Labs - Legacy Article

The Critical Care program collects a count of a list (S_AllLabs) of labs performed.

At HSC labs (for Critical Care and Medicine) are downloaded. For more info see Lab downloading at HSC.

Lab collection process - tallying lab tests. For more information see Lab Collection Process.

Data Integrity Rules, a.k.a TISS / Pharm corellation

The following items on your pharmacy form should be confirmed against the corresponding items on the TISS:

• ABGs - items 57 and 58

Limited number of labs

Only 24 labs can actually be sent in. You can collect as many as you want, but only those with the highest priority will actually be sent.

Which labs should be given preference

On the rare occasion more than 24 different labs are performed on a patient.

Since we cross-check labs against the TISS, all the labs that are referenced on the TISS need to be sent.

As for the rest, the labs are collected mostly for a cost estimate, so the most expensive ones are of most interest to us. Apparently a request for up-to-date lab costs has been in to the lab people for some time, but there are difficulties in getting an answer. Once we have updated costs, we would actually change the CCMDB.mdb so it would pick the most important labs automatically based on cost, much like we are now doing for comorbids.

Labs that are currently manually collected - TABLE

• This is a master list of lab items that are on every PDA.
  • TRUE means item is collected at a site
  • FALSE means item is NOT collected at a site.

• For LAB items, the PDA can be set to different VIEWING lists.
  • View all LABS (Master PDA lab list)
  • Collect at HSC (subset of Master PDA lab list for HSC only. )
  • Collect at Others (subset of Master PDA lab list for: STB, GRA, CON, OAK, GRA)

Template:Discussion Another point that should be mentioned is when there are no labs on a given patient. Access will not send without something in the lab list. Trish suggested putting in a value in access but then deleting in the the excel program after sending into that folder in the regional server. --LKolesar 11:04, 19 March 2009 (CDT)

• Tina, for ccmdb, we should add a separate check for NO lab or NO pharm. The above work around is not the best thing to be doing.--TOstryzniuk 11:35, 19 March 2009 (CDT)

See change log: separate check box for NO Lab or NO pharm.--TOstryzniuk 11:41, 19 March 2009 (CDT)

Lab test items table

It is important that if you are NOT at the HSC that when you select a LAB item that the VIEW on your PDA is set to COLLECT at OTHER SITES.TOstryzniuk 12:31, 27 February 2009 (CST)

LabCode	LabName	HSC_Collect_Manual	Other_Collect_Manual
38	CBC	False	True
39	CBC Diff	False	True
40	PT/PTT	False	True
58	K	False	True
61	Glucose - *sent to lab NOT glucometer	False	True
63	Creatinine	False	True
76	MG	False	True
77	SGPT	False	True
81	CPK	False	True
89	Troponin	False	True
113	Sputum C+S	False	True
114	Blood C+S	False	True
120	Urine C+S	False	True
135	ABG	False	True
99	Skull Xray	True	False
100	Sinus Xray	True	False
101	C-Spine Xray	True	False
102	L-Spine Xray	True	False
103	Other Xray	True	False
105	Lung Scan	True	False
108	Fluroscopy	True	False
111	EEG	True	False
125	Sputum Mycoplasma	True	False
126	Serum Mycoplasma	True	False
131	HIV	True	False
132	VDRL	True	False
133	Viral Titre	True	False
134	Hepatitis Screen	True	False
48	Group & Match	True	True
50	Packed cells	True	True
51	FFP	True	True
52	SP	True	True
53	Platelets	True	True
54	Albumin 25 %	True	True
55	Albumin 5%	True	True
96	EKG	True	True
97	CXR	True	True
98	ABD Xray	True	True
104	CT Scan	True	True
106	Angio-Coronary	True	True
107	Angio-Other	True	True
109	U /S Echo	True	True
110	U /S Abd	True	True
136	Pentaspan	True	True
137	MUGA	True	True
138	MRI	True	True
142	Voluven	True	True

Data Structure

The data is now stored in the L_Labs tables on the PDA and in the CCMDB.mdb. There are two separate tables for labs. One is for HSC ICU's only the other lab table is for all other ICU's in the city. The reason for this is that HSC downloads lab from the Hospital computer system and at other sites this is not done.......yet.

Legacy Info

Possible change in collecting Labs

• ICU Lab tests that are being manually collected and downloaded are currently being reviewed by the ICU database Task team. Updates will be posted here when available.--TOstryzniuk 17:38, 3 February 2009 (CST)

Lab form

Some time ago, the count was done on the Lab_Collection_Form.