1. IHE LBL Supplement Proposal Outline Francesca Frexia – Alessandro Sulis

2. 2 CRS4 Center for Research, Development, and Advanced Studies in Sardinia Interdisciplinary research center focused on computational sciences Located in the POLARIS Science and Technology Park (Pula, Sardinia, Italy) Operational since 1992 RTD staff of ~150 people CRS4 POLARIS Edificio 1 C.P. 25 09010 Pula (CA), ITALY www.crs4.it

3. 3 Research topics and activities Biomedical data modeling Heterogeneous clinical systems interconnection Telemedicine Surgical simulation Collaborations with: Hospitals Enterprises IHE/HL7/openEHR consortiums Healthcare Flows Group

4. LBL New Options This supplement for the Laboratory Technical Framework describes the introduction of two new options to the Laboratory Specimen Barcode Labeling (LBL) profile, in order to support labeled containers production and specimens collection confirmations events.

5. LBL Profile The Laboratory Barcode Labeling Integration Profile supports this workflow: A robotic system delivers specimen containers pre-identified with a bar coded label, for the specimen collection related to a laboratory test order. This robotic system receives patient, test order and specimen data from another system (HIS, CIS, LIS), and issues a label for each (specimen, container) needed, with the specimen identifier bar coded on the label, and possibly other information 1480 printed on this label.

6. LBL Actors and Transactions Actors: Label Information Provider (LIP) and Label Broker (LB) Transactions: LAB-61 (request mode), LAB-62 (query mode)

7. Supplement Proposed Overview At the end of the process, the Label Broker itself may notify the successful production of the labeled containers and the successful specimens collection, before sending them to the analyzers for testing. This can be achieved by adding two Transactions devoted to the notification of the end of the processes of labeling and of specimen collection: LAB-63: Labeled containers production confirmation LAB-64: Specimens collection confirmation

8. Diagram Comparison ↓ Label Delivery Request [LAB-61] Label Information Provider Query for label delivery instruction[LAB-62] ↑ Label Broker Labeled containers production confirmation [LAB-63 ] ↑ Specimens collection confirmation [LAB-64] ↑

9. Conclusions Two transactions, with complete message description, have been proposed to implement the notification of successful production of labeled containers and succesful specimen collection. The adding of these information have been considered useful, but some items have to be discussed and decided: -how many transactions has to be added? - The implementation proposed is good?