CLP Techguide Middleware

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guide
Middleware

www.clpmag.com

Apex Healthware LLC

Beckman Coulter

COVE Laboratory Software

San Antonio
(210) 764-9900
www.apexhardware.com

Brea, Calif
(800) 526-3821
www.beckmancoulter.com

Sonoma, Calif
(707) 938-3075
www.covelab.com

1) What is the name of your company’s
laboratory information system (LIS)?

Apex Connector

REMISOL Advance Data Manager

InvMan (Inventory Manager)

2) What is its primary function
(ie, what does it do for the lab)?

Accepts orders from third-party, stage
on device (where possible), accepts
device results, and sends HL7 results
message back to source of order.

It provides real-time information for
improved workflow and results management;
consolidates patient test information from
several instruments from multiple sites; and
empowers users to access and manage
information from a single workstation.

Tracks all reagents and supplies and
instrument service needs and records.

3) How does your middleware support
user control and configuration?

Separate management console that
allows update of database rules.

User-discrete menu access configuration is
achievable, and permits the establishment of
unique passwords.

The user has complete control over how the
InvMan application is used.

4) Does your LIS support/include:

q bedside/handheld ID devices
q blood banking systems
n central data repositories
n electronic medical records
n hospital information systems
n laboratory automation systems
n laboratory information systems
n microbiology systems
q pharmacy systems
n physician office management
systems
n point-of-care testing instruments
q public health surveillance systems/
registries
q reference laboratories
q reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
n stand-alone automated instruments
q other

q bedside/handheld ID devices
q blood banking systems
q central data repositories
q electronic medical records
q hospital information systems
n laboratory automation systems
n laboratory information systems
q microbiology systems
q pharmacy systems
q physician office management
systems
n point-of-care testing instruments
q public health surveillance systems/
registries
n reference laboratories
q reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
n stand-alone automated instruments
n other

n bedside/handheld ID devices
q blood banking systems
q central data repositories
q electronic medical records
q hospital information systems
q laboratory automation systems
q laboratory information systems
q microbiology systems
q pharmacy systems
q physician office management
systems
q point-of-care testing instruments
q public health surveillance systems/
registries
q reference laboratories
n reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
q stand-alone automated instruments
n other

Yes

Yes. User configuration is accomplished via
the REMISOL Advance user interface and
via the REMISOL Advance “Intranet” option,
when activated.

Yes

6) What are the three most important
needs including LIS, automation, and
instrument gaps that your middleware
can fill?

Reliable, low-cost interface between
device and LIS/EHR systems.

Total lab solutions connectivity and single
vendor support. Advanced rules configurator
with a “rules library” that can enable
and disable autovalidation by instrument,
instrument group, or the whole lab. Capacity
to tie QC results to patient results via audit
trail and quick access with an integrated
multiwindow desktop environment.

Reduces hands-on time to determine the
needed level of reagents and supplies for
testing by automated scanning of reagents
and supplies. Alerts users when reagents
are set to expire. Reports to the user what
reagents in the proper quantity and at the
right time.

7) How is pricing structured?

By device

REMISOL Advance is priced by lab
configuration including the number of
instruments

A one-time user license, which includes all
version upgrades (current is version 7.0)

8) How are new users trained, and
how do you maintain users’ proficiency?
In addition to traditional (phone) tech
support, what resources are available
to help users resolve questions?

Provide both web-based and on-site
training

Training: Classroom, on-site, E-learning, and
user group forums
Resources: Self-help online guide, Quickreference guide, and Troubleshooting guide

Comprehensive user manual with tutorials,
web seminars in how to optimize the
system’s benefits, unlimited phone and
e-mail support.

Low cost with no performance or
reliability penalty.

Connects instrumentation and automation
solutions across multiple sites; uses
autoverification procedures to address
inspection requirements; customized
reporting capabilities; and monitors the
quality of diagnostic system operation using
patient-weighted moving average data.

An easy-to-use inventory and instrument
service management system with a wide
range of functions, including bar code
scanning of reagents, financial reporting,
and purchase order generation.

5) Does your middleware include offline
user control and/or configuration tools?

9) What makes your middleware
unique in the marketplace?

24

April 2013 | clpmag.com

Dawning Technologies Inc

Dawning Technologies Inc

Orchard Software

Fort Myers, Fla
(239) 931-6004
www.dawning.com

Fort Myers, Fla
(239) 931-6004
www.dawning.com

Carmel, Ind
(800) 856-1948
www.orchardsoft.com

JResultNet Middleware

JavaLin/PDI

Orchard Copia

Manages the data flow between large
arrays of laboratory instruments and
LIS/HIS/EMR. It provides a range
of capabilities including support of
different communication protocols at
each connection point.

A small-footprint clinical interface that
is typically used to connect one or two
remote instruments to an LIS/HIS/EMR.
It replaces the need for local PCs or
terminal servers to handle instrument
connectivity.

Copia is used by laboratories and
lab networks doing outreach, links
multiple labs, and enables web-based
access and EMR integration for order
entry and result delivery.

Configuration tools, including support
of all industry standard protocols, a
complete set of message mapping
tools, and easy-to-use rules features.

Configuration tools, including support
of all industry standard protocols, a
complete set of message mapping
tools, and easy-to-use rules features.

Users can manage their own interfaces
with proper training.

q bedside/handheld ID devices
n blood banking systems
n central data repositories
n electronic medical records
n hospital information systems
n laboratory automation systems
n laboratory information systems
n microbiology systems
q pharmacy systems
q physician office management
systems
n point-of-care testing instruments
q public health surveillance systems/
registries
n reference laboratories
n reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
n stand-alone automated instruments
q other

q bedside/handheld ID devices
n blood banking systems
n central data repositories
n electronic medical records
n hospital information systems
n laboratory automation systems
n laboratory information systems
n microbiology systems
q pharmacy systems
q physician office management
systems
n point-of-care testing instruments
q public health surveillance systems/
registries
q reference laboratories
n reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
n stand-alone automated instruments
q other

n bedside/handheld ID devices
n blood banking systems
n central data repositories
n electronic medical records
n hospital information systems
n laboratory automation systems
n laboratory information systems
n microbiology systems
n pharmacy systems
n physician office management
systems
n point-of-care testing instruments
n public health surveillance systems/
registries
n reference laboratories
n reporting systems (administrative/
financial/compliance/QA)
n specimen-tracking systems
n stand-alone automated instruments
n other

The JResultNet Middleware Rules
Development Kit can be used within
JResultNet or offline, on a separate PC
from the running middleware
application.

Users can develop, test, and validate
rules that can be applied to the
JavaLin/PDI connection.

Yes

Enhanced rules-based processing
capabilities in support of
autoverification, making lab
processes more efficient, speeding
up turnaround time, and improving
patient safety. It can scale to grow
with the needs of a laboratory QC
system connections, database
connections, and other data
management concerns.

Ask your questions about QC
Clinical Lab Products
acknowledges
Bio-Rad for its
generous sponsorship
of QC Expert.
Dr. Sharon Ehrmeyer
Professor of Pathology & Laboratory
Medicine & the Director of the Clinical
Laboratory Science Program at
University of Wisconsin School of
Medicine and Public Health

Looking for expert advice?

www.clpmag.com/expert-insight

< interactive edition

The affordable device connectivity
solution enables the LIS to
communicate with a wide variety
of analyzers without the need for
interface development. It provides
rules-based processing capabilities
at the instrument level, which allows
end-users to customize the data flow
to meet their needs.

Provides lab/EHR hub connectivity
along with an Internet portal for
remote review. Ideal connectivity tool
for outreach and EHR integration:
can bolt-on to your legacy LIS and
allows you to implement your own
EHR interfaces. Ideal for reference
laboratories to manage client services,
courier routes, and client inventories.

Enjoy a Whole New
Experience with
Clinical Lab Products’
Interactive Edition
Clinical Lab Products’ interactive edition
is a truly unique experience; offering
videos, blogs, links, audio clips and
more. Enjoy the flexibility to choose
how, when, and where you want to
engage.

The price of JResultNet scales to meet
the needs of each laboratory.

The JavaLin can provide a full
middleware solution for a single
analyzer for less than $2,500.

Access us from anywhere with our free

Price is based off of client
configuration.

iPhone and iPad App available from the
App Store.
Visit clp.alliedmedia360.com to view

Comprehensive documentation,
access to the technical
support department and online
knowledgebase. Classroom, on-site,
or web-based training is available.

Comprehensive documentation, access
to the technical support department
and online knowledgebase. Classroom,
on-site, or web-based training is
available.

New users are brought to corporate
headquarters for a week-long training
with training specialists. After
installation, there are more advanced
classes to learn about managing
interfaces and administrative tasks.

JResultNet Middleware is Java-based
and modular, offering customers a
scalable solution that is able to serve
both enterprise-wide multi-hospital
autoverification implementations and
single-instrument connections. It can
be configured to best complement the
existing workflow of a lab.

It provides a dedicated CPU and
memory at the instrument, allows the
communication driver to be run locally,
and reduces processing demand
on the host system. Onboard rules
features are available, accommodating
most customizations to desired data
processing at the instrument level.

Orchard Copia can bolt-on to legacy
LIS, provides EHR connectivity, and
allows implementation of your own
EHR interfaces; in addition, it provides
Internet access for remote order
entry and result delivery; it can be
configured uniquely by lab client and
by sign-in location; and more.

the online edition or scan the QR code
to get your free mobile app.

sponsored by

Download Today!

	

clpmag.com | April 2013

25

[ tech ]

guide

www.clpmag.com

Orchard Software

Psyche Systems Corp

Sysmex America Inc

Sysmex America Inc

Carmel, Ind
(800) 856-1948
www.orchardsoft.com

Milford, Mass
(800) 345-1514
www.psychesystems.com

Lincolnshire, Ill
(847) 996-4500
www.sysmex.com

Lincolnshire, Ill
(847) 996-4500
www.sysmex.com

Orchard Trellis

e.lixa

Sysmex WAM

WAM Select

Trellis is an orders and results
management software program that
serves as a simple “review, click, and
go” cost-effective bridge for electronically
passing orders and results between
low-volume, point-of-care analyzers/
instruments and the EMR.

Extend laboratory LIS to include advanced
functionality and bridge communications
between the LIS and other internal and
external components.

A hematology information management
system that consolidates data from
multiple analyzers, performs rulesbased functions for auto-validation and
automated reflex/rerun testing, and
communicates this information to the
LIS.

A streamlined hematology information
management system that performs
complex rules-based functions for autovalidation and reflex/rerun testing for
hematology CBC and auto-differential
results.

Requires very little training and can be
installed in less than a day.

Yes

Sysmex WAM has multisite and multi-LIS
capabilities. Permits subsite rules where
needed for added flexibility.

WAM Select allows users to easily and
independently manage their decision
rules in hematology.

n bedside/handheld ID devices
q blood banking systems
n central data repositories
n electronic medical records
n hospital information systems
n laboratory automation systems
n laboratory information systems
n microbiology systems
q pharmacy systems
q physician office management systems
n point-of-care testing instruments
n public health surveillance systems/
registries
q reference laboratories
q reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
q stand-alone automated instruments
q other

q bedside/handheld ID devices
q blood banking systems
n central data repositories
n electronic medical records
n hospital information systems
n laboratory automation systems
n laboratory information systems
n microbiology systems
q pharmacy systems
n physician office management systems
q point-of-care testing instruments
q public health surveillance systems/
registries
n reference laboratories
n reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
q stand-alone automated instruments
q other

q bedside/handheld ID devices
q blood banking systems
q central data repositories
q electronic medical records
q hospital information systems
n laboratory automation systems
n laboratory information systems
q microbiology systems
q pharmacy systems
q physician office management systems
q point-of-care testing instruments
q public health surveillance systems/
registries
n reference laboratories
q reporting systems (administrative/
financial/compliance/QA)
n specimen-tracking systems
n stand-alone automated instruments
q other

q bedside/handheld ID devices
q blood banking systems
q central data repositories
q electronic medical records
q hospital information systems
q laboratory automation systems
n laboratory information systems
q microbiology systems
q pharmacy systems
q physician office management systems
q point-of-care testing instruments
q public health surveillance systems/
registries
q reference laboratories
q reporting systems (administrative/
financial/compliance/QA)
q specimen-tracking systems
n stand-alone automated instruments
q other

Yes

No

Sysmex WAM is delivered to the
customer preconfigured with customerspecific rules and settings. The database
and rules are ready for customers to
start verification and workflow testing
with Sysmex analyzers and devices.

WAM Select is delivered with a standard
set of hematology and body-fluid rules
that can be copied and modified to
reflect customer best practices. It also
has an onboard rule tester and conflict
checker.

Automatically sends point-of-care test
results to your EMR. Simple software
for viewing POC orders and results
before releasing them to your EMR.
Cost-effective and easy to use, install,
maintain, and upgrade.

Connects physician’s office EMR and
practice systems to labs. e.outreach
gives physicians secure online access to
critical patient care information and fast,
accurate online order entry directly from
the physician’s office. A powerful relational
database that provides discrete storage of
all clinical and anatomic pathology data to
provide advanced data mining capabilities.

Intelligent Rules Engine, designed
specifically for hematology, allows
for auto-validation rates averaging
85% to decrease tech workload and
reduce turnaround times. Management
Reports Module provides real-time data
mining and generates reports that help
management evaluate productivity,
staffing, lab efficiencies, and
turnaround times.

Intelligent Rules Engine, designed
specifically for hematology, allows
for auto-validation rates averaging
85% to decrease tech workload and
reduce turnaround times. Designed for
use in small to medium-size labs, it
improves result-handling consistency
by incorporating standardized rules
across shifts. Allows users to easily and
independently manage their decision
rules in hematology.

Pricing is based on client configuration;
dependent on licensing; and the number
of host and instrument interfaces.

One-time setup fee then monthly
maintenance fee, or subscription model.

Configured and priced by hematology
test volume, number of analyzer and
workstation connections, number of
multi-site connections, and complexity
of the automation line(s).

A moderately priced product based
on limited volume and analyzer
connections.

Users are trained via week-long
classes at our corporate headquarters,
online tutorials, and with annual user
symposiums.

Internet and teleconference-based training;
on-site training is available. User groups
and symposia, manuals, and product
documentation.

Classroom, on-site, and e-learning
modules available for training and
proficiency review. WAM Technical
Assistance Center and Customer
Resource Center.

There are e-learning modules and
user guides available for training and
proficiency review. WAM Technical
Assistance Center and Customer
Resource Center.

It efficiently and effectively interfaces
your POC instruments with your EMR
without the need for extensive training
and information technology support.

e.lixa is a suite of add-on applications that
extend and enhance a laboratory’s existing
LIS with web-based outreach capabilities,
and advanced result-management
reporting brings the latest LIS technology
to existing LIS systems at a cost less than
replacement.

Sysmex WAM’s flexible Intelligent
Rules Engine is designed specifically
for hematology, with extensive rulevariable combinations for which to build
rules for auto-validation, reflexing, addon testing, generation of manual
differential smears, sample routing, and
more.

WAM Select was designed specifically
for small to mid-size hematology
laboratories, providing them the same
flexible Intelligent Rules Engine as our
larger lab customers for auto-validation
rates averaging 85% or greater, but
streamlined for their size.

26

April 2013 | clpmag.com



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