Medical laboratory

A medical laboratory: patients come with a request, give a sample and collect their results. Kila runs it on the clinic’s screens, and the lab works from Clinic › Lab.

Good to know

No demo business runs as a medical laboratory, so this page shows what Kila sets up for one and the lab’s screens as Afya Bora Medical Centre’s own lab uses them. Kila changes some steps of the visit for a laboratory; they are not described here until they can be walked on a demo business.

What is special

• The lab’s worklist. Clinic › Lab lists the tests waiting for a sample, the samples to test and the results to check and release. Releasing a result is what lets the clinician read it: Enter and release lab results.
• The lab’s settings. Under Clinic office › Clinic settings: A critical result is released, after Ask who was told or Record who was told first; and the Sample labels, for a Label printer (50 x 25 mm) or an A4 sheet.
• Telling the patient. Tell lab-only patients when their results are ready, under Messages to patients: “Sent by SMS only to patients who agreed to messages. They never name a test, a result or a diagnosis.”

Not available yet

SMS is in test mode until a provider is connected: Kila records each message, and nothing reaches the patient’s phone yet. Call the patient when their results are ready.

How Kila sets it up

The main screen is Patient queue.

Rules it follows:

• Clinical privacy: Patient records, consent and need-to-know access

Its words:

Most businesses	Medical laboratory
customer	patient
product	item
sale	bill
staff	practitioner

Its set-up steps

1. Business details and KRA PIN
2. Facility licence, MFL code and data protection contact
3. Branch, rooms and practitioners
4. Staff and their clinical roles
5. Services and prices
6. Lab tests, reference ranges and prices
7. Insurers, SHA and schemes
8. Medicines and consumables
9. First patient

Its home page

• Today at the clinic
• My patients
• Triage now
• Prescriptions to dispense
• Waiting to pay
• Patient queue now
• Visits today by practitioner
• Revenue today by payer
• Insurance claims to submit and outstanding
• Claims ready and needing attention
• Medicines expiring or low
• Lab: tests waiting and critical results
• Wards and beds
• Payments waiting for confirmation
• Approvals and reviews waiting
• Licences, permits and returns due
• Services due and reminders

Roles it starts with

Kila’s standard roles, plus these:

• Lab technologist: The lab queue only: samples, results, validation and release, and the lab report. No other part of the visit.
• Radiographer: Imaging orders: the scan, its report and its release. No other part of the visit.
• Receptionist: Registers patients, books, runs the queue and records the payer. No clinical details; claims stay with the claims office.
• Health records officer: Registers patients and keeps their files, and compiles the MOH returns (counts, no names). No clinical notes.
• Claims officer: Insurance, SHA and scheme claims: eligibility, pre-authorisations, batches and remittances. No clinical details beyond the codes a claim needs.
• Phlebotomist: Sample collection: takes and labels samples for the lab’s worklist. No other part of the visit.

What each one does, day by day: Lab technologist and Radiographer.

Where to go next

• Enter and release lab results: the lab’s work, step by step.
• Health care: the visit from the front desk to the bill.