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Laboratory Information Systems

A laboratory information system, or LIS, is a software program that provides all the basic functionality needed for a clinical laboratory, whether that laboratory is hospital-based or a standalone commercial laboratory facility. Various components of the LIS will handle patient check-in, order entry, results entry, physician and patient demographics, specimen processing, and have some level of reporting ability.

Legacy laboratory information systems are typically homegrown, that is, they were developed within the organization 20 or 30 years ago, or were purchased ”off the shelf.” Homegrown systems and legacy systems often have problems with connectivity, scalability and flexibility, especially as technology changes within the laboratory and healthcare industry. Off-the-shelf products often force laboratories to modify their workflow to adapt to the LIS, rather than the other way around. Also, numerous LIS vendors have gone out of business or shifted their focus to other areas in the last two decades. Often legacy LISes utilize multiple databases, which create a great deal of difficulty with database interfaces and data synchronization.

Newer LISes are increasingly able to offer what laboratories need: modular-based systems with customizable functionality, scalability and a high level of adaptable connectivity for both institutional electronic medical records (EMRs) and physician access. Laboratories also require a LIS to to interface with the laboratory’s instrumentation, which allows patient results to be directly entered into the database and then into the EMR; Web-based order entry/result inquiry; and workload balancing. The LIS often has non-clinical functionality such as workflow monitoring and billing services.

In addition, these systems need to be customizable, be able to effectively and easily interface with both the institution’s electronic health record, the laboratory’s automated equipment, and provide Web-based access for physicians.

The environment for health information technology, specifically LISes, requires adherence to a number of national and international standards including CLIA, CCHIT, ANSI, HL7, HITSP, and LOINC.

HHS Publishes Final Rule for Health IT Interoperability

THERE IS A NEW FEDERAL RULE intended to improve interoperability and portability of patient information. This rule could be a significant benefit for clinical laboratories and anatomic pathology groups. In December, the US Department of Health and Human Services (HHS) Offi…

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Atrium Health’s Advice on Epic Beaker Rollouts

CEO SUMMARY: Starting in 2019, Atrium Health began a years-long process to implement Epic Beaker as its laboratory information system. It was an enormous effort, involving dozens of locations across three s…

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VA: 120,000 Cancelled Lab Tests Did Not Route to Physicians

OFFICIALS FROM THE DEPARTMENT OF VETERANS AFFAIRS (VA) AND ORACLE CERNER found themselves on the …

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ARUP Laboratories and University of Utah Create MT Training Center

CEO SUMMARY: To help resolve the ongoing shortage of MTs and MLSs, ARUP Laboratories and the University of Utah’s Medical Laboratory Sciences Division took a novel approach to secure funding for a new laboratory scientist training center. They worked with their congressional repre…

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Labcorp Selects Oracle Cerner to Streamline Lab Workflows

THERE IS A UNIQUE CORPORATE COLLABORATION unfolding that involves Labcorp and Oracle Cerner. Announced in November, Labcorp will use Oracle Cerner’s lab information systems to update clinical laboratory workflow processes and support the sharing of patient data across healthcare organ…

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2022’s Top 10 Lab Stories Confirm Challenging Times

CEO SUMMARY: There are valuable insights to be gleaned from The Dark Report’s “Top 10 Lab Industry Stories for 2022.” Several of this year’s story picks involve external forces reshaping healthcare in the United States in profound ways. Other story picks for 2022 illustrate …

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Use This Five-Step Process to Implement a New LIS

CEO SUMMARY: Rolling out a new laboratory information system (LIS) is a costly, time-consuming project. One expert outlines five steps that clinical labs can take to alleviate pressures while ensuring the right people are onboard to help the endeavor move forward. Among the steps is…

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Oracle’s Plans for Cerner Might Increase Value of Lab Test Data

ONE MAJOR INFORMATICS PLAYER HAS AMBITIOUS PLANS that could make diagnostic data more accessible and, at the same time, more valuable for clinical laboratories. Oracle, the new owner of Cerner Corporation, is telling financial analysts that it wants to create a national repository of h…

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U.K.-based CliniSys Acquires Nashville-based ApolloLIMS

CONSOLIDATION IN THE CLINICAL LABORATORY INFORMATICS INDUSTRY took another step forward with the announcement that CliniSys (the parent of Sunquest Information Systems) was acquiring Nashville-based ApolloLIMS. This move may also further muddy the line between classic laborato…

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LIS Pioneer and Entrepreneur Sidney Goldblatt, MD, Dies at 87

IN THE 1970S, THE ARRIVAL OF AUTOMATED LAB ANALYZERS—such as the Technicon …

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