Replacement Laboratory Information Management System Data . - Wales
INFORMATION STANDARDSASSURANCE PROCESSINFORMATION STANDARDPROPOSALReplacement Laboratory Information Management System DataFriday, 11 May 2012
Welsh Information Standards Board SubmissionFinal ProposalINFORMATION STANDARD FINAL PROPOSALFOR NEW OR CHANGED (INCLUDING RETIRED) INFORMATION STANDARDREVISION HISTORYDate of this revision:Version no. Revision date Summary of Changes0.111/05/12First draftChanges markedNoSUBMITTED BY:Document completed by: Brent VarleyRole & organisation: National Pathology IT Programme LeadPhone: 02920 502860Email: brent.varley@wales.nhs.ukFEEDBACK TO BE PROVIDED TO:Name: Simarmeet SinghEmail: Simarmeet.singh@wales.nhs.ukSUBMISSION PURPOSEProposal submitted for:Formal Approval to support implementation approval.Page: 2 of 49
Welsh Information Standards Board SubmissionFinal ProposalGlossary of MSMHOLNADBNAGIOSNPHSNWISOATOp teamPHWQCRFCUATWPHBlood transfusionChange Advisory BoardClinical Strategy GroupEnterprise Master Patient IndexGeneral PracticeInformation Governance Assurance ProcessInforming HealthcareIntegrated Health RecordInstallation QualificationInterSystems CorporationInformation TechnologyLocal Health BoardLaboratory Information Management SystemsMy Health OnlineNational Architectural Design BoardIndustry standard in enterprise-grade IT infrastructure monitoringNational Public Health ServiceNHS Wales Informatics ServiceOperational Acceptance testingOperational teamPublic Health WalesQuality ControlRequest for ChangeUser Acceptance testingWales Pathology HandbookPage: 3 of 49
Welsh Information Standards Board SubmissionFinal ProposalSECTION 1: BASIC INFORMATION STANDARD DESCRIPTORS1. Information Standards Reference Number2. Name of Information StandardReplacement Laboratory Information Management System (LIMS) Data3. Type of changeThe LIMS replacement project will consolidate all current NHS Wales Pathology systems onto a singleplatform. The development of this solution has required a high level of standardisation of informationprocesses and nomenclatures that will provide (as far as practicable) a more integrated service to supportcurrent and future IT strategies. This submission identifies the data items processes relating to thesolution being delivered. It should be noted that the project approach is to utilise NWIS, National orProfessional standards where possible.4. SponsorJane Fitzpatrick, Head of the Programme Management Unit/Programme Director, Diagnostic Services, asChair of National Pathology Programme Board.Andrew Griffiths, Programme Implementation Director, Chair of National Pathology IT Programme Board5. DeveloperLIMS Solution is being supplied by InterSystems Corporation (ISC). The system has been configured by ateam of NHS Wales Pathology staff (with support from ISC) managed by the National Pathology ITProgramme based in NWIS.6. Implementation DateDateFirst Go-live date in the week commencing 11/06/2012LIMS Implementation is staggered over 10 months beginning June 2012. Detailed Plan embedded inSection 6- sub-section 19Page: 4 of 49
Welsh Information Standards Board SubmissionFinal ProposalSECTION 2: BUSINESS JUSTIFICATION7. PurposeExtracted from the Full Business Case (2009):The main strategic drivers for the LIMS Project are: Designed for Life which places an emphasis on service reconfiguration via clinical networks andperformance management as key enablers for improving health and social care across Wales.The Diagnostic Services Strategy “Getting Results” (WHC (2004) 061) which identifies thedependency on an integrated information management and technology infrastructure to supportthe delivery of modern diagnostic services.The Future Delivery of Pathology Services in Wales (2008) which provides the vision for thefuture planning and delivery of servicesThe Case for Change can be made based on the following: There are currently 13 Laboratory Information Management Systems supporting 18 main NHSPathology Laboratories across Wales. The majority of these systems were procured around 16 yearsago and the full contractual term of those original agreements have expired. At present, all LIMS inWales are supported on legacy contracts which were implemented in 2003/4 and carry an associatedrisk for medium term viability. The terms of the contracts state that from March 2006 suppliers cancontractually give 2 years notice to withdraw support for the systems. The current configurations of Laboratory IM&T systems are not considered capable of delivering thegoals for information set by Designed for Life and Informing Healthcare as they restrict the ability tofacilitate fast and effective access to patient pathology results irrespective of where the tests werecompleted. The current systems do not support performance management of pathology services across Wales.Collection of information generally relies on labour intensive methods and processes.A single solution based on standardised coding, nomenclature and tests sets would support an enhancedpathology service, providing a high degree of flexibility to the service via a system where tests can becarried out anywhere and results accessed outside current organisational boundaries meeting the newHealth Board and modernisation requirements.8. ScopeTrakCare LIMS solution is a single system computer solution that will be distributed across all NHSPathology Laboratories in Wales and is provided by InterSystems Corporation (ISC). The product hasbeen configured to an agreed standardised build and is initially being piloted at Hywel Dda Health Boardand Screening Services (Cytology Screening).A diagram outlining the full scope of the LIMS functionality is shown below (Diagram 1).Page: 5 of 49
Welsh Information Standards Board SubmissionDemandManagement/TestValidationFinal ProposalTestRequestingCommissioningStrategic PlanningID of PatientResearchQCManagement of WorkflowClinical GovernanceTest ReceptionTestingResource ManagementTechnicalValidationWelsh Blood TransfusionClinical validationCancer ServicesCervical BreastBowel Screening and WCISUResults / ReportGeneratedGeneticsNPHSTest ReportingPush / PullDiagram 1: Scope of LIMSThe replacement LIMS will cover the following laboratories:Laboratory SiteNHS Local Health Board(From October 2009)Ysbyty GwyneddLlandudnoHospitalYsbyty GlanClwydNorth WalesBetsy Cadwaladr LHBYsbyty MaelorPrince CharlesCwm Taf LHBRoyal GlamorganPage: 6 of 49
Welsh Information Standards Board SubmissionFinal ProposalUniversityHospital of WalesCardiff and Vale University LHBLlandoughRoyal GwentCaerphillyNevil HallPrince PhillipWest WalesWithybushBronglaisPrincess ofWalesNeath Port TalbotMorristonSingletonWelsh BloodServiceAneurin Bevan LHBHywel Dda LHBAbertawe, Bro MorgannwgUniversity LHBVelindre NHS Trust9. FundingFundingThe Full Business Case for Replacement LIMS was approved in June 2010 by the Welsh Government.10. SupportThe project is a joint exercise between Pathology Service, NWIS and InterSystems Corporation (LIMSSupplier).Delivery of the Laboratory Information Management System (LIMS) Project requires system configuration(Hardware and Software), testing, validation and implementation of TrakCare Lab across PathologyService in Wales.The product is supported as rSystemsNWIS TechnicalNWISInfrastructure,Systems andSupportNWIS Applicationsand SystemSupportNWIS – LIMSConfiguration TeamLIMS ChangeAdvisory BoardConfigurationImplementationOn-going tespecificationsNot directlyYesSupportSupportApprovechangesNoYes – assess andapprove anychangesPage: 7 of 49
Welsh Information Standards Board SubmissionFinal ProposalSECTION 3: HEALTH INFORMATION STRATEGIC AND OPERATIONAL FIT11. Strategic National FitThe Informing Healthcare (IHC) strategy was published in 2003. The vision is being achieved bydeveloping a common technical architecture 1 (see Diagram 2 below) to support the provision of integratedinformation to clinicians and patients at the point of consultation.It is recognised that the effective delivery of pathology services will require a standardised approach tomanaging information. Connectivity to the existing multiple LIMS systems introduces a level of complexitythat could be eliminated, with a single networked LIMS proving an efficient and ergonomic solutionmeeting national IT architecture and infrastructure objectives.Diagram 2 - Technical ArchitecturePathology roadmap – New LIMSWelshService DirectoryWelsh IIbandgy HholoPatTelepathGPRequHandbookOrders/ reque(e.g. PASs,Community/MH)Welsh ther(e.g. PACS,Maternity)LocallyHostedGPSystemsWelsh Clinical PortalMPI‘Pull’ patient demographicWelshDemographicServicePDS - England12. Known standards in use nationally and internationallyThe LIMS has been configured to use all available and applicable standards as identified in section 18.1For Further Details d 770&ID 103220&6D16AC9B-1143-E7565C4E8A3D389EB758Page: 8 of 49
Welsh Information Standards Board SubmissionFinal ProposalSECTION 4: THE PROPOSAL13. Proposed SolutionThe LIMS solution provided by InterSystems Corporation requires a high level of configuration to deliver aworking system. This requires a large number of code tables to be populated with information by theproject team. The collation of the information was gathered from a number of sources including nationaldata dictionaries, national pathology catalogues, existing LIMS data and standardisation processes withinthe pathology service.14. Testing / PilotLIMS test activities have followed the NWIS Test Framework. Relevant documents for the lifecycle ofthe LIMS Project:- PR028 Test Strategy- PR061 Test Plan- PR068 Test Scripts- PR086 Test Closure ReportDiscipline Specific Risk Assessments for User Requirements identified in Schedule 4.1 (ISFT ResponseInterSystems Schedule 4.1 incl 2.1Technical Solution) are being undertaken as part of Validationprocedures being followed for the LIMS Project. The Risk assessment approach for blood transfusionwill be validated by MHRA and therefore has not been included in this report. Testing activities (asdetailed in the Table below) have been guided by the outcomes of the Risk Assessments undertaken aspart of different work streams. LIMS Document Register details reference to all the Testing activityreports.Table:Testing activityCommon Functional Acceptance Testing (CFAT)National User Acceptance Testing (UAT)ScopeThe CFAT phase of testing covered the followingCore Functional Requirements from Schedule4.1Schedule 4.1 Section 5.1: Core RequirementsSchedule 4.1 Section 5.2: PatientDemographics Schedule 4.1 Section 5.3:Request Registration Schedule 4.1 Section 5.4:Results Entry Schedule 4.1 Section 5.5:Referral Specification Schedule 4.1 Section 5.7:Validation Schedule 4.1 Section 5.8: OutputsSchedule 4.1 Section 5.11: Specimen TrackingSchedule 4.1 Section 5.12: Electronic ResultRequesting and ReportingAlso covered in this phase of testing is the E-MPIinterface which is tested as part of the CoreRequirements.During this phase the following was included inthe testing:Common functionality of the system from a userperspectiveAccess levels for specific security groupsBooking in patientsBooking in tests for patientsChecking results of testsAuthorising testsAuthorising results of tests (for higher accesslevels)Viewing report documents (soft and hard copy)Page: 9 of 49
Welsh Information Standards Board SubmissionHealth Board Testing (Local UAT)Hardware Validation and Operational acceptancetesting (OAT)Application Validation and OATFinal ProposalHealth Board ResponsibilityScope of Hardware Installation Qualification (IQ):Establish the documentation status.Capture the versions of all system software,configurable network device firmware and verifyconsistency with approved specifications.Verify the system software configuration.Verify the hardware specification andconfiguration.Procedures are in place to maintain the validationstatus of the system once IQ has been started.Scope of LIMS Production EnvironmentInstallation Qualification (IQ):Ensemble DatabaseTrakCare Suite of ApplicationsPrint ServerInstrument Interface ServerNAGIOS Monitoring ServerCitrix ServerHaemonetics Primary ServerWales NHS LIMS Configuration15. Information GovernanceThe NHS Wales Informatics Service (NWIS) Information Governance Assurance Process (IGAP) hasidentified a number of issues and the document titled ‘Information Governance Approach- LIMS’[Doc Ref: SEC.4.1.1], Appendix 1, outlines the recommended approach that will be taken to ensure thateffective information governance processes are developed. This will ensure that patient information issafeguarded, thus preserving the confidentiality, integrity, availability and accuracy of information whilstmaintaining the confidence of, and meeting the needs of, patients and clinicians.Clinical Risk Assessment Report [Doc Ref: SEC.3.2.2], Appendix 2, prepared to comply with ‘Step 3’ ofthe NWIS Clinical Risk Management Process [NWIS Clinical Risk Management Process FINAL 2011 1203] has been approved by NWIS Clinical Risk Manager on 04/05/2012. The purpose of report documentis to provide a comprehensive list of all the risks identified with the LIMS Project for the planned pilots atHywel Dda Health Board and Screening Services.16. Commercial ConsiderationsCommercial issues with InterSystems are defined within the contractual documentation.A contract to utilise the content of the National Laboratory Medicines Catalogues is being drafted (shouldbe noted they intend to utilise some of the work we have done for LIMS within a revised version).17. Fitness for PurposeInformation provided by NRDS or obtained from other ‘national sources’ is considered fit for purpose.Internally defined Pathology information has been obtained through the Welsh Assembly definedPathology ‘Standing Specialist Advisory Groups’ with support from agreed All Wales Pathology subjectmatter experts. All standardised information has been defined in standardisation portfolios and reviewedby a defined ‘Clinical Strategy Group’. The governance structure relating to the project is detailed inAppendix 3.Page: 10 of 49
Welsh Information Standards Board SubmissionFinal ProposalThe LIMS configuration will be described in an ongoing ‘LIMS configuration document’ that defines thesettings allocated for key configuration items.SECTION 5: IMPACT ASSESSMENT18. Impact AssessmentSpecific data items are identified under the heading LIMS Data items, high level information streams areidentified below:SourceNRDSLower level source codes: Wardnames etcEMPIPathology Specific Data ItemsDataCurrent: SNOMEDGP requester data, GP locationdata, Consultant data, NHS UKPathology bounded code list,NHS Wales Source CodesProposed: Nursing codes, Allie3dHealth Professional codes andNational Prescriber codesAgreed structured codeAll Wales demographic feedSpecific information relating totest names, reference names,clinical comment codes, reportingformats etcCommentWork ongoing to automate feedsfrom NRDS to LIMS to maintainand update informationDeveloped with NRDS staffWhere applicable the NationalMedicine Laboratory Cataloguehas been used for test namesand reporting units. Anagreement to use the NMLC withthe NHS Wales LIMS is inprocess 2 .Harmony- Pathology Harmony isan initiative working towardsharmonisation of results reportingin UK pathology laboratorieswhich was established in January2007. Where applicable reportingagainst Harmony agreedstandards are beingimplemented 3All other pathology data hasbeen agreed nationally thoughthe creation of standardisationgroups. This has produced anumber of standardisationportfolios which are maintainedcentrally.Governance Model for the Project:Governance arrangements adopted by the National Pathology IT Programme Implementation Board, inrelation to the Laboratory Information Management System (LIMS) are outlined in the Document titled‘LIMS Implementation Board Governance Arrangements’ [Document Ref.: PRC.7.7]- Appendix 3 in thologyharmony.co.uk/Page: 11 of 49
Welsh Information Standards Board SubmissionFinal Proposalto ensure : Control of the workCo-ordination between different pieces of work.Measurement of outcomes.Compliance with internal policy, regulation and standards.Accountability and transparencyConnecting with the needs of users, the broader organisation, and other stakeholders andidentifying pathways of advice / decision makingIt is important to note that the National Pathology IT Programme Implementation Board is part of theoverarching NWIS IT Programme Framework and therefore, the proposed governance approach seeks toenhance and not negate the importance of the existing NWIS IT Governance arrangements. Appendix 4depicts the Governance arrangement during Implementation- when the Information Standard is beingdeveloped and Appendix 5 depicts the Governance Arrangement for Changes to LIMS (i.e. themaintenance of Information Standards)LIMS Change Advisory Board has the following stated aims: to allow proposed Changes due consideration to ensure that their implementation is within thebest interests of both the LIMS service and NHS Wales. The method of this consideration isdescribed under CAB Activities belowto ensure that Changes do not introduce new risks to the IT Serviceto ensure that nationally agreed NHS Wales policies and processes for Change Management areadhered to for the IT Serviceto ensure that the Change Management Procedure for the IT Service is robust, fit for purpose,and adequately balances the tension between development, production and maintenance of theIT Serviceto ensure that there is a process of appeal, discussion and escalation for Change requests thatusers believe are relevant but have been rejected by the Change Manager or declined by theCABto ensure that there is a process for escalation of RFCs that the CAB is unable to approve withoutsupport from either the Service Management Board (SMB) or a higher authority (see Appendix 5– National IT Change Management Governance)As required by the Governance arrangements for the programme, LIMS Implementation has NADB Stage2 approval to pilot at Hywel Dda Health Board and Screening Services. Clinical Risk assessment reportwas also approved for Lab usage (NADB stage 2).Secondary feeds (to local or national interfaces and feeds to PHW) from LIMS are identified in HealthBoards submissions (Secondary Systems paper) to NADB. Submissions of Betsi Cadwaladr UHB, CwmTaf HB, Hywel Dda HB and matrix of secondary care system links to LIMS are embedded as Appendix 6.National secondary system feeds Screening Services and PHW are depicted as diagrams in Appendix 7and 8 respectively.The Governance arrangements shall be adhered to for maintenance of data in LIMS.LIMS Data items- detailed:The tables below identify all data items used in Replacement LIMS. It also noted the source of data i.e.the data is being sourced either externally (NRDS, National Pathology Catalogue, or other relevantsources) or the data items (mainly test items in LIMS) are being standardised by the NationalStandardisation groups in Wales (for each discipline), which is again being linked to representative bodiesfor Pathology in UK (like Pathology Harmony). Individual/group/team responsible for making changes tothe data is identified along with process of ongoing review and any amendments to standard data, asapplicable.Page: 12 of 49
Welsh Information Standards Board SubmissionFinal ProposalBillingSub-table NameDescriptionSourcePathologyService orExternalWhoActionschangesorMaintainsProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if an/an/an/an/aBanking CodesBilling code tablesor data will not beusedBilling code tablesor data will not beusedBilling code tablesor data will not beusedBatch AuditCodesBilling code tablesor data will not beusedBatch CreditCodesBilling code tablesor data will not beusedBatch CreditTypesBilling code tablesor data will not beusedn/an/an/an/aBilling AddressBilling code tablesor data will not an/an/an/an/an/an/an/an/an/aActivityBank CodesBilling LocationComplexityLevelsBilling code tablesor data will not beusedBilling code tablesor data will not beusedDebtor ActionCodesBilling code tablesor data will not beusedBilling code tablesor data will not beusedBilling code tablesor data will not beusedEDI TypesBilling code tablesor data will not beusedn/an/an/an/aGSTBilling code tablesor data will not beusedn/an/an/an/aContractsCredit CardsPage: 13 of 49
Welsh Information Standards Board SubmissionFinal ProposalSourcePathologyService orExternalWhoActionschangesorMaintainsProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if aJournal CodesBilling code tablesor data will not beusedn/an/an/an/aPaycodesBilling code tablesor data will not thologyService orExternalProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if nfigLeadGovernance view –subject tochangecontrolPathologyServiceReview –subject tochangecontrolSub-table NameDescriptionInitiation CodesBilling code tablesor data will not beusedInvoice TypeItem DefinitionItem ScheduleRemindersBilling code tablesor data will not beusedBilling code tablesor data will not beusedBilling code tablesor data will not beusedBilling code tablesor data will not beusedVisit ActionCodesBilling code tablesor data will not beusedBlood BankSub table NameDescriptionBlood BankCommentsBlood BankRegistryUsed to configurethe Test Sets andTest Items that willbe used for thesaving ofinformation to theAntibody Register,Antigen Registryand TransfusionReaction Registrythat have beenconfigured on thisGovernance modelPage: 14 of 49
Welsh Information Standards Board SubmissionSub table NameDescriptionFinal ProposalSourcePathologyService orExternalWhoActionschangesorMaintainsProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if anyBTStandardisationConfigLeadGovernance view –subject tochangecontrolPathologyServiceReview –subject ce ceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject ce view –subject tochangecontrolPathologyServiceCode Table.Blood BankStock LevelBlood Groupsdeals with the setup andconfiguration of allthe Blood Groupsthat will bereceived andreported by Lab.Blood PackActionsBlood ProductUsed to configurethe BloodProducts that willbe used acrossthe Blood BankModule.Blood ProductGroupsBlood TagsCountryCollection FacilityEmergency IssueUsed to configureattributes that canbe assigned toBlood Packs orPatients. Forexample: CMVnegative,Irradiated Bloodetc.Used for ISBT128configuration forInternationalIdentification ofBlood Productcountry of origin.Governance modelGovernance modelGovernance modelGovernance modelGovernance modelPage: 15 of 49
Welsh Information Standards Board SubmissionSub table NameLocation of BloodProductsDescriptionUsed for theconfiguration ofstorage locationswhere the BloodProduct Units canbe located.Mode ofTransportSourcePathologyService orExternalFinal sed for theconfiguration ofPhenotypes forPack Units forpatients.BTStandardisationConfigLeadStatus CodesUsed for theconfiguration ofStatus codes thatwill be used whenentering BloodBank results andfor PackTransactions.used for theconfiguration ofthe supplier ofBlood Products tothe ible InspectionBTStandardisationConfigLeadSuppliers ofBlood ProductsProcess forOngoingReviewReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolDescription ofProcess used toamend the data tofit LIMS, if anyGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelPage: 16 of 49
Welsh Information Standards Board SubmissionSub table ce orExternalBTStandardisationFinal ess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if anyPathologyServiceReview –subject tochangecontrolGovernance modelProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if anyClinical TerminologySub tableNameDescriptionSnomed CodesExternalReferenceData/via HealthReference DatateamExternalReferenceData/via HealthReference DatateamSnomedModifierDay Book LaboratorySub tableDescriptionNameFailure CodesLaboratoryCodesLaboratoryCodes - BlockCodesSourcePathologyService orExternalused to define theDaybooklaboratories thatwill be usingDaybookWhoActionschangesorMaintainsOp TeamOnly to usedby CellularPathologyOp TeamOnly to usedby CellularPathologyProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if sConfigLeadGovernance GroupConfigLeadPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolSourcePathologyService orExternalGovernance modelGovernance modelPage: 17 of 49
Welsh Information Standards Board SubmissionSub tableNameLaboratoryCodes aintainsConfigLeadLaboratoryCodes - Codes Anatomical SitesStandardisationGroupConfigLeadLaboratoryCodes - OriginalSite CodeStandardisationGroupConfigLeadLaboratoryCodes - s ionGroup/ClinicalStrategy GroupConfigLeadLaboratoryReportsDescriptionUsed to construct awide range oflaboratory reports.The reportingformat can includeTest Items, TestSets, SnomedCodes, T-Codes.The reportsgenerated inSnomed, T-Codeand M-Code formatare used to supplyStatutory Bodiessuch as the CancerCouncil. Reportsgenerated by TestItems aredistributed toSourcePathologyService orExternalFinal ProposalProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if anyPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelGovernance modelPage: 18 of 49
Welsh Information Standards Board SubmissionSub tableNameDescriptionFinal ProposalSourcePathologyService orExternalWhoActionschangesorMaintainsProcess forOngoingReviewDescription ofProcess used toamend the data tofit LIMS, if eview –subject tochangecontrolGovernance modelPathologyServiceReview –subject tochangecontrolGovernance modelPathologyServiceReview –subject tochangecontrolPathologyServiceReview –subject tochangecontrolGovernance modelinterested partiesinternally andoccasionally,externally.Method ofCollectionReportsUser can assign aP-code to eachentry. When themethod ofcollection is addedagainst a Daybooknumber the P codeis automaticallyadded. It will form agroup with any Tcode entered inPatient Entry on thesame Accessionnumber line.Allow Users todefine andconfigure reportsthat will use Line ofText for theirsearches. Thereport can only begenerated for WordTest Sets or RTF’sTest Sets such asCCR LeadWorkbenchActions ConditionsStandardisationGroupConfigLeadGovernance modelPage: 19 of 49
Welsh Information Standards Board SubmissionDoctor InformationSub tableDescriptionNameDoctor CodesInformationconfigured in thisCode Table rangesfrom demographic,billing, reportformats etc.Doctor Codes SpecialityDoctor GroupsFacilitates thegrouping ofDoctors, Regions,and Practices etc.which can be usedfor statisticalreporting.Doctor Groups Doctors inGroupMarketingCodesSpecial InterestCodesSpecialityCodesUsed for therealisation anddistribution ofcommissions paidby the laboratoriesto client.Used to extrapolatedata for clientDoctors who areengaged in specialinterest medicine.For example aDoctor may have aspecial interest inthe DiabetesAssociation andtherefore would beinterested in testresult data sugarlevels, biochemistryprofiles etc.Used to define andconfigure DoctorsSpecialties.Sour
National User Acceptance Testing (UAT) During this phase the following was included in the testing: Common functionality of the system from a user perspective Access levels for specific security groups Booking in patients Booking in tests for patients Checking results of tests Authorising tests Authorising results of tests (for higher access
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