An advanced and full-featured IT system used 24h daily by hundreds of medical laboratories, hospitals, and medical centers. Available as web-based and client-server application.
Core Capabilities
Order & Specimen Management
Electronic test ordering with barcode and QR code support. Automatic specimen tracking throughout the laboratory workflow with configurable priority levels including Normal, Stat, and Emergency designations.
Result Processing
Automatic data transfer from analyzers with manual entry capability for off-line instruments. Multi-format reporting supporting .doc, .xls, .pdf, and .csv output for flexible distribution and archival.
Quality Control
Westgard QC rules and Levey-Jennings chart generation for systematic quality monitoring. Delta checks compare current results against previous values. Panic value alerts and critical result documentation ensure patient safety.
Intelligence & Rules
Reflex rule functionality triggers additional tests based on initial results. Auto-verification releases results that meet predefined criteria. Contagious disease warnings and previous result comparison support clinical decision-making.
Scheduling & Workflow
Dynamic drag-and-drop scheduling for specimen processing and instrument assignment. Patient waiting lists streamline reception workflows. Role-based access control and comprehensive audit trails ensure operational accountability.
Mobile & Web Access
Browser-based access enables physicians to review results from any workstation. Tablet and smartphone support extends functionality to the point of care. Real-time test ordering from wards, ICU, and ER departments.
Department Support
Supported Departments
MediLab LIS provides specialized modules and workflows for the following laboratory departments:
- Clinical Chemistry
- Hematology
- Coagulation
- Virology
- Immunology
- Serology
- Toxicology
- Urinalysis
- Microbiology
- Molecular Biology
- Cytogenetics
- Flow Cytometry
- Anatomic Pathology
- Cytology
- Blood Bank
- Blood Transfusion
Integration & Connectivity
MediLab LIS implements HL7, FHIR, and DICOM standards for healthcare data exchange. The system maintains tested interfaces with over 400 analyzer models from manufacturers including Abbott, Siemens, and Roche.
Connectivity extends to pharmacy, radiology, EMR, and billing systems within the hospital infrastructure. Multi-lab networking allows geographically distributed laboratories to operate as a unified system.
The platform supports Oracle and Microsoft SQL Server databases, providing flexibility in deployment architecture and alignment with existing IT infrastructure.
Benefits
Cost Reduction
Decreased reagent consumption through optimized test scheduling and reduced repeat testing. Lower equipment maintenance costs via proactive monitoring. Elimination of paper-based processes and faster patient service delivery.
Operational Improvements
Reduced manual data entry errors through direct analyzer interfacing. Decreased specimen loss with barcode-based tracking at every stage. Accelerated result delivery and streamlined specimen collection processes.
Staff Efficiency
Centralized workflow management consolidates laboratory operations into a single interface. Reduced administrative tasks through automation. Short learning curves enable rapid onboarding, and enhanced resource optimization supports lean staffing models.
Topics
MediLab-i is the cloud-based variant of MediLab LIS, delivered as an HTML-based internet solution. It consists of two primary subsystems: MediLab-i Order for electronic test ordering and MediLab-i View for result review and distribution.
The cloud architecture provides several operational advantages: cost reduction by eliminating on-site server infrastructure, enhanced communication between laboratories and referring physicians, on-demand scalability to accommodate fluctuating workloads, platform independence allowing access from any modern browser, and data security through centralized backup and disaster recovery procedures.
The transition from paper-based to fully digital laboratory operations eliminates manual transcription and physical document management. MediLab LIS supports this transition through electronic ordering, digital result entry, and automated report distribution.
Key outcomes include elevated data integrity through elimination of transcription errors, improved regulatory compliance with complete audit trails, significant time and cost savings from reduced printing and archival requirements, and a fundamental shift of the laboratory from a cost center to a value center within the healthcare organization.
Total Laboratory Automation (TLA) employs robotic devices to replace manual specimen preparation and transport. MediLab LIS integrates with automation lines to coordinate specimen routing, aliquoting, and analyzer loading.
This approach addresses the pre-analytic phase, which accounts for approximately 60% of the total laboratory workflow and is the source of most errors. Automation in this phase yields measurable error reduction, quality improvements, and cost efficiency. MediLab LIS supports both open automation systems (multi-vendor instrument connectivity) and closed automation systems (single-vendor integrated lines).
Turnaround time (TAT) is defined as the interval from test order placement to verified result availability. Over 60% of patient medical records contain laboratory results, making TAT a critical performance metric for clinical decision-making.
MediLab LIS improves TAT through automated specimen routing, priority-based scheduling, and auto-verification of results within acceptable ranges. The system provides outlier analysis tools to monitor TAT performance, identify bottlenecks, and generate reports for continuous process improvement.
Quality control in MediLab LIS detects, reduces, and corrects analytical deficiencies before patient results are reported. The system generates Levey-Jennings charts where 66% of control values fall within ±1SD, 95% within ±2SD, and 99.7% within ±3SD of the established mean.
Westgard multi-rules are implemented for systematic error detection: 1-2S (warning), 1-3S (random error), 2-2S (systematic error), R-4S (random error), 4-1S (systematic error), and 10X (systematic error or bias). The system supports both Internal Quality Control (IQC) for daily monitoring and External Quality Assessment (EQA) for inter-laboratory proficiency testing.
Auto-verification enables automated release of laboratory results that fall within acceptable parameters. The system evaluates multiple criteria before releasing a result: acceptable QC status, values within defined reference ranges, delta check passed against previous results, absence of instrument flags, and no process errors detected.
Implementation of auto-verification requires formal policies defining acceptance criteria for each test, validation studies demonstrating equivalence to manual review, and annual testing to confirm continued reliability. Results that fail any criterion are routed to manual review by qualified laboratory personnel.
MediLab LIS implements a four-layer rule framework for laboratory testing: reference ranges that flag abnormal values, quality control rules that monitor analytical performance, delta checks that compare sequential patient results, and instrument flags that capture analyzer-generated alerts.
Rules can be applied manually by laboratory staff or automated through the LIS rule engine. Each laboratory can customize rule parameters, thresholds, and actions to match its specific clinical requirements and patient population characteristics.
Multi-lab networking enables multiple hospitals and laboratories to function as a unified system while each site maintains its operational autonomy. Centralized test catalogs ensure consistent naming, coding, and reference ranges across all locations.
Specimens can be shared between sites with instrument-ready barcodes, eliminating the need for re-labeling at the receiving laboratory. HL7 and FHIR middleware provides the connectivity layer, enabling real-time data exchange between disparate systems and locations.
The patient portal provides secure online access to laboratory results 24 hours a day, 7 days a week. Patients can review completed test results, track pending orders, and download reports from any internet-connected device.
Security is maintained through multi-factor authentication and one-time verification codes sent via SMS or email. The portal is accessible through standard web browsers on desktop, tablet, and mobile devices without requiring dedicated application installation.
MediLab LIS supports automated bulk sending of outpatient laboratory results via email. Results are delivered as password-protected PDF attachments, ensuring confidentiality during transmission.
The system is designed for GDPR compliance, requiring documented patient consent before email delivery is activated. A visual tracking interface allows laboratory staff to monitor delivery status and prevent duplicate transmissions.
The COVID Test Management subsystem supports the complete testing process from specimen sampling through result delivery. It handles both PCR (molecular) and rapid antigen test workflows within a single interface.
The module includes integration with Greece’s National COVID-19 Register for mandatory result reporting. Specimen tracking, result entry, and certificate generation are managed within the standard MediLab LIS workflow.
MediLab LIS provides comprehensive specifications organized into the following functional areas:
- Data Management: Patient demographics, test catalogs, result storage, and archival with configurable retention policies.
- Workflow & Scheduling: Specimen processing queues, instrument assignment, work list generation, and priority-based routing.
- QC & Validation: Westgard rules, Levey-Jennings charting, delta checks, auto-verification criteria, and calibration tracking.
- Reporting & Analytics: Customizable report templates, statistical analysis, TAT monitoring, workload reports, and management dashboards.
- Security & Compliance: Role-based access control, audit trails, electronic signatures, and data encryption. Supports ISO 15189:2012 requirements for medical laboratory quality and competence.