Laboratory: Test catalogue, sample tracking, analysers, result validation and reporting

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HMS Core

Laboratory in the Bridge HMS Suite: Test catalogue, sample tracking, analysers, result validation and reporting

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Laboratory, screen by screen

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What's inside

Everything in Laboratory

78 items in 16 areas, every one shipping with the app today.

Test Catalog & Panels
- 80+ Seeded Test CatalogShips ~90+ ready-to-use lab tests across hematology, coagulation, chemistry, liver, lipid, thyroid, endocrine, serology, urinalysis, microbiology and cytology.
- LOINC-Coded TestsEach test carries a LOINC code, short name and translatable name for standards-based interoperability.
- Sample & Container MetadataEvery test defines its required sample type, collection container and analytical method so phlebotomy draws the right tube.
- Test Panels That CascadeEight bundled panels (CBC, RFT, LFT, Lipid, U&E, HbA1c, TFT, Urinalysis) auto-expand into their individual component result rows on ordering.
- Gender & Age-Banded Normal RangesReference ranges are stored per test with gender and age bounds plus critical low/high limits, resolved automatically for each patient.
- Automatic Value Classificationclassify_value() grades any measured number as low, normal, high, critical-low or critical-high against the patient-matched range.
Lab Request Lifecycle
- Full Request WorkflowLab requests move through draft, requested, sample collected, in progress, validated and reported states with guarded transition buttons.
- Order From ConsultationRequests link to a consultation and visit, and released lab results/radiology surface as smart buttons on the consultation form.
- Auto-Numbered ReferencesRequests, samples and radiology orders each draw human-readable sequences (LAB/, SMP/, RAD/ by year).
- Priority LevelsOrders can be routine, urgent or STAT, driving TAT targets and escalation.
- Automatic Panel ExpansionOn creation the request expands ordered panels into discrete test lines linked back to their parent panel.
- Live Count Smart ButtonsComputed tests, samples and results counts feed stat buttons for one-click navigation into each collection.
Specimen Management
- Code128 Barcode GenerationEach sample auto-generates a unique Code128 barcode on creation for scanning and tube labeling.
- Sample Lifecycle StatesSamples flow through collected, received, stored, rejected and disposed with dedicated action buttons.
- Sample & Container TypingSamples record specimen type and container (SST, EDTA, citrate and others) for pre-analytical accuracy.
- Guided Collection WizardA sample-collection wizard batches request lines into typed samples, records collector and note, and creates barcoded specimens in one step.
- Chain-of-Custody LogEvery handling action (collect, receive, store, dispose) writes a timestamped custody entry with user and location.
- Structured Rejection WorkflowSamples can be rejected with a coded reason and note, triggering a rejection notification to the ordering team.
Result Entry & Validation
- Multi-Step Result ValidationResults progress through entered, technician verified, supervisor verified and released, enforcing a two-tier sign-off before release.
- Automatic Result FlaggingNumeric results auto-flag normal, high, low or critical by comparing to the patient's resolved reference range.
- Reference Range Auto-DisplayEach result computes and stores its patient-specific reference-range string for the report.
- Critical-Value AlertingReleasing a critical result raises an alert and emails the ordering clinician via a dedicated mail template.
- Composite Sub-ValuesResults support child sub-value rows (e.g. differential parameters) each with its own value, unit, range and flag.
- Result Amendment WizardReleased results can be formally amended with a reason, creating a versioned amendment chained to the original.
Radiology & Imaging
- Multi-Modality OrderingRadiology orders cover X-Ray, ultrasound, CT, MRI, fluoroscopy, mammography, PET-CT and nuclear medicine.
- Modality-Specific Report TemplatesSelecting a modality auto-loads a structured technique/findings/impression template tailored to that study.
- Contrast Allergy Safety CheckEnabling contrast triggers an onchange that warns of the patient's documented allergies and their severity.
- Radiology Workflow StatesOrders move through requested, scheduled, in progress, reported, released and canceled with scheduling timestamps.
- Laterality & Body PartOrders capture body part/region and laterality (left, right, bilateral) for precise imaging requests.
- PACS Viewer Deep-LinkA computed PACS viewer URL from base URL and DICOM study UID opens the study in the external image viewer.
Quality Control & Accreditation
- Westgard Multi-Rule QC EngineQC runs are evaluated against 1-2s, 1-3s, 2-2s, R-4s, 4-1s and 10-x Westgard rules to catch random and systematic error.
- QC Materials RegisterQuality-control materials record lot number, level, mean, SD, unit and expiry linked to test and analyzer.
- Automatic Z-Score & Rule FlaggingEach QC run computes its z-score from the material mean/SD and auto-detects the triggered Westgard rule.
- QC Run LogA QC run log stores measured value, operator, acceptance status and note per material over time.
- Proficiency Testing (EQA)Proficiency-testing records track EQA surveys with provider, peer-group mean, reported value and corrective action.
- EQA Pass/Fail ScoringDeviation percent computes against allowable total error to auto-grade each survey pass or fail.
Equipment & Analyzers
- Analyzer / Equipment RegisterLab equipment records manufacturer, model, serial, interface type, facility and department for each analyzer.
- Interface Type TrackingEach analyzer declares its connection interface for LIS-instrument integration planning.
- Tests-Per-Analyzer LinkageTests link to the analyzer that runs them, with a computed test count and drill-down button.
- QC & Maintenance DatesEquipment tracks last-QC date and next-maintenance date to keep analyzers compliant.
- Unique Equipment CodesA constraint enforces unique analyzer codes across the register.
Interoperability (HL7 & FHIR)
- HL7 v2.5 ORU^R01 BuilderGenerates real HL7 v2.5 ORU^R01 result messages with proper MSH/PID/OBR/OBX segment structure and escaping.
- HL7 ORU ParserParses inbound ORU^R01 messages back into structured data for round-trip verified ingestion.
- HL7 Round-Trip ConsoleA wizard builds an ORU message from a result, re-parses it and confirms round-trip integrity in one screen.
- HL7 Message IngestionHL7 ORU^R01 result messages from external analyzers are accepted into the LIS.
- FHIR R4 Observation BuilderBuilds FHIR R4 Observation resources per result with final/preliminary status based on release state.
- FHIR DiagnosticReport BuilderAssembles a FHIR R4 DiagnosticReport aggregating a request's released observations as final or partial.
Configuration
- Settings
Laboratory
- Dashboard
- Lab Requests
- Samples
- Results Inbox
- Critical Values
- Radiology Orders
Quality
- QC Materials
- QC Runs
- Proficiency Testing
- TAT Report
Catalog
- Test Catalog
- Panels
- Equipment / Analyzers
Documents it prints
- Lab Result Report
- Sample Label (2x1)
- TAT Performance Report
- Radiology Report
- QC Daily Report
- Laboratory Request Form
It runs by itself
- HMS Laboratory - TAT breach escalationRuns hourly
Guided assistants
- BridgeERP HMS Laboratory Sample Collection Wizard
- BridgeERP HMS Laboratory Sample Collection Wizard Line
- BridgeERP HMS Laboratory Result Amendment Wizard
- BridgeERP HMS Laboratory HL7 Console
- BridgeERP HMS Laboratory FHIR Console
- Config Settings
What it sends
- BridgeERP HMS Lab: Critical Value Alert
- BridgeERP HMS Lab: TAT Breach Alert
- BridgeERP HMS Lab: Results Released
- BridgeERP HMS Lab: Sample Rejected

Works with

What Laboratory works with

Laboratory shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.