Labs - Legacy Article

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

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.

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)

See S_AllLabs for a listing of the labs we collect.

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.