LIMS for health laboratories
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1 LIMS for health laboratories Jordi Puiggené LIMS Consultant at Naralabs Lead developer of Bika Health at Bika Health Foundation April 2014 Med-e-Tel (Luxembourg)
2 Overview 1. LIMS 2. Benefits of an Open source LIMS 3. The Bika Open Source LIMS project 4. Bika Health overview 5. Case study: Caribbean Health Public Agency
3 What's a LIMS?a LIMS? 11. LIMS LIMS What's LIMS = Laboratory Information Management System Main features: Lab samples and analyses management/labelling Analyses: calculations, limits, detection levels, % error, indeterminations and outliers control Reference samples: blanks, controls and duplicates Quality Assurance and Control (QA/QC) mechanisms to ensure consistency, accuracy, reproducibility and integrity of analysis results and procedures Instruments: raw results import, automated internal calibration tests, certificates management International lab regulations compliance (ISO/IEC ISO/TS 16949, GALP, etc.) and for health care LIMS specifically: ISO 15189, 21 CFR Part 11 and CLIA Formalisation of the laboratory workflow and analysis methodologies through SOPs Security policies and user roles management Chain of custody and traceability (audit management) Adaptable to lab specific needs (customization)
4 2 Benefits of an Open Source LIMS - No license costs - No third-party dependancy for customizations - Long-term code upgrades/updates support - Long-term technical support (user-lists, IRC, ) - All participants (community and fee pay clients) benefit from code contributions - For all, regardless of their economic-status - Helps to spread knowledge of Lab/LIMS free of charge
5 3 The Bika Open Source LIMS Project (generic LIMS) Flavours Water quality Health care Wine industry Inter-laboratory proficiency testing - Open access/contributions to Bika-LIMS code repository - Open access/reporting to Bika-LIMS issues tracking system - Bika-LIMS users group list > Bika-LIMS dev group list Bika-Health LIMS user group list 70 - Downloads: Bika 2 + > Bika 3
6 4 The Bika Health Workflow
7 4 Bika Health Overview Clinical cases management And... - Medical history - Immunization - Drug history - Travel history
8 4 Bika Health Overview Clinical cases management Pop-up selectors on search boxes And compliant with the International Classification of Diseases (ICD-9)
9 4 Bika Health Overview Patients management
10 4 Bika Health Overview Doctors management
11 4 Bika Health Overview Analysis Requests - Automatic labelling - Custom id patterns for samples, requests, worksheets, patients, ref. samples, etc.
12 4 Bika Health Overview Analysis Services - Different Analysis Specifications for each Analysis available: lab or client - Different results type for each analysis: text, numeric, choice, attachment, etc.
13 4 Bika Health Overview Calculations - Interim fields and results from other analyses as input calculation sources - Automatic calcs engine and python expressions support
14 4 Bika Health Overview Preservations - Allows to activate or deactivate a sample preservations workflow - In-lab or out-lab sampling workflow
15 4 Bika Health Overview Containers - Specific containers for each Sample Type and analysis - Integration with the samples preservation workflow
16 4 Bika Health Overview Worksheets
17 4 Bika Health Overview Results capture - Additional remarks field for each analysis - QC Samples: duplicates, control samples and blank samples
18 4 Bika Health Overview Results validation Life-threatening Minimum Detection conditions alert and Levels, out-of-range automatic values, % error and notification to indeterminations labmanager, doctor
19 4 Bika Health Overview Verification & Quality Control Duplicate variation graph Reference standard graphs
20 4 Bika Health Overview Results reports publication PDF SMS
21 5 Case study: Caribbean Public Health Agency (CARPHA) - 5 Caribbean Regional Health Institutes - Provides services to 21 member countries - Laboratory services Bacteriology, Virology, Parasitology, Molecular biology, Immunology, Serology, Mycology, Antibiotic resistance, Clinical Chemistry - Surveillance and health analysis NCDs, disease outbreaks, water quality, environmental health,
22 Do you want to try it? Fill the form and we'll give you access to our demo servers. It's free
23 Thanks! Jordi Puiggené LIMS Consultant at Naralabs Lead developer of Bika Health at Bika Health Foundation Bika Health repos:
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