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CitiLab, a private laboratory in Pakistan, offers comprehensive range of patient and medical test services. It possesses a wide range of experience in the management of complex Healthcare facilities, enhancing its authority and expertise in Healthcare Facility Management through its Membership and Affiliation to relevant International Learned Bodies and Institutes. Fully automated pathological Lab affiliated with Randox international quality assessment scheme England Sysmex international quality assessment scheme, U.S.A. It is ISO 9001:2008 CERTIFIED and performs many tests with the latest and best quality machines. CitiLab compromises of two main labs (CitiLAB Rwp and CitiLab Islamabad) and various collection/pickup points (CitiLab Saidpur Point, CitiLab PP Point, CitiLab CC Point, CitiLab Chakwal Point, CitiLab Kharian Point and CitiLab Gujrat Point). The purpose of the collection/pickup points are to collect the samples, register the patient bio-data and then send the patient report (hard copy) including tests to main lab. Initially, there was no electronic way to exchange messages among these branches; rather they were using mailing service and phone calls to accomplish their daily tasks. The main lab performs the analysis of that report and then enters the results of that report and sends it to pick up points again through office boy. After getting the report from the point, that patient report again manually typed in main lab database. Then test is performed on the basis of sample, and finally results of that report (test) are sent to pick up points. This process involves human intervention, time consumption and error injection.
CITILab was interested to enhance their systems functionalities to the level of automatic and standard exchange of laboratory messages in a secure, reliable and interoperable way. After deep analysis of CITILab functional and non-functional requirements, Health Life Horizon Team has successfully deployed initial working system at their premises.
Collaboration History: Dr. Arshad Ali (Principal NUST School of Electrical Engineering and Computer Science (SEECS) initially connect HLH team with CitiLab for possible collaboration. HLH Team Leads (Mr. Maqbool Hussain and Mr. Muhammad Afzal) in the supervision of Project Director (Dr. Hafiz Farooq Ahmad) organized a meeting on 3rd June 2008 with Dr. Jamal Nasir and Dr. Bader-i-Alam to set future directions for possible collaboration. This meeting laid the foundation for the collaboration and created the trust to move for the agreement. Before next meeting held on 19th June 2008, the Deed of Agreement is signed between the two parties. Chain of meetings followed by then from time to time with respect to data gathering and understanding the requirements. HLH team with close coordination of CitiLab succeeded to develop HL7 V3 based messaging system. The system is now running in real environment of CitiLab.
HLH system is communication software which is used to send and receive the reports on communication channel which basically has removed the human intervention. By using HLH system, collection/pickup points just receive the patient and enter his/her bio data and then they just send the report to main lab. Now collection/pickup points only send the sample to main lab. Then main lab performs the test analysis and enters the results of that report and sends it back to pick up points through HLH system - reducing the human intervention. There are many challenges faced during the installation of HLH system like Database differences, difference in no. of tests, Internet and Static IP, as HLH system is working on Static IP over the internet. After fulfilling all the challenges, HLH Messaging system is fully functional at CITILab and now they are sending and printing their reports through HLH system. The deployed system is intended to solve following issues of CITILab current environment:
• Mailing cost overheads
• Delays in getting test results
• Chances of errors
• Phone calls overheads
• Data duplication
• Unnecessary human intervention
• Manual data updating

Principal Investigator
Funding Agency
HL7 Organization
10th International HL7 Interoperability Conference 2009
Healthcare Information and Management Systems Society (HIMSS)