Automatic Duplicate Elimination

While a common LIS feature is to merge tests together into one or more containers, experience has shown that this is often inadequate, either through ordering practices or because of collection batch releases.  Examples are:

  • An attending physician orders a comprehensive metabolic panel (CMP), while a referring physician orders a basic metabolic panel (BMP).  While the BMP is unnecessary, it still passes through the LIS.  The workflow in labs is often to print the label for the BMP and put it in the bag with the drawn CMP, forcing the receiving department in the lab to cancel the BMP.
  • One doctor orders a Vancomycin trough at 6:00 AM, not noticing that an order already exists for 6:30 AM.  Although these are duplicate orders, if the collection batch ends at 6:00 AM, both orders will go through, resulting in two labels.

The MediCopia Duplicate Elimination feature provides a rules-based engine as an addition to the existing LIS interface.  When a new accessioned order comes into MediCopia, all open orders are scanned to determine whether any duplicates can be eliminated.

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Why Our Products

Lattice has been leading in the PPID market since 1998. Currently on our 4th generation product, the MediCopia application suite supports both single community hospitals as well as large multi-facility regional implementations. Our products support multiple EMR, HIS, LIS, and BBIS vendors.

Key Points

  • Different timeframes can be set for all priorities – for example, STATs are never cancelled, Timed orders are evaluated only if they are within 15 minutes of each other, and Routine orders are evaluated only if they are within 1 hour of another order.
  • Provides container-based cancellation – for example, if a Routine CMP and a Routine BMP are scheduled within one hour of each other, cancel the BMP container
  • Cancels the accessioned container within MediCopia system and communicates the cancellation back to the LIS with a specific cancellation reason (Auto-Duplicate Cancellation).
  • Reduces the number of un-reimbursed tests (MediCare will not reimburse for a BMP when a CMP has been run, for example)
  • Reduces per-patient draw volume by eliminating unnecessary containers