1. Medical Laboratory Technology
The Use of Computers in Diagnostic Testing

2. Overview What is Medical Technology? The First Automated Analyzer
A New Era
The Layers of Laboratory Computer Systems
The “Lego” in the Lab
The Future of Diagnostic Medicine - OLIS

3. What is an MLT?
Medical laboratory technologists (MLTs) play a critical role in the health system by performing lab tests on blood, body fluids, cells and tissues – nearly half a million in Ontario each day.
MLTs in various specialties collect and process specimens, analyze results, and interpret findings. The knowledge and expertise of the MLT contributes to innovation in the prevention, diagnosis and treatment of diseases and medical conditions.

4. Every MLT is a regulated health care professional as mandated by the Regulated Health Professions Act, In accordance with the legislation, MLTs have a defined scope of practice, which includes authorization to perform a medical act.
MLTs meet strict safety and ethical standards and are held accountable for their conduct and practice, so the public can have confidence in their lab tests.

5. Laboratory Tests
Chemistry
Glucose
Cholesterol/Triglyceride
Hormones
Enzymes
Hematology
CBC
Coagulation
Toxicology, Microbiology, Pathology, Cytology, Transfusion Medicine

6. The Beginnings of Automation
Wallace H. Coulter – The Coulter Counter
Based on the impedance principle
Still the main principle in 98% of today’s automated technology

7. A New Era
The Coulter Counter
The Unicell DxH 800

8. Unicell DxH 800
High Definition Cellular Analysis on the UniCel DxH 800 provides four times greater resolution and achieves new levels of performance Flow Cytometric Digital Morphology (FCDM) optimizes performance by providing 10 times more data per sample than existing technologies, allowing reduced review rates With its multi-angle scatter technology, onboard reagents and new advanced algorithms, the UniCel DxH 800 provides an unrivaled NRBC, with no need for special or expensive stains Using its data fusion capability, the system will correct for most of the common interferences in today’s laboratory, ensuring first-pass accuracy and efficiency

9. Enhanced Result Reporting
Traditional Scatter Plot
Unicell DxH 800

10. The Layers of Laboratory Systems
Embedded software within instrumentation
Instrumentation Workstations
Middleware – The Translator
LIS – Laboratory Information Systems
E- reporting

11. The Lego in the Lab
Modular systems that allow complete customization of instrumentation
Fits together like lego
Provides enhanced high volume testing
Utilizes the latest testing technologies and computing systems

12. Roche Modular
Pre-analytical line with two testing lines.

13. OLIS – The Future of Diagnostic testing
The first phase of OLIS, the foundation adopters program, has connected seven foundation adopters – four hospitals (Grey Bruce Health Services, Trillium Health Centre, Lakeridge Health Corporation, and University Health Network), representing 23 hospital sites, and three community laboratories (CML HealthCare Inc., Gamma Dynacare Medical Laboratories, and LifeLabs LP).
Over 821 million results for approximately 8.8 million Ontarians are in the OLIS database
Implementation is underway to integrate the Ontario Agency for Health Protection and Promotion (OAHPP) laboratory information system for the purpose of submitting public health laboratory data into OLIS.

14. Next Steps
Mount Sinai Hospital to connect to OLIS in the near future as part of the ConnectingGTA project.
Deployment for remaining hospitals and labs, and continued implementation activities for the integration of OLIS into public health laboratories.
The next phase of the ConnectingGTA project will focus on the implementation activities required to feed laboratory data into OLIS from another seven hospital organizations in the GTA.
The ConnectingGTA project has initiated activities to provide a group of health service providers with view access to OLIS data for clinical use across the GTA LHINs.
Planning and implementation projects are also underway with Alpha Laboratories, the North East LHIN, the North West LHIN, as well as in the South West LHIN with London Health Sciences Centre.

15. www. gamma-dynacare.com