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Mindray LabXpert Software Operator's Manual V50 E 250526 162922

This Operator's Manual for the labXpert Software, issued in May 2021 by Shenzhen Mindray Bio-Medical Electronics Co., Ltd., outlines the software's usage, features, and warranty details. It emphasizes the importance of operating the software by trained professionals and includes guidelines for daily use, quality control, and advanced features. The manual also contains contact information for the manufacturer and legal disclaimers regarding intellectual property and warranty limitations.

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Saddam Meshaal
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© © All Rights Reserved
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0% found this document useful (0 votes)
50 views228 pages

Mindray LabXpert Software Operator's Manual V50 E 250526 162922

This Operator's Manual for the labXpert Software, issued in May 2021 by Shenzhen Mindray Bio-Medical Electronics Co., Ltd., outlines the software's usage, features, and warranty details. It emphasizes the importance of operating the software by trained professionals and includes guidelines for daily use, quality control, and advanced features. The manual also contains contact information for the manufacturer and legal disclaimers regarding intellectual property and warranty limitations.

Uploaded by

Saddam Meshaal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Operator’s Manual

Laboratory Data Management Software


© 2016-2021 Shenzhen Mindray Bio-medical Electronics Co., Ltd. All rights Reserved.

For this Operator’s Manual, the issued Date is 2021-05.

Intellectual Property Statement


SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual
property rights to this Mindray product and this manual. This manual may refer to information protected by
copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or of
others.

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.

, , are the trademarks, registered or otherwise, of Mindray in China and


other countries. All other trademarks that appear in this manual are used only for informational or editorial
purposes. They are the property of their respective owners.

Responsibility on the Manufacturer Party


Contents of this manual are subject to changes without prior notice.

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

■ the product is used in accordance with the instructions for use.

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.

This warranty shall not extend to:

■ Malfunction or damage caused by improper use or man-made failure.

■ Malfunction or damage caused by unstable or out-of-range power input.

■ Malfunction or damage caused by force majeure such as fire and earthquake.

■ Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service


people.

■ Malfunction of the instrument or part whose serial number is not legible enough.

■ Others not caused by instrument or part itself.

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

E-mail Address: [email protected]

Tel: +86 755 81888998

Fax: +86 755 26582680

EC-Representative: Shanghai International Holding Corp. GmbH (Europe)

Address: Eiffestraβe 80, Hamburg 20537, Germany

Tel: 0049-40-2513175

Fax: 0049-40-255726

II
Table of Contents
1 Introduction to labXpert Software .................................................................................................................................. 1 -1

1.1 Read before Use ................................................................................................................................................................................................1 -1


1.2 About the Software .........................................................................................................................................................................................1 -1
1.3 A Brief Introduction to labXpert Software ...............................................................................................................................................1 -2
1.3.1 Introduction to the Operation End ..............................................................................................................................................1 -2
1.4 About this Operator’s Manual ......................................................................................................................................................................1 -4

2 Daily Use ............................................................................................................................................................................. 2 -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

3 Review and Process Sample Results ................................................................................................................................ 3 -1

3.1 Overview of the labXpert Data Management End ...............................................................................................................................3 -1


3.1.1 Tool Bar Functions .............................................................................................................................................................................3 -3
3.1.2 Status Bar ...............................................................................................................................................................................................3 -5
3.1.3 Search Area ...........................................................................................................................................................................................3 -6
3.1.4 Sample Result and Information Area ....................................................................................................................................... 3 -10
3.1.5 Sample List Area .............................................................................................................................................................................. 3 -11
3.2 View, Edit and Process Sample information and Results ................................................................................................................ 3 -21
3.2.1 Check Analysis Information ......................................................................................................................................................... 3 -22
3.2.2 Reviewing Report Results ............................................................................................................................................................. 3 -24
3.2.3 Reviewing RUO Parameter Results ........................................................................................................................................... 3 -32
3.2.4 i-Message ........................................................................................................................................................................................... 3 -35
3.2.5 Re-Exam Results ............................................................................................................................................................................... 3 -36
3.2.6 Historical Trend ................................................................................................................................................................................ 3 -37
3.2.7 Review Microscopic Exam Results ............................................................................................................................................. 3 -38
3.2.8 Edit Analysis Results ....................................................................................................................................................................... 3 -39
3.2.9 Restore the Analysis Results ........................................................................................................................................................ 3 -39
3.2.10 Delete Samples .............................................................................................................................................................................. 3 -39
3.2.11 Validate / Undo validation ......................................................................................................................................................... 3 -39
3.2.12 Transmit the Sample Results and Information to LIS ....................................................................................................... 3 -41
3.2.13 Re-search LIS ................................................................................................................................................................................... 3 -42
3.2.14 Data Snapshot ................................................................................................................................................................................ 3 -42
3.2.15 Sample Tracing .............................................................................................................................................................................. 3 -43
3.2.16 Mark an RUO sample ................................................................................................................................................................... 3 -43
3.2.17 Print Sample Results .................................................................................................................................................................... 3 -44
3.2.18 Print Customized Parameters ................................................................................................................................................... 3 -45
3.2.19 Export Sample Records ............................................................................................................................................................... 3 -45

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

4.1 The Quality Control Types Supported by the Instruments ...............................................................................................................4 -1


4.2 L-J QC ....................................................................................................................................................................................................................4 -1
4.2.1 QC Procedure ......................................................................................................................................................................................4 -1
4.2.2 Setting up QC Files ............................................................................................................................................................................4 -5
4.2.3 Run L-J QC Analysis ........................................................................................................................................................................ 4 -15
4.2.4 L-J QC Review ................................................................................................................................................................................... 4 -15
4.3 X-B QC ............................................................................................................................................................................................................... 4 -26
4.3.1 Validity Determination for X-B QC Samples .......................................................................................................................... 4 -27
4.3.2 Setting up X-B QC rules ................................................................................................................................................................ 4 -27
4.3.3 Run X-B QC Program ...................................................................................................................................................................... 4 -28

5 Microscopic Examination .................................................................................................................................................. 5 -1

5.1 Use WBC Counter to update DIFF results ...............................................................................................................................................5 -1


5.2 Entering New DIFF Results Directly ...........................................................................................................................................................5 -2
5.3 Add Morphology Information .....................................................................................................................................................................5 -3
5.4 Parameter Validation Confirmation ..........................................................................................................................................................5 -4

6 Setting up the labXpert Software .................................................................................................................................... 6 -1

6.1 Managing User Accounts ..............................................................................................................................................................................6 -1


6.2 Customizing Interface Views .......................................................................................................................................................................6 -2
6.2.1 Customizing the Table View ..........................................................................................................................................................6 -2
6.2.2 Customizing the Full View ........................................................................................................................................................... 6 -10
6.2.3 Customizing the Category Tabs ................................................................................................................................................ 6 -13
6.3 LIS Setup ........................................................................................................................................................................................................... 6 -19
6.3.1 Comm. Setup ..............................................................................................................................................6 -19
6.3.2 LIS Settings for Sample Receiving ............................................................................................................................................. 6 -21
6.4 Sample Transmission Settings ................................................................................................................................................................. 6 -22
6.5 QC Transmission ............................................................................................................................................................................................ 6 -25
6.6 Microscopic Setup ........................................................................................................................................................................................ 6 -27
6.7 Morphology Setup ........................................................................................................................................................................................ 6 -28
6.8 Setting up the Data Dictionary ................................................................................................................................................................ 6 -28
6.9 Setting up for Display Settings ................................................................................................................................................................. 6 -29
6.9.1 Report and Microscopic Parameters ........................................................................................................................................ 6 -30
6.9.2 Setting up for the Alarm Style .................................................................................................................................................... 6 -32
6.9.3 Setting up for the Sample List Fields ....................................................................................................................................... 6 -32
6.9.4 Setting up for the Sample Filter ................................................................................................................................................. 6 -33
6.9.5 Displaying TAT Alarm Samples/Panic Samples on Top of the Sample List ................................................................ 6 -34
6.10 Setting up for the TAT Setup .................................................................................................................................................................. 6 -34
6.11 Setting up for the Print Template ......................................................................................................................................................... 6 -36

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

7 Advanced Features ............................................................................................................................................................ 7 -1

7.1 References ...........................................................................................................................................................................................................7 -1


7.2 Auto Validation Rules ......................................................................................................................................................................................7 -1
7.2.1 Enable the Auto Validation Function ..........................................................................................................................................7 -1
7.2.2 Introduction to the Auto Validation Rules Screen ..................................................................................................................7 -3
7.3 Define the Auto Validation Rules ................................................................................................................................................................7 -6
7.3.1 Setting up Abnormal Sample Check Rules ...............................................................................................................................7 -7
7.3.2 Setting up the Panic Value Check Rules .....................................................................................................................................7 -7
7.3.3 Setting up the Parameter and Flag Check Rules .....................................................................................................................7 -8
7.3.4 Setting up Normal / Abnormal Range Delta Check Rules ................................................................................................ 7 -10
7.3.5 Setting up the Clinical Exception Rules ................................................................................................................................... 7 -13
7.3.6 Setting up the Manual Review Conditions ............................................................................................................................ 7 -17
7.3.7 Setting up Re-exam Rules ............................................................................................................................................................ 7 -21
7.3.8 Configuration Group Management .......................................................................................................................................... 7 -29
7.3.9 Testing and Adjusting the Auto Validation Rule Tree ........................................................................................................ 7 -30
7.4 View the Statistics ......................................................................................................................................................................................... 7 -31
7.4.1 View and Compare TAT Statistics .............................................................................................................................................. 7 -31

8 Using the “Quick Set Test Mode” Widget ......................................................................................................................... 8 -1

8.1 Quick Set Test Mode ........................................................................................................................................................................................8 -1


8.2 Setting up the “Quick Set Test Mode” Widget .......................................................................................................................................8 -2
8.3 Entering the Sample ID ..................................................................................................................................................................................8 -3

9 Analyzer-to-Analyzer Result Consistency Check ............................................................................................................ 9 -1

9.1 Setting up for the “Results Consistency Check” ....................................................................................................................................9 -1


9.1.1 Setting up the Analyzer Groups ....................................................................................................................................................9 -2

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

Appendix A Abbreviations of Morphology Glossary .............................................................................................. A -1

Appendix B Mathematic Operators .......................................................................................................................... B -1

4
1 Introduction to labXpert Software

1.1 Read before Use


Mindray's Laboratory Data Management Software provides a platform where users can set up validation rules for
sample results according to their own needs, and outputs data based on these customized rules.
Mindray hereby reminds users using Mindray Laboratory Data Management Software of the following issues
which are supposed to be fully aware of:
■ The operator's manual of the software shall be read thoroughly. All validation rules shall be created and
modified with full understanding of rule setting logic of the software. Users shall be responsible for the
accuracy, logic, and completeness of the rules they set;
■ The data output by the software serve as a reference for users to issue a formal report only. Mindray's legal
obligation or liability does not extend to any clinical risk or dispute raised from using the data output by
the software.

1.2 About the Software


Laboratory Data Management Software is able to work together with up to 4 workstations, which may be:
■ Mindray's Auto Hematology Analyzers (BC-6800/BC-6600/BC-6000/BC-6000Plus/BC-6100/BC-6100Plus/BC-
6200/BC-6800Plus/BC-6700Plus/BC-6600Plus/BC-7500[B] CRP/BC-7500[N] CRP/BC-7500[R] CRP/BC-
7500[NR] CRP)
■ Mindray's auto sample processing line, which consists of Auto Hematology Analyzers (BC-6800/BC-6600/
BC-6800Plus/BC-6700Plus/BC-6600Plus), Auto Slide Maker & Stainer (SC-120), Specific Protein Analyzer
(CRP-M100, optional), Automated Glycohemaglobin Analyzer (H50, optional) and Sample Processing
System (CAL 8000 project code:3207)
■ Mindray’s CAL series auto sample processing line, which may consists of Auto Hematology Analyzers (BC-
6000/BC-6200) and the Auto Slide Maker & Stainer (SC-120);
■ Mindray’s CAL series auto sample processing line, which may consists of Auto Hematology Analyzers (BC-
7500[B] CRP/BC-7500[N] CRP/BC-7500[R] CRP/BC-7500[NR] CRP) and the Auto Slide Maker & Stainer (SC-
120);
■ Mindray's SC-120 Auto Slide Maker & Stainer of the configuration with the CAL 6000 autoloader.
The Laboratory Data Management Software is featured by the following functions:
■ Supports the connection to LIS; being able to send worklist requests from workstations to LIS, and get
analysis information from LIS;
■ Receives and stores sample information uploaded by workstations;
■ Automatic validation: users can define the validation rules. When a sample record is received, the software
automatically checks if the sample records meet pre-defined requirements. If the requirements are met, the
sample record will be set to the status of "Validated";
■ Manual validation: the software displays sample information, patient information, result information, as
well as the history of the sample processing workflow, based on which the users may validate the sample
results manually;
■ Smear validation: supports manual entry or counter entry of WBC differential results, as well as recording
sample morphology information;
■ Sample management: supports the reviewing, editing, deleting, and printing of sample records;
■ Expert tip: users can edit the expert tip rules. When a sample record is received, the software automatically
checks whether the sample records meet the pre-defined requirements. If the requirements are met, the
pre-defined tip information will be displayed.

1-1
Introduction to labXpert Software

1.3 A Brief Introduction to labXpert Software


Mindray's Laboratory Data Management Software (or labXpert, the labXpert software) is used to managing,
processing and analyzing the test data from the hematology analyzer.
After the labXpert software is installed, you can see two icons on your computer: the labXpert server end icon
and the labXpert client end icon.

Figure 1-1 labXpert client end icon

Figure 1-2 labXpert server end icon

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.

1.3.1 Introduction to the Operation End


On the operation end, you can set up/adjust analysis orders, review operation messages, modify invalid sample
IDs.

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.

Figure 1-3 labXpert operation end, “Operations” interface

1-2
Introduction to labXpert Software

Figure 1-4 labXpert operation end, “Order Setup” interface

Figure 1-5 labXpert data management end

The operation end supports following tasks:


■ To create and edit tube worklist and tube rack orders;
■ To view operation notes;
■ To review and update the sample IDs for samples that the system fails to scan the for;
The data management end supports the following tasks:
■ To view, edit and process sample information and results;
■ To set up QC files;
■ To set up expert tips, re-exam rules and validation rules;
■ To set up system settings;
■ To view statistical information and logs.
• The software screen-shots in the document are mainly made under the “Full View” mode. You may
see the software interface different from that in this operator’s manual.
• For the instructions of how to customize the “Table View” and the “Full View”, refer to
6.2 Customizing Interface Views.
• About the introduction of the “Table View”, refer to 3.3 Introduction to the Table View.

To switch between the operation end and the data management end:

1-3
Introduction to labXpert Software

On the data management end, click to switch to the operation end.

On the operation end, click to switch to the data management end.

1.4 About this Operator’s Manual


This Operator’s Manual introduces how to use labXpert software with Mindray’s hematology analyzers, specific
protein analyzers as well as the sample processing lines.
As the different models of hematology analyzers, specific protein analyzers and the sample processing lines
differ in functions, Please also read the Operator's Manual of the products.

1-4
2 Daily Use

2.1 Startup, Log in and Shut down the labXpert Software

2.1.1 Start and Log in to the Software


Follow below instructions:
1. Make sure that the labXpert server is running.
■ By default settings, the labXpert server automatically starts when you start up the computer. When the
labXpert server is running, you can find the server icon at the lower right corner of the computer (see Figure
2-1 The labXpert server is running).

Figure 2-1 The labXpert server is running

■ 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.

Figure 2-2 The server is not running

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

Figure 2-3 When connected to a standalone analyzer

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.

Figure 2-4 When connected to a sample processing line

NOTE
• If the labXpert software unexpectedly exits during use, start the server first, then the client.

2-2
Daily Use

2.1.2 Switch Login Account


Follow below instruction to switch the user.
1. Click the icon.

2. Click “Yes” to logout.


√ The “Login” dialog box appears.

3. Enter the new "User ID" and "Password" and click "OK" to log in with the new account.

2.1.3 Shut down the Software


Click the icon on the top right corner of the labXpert data management end to shut down the labXpert.

2.2 Start Sample Analysis

2.2.1 Check before Use


Make sure the following before analysis:
■ The QC results are in control (for hematology analyzers and specific protein analyzers)
■ The analyzer's blank ground results are in allowed ranges (for hematology analyzers and specific protein
analyzers)
■ Sample(s) are prepared in accordance with the laboratory protocol; there is no agglutination, and the
sample volume is sufficient
■ The tube barcode labels are correctly stuck on the tubes (if applicable)
■ Make sure the count mode is correctly set up on the on the “Count” screen on analyzer main unit software.
■ Make sure you have checked “Auto acquire test mode” on the “Mode” dialog box.

2-3
Daily Use

Figure 2-5 (Example) BC-6000 Series Auto Hematology Analyzer Setup Screen

2.2.2 Setting up Analysis Orders

2.2.2.1 When Connected to 2-Way LIS


In laboratories that use 2-way LIS, when running samples in the auto loading mode, you do not have to set up
analysis orders on the labXpert. The instrument inquires analysis mode from LIS based on the sample IDs.

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.

2.2.2.2 When Connected to 1-way LIS or Not Using LIS


In laboratories that use 1-way LIS or do not use LIS, you can set up Tube Worklist/Rack Order (for sample
processing lines) on the operation end of the labXpert software.
Set up Tube Rack orders
You can define the analysis modes for samples in one or more tube racks by setting up tube rack orders. All the
samples in these tube racks will be tested in the same mode defined by the tube rack order.
Follow below instructions:
1. On the labXpert software operation end, click “Order Setup” to enter the “Order Setup” screen.
2. Click “Rack Order”.
3. A new rack order is added.
a Click the "New" button.
√ A new record of worklist is added.

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.

Blood Optional Define the blood test panel when necessary.


The abbreviations are explained as follows:
C: CBC
D: DIFF
R: RET (Only available on certain analyzers/systems)
CR/PLT-8X or CDR/PLT-8X: Analyze the samples with the PLT 8X mode
(Only available on certain analyzers/systems)

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

Edit and delete rack orders


When necessary, update the defined rack orders before analysis completes. Samples that have not been
analyzed when the rack orders are updated will be analyzed according to the new order. Or click "Delete" to
delete defined rack orders.

Figure 2-6 Delete Rack Order

NOTE
• To avoid running the samples for wrong test items, always check if you have correctly set the rack
orders before analysis.

Set up a tube worklist

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.

Figure 2-7 labXpert tube worklist

Follow below instructions:


1. On the labXpert software operation end, click “Order Setup” to enter the “Order Setup” screen.
2. Click “Tube Worklist”.
3. Add a new tube worklist.
You can add tube worklist records one by one, or add the tube worklist records in batch.
■ To add tube worklist records one by one, click ”New”.

2-6
Daily Use

√ A new record of worklist is added.

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.

Blood Optional Define the blood test panel when necessary.


The abbreviations are explained as follows:
C: CBC
D: DIFF
R: RET (Only available on certain analyzers/systems)
CR/PLT-8X or CDR/PLT-8X: Analyze the samples with the PLT 8 mode
(Only available on certain analyzers/systems)

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).

Other information Optional Enter other necessary information


“Rack No.”, “Tube No.”, Press the “Enter” or “Tab” key on your external keypad, to quickly
“Name”, “Gender”, “Age”, switch the input.
“Unit”, “Patient ID”, “Ward” Note:
and “Department”.
• When the information of a patient has been recorded in labXpert
before, enter the “Patient ID”, and press “ Enter” on the keyboard,
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.

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■ Add tube worklist records in batch


a Click “Batch New”.
√ The “Batch New dialog box is displayed.
b Set up for the “Start Sample ID”, “Quantity” and “Test Panel”.
1. Click "Save” to save the settings.

Edit and delete tube worklist

Figure 2-8 Edit and delete tube worklist

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.

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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.

Figure 2-9 (Example) Inquire mode by tube position

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.

2.2.3 Start Sample Analysis


For the sample analysis procedures, refer to the Operator's Manual of your 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.

2.2.4 Read Operation Messages


You can view operation messages on the operation end of the labXpert software.

Figure 2-10 Read Operation Messages

When the system has detected a sample with no valid barcode or other problem, the "Operations” tab lights in
orange.

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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.

2.2.4.1 Edit sample ID


The “Edit Sample ID” area displays the samples of which the instruments fail to scan the barcodes. When the
instrument fails to scan the barcode of a sample, the labXpert automatically assigns a sample ID to the sample,
starting with inv..

Figure 2-11 Invalid Sample ID

Follow below steps to update the Sample ID:


2. Click the "Sample ID" edit box, and enter the correct Sample ID.
3. Click "Confirm New Sample ID".
√ The new setting is saved.
You can also select the sample record with the invalid sample ID in the sample list area, and then click “Edit
Sample ID” to edit the sample ID.

Figure 2-12 Editing sample ID on the labXpert data management end

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.

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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.

Figure 2-14 Recommended sample ID

1. Confirm whether the recommended sample ID in the “Recommended” column is correct .

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■ 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".

2.2.4.2 Quickly find the samples with invalid sample IDs


NOTE
• This function is only available when the labXpert software is connected to the 2-way LIS.

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

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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

1 The SN (serial numbers) of the samples

2 The sample with the invalid sample ID

3 The serial number of the tube rack

4 From left to right, the tube icons represents the actual sample tubes at the tube positions 1 to 10

2.2.4.3 View Operation Message


The "Message" area displays samples whose status needs to be confirmed, either because they are not analyzed
in accordance to orders or of other reasons.
Follow the "Suggestion" to address the problems.

Figure 2-18 View the Operation Messages

You may see the following messages on the labXpert software:

NOTE
• The operation messages displayed on the labXpert software depend on the instruments connected
to the labXpert.

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Table 2-1 View the Operation Messages

Type Reasons Suggestion Description

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 is not analyzed: Solve the problem first, and /


no applicable instrument run the sample(s) again.

The sample is not analyzed: Solve the problem first, and /


Failed to acquire mode run the sample(s) again.

Sample not analyzed Skipped as LIS requires /

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.

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Type Reasons Suggestion Description

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

Abnormal sample Abn. sample: RBC Confirm sample status /


Agglutination?

Abn. sample: Aspiration Abn Confirm sample status /

Abn. sample: Asp.Abn/ Confirm sample status /


Abn.Sample

Abn. Sample: CRP sample Confirm sample status /


aspiration abnormal

Abn. Sample: Sample Confirm sample status


aspiration is abnormal

Sample check (by physician) Confirm sample status /

2.3 Re-tests with a New Test Panel


NOTE
• “Re-tests with a new test panel” in this section refers to the following scenario: all ordered tests for a
sample have been completed, and the sample results have been validated (automatically/manually/
under microscopic). However the operator decides new tests are necessary for the sample. The auto
re-exams triggered by re-exam rules do not apply.

You can add new test items by the following ways:

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■ For the sample processing lines, click “Adjust test panel” in the “Sample Procedure” area.

1. Click "Adjust test panel” to add test items.

2. Click "Refresh test panel” to confirm the new test panel.

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.

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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.

3.1 Overview of the labXpert Data Management End


The labXpert data management end supports 2 kinds of views, namely “Full View” and “Table View”.
■ Under the “Full View” mode, labXpert displays parameter results as well as the “Patient Information”,
“Comments”, “Rule Record”, histograms and scattergrams, “Flag”, “Expert Tips” on the “Report Results”,
“RUO Parameters”, and the “Microscopic” tabs by default.

Figure 3-1 Full View

■ 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.

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Review and Process Sample Results

Figure 3-2 Table View

Click the “Views” button on the tool bar, and click to select a view mode in the pull-down list.

Figure 3-3 Switching views

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.

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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

4 Sample result and information area

5 Sample list area

3.1.1 Tool Bar Functions


The tool bar consists of two parts: the sample category tabs and the function buttons.

Figure 3-5 Tool bar

1 Sample category tabs

2 Function buttons

3.1.1.1 Sample category tabs


Click the sample category tabs indicating different sample states, and the corresponding sample records display
in the sample list area.
The numbers on the sample category tabs indicate the number of samples of that category.

3.1.1.2 Function buttons


Click the function buttons to refresh the sample list, print and edit sample results, delete sample records,
validate/partly validate or perform microscopic validation to samples, edit sample IDs, export sample records,

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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.

Figure 3-6 Function buttons

Button Function Note

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.

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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.

3.1.2 Status Bar

Figure 3-7 Status Bar

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

Light in grey: the labXpert is not /


connected to the instrument

2 LIS connection Stay light in green: the labXpert is /


status icon connected to LIS

Light in yellow: the labXpert loses /


connection to LIS

Flicker in green: the labXpert is /


communicating with LIS
(transmitting/receiving sample
data)

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.

4 User currently Display the user that currently /


logged in logged in

5 Software version Click to check the software /


icon version information

6 Log out icon Click to log out the software See 2.1.2 Switch Login
Account

7 Minimize screen Click to minimize the software To restore the software


screen. screen from the minimized
status, click the client end
icon on the bottom on your
PC screen

8 Close software Click to close the labXpert /


software

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Review and Process Sample Results

3.1.3 Search Area


You can do a quick search for the samples of the day, or use the “Advanced Search” function to quickly find a
sample record.

Figure 3-8 Search area

3.1.3.1 Smart search/locate function


labXpert supports to quickly search/locate the samples analyzed on the current day.
Click the pull-down arrow in the ”Smart search/locate: samples today” field, and select “Smart search: samples
today” or ”Smart locate: samples today”.

Figure 3-9 Smart search/locate samples

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.

Figure 3-10 Smart search for the samples of the day

■ 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.

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Review and Process Sample Results

Figure 3-11 Smart locate for the samples of the day

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.

Figure 3-12 Search for samples by 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.

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Review and Process Sample Results

NOTE
• When “Blood” is selected, the samples of routine blood tests, body fluid tests and CRP tests are
included.

3.1.3.2 Advanced search


1. Click the "Advanced" tab besides the search box.
√ Below dialog box displays.

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.

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Review and Process Sample Results

b On the "Select" dialog box, select the desired parameters, and click "OK".

√ The selected parameters display in the “Parameter Conditions” area.


c Define the "Lower Limit" and the "Upper Limit" for the parameter results in the “Parameter
conditions ” area.
d If you have set more than one parameter condition, select the "AND" or "OR" logic between the
conditions.

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.

6. (Optional) Set up for the flag conditions.


a Click "Setup" in the "Flag conditions" area.
√ The “FLAG Rules” dialog box appears.
b On the right side of the "FLAG Rules" dialog box, select the flag rules.

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Review and Process Sample Results

√ The selected rules display in the “Flag conditions” area.


c If you have set more than one flag condition, select the logic between the conditions.

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.

() Used when there are three or more than three rules.


For example, if the rule is (A OR B) AND C, a sample conforms with the condition when it conforms with either
rule A or rule B, and it conforms with rule C.

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.

3.1.4 Sample Result and Information Area


The sample result and information area displays information such as i-message (if available), re-exam results (if
available), history results (if available) and the results of microscopic exams.

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Review and Process Sample Results

Figure 3-13 Sample result and information area

Click the tab to check the corresponding information.

3.1.5 Sample List Area


The sample list area displays the sample status, sample IDs, tube positions, Flag codes, SN (only when connected
to 2-way LIS) and test times.

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.

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Review and Process Sample Results

Figure 3-14 Sample list area

3.1.5.1 Customize the sample list display settings


You can customize the display order of the sample records in the sample list.
Click a column header of the list, and the sample records will be arranged accordingly in the order of the
selected item.

NOTE
• The list cannot be arranged in order of patient names, Flag codes and sample states.

3.1.5.2 Select one or more samples


Click to select the desired sample.
Press and hold the Ctrl key on the external keyboard, and then select the desired samples.

3.1.5.3 Refreshing sample list


When you choose to display the sample records by “Sample ID” or “SN.”, the newly-received sample records will
display at the top/bottom of the sample list, depending on whether the samples are displayed in ascending or
descending sequence. Click the column header of “Sample ID” / “SN.” to switch between displaying samples in
ascending or descending sequence.
When you choose to display the sample records by other fields, the newly-received sample records display
behind the last sample record of the current sample list. Click “Refresh” or press F5 on your keyboard to refresh
the sample list. The sample records will display in the user-customized order.

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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.

3.1.5.4 Check sample states


The sample "STAT" column displays current states of the samples.
Click the “up”arrow on the bottom of the sample list area to view the state icon meanings.

Figure 3-15 Sample state icons

Table 3-1 Sample States Icons

State icons Meanings

There are panic values in the sample results

The sample is auto validated

The sample is manually validated

The sample has abnormal TAT

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Review and Process Sample Results

State icons Meanings

The sample is microscopically validated

The sample record has been transmitted to LIS

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

State icons Meanings

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.

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NOTE
• For more information of customizing the sample results displaying method, refer to 6.2 Customizing
Interface Views.

Explanation of the flag codes


There are 4 types of flag codes, the meanings of which are listed as below. You can choose to display the flag
codes in the sample list area, so as to quickly identify the nature of the reported warning/error of the sample
records.

Table 3-3 Explanation of the flag codes

Codes Meanings

M Morphology-related warnings

C Count results related warnings

D DIFF parameters results related warnings

E Analysis abnormal/system errors/sample aspiration errors

The relationship between the Flag messages and the codes is shown as below.

Table 3-4 Flag messages and codes (BC-6800 Series)

Codes Flag messages

C RBC Lyse resistance?

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

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Codes Flag messages

E Status Abn

E DIFF Analysis Abn.

E BASO Analysis Abn.

E NRBC Analysis Abn.

E RBC Analysis Abn

E HGB Analysis Abn

E RET Analysis Abn

E Clog

E PLT Analysis Abn

E PLT-O Analysis Abn

M WBC Scattergram Abn.

M NRBC Scattergram Abn.

M Blasts?

M Abn Lympho/ Blasts?

M Immature Gran?

M Atypical Lymph?

M NRBC?

M Left Shift?

M Lipid Particles?

M Fragments?

M Infected RBC?

M Dimorphic Population

M RBC Histogram Abn.

M RET Scattergram Abn.

M Anisocytosis

M Microcytosis

M Macrocytosis

M Hypochromia

M Iron Deficiency?

M PLT Scattergram Abn.

M PLT Histogram Abn.

C,M NRBC present

Table 3-5 Flag messages and codes (BC-6000 Series)

Codes Flag messages

C RBC Lyse Resistance?

C Leucocytosis

C Leucopenia

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Codes Flag messages

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 DIFF Analysis Abn.

E WNB analysis abnormal

E RBC Analysis Abn

E HGB Analysis Abn

E NRBC Analysis Abn.

E Clog

E PLT Analysis Abn

E PLT-O Analysis Abn

M WNB Scattergram Abn

M WBC Scattergram Abn

M WBC Fragments?

M Blasts?

M Abn Lympho/ Blasts?

M Immature Gran?

M Atypical Lymph?

M NRBC?

M Left Shift?

M Lipid Particles?

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Codes Flag messages

M Fragments?

M Infected RBC?

M Dimorphic Population

M RBC Histogram Abn.

M RET Scattergram Abn.

M Anisocytosis

M Microcytosis

M Macrocytosis

M Hypochromia

M Iron Deficiency?

M PLT Scattergram Abn.

M PLT Histogram Abn.

M, C NRBC present

Table 3-6 Flag messages and codes (BC-6800Plus Series)

Codes Flag messages

C Leucopenia

C Leucocytosis

C RBC Agglutination?

C Erythrocytosis

C Turbidity/HGB Interference?

C RBC Lyse Resistance?

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

E DIFF Analysis Abn.

E HGB Analysis Abn

E PLT-O Analysis Abn

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Codes Flag messages

E PLT Analysis Abn

E RBC Analysis Abn

E NRBC Analysis Abn.

E WNB analysis abnormal

E Clog

E Insufficient aspiration

E Asp.Abn/Abn.Sample

E System Error

E Status Abn

M WNB Scattergram Abn

M WBC Scattergram Abn

M WBC Fragments?

M Macrocytosis

M Hypochromia

M Infected RBC?

M Left Shift?

M Anisocytosis

M Dimorphic Population

M RBC Histogram Abn.

M Iron Deficiency?

M Fragments?

M RET Scattergram Abn.

M Immature Gran?

M Microcytosis

M PLT Scattergram Abn.

M PLT Histogram Abn.

M Abn Lympho/ Blasts?

M Atypical Lymph?

M Blasts?

M Lipid Particles?

M, C NRBC present

Table 3-7 Flag Messages and Code (BC-7500 CRP Series)

Codes Flag messages

C RBC Lyse Resistance?

C Leucocytosis

C Leucopenia

C Pancytopenia

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Codes Flag messages

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 DIFF Analysis Abn.

E WNB analysis abnormal

E RBC Analysis Abn

E HGB Analysis Abn

E NRBC Analysis Abn.

E Clog

E PLT Analysis Abn

E PLT-O Analysis Abn

E CRP Analysis Abn

M WNB Scattergram Abn

M WBC Scattergram Abn

M WBC Fragments?

M Blasts?

M Abn Lympho/ Blasts?

M Immature Gran?

M Atypical Lymph?

M NRBC?

M Left Shift?

M Lipid Particles?

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Codes Flag messages

M Fragments?

M Infected RBC?

M Dimorphic Population

M RBC Histogram Abn.

M RET Scattergram Abn.

M Anisocytosis

M Microcytosis

M Macrocytosis

M Hypochromia

M Iron Deficiency?

M PLT Scattergram Abn.

M PLT Histogram Abn.

M, C NRBC present

3.2 View, Edit and Process Sample information and Results


Click to select a sample record in the sample list area to view and process the sample results and other
information.

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.

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3.2.1 Check Analysis Information


The “Analysis Info.” screen displays the “Patient Information”, “Sample Information”, the ”Reagent
Information” and the “QC information”.

Figure 3-17 Analysis Info. Area

1 Patient information area

2 Sample information area

3 Reagent information area

4 QC information area

3.2.1.1 Patient and sample information area


The patient and sample information area displays the patient names, SN and other patient-related information.

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When necessary, enter/modify the patient names, SN as well as other information on the “Analysis Info.” area.

Figure 3-18 Editing sample results

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.

Figure 3-19 Report Results - Patient information area

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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.

3.2.1.2 Reagent information area


The “Reagent Information” area displays the reagent name, lot number, expiration date, open date, “use
before” date, effective days and the total volume of the reagent. It also shows the operator and the test panel
related to the sample tests.
labXpert inquiries the information from the main unit software.

NOTE
• You cannot edit the reagent information.

3.2.1.3 QC information area


The “QC information” area displays the QC information applicable to the sample tests, including the QC test
panel, QC file No., control lot number, the QC channels (applicable to analyzers with the ability of CRP tests), QC
control level, QC control type (including Mindray controls and Other controls), QC mode (including sample
presentation mode and test panel), the last QC time, as well as the operator who performs the QC tests.
labXpert inquiries the information from the labXpert QC screen.

NOTE
• You cannot edit the QC information.

3.2.2 Reviewing Report Results


NOTE
• This section mainly addresses the methods of reviewing, editing and processing 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
3.2.20 Reviewing A1C Results for more information.
• All software snapshots are made under the default setting, and are for illustration purpose only. You
can click “Customize View”to customize the information displayed on the screen. For more
information, refer to 6.2.3.4 Customizing the tab contents.
• Users may quickly locate the samples by clicking the category tabs or using the “Search” function.
For more information, refer to 3.1.1 Tool Bar Functions.

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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.

Figure 3-20 Report result screen

1 Patient information area

2 Sample result area

3 Graph area

4 Flags

5 Expert tips area

6 Comments area

7 Rule record area

8 Sample procedure area

3.2.2.1 Patient information area


The patient information area displays the basic information of the patient, including name, gender, patient ID,
the sample mode of the test, the analysis mode, the department which orders the test, and the diagnosis.

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.

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3.2.2.2 Sample result area


The result area displays parameter results, flags, Delta Check results and historical results of the sample patient (if
there are such records).

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.

Para. Name of the report parameter /

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

Result The results of the report /


parameters.

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

Unit Unit of the parameter result /

3.2.2.3 Graph area


This area displays scattergrams and histograms of the sample.

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.

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Figure 3-21 Histograms and Scattergrams

Click the histogram to view the enlarged histogram.

Figure 3-22 Enlarged histogram

Click the icon on the scattergram, to view the enlarged scattergram.

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Figure 3-23 Enlarged scattergram

Double click the scattergram to view it in 3D.

Figure 3-24 Scattergram in 3D

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

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Click the icon, the 3D scattergram automatically rotates

Restore Click “Restore”, the 3D scattergram restores to its original position

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.

Certain types of particles hidden from 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.

3.2.2.5 Expert tips area


If during analysis a sample has triggered the rules you have set for any expert tips, the triggered rules display in
this area.
When the expert tip is too long to fit in the area, click to the complete message.

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.

3.2.2.6 Comments area


The “Comments” area displays the comments entered by the users. If you have entered morphology or other
WBC DIFF information on the "Microscopic" tab, the information displays in the area.
When there is an automated glycohemoglobin analyzer configured in the system, the messages displayed in the
“Comments” area under each category tabs are relevant to their “Report Type” settings.

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■ 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.

Add and edit comments


When necessary, click to add or edit the comments.
1. Click to edit the remark message in the “Comments” edit box.

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.

3.2.2.7 Rule record area


If a sample has triggered any re-exam rules you have set on the “Validation Rules” screen, the triggered rules
display in this area.
When the message is too long to fit in the area, click to the complete message.
When “Display rule details” is enabled, the “Rule Record” area displays detailed information of the triggered
rules, including the rule name, the message, the actions taken, as well as the rule expressions.

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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.

3.2.2.8 Sample procedure area


You can view the whole analysis work flow in the “Sample Procedure” area.

Figure 3-25 Sample procedure area

1 Tasks For more information about the tasks, refer to Table 3-


8 Tasks

4 The instruments that perform the corresponding Display the name of the instruments that perform the
task. corresponding task.

5 At what time the sample reaches the point. /

6 Function button area For the instructions, refer to Table 3-9 Function
buttons.

Table 3-8 Tasks

Point Name Description Note

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.

Manual Clinicians manually validates the sample results /


Validation

Partly Validation Validate the results of certain parameters of the Available when the “Partly Validation”
sample function is enabled.

Smear Valid.. Clinicians validate the sample results by examining /


the samples under a microscope

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Point Name Description Note

Undo Valid. Cancel the validation of sample results, restore the /


results to the “un-validated” state.

Comm. The labXpert communicates the sample results to /


LIS

To Smear When necessary, you can click “To Smear /


Validation Validation” to make a sample that was to be
manually validated to be “Smear Validated”.

To Manual When necessary, you can click “To Manual /


Validation Validation”, to make a sample that was to be
validated by microscopic exam to be “Manual
Validated”.

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

Validate in Clinicians validate the sample results, but there are /


advance still tests to be done for the sample

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

Table 3-9 Function buttons

Function buttons Description Note

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.

Refresh Sample When another operator has edited or processed the /


results of the sample you are reviewing, a prompt
displays: “Sample was updated.Please refresh..
Please refresh.” Click “Refresh Sample” to update
the information.

To Manual When necessary, click “To Manual Validation”/“To /


Validation/To Smear Validation”, to make a sample that was
Smear Validation going to be validated by microscopic exam to be
“manually validated” or to make a sample that was
going to be manually validated to be “Smear
Validated”.

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.

3.2.3 Reviewing RUO Parameter Results


NOTE
• The “RUO Parameters” tab displays the RUO parameter results and other information of the
hematology tests, body fluid tests, and CRP tests. When there is an automated glycohemoglobin
analyzer in your system, review the RUO parameter results of the glycohemoglobin analyzer on the
AIC tab.
• The “RUO Parameters” tab also displays the results of “customized parameters” (when enabled).

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• 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).

Figure 3-26 RUO Parameter Results

1 Results area

2 RUO scattergrams area

3 Reference results button

3.2.3.1 RUO parameter results


The RUO parameters results area display the RUO parameter results.

Description Note

Para. RUO parameter names /

Flag Flag(s) of the report parameter: /


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 screened

Result RUO Parameter Results /

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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 /

Unit Result units of the RUO parameters /

3.2.3.2 RUO scattergrams area


The RUO scattergrams area displays the research use only parameters.

Figure 3-27 (Example) RUO scattergrams

Click the scattergram to view the enlarged scattergram.


When you see the icon on the scattergram, it means the scattergram supports 3D view. Click a scattergram
to view it in 3D.

NOTE
• For instructions, refer to Figure 3-24 Scattergram in 3D.

3.2.3.3 Reviewing reference results or using reference results to report


NOTE
• The “Reference Results” function is not available for automated glycohemoglobin analyzers.

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.

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2. Click “Reference Results”.


√ The “Reference Results” dialog box (example).

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.

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3.2.5 Re-Exam Results


NOTE
• The “Re-Exam Results” tab displays the re-exam results (if there are) of the A1C Resultshematology
analysis, body fluid analysis and CRP analysis samples. The re-exam results for glycohemoglobin
test samples are displayed on the “A1C Results” tab. For more information, refer to 3.2.21 Re-Exam
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:

3.2.5.1 Review and process re-examined results


Click "Re-Exam Results" to enter the “Re-Exam Results” screen.

Figure 3-28 Re-Exam Results Tab

1 The first column of the table indicates the instrument on which the analysis is performed and the time of the
analysis.

2 Currently results used for report, marked with .


Only the selected group of results displays on the "Report Results" tab.
To select a group of results to be the report results, click the column header the group of results, or click any
parameter result in the group.

3.2.5.2 Combine the Results from different sets of tests


When a sample has been tested for more than once, you can choose to report the parameter results from
different sets of tests (i.e. choose the results of certain parameters from the first test, and use the results of the
other parameters from the second test).
Follow below instructions:

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1. Click "Re-Exam Results" to enter the “Re-Exam Results” screen.

2. Click “Select Report Results”.


√ A check box appears in front of each parameter result that can be selected.

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.

3.2.6 Historical Trend


NOTE
• The “Historical Trend” tab also displays the historical trend of customized parameters (if the
function is enabled).
• The “Historical Trend” function is not applicable to glycohemoglobin tests.

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".

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3.2.7 Review Microscopic Exam Results


NOTE
• The “Microscopic” function is not applicable to glycohemoglobin tests.

Click "Microscopic" to review the microscopic exam results of the selected sample.

Figure 3-29 Microscopic exam results screen

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.

VAL Check the "VAL" check boxes when you /


have confirmed the parameter results.

Para. Parameter Name /

Result Parameter Results /

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

Unit Unit of the parameter result /

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3.2.8 Edit Analysis Results


Follow below instructions to edit the results of the report parameters, microscopic exam parameters and RUO
parameters.
1. To edit the results, select one sample record from the sample list area, and click "Edit” on the tool bar; or
you can double click the parameter result to edit it.
√ The “Edit” button changes to “End Editing”.

2. Modify the results when necessary.


3. Click "End Editing" to save and complete the change.
Or you can click any other buttons on the tool bar to exit results editing. The labXpert software automatically
saves the changes.
√ When a parameter results have been edited, the “E” or “e” flags appear in its “Flag” column.

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.

3.2.9 Restore the Analysis Results


When necessary, select one or more sample records you have edited and click "Restore".
√ All changed parameter results (including the report parameters, RUO parameters and microscopic exam
parameters) for the sample are restored to their original values.
√ The “E” or “e” flags disappear.

3.2.10 Delete Samples


Select one or more samples and click "Delete” to delete the sample records.

3.2.11 Validate / Undo validation

3.2.11.1 Validate/Partly Validate


Select one or more sample records, and click "Validate" or press F9 on your keyboard.
√ The selected sample turns to the state of "Validate", and the symbol appears beside the Sample ID in
the sample list area.
When necessary, you can choose to validate results of certain parameters.
1. Select a sample record and click "Partly Validation".

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√ The “Partly Validation” dialog box appears.

2. Select the parameters/parameter groups (CBC, PLT, RET, DIFF) to validate


3. Click "OK".
√ The symbol appears in the “STAT” column of each selected parameter.

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.

3.2.11.2 Undo validation


Select one or more sample records that have been validated, and click "Undo Valid.".
√ The selected sample turns back to the state of not validated, and the symbol disappears.
Select one sample record that has been “partly validated”, and click “Undo Valid..
√ The validated parameter results turn back to the state of “not validated”, and the symbol disappears.

NOTE
• You cannot perform the “Partly Validate” operation to more than one sample at the same time.

3.2.11.3 Validate microscopic exam parameters results


Click the "Microscopic” tab, the “Validate” button turns to “Smear Valid.”.
1. Select a sample record that have been validated by microscopic exam, and click the "Smear Valid.” button.
√ The “Comments” section displays “Microscopically Validated.”.

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.

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3.2.12 Transmit the Sample Results and Information to LIS


NOTE
• Depending on the settings of “Sample Transmission” for the labXpert software, the labXpert
software may communicate with LIS in different ways. For the instructions, refer to 6.4 Sample
Transmission Settings.

3.2.12.1 Communicate with LIS when the direct communication is enabled


When “Sample Direct Communication” is enabled, the labXpert software communicates all sample results,
validated or not validated, to LIS in real time.

Figure 3-30 labXpert-enable sample direct communication

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.

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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 3-31 labXpert-sample direct communication not enabled

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.

3.2.13 Re-search LIS


When the laboratory uses a LIS system, click “Re-search LIS ” to obtain sample and patient information from LIS.

3.2.14 Data Snapshot


When necessary, click the "Data Snapshot" button to save the sample results in the form of snapshot.
1. Select one sample record from the sample list area, and click "Data Snapshot".

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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.

3.2.15 Sample Tracing


You can trace the sample records related to a certain lot of controls/reagents.
1. Click the “Sample Tracing” button.

2. Click the radio button of “Reagent” or “QC” as necessary.


3. When you select “Reagent”, select a reagent from the “Reagent” pull-down list.
4. Enter the control/reagent lot number.
5. (Optional) When there are multiple instruments connected to labXpert in your laboratory, click the Down
Arrow beside the “Instrument” area, and select the instruments (multiple choices allowed).
6. Click "OK".
√ The sample records related to the lot of controls/reagents are displayed in the sample list area.

3.2.16 Mark an RUO sample


When necessary, you can mark a sample as the “RUO Sample” (research-use-only sample).

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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.

Figure 3-33 Mark an RUO sample

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.

3.2.17 Print Sample Results

Figure 3-34 Print and Print in Batch

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.

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3.2.18 Print Customized Parameters


NOTE
• The “Print Customized Para.” function is not applicable to glycohemoglobin tests.
• For the instruction about how to enable the “Customized Para. ”, refer to 6.17 Configuring the
Customized Parameters Settings.

When the “Customized Para. ” function is enabled, a pull-down arrow appears on the “Print” button.

Figure 3-35 Print Customized Parameters

■ 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.

3.2.19 Export Sample Records


1. To export one or more sample records, select the sample records in the sample list area first.
2. Click “Export” on the tool bar.

3. Select to export “Selected Records” , “All Records”or “Specified Records”.


■ When you choose to export the “Selected Records”, the information of the sample records selected in the
sample list area will be exported.
■ When you choose to export “All Records”, all information of the sample records will be exported.
■ When you choose to export “Specified Records” in a specified time range, specify the “Date of Analysis”
time range.

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4. (Optional) When necessary, define the “Export Options”.


■ Whether or not you select an “export option”, the exported sample records will always include the following
information: sample information, analysis information, rule application results, parameter results,
microscopic exam results, flags and warning messages.
■ When you select “Patient Information”, the exported sample records will also include information of
patient type, patient ID, name, gender, date of birth, age, department, ward, bed number, as well as the
diagnosis information.
■ When you select “Re-Exam Results”, the exported sample records will include information related to the
re-tests, including sample information, blood sample analysis information, rule application results,
parameter results as well as the flags and warning messages).
5. Click "OK".
√ Selected sample records are exported to PC.

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.

3.2.20 Reviewing A1C Results


When the labXpert connects to the sample processing line which is configured with a glycohemoglobin
analyzer, review the glycohemoglobin tests result on the “A1C Results” tab.

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.

Figure 3-36 The A1C result screen

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3.2.20.1 Patient information area


The patient information area displays the basic information of the patient, including name, gender, age, patient
ID, the sample mode of the test, the analysis mode, the department which orders the test, and the diagnosis.

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.

3.2.20.2 Comments area


The “Comments” area displays the comments entered by the users. When the message is too long to fit in the
area, click to the complete message.

Add and edit comments


When necessary, click to add or edit the comments.
1. Click to edit the remark message in the “Comments” edit box.

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.

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3.2.20.3 Sample result area


The result area displays parameter results, flags, Delta Check results and historical results of the sample patient (if
there are such records).

Description Note

STAT / /

Para. Name of the report parameter /

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

Result The results of the report /


parameters.

Unit Unit of the parameter result /

3.2.20.4 The chromatogram information area


The chromatogram information area displays the chromatogram and the related information.

NOTE
• For the introduction to the chromatogram, refer to the operator’s manual of the automated
glycohemoglobin analyzer.

Figure 3-37 Chromatogram and related information

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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.

3.2.20.6 Sample procedure area


You can view the whole analysis work flow in the “Sample Procedure” area.

NOTE
• For more information of the sample procedure area, refer to 3.2.20.6 Sample procedure area.

3.2.21 Re-Exam Results


The “Re-Exam Results”area displays a sample’s results of each glycohemoglobin test.
The set of results which are currently selected as report results is marked by .
To select a group of results to be the report results, click the column header the group of results, or click any
parameter result in the group.

Figure 3-38 Re-exam results of glycohemoglobin test

3.3 Introduction to the Table View


Click the “Views” button on the tool bar, and click "Table View” in the pull-down list to switch to the Table View
mode.
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.

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The Table View consists of two parts: the sample list area and the sample result area.

Figure 3-39 Table View

1 Sample list area

2 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.

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Figure 3-40 Spread the sample list area

Figure 3-41 Sample list area spread

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.

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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

6 Scroll bar Drag the scroll bar to view more information. /


When you drag the scroll bar at the bottom of
the screen, the fixed tabs will not move.

7 Click the button and the sample list is partly /


folded to the left side of the screen.

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.

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4 Daily QC

4.1 The Quality Control Types Supported by the Instruments


The quality control types supported by different instruments are listed as below:

Table 4-1 Quality control types supported by different instruments

L-J QC X-B QC

BC-6000 Series Auto Hematology Analyzer Yes Yes

BC-6800Plus Series Auto Hematology Analyzer Yes Yes

CRP-M100 Specific Protein Analyzer Yes Yes

H50 Automated Glycohemoglobin Analyzer Yes No

BC-7500 CRP Series Auto Hematology Analyzer Yes Yes

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

For open-vial sampling type

4-3
Daily QC

4.2.1.2 The QC procedure for BC-6800Plus series Hematology Analyzers

4.2.1.3 The QC procedure for the CRP-M100 Specific Protein Analyzer

4-4
Daily QC

4.2.1.4 The QC procedure for the H50 Automated Glycohemoglobin Analyzer (on a sample
processing line)

4.2.2 Setting up QC Files


Before running a new lot of controls, you must set up a QC file for each lot of controls.
You can set up QC information by any of the following 3 ways.
■ Reading the information provided by the manufacturer
■ Manually entering the Information
■ Reading the saved preset values

NOTE
• When necessary, you can edit the QC files.

4-5
Daily QC

4.2.2.1 Introduction to the L-J Setup screen

Figure 4-1 L-J QC Screen - (for hematology analyzers)

Table 4-2 Setting up the L-J QC Files for Hematology Analyzers

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.

Editor The person who sets up the QC file. /

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.

In CV%/In When necessary, click “In CV%”/”In SD” to /


SD select the display format of the limits.

Figure 4-2 L-J QC Screen - (for CRP QC)

Table 4-3 Setting up the L-J QC Files for CRP Analysis

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.

Editor The person who sets up the QC file. /

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.

2 Target/ Channel The analyzers that measure the CRP /


Limits parameters usually have several CRP
analysis channels.

In Use Check the "In Use" check box for the /


channels to perform QC.

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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.

Apply to You can either set the target and limit /


All values separately for each channel, or enter
the target and limit values for only one
channel and click "Apply to All" to apply
the same information to the other channels.

In CV%/In When necessary, click “In CV%”/”In SD” to


SD select the display format of the limits.

Figure 4-3 L-J QC settings for A1C QC analysis

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Table 4-4 Setting up the L-J QC Files for A1C QC Analysis

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.

Editor The person who sets up the QC file. /

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.

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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.

In CV%/In When necessary, click “In CV%”/”In SD” to


SD select the display format of the limits.

4.2.2.2 Importing the QC file provided by the manufacturer


NOTE
• This function is not applicable to glycohemoglobin analyzers.

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.

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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.

6. Click "Save to save the QC information.

4.2.2.3 Reading the saved preset values


If there are previously-saved preset values (Target and Limits) for the current level, you can read-in the preset
values into the current QC file.
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 lot No. of the controls by one of the following ways
■ Manually entering the Information
■ Using external barcode scanner
6. Enter other information as necessary.

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.

9. Click "Save” to save the QC information.

4.2.2.4 Manually set the Mean and SD Values


You can manually set the “Mean” and “SD” values.
When you manually set the Mean and SD values, these values will be applied to the “Monthly QC Graph” for the
corresponding QC file.

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Figure 4-4 Manually Set the Mean and SD Values

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.

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4.2.3 Run L-J QC Analysis


NOTE
• For the instruction of how to perform L-J QC analyzer, refer to the Operator's Manual of your
instrument.

4.2.4 L-J QC Review


On the labXpert data management end, click the icon to enter the “QC” screen.
labXpert software supports 4 kinds of QC results review methods:
■ L-J Graph
■ L-J Table
■ Parameter QC Graph
■ Monthly QC Graph

4.2.4.1 L-J QC Graph Review


1. On he 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.

Figure 4-5 L-J QC Graph

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.

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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.

7. Select to delete “Current Data” or “All Data”.


■ When “Current Data” is selected, select the QC data you want to delete on the QC graph.
■ When “All Data” is selected, all the QC data in the QC file are deleted. Click "OK” to delete specified data
and close the dialog box.
Print L-J graph
Before printing the QC result reports, confirm that the printer is correctly set up and connected.
Follow below instructions:
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 “Print”.
√ The following dialog box displays.

7. Select to print “All Data” or “Specified Data”.


If the “Specified Data” is selected, enter or select the starting and ending date to specify the range of data to be
printed.
8. Click "OK" to close the dialog box and start to print.

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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”.

7. Select to print “All Data” or “Specified Data”.


If the “Specified Data” is selected, enter or select the starting and ending date to specify the range of data to be
printed.
8. Click “OK” to go to the print preview screen.
9. Click “Close” to close the window.

Calculate /and save preset values (administrator)


You can select to read the calculated preset values into the QC file when you are setting up a QC file (see
4.2.2.3 Reading the saved preset values).
When there are 3 or more QC results within the limits for a QC parameter, follow below steps to calculate and
save the preset value for the parameter.
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 "Calculate Preset Values", and then two black lines are displayed to locate the range for calculating
the preset values. Click and drag the two lines respectively to locate them at the beginning and the end of
the range for calculating the preset values.

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1 The lines indicating the range for calculating preset values

2 The Mean, SD and CV values calculated based on the specified range

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

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4.2.4.2 QC table review


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 “Table” to enter the QC table review screen.
5. Select a QC file, the corresponding QC table displays on the screen.

Introduction to the L-J QC table

Figure 4-7 L-J QC Table

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Description

1 Button area Delete: Click “Delete” to delete selected or all QC data

Print: Click “Print” to print the QC table

Preview: Click “Preview” to check the print preview of the QC table.

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

4.2.4.3 Parameter QC Graph review


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. Set up the parameter QC graph.
a Select the parameter to plot QC graph from the “Para.” pull-down list.
b Select one of the methods to plot the QC graph: “By Date of QC”, “1 per day Seq.” or “All”.
c (Optional) If necessary, modify the X-Mean and SD values, and click “Save”.

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.

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Introduction to the parameter QC graph

Figure 4-8 Parameter QC graph

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))

“X Mean” and “SD” edit boxes:


By default, the X-Mean and SD edit boxes display the X-Mean and SD values
calculated based on the current QC points plotting method and all the valid QC data
plotted on the graph.
The "X Mean" and "SD” values would be null if there are less than 3 valid QC points for
a parameter.
You can edit the “X Mean” and “SD” values. Click “Save” to save the setting.

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

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Figure 4-9 Parameter QC graph (By Date of QC)

Figure 4-10 Parameter QC graph (1 per day Seq)

Figure 4-11 Parameter QC Graph (All)

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.

7. Select the desired “Date Range”.


√ After selecting the date range, the X mean, SD and CV will be calculated and displayed in the
corresponding boxes automatically.
8. Click “Apply”.
√ The calculated values are applied on the Parameter QC screen.
9. Click "OK" to close the dialog box.

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New Vial/ Cancel New Vial


A control lot usually consists several vials. “New Vial” refers to the new vial of control which is opened after the
previous one of the same lot is used out.
When you are reviewing QC data in a QC graph or a parameter QC graph, if the reviewed QC results are obtained
by analyzing a new vial of control of the same batch, you should mark the QC points of the new vial to
distinguish the QC results from the old.
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 screen, or click “Parameter QC Graph” to enter the Parameter QC
Graph” screen.
5. Move the green line to the first QC point of the new vial.
6. Click the “New Vial” button, and then a blue line appears at the QC point of the new vial.
7. To cancel a new vial identifier, locate the identifier and then click the “Cancel New Vial” button.

4.2.4.4 Monthly QC graph review


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 “Monthly QC Graph” to enter the “Monthly QC Graph” screen.
■ In the “File Information” area, define the “Time Range”, the desired parameter, the control “Level” and the
draw method and the display range for the QC points etc. (for more information, refer to Introduction to the
Monthly QC graph)
5. (Optional) If necessary, modify the X-Mean and SD values, and click “Save”.
√ The software automatically reads the QC files that meet the defined settings, and displays the lot number,
expiration date, X Mean and SD values for each control level.
Introduction to the Monthly QC graph

Figure 4-12 L-J Monthly QC Graph

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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.

Print: click “Print” to print the Monthly QC Graph

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”.

Time Range: define the time range of the QC data to be reviewed.

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

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Figure 4-13 Monthly QC Graph-Multiple Graphs

Figure 4-14 Monthly QC Graph-Single Graph

Description

1. The user-selected month /

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

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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.

Scroll down the right scroll bar to review the QC data:

Figure 4-15 Monthly QC Graph-parameter results table

Description

1. The user-selected month /

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

4.3.1 Validity Determination for X-B QC Samples


In X-B QC, sample results conforming to any of the following conditions will be considered as invalid and cannot
be used in the QC calculation.
■ Sample results exceeding the linearity range;
■ Background results;
■ Sample results not conforming to the rules set in the "Sample Validity Setup";
■ L-J QC results
■ Reference results
■ Calibration data.

4.3.2 Setting up X-B QC rules


Administrators may set up X-B QC rules on the XB QC setup screen.
1. On the labXpert data management end, click “Menu”-”QC” to enter the “QC” screen.
2. Select an analyzer from the "Analyzer" pull-down list;
3. Select "X-B QC" for "QC Type".

4. Set up X-B QC rules as needed.


See below for setting descriptions.

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.

Samples/Batch The amount of samples to Setup range: 20-200;


be included in calculating For example, when "Samples/Batch" is set to 20, when there
for an X-B QC point. are 20 valid samples, the analyzer start to run X-B QC.

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

4.3.3 Run X-B QC Program


After editing X-B setup, the system will start X-B QC automatically.
After every 20~200 valid sample results (determined by the "Samples/Batch", the system will perform the X-B
calculation once automatically. You can review the result in X-B QC graph or X-B QC table.

4 - 28
5 Microscopic Examination

5.1 Use WBC Counter to update DIFF results


1. On the labXpert, select the sample for microscopic exam in the Sample List area, and click "Microscopic" in
the result report area.
2. Click on the bottom of the "DIFF Results" area.

√ The WBC Counter displays:

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

6. To update the DIFF results to the result report:


a Click on the bottom of the "DIFF Results" area.
√ Below dialog box displays:

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.

5.2 Entering New DIFF Results Directly


1. On the labXpert data management end, select the sample for microscopic exam in the Sample List area,
and click "Microscopic" in the result report area.

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 Add Morphology Information


1. On the labXpert data management end, select the sample for microscopic exam in the Sample List area,
and click "Microscopic" in the result report area.
2. Click "+" in the "Morphology" area.

5-3
Microscopic Examination

√ The following dialog box displays.

3. Click to select one or more morphology parameters and click "OK".


4. Click the "Degree" cell after the parameter, and the degree selection dialog box displays. Select the desired
degree description.

5. Click "End Editing".


√ The morphology information is updated to the "Comments" section.

5.4 Parameter Validation Confirmation


1. On the labXpert data management end, select the sample for microscopic exam in the Sample List area,
and click "Microscopic" in the result report area.
2. Select the "VAL” check box of the result you want to validate.
3. Click "End Editing".
√ A "Validated" mark appears to the right of the corresponding result.

5-4
6 Setting up the labXpert Software

6.1 Managing User Accounts


Click Menu - "Setup" - "Users" to enter the "Users" screen. The screen displays the list of all available user
accounts.
The software has a “built-in” administrator's account (User ID: admin; Initial Password: admin). You cannot delete
this account.

Figure 6-1 Managing User Accounts

Table 6-1 The “Users” screen

Column Head Description

User ID The user ID used to log in

User Name Name of the user

Access Level Access levels of the user. Available options:


Administrator
Operator

Comments Comments entered by the users

See below for setting descriptions:

Function Access Level Operation Description

Adding a Administrator's level 1. Click the "Add User" button. /


New User and above 2. Enter the User ID, User Name, Password,
Access Level, and Comments
3. Click "OK".

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".

Reset Administrator's level 1. Click Menu - "Setup" - "Users" to enter /


password and above the "Users" screen.
2. Click to select a user account, and click
“Reset Password".
The software resets the password for the
account. The new password is the same as
the User ID.

6-1
Setting up the labXpert Software

Function Access Level Operation Description

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".

6.2 Customizing Interface Views


You can customize the interface view.
The labXpert software supports two view modes, namely “Table View” and “Full View”.

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.

6.2.1 Customizing the Table View


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.

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.

Figure 6-2 Table View

6-2
Setting up the labXpert Software

6.2.1.1 Customizing the Table View tabs


By default, the sample list area is partly folded to the left part of the screen.
Click the button at the left lower corner of the screen to spread the sample list area.

Figure 6-3 Customizing Table View tabs

Click the button at the lower part of the screen, and the “Customize Table View Tabs” dialog box displays.

Figure 6-4 “Customize Table View Tabs” dialog box

The “Customize Table View Tabs” consists of two parts: the “Fixed Tab Items” settings and the “Tab Settings”.

Customizing the fixed tab items


In the “Fixed Tab Items” area, set up the fixed tabs in the sample list area under the Table View, as well as the
item displaying sequence.

6-3
Setting up the labXpert Software

Figure 6-5 Customizing the fixed tabs

See below for setting descriptions.

Functions Access Level Description Notes

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.

Insert Operator's level and Add the parameters to specific positions in /


above the list
Select the item in the “Available Items”
area, and then select the item below which
you want to insert the item in the “Selected
Items” area. Click the "Insert" button.
The item you selected in the “Available
Items” area is then added below the item
you selected in “Selected Items” area.

Delete Operator's level and The item will no longer display /


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.

Operator's level and Click to move an item to the top of the list /
above

Operator's level and up one line /


above

Operator's level and down one line /


above

6-4
Setting up the labXpert Software

Functions Access Level Description Notes

Operator's level and Click to move an item to the bottom of the /


above list

Customizing the other tabs


In the “Tab Settings” area, set up the other tabs (except for the fixed tabs) to display in the sample list area under
the Table View, as well as the item displaying sequence.

Figure 6-6 Customizing the other tabs

Figure 6-7 Customizing the contents and the displaying sequence of the tabs

6-5
Setting up the labXpert Software

6.2.1.2 Add new tabs


Follow below instructions:
1. Enter the “Customize Table View Tabs” dialog box, and click ”Add” in the “Tab Settings” area.

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

Table 6-2 Setting up the tab items

Functions Access Level Description Notes

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.

Insert Operator's level and Add the parameters to specific positions in /


above the list
Select the item in the “Available Items”
area, and then select the item below which
you want to insert the item in the “Selected
Items” area. Click the "Insert" button.
The item you selected in the “Available
Items” area is then added below the item
you selected in “Selected Items” area.

Delete Operator's level and The item will no longer display /


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.

Operator's level and Click to move an item to the top of the list /
above

6-6
Setting up the labXpert Software

Functions Access Level Description Notes

Operator's level and up one line /


above

Operator's level and down one line /


above

Operator's level and Click to move an item to the bottom of the /


above list

4. When you have completed the setup, click “OK” and follow the software instruction to save the new
settings.

6.2.1.3 Editing/adjusting/deleting tabs


You can edit the tab names, the items to display under the tab, as well as the item displaying sequence.
1. Enter the “Customize Table View Tabs” dialog box, and in the “Tab Settings” area, click to select the tab
that you want to edit, adjust or delete.

2. Edit, delete or make adjustment to the current tabs as necessary.


See below for setting descriptions

Access Level Description Notes

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

Access Level Description Notes

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.

6.2.1.4 Restoring to default settings


When necessary, click the "Restore Defaults" button to restore to the default 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.

6.2.1.5 Customizing the tabs displaying in the sample result area


Under the “Table View” mode, the sample result area displays “Report Parameters”, “RUO Parameters”
(including the RUO scattergrams and the reference results), “Microscopic” results (including microscopic exam
results, WBC DIFF results, and Morphology information), “i-Message”, “Re-Exam Results”, “Rule Record” and the
“Graph” (including the histograms, scattergrams, flags and sample work flow).
When the labXpert connects to an auto glycohemoglobin analyzer, under the “Table View” mode, the sample
result area also displays an “A1C Results” tab (including parameter results, the chromatogram, related flags and
information).
You can customize the tabs displaying in the sample result area.

Figure 6-8 Sample result area

6-8
Setting up the labXpert Software

In the sample result area, click the button to enter the “Customize Result Area” dialog box.

Figure 6-9 “Customize Sample 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.

Figure 6-10 Customize sample result area

See below for setting descriptions.

6-9
Setting up the labXpert Software

Table 6-3 Setting up the items under the tab

Functions Access Level Description Notes

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.

Insert Operator's level and Add the parameters to specific positions in /


above the list
Select the item in the “Available Items”
area, and then select the item below which
you want to insert the item in the “Selected
Items” area. Click the "Insert" button.
The item you selected in the “Available
Items” area is then added below the item
you selected in “Selected Items” area.

Delete Operator's level and The item will no longer display /


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.

Operator's level and Click to move an item to the top of the list /
above

Operator's level and up one line /


above

Operator's level and down one line /


above

Operator's level and Click to move an item to the bottom of the /


above list

4. Tap "OK" to save the settings.

6.2.2 Customizing the Full View


By default, under the “Full View” mode, the sample result area displays the parameter results (when there is an
automated glycohemoglobin analyzer in the system, the glycohemoglobin parameters are also displayed),
patient information, comments, rule records, histograms and scattergrams, flags, expert tips as well as the
sample work flow.
By default, under the "Full View" mode, the sample result area displays "Analysis Info." "Report Results", "RUO
Parameters" (including RUO scattergrams and reference results), "i-Message", "Re-Exam Results", "Historical
Trend", "Microscopic" (including microscopic results, WBC differentiation results and morphology results),
"Morphology Results" (if connected to a morphology analyzer).

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

√ The “Customize Sample Details” dialog box displays.

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.

4. Click "OK" to save the settings.


5. When necessary, click “Customize View”-”Restore to Default View” to restore the default view.
6. When necessary, drag the left and right borders of the ”Patient Information” and the sample results area
to adjust the width of the areas; or drag the up and down borders of the “Patient Information”, “Rule
Record” and “Comments” boxes to adjust the height of the these boxes.

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).

6.2.3 Customizing the Category Tabs


When necessary, on the labXpert data management end, click “More”-“Customize Tab“ to open the
“Customize Tab”dialog box, and customize the category tabs to display on the labXpert data management end,
as well as their displaying sequence.

Figure 6-11 Customizing the category tabs

6.2.3.1 Displaying tabs


By default, the “Customize Tab” dialog box provides the following tabs: “All”, “Search Result”, “To be Done”,
“Review”, “Comm.”, “Microscopic”, “QC”and “Consistency”.
If there is a glycohemoglobin analyzer in your system, the dialog box also displays the options of “Blood” and
“Glycohemoglobin”.
To make a category tab display on the labXpert data management end, check the check box of the tab.
To make a category tab not display on the labXpert data management end, un-check the check box of the tab.

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

Figure 6-12 Displaying tabs

6.2.3.2 Defining tab displaying sequence


On the “Customize Tab” dialog box, select a tab, and click the arrow buttons to adjust its position in the
sequence.

Table 6-4 Tab displaying sequence

Functions Access Level Description Notes

Operator's level and Click to move an item one position to left /


above

Operator's level and Click to move an item one position to right /


above

Operator's level and Click to move an item to the leftmost /


above

Operator's level and Click to move an item to the rightmost /


above

6.2.3.3 Customizing tab titles and contents


When necessary, click to select an item on the “Customize Tab” dialog box, and edit the tab titles in the “Tab
Title” edit box.

Figure 6-13 Customizing tab titles

6 - 14
Setting up the labXpert Software

NOTE
• You cannot modify the tab titles for “All”, “Search Result”, “QC”and “Consistency”.

6.2.3.4 Customizing the tab contents


When necessary, use the “Filters” to customize the samples to display under the “All”, “To be Done", “Review",
“Comm.", “Microscopic” tabs, and when applicable, the “Blood” and “Glycohemoglobin” tabs, as well as the
customized tabs.

NOTE
• The “Search Result” and the "QC” tab does not support filters.

Follow below instructions:


On the “Customize Tab” dialog box, click to select a tab , and define the filtering conditions in the “Filters” area.

Figure 6-14 Defining the filtering conditions

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

Table 6-5 Filters for category tabs

Options Description Notes

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.

Analyzer When the labXpert software connects to multiple /


instruments, define to display the samples from (a) certain
instrument(s).

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

Options Description Notes

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).

Communicati Select to display samples of all communication states or /


on State only in (a) certain communication state(s)
(“Transmitted”,”Not commun.”, or “Communication failed.

More Select to display samples in all or only in (a) certain barcode /


scan state (“Scanning succeeded” or “Scanning failed”) /
print state (“Printed” or “Not printed”).
Click the “Barcode Scan State” or “Print State” button to
select the needed option from the pull-down list.

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).

Presentation Select to display samples of all presentation modes or only /


Mode of certain presentation modes (including OV, CT, and AL).

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

6.2.3.5 Removing all the filters


When necessary, click “Reset” on the ”Customize Tab” dialog box to remove all the filters.

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.

Figure 6-15 Selecting report type

You can select to display the “Blood”or the “Glycohemoglobin” results, or display both type of results under a
particular category tab.

Figure 6-16 Only displaying the A1C results

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.

Figure 6-17 Displaying both Blood and A1C results

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.

6.3 LIS Setup

6.3.1 Comm. Setup


When your laboratory is connected to LIS, follow below instructions to set up the LIS connection.
Before connecting to LIS, make sure the PC where the labXpert server software is installed to a network that can
access the LIS.
1. Click "Setup" - "System Setup"-”Comm. Setup”.
2. Select “Network Connection” or “Shared folders” as needed.
■ When “Network Connection” is selected
When “Network Connection” is selected, define if you want to use labXpert as server, or use LIS as server.
When you want to set labXpert as Server, check the check box of “labXpert as Server”, and enter the port
number (i.e. The port number of the computer on which the labXpert software is installed).

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

■ When “Shared folders” is selected


Specify the directories for the “labXpert to send (sample results)” folder and “labXpert to receive (orders)”
folder.

Figure 6-18 Shared folders between LIS and labXpert

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.

3. Set the appropriate LIS protocol type and version.

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.

6.3.2 LIS Settings for Sample Receiving


The “LIS Settings for Sample Receiving” function is used in the 2-way LIS laboratories where the samples are
not manually registered.
With the function enabled, you can directly place the samples in a tube rack, and send them to the analyzer for
analysis. labXpert automatically generates serial numbers (SN) for the samples based on the tube rack numbers
and tube positions where the samples are placed. Then the labXpert fills the SNs to the messages
communicated to LIS.

Figure 6-19 LIS settings for receiving samples

Follow below instructions:


1. Click “More” - "System Setup" — "Comm. Setup" to enter the "Comm. Setup" screen.
2. Define the “LIS Settings for Sample Receiving”.
See below for more information:

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

The serial numbers are calculated per the following formula:


SN = [Rack No. - First Rack No.] * 10 + Tube No.
For example, when a sample is placed in the 4th tube position in the tube rack No. 10, and the first rack number
is set to 1, the SN for the sample is:
SN=[10-1]*10+4=94

6.4 Sample Transmission Settings


Click “More” - "System Setup" — "Comm. Setup" to enter the "Comm. Setup" screen.

Figure 6-20 Sample Transmission

See below for setting descriptions.

Function Access Level Description Notes

ACK Administrator's level When “ACK Synchronous /


Synchronous and above Communication” is selected, labXpert
Communicati sends the results of a sample to LIS, waits
on for LIS to confirm that LIS has received the
sample results, and then sends the results
of the next sample.

Define the “ACK Timeout” value. Setup range: 0-600 seconds


The “ACK Timeout” value defines how long
labXpert will wait for the confirmation from
LIS.
labXpert waits for LIS to answer before
sending the results of the next sample. But
if it has not received the answer from LIS in
the defined period, the labXpert continues
to send the results of the next sample.

Microscopic Administrator's level / All characters on the keyboard


parameter and above are supported.
validated flag

Transmit Administrator's level / Setup range: 0-600 seconds


Interval and above When the “ACK Synchronous
between Communication” is not
Samples selected, define the “Transmit
Interval between Samples”

6 - 22
Setting up the labXpert Software

Function Access Level Description Notes

Sample Direct Administrator's level When ”Sample Direct Communication“ is /


Communicati and above enabled, the labXpert software
on communicates all sample results, validated
or not validated, to LIS in real time.
When the sample direct communication
function is not enabled, the labXpert
software only communicates validated
sample results to LIS.

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”.

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Setting up the labXpert Software

Function Access Level Description Notes

2-Way LIS/HIS Administrator's level When 2-Way LIS/HIS is used in the /


and above laboratory, check the check box for "2-Way
LIS/HIS".
When you are using the 2-Way LIS/HIS, the
labXpert software automatically inquires
information from the LIS/HIS. You do not
need to enter Sample ID or rack No.
(available only for sample processing line
products).
If labXpert is connected to LIS, but the
option is not selected, labXpert sends
sample results to LIS, but will not inquire
information from LIS.

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:

Analysis Info.- Patient Information

Report Results - Patient Information

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.

Histogram Administrator's level Select from the pull-down list:


Transmitted and above • Not transmitted
as /
• In BMP bitmap
• In PNG bitmap
• Data

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Setting up the labXpert Software

Function Access Level Description Notes

Scattergram Administrator's level Select from the pull-down list: /


Transmitted and above • Not transmitted
as • In BMP bitmap
• In PNG bitmap
• Data

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.

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Setting up the labXpert Software

Figure 6-23 QC transmission

See below for setting descriptions.

Function Access Level Description Notes

Auto transmit Administrator's level When “Auto transmit QC data” is enabled, /


QC data and above the QC data will be automatically
transmitted to LIS.

L-J QC result is Administrator's level When “L-J QC result is communicated in /


communicated and above the format of blood sample result” is
in the format of enabled, labXpert transmits L-J QC results in
blood sample the format of blood sample result.
result

If you are running QC samples together with normal blood samples, assign a special ID to the QC sample.

Table 6-6 Assign special ID to the QC samples

Follow below instructions:


1. Click "New".
2. Enter the special Sample ID you have assigned to the QC sample.
3. Click another tab, and follow the software instruction to save the settings.
√ When labXpert detects the sample with the assigned Sample ID, it recognizes the sample as QC sample,
and automatically transmits the results to LIS as QC results.
4. (Optional) If necessary, tap to select an existing special sample ID, and tap “Delete" to delete the record.

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Setting up the labXpert Software

6.6 Microscopic Setup


On the “Microscopic” setup screen, define the method of entering WBC DIFF results with WBC Counter to the
“Microscopic” results screen.
Click “More” - "System Setup" — "Microscopic" to enter the "Microscopic" Setup screen.

Figure 6-24 Microscopic Setup

See below for setting descriptions.

Function Access Level Description Notes

Use Operator's level and When “Use numeric keypad” is selected, /


numeric above you can use the numeric keypad on your
keypad external keyboard as a simulated cell
counter. Each numeric key on the keypad
represents a cell type.
(Optional) Tap a function key on the setup
screen and assign a cell type to it.

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

6.7 Morphology Setup


On the “Morphology” setup screen, define the morphology parameters and the morphology results. These
items will display in the pull-down lists in the “Morphology” area on the “Microscopic” exam results screen.
Click “More” - "System Setup" — "Morphology" to enter the "Morphology" setup screen.

Figure 6-25 Morphology Setup

See below for setting descriptions.

Function Access Level Description Notes

Morphology Administrator's level The “Morphology Results” items are used /


Results and above to grade the morphology parameters. You
can add, edit or delete the items.
• Click the "New" button to enter a new
item;
• Click an existing item to edit it;
• To delete an item, click to select the item,
and click “Delete”.

Morphology Administrator's level Include “WBC Morphology Field”, “RBC /


and above Morphology Field” and “PLT Morphology
Field” areas.
• Click the "New" button to enter a new
item;
• Click an existing item to edit it;
• To delete an item, click to select the item,
and click “Delete”.

6.8 Setting up the Data Dictionary


Click "System Setup"-"Data Dictionary” to enter the “Data Dictionary” setup screen. Enter frequently-used
entries for “Department", “Ward”, “Patient Type”, “Sample Type”, “Comments”, “Payer”, “Delivered by”,
“Gender”, “Age Unit”, “Bed No.”, and “Diagnosis Info.” to the dictionary. You will find the “Data Dictionary”
items in the following places:
■ In the “Patient Information” area on the “Analysis Info.” screen.
■ In the “Applicable Conditions” and “Exemptions” areas on the “Expert Tip Setup” screen.
■ On the “Validation Rules” screen, at the “Clinical Exception” checking point, “Manual Review
Conditions” checking point, “Reexam Condition” checking point, “Applicable Conditions” checking
point and the “Exemptions” checking point.
■ On the “Validation Rules” screen, when setting up the configuration groups, in the “Applicable
Conditions” and “Exemptions” areas on the “Config Group Management” dialog box.

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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.

Figure 6-26 Setting up the Data Dictionary

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.

6.9 Setting up for Display Settings


You can define the following display settings on the “Display Setting” screen:
■ Which report parameters and microscopic exam parameters to display in the sample result area, and their
displaying sequence
■ The flags
■ The information to display in the sample list area
■ When the software connects to multiple instruments, to display the sample results of which instrument(s)
■ Monthly QC Graph Setup

6 - 29
Setting up the labXpert Software

Click “More” - "System Setup" — "Display Setting" to enter the "Display Setting" screen.

Figure 6-27 Setting up for Display Settings

6.9.1 Report and Microscopic Parameters


In the “Report Para. Sequence“ and “Microscopic Exam. Para. Sequence” area, set up the parameters to
display in the ”Report Results” tab and “Microscopic” tab on the labXpert main screen, as well as the display
sequence of the parameters.

Figure 6-28 Setting up the display of the report parameters

6.9.1.1 Add the report and microscopic parameters to the display list
See below for setting descriptions.

Function Access Level Description Notes

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.

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Setting up the labXpert Software

Function Access Level Description Notes

Insert Administrator's level Add the report/microscopic exam /


and above parameters to specific positions in the
display list
Select the parameter in the “Available
Items” area, and then select the parameter
below which you want to insert the
parameter in the “Selected Items” area.
Click the "Insert" button.
√ The parameter you selected in the
“Available Items” area is then added
below the parameter you selected in
“Selected Items” area.

Delete Administrator's level Remove the report and microscopic /


and above parameters from the ”Report Results” tab/
“Microscopic” tab.
Select the parameter 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.

6.9.1.2 Adjust the displaying sequence of the report/microscopic exam parameters


Follow below instructions:
1. (Optional) When setting up for the report parameters, first define the sample mode (“Blood” or “BF”) from
the “Mode” pull-down list in the “Report Para. Sequence” area.
2. Select the parameter you want to adjust its position in the “Available Items” area.
See below for setting descriptions.

Functions Access Level Description Notes

Operator's level and Click to move an item to the top of the list /
above

Operator's level and up one line /


above

Operator's level and down one line /


above

Operator's level and Click to move an item to the bottom of the /


above list

6.9.1.3 Add/delete a separator between parameters


Separators help to distinguish parameters of different groups. Follow below instruction to add separators
between parameters.
Access Level: Administrator's level and above
Follow below instructions:
1. (Optional) When setting up for the report parameters, first define the sample mode (“Blood” or “BF”) from
the “Mode” pull-down list in the “Report Para. Sequence” area.
2. Select the parameter below which you want to insert a separator in the “Available Items” area.
3. Click “Add separator”.
√ A separator appears below the selected parameter in the “Selected Items” area.

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Setting up the labXpert Software

NOTE
• To delete an existing separator, click to select the separator, and then click “Delete”.

6.9.2 Setting up for the Alarm Style


Set up the flag display formats in the “Alarm Style” area.

Figure 6-29 Setting up for the flag display formats

See below for setting descriptions.

Function Access Level Description Notes

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.

6.9.3 Setting up for the Sample List Fields


In the ”Sample table fields” area, set up the fields and their sequence to display in the “Sample List” area on
the main page.

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

Figure 6-30 Setting up for the sample list

See below for setting descriptions.

Function Access Level Description Notes

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.

Operator's level and Click to move an item up one line /


above

Operator's level and Click to move an item down one line /


above

6.9.4 Setting up for the Sample Filter


When the software connects to multiple instruments, you can set up the sample results of which instrument(s)
will display on the labXpert in the “Sample Filter” area.

Figure 6-31 Sample Filter

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.

Figure 6-32 TAT samples displayed on top

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

3 Numbers of TAT Displaying the numbers of TAT samples.


samples

4 TAT state icon /

6.10 Setting up for the TAT Setup


TAT refers to “Turnaround Time”; it means the a sample's turnaround time in the laboratory.
On the “TAT Setup” screen, set up for the “TAT Alarming” time and the TAT Scenario.
Follow below instructions to enable the TAT alarming.
1. Click “More” - "System Setup" - "TAT Setup" to enter the "TAT Setup" screen.

6 - 34
Setting up the labXpert Software

2. Check the check box of "Enable".

Figure 6-33 TAT Setup

See below for setting descriptions.

Table 6-7 TAT setup

Function Access Level Description Notes

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.

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Setting up the labXpert Software

Figure 6-34 TAT warning and timeout samples

6.11 Setting up for the Print Template


Set up the print templates, the parameters to display on the printed reports, the default printer and the auto
print settings.

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.

Figure 6-35 Print setup

6 - 36
Setting up the labXpert Software

6.11.1 Add/delete the parameters on printed report


Follow below instructions:
1. Click “More” - "System Setup" - "Print" to enter the "Print" setup screen.First define the sample mode
(“Blood” /“BF"/”Glycohemoglobin”) from the “Mode” pull-down list in the “Select Parameters to Print”/
”Select RUO Parameters to Print” area.
2. Define the report parameters and their sequence to display on the printed report; in the “Print RUO
Parameters Setting” area, define the research use only (RUO) parameters and their sequence to display on
the printed report.
See below for setting descriptions.

Function
Access Level Description Notes
s

Add Operator's level Select the parameter to add to the printed /


and above report
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.

Insert Operator's level Add the parameters to specific positions in the /


and above list
Select the parameter in the “Available Items”
area, and then select the parameter below
which you want to insert the parameter in the
“Selected Items” area. Click the "Insert"
button.
The parameter you selected in the “Available
Items” area is then added below the parameter
you selected in “Selected Items” area.

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.

Operator's level Click to move an item to the top of the list /


and above

Operator's level Click an item to move it up one line /


and above

Operator's level Click an item to move it down one line /


and above

Operator's level Click to move an item to the bottom of the list /


and above

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.

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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.

6.11.2 Select the Print Template


In the “Select Print Template” area, select “A4” or “A5”.

6.11.3 Select the Printer


Select the printer to use from the pull-down list in the “Printer” area.

6.11.4 Auto Print after Sample Analysis


See below for setting descriptions.

Function Access Level Description Notes

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.

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Setting up the labXpert Software

6.11.5 Enter the Hospital Name


Enter the name of the hospital.

6.11.6 Printing Content


You can choose to select "Print Result Edited Flags", "Print Suspect Flag" (analysis result is suspicious), “Print &
Flag” (The analysis result is rectified by the algorithm of the instrument), "Print @ Flag" (The analysis result is out
of the linearity range), "Print Out-of-Range Flags" (The analysis result exceeds the upper or lower limit of the
reference range, but still within the display range), "Print Analyzer Temperature Abnormal Flags".

6.12 Setting up the Parameter Units and Reference Range


Administrators can customize the reference group and the reference ranges for each parameter in the group in
the “Ref. Ranges” tab; and the parameter units in the “Parameter Unit” tab.

6.12.1 Setting up the Parameter Units


1. On the labXpert data management end, click “More" “System Setup"-”Parameter Unit” to enter the
"Parameter Unit” setup screen.

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.

6.12.2 Setting up the Reference Group


The “Ref. Ranges" screen provides 5 factory reference groups for your selection. In addition, you can set up to 20
custom reference groups. Users at administrator's level may select and customize reference ranges and reference
groups.
When the setting is enabled, the instrument will find the matching group based on the age/gender conditions.

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Setting up the labXpert Software

6.12.2.1 Customizing reference groups


1. On the labXpert data management end, click “More"-“System Setup"-”Ref. Ranges” to enter the "Ref.
Ranges” setup screen.

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.

6.12.2.2 Editing the reference group settings


1. On the labXpert data management end, click “More" -“System Setup"-”Ref. Ranges” to enter the "Ref.
Ranges” setup screen.

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.

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6.12.2.3 Restoring the “Reference Group” to default settings


When necessary, you can restore the modified reference group settings to the default settings.
1. On the labXpert data management end, click “More" -“System Setup"-”Ref. Ranges” to enter the "Ref.
Ranges” setup screen.

2. Click to select a reference group, and click "Default".


√ The upper and lower limits of age, as well as the upper and lower limit of the results will be restored to the
default settings.

6.13 Expert Tip Setup


Administrators may enable and set up rules for the expert tips on the "Expert Tips" screen.
An Expert Tip rule set consists of 4 parts: “Applicable Conditions”, “Exemptions”, “FLAG Rules” and “Parameter
Rules”.
When the results of a sample comply with all the “Applicable Conditions”, “Parameter Rules”, and “FLAG
Rules” of an expert tip, and do not comply with any “Exemptions”, the pre-defined expert tip message will
automatically display in the “Expert Tips” box in the sample results/information area of the sample.

Figure 6-36 Setting up the Expert Tip

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Setting up the labXpert Software

Figure 6-37 Position displaying the expert tips

6.13.1 Adding/editing/enabling/disabling/deleting the Expert Tip Rules


1. Click “More”- “Expert Tip Setup” to enter the “Expert Tip Setup” screen.
2. To add/edit/enable/disable/delete the expert tip rules:
■ Click "New" to add an expert tip.
■ To edit the existing rule, select the rule in the rule list, and edit it in the rule editing area.
■ To enable a rule, select the rule in the rule list, and check the “Enable” check box in the rule editing area.
■ To disable a rule, select the rule in the rule list, and un-check the “Enable” check box in the rule editing
area.
■ To delete a rule, select the rule in the rule list, and click “Delete”. Then follow the software instruction to
delete it.
3. Click another tab, and follow the software instruction to save the settings.

6.13.2 Setting up the Expert Tip Rules

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.

6.13.2.2 Defining the applicable conditions


When necessary, define the applicable conditions in the “Applicable Conditions” area.
See below for setting descriptions.

Gender Select a gender from the pull-down list /

Age Set the upper and lower limits of age /

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.

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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.

Diagnosis Set up the diagnostic information /


Info. messages as necessary.

6.13.2.3 Editing the exemptions


When necessary, define the exemption conditions in the “Exemptions” area.
See below for setting descriptions.

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.

Diagnosis Set up the diagnostic information /


Info. messages as necessary.

6.13.2.4 Editing parameter rules


When necessary, define the parameter rules in the “Parameter Rules” area.
1. In the "Parameter Rules" area, click the "Setup" button.
√ The “Parameter Rules” setup dialog box displays.

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Setting up the labXpert Software

2. Define the rule.


3. Click "OK" to exit the “Parameter Rules” setup dialog box.
√ The defined parameter rule displays in the “Parameter Rules” area.

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.

6.13.2.5 Defining the FLAG Rules


When necessary, define the Flag rules in the “FLAG Rules” area.
1. In the "FLAG Rules" area, click the "Setup" button.
√ The “FLAG Rules” setup dialog box displays.

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Setting up the labXpert Software

2. Define the rule.


3. Click "OK" to exit the “FLAG Rules” setup dialog box.
√ The defined parameter rule displays in the “FLAG Rules” area.
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.

6.14 Other Settings


Click “More” - "System Setup" - "Others" to enter the "Others" settings screen.

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Setting up the labXpert Software

Figure 6-38 Other Settings

See below for setting descriptions.

Table 6-8 Other Settings

Function Access Level Description Notes

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.

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Setting up the labXpert Software

Function Access Level Description Notes

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.

Analysis Make Administrator's Available when there is an SM&S in /


Settings smears for level and above your system.
all samples When “Make smears for all samples”
is enabled, all the samples will be sent
to the SM&S to make smears.

Inquire Administrator's Click “More”-”System Setup”-”Others”, The auto re-exams triggered


order for level and above and check the check box of ”Inquire by re-exam rules do not
re-tests order for re-tests” in the “Analysis apply.
Settings” area. See 2.3 Re-tests with a New
Test Panel.

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.

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Setting up the labXpert Software

Function Access Level Description Notes

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.

Re-load Administrator's When “Re-load the samples to re- /


the level and above exam in original mode” is enabled:
samples to when a sample is tested for the first
re-exam in time, the software records its test
original panel. If for any reason the sample is
mode placed at the autoloader again, the
system automatically test the sample in
the original test panel.

Results Partly Administrator's 1. Click “More”-“System Setup”- For more information of


Report Validation level and above “Others”, and check the check box “Partly Validation”, refer to
Settings of “Partly Validation”. 3.2.11.1 Validate/Partly
√ The “Partly Validation” button Validate.
appears in the tool bar.

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.

Sample Sample Administrator's Enter the time for the labXpert /


List Auto List Auto level and above automatically refreshes the sample list
Refresh Refresh in the “Sample List Auto Refresh
Time Time Time” text field. The labXpert
automatically refreshes the sample list
at the defined time.

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.

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Setting up the labXpert Software

Function Access Level Description Notes

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.

Rule-"First Administrator's "Rule-"First Time" days" defines The "Rule-"First Time"


Time" days level and above whether to apply a re-exam rule to a days” setting will be used in
sample from a patient who has taken the “Reexam Condition”
the test before and at that time has also section in the “Validation
triggered the said re-exam rule. Rules” settings. The labXpert
If a patient has taken a test and the test judges whether a sample is a
results triggered a pre-defined re-exam “First Time” sample based
rule, and then the patient takes the test on the definition of “Rule-
again within the defined days from the "First Time" days” here.
last test, and the results triggered the
same re-exam rule, the sample will not
be re-examined;
But when the patient takes the second
test after the defined days from the last
test, the analyzer will recognize sample
as first time triggering the re-exam rule,
and do the re-exam accordingly.

Display Administrator's When “Display rule details“ is /


rule details level and above 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.

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.

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Setting up the labXpert Software

labXpert receives
test results

Re-test rules
No End of process
triggered?

Yes

Re-test per rules

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

Re-test per rules

No matter re-test rules triggered or not

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

6.15 Setting up for the QC Parameters


When necessary, you can set up the QC parameters to display on the L-J QC and their displaying sequence.

Figure 6-40 Setting up for the QC Parameters

6 - 50
Setting up the labXpert Software

Follow below instructions:


1. On the labXpert data management end, click the “ ” utility button 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 the “Para.Setup” button.
4. Define the parameters and their sequence to display on the printed report.
See below for setting descriptions.

Functions Access Level Description Notes

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.

Operator's level and up one line /


above

Operator's level and down one line /


above

6.16 Setting up for HbA1c Para.


When there is a glycohemoglobin analyzer in your system, administrators can customize the parameters to be
displayed and printed, the reference group and the reference ranges for each parameter, as well as the
parameter units.

Figure 6-41 Setting up for HbA1c parameters

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.

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Setting up the labXpert Software

Table 6-9 Default settings for HbA1c parameters

Para. Reference range Unit Report?

HbA1c 4~6 %(NGSP) Report

HbA1c 2.9~5 %(Mono-S) Not report

HbA1c 20~42 mmol/mol Report

HbF 0~99.9 % Report

HbA1 0~99.9 % Not report

eAG 0~55.5 mmol/L Report

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.

6.17 Configuring the Customized Parameters Settings


NOTE
• The customized parameters are for research use only, and cannot be used for diagnosis purpose.

When necessary, customize new parameters by using mathematic operations on existing parameters.

Figure 6-42 Configuring the customized 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.

Figure 6-43 Displaying customized parameters results

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Setting up the labXpert Software

The customized parameters can also be used to define expert tips.

NOTE
• For the information of how to define the expert tips, refer to 6.13 Expert Tip Setup.

6.17.1 Configuring New Customized Parameters


When necessary, follow the instruction below to add a new customized parameter.
Make sure you log in as an administrator.
1. On the labXpert data management end, click “More”-”System Setup”-”Customized Para. ” to enter the
“Customized Para. ” setup screen.
2. Click “New”.
√ The “Customized Para. ” dialog box 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.

Table 6-10 The settings of “Customized Para. ”

Items Description Notes

Para. Use an external keyboard to enter the name for /


the new parameter

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

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Setting up the labXpert Software

Items Description Notes

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.

6.17.2 Editing Customized Parameters


When necessary, follow the instruction below to edit a new customized parameter.
Make sure you log in as an administrator.
1. On the labXpert data management end, click “More”-”System Setup”-”Customized Para. ” to enter the
“Customized Para. ” setup screen.
2. Click “Edit”.
√ The “Customized Para. ” dialog box 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”.

6.17.3 Deleting the Customized Parameters


When necessary, follow the instruction below to delete a new customized parameter.
Make sure you log in as an administrator.
1. On the labXpert data management end, click “More”-”System Setup”-”Customized Para. ” to enter the
“Customized Para. ” setup screen.
2. Select the parameter you want to delete, and click “Delete”.
3. Follow the software instruction to delete the parameter.

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Setting up the labXpert Software

6.17.4 Communicating the Customized Parameters


If you want to transmit the results of the customized parameters to LIS, click “More”-”System Setup”-
”Customized Para. ”, and check “Comm.”..

Figure 6-44 Communicate Customized Parameters

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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.

7.2 Auto Validation Rules


Users at the Administrator's level can set up auto validation rules based on the actual needs of the laboratory.
The labXpert outputs data summary based on the validation rules set up by the users.
When a sample triggers one or more rules, the rule(s) display(s) in the “Rule Record” box in the sample result
area.

Figure 7-1 Rule records

NOTE
• See 3.1.4 Sample Result and Information Area-3.2.2.7 Rule record area.

7.2.1 Enable the Auto Validation Function


Access Level: Service's access and above.
Log in the labXpert with a service level account, and select “Use auto validation rules” to enable the function.

NOTE
• To enable the auto validation rules, contact Mindray's customer service.

7-1
Advanced Features

Figure 7-2 Enable the Auto Validation function

When the Auto Validation function is not enabled, you can only define the re-exam rules on the screen.

Figure 7-3 When Auto Validation Function is not enabled

7-2
Advanced Features

7.2.2 Introduction to the Auto Validation Rules Screen

Figure 7-4 Auto validation rules setup screen

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

Below is an illustration of a common auto validation tree from the labXpert.

NOTE
• Based on your system configuration, your real software screen may look different from the
illustration in the manual.

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Advanced Features

Figure 7-5 labXpert software auto validation tree

The meanings of the legends are as below:

Checking points

(White)

Currently selected checking points

(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

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Advanced Features

7.2.2.1 Introduction of the auto validation rules


NOTE
• When the sample results are results of a “re-tested” sample (the sample has been tested before), the
sample results directly go to the “Reexam Condition” checking point.

Table 7-1 Introduction of the checking points

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.

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Table 7-2 Introduction to the validation results points

Description Note

Auto Validation OK Samples reaching this point have passed all /


the auto validation checks

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.

Re-exam Samples reaching this point need to be re- /


tested

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.

7.3 Define the Auto Validation Rules


Click a point in the rule tree to go to the setup screen of this point.
The generic column heads of the setup table for the checking points are explained as follows:

Column Head Description Note

Enable Check the check box of "Enable” to make /


the rule effective

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Column Head Description Note

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.

Usage Rate Number of samples that have triggered /


the rule/Total number of the samples

Pass Rate Number of samples that have passed the /


check point/number of samples that have
triggered the rule

7.3.1 Setting up Abnormal Sample Check Rules

Figure 7-6 “Abnormal Sample Check” rules

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.

7.3.2 Setting up the Panic Value Check Rules


Set up the upper and lower limits of the results values for the parameters. When the sample result is higher than
the upper limit or lower than the lower limit, it is regarded as a panic value.

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Figure 7-7 Panic Value Check rules

Follow the instructions below:


1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the “Panic Value Check” check point.
√ The "Panic Value Check” checking point is highlighted in blue.
3. Click the “Select” button at the bottom of the screen.
√ A dialog box displays where you can select the parameters.

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”.

7.3.3 Setting up the Parameter and Flag Check Rules


The parameter and flag check rules consist of two parts: “Parameter Range“ and “Parameter and Flag Check”.
Define the upper and lower limits for the parameters in the “Parameter Range” check rule area. When the
results are all within the defined ranges, the sample passes the check; when any of the parameter results exceed
the defined range, the sample fails to pass the check.
When necessary, select a flag in the “Flag” rule check area. When the sample does not report the selected flag,
the sample passes the check; when the sample reports the flag, the sample fails to pass the check.

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Advanced Features

Figure 7-8 Parameter and Flag Check

Follow the instructions below:


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 “Parameter and Flag Check checking point is highlighted in blue.
3. Click the “Select” button at the bottom of the screen.
√ A dialog box displays where you can select the parameters.

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.

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3. Click the “Select” button at the bottom of the screen.


√ A dialog box displays where you can select the flag.

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.

7.3.4 Setting up Normal / Abnormal Range Delta Check Rules


Delta Check (patient test result delta check) is a process to detect discrepancies in patient test results by
comparing current patient test results to previous ones. When a patient is in a stable state, his/her test results
between different tests taken at different times should be stable; i.e. the delta values between the results from
consecutive tests should be very small. Large delta values which exceed the defined limits should call the
attention of the doctors.
“Normal Range Delta Check” applies to the samples that have passed the “Parameter and Flag Check”.
“Abnormal Range Delta Check” applies to the samples that have failed to pass the “Parameter and Flag
Check”. However not all the parameter results are checked at this checking point. Only the parameters/flags that
failed the “Parameter and Flag Check” would be checked.
The “Normal Range Delta Check”/”Abnormal Range Delta Check” rule consists of two parts: the “Parameter
Delta Check” and the “Flag Delta Check".
The “Parameter Delta Check” calculates the absolute deviation and relative deviation between the parameter
result of the current test and the latest historical result within a defined period. If the deviations are within
specified ranges, the sample passes the check, otherwise it fails to pass the check.
“Flag Delta Check” compares the flags reported by the current test with that from the latest historical test with
the defined period. If the flags from the two tests are the same, the sample passes the check; otherwise it fails to
pass the check.

7.3.4.1 Parameter Delta Check


Follow instructions below to activate the “Parameter Delta Check” rules.
1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click to select the “Normal Range Delta Check”/”Abnormal Range Delta Check”
checking point.
√ The “Normal Range Delta Check”/”Abnormal Range Delta Check” checking point is highlighted in blue.

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3. Click "Parameter Delta Check".


4. Click the “Select” button at the bottom of the screen.
√ A dialog box displays where you can select the flag.

5. Set up the Delta Check Rules.


See below for setting descriptions.

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.

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Advanced Features

7.3.4.2 Flag Delta Check


Follow instructions below to activate the “Flag Delta Check” rules.
1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click to select the “Normal Range Delta Check”/”Abnormal Range Delta Check”
checking point.
√ The “Normal Range Delta Check”/”Abnormal Range Delta Check” checking point is highlighted in blue.
3. Click "Flag Delta Check".
4. Click the “Select” button at the bottom of the screen.
√ A dialog box displays where you can select the flag.

5. Set up the Delta Check Rules.


See below for setting descriptions.

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.

MSG Click the ”MSG” field to enter the Optional


message to display on the sample
result screen when the check fails.

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.

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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).

Figure 7-9 Illustration of the Abnormal Range Delta Check

7.3.5 Setting up the Clinical Exception Rules


A clinical exception rule consists of the following parts: Ignore Parameter Abnormal, Ignore Flag, "Applicable
Conditions", “Exemptions”, “Parameter Rules”, and the “FLAG Rules”.
Samples that have failed to pass the Parameter and Flag Check and the Abnormal Range Delta Check will be
filtered at the Clinical Exception checking point. When a sample meets all the “Applicable Conditions”,
“Parameter Rules” and the “FLAG Rules”, and does not meet any "Exemptions”, it complies with the criteria of
“clinical exception”. If its parameter abnormality or flags are the same as that defined in the “Ignore Parameter
Abnormal” and/or “Ignore Flag” fields, the parameter abnormality or flags will be ignored.

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Advanced Features

Figure 7-10 Clinical Exception

7.3.5.1 To add/edit/enable/disable/delete the clinical exception rules


1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the “Clinical Exception” checking point.
√ The "Clinical Exception” checking point is highlighted in blue.
3. To add/edit/enable/disable/delete the clinical exception rules:
■ Click "New" to add a Clinical Exception rule.
■ To edit an existing rule, select a rule in the rule list, and edit it in the rule editing area.
■ To enable a rule, select the rule in the rule list, and check the “Enable” check box in the rule editing area.
■ To disable a rule, select the rule in the rule list, and un-check the “Enable” check box in the rule editing
area.
■ To delete a rule, select the rule in the rule list, and click “Delete”. Then follow the software instruction to
delete it.
4. Click another tab, and follow the software instruction to save the settings.

7.3.5.2 Setting up the Clinical Exception Rules


Define the “Rule Name” and the “MSG”.
In the rule editing area, click “Rule Name” to enter a name for the new rule.
(Optional) If necessary, enter a message into the "MSG" edit box.
Set up the abnormal parameter/flag to ignore

NOTE
• To make a rule effectively, for the “Ignore Parameter Abnormal” and the “Ignore Flag” fields, at least
define one of the fields.

1. Click “Ignore Parameter Abnormal” or “Ignore Flag”.


2. The “Ignore Parameter Abnormal” or the “Ignore Flag” dialog box display.
3. Select the parameter/flag to be ignored.
4. Click "OK" to exit the dialog box.
√ The selected parameter(s)/flag(s) display in the “Ignore Parameter Abnormal”/“Ignore Flag” fields.

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Advanced Features

Defining the applicable conditions


When necessary, define the applicable conditions in the “Applicable Conditions” area.
See below for setting descriptions.

Gender Select a gender from the pull-down list /

Age Set the upper and lower limits of age /

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.

Sample Type Define the sample type /

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.

When the check box of “Return Visit” is checked the samples


not matching with the “first visit” definition comply with the
rule.

When the check box of “All” is checked, all the samples


comply with 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.

Diagnosis Set up the diagnostic information /


Info. messages as necessary.

Editing the Exemptions


When necessary, define the exemption conditions in the “Exemptions” area.
If a sample meets any exemptions, the sample is not considered as a clinical exception. And the sample goes to
the “Reexam Condition” checking point.
See below for setting descriptions.

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 Type Define the sample type /

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.

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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.

Editing Parameter Rules


When necessary, define the parameter rules in the “Parameter Rules” area.
1. In the "Parameter Rules" area, click the "Setup" button.
√ The “Parameter Rules” setup dialog box displays.

2. Define the rule.


3. Click "OK" to exit the “Parameter Rules” setup dialog box.
√ The defined parameter rule displays in the “Parameter Ruleses” area.

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.

Defining the FLAG Rules


When necessary, define the parameter rules in the “Parameter Rules” area.
1. In the "FLAG Rules" area, click the "Setup" button.
√ The “FLAG Rules” setup dialog box displays.

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Advanced Features

2. Define the rule.


3. Click "OK" to exit the “FLAG Rules” setup dialog box.
√ The defined parameter rule displays in the “FLAG Rules” area.

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.

Define the relationship between rules


When more than one rules are defined, select the “Relation” between the conditions.

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.

7.3.6 Setting up the Manual Review Conditions


The “Manual Review Conditions” consist of the following parts: “Applicable Conditions“, “Exemptions”,
“Parameter Rules” and “FLAG Rules”.
When a sample meets all the “Applicable Conditions”, “Parameter Rules” and “FLAG Rules”, and does not meet
any “Exemptions” rules, the samples goes to the “Reexam Condition” checking point. The other samples will
be “Auto Validation OK”.

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Advanced Features

Figure 7-11 Manual Review Conditions

7.3.6.1 To add/edit/enable/disable/delete the manual review conditions


1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the “Manual Review Conditions” checking point.
√ The "Manual Review Conditions” checking point is highlighted in blue.
3. To add/edit/enable/disable/delete the manual review conditions:
■ Click "New" to add a rule.
■ To edit an existing rule, select a rule in the rule list, and edit it in the rule editing area.
■ To enable a rule, select the rule in the rule list, and check the “Enable” check box in the rule editing area.
■ To disable a rule, select the rule in the rule list, and un-check the “Enable” check box in the rule editing
area.
■ To delete a rule, select the rule in the rule list, and click “Delete”. Then follow the software instruction to
delete it.
4. Click another tab, and follow the software instruction to save the settings.

7.3.6.2 Setting up the Manual Review Conditions


Define the “Rule Name” and the “MSG”.
In the rule editing area, click “Rule Name” to enter a name for the new rule.
(Optional) If necessary, enter a message into the "MSG" edit box.
Define the applicable conditions
When necessary, define the applicable conditions in the “Applicable Conditions” area.
See below for setting descriptions.

Gender Select a gender from the pull-down list /

Age Set the upper and lower limits of age /

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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.

Sample Type Define the sample type /

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.

When the check box of “Return Visit” is checked the samples


not matching with the “first visit” definition comply with the
rule.

When the check box of “All” is checked, all the samples


comply with 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.

Editing the exemptions


When necessary, define the exemption conditions in the “Exemptions” area.
If a sample meets any “Exemptions”, the sample does not pass the manual review. And the sample goes to the
“Reexam Condition” checking point.
See below for setting descriptions.

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 Type Define the sample type /

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.

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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.

Editing Parameter Rules


When necessary, define the parameter rules in the “Parameter Rules” area.
1. In the "Parameter Rules" area, click the "Setup" button.
√ The “Parameter Rules” setup dialog box displays.

2. Define the rule.


3. Click "OK" to exit the “Parameter Rules” setup dialog box.
√ The defined parameter rule displays in the “Parameter Rules” area.

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.

Defining the FLAG Rules


When necessary, define the parameter rules in the “Parameter Rules” area.
1. In the "FLAG Rules" area, click the "Setup" button.
√ The “FLAG Rules” setup dialog box displays.

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Advanced Features

2. Define the rule.


3. Click "OK" to exit the “FLAG Rules” setup dialog box.
√ The defined parameter rule displays in the “” area.

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.

Define the relationship between rules


When more than one rules are defined, select the “Relation” between the conditions.

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.

7.3.7 Setting up Re-exam Rules


You can set up re-exam rules on the labXpert software in accordance with your laboratory operation protocols.
Re-exam rules stipulate under what circumstances that the samples need to be re-examined and how to do the
re-exam. Normal sample result does not trigger re-exam rules. When a sample result triggers re-exam rules, the
sample should be analyzed again in accordance with the rules (possible methods include, re-exam on the same
or a different analyzer, microscopic examination etc.).
You can set up re-exam rules for auto-loading analysis on the labXpert software. When the re-exam rules are
activated, labXpert will check the sample results and information based on the applied rules. If a sample triggers
a re-exam rule, the sample shall be re-examined accordingly.
The re-exams rules consist of “Reexam Condition”, “Applicable Conditions”, “Exemptions”, “Parameter Rules”,
“FLAG Rules” and “Delta Check Rules”.

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Advanced Features

Figure 7-12 Re-exam rules setup screen

7.3.7.1 To add/edit/enable/disable/delete the reexam conditions


1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the “Reexam Condition” checking point.
√ The "Manual Review Conditions” checking point is highlighted in blue.
3. To add/edit/enable/disable/delete the reexam conditions:
■ Click "New" to add a rule.
■ To edit an existing rule, select a rule in the rule list, and edit it in the rule editing area.
■ To enable a rule, select the rule in the rule list, and check the “Enable” check box in the rule editing area.
■ To disable a rule, select the rule in the rule list, and un-check the “Enable” check box in the rule editing
area.
■ To delete a rule, select the rule in the rule list, and click “Delete”. Then follow the software instruction to
delete it.
4. Click another tab, and follow the software instruction to save the settings.

7.3.7.2 Setting up Re-exam Conditions


Define the “Rule Name” and the “MSG”.
In the rule editing area, click “Rule Name” to enter a name for the new rule.
(Optional) If necessary, enter a message into the "MSG" edit box.
Selecting Re-exam modes

Table 7-3 Re-exam modes supported by the BC-6000 series hematology analyzers

Re-exam modes Meanings

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

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Advanced Features

Re-exam modes Meanings

+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.

*Only applies to the BC-6000Plus, BC-6100Plus, and BC-6200 models.

Table 7-4 Re-exam modes supported by the BC-6800Plus series hematology analyzers

Re-exam modes Meanings

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)

Re-exam modes Meanings

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.

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Advanced Features

Re-exam modes Meanings

*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

Re-exam modes Meanings

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.

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Advanced Features

Table 7-7 Re-exam modes supported by the BC-7500 CRP series hematology analyzers

Re-exam modes Meanings

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.

*Applies only to BC-7500 CRP series [R] and [NR] models.

Setting up the “Rule-"First Time" days”


"Rule-"First Time" days" defines whether to apply a re-exam rule to a sample from a patient who has taken the
test before and at that time has also triggered the said re-exam rule.
When the ”First Time” rule is enabled on the “Re-exam rules” screen:
If a patient has taken a test and the test results triggered a pre-defined re-exam rule, and then the patient takes
the test again within the defined days from the last test, and the results triggered the same re-exam rule, the
second time test results will not be re-examined;
But when the patient takes the second test after the defined days from the last test, the analyzer will recognize
sample as first time triggering the re-exam rule, and do the re-exam accordingly.

NOTE
• For the instruction of how to enable the ” Rule-"First Time" days“ rule, refer to 6.14 Other Settings.

Defining the applicable conditions


When necessary, define the applicable conditions in the “Applicable Conditions” area.
See below for setting descriptions.

Gender Select a gender from the pull-down list /

Age Set the upper and lower limits of age /

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.

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Advanced Features

Sample Type Define the sample type /

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.

When the check box of “Return Visit” is checked the samples


not matching with the “first visit” definition comply with the
rule.

When the check box of “All” is checked, all the samples


comply with 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.

Editing the Exemptions


When necessary, define the exemption conditions in the “Exemptions” area.
If a sample meets any “Exemptions”, the sample does not pass the manual review. And the sample goes to the
“Reexam Condition” checking point.
See below for setting descriptions.

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 Type Define the sample type /

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.

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Advanced Features

Editing Parameter Rules


When necessary, define the parameter rules in the “Parameter Rules” area.
1. In the "Parameter Rules" area, click the "Setup" button.
√ The “Parameter Rules” setup dialog box displays.

2. Define the rule.


3. Click "OK" to exit the “Parameter Rules” setup dialog box.
√ The defined parameter rule displays in the “Parameter Rules” area.

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.

Defining the FLAG rules


When necessary, define the flag rules in the “FLAG Rules” area.
1. In the "FLAG Rules" area, click the "Setup" button.
√ The “FLAG Rules” setup dialog box displays.

2. Define the rule.


3. Click "OK" to exit the “FLAG Rules” setup dialog box.
√ The defined parameter rule displays in the “FLAG Rules” area.

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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.

Set up the Delta Check Rules


When necessary, define the Delta Check rules in the “Delta Check Rules” area.
1. In the "Delta Check Rules" area, click the "Select" button.
√ A dialog box displays where you can select the parameters.

2. Select the parameters for Delta Check.


3. Click "OK" to exit the “Select” dialog box.
√ The selected parameters display in the "Delta Check Rules” area.

4. Set up the Delta Check Rules.


See below for setting descriptions.

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.

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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.

7.3.8 Configuration Group Management


Administrators may set up configuration groups by patient genders, ages, department, types etc..Through
configuration group management, you can manage the rules in a more precise way.
The following checking points support the configuration groups:
■ Panic Value Check
■ Parameter and Flag Check
■ Abnormal Range Delta Check
A configuration group consists of 2 parts: “Applicable Conditions” and “Exemptions”. A sample is considered to
match with a configuration group only it meets all the applicable conditions, and does not meet any exemption
conditions.

7.3.8.1 Default configuration groups and user-defined configuration groups


A default configuration group is the labXpert built-in configuration group, which accommodates all samples.
During the rule checks, the labXpert first compares the sample with the conditions of the customized
configuration groups (if any). When a sample does not match with any user-defined configuration groups, or
there is no customized configuration groups, the sample is fitted to the default configuration group.

NOTE
• You cannot edit, delete or disable the default configuration group.

7.3.8.2 Add/edit/enable/disable/delete the customized configuration groups


1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. In the rule tree area, click the checking point to set the configuration group.
√ The selected checking point is highlighted.
3. To add/edit/enable/disable/delete a customized configuration group
■ Click "New" to add a new configuration group.

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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.

7.3.8.3 Setting up the configuration group


Defining the “Config Group Name”.
In the editing area, click “Config Group Name” to enter a name for the new configuration group.
Defining the applicable conditions
When necessary, define the applicable conditions in the “Applicable Conditions” area.
See below for setting descriptions.

Gender Select a gender from the pull-down list /

Age Set the upper and lower limits of age /

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.

Editing the Exemptions


When necessary, define the exemption conditions in the “Exemptions” area.
A sample will be fitted into the default configuration group as long as it meets any of the “Exemptions” rules.
See below for setting descriptions.

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.

7.3.9 Testing and Adjusting the Auto Validation Rule Tree


Administrators may test and adjust the auto validation rules. Test the auto validation rule tree with historical
sample results, and check the pass rates at each checking point. If the pass rates at certain checking points do
not accord with your expectation, adjust the validation rules at that checking point.

7.3.9.1 Testing and adjusting the rule tree


Follow the instructions below:
1. Click “More"-"Validation Rules” to enter the "Validation Rules” screen.
2. Click "Debug Mode".
√ The “Rule Tree (Debug Mode)” screen displays.

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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.

7.4 View the Statistics


TAT refers to “Turnaround Time”; it means the a sample's turnaround time in the laboratory.
Administrators may view TAT summary as well as the re-exam summary on the “Statistics” screen.

7.4.1 View and Compare TAT Statistics


On the TAT statistics screen, you can view the TAT statistics for a certain period of time or compare the TAT
statistics between different time periods.
Before you view and compare the TAT statistics, make sure the TAT function is enabled.

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Advanced Features

NOTE
• For the samples of glycohemoglobin test, the test duration for the glycohemoglobin test is not
included in the TAT.

7.4.1.1 View TAT Statistics


Follow the instructions below:
1. On the labXpert software data management end, click “More” - “Statistics” to enter the “Statistics” screen.
2. Click “TAT Statistics” to enter the “TAT Statistics” screen.
3. In the “Summary” area, set up the time period for which you want to view the TAT statistics.
4. Click “Start”.
√ The screen displays the TAT statistics for the defined time period.

Figure 7-13 TAT Statistics

7.4.1.2 Compare the TAT statistics


Follow the instructions below:
1. On the labXpert software data management end, click “More” - “Statistics” to enter the “Statistics” screen.
2. Click “TAT Statistics” to enter the “TAT Statistics” screen.
3. In the “Summary” area, set up the time period for which you want to view the TAT statistics.
4. Click “Start”.
√ The screen displays the TAT statistics for the defined time period.
5. In the “Comparison” area, set up the time period for which you want to view the TAT statistics.
6. Click “Start”.
√ The screen displays the TAT statistics for the defined time period.

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Advanced Features

7.4.1.3 View the re-exam summary


Administrators may view the re-exam summary for the defined time period on the “Re-exam Summary” screen.
Follow the instructions below:
1. On the labXpert software data management end, click “More” - “Statistics” to enter the “Statistics” screen.
2. Click “Re-exam Summary” to enter the “Re-exam Summary” screen.
3. Set up the time period for which you want to view the sample re-exam summary.
4. Click to select “Show Daily Mean Value” or “Show Monthly Mean Value”.
■ When “Show Daily Mean Value” is selected, the screen displays the re-exam rates by date.
■ When “Show Monthly Mean Value” is selected, the screen displays the re-exam rates by month.

Figure 7-14 labXpert Re-exam Summary

7.4.1.4 Check Sample Statistics


Administrators may view the sample statistics on the "Sample Statistics" screen.
1. On the labXpert software data management end, click "More" - "Statistics" to enter the "Statistics" screen.
2. Click "Sample Statistics" to enter the "Sample Statistics" screen.
3. In the "Sample Statistics" area, choose "Type": "Monthly" or "Custom".
■ When you choose “Monthly” type, the daily sample statistics during that month will be displayed.
■ When you choose “Custom” type, the daily sample statistics during that specified period will be displayed.
4. Choose “Analyzer” and “Date of Analysis”, and choose whether to include “Re-Exam Results”,
“Background tests”.

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”.

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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”.

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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.

8.1 Quick Set Test Mode

Area Function Note

1 Tool bar Click the button to enter the “Setup” /


screen

Click to minimize the screen Press the hot key you set up on the
“Setup” screen to call out the full screen.

Click to close the widget /

8-1
Using the “Quick Set Test Mode” Widget

Area Function Note

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

3 Analysis Set up the sample ID and test panel in this /


mode setup area
area

4 Message area This area provides prompts and error /


messages

8.2 Setting up the “Quick Set Test Mode” Widget


1. Click to enter the “Setup” screen.

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

8.3 Entering the Sample ID


NOTE
• Before using the widget, make sure the analyzer is at the “Count” screen, and is set to OV/CT analysis
mode.

1. Start the “Quick Set Test Mode” widget.


2. Manually enter the Sample ID, or use an external barcode scanner to scan the barcode label on the tube to
enter Sample ID.
3. Press the [Enter] key on your external keyboard, or click the “Modify” button to save the sample ID.
√ The sample ID and analysis mode display on the green area on the top of the widget:

4. Confirm/enter the sample analysis mode.


■ When the analyzer communicates with LIS or the labXpert software, the analyzer automatically inquires the
test panel for the sample on LIS/labXpert;
■ When the analyzer does not communicate or fails to communicate with LIS or labXpert, manually select a
desired test panel.
After setting up the sample information, follow the analysis procedure to continue the sample analysis.

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

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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.

Follow the instructions to perform the consistency check:


1. Ensure you have set up the analyzer groups for the results consistency check and the out-of-control rules
(refer to 9.1 Setting up for the “Results Consistency Check”).
2. Set up the sample tube worklists for the results consistency check (refer to 9.2.1 Setting up Tube Worklists).
3. Run the samples on the analyzers for results consistency check (refer to 9.2 Running samples for results
consistency check).
4. Review the result consistency check results. If needed, take necessary measures (9.3 Reviewing Result
Consistency Check Data)

9.1 Setting up for the “Results Consistency Check”


Before starting the results consistency check, set up the analyzers to be included in the results consistency check
and the out-of-control rules.

Figure 9-1 “Results Consistency Check” settings

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.

9.1.1 Setting up the Analyzer Groups


Set various analyzers of the same type into a group, and monitor the analyzer status by comparing the results of
the same sample on these analyzers.

NOTE
• 10 groups can be set up at maximum.

Figure 9-2 Setting up the “Groups”

9-2
Analyzer-to-Analyzer Result Consistency Check

Table 9-1 Introduction to the “Groups” settings

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.

3 Use Mean When “Use Mean value as target” is selected, /


value as the labXpert calculates the mean values of all
target the parameter results for a sample or various
samples tested on different analyzers, and use
the mean values as the target results for result
consistency check.

4 The icon for the analyzer selected to be the /


“target”
When an analyzer is selected as the “target”, the
icon displays next to the analyzer. The sample
results reported by the analyzer are used as the
target results.

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

9.1.1.1 Adding/editing/deleting groups


Adding 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

5. Set the targets for result consistency check.


Choose to use the results from a reliable analyzer as the targets, or choose to use the mean values of the test
results from all analyzers in a group as the targets.
■ To use the mean values of the test results from all analyzers in a group as the targets, check the check box
of “Use Mean value as target”;
■ To use the results of a reliable analyzer as the targets, click to select the analyzer, and click “As target
instrument”.
√ The icon displays next to the analyzer.

Editing the group settings


Follow the instructions to edit the existing group settings:
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. 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.

9.1.2 Setting up Out-of-Control Rules


You can set up the out-of-control rules in the “Criteria for Out-of-Control” area:
■ Selecting the parameters for result consistency check;
■ Setting up the out-of-control rules for each parameter, including the segments, the out-of-control limits
and types.

9.1.2.1 Setting up the parameters for results 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 "Criteria for Out-of-Control" area.
3. Click the “Para.Setup“ button.

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

See below for setting descriptions.

Functions Access Level Description Notes

Add Operator's level and Add an item to display. /


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.

Insert Operator's level and Add the parameters to specific positions in /


above the list
Select the item in the “Available Items”
area, and then select the item below which
you want to insert the item in the “Selected
Items area. Click the "Insert" button.
√ The parameter you selected in the
“Available Items” area is then added below the
parameter you selected in “Selected Items”
area.

Delete Operator's level and The item will no longer display. /


above Select the item to delete in the “Selected
Items” area. Click “Delete”.
√ The selected item is removed from the
“Selected Items” area, and appears in the
“Available Items” area.

Operator's level and Click to move an item to the top of the list /
above

Operator's level and Click an item to move it up one line /


above

Operator's level and Click an item to move it down one line /


above

Operator's level and Click to move an item to the bottom of the /


above list

9.1.2.2 Setting up the limits for each parameter


Set up the result control limits for each parameter for the results consistency check. When necessary, set up
multiple result segments and the corresponding results control limits.

9-6
Analyzer-to-Analyzer Result Consistency Check

Figure 9-3 “Criteria for Out-of-Control” settings

Table 9-2 ”Criteria for Out-of-Control“ settings

Functions Access Level Description Notes

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(#)

Operatio Operator's level and When necessary, add/delete a result /


n above segment.

Follow below instructions:


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 "Criteria for Out-of-Control" area.
3. When necessary, select a parameter and set up the result segments, the Limit and the Displayed by.
4. (Optional) When necessary, click in the “Operation” column to add a parameter result segment; or click
in the “Operation” column to delete a result segment.

9-7
Analyzer-to-Analyzer Result Consistency Check

5. Click “Save” to save the settings.

9.2 Running samples for results consistency check

9.2.1 Setting up Tube Worklists


Click to select an analyzer group in the group setting area, and the tube worklists of the group for results
consistency check display in the “Tube Worklist” area. When labXpert receives the sample results and matches
the sample ID with that of a sample tube worklist, it includes the sample results to the result consistency check
data for the group.

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

5. Click “Save” to save the tube orders.

9.2.2 Performing Sample Analysis


Run the samples in accordance with the normal sample analysis procedure. When labXpert matches the sample
ID with that of a sample tube order in the “Tube Worklist” area, it automatically includes the sample results to
the for results consistency check.

NOTE
• The sample results that are for result consistency check will not be shown in the normal test sample
list.

9.3 Reviewing Result Consistency Check Data


You can review the result consistency data in table and in graph.

9.3.1 Reviewing the Result Consistency Data in Graph


1. On the labXpert software data management end, click “Consistency”-”Graph” to enter the result
consistency graph screen.

2. Select an analyzer group from the “Groups” pull down list.


3. Define the time range in the “Time Range” fields for checking result consistency data.
√ The result consistency graph for the selected group in the defined time range is displayed.

9-9
Analyzer-to-Analyzer Result Consistency Check

9.3.1.1 Introduction to the result consistency graph

Figure 9-5 Result consistency graph

Table 9-3 Introduction to the result consistency graph

Items Description Notes

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.

7 Data points Each line connects the data points of an analyzer /


connecting The data points obtained from different
lines analyzers are connected by lines of different
colors

9 - 10
Analyzer-to-Analyzer Result Consistency Check

9.3.1.2 Reading the result consistency check data point information


Click any data point on the graph, the detailed information of the point displays.

Figure 9-6 Detailed information of a data point

Table 9-4 Introduction to the detailed information of data points

Items Description Notes

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.

Analysis The analyzer measured parameter results /


Result

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

9.3.2 Reviewing the Result Consistency Data in Table


1. On the labXpert software data management end, click “Consistency”-”Table” to enter the result
consistency table screen.

9 - 11
Analyzer-to-Analyzer Result Consistency Check

2. Select an analyzer group from the “Groups” pull down list.


3. Define the time range in the “Time Range” fields for checking result consistency Results data.
√ The result consistency table for the selected group in the defined time range is displayed.

9.3.2.1 Introduction to the result consistency data table

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)

Items Description Notes

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

2 Time The time when the first analyzer starts analyzing /


a sample for the result consistency check

9 - 12
Analyzer-to-Analyzer Result Consistency Check

Items Description Notes

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.

4 Data points The data points produced by the analyzers /


for the result
consistency
check

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)

Items Description Notes

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

2 Time The time when the first analyzer starts analysis of /


a sample for the result 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

Items Description Notes

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.

5 Data points The data points produced by the analyzers /


for the result
consistency
check

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.

9.3.3 Calculating the Deviation Value and Deviation


This section describes the calculation of the deviation and the deviation value.
An example is used to explain the calculation method:
In the example, the analyzer-measured RBC result is 4.82, and the target is 5.00.

Based on the control rules defined on the “Consistency”-”Setup” screen:


The result falls into the result segment of [0.00,99.99), and the control limit set for the segment is 70.00%.

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

9.3.4 Deleting Data Points from the Graph


When necessary, you may choose to delete a set of results data from the graph.
1. On the labXpert software data management end, click “Consistency”-”Graph” to enter the result
consistency graph screen.
2. Select a group from the “Groups” pull-down list.
3. Click to select any data point for a sample, and click “Delete”, all the data points for the sample are deleted.

Figure 9-9 Deleting data points from the graph

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.

9.3.5 Deleting Data Points from the Table


When necessary, you may choose to delete a set of results data from the graph.
1. On the labXpert software data management end, click “Consistency”-”Table” to enter the result
consistency graph screen.
2. Select a group from the “Groups” pull-down list.
3. Click to select a sample, and click “Delete” to delete the results of the sample.

Figure 9-10 Deleting data points from the table

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

9.3.6 Exporting the Result Consistency Data


When necessary, you may choose to export the result consistency data of specified time range from the result
consistency graph/table screen.
1. On the labXpert software data management end, click “Consistency”-”Graph”-”Table”, to enter the result
consistency graph/table screen.
2. Select a group from the “Groups” pull-down list.
3. Click the “Export” function.
√ The "Export" dialog box displays.

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”.

9.4 When the Consistency Results are Out of Range


When there are out-of-range results, follow below steps to solve the problem.
1. Check the state of the sample concerned; and also, check the error information area of the analyzer, if any
error exists, remove the error first.
2. When the sample has no obvious abnormality, and there are no error messages displayed on the analyzer
screen, re-test the sample, and check the new results are in control.
3. If the results are still out-of-control, follow the standard laboratory procedure to solve the problem.

9 - 16
Appendix A Abbreviations of Morphology Glossary

The following abbreviations may appear in the manual and on the labXpert software.

Abbreviation EN

Mon-Aly Atypical lymphocytes (monocytes)

Seg Segmented neutrophils

Band Band neutrophils

Plsm-cell Plasma cells

Pla-Aly Atypical lymphocytes (plasma cells)

Other-Aly Atypical lymphocyte (others)

ALY Atypical lymphocytes

Pro-Mon Promonocytes

Pro-Lym Prolymphocytes

Imm-Bas Immature basophils

Imm-Eos Immature eosinophils

Imm-Aly Immature atypical lymphocytes

Mon-blast Monoblasts

Mye-Blast Myeloblasts

Lym-blast Lymphoblasts

Blast Blast cells

IMG/Blast Immature/blast cells

Pro-Mye Promyelocytes

Meta Metamyelocytes

Myelo Myelocytes

A-1
Abbreviations of Morphology Glossary

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A-2
Appendix B Mathematic Operators

Table B-1 Mathematic Operators

Meanings

< Less than

> Greater than

= Equal to

>= Greater than or equal to

<= Less than or equal to

<> Less than or greater than

+ Plus

x Multiply

SQRT Square root

- Minus

/ Divided by

^ Exponent

OR or

AND and

ABS Absolute value

( Left bracket; when used to represent range sections, means


“greater than”

) Right bracket, when used to represent range sections, means


“smaller than”

[ Left square bracket; when used to represent range sections, means


“greater than”

] Right square bracket, when used to represent range sections,


means “smaller than”

B-1
Mathematic Operators

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B-2
P/N:046-019001-00(5.0)

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