Mindray LabXpert Software Operator's Manual V50 E 250526 162922
Mindray LabXpert Software Operator's Manual V50 E 250526 162922
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the
information in this manual in any manner whatsoever without the written permission of Mindray is strictly
forbidden.
Release, amendment, reproduction, distribution, rental, adaptation, translation or any other derivative work of
this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained
herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of
this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
■ all installation operations, expansions, changes, modifications and repairs of this product are conducted by
Mindray authorized personnel;
■ the electrical installation of the relevant room complies with the applicable national and local
requirements; and
NOTE
• This equipment must be operated by skilled/trained clinical professionals.
I
Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.
Exemptions
Mindray’s obligation or liability under this warranty does not include any transportation or other charges or
liability for direct, indirect or consequential damages or delay resulting from the improper use or application of
the product or the use of parts or accessories not approved by Mindrayor repairs by people other than Mindray
authorized personnel.
■ Malfunction of the instrument or part whose serial number is not legible enough.
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan,
Shenzhen 518057,P.R.China
Website www.mindray.com
Tel: 0049-40-2513175
Fax: 0049-40-255726
II
Table of Contents
1 Introduction to labXpert Software .................................................................................................................................. 1 -1
2.1 Startup, Log in and Shut down the labXpert Software .......................................................................................................................2 -1
2.1.1 Start and Log in to the Software ...................................................................................................................................................2 -1
2.1.2 Switch Login Account .......................................................................................................................................................................2 -3
2.1.3 Shut down the Software ..................................................................................................................................................................2 -3
2.2 Start Sample Analysis ......................................................................................................................................................................................2 -3
2.2.1 Check before Use ................................................................................................................................................................................2 -3
2.2.2 Setting up Analysis Orders ..............................................................................................................................................................2 -4
2.2.3 Start Sample Analysis ........................................................................................................................................................................2 -9
2.2.4 Read Operation Messages ...............................................................................................................................................................2 -9
2.3 Re-tests with a New Test Panel ................................................................................................................................................................. 2 -15
1
3.2.20 Reviewing A1C Results ............................................................................................................................................................... 3 -46
3.2.21 Re-Exam Results ............................................................................................................................................................................ 3 -49
3.3 Introduction to the Table View ................................................................................................................................................................ 3 -49
3.3.1 Introduction to the sample list area under the Table View mode ................................................................................ 3 -50
3.3.2 Introduction to the Sample Result area under the Table View mode ......................................................................... 3 -52
4 Daily QC .............................................................................................................................................................................. 4 -1
2
6.11.1 Add/delete the parameters on printed report ................................................................................................................... 6 -36
6.11.2 Select the Print Template ........................................................................................................................................................... 6 -38
6.11.3 Select the Printer ........................................................................................................................................................................... 6 -38
6.11.4 Auto Print after Sample Analysis ............................................................................................................................................. 6 -38
6.11.5 Enter the Hospital Name ............................................................................................................................................................ 6 -39
6.11.6 Printing Content ............................................................................................................................................................................ 6 -39
6.12 Setting up the Parameter Units and Reference Range .................................................................................................................. 6 -39
6.12.1 Setting up the Parameter Units ............................................................................................................................................... 6 -39
6.12.2 Setting up the Reference Group .............................................................................................................................................. 6 -39
6.13 Expert Tip Setup .......................................................................................................................................................................................... 6 -41
6.13.1 Adding/editing/enabling/disabling/deleting the Expert Tip Rules ........................................................................... 6 -42
6.13.2 Setting up the Expert Tip Rules ............................................................................................................................................... 6 -42
6.14 Other Settings .............................................................................................................................................................................................. 6 -45
6.15 Setting up for the QC Parameters ......................................................................................................................................................... 6 -50
6.16 Setting up for HbA1c Para. ...................................................................................................................................................................... 6 -51
6.17 Configuring the Customized Parameters Settings ......................................................................................................................... 6 -52
6.17.1 Configuring New Customized Parameters .......................................................................................................................... 6 -53
6.17.2 Editing Customized Parameters .............................................................................................................................................. 6 -54
6.17.3 Deleting the Customized Parameters ................................................................................................................................... 6 -54
6.17.4 Communicating the Customized Parameters .................................................................................................................... 6 -55
3
9.1.2 Setting up Out-of-Control Rules ...................................................................................................................................................9 -5
9.2 Running samples for results consistency check ...................................................................................................................................9 -8
9.2.1 Setting up Tube Worklists ...............................................................................................................................................................9 -8
9.2.2 Performing Sample Analysis ..........................................................................................................................................................9 -9
9.3 Reviewing Result Consistency Check Data .............................................................................................................................................9 -9
9.3.1 Reviewing the Result Consistency Data in Graph ..................................................................................................................9 -9
9.3.2 Reviewing the Result Consistency Data in Table ................................................................................................................. 9 -11
9.3.3 Calculating the Deviation Value and Deviation ................................................................................................................... 9 -14
9.3.4 Deleting Data Points from the Graph ...................................................................................................................................... 9 -15
9.3.5 Deleting Data Points from the Table ....................................................................................................................................... 9 -15
9.3.6 Exporting the Result Consistency Data ................................................................................................................................... 9 -16
9.4 When the Consistency Results are Out of Range .............................................................................................................................. 9 -16
4
1 Introduction to labXpert Software
1-1
Introduction to labXpert Software
After startup, the labXpert server end runs in the background; most of the user operation will be completed on
the labXpert client end.
The labXpert client end consists of two parts: the operation end and the data management end.
NOTE
• When the labXpert software is connected to a standalone analyzer, the software does not support
the function of suggesting the sample IDs for the samples with invalid IDs.
• All the pictures, graphics and screen-shots in this Operator's Manual are for illustration purposes
only. Based on your product configuration, you may see the software interface different from that in
this operator’s manual.
1-2
Introduction to labXpert Software
To switch between the operation end and the data management end:
1-3
Introduction to labXpert Software
1-4
2 Daily Use
■ When you find that the labXpert server is not running, double click the labXpert server icon at your
computer desktop, or click the icon for the “Start” menu to start the labXpert server.
2. Double click the labXpert client icon at your computer desktop, or click the icon for the “Start”
menu to start the labXpert client.
√ The login dialog box displays.
3. Enter the user ID and password, and then click "Login".
√ After you successfully log in, you can see the instrument connection icon and the LIS connection icon (if
connected to LIS) at the upper right corner of the data management end light in green.
Below picture shows the instrument connection icon and the LIS connection icon status when the labXpert is
connected to a standalone analyzer.
2-1
Daily Use
When the labXpert software is connected to a sample processing line, the instrument connection icon looks
different from that when connected to a standalone analyzer.
NOTE
• If the labXpert software unexpectedly exits during use, start the server first, then the client.
2-2
Daily Use
3. Enter the new "User ID" and "Password" and click "OK" to log in with the new account.
2-3
Daily Use
Figure 2-5 (Example) BC-6000 Series Auto Hematology Analyzer Setup Screen
NOTE
• For information about how to set up analysis orders when using the 2-way LIS, refer to the operator’s
manual of the instrument.
2-4
Daily Use
Rack Barcode From/To Required Define the “To” and “Rack Barcode From” fields. All the samples on
the tube racks in the defined ranges are going to be analyzed with the
same defined mode.
CRP Optional When the test panel includes the CRP (C-reactive protein) test, check
“CRP” (Only available on certain analyzers/systems)
A1C Optional When the test panel includes the A1C test (glycohemoglobin test),
check “A1C” (Only available on certain analyzers/systems)
Smear Optional If you need to make smear(s) for some sample(s), check "Smear” (Only
available on certain analyzers/systems).
"Re-exam”racks Optional Check "Re-exam” for certain tube racks to make them "Re-exam"
racks. (Only available on certain analyzers/systems)
2-5
Daily Use
NOTE
• To avoid running the samples for wrong test items, always check if you have correctly set the rack
orders before analysis.
NOTE
• The available test panel is related to your system configuration. Check the Operator’s Manual of your
analyzers to find the test panels the analyzers support.
During certain circumstances (for example when the sample has no valid barcode), you may need to set up
orders for one or more samples. Tube worklist defines the analysis mode for each single sample.
2-6
Daily Use
Sample ID Required Enter the Sample ID by scanning the barcode on the sample tube with
a barcode scanner (if configured) or manually enter the Sample ID.
CRP Optional To run CRP tests, check “CRP” (Only available on certain analyzers/
systems).
A1C Optional To run AIC tests, check “A1C” (Only available on certain analyzers/
systems ).
Smear Optional If you need to make smear(s) for some sample(s), check "Smear” (Only
available on certain analyzers/systems).
2-7
Daily Use
When necessary, click the edit boxes of a completed tube worklist record to modify it.
To delete a completed worklist record, click to select it, and then click “Delete” to delete the record; or click
“Delete All” to delete the whole worklist.
NOTE
• Do not modify a tube worklist record when the analysis of the relevant sample has been started.
• Do not delete the tube worklist record when the sample is being analyzed.
2.2.2.3 Inquire orders by tube position from labXpert when analyzing samples in auto-loading
mode
Available for the following analyzers
BC-6000 series auto hematology analyzers, the sample processing lines that are configured with the BC-6000
series auto hematology analyzers, as well as the BC-7500 CRP series auto hematology analyzers.
This function is used when the instrument cannot automatically scan sample ID because there are no sample ID
barcode labels, or the sample ID barcode labels are not in good conditions; or the instrument is not configured
with built-in barcode scanner.
2-8
Daily Use
When the analyzer is connected to the labXpert software, you can enter the analysis orders on the labXpert
software, and enable “Inquire mode by tube position” on the “Mode” setup dialog box.
NOTE
• For information of how to set up orders when inquiring analysis mode by tube positions, refer to the
Operator’s Manual of the instrument.
NOTE
• If the analysis of a sample with a tube worklist has already started or already finished, its worklist
record is marked as "Used"; if the analysis has not started, the worklist record is marked as "Not
used".
• During analysis, if the labXpert finds an order for the sample on LIS/labXpert, the sample will be
analyzed by the order; otherwise, it will be analyzed in accordance with the default analysis mode
defined on the main unit software.
When the system has detected a sample with no valid barcode or other problem, the "Operations” tab lights in
orange.
2-9
Daily Use
Click the "Operations" tab to view "Message" for further information; or in case of invalid sample ID, update the
sample ID in the "Edit Sample ID" area.
NOTE
• When there are any remaining tests for the sample with invalid sample ID, you can find the sample
quickly by checking for its tube position on the “Edit Sample ID” dialog box.
2 - 10
Daily Use
If the system detects that more than one sample records with invalid sample IDs are actually belong to the same
sample, when you select and edit one of these sample records, all the other sample records are automatically
selected and edited.
NOTE
• The labXpert software deems that the sample records registered with the same tube position belong
to the same sample.
Figure 2-13 labXpert software detects sample records with the same tube position.
Before confirming the sample ID change, carefully check whether the sample records belong to the same
sample. When you find that a sample record does not belong to the sample, de-select the “Select” check box for
that record.
“Recommending” Sample ID for samples with invalid Sample IDs (only available for
sample processing lines)
When a sample is analyzed by different instruments on a sample processing line, a sample may be sent to
different instruments for analysis. When an instrument has not scanned and registered a valid sample ID for the
sample, but another instrument does, the sample record will be listed in the “Edit Sample ID” area, with the
sample ID starting with “Inv.”. In the meanwhile , the “Recommended” column displays the valid sample ID
scanned by the other instrument.
2 - 11
Daily Use
■ If you confirm that the recommend sample ID in the “Recommended” column is correct, click to select the
sample ID, and click "Confirm New Sample ID".
■ If the recommended sample ID is not correct, click the “Sample ID” edit box to update the sample ID, then
click "Confirm New Sample ID".
In the laboratories that use 2-way LIS, when an invalid sample ID is registered for a sample analyzed in the auto-
loading mode, you can quickly find the sample in its tube rack in the following way:
1. Click the sample record with the invalid sample ID in the Edit Sample ID area of the “Operations“ tab.
√ A “tube rack” illustration displays in the “Message” area to show you where is the sample.
Figure 2-15 Finding the samples with the invalid sample IDs
You can also see the illustration on the main page of the labXpert data management end.
Click the sample record with the invalid sample ID in the Sample List area, and the “Edit Sample ID“ dialog box
displays showing the “tube rack” illustration.
Figure 2-16 Finding the samples with the invalid sample IDs on Report screen
2 - 12
Daily Use
In below example, the target sample (SN 1002) is at the second tube position of tube rack No. 1.
Figure 2-17 Where to find the sample with the invalid sample ID
4 From left to right, the tube icons represents the actual sample tubes at the tube positions 1 to 10
NOTE
• The operation messages displayed on the labXpert software depend on the instruments connected
to the labXpert.
2 - 13
Daily Use
2-way LIS inquiry 2-Way LIS inquiry abnormal Check LIS connection. The /
abnormal sample is not analyzed, or not
analyzed with specified
mode
The tube rack is Fail to scan the tube rack The tube rack is on the {0} represents the No. of the
directly unloaded, barcode. The tube rack is unloading tray, near tube tube rack next to the target
with its samples unloaded with its samples rack No. {0}. Use another tube tube rack that has been
unanalyzed unanalyzed rack, and perform analysis directly unloaded.
again.
Tube rack No. {0} ({1}) is Turn on the instrument, and {0} represents the No. of the
unloaded: no applicable place the rack on the loading tube rack next to the target
instrument. Sample(s) not tray tube rack that has been
analyzed The samples in that directly unloaded;
tube rack are not analyzed When the No. {0} tube rack is
a common tube rack, {1}
represents the test items, for
example, CBC, CD, CDR, etc.
When the No. {0} tube rack is
a QC tube rack (only available
for certain sample processing
lines), {1} shows the text “QC
Test Panel”.
Different instruments
support different test panels.
Refer to the Operator's
Manuals of the instrument.
Detected non-standard tube The tube rack is on the {0} represents the No. of the
rack(s). Unloaded directly unloading tray, near tube tube rack that has been
with samples not analyzed. rack No. {0}. Use another tube directly unloaded;
rack, and perform analysis
again.
The re-exam order is Re-exam order ({0}) not Solve the problem first; then {0} represents the re-exam
not performed. performed: Out of instrument re-send the order methods, such as “Rerun in
capacity. Cannot execute the same mode”, “CDR”, “+CR” etc.
command for now. For information about the re-
exam methods, refer to
7.3.7.2 Setting up Re-exam
Conditions.
The sample is not The sample is not analyzed; Solve the problem first, and /
analyzed out of instrument capacity. run the sample(s) again.
The sample has Sample not analyzed for Solve the problem first, and {0} represents the remaining
remaining tests to be item ({0}): Tube rack is run the sample(s) again. test. such as CBC, CD, CDR,
finished: already on unloading tray. etc.
Different instruments
support different test panels.
Refer to the Operator's
Manuals of the instrument.
2 - 14
Daily Use
Tube rack No. {0} ({1}) is Solve the problem first, and {0} represents the No. of the
unloaded: no applicable run the sample(s) again. tube rack next to the target
instrument. Sample(s) not tube rack that has been
analyzed directly unloaded.
When the No. {0} tube rack is
a common tube rack, {1}
represents the test items, for
example, CBC, CD, CDR, etc.
When the No. {0} tube rack is
a QC tube rack (only available
for certain sample processing
lines), {1} shows the text “QC
Test Panel”.
Different instruments
support different test panels.
Refer to the Operator's
Manuals of the instrument.
Sample not analyzed for item Check the rule record and /
CRP: CRP analysis stopped state of the sample. Resolve
per the auto re-exam any problems first, and
condition then run the sample
2 - 15
Daily Use
■ For the sample processing lines, click “Adjust test panel” in the “Sample Procedure” area.
NOTE
• The “Dilute and Rerun” function in the “Test Panel” dialog box only applies to the BC-6800 series
analyzers (BC-6600 and BC-6900). For high-value samples, select the option, and the analyzer
automatically dilutes the sample and then analyzes it.
■ To enable the “Inquire order for re-tests” function. Set up tube worklist on the labXpert operation end or on
the LIS (if available) for re-testing samples. Then run the samples following the analysis procedure.
NOTE
• The “Adjust test panel” function in the “Sample Procedure” area does not apply to the standalone
analyzers.
• For the instruction of how to switch “To Manual Validation”, refer to Table 3-8 Tasks.
• For the instruction of how to enable the “Inquire order for re-tests” function, refer to 6.14 Other
Settings.
• When the ”Inquire order for re-tests” function is enabled, the system searches for re-tests orders on
the labXpert operation end/LIS (if available), and run the samples accordingly. When no matching
orders are found, the test will not be run.
2 - 16
3 Review and Process Sample Results
After finishing analysis of a sample, the instrument automatically stores results, and transmits the results to the
labXpert software in real-time.
With labXpert, you can review, report and process the sample results transmitted from your instrument.
labXpert stores up to 400,000 sample records.
This chapter introduces how to review and process the sample results on the labXpert software.
■ Under the “Table View” mode, the “Patient Information”, “Comments”, “Rule Record”, histograms and
scattergrams, “Flag”, “Expert Tips” are not displayed on the “Report Results” or the “RUO Parameters”
tabs.
3-1
Review and Process Sample Results
Click the “Views” button on the tool bar, and click to select a view mode in the pull-down list.
NOTE
• In this operator's manual, when introducing software functions, the software snapshots are mainly
made under the Full View mode. The real software screen may look different from the illustration in
the manual.
• For the introduction of how to customize Full View and the Table View, refer to 6.2 Customizing
Interface Views.
• For the introduction of the Table View, refer to 3.3 Introduction to the Table View.
3-2
Review and Process Sample Results
Figure 3-4 Overview of the labXpert Data Management End- Full View
1 Tool bar
2 Status bar
3 Search area
2 Function buttons
3-3
Review and Process Sample Results
transmit sample results to LIS, re-search sample records on LIS, as well as to snapshot the sample results, and
trace QC information of the samples.
Refresh Click “Refresh” or press F5 on your keyboard to refresh the sample list. See 3.1.5 Sample List
Area-3.2.3 Reviewing
RUO Parameter Results.
Print Select one or more sample records and click "Print” to print the sample See 3.2.17 Print Sample
results of the records. Results.
Print in Batch Select several sample records and click "Print in Batch” to print the See 3.2.17 Print Sample
sample results of the records on a single report. Results.
Edit Click "Edit" to edit the results for selected samples in the "Report Results" See 3.2.8 Edit Analysis
or "RUO Parameters" section. Results.
Restore If necessary, select a sample record you have edited and click "Restore", See 3.2.9 Restore the
and the edited results are restored to the initial values. Analysis Results.
Delete Select one or more samples and click "Delete” to delete the sample See 3.2.10 Delete
records. Samples.
Validate Select one or more sample records, click "Validate" or press F9 on your See 3.2.11 Validate /
keyboard. Undo validation.
Partly Validation When necessary, you can choose to partly validate results of certain See 3.2.11.1 Validate/
parameters. Partly Validate.
Smear Valid. In the report results area, click "Microscopic", the “Validate” button turns See 3.2.11.3 Validate
to the “Smear Valid.”. microscopic exam
Select a sample record and click "Smear Valid.". The selected sample turns parameters results.
to the state of "Smear Validated".
Undo Valid. Select one or more sample records that have been validated, and click See 3.2.11.2 Undo
"Undo Valid.". validation.
Comm. When labXpert is connected to LIS, select one or more sample records that See 3.2.12 Transmit the
have been validated, and click "Comm.". Sample Results and
The results of the selected samples are communicated to LIS. Information to LIS.
Edit Sample ID Select the sample record with the invalid sample ID, and then click “Edit See 2.2.4.1 Edit sample
Sample ID” to edit the sample ID. ID.
Export Click “Export” to export the selected sample results and relevant Refer to 3.2.19 Export
information to the PC. Sample Records.
Re-search LIS When the laboratory uses a LIS system, click “Re-search LIS ” to obtain See 3.2.13 Re-search
sample and patient information from LIS. LIS.
Data Snapshot When necessary, click the "Data Snapshot" button to save the sample See 3.2.14 Data
results in the form of snapshot. Snapshot.
Sample Tracing You can trace the sample records related to a certain lot of controls/ See 3.2.15 Sample
reagents. Tracing.
Views Click the "Views” button, and select the desired view from the "Views” See3.3 Introduction to
pull down list. the Table View
Customize View Click the button to select the modules to display under the Full View This button only
mode, or restore to the default Full View settings. appears under the Full
View mode.
3-4
Review and Process Sample Results
NOTE
• The “Partly Validation” button only appears when the “Partly Validation” function is enabled. For
instruction of how to enable/disable the “Partly Validation” function, refer to 6.14 Other Settings.
1 Instrument Stay light in green: the When there are more than
connection status instrument is connected to one instrument connected to
icon labXpert. the labXpert, click the button
to check the status of every
instrument.
When a sample processing
line is connected to the
labXpert, the icon appears
like
3 Enable Sample When the text of “Enable Sample For more information about
Direct Direct Communication” appears direct communication, refer
Communication on the upper right corner, it to 6.4 Sample Transmission
means the sample direct Settings
communication function is
enabled.
6 Log out icon Click to log out the software See 2.1.2 Switch Login
Account
3-5
Review and Process Sample Results
NOTE
• By “Smart search: samples today “, it means that labXpert will search for samples of a recent period
(usually 1 to 3 days). You can define the period. Refer to 6.14 Other Settings.
■ When “Smart search: samples today” is selected, the sample(s) found display(s) under the “Search
Result” tab.
■ When “Smart locate: samples today” is selected, the found sample(s) display(s) under the “All” tab.
labXpert displays the results of the first sample it finds that matches the searching condition.
3-6
Review and Process Sample Results
1. Enter the full or part of the Sample ID/Series number (SN) in the searching box to search for the sample (the
function only supports the searching/locating for samples on current day).
\
NOTE
• The SN is only available when the laboratories are connected to LIS.
• The function supports fuzzy search. For example, when you enter "6012", all samples with "6012" in
their Sample IDs display.
2. Click the search icon " " or press “Enter” on the keyboard.
√ The sample list area displays all eligible samples.
√ When using the “Smart search: samples today”, the number on the "Search Result" tab indicates the total
number of all samples meeting the searching criteria.
Searching for samples by report types (available when an H50 Automated
Glycohemoglobin Analyzer is connected)
When the labXpert connects to a sample processing line which is configured with an H50 Automated
Glycohemoglobin Analyzer, click in the search box, and a list displays indicating the report types.
The option that is highlighted in blue is the option that is currently selected.
For example, as shown in Figure 3-12 Search for samples by report types, the selected report type is “All”.
■ When “All” is selected, labXpert searches for samples by the searching conditions in all types of samples
(including samples of blood tests, body fluid tests, CRP tests and glycohemoglobin tests);
■ When “Blood” is selected, labXpert searches for samples by the searching conditions and in only the
samples of routine blood tests, body fluid tests and CRP tests;
■ When “Glycohemoglobin” is selected, labXpert searches for samples by the searching condition, and in
only the samples of glycohemoglobin tests.
3-7
Review and Process Sample Results
NOTE
• When “Blood” is selected, the samples of routine blood tests, body fluid tests and CRP tests are
included.
2. (Optional) Enter information for "Date of Analysis", "Sample ID", "Name", "Patient ID", “SN.”,
"Department", "Operated by", "Validated by", "Delivered by", "Diagnosis Info.", and "Comments" if
necessary.
3. (Optional) When “Search only RUO samples” is checked, the labXpert searches samples that are marked
as Research Use Only (RUO) by the users.
4. (Optional) Check the check box of “Blood”/”Glycohemoglobin”.
■ When the check box of “Blood” is selected, the labXpert searches for samples from the routine blood tests
samples, body fluid tests samples and CRP test samples.
■ When the check box of ”Glycohemoglobin” is selected, the labXpert searches only glycohemoglobin tests
samples.
5. (Optional) Set up for the parameter conditions.
The labXpert software supports to search for samples meeting certain parameter conditions.
a Click "Select" in the "Parameter conditions " area.
3-8
Review and Process Sample Results
b On the "Select" dialog box, select the desired parameters, and click "OK".
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules
are conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
3-9
Review and Process Sample Results
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules
are conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
NOT When the rules are combined with the “NOT” condition, the sample meet the criteria when it conforms with the
first rule, but does not conforms with the second rule.
d Click "OK"
NOTE
• Previously used flag conditions are stored in the “History”. When necessary, click “History” to enter
the “Search History”dialog box and quickly select a flag condition.
7. Click "OK".
√ The sample list area displays all eligible samples.
√ The number on the "Search Result" tab indicates the total number of all samples meeting the searching
criteria.
NOTE
• For instructions of how to mark “RUO samples”, refer to 3.2.16 Mark an RUO sample.
• The parameters displayed in the “parameter select ” area are related to the analyzers/instrument
connected to the labXpert.
• When “Blood” is selected, the samples of routine blood tests, body fluid tests and CRP tests are
included.
• Only when the labXpert connects to a glycohemoglobin analyzer, the “Advanced” dialog box
displays the “Blood”and “Glycohemoglobin” check boxes.
• The SN is only available when the laboratories are connected to LIS.
• Searching by parameter/flag conditions costs time. Do the searching when the system is idle.
• A flag condition expression cannot include the flagging rules of both hematology analysis and
glycohemoglobin analysis at the same time.
• The function supports fuzzy search. For example, when you enter "6012", all samples with "6012" in
their Sample IDs display.
3 - 10
Review and Process Sample Results
NOTE
• You can set up what items to display in the sample list area. For the instructions, refer to 6.9.3 Setting
up for the Sample List Fields.
3 - 11
Review and Process Sample Results
NOTE
• The list cannot be arranged in order of patient names, Flag codes and sample states.
3 - 12
Review and Process Sample Results
NOTE
• When you have enabled the “TAT alarm/panic samples on top” function, the TAT alarm/panic
samples will always display on the top of the sample list. For the information about how to enable
the “TAT alarm/panic samples on top” function, refer to 6.9.5 Displaying TAT Alarm Samples/Panic
Samples on Top of the Sample List.
• You can also define at what time point to automatically refresh the sample list. For the instructions,
refer to 6.14 Other Settings.
3 - 13
Review and Process Sample Results
The results of the sample have been printed (including printed by the “print in batch” function).
When there is an H50 Automated Glycohemoglobin Analyzer in your system, and you have configure the
analyzer to display the results of both “Blood”and “Glycohemoglobin”types of report, the "STAT" column may
displays more states icons than those listed above.
Click the “up” arrow on the bottom of the sample list area to view the state icon meanings.
Figure 3-16 Sample state icons when both the “Blood”and “Glycohemoglobin” types of report are
displayed
Table 3-2 Sample states icons displayed only when both the “Blood”and “Glycohemoglobin” types
of report are displayed
The sample has both “Blood”and “Glycohemoglobin” results, but only one set of result (“Blood” or
“Glycohemoglobin” ) is transmitted to LIS.
The sample has both “Blood”and “Glycohemoglobin” results, and the“Blood” results are automatically
validated.
When the“Blood” results are automatically validated, and the “Glycohemoglobin” results are manually
validated, the state icon of the sample becomes .
The sample has both “Blood”and “Glycohemoglobin” results, but only one set of result (“Blood” or
“Glycohemoglobin” ) is manually validated.
The sample has both “Blood”and “Glycohemoglobin” results, and the“Blood” results are validated
microscopically.
When the“Blood” results are microscopically validated, and the “Glycohemoglobin” results are manually
validated, the state icon of the sample becomes .
The sample has both “Blood”and “Glycohemoglobin” results, but only one set of result (“Blood” or
“Glycohemoglobin” ) is printed.
3 - 14
Review and Process Sample Results
NOTE
• For more information of customizing the sample results displaying method, refer to 6.2 Customizing
Interface Views.
Codes Meanings
M Morphology-related warnings
The relationship between the Flag messages and the codes is shown as below.
C Leukocytosis
C Leukopenia
C Pancytopenia
C Turbidity/HGB Interference?
C RBC Agglutination?
C Anemia
C Erythrocytosis
C Reticulocytosis
C PLT Clump?
C Thrombocytosis
C Thrombopenia
D Basophilia
D Eosinophilia
D Monocytosis
D Lymphocytosis
D Lymphopenia
D Neutrophilia
D Neutropenia
E System Error
E Aspiration Abn
E Asp.Abn/Abn.Sample
3 - 15
Review and Process Sample Results
E Status Abn
E Clog
M Blasts?
M Immature Gran?
M Atypical Lymph?
M NRBC?
M Left Shift?
M Lipid Particles?
M Fragments?
M Infected RBC?
M Dimorphic Population
M Anisocytosis
M Microcytosis
M Macrocytosis
M Hypochromia
M Iron Deficiency?
C Leucocytosis
C Leucopenia
3 - 16
Review and Process Sample Results
C Pancytopenia
C Turbidity/HGB Interference?
C RBC Agglutination?
C Anemia
C Erythrocytosis
C Reticulocytosis
C PLT Clump?
C Thrombocytosis
C PLT low
D Basophilia
D Eosinophilia
D Monocytosis
D Lymphocytosis
D Lymphopenia
D Neutrophilia
D Neutropenia
E System Error
E Aspiration abnormal
E Asp.Abn/Abn.Sample
E Status Abn
E Clog
M WBC Fragments?
M Blasts?
M Immature Gran?
M Atypical Lymph?
M NRBC?
M Left Shift?
M Lipid Particles?
3 - 17
Review and Process Sample Results
M Fragments?
M Infected RBC?
M Dimorphic Population
M Anisocytosis
M Microcytosis
M Macrocytosis
M Hypochromia
M Iron Deficiency?
M, C NRBC present
C Leucopenia
C Leucocytosis
C RBC Agglutination?
C Erythrocytosis
C Turbidity/HGB Interference?
C Anemia
C Pancytopenia
C Reticulocytosis
C PLT low
C PLT Clump?
C Thrombocytosis
D Monocytosis
D Lymphopenia
D Lymphocytosis
D Basophilia
D Eosinophilia
D Neutropenia
D Neutrophilia
3 - 18
Review and Process Sample Results
E Clog
E Insufficient aspiration
E Asp.Abn/Abn.Sample
E System Error
E Status Abn
M WBC Fragments?
M Macrocytosis
M Hypochromia
M Infected RBC?
M Left Shift?
M Anisocytosis
M Dimorphic Population
M Iron Deficiency?
M Fragments?
M Immature Gran?
M Microcytosis
M Atypical Lymph?
M Blasts?
M Lipid Particles?
M, C NRBC present
C Leucocytosis
C Leucopenia
C Pancytopenia
3 - 19
Review and Process Sample Results
C Turbidity/HGB Interference?
C RBC Agglutination?
C Anemia
C Erythrocytosis
C Reticulocytosis
C PLT Clump?
C Thrombocytosis
C PLT low
D Basophilia
D Eosinophilia
D Monocytosis
D Lymphocytosis
D Lymphopenia
D Neutrophilia
D Neutropenia
E System Error
E Aspiration abnormal
E Asp.Abn/Abn.Sample
E Status Abn
E Clog
M WBC Fragments?
M Blasts?
M Immature Gran?
M Atypical Lymph?
M NRBC?
M Left Shift?
M Lipid Particles?
3 - 20
Review and Process Sample Results
M Fragments?
M Infected RBC?
M Dimorphic Population
M Anisocytosis
M Microcytosis
M Macrocytosis
M Hypochromia
M Iron Deficiency?
M, C NRBC present
NOTE
• This section mainly addresses the methods of reviewing, editing and processing routine blood/body
fluid/CRP sample results. When there is an auto glycohemoglobin analyzer in your system, the
glycohemoglobin test results and the related information are displayed on a separate tab. See for
3.2.20 Reviewing A1C Results for more information.
• You can quickly find the desired sample records by clicking the sample categories tabs or by using
the “Search” function. For the instructions, refer to 3.1.1 Tool Bar Functions.
3 - 21
Review and Process Sample Results
4 QC information area
3 - 22
Review and Process Sample Results
When necessary, enter/modify the patient names, SN as well as other information on the “Analysis Info.” area.
When you are editing the patient information, the message "Editing sample result” displays on the upper right
corner of the screen. And the “End Editing” button appears in the tool bar. When you finish editing, click the
“End Editing” button or click another button on the tool bar to exit the screen.
When the information of a patient has been recorded in labXpert before, enter the “Patient ID”, and press the “
Enter” , labXpert automatically fills in the other information for “Name”, “Gender”, “Age”, “Unit”, “Ward” and
“Department”. The automatically-filled information is highlighted in yellow. Confirm whether the information is
correct.
The information registered on the “Analysis Info.” screen displays in the “Patient Information” area on the
“Report Results” screen; as well as in the printed reports.
3 - 23
Review and Process Sample Results
NOTE
• You cannot edit the results of a validated sample.
• You can set up preset values for “Department”, “Ward”, “Patient Type” and “Comments” in the Data
Dictionary (More-”System Setup”-”Data Dictionary”). For the instructions, refer to 6.8 Setting up the
Data Dictionary.When the laboratory uses 2-way LIS, the labXpert inquires patient and sample
information from LIS.
• When the laboratory uses 2-way LIS, and the “Calculate Age per Birth Date” function is enabled, the
system calculates the patient age by his/her birth date. For the instructions, refer to 6.4 Sample
Transmission Settings.
NOTE
• You cannot edit the reagent information.
NOTE
• You cannot edit the QC information.
3 - 24
Review and Process Sample Results
The “Report Results” screen displays information including the test results, graphs (scattergrams and
histograms), flag messages (if any), expert tips (if any), comments (if any), rule records (if any), and sample
procedures.
3 Graph area
4 Flags
6 Comments area
NOTE
• You can enter/edit patient information on the “Analysis Info.” screen. For more information, refer to
3.2 View, Edit and Process Sample information and Results.
3 - 25
Review and Process Sample Results
Description Note
STAT If there is a "panic value", a On the data management end of the labXpert software, click
displays in the state column. “Validation Rules"-“Panic Value” to define the ranges of panic values
for different parameters. For the instructions, refer to 7.3.2 Setting up
the Panic Value Check Rules.
Flag Flag(s) of the report parameter: The flags displayed on the labXpert software are determined by the
H: the result is higher than the instrument connected. Different instrument may support different
upper limit of the reference range flags. Please refer to the Operator's Manual of your instruments.
L: the result is lower than the lower
limit of the reference range
E or e: the result is edited directly or
indirectly
R: the result is suspicious
& : the result has been rectified by
algorithm
@: the result is out of the linearity
range
++++: the result is out of the
display range
****: the result has been screened
Delta The Delta Check information On the labXpert data management end, click "Validation Rules"-
between the His 1 results and "Normal Range Delta Check" to define the Delta Check rules. For the
current results instructions, refer to 7.3.4 Setting up Normal / Abnormal Range Delta
If a Delta Check results is in black Check Rules.
font, then the result passes Delta
Check.
If a Delta Check results is in red
font, then the result fails Delta
Check
His. 1 The latest history result of the Historical results displays two latest records of analysis results (if there
report parameter are) for the same patient. The more recent record is displayed as "His.
1", and the other is displayed as "His. 2".
His. 2 The second latest history result of
the report parameter
NOTE
• The histograms and scattergrams displayed below are only for illustration purpose. The name and
type of the histograms and scattergrams you see on your labXpert software depend on the
instrument connected to the labXpert software.
3 - 26
Review and Process Sample Results
3 - 27
Review and Process Sample Results
Click to rotate the 3D scattergram in the anticlockwise direction for one round
Click to rotate the 3D scattergram in the clockwise direction for one round
3 - 28
Review and Process Sample Results
Particle switch.
When the switch for a certain parameter is “on” ( ), the corresponding particles
display on the 3D scattergram.
When the switch for a certain parameter is “off” ( ), the corresponding particles are
hidden on the 3D scattergram.
3.2.2.4 Flags
The flag area displays flag messages for abnormal blood cell differential or morphology.
When the message is too long to fit in the area, click to the complete message.
NOTE
• Users cannot edit flag messages.
• The flags displayed on the labXpert software are related to the instrument connected. For the
differential/morphology flags and the flag triggering mechanism, refer to the Operator’s Manual of
the instrument.
NOTE
• Users cannot edit expert tips.
• When 2-way LIS are used, the expert tip messages will also be communicated to LIS.
• For the instruction, refer to 6.13 Expert Tip Setup.
3 - 29
Review and Process Sample Results
■ When you have configured to display both “Blood” and “Glycohemoglobin” results on a category tab,
then the area displays the comments added to both the blood and the glycohemoglobin tests ;
■ When you have configured to display only “Blood” or “Glycohemoglobin” results on a category tab, then
the area displays the comments added to the blood or the glycohemoglobin tests.
NOTE
• For the information of how to set up report types displayed under a category tab, refer to
6.2.3.6 Customizing the tabs when the labXpert connects to an Automated Glycohemoglobin Analyzer.
When the message is too long to fit in the area, click to the complete message.
2. (Optional) When you have set template messages for the “Comments” (“System Setup”-”Data Dictionary
Item”), you can click ”Quick Select” to select an applicable template message.
3. Click “OK”.
NOTE
• Users at administrator's level may set template messages for the “Comments” (“System Setup”-
”Data Dictionary Item”). For more information, refer to 6.8 Setting up the Data Dictionary.
• For the instructions of how to enter morphology or other WBC DIFF information under the
"Microscopic" tab, refer to Chapter 5 Microscopic Examination.
3 - 30
Review and Process Sample Results
NOTE
• You cannot edit rule records.
• When a sample has been re-examined, labXpert records every rule the sample has triggered (in its
first test and in the re-exam); but only the rule(s) related to the finally reported test results will be
transmitted to LIS.
• For instruction of how to enable/disable the “Display rule details” function, refer to 6.14 Other
Settings.
4 The instruments that perform the corresponding Display the name of the instruments that perform the
task. corresponding task.
6 Function button area For the instructions, refer to Table 3-9 Function
buttons.
Sample Analysis The instrument analyzes samples The instrument name displays under the
task name
Auto Validation The instrument automatically validates the sample Available when the auto-validation rules
records per the re-exam rules are enabled.
Partly Validation Validate the results of certain parameters of the Available when the “Partly Validation”
sample function is enabled.
3 - 31
Review and Process Sample Results
Draw Sample Collect patient samples Available when connected to 2-Way LIS
Receive The laboratory receives the sample. Available when connected to 2-Way LIS
Smear Smears are made for the sample on the SM&S Available when your system is configured
with an SM&S
2-way LIS inquiry labXpert fails to inquire information from the LIS Available when connected to 2-Way LIS
abnormal
Comm. Click the “Comm.” button to enter necessary If the sample is being viewed or processed
messages you want to communicate to other by more than one user, there will be a
operators. highlighted prompting message on the
When the “Comm.” button lights on, click the right top of the "Sample Procedure" area.
button to check messages from other operators.
Adjust test panel When a sample has completed all the tests, and has This function is only available for sample
been manually/automatically validated, or has been processing lines; refer to 2.3 Re-tests with a
validated under microscopic exam, but you want to New Test Panel.
add more tests for the sample, click “Adjust test
panel” to add more test items.
3 - 32
Review and Process Sample Results
• The RUO parameters and customized parameters are for research use only, and cannot be used for
diagnosis purpose.
• The pictures, graphs and figures in this manual are only for illustration purpose. The RUO
parameters, the RUO scattergrams you see on your labXpert software depends on the instrument
connected to the labXpert software.
Click "RUO Parameters" tab to view the results of the RUO parameters and the RUO scattergrams (if any).
1 Results area
Description Note
3 - 33
Review and Process Sample Results
Description Note
Delta The Delta Check information On the labXpert data management end, click "Validation Rules"-
between the His 1 results and "Normal Range Delta Check" to define the Delta Check rules. For the
current results instructions, refer to 7.3.4 Setting up Normal / Abnormal Range Delta
If a Delta Check results is in black Check Rules.
font, then the result passes Delta
Check.
If a Delta Check results is in red
font, then the result fails Delta
Check
His. 1 / The labXpert software does not support to display historical results for
RUO parameters
His. 2 /
NOTE
• For instructions, refer to Figure 3-24 Scattergram in 3D.
When the system decides a parameter result is not reliable (for example, the DIFF parameter results of certain
abnormal samples), the Sample Report screen will not display the results in values, but as "****”. The estimated
results will be provided on the “Reference Results” screen. Decide if the reference results can be used for report
based on a comprehensive consideration regarding information like historical results, microscopic exam results
or re-exam results.
1. Click the “RUO Parameters” tab to enter the “RUO Parameters” screen.
3 - 34
Review and Process Sample Results
3. To use the reference results for report, click “Report Ref. Results”.
NOTE
• Before you use the reference results for report, make sure the result are reliable.
3.2.4 i-Message
The i-message tab displays the clinical flags and the sensitivities of flagging.
NOTE
• The “i-Message” function is not available for automated glycohemaglobin analyzers.
• The i-message settings are determined by the instrument algorithm, and cannot be modified. If you
have any questions about the i-message, consult Mindray's Service Department.
3 - 35
Review and Process Sample Results
When a sample has been tested for more than once, the "Re-Exam Results" tab displays a number indicating
the number of analysis. An example is shown as below:
1 The first column of the table indicates the instrument on which the analysis is performed and the time of the
analysis.
3 - 36
Review and Process Sample Results
3. Check the parameter results that you want to use for the report.
4. Click “Confirm Selection”.
√ The selected parameter results will be used as report results.
■ Click “Cancel” to cancel the operation.
■ When you have already combined the results, click “Restore” to cancel the combined results.
Click the "Historical Trend" tab and review the historical trend of sample results for the same patient by
"Parameter Compare", "Trend Graph" and "Graph Compare".
3 - 37
Review and Process Sample Results
Click "Microscopic" to review the microscopic exam results of the selected sample.
The microscopic exam results area displays parameter results, flags, Delta Check results and historical results of
the sample (if there are such records).
STAT If there is a "panic value", a displays in On the data management end of the labXpert software, click
the state column. “Validation Rules"-“Panic Value” to define the ranges of panic
values for different parameters.
Flag Flag(s) of the report parameter: The flags displayed on the labXpert software are determined
H: the result is higher than the upper limit by the instrument connected. Different instrument may
of the reference range support different flags. Please refer to the Operator's Manual of
L: the result is lower than the lower limit of your instruments.
the reference range
E : the result is edited directly
e: the parameter result is calculated using
the result of another parameter. The “e” flag
indicates that the result is modified
because the other parameter is edited
R: the result is suspicious
& : the result has been rectified by
algorithm
@: the result is out of the linearity range
++++: the result is out of the display range
****: the result has been screened
His. 1 The latest history result of the parameter Historical results displays two latest records of analysis results
(if there are) for the same patient. The more recent record is
His. 2 The second latest history result of the displayed as "His. 1", and the other is displayed as "His. 2".
parameter
3 - 38
Review and Process Sample Results
NOTE
• You cannot edit the results of a validated sample.
• When clicking the “Edit” button, the parameter results that can edited are highlighted in blue.
3 - 39
Review and Process Sample Results
NOTE
• The “Partly Validation” function is not applicable to glycohemoglobin test samples.
• The “Partly Validation” function is available only when you have enabled the “Partly Validate”
function (More-”System Setup”-”Others”). For the instructions, refer to 6.14 Other Settings.
• When you select a series of parameter, all the parameters of the series will be selected.
• When you check the check box of “P-LC”, both P-LCC and P-LCR will be validated.
• When you check the check box of a parameter under the DIFF group, both the count result and the
percentage result of the parameter will be validated. (For example, when Neu is checked, both Neu#
and Neu% will be validated)
• You cannot perform the “Partly Validation” operation to more than one sample.
NOTE
• You cannot perform the “Partly Validate” operation to more than one sample at the same time.
NOTE
• The “Smear Valid.” function is not applicable to glycohemoglobin tests.
• You can only perform “Smear Valid.” to one sample at a time.
• For more information refer to Chapter 5 Microscopic Examination.
3 - 40
Review and Process Sample Results
When the sample records are successfully transmitted to LIS, a symbol appears in the state column of the
sample in the sample list area.
NOTE
• For more information about the “Sample Transmission” settings when direct communication is
enabled, refer to. 6.4 Sample Transmission Settings.
When you have configured the software to enable the direct communication, and to display the “Comm.”
category tab, click the “Comm.” category tab, then the samples to be communicated, or having failed to be
transmitted to LIS display in the sample list.
Click the "Comm." button to transmit the sample records to LIS.
3 - 41
Review and Process Sample Results
3.2.12.2 Communicate with LIS when the direct communication is not enabled
When the Sample direct communication function is not enabled, he labXpert software only communicates
validated sample results to LIS.
Figure 3-32 labXpert-sample review categories when not enable sample direct communication
NOTE
• All the pictures, graphics and screen-shots in this Operator's Manual are for illustration purposes
only.
• For more information about different versions of the Laboratory Data Management Software,
consult your sales representative.
When the sample records are successfully transmitted to LIS, a symbol appears in the state column of the
sample in the sample list area.
When you have configured the software to enable the direct communication, and to display the “Comm.”
category tab, click the “Comm.” category tab, then the samples to be communicated display in the sample list.
Click the "Comm." button to transmit the sample records to LIS.
3 - 42
Review and Process Sample Results
2. On the dialog box displayed, click “Select Parameter” to select the parameters and define the order of the
parameters.
3. (Optional) When necessary, manually adjust the size of the parameter column.
4. Press the “Print Screen” key on your external keyboard to print the screen.
NOTE
• The “Data Snapshot” function is not applicable to glycohemoglobin tests.
3 - 43
Review and Process Sample Results
To mark a sample as “RUO Sample”, select the sample in the sample list area, and then click the pentacle symbol
beside the “Analysis Info.” tab.
NOTE
• You can use the “Advanced Search” function to quickly find the RUO samples. For the instructions,
refer to 3.1.3.2 Advanced search.
1. Select one or more sample records from the sample list area, and click "Print" to print the result reports.
√ labXpert automatically prints the sample results.
NOTE
• You cannot print the microscopic exam results.
• You cannot print the sample results of the sample with an invalid sample ID. To print such sample
results, edit the sample IDs first.
• For the instructions to set up a print template, refer to 6.11 Setting up for the Print Template.
• For the instructions to print histograms and scattergrams, refer to 6.4 Sample Transmission Settings.
You can also select several sample records, and click “Print in Batch” to print the sample results of the selected
samples on a single report.
NOTE
• The “Export” function is not applicable to glycohemoglobin tests.
• When using the “Print in Batch” function, the histograms and scattergrams will not be printed.
3 - 44
Review and Process Sample Results
When the “Customized Para. ” function is enabled, a pull-down arrow appears on the “Print” button.
■ Click the “Print” button to print the results of the report parameters and the RUO parameters (if you have
configured the software to print the RUO parameters);
■ Click “Print All Para.” to print the results of the report parameters, the RUO parameters (if you have
configured the software to print the RUO parameters), and the customized parameters. While the report
parameters and the RUO parameters will be printed on the same page, the customized parameters will be
printed on a separate page;
■ Click “Print Customized Para.” to print the results of the customized parameters only.
3 - 45
Review and Process Sample Results
NOTE
• The “Export” function is not applicable to glycohemoglobin tests.
• The results of the customized parameters are also exported when the “Customized Para. ” function
is enabled. For the instruction about how to enable the “Customized Para.”, refer to 6.17 Configuring
the Customized Parameters Settings.
NOTE
• When the labXpert connects to the sample processing line which is configured with a
glycohemoglobin analyzer, the report types displayed under a category tab can be customized. For
the information of how to set up report types displayed under a category tab, refer to
6.2.3.6 Customizing the tabs when the labXpert connects to an Automated Glycohemoglobin Analyzer.
The “A1C Results” tab displays the parameter results, graphs and other information for glycohemoglobin tests.
3 - 46
Review and Process Sample Results
NOTE
• You can enter/edit patient information on the “Analysis Info.” screen. For more information, refer to
3.2 View, Edit and Process Sample information and Results.
2. (Optional) When you have set template messages for the “Comments” (“System Setup”-”Data Dictionary
Item”), you can click ”Quick Select” to select an applicable template message.
3. Click “OK”.
NOTE
• The “Comments” area on the “A1C Results” tab displays only the comments added to the
glycohemoglobin tests. If the sample has also been analyzed for routine blood tests, body fluid test
or CRP test, the comments added to these tests will not display on the “Report Results”tab.
• Users at administrator's level may set template messages for the “Comments” (“System Setup”-
”Data Dictionary Item”). For more information, refer to 6.8 Setting up the Data Dictionary.
3 - 47
Review and Process Sample Results
Description Note
STAT / /
Flag Flag(s) of the report parameter: The flags displayed on the labXpert software are determined by the
H: the result is higher than the instrument connected. Different instrument may support different
upper limit of the reference range flags. Please refer to the Operator's Manual of your instruments.
L: the result is lower than the lower
limit of the reference range
E or e: the result is edited directly or
indirectly
@: the result is out of the linearity
range
****: the result has been screened
NOTE
• For the introduction to the chromatogram, refer to the operator’s manual of the automated
glycohemoglobin analyzer.
3 - 48
Review and Process Sample Results
3.2.20.5 Flags
The flag area displays chromatogram flags.
When the message is too long to fit in the area, click to the complete message.
NOTE
• Users cannot edit flag messages.
• The flags displayed on the labXpert software are related to the instrument connected.
NOTE
• For more information of the sample procedure area, refer to 3.2.20.6 Sample procedure area.
3 - 49
Review and Process Sample Results
The Table View consists of two parts: the sample list area and the sample result area.
3.3.1 Introduction to the sample list area under the Table View mode
You can customize the contents to be displayed in the sample list area.
By default, the sample list area displays at the left side of the screen. Click the button at the lower right
corner of the sample list area to spread the sample list area.
3 - 50
Review and Process Sample Results
1 “Fixed tabs” The “fixed tabs” refers to the tabs that are You can customize the fixed tabs. See
area fixed in the sample list area. 6.2.1.1 Customizing the Table View tabs-
When you drag the scroll bar at the bottom of Customizing the fixed tab items.
the screen, the fixed tabs will not move.
3 - 51
Review and Process Sample Results
2 "Other tabs" Except for the fixed tabs, the sample list area You can customize the contents under each
area also displays other information. When all the tab. See 6.2.1.1 Customizing the Table View
information cannot be displayed on one tabs- Customizing the other tabs.
screen, drag the scroll bar at the bottom of the
screen to see more information.
3 Other tabs Click each tab to view the information under You can customize the tabs to display, the
the tab. contents under each tab, and the tab
displaying sequence. See 6.2.1.1 Customizing
the Table View tabs- Customizing the other
tabs..
4. STAT icons Click the “up”arrow on the bottom of the For more information about sample states,
sample list area to view the state icon refer to 3.1.5.4 Check sample states
meanings.
5. Historical Click "Historical Trend”and view the historical For more information about Historical
Trend trend of sample results for the same patient. Trend, refer to 3.2.6 Historical Trend
NOTE
• The “Historical Trend” function is not applicable to glycohemoglobin tests.
3.3.2 Introduction to the Sample Result area under the Table View mode
Under the “Table View” mode, the sample result area displays “Report Parameters”, “RUO Parameters”
(including the RUO scattergrams and the reference results), “i-Message”, “Re-Exam Results”, “Rule Record” and
the “Graph” (including the histograms, scattergrams, flags and sample work flow).
You can customize the tabs to be displayed in the sample Result area.
NOTE
• For the introduction of how to customize the sample result area tabs under the Table View, refer to
6.2.1.5 Customizing the tabs displaying in the sample result area.
3 - 52
4 Daily QC
L-J QC X-B QC
4.2 L-J QC
L-J QC is named after S. Levey and E.R. Jennings, who in 1950 introduced statistical control into the clinical
laboratories. On an L-J QC graph, quality control data is plotted to show whether the instrument is working well.
Laboratories may set up allowable deviations (by standard deviations (SD) or coefficient of variation (CV%)) from
the targets for the control based on their real scenario. QC points are then plotted so the operators may easily
see how far the actual QC results are from their targets. The x-aixs indicates the QC date and time; and the Y-aixs
indicates the targets as well as the defined limits. Lines run across the graph at the target as well as at the upper
and lower limits to either side of the target value for the control.
4.2.1 QC Procedure
NOTE
• The QC procedure may be different for different analyzers or sample processing lines. Please refer to
the Operator's Manual of your instruments.
On the labXpert data management end, click the icon to enter the “QC” screen.
When using the labXpert software to complete the QC procedure, the basic flow chart is as follows:
4-1
Daily QC
4.2.1.1 The L-J QC Procedure for BC-6000 Series/BC-7500 CRP Series Hematology Analyzers
For closed-tube sampling type analyzer
4-2
Daily QC
4-3
Daily QC
4-4
Daily QC
4.2.1.4 The QC procedure for the H50 Automated Glycohemoglobin Analyzer (on a sample
processing line)
NOTE
• When necessary, you can edit the QC files.
4-5
Daily QC
1 QC File File No. The sequence number of the QC file in the The file number is not editable. It is
Setup Area system automatically assigned by the
software.
The labXpert software supports to set
up at most 100 QC files at the same
time.
Lot No. Enter the Lot No. of the controls by one of Up to 16 digits can be entered. You can
the following ways: manually entering the enter characters, numbers, letters and
information, or using external barcode special characters.
scanner to scan the label on the control The Lot Number shall not be empty.
vial.
For the hematology analysis QC setup,
when the Lot No. is entered, labXpert
automatically fills in the information of
control level, test panel, QC sample ID and
Communication ID.
Before QC analysis, check and make sure
the information is correct.
Level Select the level of control: “ High", "Low", For the hematology analysis QC setup,
or "Normal". when the Lot No. is entered, labXpert
automatically fills in the control level.
Before QC analysis, check and make
sure the information is correct.
Expiration Enter the expiration date of the control. The expiration date shall not be earlier
Date than the current system date; when
the expiration date is earlier than the
system date, it is highlighted in red.
4-6
Daily QC
Source Select the source of the control: “Other” or When the control model is started by
“Mindray”. BC-, select “Mindray”; for other models
of controls, select “Other”.
For the information of the source of
the controls used with each
instrument, refer to the Operator's
Manual of your instrument.
Mode Select the presentation and sample mode Different instruments supports
for the QC analysis, including “AL-WB”, “CT- different presentation and sample
WB”, “OV-Micro WB”, “OV-BF”, “CT-BF” etc. modes for QC analysis. Please refer to
the Operator's Manual for your
instrument.
Test Panel Select the desired QC analysis modes, such Different instruments supports
as “CD”, “CDR” or “RET”. different test panels for QC analysis.
Please refer to the Operator's Manual
for your instrument.
For the hematology analysis QC setup,
when the Lot No. is entered, labXpert
automatically fills in the test panel.
Before QC analysis, check and make
sure the information is correct.
QC Sample When you are used to analyzing controls You can enter letters, digits and all
ID together with blood samples, enter the other characters on the keyboard
“QC Sample ID”. During analysis, when the (including special characters) for the
instrument reads the ID, it recognizes the QC sample ID. Chinese and other
corresponding sample as the control languages are not supported (e.g.
sample. After the analysis completes, the Japanese, Korean, etc.)
results will be saved into the QC file of the For the hematology analysis QC setup,
QC sample ID. when the Lot No. is entered, labXpert
automatically fills in the QC sample ID.
Before QC analysis, check and make
sure the information is correct.
When the 2-way LIS is used in the
laboratory, the “QC Sample ID”
entered here shall be consistent with
that entered on the “QC transmission”
screen. See 6.5 QC Transmission.
Communic When the 2-way LIS is used in the For the hematology analysis QC setup,
ation ID laboratory, enter the “Communication ID”. when the Lot No. is entered, labXpert
The LIS identifies QC results by the automatically fills in the
communication ID set here. Communication ID.
Before QC analysis, check and make
sure the information is correct.
Data/ The number of results that are stored in You cannot edit the information.
Capacity the QC file v.s. the maximum amount of QC When QC results stored in a QC file
results that are allowed to be stored in the have reached the upper limit, the
QC file. newest QC results will overwrite the
oldest.
In Use Check the “In Use” check box of a QC file, For files having the same "QC Sample
to make the QC file effective. ID" and “Lot No.”,, only one of them
can be "In Use". When there are more
than one QC files having the same QC
Sample ID, the newest file is "In Use"
by default.
2 Target/ Para. The available parameters for the QC file. Different instruments supports
Limits different parameters. Please refer to
the Operator's Manual of your
instruments.
You can set up the QC parameters and
their displaying sequence. Refer to
6.15 Setting up for the QC Parameters.
4-7
Daily QC
Target Setup the targets for the QC parameters Find the targets in the target sheet of
the controls.
Limit (#)/ Set the deviation limit from the target for Find the limits information in the
Limit (%) each QC parameter target sheet of the controls
Mean You can manually set the mean values for Optional: when you manually set the
the parameter results. Mean and SD values, these values will
be applied to the “Monthly QC Graph”
for the corresponding QC file.
Refer to 4.2.2.4 Manually set the Mean
and SD Values.
SD You can manually set the standard Optional: when you manually set the
deviation (SD) values for the parameter Mean and SD values, these values will
results. be applied to the “Monthly QC Graph”
for the corresponding QC file.
Refer to 4.2.2.4 Manually set the Mean
and SD Values.
1 QC File File No. The sequence number of the QC file in the The file number is not editable. It is
Setup Area system automatically assigned by the software.
The labXpert software supports to set
up at most 100 QC files at the same
time.
Lot No. Enter the Lot No. of the controls by one of Up to 16 digits can be entered. You can
the following ways: manually entering the enter characters, numbers, letters and
information, or using external barcode special characters.
scanner to scan the label on the control vial. The Lot Number shall not be empty.
For the CRP tests QC setup, when the Lot
No. is entered, labXpert automatically fills in
the information of control level, QC sample
ID and Communication ID.
Before QC analysis, check and make sure the
information is correct.
4-8
Daily QC
Level Select the level of the control: “Normal” or It is recommended to run the CRP
“Pathologic”. controls of both ”Low”:level (Normal)
and ”High” level (Pathologic) everyday;
therefore set at least 2 sets of QC files
(for low level and high level
respectively).
For the CRP tests QC setup, when the
Lot No. is entered, labXpert
automatically fills in the control level.
Before QC analysis, check and make
sure the information is correct.
Expiration Enter the expiration date of the control. The expiration date shall not be earlier
Date than the current system date; when the
expiration date is earlier than the
system date, it is highlighted in red.
Mode Select the presentation and sample mode Different instruments support different
for the QC analysis, including “AL-WB”, “CT- presentation and sample modes for QC
WB”, “OV-Micro WB” etc. analysis. Please refer to the Operator's
Manual for your instrument.
QC Sample When you are used to analyzing controls You can enter letters, digits and all
ID together with blood samples, enter the “QC other characters on the keyboard
Sample ID”. During analysis, when the (including special characters) for the
instrument reads the ID, it recognizes the QC sample ID. Chinese and other
corresponding sample as the control languages are not supported (e.g.
sample. After the analysis completes, the Japanese, Korean, etc.)
results will be saved into the QC file of the For the CRP tests QC setup, when the
QC sample ID. Lot No. is entered, labXpert
automatically fills in the QC sample ID.
Before QC analysis, check and make
sure the information is correct.
When the 2-way LIS is used in the
laboratory, the “QC Sample ID”
entered here shall be consistent with
that entered on the “QC transmission”
screen. See 6.5 QC Transmission.
Communic When the 2-way LIS is used in the For the CRP tests QC setup, when the
ation ID laboratory, enter the “Communication ID”. Lot No. is entered, labXpert
The LIS identifies QC results by the automatically fills in the
communication ID set here. Communication ID.
Before QC analysis, check and make
sure the information is correct.
Data/ The number of results that are stored in the You cannot edit the information.
Capacity QC file v.s. the maximum amount of QC When QC results stored in a QC file
results that are allowed to be stored in the have reached the upper limit, the
QC file. newest QC results will overwrite the
oldest.
In Use Check the “In Use” check box of a QC file, to For files having the same "QC Sample
make the QC file effective. ID" and “Lot No.”, only one of them can
be "In Use". When there are more than
one QC files having the same QC
Sample ID, the newest file is "In Use" by
default.
4-9
Daily QC
Para. The available parameters for the QC file. Different instruments supports
different parameters. Please refer to the
Operator's Manual of your instruments.
You can set up the QC parameters and
their displaying sequence. Refer to
6.15 Setting up for the QC Parameters.
Target Setup the targets for the QC parameters Find the targets in the target sheet of
the controls.
If you have performed the QC analysis
with a set of targets, but edited the
targets later (for example, using the
“Get Preset Values” function); the
edited targets will be highlighted in
yellow.
Limit (#)/ Set the deviation limit from the target for Find the limits information in the target
Limit (%) each QC parameter sheet of the controls
If you have performed the QC analysis
with a set of limits, but edited the limit
values later (for example, using the
“Get Preset Values” function); the
edited limit value(s) will be highlighted
in yellow.
Mean You can manually set the mean values for Optional: when you manually set the
the parameter results. Mean and SD values, these values will
be applied to the “Monthly QC Graph”
for the corresponding QC file.
Refer to 4.2.2.4 Manually set the Mean
and SD Values.
SD You can manually set the standard Optional: when you manually set the
deviation (SD) values for the parameter Mean and SD values, these values will
results. be applied to the “Monthly QC Graph”
for the corresponding QC file.
Refer to 4.2.2.4 Manually set the Mean
and SD Values.
4 - 10
Daily QC
1 QC File File No. The sequence number of the QC file in the The file number is not editable. It is
Setup Area system automatically assigned by the software.
The labXpert software supports to set
up at most 12 QC files for
glycohemoglobin analyzers at the
same time.
Lot No. Enter the Lot No. of the controls by one of Up to 16 digits can be entered. You can
the following ways: manually entering the enter characters, numbers, letters and
information, or using external barcode special characters.
scanner to scan the label on the control vial. The Lot Number shall not be empty.
For the glycohemoglobin test QC setup,
when the Lot No. is entered, labXpert
automatically fills in the Communication ID.
Before QC analysis, check and make sure the
information is correct.
Level Select the level of the control: “CRL-1” or It is recommended to run the controls
“CRL-2”. of both ”Low”:level (CRL-1) and ”High”
level (CRL-2) everyday; therefore set at
least 2 sets of QC files (for low level and
high level respectively).
Before QC analysis, check and make
sure the information is correct.
Expiration Enter the expiration date of the control. The expiration date shall not be earlier
Date than the current system date; when the
expiration date is earlier than the
system date, it is highlighted in red.
Communic When the 2-way LIS is used in the For the glycohemoglobin tests QC
ation ID laboratory, enter the “Communication ID”. setup, when the Lot No. is entered,
The LIS identifies QC results by the labXpert automatically fills in the
communication ID set here. Communication ID.
Before QC analysis, check and make
sure the information is correct.
Data/ The number of results that are stored in the You cannot edit the information.
Capacity QC file v.s. the maximum amount of QC When QC results stored in a QC file
results that are allowed to be stored in the have reached the upper limit, the
QC file. newest QC results will overwrite the
oldest.
In Use Check the “In Use” check box of a QC file, to For files having the same “Level”, only
make the QC file effective. one of them can be "In Use". When
there are more than one QC files having
the same QC Sample ID, the newest file
is "In Use" by default.
2 Target/ Para. The available parameters for the QC file. Different instruments supports
Limits different parameters. Please refer to the
Operator's Manual of your instruments.
You can set up the QC parameters and
their displaying sequence. Refer to
6.15 Setting up for the QC Parameters.
Target Setup the targets for the QC parameter Find the target in the target sheet of
the controls.
If you have performed the QC analysis
with a set of targets, but edited the
targets later (for example, using the
“Get Preset Values” function); the
edited targets will be highlighted in
yellow.
4 - 11
Daily QC
Limit (#)/ Set the deviation limit from the target for Find the limits information in the target
Limit (%) each QC parameter sheet of the controls
If you have performed the QC analysis
with a set of limits, but edited the limit
values later (for example, using the
“Calculate Preset Values” function);
the edited limit value(s) will be
highlighted in yellow.
Mean You can manually set the mean values for Optional: when you manually set the
the parameter results. Mean and SD values, these values will
be applied to the “Monthly QC Graph”
for the corresponding QC file.
Refer to 4.2.2.4 Manually set the Mean
and SD Values.
SD You can manually set the standard Optional: when you manually set the
deviation (SD) values for the parameter Mean and SD values, these values will
results. be applied to the “Monthly QC Graph”
for the corresponding QC file.
Refer to 4.2.2.4 Manually set the Mean
and SD Values.
Use IFCC Click the “Use NGSP Method”/”Use IFCC Select suitable reference method
Method/ Method” button to switch between the two (NGSP or IFCC) based on the tracing
Use NGSP reference systems. system used in your laboratory.
Method When the button displays the text “Use
IFCC Method”, then the currently-used
method is the NGSP method; when the
button displays the text “Use NGSP
Method”, the currently-used method is
the IFCC method.
Before importing the manufacture-provided QC file, make sure the QC file is stored in the PC.
1. On the labXpert data management end, click the icon to enter the “QC” screen.
2. Select the analyzer model for QC from the "Analyzer" pull-down list; and select “L-J QC" for "QC Type".
3. Select an empty QC file from the “File Info.” table.
4. Click "Read File".
5. Click the "Browse" button, and then select the path to read QC information.
6. Click "OK" to close the dialog box.
NOTE
• The QC files for selection are displayed in the format of "Lot No. (level)".
7. Select a QC file and click "OK" to close the dialog box and return to the "Read File" dialog box. The path
selected will be displayed in the “Select the directory to read the file” field on the “Read File” dialog box.
8. Click "OK" to read the selected QC information (including the targets and the limits) to the current QC file.
9. When necessary, set up for other QC files.
NOTE
• For more information, refer to 4.2.2.1 Introduction to the L-J Setup screen.
4 - 12
Daily QC
10. Check the “In Use” check box for a QC file if needed to make it effective.
11. Click "Save” to save the QC information.
Manual Entry
1. On the labXpert data management end, click “Menu”-”QC” to enter the “QC” screen.
2. Select the analyzer model for QC from the "Analyzer" pull-down list; and select “L-J QC" for "QC Type".
3. Select an empty QC file (ranging from 1 to 100) from the “File Info.” table.
4. Enter the lot No. of the controls by one of the following ways:
■ Manually entering the Information
■ Using external barcode scanner
5. When necessary, set up for other QC files.
NOTE
• For more information, refer to 4.2.2.1 Introduction to the L-J Setup screen.
NOTE
• For more information, refer to 4.2.2.1 Introduction to the L-J Setup screen.
7. Check the “In Use” check box for a QC file if needed to make it effective.
8. Click the “Calculate Preset Values” button to read in the saved preset targets and limits (corresponding to
the current level) into the current QC file.
NOTE
• If some parameters to be included in the QC run have no preset values, you should enter the target
and limits for them manually; if you don't want some parameters with preset values to be included
in the QC run, you can delete the target and limits of those parameters manually after reading in the
preset values.
4 - 13
Daily QC
1. On the labXpert data management end, click the icon to enter the “QC” screen.
2. Select the analyzer model for QC from the "Analyzer" pull-down list; and select “L-J QC" for "QC Type".
3. Click "Setup" to enter the L-J QC setup screen.
4. Select an empty QC file (ranging from 1 to 100) from the “File Info.” table.
5. Enter the “Mean” and “SD” values for the parameters.
6. Click "Save” to save the QC information.
4.2.2.5 When using sample processing lines, copy a QC file for an analyzer to another analyzer
When there are more than one hematology analyzers/specific protein analyzers on the sample processing line,
you can copy the QC file settings of one analyzer to the other analyzers which use the same lot of control.
1. On the labXpert data management end, click the icon to enter the “QC” screen.
2. Select the analyzer model for QC from the "Analyzer" pull-down list; and select "L-J QC" for "QC Type".
3. Click "Setup" to enter the L-J QC setup screen.
4. Select the QC file to copy, and click "Copy".
√ A dialog box displays.
5. Select the analyzer to copy the QC file to, and click “OK”.
√ The selected QC file is copied to the analyzer.
4 - 14
Daily QC
1 The Mean, SD and CV% of all the QC results for each parameter on the current graph.
2 The saving date and time of the QC points on the green line.
3 The operator who performs the QC analysis and obtains the QC points on the green line.
4 The line connecting all QC points of the same parameter to show the trend. The QC points in each graph are
displayed from left to right according to the sequence from the earliest to the latest.
5 Currently selected QC point. The analysis result of the selected QC point is displayed under the parameter. A black
QC point indicates the value is within the limit; a red QC point indicates the value is out of the limit.
6 The green vertical line is used to identify the QC points of the same analysis, all of which are displayed on the line
when you select one of them.
4 - 15
Daily QC
Delete (Administrators)
When necessary, follow below instruction to delete the QC data.
1. On the labXpert data management end, click the icon to enter the “QC” screen.
2. Select an analyzer from the "Analyzer" pull-down list;
3. Select "L-J QC" for "QC Type".
4. Click “Graph” to enter the QC graph review screen.
5. Select a QC file, the corresponding QC graph displays on the screen.
6. Click "Delete", the following dialog box will display.
4 - 16
Daily QC
Print Preview
1. On the labXpert data management end, click the icon to enter the “QC” screen.
2. Select an analyzer from the "Analyzer" pull-down list;
3. Select "L-J QC" for "QC Type".
4. Click “Graph” to enter the QC graph review screen.
5. Select a QC file, the corresponding QC graph displays on the screen.
6. Click “Preview”.
4 - 17
Daily QC
7. The Mean, SD and CV% (on the right of the graph) will change into that of the new results which are
obtained by calculating within the selected range.
8. If you want to save the new results, you can click the "Save Preset Values" button to save the current
Mean, SD and CV% as the preset values for the corresponding levels (high/normal/low).
√ Then, the two selecting lines disappear and the Mean, SD and CV% return to the calculated results of all QC
results.
NOTE
• To cancel the preset value calculation, click “Cancel Calculation”.
• The calculation and display of the preset values are only available when a parameter (within the
calculation range) has 3 or more than 3 results within the limit. Otherwise, the preset values will be
empty.
• Preset values can be saved for each control level.
When you have saved a set of preset values for a control level, the targets and limits of that level will be updated
to the preset values, and are highlighted in yellow.
Figure 4-6 The targets and limits are updated to the preset values
4 - 18
Daily QC
4 - 19
Daily QC
Description
Comm.: Click “Comm.” to transmit the selected or all QC data transmitted to LIS
Export: Click “Export” to export the selected or all QC data to a specified path
on your computer
Select QC Point:
“Monthly QC Graph” screen: on the “Monthly QC Graph” screen, when you are
using the “1 per day Seq.” or “By Date of QC” method to draw the monthly QC
graph, and when there are more than one QC data for a parameter on a single
day, the system uses the newest data to draw the monthly QC graph by default.
You can use the “Select QC Point” button to manually select the QC points to
draw the monthly QC graph.
“Rule of Outliers” screen: on the “Rule of Outliers” (“More”-“System Setup”-
”Others”-”Rule of Outliers”) screen, when you choose “1/day” in the “QC
points included in calculation” drop-down box, and when there are more than
one QC data for a parameter on a single day, the system uses the newest data to
analyze the QC status. You can use the “Select QC Point” button to manually
select the QC points for analysis.
Currently selected QC points are marked by a purple square.
Click “End Selection” when you have selected the desired QC points.
2 QC file information area This area displays the “in use” QC file information, including the Lot No., Level,
Expiration Date, Editor, QC Sample ID, Source, and QC test panel.
3 L-J QC table area The area displays the QC results table of the selected QC file
NOTE
• For more information of setting up the parameter QC graph, refer to Figure 4-8 Parameter QC graph.
√ Drag the scroll bar after setting up all the information, the QC graph will be plotted automatically and the
QC point No., the analysis results and the operator information will be displayed under the QC graph.
4 - 20
Daily QC
1 File information Select the valid QC file from the “File No.” pull-down list, the Lot No, Level, Expiration
area Date, Editor, QC sample ID, Source, QC Test Panel will be displayed automatically.
2 QC Graph Setting Para.: select the parameter to plot QC graph from the “Para.” pull-down list.
Area
QC Point: select the QC point plotting method from the “QC Point” pull down list
By Date of QC: when you select “By Date of QC”, the QC information of all dates is
displayed (even when there is no QC point on a certain day, the date will display, but
with no QC points). When there are more than 1 QC point on a certain day, only the
newest QC point is used for graph plot. (See Figure 4-9 Parameter QC graph (By Date of
QC))
1 per day Seq.: when you select “1 per day Seq.”, the software displays the QC points
of all the dates on which QC data are found (if there is no QC data on a certain date,
the date will not be displayed). When there are more than 1 QC point on a certain day,
only the newest QC point is used for graph plot. (See Figure 4-10 Parameter QC graph (1
per day Seq))
All: when you select “All”, all the QC points are displayed. (See Figure 4-11 Parameter
QC Graph (All))
Calculate Target:
Click the “Calculate Target” button, to calculate the SD and X-Mean values for a
certain period (for the instruction of calculating targets, refer to Calculate targets).
3 QC Graph Area The software automatically plots the parameter QC graph based on the settings
defined in the QC Graph Setting Area.
4 QC Analysis and This area displays the analysis of QC results. You can edit the text if necessary.
Flag Area
4 - 21
Daily QC
Calculate targets
1. On the labXpert data management end, click the icon to enter the “QC” screen.
2. Select an analyzer from the "Analyzer" pull-down list;
3. Select "L-J QC" for "QC Type".
4. Click “Parameter QC Graph” to enter the Parameter QC Graph review screen.
5. Select a QC file, the corresponding QC graph displays on the screen.
6. Click “Calculate Target”, the following screen displays.
4 - 22
Daily QC
4 - 23
Daily QC
1 Tool bar Rule of Outliers: click the “Rule of Outliers” button to select a rule. Note: the 1_2S
rule works as a warning rule, and others work as outlier rules.
Preview: click “Preview” to check the print preview of the monthly QC graph.
2 QC information This area displays the “Time Range”, “Para.”, control “Level” and the plotting
setup area methods of “QC Point”.
Para.: from the “Para.” pull-down list, select the parameter to plot QC graph.
Level: from the “Level” pull-down list, select the control level(s) of which the QC
data to be reviewed.
You can select one level or a combination of different levels.
After the control level is selected, the software displays the QC information of the
corresponding control, including Lot No., Expiration Date, and the X Mean and SD
values.
Set the X Mean and SD values on the QC Setup screen. For the instruction, see
4.2.2.4 Manually set the Mean and SD Values.
QC Point: select the QC point plotting method from the “QC Point” pull down list
1 per day Seq.: when you select “1 per day Seq.”, the QC information of all dates is
displayed (even when there is no QC point on a certain day, the date will display, but
with no QC points). When there are more than 1 QC point on a certain day, all the QC
points will be displayed, but only the newest QC point is used for graph plot.
1/day Single: when you select “1/day Single”, the QC information of all dates is
displayed (even when there is no QC point on a certain day, the date will display, but
with no QC points). When there are more than 1 QC point on a certain day, only the
newest QC point is displayed and used for graph plot.
• All: when you select “All”, all the QC points are displayed.
Draw Method: when you have selected multiple control levels, select a draw
method from the “Draw Method” pull down list
Multiple Graphs: the QC points of the selected parameter are displayed in multiple
graphs by control levels
Single Graph: the QC points of the selected parameter for all control levels are
displayed in a single graph
Range: select the way to display QC data from the “Range” pull-down list:
• All: display all the QC data of the selected lot (may include cross-month data)
• Current Month: display the QC data of the selected lot in current month
When “Current Month” is selected, the QC graph displays the data of at most 2
QC files for each control level. If there are more than 2 QC files for one control
level, the newest 2 QC files are displayed.
3 QC Graph Area The QC graph area displays the QC graph based on the QC settings
4 - 24
Daily QC
Description
2 Date /
3 The QC curve for the high level control (purple) If the level is not selected from the “Level” pull-down list,
or there is no QC data for the level during the specific time
range, the QC curve will not display
4 QC points for the high-level control (dot) “In control” QC points are displayed as solid purple dots;
When the outlier rules are selected, “Out of control” QC
points are displayed as red hollow dots
5 The QC curve for the medium (normal) level If the level is not selected from the “Level” pull-down list,
control (green) or there is no QC data for the level during the specific time
range, the QC curve will not display
4 - 25
Daily QC
Description
6 QC points for the medium (normal) level “In control” QC points are displayed as solid green
control (square) squares;
When the outlier rules are selected, “Out of control” QC
points are displayed as red hollow squares
7 The QC curve for the low level control (Blue) If the level is not selected from the “Level” pull-down list,
or there is no QC data for the level during the specific time
range, the QC curve will not display
8 QC points for the medium (normal) level “In control” QC points are displayed as solid blue
control (triangle) triangles;
When the outlier rules are selected, “Out of control” QC
points are displayed as red hollow triangles
9 Alarming QC points (orange) When the warning rule is selected, QC points that fall into
the range between ±2SD and ±3SD are marked as
"alarming QC points" and displayed in orange hollow
shapes.
Description
2 Date /
3 The QC data for the selected QC level on the In control QC data are displayed in black texts;
corresponding date When the warning rule is selected, QC points that fall into
the range between ±2SD and ±3SD are displayed in
orange texts;
When the outlier rules are selected, out of control QC data
are displayed in red texts
4.3 X-B QC
The X-B QC is a weighted moving average analysis that uses values obtained from patient samples. It uses the 3
red cell indices, MCV, MCH and MCHC to indicate the hematology instrument performance.
It is recommended the X-B QC be activated when the sample volume of your laboratory is greater than 100
samples per day. Effective use of X-B requires randomization of samples and a normal cross section of patients to
prevent skewing of indices. It observes the trend of QC results in the reference range formed by the specified
target and limits.
The analyzer implements X-B QC on the 3 parameters: MCV, MCH and MCHC, each group of samples for X-B QC
analysis consists of 20-200 sample results obtained from normal analysis of both WB and PD modes. The analyzer
can save up to 1000 X-B QC results. When the saved QC results have reached the maximum number, the newest
result will overwrite the oldest.
4 - 26
Daily QC
X-B QC On/Off Select “On” or "Close" to When you select "Off", the analyzer does not run X-B QC
enable/disable the X-B QC program.
Setting up target/ Enter the target/limit for • Do not leave any of the targets and limits for the QC
limit each parameter parameters blank.
• The units of target/limits of all parameters are the same as
those on the "Parameter Unit" setup screen of the
hematology analyzer.
4 - 27
Daily QC
Sample Validity On the X-B QC setup • "Sample Validity Setup" is to set up the ranges of valid
Setup screen, set the upper and RBC, MCV, MCH and MCHC results. Only when the results of
lower limits of the 4 all these four parameters are within the specified ranges,
parameters in the sample the sample results can be used for X-B QC calculation.
validity setup area. • In the sample validity setup, the upper limit shall be no
smaller than the lower limit. Otherwise, there will be a
message asking you to revise.
• The valid ranges of the RBC parameters are their linearity
ranges; the valid ranges of other parameters are their
display ranges.
• All the entries shall be numbers with only one decimal
point. The length of the number entered cannot be longer
than the length of the text box.
• The units of lower and upper limits of all parameters are the
same as those on the "Parameter Unit" setup screen.
Restore to Default Click "Restore Defaults" to When “By SD(#)” is selected, the limits are displayed in the
restore the targets and format of SD value;
limits to the default values. When “By CV%” is selected, the limits are displayed in the
format of CV percent
4 - 28
5 Microscopic Examination
3. Click the "Total" button in the status area, and select the total cell number required for the counting from
the pull-down list.
4. Examine the blood smear under microscope. Count the WBC subtype cells by pressing the corresponding
keys in the keypad, until the total number is reached.
■ Select one of the subtype count results and click “-“, and the count will be reduced by 1.
■ Click “Reset" to reset the cell counts.
■ Click “Cancel” to exit the counter.
5. Click "OK" to confirm the DIFF count results.
√ The "DIFF Results" area displays the updated DIFF results.
5-1
Microscopic Examination
b Select the parameter items you want to update, and click "OK".
√ The corresponding parameter results are updated on the "Microscopic" screen and the "Report Results“
screen, with the updated results marked with the "Microscopically Validated." mark.
7. To display the results of microscopic exam in the "Comments" area:
After you have updated the DIFF results, click the "End Editing" button on the tool bar.
√ The update "DIFF Results" displays in the "Comments" section box.
2. Click to enter the current report results to the DIFF result area. Then you can edit the results as
needed.
■ In the "DIFF Results" area, click the "+" button, to add a new row of WBC DIFF parameter;
5-2
Microscopic Examination
■ In the "DIFF Results" area, select a row of WBC DIFF parameter, and click the “-” button to delete the
parameter;
■ In the "DIFF Results" area, select a row of WBC DIFF parameter, and click the "Para." cell to select a new
parameter from the pull-down list;
■ In the "DIFF Results" area, select a row of WBC DIFF parameter, and click the "%" cell to enter a new value.
3. To update the DIFF results to the result report:
a Click the button on the bottom of the "DIFF Results " area.
√ Below dialog box displays:
b Select the parameter items you want to update, and click "OK".
c The corresponding parameter results are updated on "Microscopic" screen and the "Report Results"
screen, with the updated results marked with the "Microscopically Validated." mark .
4. To display the results of microscopic exam in the "Comments" section:
After you have updated the DIFF results, click the "End Editing" button on the tool bar.
√ The update "DIFF Results" displays in the "Comments" section.
5-3
Microscopic Examination
5-4
6 Setting up the labXpert Software
Editing User Administrator's level 1. Click to select the user account, and You cannot edit the account that
Information and above click "Edit User Info.". currently logs in the software
2. The “Edit User Info.” dialog box
displays.
3. Edit the User ID, User Name, Access
Level, and Comments as necessary.
4. Click "OK".
6-1
Setting up the labXpert Software
Change Operator's level and 1. Click Menu - "Setup" - "Users" to enter You can only change the
Password above the "Users" screen. password for the currently
2. Select the current user from the table, logged-in account.
and click "Change Password".
3. Follow the software instruction to enter
the old password, and then enter the
new password.
4. Click "OK".
Delete a User Administrator's level 1. Click Menu - "Setup" - "Users" to enter You cannot delete the account
Account and above the "Users" screen. that currently logs in the
2. Click to select a user account, and click software.
“Delete User". You cannot restore the user
3. A dialog box displays asking if you are account that has been deleted.
sure to delete the account.
4. Click "Yes".
NOTE
• For more information about the two view modes, refer to3.1 Overview of the labXpert Data
Management End and 3.3 Introduction to the Table View.
When using the “Table View”, labXpert displays the sample list and the parameter results by default. You can set
up the contents to display in the sample list area and sample result area.
6-2
Setting up the labXpert Software
Click the button at the lower part of the screen, and the “Customize Table View Tabs” dialog box displays.
The “Customize Table View Tabs” consists of two parts: the “Fixed Tab Items” settings and the “Tab Settings”.
6-3
Setting up the labXpert Software
Add Operator's level and Add an item that will be fixed to display /
above under the Table View.
Select an item in the “Available Items” area,
and click “Add”.
The selected item is added to the end of the
table in “Selected Items” area.
Operator's level and Click to move an item to the top of the list /
above
6-4
Setting up the labXpert Software
Figure 6-7 Customizing the contents and the displaying sequence of the tabs
6-5
Setting up the labXpert Software
2. Enter the title for the new tab in the “Tab Title” edit box.
3. In the tab item setup area, set the items to display in the new tab as well as their displaying sequence.
See below for setting descriptions
Add Operator's level and Add an item that will be fixed to display /
above under the Table View.
Select an item in the “Available Items” area,
and click “Add”.
The selected item is added to the end of the
table in “Selected Items” area.
Operator's level and Click to move an item to the top of the list /
above
6-6
Setting up the labXpert Software
4. When you have completed the setup, click “OK” and follow the software instruction to save the new
settings.
Editing tab Operator's level and Click to select a tab, and enter a new title for /
titles above the tab in the “Tab Title” edit box.
Deleting tabs Operator's level and Click to select a tab, and click “Delete” to /
above delete the tab.
6-7
Setting up the labXpert Software
Adjusting tab Operator's level and Click to select an existing tab, and click /
positions above “ ”/” ” to adjust the positions of
the tabs.
Adjusting the Operator's level and Click to select an existing tab, and make Refer to Table 6-2 Setting
items under the above adjustment to the items to display under the up the tab items.
tabs tab in the tab item setup area.
3. When you have completed the setup, click “OK”, and follow the software instruction to save the new
settings.
NOTE
• After clicking the “Restore Defaults” button, the displayed tabs, tab titles, tab displaying sequence
and the contents displayed under each tab are all restored to the default settings.
6-8
Setting up the labXpert Software
In the sample result area, click the button to enter the “Customize Result Area” dialog box.
Enter the “Customize Result Area” dialog box, set up the tabs to display in the sample result area, as well as the
tab displaying sequence.
6-9
Setting up the labXpert Software
Add Operator's level and Add an item that will be fixed to display /
above under the Table View.
Select an item in the “Available Items” area,
and click “Add”.
The selected item is added to the end of the
table in “Selected Items” area.
Operator's level and Click to move an item to the top of the list /
above
6 - 10
Setting up the labXpert Software
NOTE
• “Morphology Results” interface will be different when the LabXpert is connected to Hema Vision
and Cella Vision. It depends on which morphology analyzer connected to.
When the labXpert connects to an auto glycohemoglobin analyzer, under the “Full View” mode, the sample
result area also displays an “A1C Results” tab (displaying the parameter results, re-exam results, the
chromatogram, related flags and information).
Follow below instructions to customize the contents to display in the sample result area.
1. Click to select a category tab.
2. Click “Customize View”-”Customize Sample Details“.
6 - 11
Setting up the labXpert Software
3. To make certain item display in the sample result area, click to check the check box of the item; to make an
item not display in the sample result area, un-check the check box of the item.
NOTE
• The customization made under a particular category tab will apply to the other category tabs that
have the same report type settings. For example, when there is an automated glycohemoglobin
analyzer in the system, and you have configured that both the “All”and the “To be Done” tabs will
display the “Blood”and “Glycohemoglobin” reports, that the settings made under the “All” tab will
also apply to the “To be Done” tab.
• The settings defined through the “Customize Sample Details” dialog box only take effect on the
currently-selected category tab. For example, the settings you selected on the “All” tab will not
apply to the “To be Done” or the “Review” tab.
6 - 12
Setting up the labXpert Software
NOTE
• When you have adjusted the size of one information area under any category tab, the same
information area under all other category tabs will change accordingly. For example, when you have
adjusted the size of the “Comments” area on the “All” category tab, the size of the “Comments” area
on the “To be Done” and the “Review” tabs will change.
• The adjustment made on “Report Results”and “RUO Parameters” will not automatically apply to the
“A1C Results” (if applicable).
NOTE
• The labXpert software displays certain tabs by default. Except for these tabs, you can also click to
select the "Custom 5” tab to name and define it as necessary.
• The “All”, “Search Result”, and "QC” tabs will always display on the interface. They cannot be hidden
from the interface.
6 - 13
Setting up the labXpert Software
6 - 14
Setting up the labXpert Software
NOTE
• You cannot modify the tab titles for “All”, “Search Result”, “QC”and “Consistency”.
NOTE
• The “Search Result” and the "QC” tab does not support filters.
NOTE
• The available sample types, reexam modes, sample modes, presentation modes, test panels are
subject to instrument models and configurations. Certain settings may not be applicable for your
system.
• For the "All” tab, only the “Analyzer”and the “Rack No.” filters are available.
• By default, all filtering conditions are selected.
6 - 15
Setting up the labXpert Software
Report Type Select to display only the “Blood”or “Glycohemoglobin” This option only displays when the
results reports; or to display both types of results. labXpert connects a glycohemoglobin
analyzer in the system.
Only when the “Blood” report type is
selected, the “Report Results” tab is
displayed under the category tab.
Only when the “Glycohemoglobin”
report type is selected, the “A1C
Results” tab is displayed under the
category tab.
Rack No. Select to display the samples on all or (a) certain tube The “No tube rack” samples refer to the
rack(s); or you can select to display the samples with “No samples for which the system has not
tube rack". scanned a valid tube rack number; or
To display samples on (a) certain tube rack(s), click the “+” the samples which are analyzed in the
button and enter the tube rack range. OV or CT mode.
Sample Type Select to display samples of all sample types or only a If there is a glycohemoglobin analyzer
certain sample type (Blood or body fluid). in your system, and you have
configured the labXpert to only display
the “Glycohemoglobin” report type,
the option is not available.
Re-exam Select to display samples in all reexam modes, or only in “No re-exam” : means the samples have
Mode certain reexam modes (“No re-exam”, “Re-exam” and not been re-examined in any form.
“Smear". “Re-exam": means the samples have
been re-tested (on the same or another
instrument, or having been diluted and
re-tested, etc.)
“Smear”: means the samples have been
sent to SC-120 for making smears (only
applicable when there is an SC-120 in
your system).
6 - 16
Setting up the labXpert Software
Sample Status Select to display samples in all states or in certain states “Auto Validated”: means the samples
(“Auto Validated”, “Manual Validated”, “Validate in have been auto validated and are
advance”, “Microscopically Validated.”, “Manual currently in the “Auto Validated” state
Validation”, “Microscopic”, “To be Done”, and “Validate in (if the “STAT” column is displayed in the
advance”) sample list, you can see the sample is
marked by the icon)
“Manual Validated”: means the
samples have been manually validated
and are currently in the “Manual
Validated” state (if the “STAT” column
is displayed in the sample list, you can
see the sample is marked by the
icon)
“Validate in advance”: means a sample
has been manually validated before all
its tests complete (if the “STAT” column
is displayed in the sample list, you can
see the sample is marked by the
icon). When all its tests are finished,
validate the sample results again;
otherwise the sample will still be
marked as “Validate in advance”.
“Microscopically Validated.d”: means
the samples that are currently in the
“Microscopically Validated.” state (if
the “STAT” column is displayed in the
sample list, you can see the sample is
marked by the icon)
“Manual Validation”: means the
samples are currently assigned for
manual validation
“Microscopic”: means the samples are
currently assigned for microscopic
examination
“To be Done”: means the samples that
still have tests to be done
“Report in advance”: means the results
of the sample have been transmitted to
LIS before all its tests complete (if the
“STAT” column is displayed in the
sample list, you can see the sample is
marked by the icon).
Flag Select to display the samples with all types of flags or only For more information about the flag
certain types of flags (including Error, Morph, Count, DIFF). types and the flag messages of each
flag type, refer to 3.1.5.4 Check sample
states- Explanation of the flag codes.
Sample Mode Select to display samples of any sample modes or only of (a) /
certain samples mode(s) (WB, PD, BF, and Micro WB).
Test Panel Select to display samples run with any test panels or only /
with (a) certain test panel(s).
When you have completed the setup, click “OK” and follow the software instruction to save the settings.
6 - 17
Setting up the labXpert Software
6.2.3.6 Customizing the tabs when the labXpert connects to an Automated Glycohemoglobin
Analyzer
When the labXpert connects to a CAL8000 Sample Processing Line which is configured with an Automated
Glycohemoglobin Analyzer, the “Filters” area displays the “Report Type” option.
You can select to display the “Blood”or the “Glycohemoglobin” results, or display both type of results under a
particular category tab.
6 - 18
Setting up the labXpert Software
As shown in the example of Figure 6-16 Only displaying the A1C results, the “Glycohemoglobin” category tab is
enabled, and under the category tab, only the sample results of glycohemoglobin tests are displayed.
As shown in the example of Figure 6-17 Displaying both Blood and A1C results, the “All” category tab displays both
the sample results of blood and glycohemoglobin tests.
If you want to set LIS as server, do not check the check box of “labXpert as Server”. Enter the IP address (i.e. the
IP address of the computer where the LIS is installed) and port (i.e. the port of the computer where the LIS is
installed)
6 - 19
Setting up the labXpert Software
NOTE
• If the shared folders are on the computer where the labXpert client server is installed, you only need
to enter the folder names;
• If the shared folders are on the computer where the LIS is installed, enter the directory paths for the
shared folders correctly, and give Guest users the authority of "visiting without password”.
• After you specify the shared folders, LIS and labXpert communicate with each other in the following
way: LIS automatically sends order to the “labXpert to receive (orders)” folder-labXpert reads the
orders from the “labXpert to receive (orders)” folder-labXpert stores the sample results to the
"labXpert to send (sample results)” folder-LIS reads the results information from the "labXpert to
send (sample results)” folder.
NOTE
• Three protocol types are available: HL7, ASTM and MREz MREZ is a Mindray-defined, “simplified”
version of communication protocol.
• When the instrument is newly installed in the laboratory, it is recommended to select the newest
version of labXpert.
6 - 20
Setting up the labXpert Software
• When you are updating the instrument which was not compatible with the labXpert, select the
appropriate LIS version, then select 6800 or 6000, and then select the version; or you can select the
newest version of labXpert, and then adjust the LIS communication settings.
Once all connections have been set, the corresponding indicator on the labXpert status bar will be on.
NOTE
• For any questions about the connection between the labXpert and the LIS, contact Mindray
Customer Service Department.
Fill in tube position and SN When “Fill in tube position and SN” is /
selected, labXpert fills the SNs to the
messages communicated to LIS
Inquire for samples with When “Inquire for samples with invalid ID” is /
invalid ID selected, when the system detected a sample
with invalid sample ID, labXpert automatically
generates an SN based on the tube position
and the No. of the tube rack where the sample
is placed, and fills the SN to the messages
communicated to LIS
First Rack No.: [0, 9999] Define the first rack number The default setting is 1, the allowable
range is 0-9999
6 - 21
Setting up the labXpert Software
6 - 22
Setting up the labXpert Software
Transmit after Administrator's level When “Transmit after result modified” is Only when you have enabled
result and above enabled, if the sample results are modified, “Sample Direct
modified the labXpert software automatically Communication”, you can
transmits the modified results to LIS. enable for “Transmit after
result modified”.
Automatically Administrator's level Select when labXpert should automatically • The “either test report is
transmit data and above transmit data to LIS: completed” option is only
when • all the tests are completed: labXpert available when labXpert
automatically transmits the results to LIS connects a
when all the tests are completed; glycohemoglobin analyzer.
• either test report is completed: if the • When “either analysis is
test panel for a sample includes both completed” is selected, any
routine blood/body fluid/CRP tests as re-examination of the
well as the glycohemoglobin test, when samples (if applicable) will
either test report(either the report for be counted as an analysis
routine blood/body fluid/CRP tests or too.
for the glycohemoglobin test) is • The difference between
completed , labXpert automatically transmitting data when
transmits the completed test report to “either analysis is
LIS completed” and “either
• either analysis is completed: labXpert test report is completed” is
automatically transmits the data to LIS, that, for example, if the test
whenever an analysis (either a routine panel includes the blood
blood test, a body fluid test, a CRP test, routine test and the CRP
or a glycohemoglobin test) of the test, when “either analysis
sample is completed is completed” is selected,
labXpert transmits the
results when either the
blood routine test or the
CRP test is completed; but
when “either test report is
completed”is selected,
labXpert transmits the
results when both the blood
routine test and the CRP test
are completed
Communicate Administrator's level Invalid samples refer to the samples whose Only when you have enabled
invalid and above sample ID are not scanned by the system. "Sample Direct
samples When “Communicate invalid samples” is Communication”, you can set
enabled, the labXpert software up for whether to communicate
automatically transmits the results of invalid samples.
samples with invalid sample ID to LIS.
Auto Comm. Administrator's level When “Auto Comm. after validating” is Only when “Sample Direct
after and above enabled, the labXpert software Communication” is not
validating automatically transmits validated sample enabled, you can enable “Auto
results to LIS. Comm. after validating”.
6 - 23
Setting up the labXpert Software
Calculate Age Administrator's level When the laboratory uses 2-way LIS, and Only when “2-Way LIS/HIS” is
per Birth Date and above the “Calculate Age per Birth Date” enabled, you can enable the
function is enabled, labXpert calculates the “Calculate Age per Birth Date”
patient age by his/her birth date. function.
The calculated age information displays in
the “Patient Information” area:
Transmit as Administrator's level To transmit the test results in the format of See Figure 6-21 Sample printed
Print Bitmap and above print bitmap data, check the check box for images when “Transmit as Print
Data "Transmit as Print Bitmap Data. Bitmap Data” is enabled and
When “Transmit as Print Bitmap Data“ is Figure 6-22 Sample printed
enabled, the printed-out scattergrams and images when “Transmit as Print
histograms are non-filled image in the In Bitmap Data” is not enabled for
BMP bitmap format with white the printed examples for both
background. cases.
When “Transmit as Print Bitmap Data“ is
not enabled, the printed-out scattergrams
and histograms are filled images with black
background.
6 - 24
Setting up the labXpert Software
Chromatogra Administrator's level Select from the pull-down list: The option is available only
m and above • Not transmitted when there is a
Transmission • In BMP bitmap glycohemoglobin analyzer in
Method your system
• In PNG bitmap
• Data
Figure 6-21 Sample printed images when “Transmit as Print Bitmap Data” is enabled
Figure 6-22 Sample printed images when “Transmit as Print Bitmap Data” is not enabled
6.5 QC Transmission
Click “More” - "System Setup" — "Comm. Setup" to enter the "Comm. Setup" screen, and set up for QC
transmission.
6 - 25
Setting up the labXpert Software
If you are running QC samples together with normal blood samples, assign a special ID to the QC sample.
6 - 26
Setting up the labXpert Software
Use Operator's level and When “Use function keys” is selected, you /
function above can use the function keys on your external
keys keyboard as a simulated cell counter. Each
function key on the keypad represents a cell
type.
(Optional) Tap a function key on the setup
screen and assign a cell type to it.
Enable Operator's level and • When the check box of “Enable sound • You cannot define the sound
sound above message” is checked, labXpert makes types.
message sound when you click the keys on your • If you click a key which is not
keypad. assigned with any cell types, you
• labXpert supports 2 kinds of sound. You will see a balloon displaying the
will hear one kind of sound when you message: “Unrecognized key!”
click the keys assigned with WBC DIFF • When you have completed
cell types (including neutrophils, the cell count (the counted
segmented neutrophils, band number of cells reaches the
neutrophils, lymphocytes, monocytes, defined number) but click a key
eosinophils, and basophils), and another again, you will hear a sound and
kind of sound when you click the keys see a balloon displaying the
assigned with other cell types. message: “Exceeded max
count!”
6 - 27
Setting up the labXpert Software
6 - 28
Setting up the labXpert Software
■ In the “Comments” -“Quick Select” template on the “Report Results”, “RUO Parameters” and
“Microscopic” exam results screens.
■ On the “Validation Rules” screen, at the “Panic Value Check” checking point, “Parameter and Flag
Check” checking point, and the “Abnormal Range Delta Check” checking point.
■ On the” Tube Worklist” setting up screen.
■ When using the “Advanced Search” function, on the “Advanced” dialog box.
Click “More” - "System Setup" — "Data Dictionary Item" to enter the "Data Dictionary Item" setup screen.
To add an entry to a “Data Dictionary Item”, click to select the item in the ”Data Dictionary Item” area, click
“New”, and then enter necessary information in the box next to the “Data Dictionary Item” area.
To delete an entry to a “Data Dictionary Item”, click to select the item in the ”Data Dictionary Item” area, and
click to select the entry in the box next to the “Data Dictionary Item” area, and click “Delete”.
After setup, you can quickly find and enter the dictionary items by entering their corresponding “Code”,
“Shortcut Code” , or part of the texts of the entries, or directly select the data from the pull-down list.
6 - 29
Setting up the labXpert Software
Click “More” - "System Setup" — "Display Setting" to enter the "Display Setting" screen.
6.9.1.1 Add the report and microscopic parameters to the display list
See below for setting descriptions.
Add Administrator's level Add the report and microscopic parameters When setting up for the report
and above to the display list parameters, first define the sample
Select an item in the “Available Items” area, mode (“Blood” or “BF”) from the
and click “Add”. “Mode” pull-down list in the
“Report Para. Sequence” area.
√ The selected item is added to the end of the
table in “Selected Items” area.
6 - 30
Setting up the labXpert Software
Operator's level and Click to move an item to the top of the list /
above
6 - 31
Setting up the labXpert Software
NOTE
• To delete an existing separator, click to select the separator, and then click “Delete”.
Out-of- Operator's level and Set up for the “Out-of-Range Flags” in the /
Range Flags above "Report Results" tab. Three options are
available: "H”/”L”, "h”/l”" or “↑”/ “↓”.
Text Color Operator's level and Set up for the flag text color in the “Report /
above Results” tab. Two options are available: red
or blue.
Background Operator's level and Set up for the flag background color in the /
color above “Report Results” tab. Two options are
available: red or blue.
NOTE
• The “Sample table fields” settings only apply to the sample list under the “Full View” mode. It does
not work for the “Table View” mode.
• For the instruction of how to customize the sample list area tabs under the Table View mode, refer to
6.2.1.1 Customizing the Table View tabs.
6 - 32
Setting up the labXpert Software
Add Operator's level and Add a filed to display in the sample list area. /
above Select an item in the “Available Items” area,
and click “Add”.
√ The selected item is added to the end of the
table in “Selected Items” area.
Delete Operator's level and Delete a filed from the sample list area. /
above Select the item to delete in the “Selected
Items” area. Then click "Delete".
√ The selected item is removed from the
“Selected Items” area, and appears in the
“Available Items” area.
6 - 33
Setting up the labXpert Software
When “Show all” is selected, the sample results from all the instruments connected to the labXpert will display
on the labXpert.
When one or more instruments are selected, only the sample results from the selected instrument(s) connected
to the labXpert will display on the labXpert.
6.9.5 Displaying TAT Alarm Samples/Panic Samples on Top of the Sample List
When you have enabled the “TAT alarm/panic samples on top” function in the “Sample display order” area,
when the system detects TAT alarming samples (including TAT warning and TAT timeout samples) or samples
with panic values, these samples always display on the top of the sample list.
Below picture shows the TAT alarm samples displaying on the top in the sample list area.
Description Notes
1 TAT timeout samples For the instruction of setting up TAT timeout, refer to 6.10 Setting up for the TAT
Setup
2 TAT warning samples For the instruction of setting up TAT warning time, refer to 6.10 Setting up for the
TAT Setup
6 - 34
Setting up the labXpert Software
TAT Administrator's level Enter the appropriate TAT “Warning time”. TAT warning warns the users that a
warning and above When the TAT for a sample exceeds the sample is near the end of the
time defined TAT warning time, the icon required TAT.
displays on the left of the sample record in The default value is 25 minutes.
the sample list; and the sample record will be
highlighted with yellow background,
Wait Administrator's level Enter the appropriate "Wait before The default value is 30 minutes.
before and above timeout" value.
timeout When the TAT for a sample exceeds the
defined TAT timeout value, the icon
displays on the left of the sample record in
the sample list; and the sample record will be
highlighted with pink background
TAT Administrator's level • When the "Draw Time” information is When both “Draw Time” and
Scenario and above transmitted from LIS, check the "Draw “Receive time” are selected, the
Time” check box. labXpert first uses the “draw time”
• When the "Receive time” information is as the starting time of TAT to
transmitted from LIS, check the “Receive calculate the TAT; if it fails to read
time” check box. the draw time, it uses the “receive
time” as the TAT starting time of TAT
to calculate the TAT.
6 - 35
Setting up the labXpert Software
NOTE
• The available report parameters, RUO parameters and graphs are relevant to the configuration of
your system.
• labXpert does not support to print the microscopic exam results.
6 - 36
Setting up the labXpert Software
Function
Access Level Description Notes
s
Delete Operator's level Remove the parameter from the printe report /
and above Select the parameter to delete in the “Selected
Items” area. Tap "Delete".
The selected item is removed from the
“Selected Items” area, and appears in the
“Available Items” area.
3. (Optional) When there is a CRP test module or a glycohemoglobin analyzer in your system, you cannot
choose to print the RUO parameters for the CRP/glycohemoglobin tests.
6 - 37
Setting up the labXpert Software
4. (Optional) When you need to print the RUO scattergrams, check the check box of “Print RUO
scattergram”.
NOTE
• When you have enabled to print RUO parameters or scattergrams, the RUO flag “*” and the
statement “*For research use only, not for diagnostic use.” will also be printed on the report.
• Different instruments output different RUO parameters/scattergrams. Not all instruments provide
RUO scattergrams.
Auto print Operator's level and When “Auto print after analysis /
after analysis above completes” is enabled, the labXpert
completes automatically prints the sample results when
the analysis completes (no matter the
sample results are validated or not)
Auto print Operator's level and When “Auto print after validating” is /
after above enabled, the labXpert automatically prints
validating the sample results when the analysis
completes, and the sample results are
validated (the labXpert will not print sample
results that are not validated)
Auto print Operator's level and When “Auto print sample to be smeared” The function is available on
sample to be above is enabled, the labXpert automatically prints sample processing lines that are
smeared the results of the samples that will be sent to configured with SC-120.
the SC-120 to make smears for microscopic
examination.
6 - 38
Setting up the labXpert Software
2. (Optional) When necessary, select the unit system from the "Unit system" pull-down list.
3. (Optional) When necessary, click to modify the parameter units/format.
4. When you have completed the setup, click another button/tab on the screen to exit the screen and follow
the software instruction to save the new settings.
6 - 39
Setting up the labXpert Software
2. (Optional) Select a “customized” reference group, and define the upper and lower limits of age.
3. (Optional) Define the upper and lower limit of the results for the parameters in the group.
4. When you have completed the setup, click another button/tab on the screen to exit the screen and follow
the software instruction to save the new settings.
2. Select a “customized” reference group, and editing the upper and lower limits of age, as well as the upper
and lower limit of the results for the parameters in the group.
NOTE
• For the 5 factory reference groups, you can only edit the "Lower Limit" and "Upper Limit" of the
parameters.
• The units of lower/upper limits of all parameters are the same as those on the "Parameter Unit"
setup screen.
3. When you have completed the setup, click another button/tab on the screen to exit the screen and follow
the software instruction to save the new settings.
6 - 40
Setting up the labXpert Software
6 - 41
Setting up the labXpert Software
6.13.2.1 Define the “Rule Name” and the “Expert Tips” message
In the rule editing area, click “Rule Name” to enter a name for the new rule.
(Optional) If necessary, enter a message into the "Expert Tips" edit box.
Department Set the department information Administrators may click “System Setup”-"Data Dictionary”
to enter the “Data Dictionary” setup screen, and enter
Ward Set up the ward information. frequently-used entries for “Department", “Ward”, “Patient
Type” and “Comments” to the dictionary. The entries in the
Patient Type Define the patient type
“Data Dictionary Item” will display in the pull-down lists of
the corresponding items in the "Applicable Conditions"
area. See 6.8 Setting up the Data Dictionary.
6 - 42
Setting up the labXpert Software
Sample Type Define the sample type Define the appropriate settings. When the “Sample Type”
(defined/displaying in the “Patient Information” area) of the
sample matches with the sample type defined here, the
sample complies with the sample type condition.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
Comments Set up the comment messages as Users at administrator's level may set up template messages
necessary. for the “Comments” (“System Setup”-”Data Dictionary
Item”). The entries in the “Data Dictionary Item” will display
in the pull-down lists of the corresponding items in the
"Applicable Conditions" area. See 6.8 Setting up the Data
Dictionary.
Department Set the department information Administrators may click “System Setup”-"Data Dictionary”
to enter the “Data Dictionary” setup screen, and enter
Ward Set up the ward information. frequently-used entries for “Department", “Ward”, “Patient
Type” and “Comments” to the dictionary. The entries in the
Patient Type Define the patient type “Data Dictionary Item” will display in the pull-down lists of
the corresponding items in the "Applicable Conditions"
area. See 6.8 Setting up the Data Dictionary.
Sample Type Define the sample type Define the appropriate settings. When the “Sample Type”
(defined/displaying in the “Patient Information” area) of the
sample matches with the sample type defined here, the
sample complies with the sample type condition.
Comments Set up the comment messages as Users at administrator's level may set up template messages
necessary. for the “Comments” (“System Setup”-”Data Dictionary
Item”). The entries in the “Data Dictionary Item” will display
in the pull-down lists of the corresponding items in the
"Exemptions" area. See 6.8 Setting up the Data Dictionary.
6 - 43
Setting up the labXpert Software
NOTE
• The customized parameters (if the customized parameters function is enabled) can also be included
in the parameter rules. For the information about how to enable the “customized parameters”, refer
to 6.17 Configuring the Customized Parameters Settings.
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
6 - 44
Setting up the labXpert Software
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules are
conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
6 - 45
Setting up the labXpert Software
Rule of When out Operator’s level Select “When out of QC limits”: 1. This function only applies
Outliers of QC and above 1. Select the “Ignore” option, labXpert to the available
limits won’t show anything when the QC parameters with target &
point is out of limits. limit values on the “QC”-
”Setup” screen.
2. Select the “Report” or “Stop
analysis” option, and when the QC 2. The points out of QC
point is out of limits, the QC icon on limits can be checked on
the top of labXpert will be red the “QC”-”Graph” screen.
flashing to report the outliers, and 3. LabXpert only shows the
send this message to the analyzer. status of the newest QC
Then the analyzer software will point (the QC point
report outlier errors on the bottom should be closest to the
right corner of the screen. current time and within 7
days).
When a Operator’s level Select “When a warning rule is 1. This function only applies
warning and above triggered”: to the available
rule is 1. Select the “Ignore” option, labXpert parameters with Mean &
triggered won’t show anything when the SD values on the “QC”-
warning rule is triggered. ”Setup” screen.
2. Select the “Report” or “Stop 2. The points triggered the
analysis” option, and go to “QC”- warning rule can be
”Monthly QC Graph”-”Rule of checked on the “QC”-
Outliers” to select the 1-2S warning ”Monthly QC Graph”
rule. When the 1-2S warning rule is screen.
triggered, the QC icon on the top of 3. LabXpert only shows the
labXpert will be orange flashing to status of the newest QC
report the outliers, and send this point (the QC point
message to the analyzer. Then the should be closest to the
analyzer software will report outlier current time and within 7
errors on the bottom right corner of days).
the screen.
6 - 46
Setting up the labXpert Software
When an Operator’s level Select “When an outlier rule is 1. This function only applies
outlier rule and above triggered”: to the available
is 1. Select the “Ignore” option, labXpert parameters with Mean &
triggered won’t show anything when the SD values on the “QC”-
outlier rule is triggered. ”Setup” screen.
2. Select the “Report” or “Stop 2. The points triggered the
analysis” option, and go to “QC”- outlier rule can be
”Monthly QC Graph”-”Rule of checked on the “QC”-
Outliers” to select the outlier rules. ”Monthly QC Graph”
When the outlier rules are triggered, screen.
the QC icon on the top of labXpert 3. LabXpert only shows the
will be red flashing to report the status of the newest QC
outliers, and send this message to point (the QC point
the analyzer. Then the analyzer should be closest to the
software will report outlier errors on current time and within 7
the bottom right corner of the days).
screen.
QC points Operator’s level Select “QC points included in 1. For more information
included in and above calculation”: about the “Select QC
calculation 1. On the “Rule of Outliers” (“More”- Point” function, refer to
“System Setup”-”Others”-”Rule of 4.2.4.2 QC table review.
Outliers”) screen, when you choose 2. LabXpert only shows the
“1/day” in the “QC points included status of the newest QC
in calculation” drop-down box, point (the QC point
and when there are more than one should be closest to the
QC data for a parameter on a single current time and within 7
day, the system uses the newest days).
data to analyze the QC status. You
can use the “Select QC Point”
button to manually select the QC
points for analysis.
2. On the “Rule of Outliers” (“More”-
“System Setup”-”Others”-”Rule of
Outliers”) screen, when you choose
“All” in the “QC points included in
calculation” drop-down box, the
system uses the newest data (within
7 days) to analyze the QC status,
and the “Select QC Point” function
doesn’t affect the outlier analysis.
Allow Service's level Available when the labXpert is Refer to Figure 6-39 The
multiple and above connected to a sample processing line. sample processing line re-test
times of re- When “Allow multiple times of re- procedure when the “Allow
exam for exam for blood samples” is disabled, multiple times of re-exam for
blood the sample processing line allows one blood samples” function is
samples re-test at most; enabled for the analysis
procedure, when the “Allow
When “Allow multiple times of re-
multiple times of re-exam
exam for blood samples” is enabled,
the sample processing line allows two for blood samples” function
is enabled.
times of re-test at most.
6 - 47
Setting up the labXpert Software
Enable Administrator's When “Enable micro-WB auto re- Only available on certain
micro-WB level and above exam” is disabled, the micro-WB analyzers/systems
auto re- samples will not be re-examined even
exam if they have triggered the re-exam
rules.
When “Enable micro-WB auto re-
exam” is enabled, the micro-WB
samples will be re-examined even if
they have triggered the re-exam rules.
Report Administrator's If the check box for “Report latest When you choose to report
latest level and above resultss” is not checked, when a the latest results, labXpert
results sample has been re-examined and will not perform auto
have more than one set of test results, validation to the re-test
the test results of the first time test will results. The re-test results
be reported. must be manually validated.
If the check box for “Report latest
results” is checked, when a sample has
been re-examined and have more than
one set of test results, the test results of
the latest test will be reported.
Retain LIS Service's level When “Shared folders” is selected as If necessary, contact
worklists and above the LIS communication method, the MIndray’s Customer Service.
for days for which the labXpert should
retain the worklist transmitted from LIS
can be defined.
Days for Administrator's Enter a number to the “Days for recent The setup range is [1, 3] days.
recent level and above search” field. The default setting is 2 days.
search When you use the “Smart search: For more information about
recent samples” function to search for the “Smart search: recent
samples, labXpert searches for samples samples” function, refer to
in the defined time period. 3.1.3.2 Advanced search.
6 - 48
Setting up the labXpert Software
Validatio First Visit Administrator's Define the “First Visit” samples. The setup range is [1, 999]
n Rules level and above For example, when the day value for days. The default setting is
“First Visitt” rule is set to 30, if the 30 days.
patient receives a test, and does the The “First Visit” setting will
test again in 30 days after the first test, be used in the “Clinical
the second test sample is considered as Exception”, the “Manual
a “Return Visit” sample. If the patient Review Conditions” and the
does the test again after 30 days from “Reexam Condition”
the first test, the second test sample is checking points in the
considered as a “First Visit” sample. “Validation Rules” settings.
The labXpert judges whether
a sample is a “First Visit”
sample based on the
definition of “First Visit”
here.
Please Administrator's Set up the user to sign off the auto When the auto validation
select the level and above validation when the auto validation function is enabled, when a
user to rules are enabled. sample passes the “Auto
sign off the Validation OK” checking
auto point, the labXpert
validation automatically marks the
sample as “Validated”. On
the report, the person
validating the auto-validated
sample is the user defined
here.
6 - 49
Setting up the labXpert Software
labXpert receives
test results
Re-test rules
No End of process
triggered?
Yes
Re-test rules
No End of process
triggered
Yes
*:Test panel>test panel from last time:means the second time test
Test panel>test
panel includes a test that is not in the test panel of the first re- test. For
panel from last No End of process
example, the test panel of the first time re-test is CD, and the second
time*
time re-test test panel is CDR.
Yes
End of process
Figure 6-39 The sample processing line re-test procedure when the “Allow multiple times of re-exam for
blood samples” function is enabled
6 - 50
Setting up the labXpert Software
Add Operator's level and Add a filed to display in the sample list area. /
above Select an item in the “Available Items” area,
and click “Add”.
The selected item is added to the end of the
table in “Selected Items” area.
Delete Operator's level and Delete a filed from the sample list area. /
above Select the item you to delete in the
“Selected Items” area. Tap "Delete".
The selected item is removed from the
“Selected Items” area, and appears in the
“Available Items” area.
When necessary, follow the instruction below to customize the settings for displaying HbA1c parameters:
1. On the labXpert data management end, click “More”-”System Setup”-”HbA1c Para.” to enter the “HbA1c
Para.” setup screen.
2. (Optional) When necessary, customize the “Lower Limit”/”Upper Limit”of the parameters reference range,
as well as the parameter units.
3. (Optional) When necessary, click to check/un-check the “Select” check box.
Only the “selected” parameters will display on the report screen.
4. (Optional) When necessary, click “Default” to restore to the default settings.
See below for the default settings for HbA1c parameters.
6 - 51
Setting up the labXpert Software
NOTE
• For the units of parameter HbA1c, 3 options are available: %(NGSP), %(Mono-S) and mmol/mol. You
cannot choose %(NGSP) and %(Mono-S) at the same time.
• For the parameter HbA1c, when you have modified its reference range for any unit, the reference
ranges for any other 2 units changes accordingly.
• For units of parameter eAG, two options are available: mmol/L and mg/dL. When you choose mg/dL
as the unit for report, the reference range for the parameter automatically changes to 0~999.
When necessary, customize new parameters by using mathematic operations on existing parameters.
When the “Customized Para. ” function is enabled, labXpert automatically calculates the results of customized
parameters, and displays the results on the “RUO Parameters” tab.
6 - 52
Setting up the labXpert Software
NOTE
• For the information of how to define the expert tips, refer to 6.13 Expert Tip Setup.
3. Define the name, the “Ref. Ranges”, the “Parameter Unit”, the “Decimal Places” and the “Formula”.
See Table 6-10 The settings of “Customized Para. ” for the settings.
Ref. Ranges Use an external keyboard to enter the reference Only digits can be entered.
range for the new parameter The allowed range is [0,9999]
The unit for the reference range is the same as
that being defined in the “Parameter Unit”
Parameter Unit Use an external keyboard to enter the unit for The field cannot be left empty.
the parameter If not applicable, enter “/”.
Decimal Places Select a decimal place from the pull-down list. Available Options include: 0,1,2,3,4
6 - 53
Setting up the labXpert Software
Formula Click the edit box of “Formula”, and enter the You cannot use external keyboard to enter
formula. the formula.
To complete the formula, select the parameters For the explanation of operators, refer to
from the “Abbreviation” list, and select Appendix B Mathematic Operators.
necessary operators from the “Operators” area.
4. Click “OK”.
√ The customized parameter displays.
3. Define the name, the “Ref. Ranges”, the “Parameter Unit”, the “Decimal Places” and the “Formula”.
See Table 6-10 The settings of “Customized Para. ” for the settings.
4. Click “OK”.
6 - 54
Setting up the labXpert Software
6 - 55
Setting up the labXpert Software
6 - 56
7 Advanced Features
7.1 References
NOTE
• Inappropriate rule definition may lead to missing of abnormal samples. It is highly recommended
that users carefully read the references below and those suggested by your laboratory, and make
the rule configuration appropriate and reasonable.
The International Consensus Group for Hematology Review: Suggested Criteria for Action Following Automated
CBC and WBC Differential Analysis; P. W. BARNES, S. L. MCFADDEN, S. J. MACHIN, E. SIMSON; Lab Hematol.
2005;11:83-90.
NOTE
• See 3.1.4 Sample Result and Information Area-3.2.2.7 Rule record area.
NOTE
• To enable the auto validation rules, contact Mindray's customer service.
7-1
Advanced Features
When the Auto Validation function is not enabled, you can only define the re-exam rules on the screen.
7-2
Advanced Features
1 Function button • Click “Import” to import the auto validation rules from a PC disk.
area • Click “Export” to export the auto validation rules defined on the labXpert to a PC disk.
• Click “Debug Mode” to test the current auto validation rules.
2. Rules tree The rules tree displays current auto validation rules
3. Rules Setup In the area, set up the validation rules for each checking point.
Area
NOTE
• Based on your system configuration, your real software screen may look different from the
illustration in the manual.
7-3
Advanced Features
Checking points
(White)
(Blue)
The path a sample will go after it passes the validation at a certain checking point
(Green)
The path a sample will follow after it fails the validation at a certain checking point
(Orange)
Auto Validation OK
(Green)
A sample does not pass the auto validation and needs the attention of the operators
(Yellow) (Red)
The percent of the samples passing or not passing the validation at a certain checking
%
point
7-4
Advanced Features
Checking
Checking rules Pass criteria Note
points
Abnormal Check whether there is any No abnormal sample warning Different instrument provide
Sample Check warning indicating that the different types of flags. See the
sample is abnormal operator's manual of the
analyzer for details.
Panic Value Check whether there is critical No critical value in the sample /
Check value in the sample results results
Parameter Check whether the parameter All parameter results are within The parameter reference ranges
and Flag results are within the reference the reference ranges, and no and the flags are related to the
Check ranges set on the software; flags in concern are found instruments and the analysis
check whether there are any modes. See the operator's
special flags reported manual of the instrument for
details
Normal Range Compare the parameter results The variations of all parameter Parameters and flags that have
Delta Check and the flags with historical results and flags from the passed the abnormal range
results, and see whether they historical results do not exceed Delta check or clinical
exceed the allowable limits of the allowable limits. exception check are not
variation checked at this point
Manual Check whether the sample The sample does not trigger /
Review needs further check and any manual review conditions
Conditions validation
Abnormal Compare the parameter results The variations of all parameter At this checking point, not all
Range Delta and the flags with historical results and flags from the the parameter results/flags of
Check results, and see whether they historical results do not exceed the sample will be examined.
exceed the allowable limits of the allowable limits. Only the parameters/flags that
variation failed at the “Parameter and
Flag Check” will be examined.
Clinical Check whether the sample The sample parameter results At this checking point, not all
Exception parameter results and flags are and flags are consistent with the parameter results/flags of
consistent with the clinical the clinical diagnosis the sample will be examined.
diagnosis Only the parameters/flags that
failed at the "Abnormal Range
Delta Check” will be examined.
7-5
Advanced Features
Description Note
Review Samples reaching this point still need further When necessary, move a sample to the
check and validation "Microscopic” by clicking the “To Smear
Validation” button in the “Sample
Procedure” area.
Refer to Table 3-8 Tasks.
Microscopic Samples reaching this point need to be When necessary, move a sample from
checked under microscope "Microscopic” to the "Review" (for manual
validation) by clicking the “To Manual
Validation” button in the “Sample Procedure”
area.
Refer to Table 3-8 Tasks.
7-6
Advanced Features
MSG Defined by the users. The message will Defined by the users. The message will
display when the sample does not pass display when the sample does not pass
the checking point. the checking point.
When “Display rule details” is enabled,
the “Rule Record” box displays detailed
information of the triggered rules,
including the rule name, the message,
the actions taken, as well as the rule
expressions. If the user has not defined
MSG for a rule, the “Rule Record” box will
not display rule details even when a
sample has triggered the rule.
The MSG field is not a mandatory field. It
is recommended to define the MSG for
every rule.
At this checking point, you can see the abnormal sample flags supported by your instruments. The flags include:
■ Aspiration Abn
■ Asp.Abn/Abn.Sample
■ RBC Agglutination?
■ CRP sample aspiration abnormal (when there is a CRP-M100 on your system)
Follow instructions below to enable the abnormal sample check.
1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the “Abnormal Sample Check” check point.
√ The "Abnormal Sample Check” checking point is highlighted in blue.
3. In the rule setup area, select the flag you want to activate.
4. (Optional) In the “MSG” field, define the message you want to display on the sample report when a sample
fails to pass the checking point.
5. Click another tab, and follow the software instruction to save the settings.
√ Samples that have passed the "Abnormal Sample Check” goes to the “Panic Value Check” checking
point.
√ Samples that have failed to pass the “Abnormal Sample Check” goes to the “Reexam Condition”
checking point.
7-7
Advanced Features
4. Select the parameters to define the panic values. Then click “OK”.
5. Click the "Upper Limit" and "Lower Limit" cells and enter the limit values for the panic values check.
6. (Optional) Click the "MSG" field to enter the message to display on the sample result screen when the
check fails;.
7. Click another tab, and follow the software instruction to save the settings.
√ Samples that have passed the "Panic Value Check” goes to the “Parameter and Flag Check” checking
point.
√ Samples that have failed to pass the “Panic Value Check” goes to the “Reexam Condition”.
7-8
Advanced Features
4. Select the parameters to define the parameter check rules. Then click “OK”.
5. Click the "Upper Limit" and "Lower Limit" fields and enter the upper/lower limit values for the parameter
check.
6. (Optional) Click the "MSG" field to enter the message to display on the sample result screen when the
check fails;.
7. Click another tab, and follow the software instruction to save the settings.
Follow instructions below to activate the “Flag Check” rules.
1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the “Parameter and Flag Check” checking point.
√ The “PParameter and Flag Check” checking point is highlighted in blue.
7-9
Advanced Features
4. On the "Select" dialog box, select the desired flag, and click "OK".
5. (Optional) Click the "MSG" field to enter the message to display on the sample result screen when the
check fails.
6. Click another tab, and follow the software instruction to save the settings.
Samples that have passed “Parameter and Flag Check” goes to “Normal Range Delta Check” checking point.
Samples that have failed to pass the "Parameter and Flag Check” goes to the "Abnormal Range Delta Check”
checking point.
7 - 10
Advanced Features
Day(s) This field defines in what time For the same patient, Delta Check is applied to the current
period the Delta Check will be sample result with the patient’s latest historical result in the
applied. same period.
Change Select “Increase”, “Decrease” or • When “Increase” is selected, if a parameter result has
“Change” from the pull-down list. increased by a value/percentage that exceeds the defined
range from the latest historical result in the defined period,
the sample fails to pass the Delta Check;
• When “Decrease” is selected, if a parameter result has
decreased by a value/percentage that exceeds the defined
range from the latest historical result in the defined period,
the sample fails to pass the Delta Check;
• When “Change” is selected, if a parameter result has
increased/decreased by a value that exceeds the defined
range from the latest historical result in the defined period,
the sample fails to pass the Delta Check.
Difference Define the deviation limit (in If a parameter result has increased/decreased by a value/
(#) absolute value) between the results percentage that exceeds the defined range from the latest
from the two tests for each selected historical result in the defined period, the sample fails to pass
parameter the Delta Check;
When both “Difference(#)” and “Difference (%)” are defined, as
long as the deviation does not exceed any one of the two values,
Difference Define the deviation limit (in the sample passes Delta Check.
(%) percentage) between the results
from the two tests for each selected
parameter
1. When necessary, repeat step 4-5 to define the Delta Check rule for other parameters.
2. Click the "MSG" field to enter the message to display on the sample result screen when the sample fails
Normal Range Delta Check or passes Abnormal Range Delta Check.
3. Click another tab, and follow the software instruction to save the settings.
NOTE
• To delete the Parameter Delta Check rule for a certain parameter, click the “Select” button at the
bottom of the screen, and then un-check the parameter.
7 - 11
Advanced Features
Day(s) This field defines in what time For the same patient, Delta Check is applied to the current
period the Delta Check will be sample result with the patient’s latest historical result in the
applied. same period.
6. When necessary, repeat step 4-5 to define the Delta Check rule for other parameters.
7. Click another tab, and follow the software instruction to save the settings.
NOTE
• To delete the Flag Delta Check rule for a certain flag, click the “Select” button at the bottom of the
screen, and then un-check the parameter.
The samples that have passed the “Normal Range Delta Check” goes to the “Manual Review Conditions”
checking point.
Samples that have failed to pass the “Normal Range Delta Check” goes to the “Reexam Condition” checking
point.
Samples that have passed “Abnormal Range Delta Check” goes to “Normal Range Delta Check” checking
point.
The samples that have failed to pass the “Abnormal Range Delta Check” goes to the “Clinical Exception”
checking point.
7 - 12
Advanced Features
NOTE
• Only the parameters/flags that have not passed the check at the “Parameter and Flag Check”
checking point will be checked at the “Abnormal Range Delta Check” checking point.
• When a sample passes the Normal Range Delta Check, MSG will not be registered (will not display on
the sample result screen); when a sample fails to pass the Normal Delta Check, MSG will be
registered (display on the sample result screen).
• When a sample fails to pass the Abnormal Range Delta Check, MSG will not be registered (will not
display on the sample result screen); when a sample passes the Abnormal Range Delta Check, MSG
will be registered (display on the sample result screen).
7 - 13
Advanced Features
NOTE
• To make a rule effectively, for the “Ignore Parameter Abnormal” and the “Ignore Flag” fields, at least
define one of the fields.
7 - 14
Advanced Features
Department Set the department information Administrators may click “System Setup-""Data Dictionary”
to enter the “Data Dictionary” setup screen, and enter
Ward Set up the ward information. frequently-used entries for “Department", “Ward”, “Patient
Type” and “Comments” to the dictionary. The entries in the
Patient Type Define the patient type
“Data Dictionary Item” will display in the pull-down lists of
the corresponding items in the "Applicable Conditionss"
area.
First Visit and When necessary, check the check box When the check box of “First Visit” is checked, only the
Return Visit of “First Visit”, “Return Visit”, or “All”. samples matching with the “first visit” definition comply with
Patients the rule.
Sample ID Define the range of applicable Sample The samples whose Sample IDs fall in the defined range of
IDs. “Sample ID” comply with the rule.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
Comments Set up the comment messages as Users at administrator's level may set up template messages
necessary. for the “Comments” (“System Setup”-”Data Dictionary
Item”). The entries in the “Data Dictionary Item” will display
in the pull-down lists of the corresponding items in the
"Applicable Conditions" area.
Department Set the department information Administrators may click “System Setup”-""Data
Dictionary” to enter the “Data Dictionary” setup screen,
Ward Set up the ward information. and enter frequently-used entries for “Department", “Ward”,
“Patient Type” and “Comments” to the dictionary. The
Patient Type Define the patient type
entries in the “Data Dictionary Item” will display in the pull-
down lists of the corresponding items in the "Applicable
Conditions" area.
Sample ID Define the range of applicable Sample The samples whose Sample IDs fall in the defined range of
IDs. “Sample ID” comply with the rule.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
7 - 15
Advanced Features
Comments Set up the comment messages as • When the information entered in the “Comments” box on
necessary. the sample results screen includes the message entered
here, the sample meets the “Comments” condition.
• Users at administrator's level may set up template
messages for the “Comments” (“System Setup”-”Data
Dictionary Item”). The entries in the “Data Dictionary
Item” will display in the pull-down lists of the
corresponding items in the "Applicable Conditions"
area.
Diagnosis Set up the diagnostic information When the information entered in the “Diagnosis Info.” box
Information messages as necessary. on the sample results screen includes the message entered
here, the sample meets the “Diagnosis Info.” condition.
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
7 - 16
Advanced Features
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules are
conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
The samples that meet the clinical exception conditions goes to the “Normal Range Delta Check” checking
point.
The samples that do not meet the clinical exception conditions goes to the “Reexam Condition” checking
point.
7 - 17
Advanced Features
7 - 18
Advanced Features
Department Set the department information Administrators may click “System Setup”-""Data
Dictionary” to enter the “Data Dictionary” setup screen,
Ward Set up the ward information. and enter frequently-used entries for “Department", “Ward”,
“Patient Type” and “Comments” to the dictionary. The
Patient Type Define the patient type entries in the “Data Dictionary Item” will display in the pull-
down lists of the corresponding items in the "Applicable
Conditions" area.
First Visit and When necessary, check the check box When the check box of “First Visit” is checked, only the
Return Visit of “First Visit”, “Return Visit”, or “All”. samples matching with the “first visit” definition comply with
Patients the rule.
Sample ID Define the range of applicable Sample The samples whose Sample IDs fall in the defined range of
IDs. “Sample ID” comply with the rule.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
Comments Set up the comment messages as • When the information entered in the “Comments” box on
necessary. the sample results screen includes the message entered
here, the sample meets the “Comments” condition.
• Users at administrator's level may set up template
messages for the “Comments” (“System Setup”-”Data
Dictionary Item”). The entries in the “Data Dictionary
Item” will display in the pull-down lists of the
corresponding items in the "Applicable Conditions"
area.
Diagnosis Set up the diagnostic information When the information entered in the “Diagnosis Info.” box
Information messages as necessary. on the sample results screen includes the message entered
here, the sample meets the “Diagnosis Info.” condition.
Department Set the department information Administrators may click “System Setup”-""Data
Dictionary” to enter the “Data Dictionary” setup screen,
Ward Set up the ward information. and enter frequently-used entries for “Department", “Ward”,
“Patient Type” and “Comments” to the dictionary. The
Patient Type Define the patient type
entries in the “Data Dictionary Item” will display in the pull-
down lists of the corresponding items in the "Applicable
Conditions" area.
Sample ID Define the range of applicable Sample The samples whose Sample IDs fall in the defined range of
IDs. “Sample ID” comply with the rule.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
7 - 19
Advanced Features
Comments Set up the comment messages as • When the information entered in the “Comments” box on
necessary. the sample results screen includes the message entered
here, the sample meets the “Comments” condition.
• Users at administrator's level may set up template
messages for the “Comments” (“System Setup”-”Data
Dictionary Item”). The entries in the “Data Dictionary
Item” will display in the pull-down lists of the
corresponding items in the "Applicable Conditions"
area.
Diagnosis Set up the diagnostic information When the information entered in the “Diagnosis Info.” box
Information messages as necessary. on the sample results screen includes the message entered
here, the sample meets the “Diagnosis Info.” condition.
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
7 - 20
Advanced Features
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear theFLAG Rules rule.
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules are
conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
The samples that have passed the “Manual Review Conditions” checking point will be automatically validated.
The samples that have failed to pass the “Manual Review Conditions” goes to the “Reexam Condition”
checking point.
7 - 21
Advanced Features
Table 7-3 Re-exam modes supported by the BC-6000 series hematology analyzers
Sample check (by physician) The labXpert prompts the physicians to check whether the sample is normal
Analyzer status confirmation The labXpert prompts the operators to check whether there are any errors with
the system, and whether the system works properly
Rerun in same mode Run the sample with the original test panel
7 - 22
Advanced Features
+R*/+CDR*/+CD/+D/+C/+R/PLT-8X* Additional test item(s) are added to the original test panel for the re-exam. For
example, the original test panel set up for the sample is “CD”, and the sample
triggers a re-exam rule requiring an additional RET test (“+R”). When the sample
is re-examined, the test panel is CDR.
If the original test panel set up for the sample is “CD”, and the sample triggers a
re-exam rule requiring an additional RET test with the PLT-8X method, (“+R/PLT-
8X”). When the sample is re-examined, the test panel is CDR/PLT-8X.
CDR*/RET*/CR*/CD/CBC The system analyzes the sample with the new test panel specified by the re-exam
rules.
For example, the original test panel set up for the sample is “CDR”, and the
sample triggers a re-exam rule requiring “CD” tests. When the sample is re-
examined, the test panel is CD.
CR/PLT-8X or CDR/PLT-8X When the sample's PLT result is lower than a specified level, use the PLT-8X mode
to analyze the sample.
Table 7-4 Re-exam modes supported by the BC-6800Plus series hematology analyzers
Sample check (by The labXpert prompts the physicians to check whether the sample is normal
physician)
Analyzer status The labXpert prompts the operators to check whether there are any errors with the
confirmation system, and whether the system works properly
Rerun in same mode Run the sample with the original test panel
+R/+CDR/+CD/+D/+C/+R/ Additional test item(s) are added to the original test panel for the re-exam. For example,
PLT-8X the original test panel set up for the sample is “CD”, and the sample triggers a re-exam rule
requiring an additional RET test (“+R”). When the sample is re-examined, the test panel is
CDR.
If the original test panel set up for the sample is “CD”, and the sample triggers a re-exam
rule requiring an additional RET test with the PLT-8X method, (“+R/PLT-8X”). When the
sample is re-examined, the test panel is CDR/PLT-8X.
CDR/RET/CR/CD/CBC The system analyzes the sample with the new test panel specified by the re-exam rules.
For example, the original test panel set up for the sample is “CDR”, and the sample triggers
a re-exam rule requiring “CD” tests. When the sample is re-examined, the test panel is CD.
CR/PLT-8X or CDR/PLT-8X When the sample's PLT result is lower than a specified level, use the PLT-8X mode to
analyze the sample.
Table 7-5 Re-exam modes supported by the CAL 8000 sample processing line (with integrated
cabinet)
Sample check (by physician) The labXpert prompts the physicians to check whether the sample is normal
Analyzer status confirmation The labXpert prompts the operators to check whether there are any errors with the
system, and whether the system works properly
Rerun in same mode (on same Run the sample with the original test panel on the same analyzer that tested the
analyzer) sample before.
Rerun in same mode (on Run the sample with the original test panel on another analyzer
another analyzer)
*Dilute and rerun (on same Applicable to samples with very high WBC counts (i.e. exceeding the linearity upper
analyzer) limit). The sample will be tested again on the same analyzer that tested the sample
before. And for this time, the analyzer will aspirate the sample and analyze it with
lower flow rate to avoid overlapping of the particles.
7 - 23
Advanced Features
*Dilute and rerun (on another Applicable to samples with very high WBC counts (i.e. exceeding the linearity upper
analyzer) limit). The sample will be tested again on another analyzer. And for this time, the
analyzer will aspirate the sample and analyze it with lower flow rate to avoid
overlapping of the particles.
+R/+CDR/+CD/+D/+C/+CDN*/ Additional test item(s) are added to the original test panel for the re-exam. For
+CN*/+CDNR* example, the original test panel set up for the sample is “CD”, and the sample triggers a
re-exam rule requiring an additional RET test (“+R”). When the sample is re-examined,
the test panel is CDR.
CDR/RET/CR/CD/CBC/CDN*/ The system analyzes the sample with the new test panel specified by the re-exam
CN*/CDNR* rules.
For example, the original test panel set up for the sample is “CDR”, and the sample
triggers a re-exam rule requiring “CD” tests. When the sample is re-examined, the test
panel is CD.
CR/PLT-8X or CDR/PLT-8X When the sample's PLT result is lower than a specified level, use the PLT-8X mode to
analyze the sample. This mode is only available when your sample processing line is
configured with BC-6800Plus series hematology analyzers.
Smear The sample will be send to the Slide Maker & Stainer (SM&S) to make smears for
examination under microscope. This mode is only available when your sample
processing line is configured with an SM&S.
Stop CRP Analysis Available when there is an analyzer with CRP test module in the system.
The original test panel include a CRP test. However when the sample triggers the re-
exam rules, the system will not perform the CRP analysis.
Note:
• When this re-exam rule is triggered, a message will also be provided in the
“Message ” area on the labXpert operation end.
*Only available when your sample processing line is configured with BC-6800, or BC-6600 hematology analyzers.
Table 7-6 Re-exam modes supported by the CAL series bench-top sample processing line
Sample check (by The labXpert prompts the physicians to check whether the sample is normal
physician)
Analyzer status The labXpert prompts the operators to check whether there are any errors with the
confirmation system, and whether the system works properly
Rerun in same mode Run the sample with the original test panel
Smear The sample will be send to the Slide Maker & Stainer (SM&S) to make smears for
examination under microscope. This mode is only available when your sample processing
line is configured with an SM&S.
+R*/+CDR*/+CD/+D/+C Additional test item(s) are added to the original test panel for the re-exam. For example,
the original test panel set up for the sample is “CD”, and the sample triggers a re-exam rule
requiring an additional RET test (“+R”). When the sample is re-examined, the test panel is
CDR.
CDR*/RET*/CR*/CD/CBC The system analyzes the sample with the new test panel specified by the re-exam rules.
For example, the original test panel set up for the sample is “CDR”, and the sample triggers
a re-exam rule requiring “CD” tests. When the sample is re-examined, the test panel is CD.
*Only available when your sample processing line is configured with BC-6000Plus, BC-6100Plus, BC-6200 or BC-
7500 CRP series [R] and [NR] models.
7 - 24
Advanced Features
Table 7-7 Re-exam modes supported by the BC-7500 CRP series hematology analyzers
Sample check (by The labXpert prompts the physicians to check whether the sample is normal
physician)
Analyzer status The labXpert prompts the operators to check whether there are any errors with the
confirmation system, and whether the system works properly
Rerun in same mode Run the sample with the original test panel
+R*/+CDR*/+CD/+D/+C/ Additional test item(s) are added to the original test panel for the re-exam. For example,
+R/PLT-8X* the original test panel set up for the sample is “CD”, and the sample triggers a re-exam rule
requiring an additional RET test (“+R”). When the sample is re-examined, the test panel is
CDR.
If the original test panel set up for the sample is “CD”, and the sample triggers a re-exam
rule requiring an additional RET test with the PLT-8X method, (“+R/PLT-8X”). When the
sample is re-examined, the test panel is CDR/PLT-8X.
CDR*/RET*/CR*/CD/CBC The system analyzes the sample with the new test panel specified by the re-exam rules.
For example, the original test panel set up for the sample is “CDR”, and the sample triggers
a re-exam rule requiring “CD” tests. When the sample is re-examined, the test panel is CD.
CR/PLT-8X* or CDR/PLT-8X* When the sample's PLT result is lower than a specified level, use the PLT-8X mode to
analyze the sample.
Stop CRP Analysis The original test panel include a CRP test. However when the sample triggers the re-exam
rules, the system will not perform the CRP analysis.
Note:
• When this re-exam rule is triggered, a message will also be provided in the “Message ”
area on the labXpert operation end.
NOTE
• For the instruction of how to enable the ” Rule-"First Time" days“ rule, refer to 6.14 Other Settings.
Department Set the department information Administrators may click “System Setup”-""Data
Dictionary” to enter the “Data Dictionary” setup screen,
Ward Set up the ward information. and enter frequently-used entries for “Department", “Ward”,
“Patient Type” and “Comments” to the dictionary. The
Patient Type Define the patient type
entries in the “Data Dictionary Item” will display in the pull-
down lists of the corresponding items in the "Applicable
Conditions" area.
7 - 25
Advanced Features
First Visit and When necessary, check the check box When the check box of “First Visit” is checked, only the
Return Visit of “First Visit”, “Return Visit”, or “All”. samples matching with the “first visit” definition comply with
Patients the rule.
Sample ID Define the range of applicable Sample The samples whose Sample IDs fall in the defined range of
IDs. “Sample ID” comply with the rule.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
Comments Set up the comment messages as • When the information entered in the “Comments” box on
necessary. the sample results screen includes the message entered
here, the sample meets the “Commentst” condition.
• Users at administrator's level may set up template
messages for the “Comments” (“System Setup”-”Data
Dictionary Item”). The entries in the “Data Dictionary
Item” will display in the pull-down lists of the
corresponding items in the "Applicable Conditions"
area.
Diagnosis Set up the diagnostic information When the information entered in the “Diagnosis Info.” box
Information messages as necessary. on the sample results screen includes the message entered
here, the sample meets the “Diagnosis Info.” condition.
Department Set the department information Administrators may click “System Setup”-""Data
Dictionary” to enter the “Data Dictionary” setup screen,
Ward Set up the ward information. and enter frequently-used entries for “Department", “Ward”,
“Patient Type” and “Comments” to the dictionary. The
Patient Type Define the patient type
entries in the “Data Dictionary Item” will display in the pull-
down lists of the corresponding items in the "Applicable
Conditions" area.
Sample ID Define the range of applicable Sample The samples whose Sample IDs fall in the defined range of
IDs. “Sample ID” comply with the rule.
Rack No. Define the range of the tube rack No. The samples whose rack No. fall in the defined range of the
“Rack No.” comply with the rule.
Comments Set up the comment messages as • When the information entered in the “Comments” box on
necessary. the sample results screen includes the message entered
here, the sample meets the “Comments” condition.
• Users at administrator's level may set up template
messages for the “Comments” (“System Setup”-”Data
Dictionary Item”). The entries in the “Data Dictionary
Item” will display in the pull-down lists of the
corresponding items in the "Applicable Conditions"
area.
Diagnosis Set up the diagnostic information When the information entered in the “Diagnosis Info.” box
Information messages as necessary. on the sample results screen includes the message entered
here, the sample meets the “Diagnosis Info.” condition.
7 - 26
Advanced Features
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
7 - 27
Advanced Features
4. (Optional) When more than one rules are defined, select the “Relation” between the rules.
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules are
conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
NOTE
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
Day(s) This field defines in what time For the same patient, Delta Check is applied to the current
period the Delta Check will be sample result with the patient’s latest historical result in the
applied. same period.
Change Select “Increase”, “Decrease” or • When “Increase” is selected, if a parameter result has
“Change” from the pull-down list. increased by a value/percentage that exceeds the defined
range from the latest historical result in the defined period,
the sample fails to pass the Delta Check;
• When “Decrease” is selected, if a parameter result has
decreased by a value/percentage that exceeds the defined
range from the latest historical result in the defined period,
the sample fails to pass the Delta Check;
• When “Change” is selected, if a parameter result has
increased/decreased by a value that exceeds the defined
range from the latest historical result in the defined period,
the sample fails to pass the Delta Check.
7 - 28
Advanced Features
Difference Define the deviation limit (in If a parameter result has increased/decreased by a value/
(#) absolute value) between the results percentage that exceeds the defined range from the latest
from the two tests for each selected historical result in the defined period, the sample fails to pass
parameter the Delta Check;
When both “Difference(#)” and “Difference (%)” are defined, as
long as the deviation does not exceed any one of the two values,
Difference(% Define the deviation limit (in the sample passes Delta Check.
) percentage) between the results
from the two tests for each selected
parameter
1. (Optional) When more than one rules are defined, select the “Relation” between the rules.
AND When the rules are combined with the “AND” condition, the sample meets the criteria only when all the rules are
conformed with.
OR When the rules are combined with the “OR” condition, the sample meets the criteria when any of the rules are
conformed with.
NOTE
• If more than one Delta Check rules are defined, and they are combined with the “AND” condition,
only when a sample fails to meet all the rules, the sample will be considered to fail the Delta Check,
and will be sent for re-exam.
• To edit or clear an existing rule, click the “Setup” button to enter the rule setup screen, and then edit
the rule, or click “Clear” to clear the rule.
NOTE
• You cannot edit, delete or disable the default configuration group.
7 - 29
Advanced Features
■ To edit an existing customized configuration group, select the group in the list, and edit it in the editing
area.
■ To enable a customized configuration group, select the group in the rule list, and check the “Enable” check
box in the editing area.
■ To disable a customized configuration group, select the group in the rule list, and un-check the “Enable”
check box in the rule editing area.
■ To delete a customized configuration group, select the group in the rule list, and click “Delete” to delete it.
4. Click another tab, and follow the software instruction to save the settings.
Department Set the department information Administrators may click “System Setup”-""Data
Dictionary” to enter the “Data Dictionary” setup screen,
Patient Type Define the patient type and enter frequently-used entries for “Department", “Ward”,
“Patient Type” and “Comments” to the dictionary. The
entries in the “Data Dictionary Item” will display in the pull-
down lists of the corresponding items in the "Applicable
Conditions" area.
Department Set the department information Administrators may click “System Setup”-""Data Dictionary
to enter the “Data Dictionary” setup screen, and enter
Patient Type Define the patient type frequently-used entries for “Department", “Ward”, “Patient
Type” and “Comments” to the dictionary. The entries in the
“Data Dictionary Item” will display in the pull-down lists of
the corresponding items in the "Applicable Conditions"
area.
7 - 30
Advanced Features
3. Set up the time range of the historical samples that you want to use to test the tree.
a Click "Time Range".
√ The "Please select sample time range" dialog box displays.
b Define the time range of the historical samples that you want to use to test the tree, and click “OK”.
c Click "Start Debug".
√ The rule tree displays the historical sample results pass rates at each checking point under current
validation rules (in blue font).
4. (Optional) When necessary, adjust the auto validation rules.
a Click the checking point to adjust the rules.
b After you have completed the adjustment, click “Start Debug” to run the sample results again, and
check if the pass rates are satisfactory now.
c (Optional) Repeat steps a-b if necessary, until the pass rates accord with expectation.
5. After adjustment, click “Effect”, and follow the instruction to save the new rules.
NOTE
• If you want to end the adjustment without saving your adjustment to the rules, click “Exit debug
mode”.
6. Click another tab, and follow the software instruction to save the settings.
7 - 31
Advanced Features
NOTE
• For the samples of glycohemoglobin test, the test duration for the glycohemoglobin test is not
included in the TAT.
7 - 32
Advanced Features
NOTE
• When you choose “Re-Exam Results”, the re-exam test times will be counted in the statistics result; if
you don’t choose “Re-Exam Results”, the re-exam test times will not be counted in the statistics
result.
• “Background tests” statistics is not available for CRP-M100/BC-6800 series analyzers. If you select
CRP-M100/BC-6800 series analyzers, “Background tests” will by default be gray and cannot be
selected;
• When you choose “All” analyzers, if one of them support “Background tests” statistics function,
then you can select “Background tests”. Otherwise, the “Background tests” box will be gray;
• When you choose “Background tests”, the background test times will be counted in the statistics.
5. Click “Start”.
7 - 33
Advanced Features
√ The screen displays the sample statistics for the defined month or the time period.
6. If needed, you can export the statistic result as per the following steps.
■ When you choose the “Monthly” type, the exported file format is “dat”.
■ When you choose the “Custom” type, the exported file format is “csv”.
7 - 34
8 Using the “Quick Set Test Mode” Widget
When running samples on a BC-6800Plus/BC-6000/BC-7500 CRP series analyzer under CT/OV mode, you can
choose to enter sample information with the “Quick Entry of Sample ID” widget.
Click to minimize the screen Press the hot key you set up on the
“Setup” screen to call out the full screen.
8-1
Using the “Quick Set Test Mode” Widget
2 Sample The area displays the sample that is being Click the area to drag the widget to a
information processed, and the sample ID and the analysis desired position
area mode of the next sample
2. Set up the hot key for quick displaying the widget, the desired language and the IP address.
3. Click "Save".
8-2
Using the “Quick Set Test Mode” Widget
NOTE
• When the widget fails to inquire the sample information on labXpert/LIS, press the “UP” / “DOWN”
arrow on your external keyboard to select the test panel.
• When the widget fails to inquire the sample information on labXpert/LIS, you can press the [Enter]
key on your external keyboard, or click the “Modify” button to inquire again.
• Make sure the analyzer is at the “Count” screen, and is set to CT/OV analysis mode. Make sure there
is no prompt box open on the analyzer.
8-3
Using the “Quick Set Test Mode” Widget
8-4
9 Analyzer-to-Analyzer Result Consistency Check
When your laboratory uses the labXpert to manage the sample results from various analyzers, you can use the
result consistency check function to compare the results of the same samples on different analyzers, so as to
monitor the status of the analyzers.
NOTE
• For the method to enable the “result consistency check” function, refer to 6.2.3 Customizing the
Category Tabs.
9-1
Analyzer-to-Analyzer Result Consistency Check
Description
1 Analyzer The “Groups” area displays existing analyzer 10 groups can be set up at maximum.
groups groups for the result consistency check. For the introduction of how to set up analyzer
groups, refer to 9.1.1 Setting up the Analyzer
Groups.
2 Tube order Set up the sample tube worklists for results The sample results that are for result consistency
setting area consistency check in the “Tube Worklist” area. check will not be shown in the normal test
When labXpert receives the sample results and sample list.
matches the sample ID with that of a sample For the introduction of how to set up sample
tube worklist, it includes the sample results for tube orders, refer to 9.2.1 Setting up Tube
results consistency check. Worklists.
3 Out-of- Set up the out-of-control rules for the results For detailed information, refer to 9.1.2 Setting up
control rules consistency check in the “Criteria for Out-of- Out-of-Control Rules.
Control” area.
NOTE
• 10 groups can be set up at maximum.
9-2
Analyzer-to-Analyzer Result Consistency Check
Description Notes
1 Group name Define a name for the group A group name must not be the same as that
for an existing one.
2 Analyzers in Select an analyzer from the pull-down list; All the instruments that have connected to
the group the labXpert are shown in the pull-down list;
All the analyzers in the same group must be
of the same type. For example, you cannot
place an analyzer used only for CRP tests and
analyzer used only for hematology tests into
one group.
5 “Edit” button Click the “Edit” button and edit the group See 9.1.1.1 Adding/editing/deleting groups.
setting
6 “Delete” Click the “Delete” button, and delete the See 9.1.1.1 Adding/editing/deleting groups.
button selected analyzer group(s) or the analyzer(s) in a
group
NOTE
• A group must have two analyzers at minimum.
• The analyzers in a group must perform the same type of tests. For example, you cannot put an
analyzer used only for CRP tests and analyzer used only for hematology tests into one group.
• For analyzers that may perform different types of tests (i.e. An analyzer that can do CRP tests and
blood routine tests at the same time), select the test type to include in the consistency check.
1. On the labXpert software data management end, click “Consistency”-”Setup” to enter the result
consistency check screen.
2. Click the “New Group” function.
3. Name the new group.
4. Follow the instruction to add analyzers to a group.
a Click to add an analyzer into a group.
b Select an analyzer from the pull-down list.
9-3
Analyzer-to-Analyzer Result Consistency Check
3. As necessary, add or delete the analyzers in a group, or edit the target setting for result consistency check.
4. After editing the settings, click “End Editing” to exit the editing mode.
9-4
Analyzer-to-Analyzer Result Consistency Check
NOTE
• When the group setting is changed, the result consistency check data refresh in accordance with the
new setting.
Deleting groups
Follow the instructions to delete a group:
1. On the labXpert software data management end, click “Consistency”-”Setup” to enter the result
consistency check screen.
2. Click the “Edit” button to enter the editing mode.
3. Click to select a group, and click "Delete" to delete it.
4. After editing the settings, click “End Editing” to exit the editing mode.
NOTE
• When a group is deleted, all the existing data of the group will be deleted.
4. On the “Para.Setup” dialog box, select the parameters for result consistency check. If necessary, adjust the
parameter display sequence.
9-5
Analyzer-to-Analyzer Result Consistency Check
Operator's level and Click to move an item to the top of the list /
above
9-6
Analyzer-to-Analyzer Result Consistency Check
Para. Operator's level and Click “Para.Setup” to set up the parameters For the instructions, refer to
above for results consistency check. 9.1.2.1 Setting up the parameters for
results consistency check.
Lower Operator's level and Set up the upper and lower limits of the When necessary, set up multiple
Limit/ above results values for the parameters. results segments.
Upper The “Limit” setting corresponds to
Limit
the parameter results segments.
After receiving the analyzer-
measured parameter results,
labXpert matches the results with
the results segments, and applies
the “Limit” applicable to the
segment.
Limit Operator's level and Click to set up the control limits for each /
above results segment.
Displayed Operator's level and Select a control limit display format from the /
by above pull-down list:
• CV(%)
• SD(#)
9-7
Analyzer-to-Analyzer Result Consistency Check
Figure 9-4 Setting up the tube orders for result consistency check
1. On the labXpert software data management end, click “Consistency”-”Setup” to enter the result
consistency check screen.
2. Click to select a group for results consistency check in the "Groups" area.
√ The tube worklists for the selected group display in the “Group Settings”-“Tube Worklist” area.
3. Add new tube orders.
a Click the “New” function.
b Use an external scanner to scan or manually enter the “Sample ID”, and select a “Mode” from the pull
down list.
4. (Optional) When necessary, click the tube order to edit it.
9-8
Analyzer-to-Analyzer Result Consistency Check
NOTE
• The sample results that are for result consistency check will not be shown in the normal test sample
list.
9-9
Analyzer-to-Analyzer Result Consistency Check
1 Time The time when the first analyzer starts analyzing Click the time, a green line displays on the
a sample for the result consistency check graph. The data points on the green line are the
test results for the sample on different
analyzers
2 Legends The legends indicate how the data points from The data points from different analyzers are
the analyzers display on the graph displayed in different shapes and colors, and
the data points from the analyzer are
connected with lines in different colors
3 The green The green line displays when you click the time /
line displayed on the top of the graph
The data points on the green line are the test
results for the sample on different analyzers
4 Deviation The 8 deviation index lines help the users to The 8 deviation index are set to ±50%, ±67%,
index lines observe the data deviation from the targets ±100% and ±120% deviated from the target
respectively
5 Parameters Displays the parameters included in the result You can set up the parameters to be included
consistency check in the result consistency check and the
parameter displaying sequence. Refer to
9.1.2 Setting up Out-of-Control Rules-
9.1.2.1 Setting up the parameters for results
consistency check
6 Data points The data points obtained during the result A red data point means the corresponding
for the result consistency check result has exceeded the defined control limits;
consistency The data points obtained from different Click a data point to see the detailed
check analyzers are displayed in different colors and information;
shapes Refer to 9.3.1.2 Reading the result consistency
check data point information for more
information.
9 - 10
Analyzer-to-Analyzer Result Consistency Check
Para. The parameter and the deviation For the calculation of deviation, see
9.3.3 Calculating the Deviation Value and
Deviation.
Analysis The analyzer producing the data point, the analysis The time displayed here is the time when the first
Info. time and the operator analyzer starts analyzing a sample for the result
consistency check
Criteria for The out-of-control rule defined for the parameter, For the introduction of how to set up control
Out-of- including the applicable result segment and the rules, refer to 9.1.2 Setting up Out-of-Control Rules.
Control control limits
Target The targets for the parameter According to user-defined settings, the targets
may be either of the following options:
• The mean values of all sample results
produced by all the analyzers in a group
• The results produced by the analyzer that has
been set to the target
For more information, refer to 9.1.1 Setting up the
Analyzer Groups-Table 9-1 Introduction to the
“Groups” settings.
Variation The result deviation value from the target value For the calculation of the deviation value, refer to
9.3.3 Calculating the Deviation Value and Deviation
9 - 11
Analyzer-to-Analyzer Result Consistency Check
Figure 9-7 Result consistency data table (when using the mean value as target)
Table 9-5 Introduction to the result consistency data table (when using the mean value as target)
1 Parameters Displays the parameters included in the result You can set up the parameters to be included
consistency check in the result consistency check and the
parameter displaying sequence. Refer to
9.1.2 Setting up Out-of-Control Rules-
9.1.2.1 Setting up the parameters for results
consistency check
9 - 12
Analyzer-to-Analyzer Result Consistency Check
3 Target The target for the parameter The mean values of all sample results produced
by all the analyzers in a group
For more information, refer to 9.1.1 Setting up
the Analyzer Groups-Table 9-1 Introduction to the
“Groups” settings.
5 Deviation The result deviation from the target value For the calculation of deviation, see
9.3.3 Calculating the Deviation Value and
Deviation.
6 Outliers The outliers that have exceeded the upper limits For the introduction of how to set up control
(upward) are displayed in red; and the "H” flag is displayed rules, refer to 9.1.2 Setting up Out-of-Control
next to the deviation. Rules.
7 Outliers The outliers that have exceeded the lower limits For the introduction of how to set up control
(downward) are displayed in blue; and the "L” flag is displayed rules, refer to 9.1.2 Setting up Out-of-Control
next to the deviation. Rules.
Figure 9-8 Result consistency data table (when the results of an analyzer are set to targets)
Table 9-6 Introduction to the result consistency data table (when the results of an analyzer are set
to targets)
1 Parameters Displays the parameters included in the result You can set up the parameters to be included
consistency check in the result consistency check and the
parameter displaying sequence. Refer to
9.1.2 Setting up Out-of-Control Rules-
9.1.2.1 Setting up the parameters for results
consistency check
3 The analyzer The results of the analyzer are used as the targets The analyzer is displayed in front of all other
whose values for the results consistency check analyzer in the group
results are
set to
targets
9 - 13
Analyzer-to-Analyzer Result Consistency Check
4 Target The analyzer producing the data point, and the The results produced by the analyzer that has
target for the parameter been set as the target
For more information, refer to 9.1.1 Setting up
the Analyzer Groups-Table 9-1 Introduction to the
“Groups” settings.
6 Deviation The result deviation from the target value For the calculation of deviation, see
index lines 9.3.3 Calculating the Deviation Value and
Deviation.
7 Outliers The outliers that have exceeded the upper limits For the introduction of how to set up control
(upward) are displayed in red; and the "H” flag is displayed rules, refer to 9.1.2 Setting up Out-of-Control
next to the deviation. Rules.
8 Outliers The outliers that have exceeded the lower limits For the introduction of how to set up control
(downward) are displayed in blue; and the "L” flag is displayed rules, refer to 9.1.2 Setting up Out-of-Control
next to the deviation. Rules.
The deviation value and deviation are calculated per the following formula:
Deviation value = (analyzer-measured value-target) / target
Deviation = Deviation value / control limit
Therefore,
The deviation value of the data point = (4.82-5.00)/5.00=-3.60%
The deviation = -3.60%/70%=-0.05
9 - 14
Analyzer-to-Analyzer Result Consistency Check
NOTE
• You cannot restore the deleted data.
• When a data point is selected and deleted, the whole set of data points of the sample produced in
the same test are deleted.
NOTE
• You cannot restore the deleted data.
• The whole set of data points of the sample produced in the same test are deleted.
9 - 15
Analyzer-to-Analyzer Result Consistency Check
4. Define the time range for exporting data, and click “OK”.
√ labXpert automatically generates the exported file.
5. Save the data file to the computer.
The data file is in the .csv format, and the naming pattern is “Consistency_group name_data exported time”.
9 - 16
Appendix A Abbreviations of Morphology Glossary
The following abbreviations may appear in the manual and on the labXpert software.
Abbreviation EN
Pro-Mon Promonocytes
Pro-Lym Prolymphocytes
Mon-blast Monoblasts
Mye-Blast Myeloblasts
Lym-blast Lymphoblasts
Pro-Mye Promyelocytes
Meta Metamyelocytes
Myelo Myelocytes
A-1
Abbreviations of Morphology Glossary
A-2
Appendix B Mathematic Operators
Meanings
= Equal to
+ Plus
x Multiply
- Minus
/ Divided by
^ Exponent
OR or
AND and
B-1
Mathematic Operators
B-2
P/N:046-019001-00(5.0)