Unified Laboratory and Information System of Moscow

History

2024: Connection of 60% of medical institutions in Moscow

On October 1, 2024, the Unified Laboratory Information System (LIS) began to fully function in Moscow, designed to automate the processes of conducting medical research in metropolitan hospitals. The system has already been implemented in 31 hospitals in the city, which is 60% of the total number of medical institutions.

According to the portal of the mayor of Moscow, LIS processes more than 650 thousand laboratory tests every day. The system allows you to combine databases with diagnostic results into a single digital environment and switch to electronic document management.

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mos.ru

Anastasia Rakova, Deputy Mayor of Moscow for Social Development, noted that the introduction of LIS significantly simplified the work of doctors and laboratory staff, and also improved the quality of diagnostics in hospitals. Previously, the results of patient analyzes were processed and stored in different information systems or on paper, but now they quickly fall into the electronic medical history.

LIS is integrated with the Unified Medical Information and Analytical System (EMIAS), which allows doctors to quickly obtain the results of biochemical, clinical, bacteriological analyzes and PCR tests. The data are automatically entered into the patient's electronic medical history and become available to all doctors in the medical institution.

The system is customized for the needs of each hospital and adapts to different laboratory equipment. Advanced analyzers are being connected. The LIS also standardizes the processes of inspection, adjustment, issuance and delivery of research results, as well as quality control in the laboratory.

The introduction of LIS is part of a large-scale program for the digitalization of the Moscow healthcare system, which has been implemented for more than 10 years. The basis of this process was a single digital platform, developed jointly by the complex of social development of Moscow and the city Department of Information Technologies. ^[1]

2023: Start of implementation in hospitals in Moscow

In January 2023, the introduction of a unified laboratory and information system (LIS) began in Moscow hospitals. She transmits the test results to EMIAS.

As Anastasia Rakova, Deputy Mayor of Moscow for Social Development, explained, LIS is a completely domestic development that allows you to automate all laboratory research processes and translate documentation into electronic form.

LIS transmits test results to EMIAS

The project will allow combining databases with the results of all laboratory studies into a single digital environment. Thanks to this, now not only doctors, but also laboratory service employees have access to the dynamics of key patient health indicators, even if a person has previously passed tests in another hospital, she said.

When a hospital doctor forms a referral for laboratory research at EMIAS, the application is automatically loaded into a single laboratory information system. After taking the biomaterial from the patient, an individual barcode is assigned to each sample. In the laboratory, test tubes are installed in analyzers, which read the barcode and transmit the results of the studies in electronic form to the LIS. After automatic or manual validation, they are loaded into the EMIAS and become available in the electronic medical record of an inpatient to all doctors of the medical institution.

It is noted that LIS can work with all types of studies, except for cytological and histological ones. For pathomorphological laboratories of hospitals, the city has introduced a separate technical solution - the Labfors information system.

According to Anastasia Rakova, in January 2023, LIS works in six hospitals in Moscow, and in February it was planned to connect another 10 institutions. By the end of 2024, they want to introduce the system in the laboratories of all metropolitan hospitals.^[2]

Notes