BBCI IT Team Develops In-House LIS Integration for Enhanced Lab Operations

Machine integration of laboratory analyzers with the Laboratory Information System (LIS) is a crucial advancement that enables smooth and automated
communication between diagnostic equipment and the central laboratory database. This integration ensures accurate and efficient exchange of patient
information, test orders, and results. The bidirectional communication streamlines data flow, reduces manual entry errors, shortens turnaround times, and
significantly improves overall laboratory workflow. It also enhances quality control, provides detailed audit trails, and ensures compliance with laboratory
standards making it an essential part of modern lab operations.

Streamlining Lab Operations with In-House Integration

BBCI IT Bidirectional Quality Control

Development Communication Enhancement
Building internal Automated data Improved accuracy
integration capabilities exchange between and audit trails
systems

Manual Automated
In-House LIS Data
Data Entry
Integration Exchange
 Biomerieux VITEK® 2 COMPACT Machine Integration
The VITEK® 2 COMPACT is a fully automated system used for microbial identification (ID) and antibiotic susceptibility testing (AST) in clinical laboratories. It
provides rapid and accurate results, aiding in the diagnosis of infections and guiding treatment decisions.

VITEK® 2 COMPACT System Overview

Treatment Microbial
Decisions Identification

Antibiotic
Diagnosis of
Susceptibility
Infections
Testing

Accurate Results Rapid Results

 Data Transmission and Processing
Sequence
Upon completion of the test on the machine, the generated report file shall be transmitted to the designated FTP folder via BCILink. The interfacing software
continuously monitors the FTP folder, and upon detecting a new report file, it retrieves the file, parses the data, and stores the information in the database,
associating it with the corresponding requisition number.

Database Storage
The parsed data is stored in 6
the database with the
requisition number.

Data Parsing
5
The software parses the data
from the report file.

File Retrieval
The software retrieves the 4
new report file from the FTP
folder.

Software Monitoring
3 The interfacing software
continuously monitors the
FTP folder.

File Transmission
2
The report file is transmitted
to the FTP folder via BCILink.

Test Completion
1 The machine completes the
test and generates a report
file.
 Vitek Machine Integration User Interface

BCILink FTP Sample Details

Machine results Interfacing software

 Roche Analyzer Cobas E 411 Machine Integration
The Roche Cobas E 411 analyzer is used to test patient blood samples for HIV, Hepatitis B, and Hepatitis C.

HIV Hepatitis C
Tests for Human Tests for Hepatitis C
Immunodeficiency viral infection.
Virus.

Hepatitis B
Tests for Hepatitis B
viral infection.
 Data Transmission and Processing
Test
Completion
Sequence Data Capture Data Recording

The test on the The host PC's The parsed data is

analyzer is software captures recorded in the
completed. the incoming data. database.

Data Data Parsing Association

Transmission with
The software parses Requisition
The results are the captured data.
automatically sent to The data is linked to
the host PC. the corresponding
requisition number.

Analyzer test output Interfacing software

 XN-1000™ Automated Hematology Analyzer Machine Integration
The Sysmex XN-1000 is an automated hematology analyzer used in clinical laboratories to perform complete blood counts (CBC) and advanced blood
analysis. It provides accurate and rapid measurements of red and white blood cells, platelets, hemoglobin, and other key parameters. The system offers high
throughput, advanced diagnostics like reticulocyte counts and abnormal cell detection, and integrates with lab information systems for efficient workflow.
It's widely used for routine checkups, disease diagnosis, and monitoring of treatments, ensuring reliable and consistent results with minimal manual
intervention.

High
Throughput
Advanced
Processes large
volumes of samples Diagnostics
efficiently 3 Offers detailed
insights into blood
4 conditions
Rapid Analysis Enhanced
Clinical
Delivers quick
results for timely
2 Laboratory
diagnosis Efficiency
System
5 Integration
Accurate
Measurements
1 Seamlessly
connects with lab
information systems
Provides precise
counts of blood
components
 Data Transmission and Processing
First, the sample is scanned on the analyzer, which then sends aSequence
query to the host PC regarding the scanned sample. The host PC responds with an
acknowledgment and sends the test order back to the analyzer. Based on this order, the analyzer performs the required tests for that specific sample. Once
testing is complete, the analyzer automatically transmits the results to the host PC. The interfacing software on the host system receives the data, parses it,
and records it in the database, linking it to the corresponding requisition number. This process involves bidirectional communication between the analyzer
and the host system.

Record Data
6
The host PC records the
results in the database.

Transmit Results
5
The analyzer sends the test
results back to the host PC.

Perform Tests
The analyzer conducts the 4
necessary tests based on the
order.

Receive Test Order

3
The host PC responds with
the test order for the sample.

Query Host PC
2
The analyzer sends a query to
the host PC for instructions.

Scan Sample
1 The analyzer scans the
sample to initiate the
process.
 XN1000 Machine Integration User Interface

Analyzer report

Interfacing software Report list

Laboratory analyzer integration was successfully implemented using ASP.NET (C#) and the ASTM (American Society for
Testing and Materials) communication protocol. The integration enabled real-time data exchange between the laboratory
information system (LIS) and the analyzer. The solution was developed and implemented by Mr. Dibyajyoti Kalita
(Computer Programmer) under the technical guidance of Mr. Raja Sekhar Sir (Deputy IT Head).
THANK YOU