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Squad for Labs v2: Kick-Off Call Oct 16 2023

Attendees: Brandon, Burke, Casey, David, Eudson, Gilbert, Grace, Michael B

Link to Wamz's demo on Oct 12th Squad call: https://iu.mediaspace.kaltura.com/media/t/1_2b8r9rf1?st=1810

AreaNow: What we have now (as of Oct 16th)Where we want to go: Next PrioritiesNotes
Order Labs/Tests
  • Lab Order form in Order Basket
  • Test Search
  • Lab Order number is generated but only in the Angular Form Order component ("Lab order(s) generated 1 : Haemoglobin : ORD-441)
  • Bug: Drug concepts should not be showing up (_____)
  • Remove "Lab reference number" in the order form. Usually exists on a pre-printed form. Aka Accession # or Specimen #. 
  • Order number needs to end up in the FHIR request (___)
  • Order Form should be driven by a form made in / editable in the Form Builder
    • Start an Order in an Encounter via a Form
      • Ang Form Engine link into Order Basket (Brandon/Mekom)
      • React Form Engine link into Order Basket (________)
    • Form Engine Powered Built-in Forms: Render Forms elsewhere in O3 (eg in Lab Order app) - Reference a particular form within an app's o3 config (e.g. change triage / lab form UID for your distro); built in forms would be stored the same way we store form engine forms

Implementation: Options are from all concepts called "Test"

Lower priority: Provider's "Favorites" (_____)



Per Patient: Order StatusNothing
  • See any pending Lab Order
  • Flag "done and critical"

Order status and lab status are not necessarily the same thing. e.g. "specimen collected" is an order status but not a lab status?

Phlebotomy Status: Drawn? Label Printing?

Where someone needs to add #'s like Reference #, Sample #, Accession #?

Status page: rejections of samples by lab. Critical results, alert worthy? Certainly on the status page, but do you want to bug the ordering doc as well? I just wanted to add this so I don’t forget when we run out of time.

All Patients: Order Status 
  • Flag critical results
  • Rejection Workflow - sample not good enough; alert Phlebotomy to re-do
(In Lieu of a bigger Lab Info System; similar to Dispensing App)
Results Entry
  • Via manually-built Form with ConceptIDs for Lab tests
  • Add Results from the Status page

Results Viewing
  • Fix Tree hardcoding - should be driven by LabSets / ConvSets
  • Tree View Logic: Decision - do we want to allow multiple levels? ______

No Order relationship yet...

"Orderable" vs "Viewable": Filter to exclude stuff you don't need to see in the Order view,  (want to see "Blood Cultures" in orders, but not the sub-tests for each strain of resistance), PIH has driven through "Orderable Labs ConvSet" that tend to be different per country

Result Alerts InboxNone; lab-specific resultsFuture

Peoples' Needs:

  • UCSF: 4-week Sprint starts tomorrow; want something w/ labs
  • PIH: Not a top priority for MCOE project but want to be involved
  • MSF: Critical for first pilot in a few months from now; want to align requirements
  • DIGI: OpenELIS-OMRS fhir-based connection for O3 for Cote d'Ivoire; currently just for VL but want for all lab tests (interested in statuses)
  • General Support: (assisted by Mekom/Brown (Brandon/Ian)): Implemented Lab Order form in Order Basket; Test Search functionality. Next: 
  • Major Overlaps: Status; Requirements
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