Paramaribo pilot. 1st Round customisations

[lemoene]

Hi Jimmy, All

After consulting with Campbell (Bika Health developer and also subscribed here) yesterday, we decided to start the pilot of the latest Bika Water platform to retain the Sampling and Preservation workflows. If they are not required at the Academisch Ziekenhuis (AZ) we can easily hide them

Let us know Jimmy. My take:

Sampling workflow. Can easily be adapted for cases where the referrer (doctor/care giver) needs to issue the patient with sampling instructions, e.g. "Please go to the lab and present reception this form to have a blood sample taken". At this point the 'samplers' in the lab would've been alerted of the sample to be taken

Preservation workflow. This is used to tie the analyses and their corresponding sub samples, container types and preservations together. A user with "preserver" authorisation takes care of this but i suspect your samples are taken in pre-preserved tubes? In which case we'll automate this too

Also, Independent Referrer Contacts

In standard Bika, Contacts at Client organisations, are the lab's clients and they only have access to their own organisation's data

In Bika Health, these correspond to Doctors/Nurses at Referrers e.g. Clinics/Medical practices/Hospital wards. I know of use cases where the same doctor would submit analysis requests from different clinics say and we have to resolve the data ownership issue

A doctor will want to look up results for all patients already in the system too Jimmy?

If however,  the AZ will use only 1 'Client' , say the AZ herself, this issue falls away for the pilot's sake. Let us know

-----------------------8<----------------------------------------------

When we have this one sorted, hopefully by 1 Dec but depending your answers, we'll turn immediately to the simplest of the instrument interfaces and then the Medical/OpenERP interface

All comment appreciated
l

[lemoene]

lemoene wrote:

Hi Jimmy, All

After consulting with Campbell (Bika Health developer and also subscribed here) yesterday, we decided to start the pilot of the latest Bika Water platform

one does one f too few....  "we'll start the pilot OFF the latest Bika Water platform"

[Jimmy SR Roosblad]

Hi All,

 

I'm working on a complete overview of our workflow. hope to have it ready this weekend

 

---

From: lemoene <lem...@bikalabs.com>
To: bika-...@googlegroups.com
Sent: Fri, November 6, 2009 7:13:10 AM
Subject: [Bika Health] Re: Paramaribo pilot. 1st Round customisations

30 06:28:39 PDT 2009 -->

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[Jimmy SR Roosblad]

Sampling Workflow.

-          Inpatient: Doctor’s on the wards order tests  for patients by filling in lab forms. These are then delivered to the lab. Lab clerks enter these forms in the computer to generate labels and blood draw lists. Every morning med technologists go to the ward with the list and labels to draw the blood.

-          Outpatient: Doctors send patients to the lab with a lab form on which the  ordered tests are marked. We also get samples from other hospitals and private labs. All the samples are accompanied by a lab form.

 

Preservation workflow:  Samples are taken in pre-preserved tubes. There are a few exceptions though. (platelets in citrate instead of EDTA)

 

Independent Referrer contacts: Doctors will definitely want to look up results for all patients!!

 

What do you mean by “the AZ will use only  1 Client”?

---

From: lemoene <lem...@bikalabs.com>
To: bika-...@googlegroups.com
Sent: Fri, November 6, 2009 7:13:10 AM
Subject: [Bika Health] Re: Paramaribo pilot. 1st Round customisations

30 06:28:39 PDT 2009 -->

[lemoene]

Thanks Jimmy

Campbell please note;-)

> Sampling Workflow.
>
> - Inpatient: Doctor’s on the wards order tests for patients
> by filling in lab forms. These are then delivered to the lab. Lab
> clerks enter these forms in the computer to generate labels and blood
> draw lists. Every morning med technologists go to the ward with the
> list and labels to draw the blood.
>

OK, we definitely need sampling instructions and roles

> - Outpatient: Doctors send patients to the lab with a lab
> form on which the ordered tests are marked. We also get samples from
> other hospitals and private labs. All the samples are accompanied by a
> lab form.
>

Many 'Clients' for the lab - not the hospital ward only

>
>
> Preservation workflow: Samples are taken in pre-preserved tubes.
>

OK. The preserver role fall away but the 'Sample type - Analysis -
Container type/code - Preservation' relationship stays.

In fact Campbell, we need to tighten the analysis and preservation
relationship (and eventually upgrade that on Bika Water Godfrey)

> There are a few exceptions though. (platelets in citrate instead of EDTA)
>

More details Jimmy please

>
>
> Independent Referrer contacts: Doctors will definitely want to look up
> results for all patients!!
>

Thought so

>
>
> What do you mean by “the AZ will use only 1 Client”?
>

See above. If the the AZ Hospital was the only 'client' of the lab. Not
the case, please ignore

Bests
l



>
>
> ------------------------------------------------------------------------
> *From:* lemoene <lem...@bikalabs.com>
> *To:* bika-...@googlegroups.com
> *Sent:* Fri, November 6, 2009 7:13:10 AM
> *Subject:* [Bika Health] Re: Paramaribo pilot. 1st Round customisations

>
> lemoene wrote:
>> Hi Jimmy, All
>>
>> After consulting with Campbell (Bika Health developer and also
>> subscribed here) yesterday, we decided to start the pilot of the
>> latest Bika Water platform
>
> one does one f too few.... "we'll start the pilot OFF the latest Bika
> Water platform"
>
>> to retain the Sampling and Preservation workflows. If they are not
>> required at the Academisch Ziekenhuis (AZ) we can easily hide them
>>
>> Let us know Jimmy. My take:
>>

>> *Sampling workflow*. Can easily be adapted for cases where the

>> referrer (doctor/care giver) needs to issue the patient with
>> sampling instructions, e.g. "Please go to the lab and present
>> reception this form to have a blood sample taken". At this point
>> the 'samplers' in the lab would've been alerted of the sample to
>> be taken
>>

>> *Preservation workflow*. This is used to tie the analyses and

>> their corresponding sub samples, container types and
>> preservations together. A user with "preserver" authorisation
>> takes care of this but i suspect your samples are taken in
>> pre-preserved tubes? In which case we'll automate this too
>>

>> Also, *Independent Referrer Contacts
>> *

>>
>> In standard Bika, Contacts at Client organisations, are the lab's
>> clients and they only have access to their own organisation's data
>>
>> In Bika Health, these correspond to Doctors/Nurses at Referrers
>> e.g. Clinics/Medical practices/Hospital wards. I know of use
>> cases where the same doctor would submit analysis requests from
>> different clinics say and we have to resolve the data ownership issue
>>
>> A doctor will want to look up results for all patients already in
>> the system too Jimmy?
>>
>> If however, the AZ will use only 1 'Client' , say the AZ
>> herself, this issue falls away for the pilot's sake. Let us know
>>
>> -----------------------8<----------------------------------------------
>>
>> When we have this one sorted, hopefully by 1 Dec but depending your
>> answers, we'll turn immediately to the simplest of the instrument
>> interfaces and then the Medical/OpenERP interface
>>
>> All comment appreciated
>> l
>>
>>
>
>
> 30 06:28:39 PDT 2009 -->
>
> Send instant messages to your online friends
> http://uk.messenger.yahoo.com

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[Chris Larsen]

Dear All,
One thought - Jimmy, John, do you think it may be worth our while to
already contemplate possible work flows, if you start to include
outlying labs up-country? I do not mean that we have to implement them
now, but it would be really good to have the basic structure for those
more involving work flows already in place, as we start. I suppose, we
are talking about both referred specimen as well as external quality
assurance pathways in this context...
Any thoughts?
Besties from Kigali!
Chris

> > *From:* lemoene <lemo...@bikalabs.com>

[lemoene]

Chris Larsen wrote:
> Dear All,
> One thought - Jimmy, John, do you think it may be worth our while to
> already contemplate possible work flows, if you start to include
> outlying labs up-country?

OK this is different to the multiple lab client issue of earlier i
initially mistook it for again and wrote you a few notes in indent below
Campbell

Multiple LABs: Best done on separate instances of the software -
overall management data can then be put together from the different
labs' DBs. Once the platform is ready, separate instances can be set-up
in minutes

Otherwise, with multiple labs on the same LIMS, alerts, results and
reports and a lot more will have to be modified to prevent mix-ups

For the purpose of the pilot, I would stick to the mains lab only and
get enough knowledge xfer going to have the lab ready to train and
support secondary labs?

Multiple clients: System caters for this already. Only
disassociation of doctors/referrers has to be done

Campbell: For access all patients for these referrer, would it not
be simpler to create a new role, ' super referrer' or some such,
that may access all data? When they request analyses, they select
from which clinic/hospital/private practice

Bests
l

[Jimmy SR Roosblad]

Hi Chris
 

<One thought - Jimmy, John, do you think it may be worth our while to
<already contemplate possible work flows, if you start to include
<outlying labs up-country?

I think it's a good idea to do that already at this stage. Although we do not have that many outlying labs (only one) up-country you can never start early enough to contemplate possible workflows. We can use this information for the regional healthcare centers, of which there are plenty up-country. My thoughts on this are, giving them the possibility to enter requests online and getting the results back through the internet. Most often patients come to the city if they need to go to the lab for tests. The problem is getting the results back to them. It takes days, sometimes weeks before they get their results.  

---

From: Chris Larsen <christoph...@gmail.com>
To: Bika Health <bika-...@googlegroups.com>
Sent: Wed, November 11, 2009 4:41:57 AM
Subject: [Bika Health] Re: Paramaribo pilot. 1st Round customisations

--

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[Chris Larsen]

Dear Crowd,
First of all, sorry for the late reply - I have been incommunicado for
a while! Thanks, Lemoene, for the clarification in terms of multi-lab
setup - this is much easier than expected!
As for your point, Jimmy, we had pretty good results n Africa with SMS-
based transmission of results - either to the patient or preferably,
to a community health worker or community nurse. Have you got any
similar infrastructure in Surname that we could use? If done via a
peripheral health professional, the results could even be printed and
filed properly...
Getting results up into the SMS (patient-centred!) or GPRS/G3 (health
centre-based) system is not really a piece of major witchcraft.
Any thoughts?
Have a lovely weekend!
Chris

On Nov 19, 2:04 pm, Jimmy SR Roosblad <jsrr...@yahoo.com> wrote:
> Hi Chris
>  
> <One thought - Jimmy, John, do you think it may be worth our while to
> <already contemplate possible work flows, if you start to include

> <outlying labs up-country?I think it's a good idea to do that already at this stage. Although we do not have that many outlying labs (only one) up-country you can never start early enough to contemplate possible workflows. We can use this information for the regional healthcare centers, of which there are plenty up-country. My thoughts on this are, giving them the possibility to enter requests online and getting the results back through the internet. Most often patients come to the city if they need to go to the lab for tests. The problem is getting the results back to them. It takes days, sometimes weeks before they get their results.  
>
> ________________________________
> From: Chris Larsen <christoph.h.lar...@gmail.com>

> You received this message as subscriber to the "Bika Health" group. To post, send email to bika-...@googlegroups.com. To unsubscribe, mail bika-health...@googlegroups.com. For more options, visit this group athttp://groups.google.co.za/group/bika-health?hl=en

[lemoene]

Hi All

> Dear Crowd,
> First of all, sorry for the late reply -

ditto

> I have been incommunicado for
> a while! Thanks, Lemoene, for the clarification in terms of multi-lab
> setup - this is much easier than expected!
>

> As for your point, Jimmy, we had pretty good results n Africa with SMS-
> based transmission of results - either to the patient or preferably,
> to a community health worker or community nurse. Have you got any
> similar infrastructure in Surname that we could use?

In Bika's instance, we'd be using an email to SMS service if available
in Suriname. Should be?

> If done via a
> peripheral health professional, the results could even be printed and
> filed properly...
> Getting results up into the SMS (patient-centred!) or GPRS/G3 (health
> centre-based) system is not really a piece of major witchcraft.
> Any thoughts?
>

Creating new threads re Testing and Set-Up data

See you there
l

>>>> - Inpatient: Doctor�s on the wards order tests for patients

>>>> by filling in lab forms. These are then delivered to the lab. Lab
>>>> clerks enter these forms in the computer to generate labels and blood
>>>> draw lists. Every morning med technologists go to the ward with the
>>>> list and labels to draw the blood.
>>>>
>>> OK, we definitely need sampling instructions and roles
>>>
>>>> - Outpatient: Doctors send patients to the lab with a lab
>>>> form on which the ordered tests are marked. We also get samples from
>>>> other hospitals and private labs. All the samples are accompanied by a
>>>> lab form.
>>>>
>>> Many 'Clients' for the lab - not the hospital ward only
>>>
>>>> Preservation workflow: Samples are taken in pre-preserved tubes.
>>>>
>>> OK. The preserver role fall away but the 'Sample type - Analysis -
>>> Container type/code - Preservation' relationship stays.
>>>
>>> In fact Campbell, we need to tighten the analysis and preservation
>>> relationship (and eventually upgrade that on Bika Water Godfrey)
>>>
>>>> There are a few exceptions though. (platelets in citrate instead of EDTA)
>>>>
>>> More details Jimmy please
>>>
>>>> Independent Referrer contacts: Doctors will definitely want to look up
>>>> results for all patients!!
>>>>
>>> Thought so
>>>

>>>> What do you mean by �the AZ will use only 1 Client�?