LIS Core Components

Order Entry

Apex provides 5 ways to enter orders. When deployed as a POL or Hospital LIS orders are typically entered in the EHR which sends the order to Apex as an HL7 message.

When deployed as a Commercial or Reference Lab many more options are available including: CSV upload, HL7, Mobile order entry, web portal, XML and custom (e.g. anything you want).

As part of the deploy process our Deploy Team will build you two order entry forms to any format you request.

The cloud-based LIS provides you with configurable forms for entering orders. The one displayed above is optomized to support rapid order entry for local processing.

The cloud-based LIS Deploy Team will configure an order entry form that meets your needs. The screen above and the following 3 forms are an example of a complex order entry form. Note that the form can be generated in multiple languages.

The screen above is the 2nd part of an example of a complex order entry form.

The screen above is the 3rd part of an example of a complex order entry form. Note that user can select panels and/or individual tests.

The screen above is the 4th part of an example of a complex order entry form.

The Ground-based LIS provides two Lab Request forms for entering orders. The one displayed above supports easy order enttry for local processing. Parameters allow you to configure form to your exact needs.

The Ground-based LIS provides two Lab Request forms for entering orders. The one displayed above provides support for orders for local processing as well as send-outs.

The LIS includes an optional mobile application for entering orders and viewing results.

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Specimen Management

Apex provides the most comprehensive set of specimen management features in the industry. Its proven reliability can be configured for any type of lab. Whether your specimen is blood or chemicals or organic our specimen manger can be easily configured to match your workflow requirements.

The design of our Specimen Manager includes barcode enabled chain of custody tracking and easy storage and retrieval.

The create specimen batch form allows you to select which specimens we'll be batched for delivery to the lab.

Once you have created a batch you can use this forum to update if necessary and then release go batch.

The print bill of lading menu option will generate a PDF of the selected batch.

the specimen intake form allows you to scan the specimen barcode.

the specimen status form provides you with a simple way to search and view specimen status.

You may scan a specimen into or out of temporary storage.

This form is used to manage the valid set of specimen types.

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Analyzer Management

Apex has interfaced more than 500 analyzers from the all the leading manufacturers in the world. With its amazing Data Capture System it is able to interface any analyzer in days. Apex has hospital clients with over 27 analyzers in lab as well as one client with 24 urgent care locations each with more than 6 analyzers in each location. One of America's largest childrens hospital uses Apex to manage it 10 remote clinics.

The LIS provides complete support for managing analyzer QC processing. Apex will also provide rapid results entry screens for non-device tests like flu & strep or for low volume analyzers you have chosen not to interface.

The create specimen batch form allows you to select which specimens we'll be batched for delivery to the lab.

Once you have created a batch you can use this forum to update if necessary and then release go batch.

The items dialogue box is used to specify which observations are part of a test.

The panel dialogue box shows the observations that are part of a test

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Tray Management

Our Tray Manager system allows you to easily define tray utilization for each analyzer using trays. The process of defining a tray begins with which analyzer then rows and columns and how to label them. The you define the sequence for populating wells (e.g. left to right, top to bottom, etc.) and then finally defining well(s)where to put QC. We are experienced in custom coding to accomodate robotic tray loading for which their is an additional one-time fee.

The Tray Manager understands specimen Pooling. We have defined trays with 484 wells which were then populated with vials each containing 10 COVID specimens.

The apex LS lets you create tray definitions.

This form lets you populate a tray batch either manually by scanning barcodes or the LIS can automatically populate the tray.

This form manages trays where the vials have specimens that have been pooled.

This forum displays the contents of the selected trade batch.

This form displays the content of the selected tray batch.

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Results Processing

Apex has substantial experience in post processing of analyzer reports using a set of rules provided by client. From simple post processing like converting a plus sign to the word "Positive" to complex rule sets like those associated with Toxicology Apex is ready to work with your team to achieve the most efficient workflow consistent with the highest quality processing.

Apex is able to apply post processing rules that result in automatic generation of post processing service by third party and waiting for result in order to incorporate into final report.

The apex cloud lab LIS presents analyzer results to the lab tech for review and approval.

The apex ground lab LIS presents analyzer results to the lab tech for review and approval.

The LIS requires operator action when a critical result is received.

The LIS can display history of results for each observation.

The LIS can attach unlimited comments to each observation.

The LIS is able to upload large sets of results as a text file.

Once an uploaded result batch has been processed the lab tech can review and approve a batch. Once approved the LIS will execute the distribution rules for all results.

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Results Reporting

Once a reults report is ready the system checks its workflow rules to determine reporting workflow. First we check which results report template should be used to render the report. Then we check to see if either of the two levels of approval must first be satisfied. Then we check the mode of delivery and to which individuals. A permanent copy of the results report is archieved on your web portal for later retrieval by authorized individuals.

As part of the deploy process our Deploy Team will build your Results Report to any format you request.

Compliance & Security

Apex runs its CloudLab LIS on Microsoft Azure Servers which Microsoft guarantees to be in full compliance with all applicable CLIA & PHI requirements. Apex has substantial experience building applications that are in compliance with CFR 21 Part 11 and related National Archives and Record Administration requirements.

Finally, Apex has a contract with NIT of Colorado to provide real-time monuitoring of our Microsoft Azure Servers to ensure bonth continous operation and PHI compliance.

The LIS can make sure your SOPs are being performed. The LIS send management an email when a required task is not performed when required.

The LIS automates the logging of environmental data.

The LIS automates the reporting of environmental data.

QC Tests are managed by the LIS.

QC Test Lots are managed by the LIS.

The LIS recognizes when sample is a QC and automatically performs required testing.

Levy-Jennings Reports are automatically generated.

The LIS includes a number of useful reports for monitoring quality.

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