Lab UV SB Simple Request

Back to Laboratory Order Conceptual Specification (Draft)

Universal Storyboard - Create Lab Order (Lab Collect)

To start, the most common use case:

Eve Everywoman, a 27-year-old female, presents at Good Health Hospital Outpatient Clinic
and is seen by Dr. Patricia Primary. Eve reports a history of Anemia and recent,
excessive tiredness.  Dr. Primary enters a request to check the iron levels in Eve’s
blood into her care system.  Dr. Primary’s care system then sends the test requests to 
the lab system at the Good Health Hospital’s Laboratory service.  Eve receives a paper 
order requisition that serves as a reminder,  provides instructions for where to find 
the collection center, and also details preparation instructions for the patient to 
follow (no food or drink from midnight until collection time on the day of collection).

Later that week Eve presents herself at the Lab Collection Center.  The lab looks up and 
finds the order for her testing in the lab system.  The appropriate blood samples are 
extracted, their containers labeled, and the sample information added to the information
in the lab system. 

The lab performs the analysis on the specimen(s), adds the results to the lab system, and
sends the results to Dr. Primary’s care system reported as final.  Dr. Primary reviews the
results, formulates a treatment, if needed, and notifies Eve Everywoman of the results and
treatment.

Universal Storyboard - Create Lab Order (Provider Collect)

Adam Everyman, a 53-year-old male, has an appointment with Dr. Carl Cardiology at Good Health 
Hospital Outpatient Clinic.  Adam reports a history of Anemia and recent, excessive tiredness.  
Dr. Cardiology enters a request to check the iron levels in Adam’s blood into his care system.  
Dr. Cardiology’s care system then sends the test requests to  the lab system at the Good Health 
Hospital’s Laboratory service.  Dr. Cardiology’s staff collects the necessary specimen(s), 
labels them, packages them and ships them to the laboratory. 

The lab receives the specimen(s) and accessions each.  Specimen is evaluated for use by the 
Laboratory Technician.  Next, an analysis is performed on the specimen(s), the results are added 
to the lab system and QA'ed as appropriate.  The results are then sent to Dr. Cardiology’s care 
system reported as final.  Dr. Cardiology reviews the results, formulates a treatment, if needed, 
and notifies Adam Everyman of the results and any follow-up treatment.

Universal Storyboard - Create Lab Order (3rd Party Collect)

In some countries, there are services separate from the provider or lab, which travels to each patient in order to perform specimen collection.

Eve Everywoman, a 27-year-old female, presents at Good Health Hospital Outpatient Clinic
and is seen by Dr. Patricia Primary. Eve reports a history of Anemia and recent,
excessive tiredness.  Dr. Primary enters a request to check the iron levels in Eve’s
blood into her care system.  Dr. Primary’s care system then sends the test requests to 
the lab system at the Good Health Hospital’s Laboratory service.  Eve receives a paper 
order requisition that serves as a reminder,  provides instructions for where to find 
the collection center, and also details preparation instructions for the patient to 
follow (no food or drink from midnight until collection time on the day of collection).

Later that week Eve calls a 3rd Party collection service.  The service looks up and 
finds the order for her testing in the regional repository.  The 3rd party collector 
then travels to the patient location.  The appropriate blood samples are 
extracted, their containers labeled, and the sample information added to the information
in the repository. 

The lab receives the specimen(s) and accessions each.  Specimen is evaluated for use by the 
Laboratory Technician.  Next, an analysis is performed on the specimen(s), the results are added 
to the lab system and QA'ed as appropriate.  The lab performs the analysis on the specimen(s), 
adds the results to the lab system, and sends the results to Dr. Primary’s care system 
reported as final.  Dr. Primary reviews the results, formulates a treatment, if needed, and 
notifies Eve Everywoman of the results and follow-up treatment.

Business Process

At its most basic, the business process documented in this use case is one of a requested service and documentation when that service is performed. Many ambulatory use cases follow this basic pattern and the only communications are the two, the first from placer to filler with the request and the second from the filler to the placer with the fulfillment of that request.

The following figure shows the flows of the storyboards above using an Activity Diagram. File:Create Laboratory Order Activity Diagram.png

Back to Laboratory Order Conceptual Specification (Draft)