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Specimen Event Tracking (SET)

References

1. IHE Specimen Event Tracking
2. NHS MFT Transport of Samples

Actors and Transactions

Overview

See Ref 1 for details.

IHE SET Main Events

Scenarios

Biopsy Procedure

For information purposes only, this documention of a biopsy procedure in Nottingham University Hospital.

graph TD
    Home --> |1. Patient Arrives| DayUnit
    DayUnit --> |2. Performs Patient Admission| EHR
    DayUnit --> |3. Patient Sent to| Biopsy
    Biopsy --> |A. Collects Specimen| Biopsy
    Biopsy --> |4. Patient sent back to| DayUnit
    DayUnit -->  |5. Patient Discharged| Home
    Biopsy --> |B. Sends Specimen| SpecimenReception[Specimen Reception]
    SpecimenReception --> |C. Specimen Administration| LIMS[Diagnostic Testing - LIMS]

Collect Specimen - Biopsy Procedure for obtaining a specimen, part of a diagnostic pathway. Day case admission.

Blood Sample Collection

For information only, this is an extract of work done by North West Childresn Cancer and NHS England.

graph TD
    PTC["Primary Treatment Centre (PTC)"] --> |1. Sends Blood Tests Request| POSCU["Paediatric Oncology Shared Care Unit (POSCU)"]
    POSCU --> |2. Blood Collection Task| Collection["Blood Sample Taken<br/><br/>Community Nurse"] 
    Collection --> |3. Send Laboratory Order and Blood Specimen| SpecimenReception[Specimen Reception]
    SpecimenReception --> |4. Send Laboratory Order and Blood Specimen| LIMS[Diagnostic Testing - LIMS]
    LIMS --> |5. Performs Blood Test| LIMS
    LIMS --> |6. Write Laboratory Report| LIMS
    LIMS --> |7. Send Laboratory Report| POSCU
    LIMS --> |8. Send Laboratory Report| PTC
    PTC --> Prescription{Prescription Change Required?}
    Prescription --> |9. Yes| Medication[Amend Prescription]
    Medication --> |10. Inform of prescription change| POSCU      

As Is Process:

• (1) Blood test requested by Primary Treatment Centre (PTC)
• (2) Blood sample taken by Community Nurse or Paediatric Oncology Shared Care Unit (POSCU) and the specimen details are documented
• (3) Blood Laboratory Order is created and a laboratory order request is sent to the laboratory (4)
• (5) Blood test performed by laboratory
• (6) Laboratory writes up blood results report (laboratory report)
• (7) Laboratory report sent to Community Nurse or POSCU
• (8) Laboratory report then sent to PTC
• Community Nurse or POSCU calls PTC by phone to notify that the results have been sent and to confirm that they have been received
• If results cannot be understood, PTC will call Community Nurse or POSCU to inform them. This is usually due to a defective message
• Community Nurse or POSCU sends results in a different format (via telephone or re writes the results out)
• (9) PTC may edit child's prescription on regimen in light of blood results and may need to recall patient into hospital for additional tests
• (10) If prescription is amended then PTC must notify POSCU