Laboratory, LIS and result safety
The greatest risk in laboratory work is a result attached to the wrong patient or overlooked. HekimBis keeps the order, specimen, barcode, analyzer result and validation in the same chain. Every result arrives with its source, version, unit and reference range, a critical value is followed until it reaches the right person, and a result appears in the patient portal only after the physician approves it.
A specimen is followed by barcode from start to finish
A specimen is recorded with its type, collection time, fasting or special conditions, the collector and a barcode. The chain of aliquots made from it is followed as well.
- Collected and received
- A specimen that reaches the laboratory is received, and the time of receipt is recorded.
- Rejected
- An insufficient, clotted or mislabeled specimen is rejected, the reason is recorded, and a recollection task is opened for the patient or the team.
- In process and preliminary
- The specimen is run on the analyzer, and the analyzer worklist and result intake are followed together with the connection health. The first result that arrives is stored as preliminary and does not count as a decision result until it is validated.
- Final, corrected, withdrawn
- A validated result becomes final. If a mistake is found later, the corrected result enters as a new version, and a withdrawn result is visibly marked. The earlier version is kept in every case.
A lab order from specimen to patient portal
The physician opens the order, the specimen is collected by barcode and received, run on the analyzer, and the preliminary result is validated and becomes final. The physician reviews it, acknowledges any critical value and releases the result in the portal. A rejected specimen leads to a recollection task, an unmatched specimen goes to quarantine, and a corrected result goes to the version history.
Portal release
With the physician's approval (or the organization's rule) the result is published in the patient portal and the patient is notified.
- The process is complete here.
| Test | Result | Unit | Reference | Flag |
|---|---|---|---|---|
| Test A | 4.1 | unit | 3.5-5.0 | Normal |
| Test B | 8.9 | unit | 3.0-6.0 | Critical |
The names, times and records on the screen are examples.
All steps
- 01 Order (Clinic) The physician orders a test or panel; priority and clinical context are entered.
- 02 Specimen collection (Specimen) The specimen is taken and a barcode label printed; type, time, fasting status and collector are recorded.
- 03 Receipt (Specimen) The specimen reaches the laboratory, is matched to the order and received; if unsuitable it is rejected.
- 04 Processing (Analyzer / LIS) It goes onto the analyzer worklist and the specimen is run.
- 05 Preliminary result (Analyzer / LIS) The analyzer result arrives; unit and reference range are carried from the source. It is not yet a decision result.
- 06 Verification (Verification) Technical and clinical verification is performed; abnormal and critical flags are processed.
- 07 Final (Verification) The verified result becomes final and is linked to the patient timeline.
- 08 Physician review (Clinic) The physician reviews the result and, if there is a critical value, gives an acknowledgement.
- 09 Portal release (Portal) With the physician's approval (or the organization's rule) the result is published in the patient portal and the patient is notified.
Alternative path from 03 Receipt; it returns to the main flow at 02 Specimen collection.
- 03a Specimen rejected (Specimen) An insufficient, clotted or mislabelled specimen is rejected; the reason is recorded.
- 03b Recollection task (Clinic) A recollection task is created for the patient or team; a new specimen is collected by barcode and the chain restarts.
Alternative path from 04 Processing; it returns to the main flow at 05 Preliminary result.
- 04a Unmatched specimen: quarantine (Analyzer / LIS) Barcode, order or patient identifier does not match. The result goes to quarantine and is not written to a patient.
- 04b Human review (Verification) An authorized user matches the specimen to the right order or rejects it; the decision is recorded.
Alternative path from 07 Final; it returns to the main flow at 08 Physician review.
- 07a Correction / withdrawal (Verification) If an error is found in a final result the corrected result enters as a new version or the result is withdrawn; the previous version is kept.
Alternative path from 08 Physician review; it returns to the main flow at 08 Physician review.
- 08a Critical value: escalation (Clinic) If a critical value is not acknowledged, the target person is notified again and, if still not, it escalates one level.
09 Portal release
A result is read against the right reference range
The same value can be normal in a man and abnormal in a pregnant patient. HekimBis applies the reference range according to age, sex, pregnancy and the device, method or laboratory that produced the result.
Numeric, coded, text and panel results and attached reports are stored in the same structure. The unit and reference range are carried over from the source as they are, and if a conversion is made, the source value and the formula used are written to the audit trail.
Where a displayed value came from and how it changed is always clear. Result trends show the patient's values over time.
If the unit or method has changed, a warning says the two measurements cannot be compared directly, which prevents a false reading of improvement or decline.
A critical value is followed until it reaches the right person
A critical value is more than a red flag; it is a chain of responsibility. HekimBis defines the target person, the notification channel and the retry rule for a critical value.
The notification is on record with whom it went to, when, and its acknowledgement. If no acknowledgement arrives, the process is escalated one level, so you can show who knew what and when, from the laboratory specialist to the physician.
To keep a result from being attached to the wrong patient, the order, specimen and identifiers are checked together. A result that does not match is quarantined and an authorized user decides; a name alone is never grounds for matching.
A result appears in the patient portal only once it is released
A result being produced does not mean it is released. Release is a separate, explicit action.
- Physician approval or release rule
- A result goes to the portal with the physician's approval or under a release rule your organization defines.
- Preliminary and unreviewed results
- A preliminary result or one that has not been reviewed is not released on its own.
- Correction and withdrawal
- When a result is corrected or withdrawn, the earlier version stays on record.
- Access trail
- Every release and view is written to the audit trail with who did it and when.
Frequently asked questions
Can I connect my laboratory analyzer?
A device connection is verified for a specific manufacturer, exact model, protocol and software version, and only verified combinations are listed as supported. A file taken from a device that is not on the list is labeled as a manual import, not integrated. Messaging uses the HL7 family, ASTM or a manufacturer-specific adapter where a device needs one, and FHIR mapping with partners that support it.
What if I already have a LIS?
HekimBis can connect to an existing LIS or enterprise laboratory system, and results are taken in with their source and version preserved. For outpatient organizations and small and mid-sized diagnostic centers, HekimBis also offers an end-to-end working mode.
Can microbiology results be received?
Yes. A microbiology result or report coming from a connected enterprise system is brought into the patient file with its source and version preserved.
How is a result prevented from being written to the wrong patient?
A result is checked together with the order, specimen and identifiers. A result that does not match is quarantined and an authorized user decides. A name alone is never grounds for matching.
What happens to the old version of a corrected result?
It is kept. A corrected result enters as a new version, and a withdrawn result is visibly marked. The patient timeline and the audit trail show which version was valid and when.
Does national data reporting cover laboratory results too?
When the relevant national dataset is mandatory, validated clinical fields are sent under versioned mapping rules, without copying raw device data. For a corrected or withdrawn result, the correct version and cancellation chain are sent. See the e-Nabız page for details.
Is the specimen chain followed for pathology too?
For small and mid-sized diagnostic centers, the pathology order, the specimen chain by container, cassette and slide identity, sectioning and staining steps, synoptic findings and the final report are followed in the same workflow.
Who is told about a critical value, and how?
HekimBis defines the target person, the notification channel and the retry rule for a critical value. The notice is on record with whom it went to, when and its acknowledgement, and if no acknowledgement arrives the process is escalated one level.
How are reference ranges applied?
The reference range is applied according to age, sex, pregnancy and the device, method or laboratory that produced the result. Units and ranges are carried over from the source as they are, and if a conversion is made, the source value and formula are written to the audit trail.
Keep reading
Related pages
Features
- Imaging and PACSDICOM workflow from order to report: worklist, matching, and a reference viewer.
- Device connectivitySecure, outage-tolerant data from clinic devices through the Edge Connector.
- e-Nabız and USS reportingSending clinical events to USS with versioned mapping, tracking, and reconciliation.
Specialties
- LaboratorySpecimen and barcode chain, analyzer results, verification, and critical values.
- PathologyContainer, block, and slide chain, gross and microscopic reports, addenda.
- Corporate health and check-upCorporate agreements, bulk work orders, panel completion, and periodic reports.
- Internal medicineSystems-based exams, lab trends, and chronic disease care plans.
Software guides