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Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright 1999 - 2008 Lifepoint Informatics All rights reserved. This document is protected by the copyright laws as an unpublished work. Confidentiality and Proprietary Rights This document is the confidential property of Lifepoint Informatics It is furnished under an agreement with Lifepoint Informatics and may only be used in accordance with the terms of that agreement. The use of this document is restricted to customers of Lifepoint Informatics and their employees. The user of this document agrees to protect Lifepoint Informatics’ proprietary rights as expressed herein. The user further agrees not to permit access to this document by any person for any purpose other than as an aid in the use of the associated system. In no case will this document be examined for the purpose of copying any portion of the system described herein or to design another system to accomplish similar Accessions. This document or portions of it may not be copied without written permission from Lifepoint Informatics LifePoint Patient Data Model Version 1.1 3/23/2008

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Page 1: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

Lifepoint informatics140 Greenwood Ave

Midland Park, NJ 07432877-LAB-TEST

Copyright NoticeLifepoint Informatics, Midland Park, New Jersey 07432Copyright 1999 - 2008 Lifepoint Informatics All rights reserved.This document is protected by the copyright laws as an unpublished work.

Confidentiality and Proprietary RightsThis document is the confidential property of Lifepoint Informatics It is furnished under an agreement with Lifepoint Informatics and may only be used in accordance with the terms of that agreement. The use of this document is restricted to customers of Lifepoint Informatics and their employees. The user of this document agrees to protect Lifepoint Informatics’ proprietary rights as expressed herein. The user further agrees not to permit access to this document by any person for any purpose other than as an aid in the use of the associated system. In no case will this document be examined for the purpose of copying any portion of the system described herein or to design another system to accomplish similar Accessions. This document or portions of it may not be copied without written permission from Lifepoint Informatics

LifePoint Patient Data Model

Version 1.1 3/23/2008

Page 2: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multiple Patient Pools)

Within each Lab Database patient records are unique within a client mnemonic. The “client mnemonic” is a generic term for a physician office. This may be a single physician, a group of physicians, or a group of physicians and other medical providers. You can think of each client mnemonic (“Clmne”) group as a copy of the office’s PMIS or EMR database. If one office changes a patient address, it is not changed in the other office, which is a typical HIPAA compliance need.

MYLAB

John Jones

A4221 Dr. A OFFICE1

A4222 Dr. B OFFICE1

Mike Smith

A4278 Dr.

A

OFFICE1

A4279 Dr.

B

OFFICE1

A8745 Dr.

A

OFFICE2

A8190 Dr. Z OFFICE2

Harold Jones Andy Jones

A5172 Dr. A OFFICE2

A5081 Dr. Z OFFICE2

Lab Database

Patient

Accessions

LifePoint Custom Data Model (Single Patient Pool)

Within each Lab Database patient records are unique at the Lab Database level. Accessions can be filtered by an ordering or copy-to physician, but every user has access to a common patient record. This mimics a hospital data layout. If one user changes a patient address, it is changed for all users. PMIS interfaces are not allowed in this model.

Page 3: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

This configuration is designed to handle these types of users:• Office Staff• Office Manager• Physician• Multiple Physician• Super-user (PSC or Lab Client Services)

LifePoint Data Model (Multiple Patient Pools)

LifePoint Custom Data Model (Single Patient Pool)

Each customized data model has a customized set of users that will be defined during the implementation phase.

Page 4: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

Office Staff User• Multiple Patient Pools, Single Client Mnemonic• This user is configured to perform actions on all of

the patients within the practice, regardless of the number of physicians

• Patients match the PMIS or EMR

Page 5: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Office Staff User) Patient Search

User searches for a patient with the last name of JONES

User is configured as a typical office staff user at OFFICE1

Only the OFFICE1 Patients who match JONES are found

Page 6: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Office Staff User) Physician Search

User searches for accessions where the ordering physician is DR A.

User is configured as a typical office staff user at OFFICE1

Only the OFFICE1 Accessions where the ordering physician is DR A are found

Page 7: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Office Staff User) Inbox

User is configured as a typical office staff user at OFFICE1

Inbox – all Accessions for OFFICE1 are displayed

Page 8: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

Office Manager• Multiple Patient Pools, Multiple Client Mnemonic• This user is configured to perform actions on all of the

patients within the multiple practices, regardless of the number of physicians

• Patients match the PMIS or EMR of each practice• User is typically an office manager for the multiple practices• User could be placing orders for multiple nursing homes• If a practice is configured as multiple codes in the LIS (for

example one code for AP, one for Lab), then a Client Mnemonic Translation table should be used, not this type of user.

Page 9: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Office Manager) Patient Search

User searches for a patient with the last name of JONES

User is configured as a multiple-office manager for OFFICE1 and OFFICE2

The OFFICE1 and OFFICE2 Patients who match JONES are found

Page 10: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Office Manager) Physician Search

User searches for accessions where the ordering physician is DR A.

User is configured as a multiple-office manager for OFFICE1 and OFFICE2

Both the OFFICE1 and OFFICE2 Accessions where the ordering physician is DR A are found

Page 11: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Office Manager) Inbox

User is configured as a multiple-office manager for OFFICE1 and OFFICE2

Inbox – all Accessions for OFFICE1 and OFFICE2 are displayed

Page 12: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

Physician User• Multiple Patient Pools, Single Physician Code• This user is configured to view results for a particular ordering

physician across all practices• Patients match the PMIS or EMR of each practice• User is typically a physician• User is not “bothered” with results for tests that they did not

order or that they were not copied on• If a practice is configured as multiple physician codes in the

LIS (for example two physicians in the practice, but no “office” code is configured in the LIS), then an interface Client Mnemonic Translation table should be used, not this type of user.

Page 13: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Physician User) Patient Search

User searches for a patient with the last name of JONES

User is configured as a physician user who can only view accessions for DR A

Accessions where the patient last name is JONES and the ordering physician is DR A are found

Page 14: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

LifePoint Data Model (Physician User) Physician Search

User searches for accessions where the ordering physician is DR A.

User is configured as a physician user who can only view accessions for DR A

Accessions where the ordering physician is DR A are found

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

Page 15: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

LifePoint Data Model (Physician User) Inbox

User is configured as a physician user who can only view accessions for DR A

Inbox – all Accessions for DR A are displayed

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

Page 16: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

Multiple Physician User• Multiple Patient Pools, Multiple Physician Codes• This user is configured to view results for multiple ordering

physicians across all practices• Patients match the PMIS or EMR of each practice• User is typically a physician who has been assigned multiple

codes in the LIS (for example, one code for Lab, another for AP). However, the Client Mnemonic translation should be used and Office Users setup for their functions.

• User is not “bothered” with results for tests that they did not order or that they were not copied on

Page 17: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multi Physician User) Patient Search

User searches for a patient with the last name of JONES

User is configured as a physician user who can view accessions for DR A and DR B

Accessions where the patient last name is JONES and the ordering physician is DR A are found

Page 18: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multi Physician User) Physician Search

User searches for accessions where the ordering physician is DR A.

User is configured as a physician user who can view accessions for DR A and DR B

Accessions where the ordering physician is DR A are found

Page 19: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multi Physician User) Inbox

User is configured as a physician user who can view accessions for DR A and DR B

Inbox – All accessions where the ordering physician is DR A or DR B are displayed

Page 20: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

Super User• This user is configured to perform actions on all of the patients

for the lab• Can be used as a PSC user

– Notify your account rep for feature activation– Create as a sub-user and remove access to results– Put “PSC” as part of the username

Page 21: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multi Pools, Super-User) Patient Search

User searches for a patient with the last name of JONES

User is configured as a Super-User

All Patients who match JONES are found

Page 22: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multi Pools, Super-User) Physician Search

User searches for accessions where the ordering physician is DR A.

User is configured as a Super-User

All accessions where the ordering physician is DR A are found

Page 23: Lifepoint informatics 140 Greenwood Ave Midland Park, NJ 07432 877-LAB-TEST Copyright Notice Lifepoint Informatics, Midland Park, New Jersey 07432 Copyright

CONFIDENTIAL www.lifepoint.com

MYLAB

OFFFICE1

John Jones

A4221

Dr. A

A4222

Dr. B

Mike Smith

A4278

Dr. A

A4279

Dr. B

Harold Jones

OFFICE2

Andy Jones

A5172 Dr. A

A5081 Dr. Z

Mike Smith

A8745 Dr. A

A8190 Dr. Z

Lab Database

Client Mnemonic

Patient

Accessions

LifePoint Data Model (Multi Pools, Super-User) Inbox

User is configured as a Super-User

Inbox – all Accessions are displayed