed as a POL or Hospital LIS orders are typically entered in the EHR which sends the order to Apex as an HL7 message.

When deployed as a Commercial or Reference Lab many more options are available including: CSV upload, HL7, JSON API, Mobile order entry, web portal, XML and custom (e.g. anything you want).

As part of the deploy process our Deploy Team will build you an order entry form to any format you request. The CloudLab supports ove 200 data items which can be part of your order form. Each item can be specified as optional or required, can have set of valid options and a default value.

The order entry subsystem provides a variety of order analysis services including: performing lab routing based on insurance rules as well as checking for consistency with CMS rules.

The cloud-based LIS provides you with configurable forms for entering orders. The one displayed above is optomized to support rapid order entry for local processing.

The cloud-based LIS Deploy Team will configure an order entry form that meets your needs. The screen above and the following 3 forms are an example of a complex order entry form. Note that the form can be generated in multiple languages.

The screen above is the 2nd part of an example of a complex order entry form.

The screen above is the 3rd part of an example of a complex order entry form. Note that user can select panels and/or individual tests.

The screen above is the 4th part of an example of a complex order entry form.

You can print specimen labels and Requisitions from browser. Parameters allow you to configure to your exact needs.

You can print specimen labels at bottom of Requisitions from browser.

The LIS includes an optional mobile application for entering orders and viewing results.

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Specimen Management

Apex provides the most comprehensive set of specimen management features in the industry. Its proven reliability can be configured for any type of lab. Whether your specimen is blood or chemicals or organic our specimen manger can be easily configured to match your workflow requirements. Order entry supports both multiple specimens as well as multiple tests per specimen.

The CloudLab supports multiple specimens per panel (e.g. "A" and "B" tubes) as well aliquots as required.

When ascensioning the application can send email, fax or text confirming successful receipt or reason for rejecting a specimen.

The design of our Specimen Manager includes barcode enabled chain of custody tracking and easy storage and retrieval using barcodes. The LIS provides full support for the generation of "child" specimens from original specimen.

Specimen labels can be configured as needed and may be printed from your internet browser. The CloudLab supports preprinted labels as well as requisition forms with 3 labels at botton of form.

The create specimen batch form allows you to select which specimens we'll be batched for delivery to the lab.

Once you have created a batch you can use this forum to update if necessary and then release go batch.

The print bill of lading menu option will generate a PDF of the selected batch.

the specimen intake form allows you to scan the specimen barcode.

the specimen status form provides you with a simple way to search and view specimen status.

You may scan a specimen into or out of temporary storage.

This form is used to manage the valid set of specimen types.

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Analyzer Management

Apex's analyzer interfaces send patient demographic information directly to your analyzer eliminating operator data entry errors. Specimen bar codes eliminate specimen tracking and coding errors.

Apex has interfaced more than 500 analyzers from the all the leading manufacturers in the world. With its amazing Data Capture System it is able to interface any analyzer in days. Apex has hospital clients with over 27 analyzers in lab as well as one client with 24 urgent care locations each with more than 6 analyzers in each location. One of America's largest childrens hospital uses Apex to manage its 10 remote clinics.

The LIS provides complete support for managing analyzer QC processing. A complete set of QC reports are availble. Apex will also provide rapid results entry screens for non-device tests like flu & strep or for low volume analyzers you have chosen not to interface.

Data Capture Modules are middleware "black boxes" that can control up to 8 analyzers.

You can configure your Panels/Tests.

The items dialogue box is used to select which observations are part of a panel/test.

The panel dialogue box shows the observations that are part of a panel/test.

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Tray Management

Our Tray Manager system allows you to easily define tray utilization for each analyzer using trays. The process of defining a tray begins with which analyzer then rows and columns and how to label them. The you define the sequence for populating wells (e.g. left to right, top to bottom, etc.) and then finally defining well(s)where to put QC. We are experienced in custom coding to accomodate robotic tray loading for which their is an additional one-time fee.

The Tray Manager understands specimen Pooling. We have defined trays with 484 wells which were then populated with vials each containing 10 COVID specimens.

The CloudLab LIMS lets you create tray definitions.

You populate a tray batch by scanning barcodes or the LIMS can automatically populate the tray.

LIMS manages trays where the vials have specimens that have been pooled.

Easily & quickly display the contents of selected tray.

This form displays the content of the selected tray batch.

This form lets you upload results files created by the tray analyzer to be processed in the cloud.

This form displays processed tray result batches ready for approval and release.

This form displays the contents of the selected processed tray result batches ready for approval and release.

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Results Processing

Apex has substantial experience in post processing of analyzer reports using a set of rules provided by client. From simple post processing like converting a plus sign to the word "Positive" to complex rule sets like those associated with Toxicology Apex is ready to work with your team to achieve the most efficient workflow consistent with the highest quality processing.

Apex is able to apply post processing rules that result in automatic generation of post processing service by third party and waiting for result in order to incorporate into final report.

The CloudLab will not permit a test to be performed on an anlyzer that has failed QC or in conjunction with an expired reagent lot.

The CloudLab will automatically advise ordering provider of a critical result by email, fax or text.

The CloudLab Data Management subsystem provides a broad set of reports as well as a Data Export tool that lets authorized users easilty create custom reports on lab data.

The apex cloud lab LIS presents analyzer results to the lab tech for review and approval.

Results may be managed by order or by specimen.

The LIS requires operator action when a critical result is received.

The LIS can display history of results for each observation.

The LIS can attach unlimited comments to each observation.

The LIS is able to upload large sets of results as a text file.

Once an uploaded result batch has been processed the lab tech can review and approve a batch. Once approved the LIS will execute the distribution rules for all results.

Clicking on selected processed results batch will display the tests in the batch.

CloudLab provides a variety of results processing options to streamline the approval & release process.

Once an uploaded result batch has been processed the lab tech can review and approve a batch. Once approved the LIS will execute the distribution rules for all results.

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Results Reporting

Once a results report is ready the system checks its workflow rules to determine reporting workflow. First we check which results report template should be used to render the report. Then we check to see if either of the two levels of approval must first be satisfied. Then we check the mode of delivery and to which individuals. Delivery by fax, email and text are supported. A permanent copy of the results report is first encrypted using AES 256 bit algorithm and then archieved on your web portal for later retrieval by authorized individuals. A complete distribution history is maintained for each result report.

As part of the deploy process our Deploy Team will build your Results Report to any format you request.

Quality Control

The Apex CloudLab has full support for Quailty Control processing and management. QC best practices are supported for both connected analyzers and manual testing procedures.

The application confirms valid QC status for an analyzer and if not confirmed advised lab tech of analyzer QC status. Status of analyzer reagent lots if checked to ensure still acceptable. When trays are processed the application advises lab tech of failed QC and places results in a "Hold" status

QC Controls can be easily setup by lab admin.

The items dialogue box is used to select which observations are part of a control.

Control lots are easily added when appropriate.

CloudLab recognizes controls and evaluates with display to results form.

Levy-Jennings reports are run as needed.

Levy-Jennings reports can combine all controls on one graph.

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