LabDriver Audit Trail Example
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1 LabDriver Audit Trail Example Sample details:= (SampleDId=82051) Lab no: Centre: CR Centre (CentreId=1079) (BatchSId=1317) Status: Checked Blood date: 13/05/2009 time: 11:31:00 lab received: 13/05/2009 storage location: Urine 13/05/ :05:00 13/05/2009 Groups: visit: no Study: 123-XY (StudySId=1236) Description: Visit: Visit 1 (Screen) (VisitId=3577) Status: Original Optional Investigator: Dr A Doctor (InvestigatorId=1010) QSig: JCA Retest: No Subject details:= (SampleSId=8232) Subject ID: V01523 Sample order: 7 Active?: Yes Subject No: 003 Screening ID: S003 Weight (kg): 0.00 Initials: Sex: Female DoB: Description: Sample Changes Log:= Changed by Changed on At Change type Using Reason Joanna Longstock 13/05/ :23:59 SStatus To: Active integra 13/05/ :26:59 Import Stat:1 To: A/G, , ,DBilC, , ,TP, , ,Urea, , ,GLU, , ,GLU fast, , ,creat, , ,AST, , ,ALT, , ,ALP, , ,TBilO, , ,Alb, , ,PO4, , ,R-UA, , ,TCO2, , ,Ca, , ,Cl, , ,K, , ,Na, , integra 13/05/ :55:20 Import Stat:1 To: Ethanol,Negative, Joanna Longstock 13/05/ :23:36 SStatus Active To: Complete Judy Chambers 14/05/ :47:24 QC-Esig To: JCA Judy Chambers 14/05/ :47:24 SStatus findsm42.w Complete To: Checked Judy Chambers 02/06/ :32:15 Subject No To: 003 access2 10/06/ :45:46 Import Stat:1 To: HBsAg,Negative, ,HCVPLUS,Negative, ,hFSH,7.73, ,HIVAbNew, Negative, ,OV125Ag,6.1, ,TBhCG2,0.00, Study Report Printing:= Change Report file Name date Log time Via _HAEMATOLOGY_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _CHEMISTRY_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _VIROLOGY_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _ENDOCRINOLOGY_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _COAGULATION_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _HIV_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _DRUGS OF ABUSE_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _HORMONES_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, _URINALYSIS_ Judy Chambers 14/05/ :47:26 \\fs1\epson LQ-800,,,,,,Server,, Profiles:= Opt First test Profile pro Profile Sample type date time Status ESig comment Investigator comment no CHEMISTRY Blood 13/05/ :37:12 Commented SYP no COAGULATION Blood 13/05/2009 Commented SYP no DRUGS OF ABUSE Urine 13/05/2009 Commented SYP no ENDOCRINOLOGY Blood 13/05/2009 Commented SYP
2 no HAEMATOLOGY Blood 13/05/ :38:20 Commented SYP no HIV Blood 13/05/2009 Commented SYP no HORMONES Blood 13/05/2009 Commented SYP no MICROSCOPY Urine 13/05/ :35:25 Commented SYP no URINALYSIS Urine 13/05/ :06:00 Commented SYP no VIROLOGY Blood 13/05/2009 Commented SYP Profile Changes Log:= Change Change Change Change Profile Name date Log time type from to CHEMISTRY Joanna Longstock 13/05/ :27:09 ESig JoannaLS CHEMISTRY Joanna Longstock 13/05/ :33:55 Status SentOut Commented CHEMISTRY Judy Chambers 14/05/ :47:26 Report _CHEMISTRY_ \\fs1\epson LQ-800,,,,,,Server,, COAGULATION Joanna Longstock 13/05/ :34:12 Status SentOut Commented COAGULATION Joanna Longstock 13/05/ :34:12 ESig JoannaLS COAGULATION Judy Chambers 14/05/ :47:26 Report _COAGULATION_ \\fs1\epson LQ-800,,,,,,Server,, DRUGS OF ABUSE Joanna Longstock 13/05/ :34:43 ESig JoannaLS DRUGS OF ABUSE Joanna Longstock 13/05/ :23:00 Status Active Commented DRUGS OF ABUSE Judy Chambers 14/05/ :47:26 Report _DRUGS OF ABUSE_ \\fs1\epson LQ-800,,,,,,Server,, ENDOCRINOLOGY Joanna Longstock 13/05/ :34:57 ESig JoannaLS ENDOCRINOLOGY Joanna Longstock 13/05/ :34:57 Status Allocated Commented ENDOCRINOLOGY Judy Chambers 14/05/ :47:26 Report _ENDOCRINOLOGY_ \\fs1\epson LQ-800,,,,,,Server,, HAEMATOLOGY Joanna Longstock 13/05/ :24:41 Status Active Commented HAEMATOLOGY Joanna Longstock 13/05/ :24:41 ESig JoannaLS HAEMATOLOGY Judy Chambers 14/05/ :47:26 Report _HAEMATOLOGY_ \\fs1\epson LQ-800,,,,,,Server,, HIV Joanna Longstock 13/05/ :35:09 ESig JoannaLS HIV Joanna Longstock 13/05/ :35:09 Status Allocated Commented HIV Judy Chambers 14/05/ :47:26 Report _HIV_ \\fs1\epson LQ-800,,,,,,Server,, HORMONES Joanna Longstock 13/05/ :35:21 ESig JoannaLS HORMONES Joanna Longstock 13/05/ :23:36 Status Allocated Commented HORMONES Judy Chambers 14/05/ :47:26 Report _HORMONES_ \\fs1\epson LQ-800,,,,,,Server,, MICROSCOPY Joanna Longstock 13/05/ :35:26 Status Active Commented MICROSCOPY Joanna Longstock 13/05/ :35:26 ESig JoannaLS URINALYSIS Joanna Longstock 13/05/ :24:43 ESig JoannaLS URINALYSIS Joanna Longstock 13/05/ :35:35 Status Active Commented URINALYSIS Judy Chambers 14/05/ :47:26 Report _URINALYSIS_ \\fs1\epson LQ-800,,,,,,Server,, VIROLOGY Joanna Longstock 13/05/ :35:47 Status Allocated Commented VIROLOGY Joanna Longstock 13/05/ :35:47 ESig JoannaLS VIROLOGY Judy Chambers 14/05/ :47:26 Report _VIROLOGY_ \\fs1\epson LQ-800,,,,,,Server,, Tests:= Test name Result (character) Result (numeric) Flag Test status LabDriver Sample Audit Trail Single Lab No 2
3 Albumin Validated Alkaline Phosphatase Validated Amphetamines Negative Validated APTT Validated Barbiturates Negative Validated Basophils Validated Benzodiazepines Negative Validated bhcg Negative Validated Ca Validated Calcium Validated Cannabinoids Negative Validated Chloride H Validated Cocaine Negative Validated Creatinine Validated Direct Bilirubin Validated Eosinophils Validated Ethanol Negative Validated Fasting Glucose Validated FSH L Validated Haematocrit Validated Haemoglobin Validated HCV Negative Validated Hepatitis B surface Antigen Negative Validated HIV I/II Negative Validated Inorganic Phosphate Validated Lymphocytes Validated MCH Validated MCHC Validated MCV Validated MDMA Negative Validated Methadone Negative Validated Methamphetamines Negative Validated Monocytes Validated Neutrophils Validated Nitrite Urinalysis Negative Validated Opiates Negative Validated PCP ND Validated Platelets Validated Potassium Validated Prothrombin Time Validated Red Cell Count Validated Renal Epithelial Cells ND Validated SGOT(ASAT) L Validated SGPT(ALAT) Validated Sodium Validated TCO L Validated Total Bilirubin Validated Total Protein Validated Tricyclic Antidepressants TCA Negative Validated Urea Validated Uric Acid Validated Urinalysis Bilirubin Validated Urinalysis Blood Validated Urinalysis Glucose Validated Urinalysis Ketones Validated Urinalysis ph Validated Urinalysis Protein Validated Urinalysis Specific Gravity Validated Urinalysis Urobilinogen Validated Urine Casts ND Validated Urine HCG ND Validated Urine Red Blood Cells ND Validated Urine White Blood Cells ND Validated White Cell Count Validated Test Changes Log:= Change Change Change Change Test name Name date Log time type from to Using Albumin Joanna Longstock 13/05/ :27:09 Result ND, 46,,g/L Albumin Joanna Longstock 13/05/ :27:09 AStatus Active Validated Alkaline Phosphatase Joanna Longstock 13/05/ :27:09 Result ND, 49,,IU/L Alkaline Phosphatase Joanna Longstock 13/05/ :27:09 AStatus Active Validated Amphetamines Joanna Longstock 13/05/ :34:43 AStatus Active Validated LabDriver Sample Audit Trail Single Lab No 3
4 Amphetamines Joanna Longstock 13/05/ :34:43 Result ND, Negative,, APTT Joanna Longstock 13/05/ :34:12 AStatus Active Validated APTT Joanna Longstock 13/05/ :34:12 Result ND, 32.7,,Secs Barbiturates Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Barbiturates Joanna Longstock 13/05/ :34:43 AStatus Active Validated Basophils Joanna Longstock 13/05/ :24:41 AStatus Active Validated Basophils Joanna Longstock 13/05/ :24:41 Result ND, 0.03,,10*9/L Benzodiazepines Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Benzodiazepines Joanna Longstock 13/05/ :34:43 AStatus Active Validated bhcg Joanna Longstock 13/05/ :34:57 Result ND, Negative,, bhcg Joanna Longstock 13/05/ :34:57 AStatus Active Validated Ca 125 Joanna Longstock 13/05/ :33:55 Result ND, 6,,u/mL Incorrect result entry Ca 125 Joanna Longstock 13/05/ :33:55 AStatus Active Validated Incorrect result entry Calcium Joanna Longstock 13/05/ :27:09 AStatus Active Validated Calcium Joanna Longstock 13/05/ :27:09 Result ND, 2.40,,mmol/L Cannabinoids Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Cannabinoids Joanna Longstock 13/05/ :34:43 AStatus Active Validated Chloride Joanna Longstock 13/05/ :27:09 AStatus Active Analysed Chloride Joanna Longstock 13/05/ :27:09 Result ND, 103,H,mmol/L Chloride Joanna Longstock 13/05/ :33:55 AStatus Analysed Validated Cocaine Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Cocaine Joanna Longstock 13/05/ :34:43 AStatus Active Validated Creatinine Joanna Longstock 13/05/ :27:09 Result ND, 68,,umol/L Creatinine Joanna Longstock 13/05/ :27:09 AStatus Active Validated Direct Bilirubin Joanna Longstock 13/05/ :27:09 AStatus Active Validated Direct Bilirubin Joanna Longstock 13/05/ :27:09 Result ND, 1.5,,umol/L Eosinophils Joanna Longstock 13/05/ :24:41 AStatus Active Validated Eosinophils Joanna Longstock 13/05/ :24:41 Result ND, 0.15,,10*9/L Ethanol Joanna Longstock 13/05/ :23:00 AStatus Active Validated Ethanol Joanna Longstock 13/05/ :23:00 Result ND, Negative,, Fasting Glucose Joanna Longstock 13/05/ :27:09 Result ND, 5.0,,mmol/L Fasting Glucose Joanna Longstock 13/05/ :27:09 AStatus Active Validated FSH Joanna Longstock 13/05/ :35:21 AStatus Active Analysed FSH Joanna Longstock 13/05/ :35:21 Result ND, 7.7,L,mIU/mL FSH Joanna Longstock 13/05/ :23:36 AStatus Analysed Validated Haematocrit Joanna Longstock 13/05/ :24:40 Result ND, 0.37,,L/L Haematocrit Joanna Longstock 13/05/ :24:40 AStatus Active Validated Haemoglobin Joanna Longstock 13/05/ :24:40 AStatus Active Validated Haemoglobin Joanna Longstock 13/05/ :24:40 Result ND, 12.7,,g/dL HCV Joanna Longstock 13/05/ :35:47 Result ND, Negative,, HCV Joanna Longstock 13/05/ :35:47 AStatus Active Validated LabDriver Sample Audit Trail Single Lab No 4
5 Hepatitis B surface Antig Joanna Longstock 13/05/ :35:47 AStatus Active Validated Hepatitis B surface Antig Joanna Longstock 13/05/ :35:47 Result ND, Negative,, HIV I/II Joanna Longstock 13/05/ :35:09 AStatus Active Validated HIV I/II Joanna Longstock 13/05/ :35:09 Result ND, Negative,, Inorganic Phosphate Joanna Longstock 13/05/ :27:09 Result ND, 1.17,,mmol/L Inorganic Phosphate Joanna Longstock 13/05/ :27:09 AStatus Active Validated Lymphocytes Joanna Longstock 13/05/ :24:40 Result ND, 2.0,,10*9/L Lymphocytes Joanna Longstock 13/05/ :24:40 AStatus Active Validated MCH Joanna Longstock 13/05/ :24:40 AStatus Active Validated MCH Joanna Longstock 13/05/ :24:40 Result ND, 32,,pg MCHC Joanna Longstock 13/05/ :24:40 Result ND, 35,,g/dL MCHC Joanna Longstock 13/05/ :24:40 AStatus Active Validated MCV Joanna Longstock 13/05/ :24:40 AStatus Active Validated MCV Joanna Longstock 13/05/ :24:40 Result ND, 91,,fL MDMA Joanna Longstock 13/05/ :34:43 AStatus Active Validated MDMA Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Methadone Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Methadone Joanna Longstock 13/05/ :34:43 AStatus Active Validated Methamphetamines Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Methamphetamines Joanna Longstock 13/05/ :34:43 AStatus Active Validated Monocytes Joanna Longstock 13/05/ :24:40 Result ND, 0.6,,10*9/L Monocytes Joanna Longstock 13/05/ :24:40 AStatus Active Validated Neutrophils Joanna Longstock 13/05/ :24:41 Result ND, 3.6,,10*9/L Neutrophils Joanna Longstock 13/05/ :24:41 AStatus Active Validated Nitrite Urinalysis Joanna Longstock 13/05/ :35:35 Result ND, Negative,, Nitrite Urinalysis Joanna Longstock 13/05/ :35:35 AStatus Active Validated Opiates Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Opiates Joanna Longstock 13/05/ :34:43 AStatus Active Validated PCP Joanna Longstock 13/05/ :34:43 AStatus Active Validated Platelets Joanna Longstock 13/05/ :24:40 AStatus Active Validated Platelets Joanna Longstock 13/05/ :24:40 Result ND, 230,,10*9/L Potassium Joanna Longstock 13/05/ :27:09 Result ND, 4.34,,mmol/L Potassium Joanna Longstock 13/05/ :27:09 AStatus Active Validated Prothrombin Time Joanna Longstock 13/05/ :34:12 Result ND, 14.4,,Secs Prothrombin Time Joanna Longstock 13/05/ :34:12 AStatus Active Validated Red Cell Count Joanna Longstock 13/05/ :24:40 AStatus Active Validated Red Cell Count Joanna Longstock 13/05/ :24:40 Result ND, 4.0,,10*12/L Renal Epithelial Cells Joanna Longstock 13/05/ :35:25 AStatus Active Validated SGOT(ASAT) Joanna Longstock 13/05/ :27:09 Result ND, 12,L,IU/L SGOT(ASAT) Joanna Longstock 13/05/ :27:09 AStatus Active Analysed SGOT(ASAT) Joanna Longstock 13/05/ :33:55 AStatus Analysed Validated LabDriver Sample Audit Trail Single Lab No 5
6 SGPT(ALAT) Joanna Longstock 13/05/ :27:09 AStatus Active Validated SGPT(ALAT) Joanna Longstock 13/05/ :27:09 Result ND, 12,,IU/L Sodium Joanna Longstock 13/05/ :27:09 AStatus Active Validated Sodium Joanna Longstock 13/05/ :27:09 Result ND, 137,,mmol/L TCO2 Joanna Longstock 13/05/ :27:09 Result ND, 24,L,mmol/L TCO2 Joanna Longstock 13/05/ :27:09 AStatus Active Analysed TCO2 Joanna Longstock 13/05/ :33:55 AStatus Analysed Validated Total Bilirubin Joanna Longstock 13/05/ :27:09 Result ND, 6.9,,umol/L Total Bilirubin Joanna Longstock 13/05/ :27:09 AStatus Active Validated Total Protein Joanna Longstock 13/05/ :27:09 AStatus Active Validated Total Protein Joanna Longstock 13/05/ :27:09 Result ND, 70,,g/L Tricyclic Antidepressants Joanna Longstock 13/05/ :34:43 Result ND, Negative,, Tricyclic Antidepressants Joanna Longstock 13/05/ :34:43 AStatus Active Validated Urea Joanna Longstock 13/05/ :27:09 AStatus Active Validated Urea Joanna Longstock 13/05/ :27:09 Result ND, 4.3,,mmol/L Uric Acid Joanna Longstock 13/05/ :27:09 Result ND, 0.233,,mmol/L Uric Acid Joanna Longstock 13/05/ :27:09 AStatus Active Validated Urinalysis Bilirubin Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis Bilirubin Joanna Longstock 13/05/ :24:43 Result ND, 0.0,,umol/L Urinalysis Blood Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis Blood Joanna Longstock 13/05/ :24:43 Result ND, 0.0,,mg/L Urinalysis Glucose Joanna Longstock 13/05/ :24:43 Result ND, 0.0,,mmol/L Urinalysis Glucose Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis Ketones Joanna Longstock 13/05/ :24:43 Result ND, 0.0,,mmol/L Urinalysis Ketones Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis ph Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis ph Joanna Longstock 13/05/ :24:43 Result ND, 7.0,,pH Urinalysis Protein Joanna Longstock 13/05/ :24:43 Result ND, 0.00,,g/L Urinalysis Protein Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis Specific Gravi Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis Specific Gravi Joanna Longstock 13/05/ :24:43 Result ND, 1.005,, Urinalysis Urobilinogen Joanna Longstock 13/05/ :24:43 AStatus Active Validated Urinalysis Urobilinogen Joanna Longstock 13/05/ :24:43 Result ND, 3.4,,umol/L Urine Casts Joanna Longstock 13/05/ :35:25 AStatus Active Validated Urine HCG Joanna Longstock 13/05/ :34:57 AStatus Active Validated Urine Red Blood Cells Joanna Longstock 13/05/ :35:26 AStatus Active Validated Urine White Blood Cells Joanna Longstock 13/05/ :35:26 AStatus Active Validated White Cell Count Joanna Longstock 13/05/ :24:41 Result ND, 6.4,,10*9/L White Cell Count Joanna Longstock 13/05/ :24:41 AStatus Active Validated Tests Not Requested:= Changed by Changed on At Change type Using Reason LabDriver Sample Audit Trail Single Lab No 6
7 Hct PD To: RDW To: 12.3 PCT To: MPV To: 9.8 PDW To: 15.5 LY% To: 31.3 MO% To: 9.3 NE% To: 56.6 EO% To: 2.3 BA% To: 0.5 phu To: 7.0 SG Urin urin To: UNIT To: Negative ULeuco To: 0 GU To: - UPRO + To: - Bili Urin ur To: - Uro Urin uri To: +/- BU To: - KU To: - Joanna Longstock 13/05/ :27:09 Test Not Req A/G integra To: Joanna Longstock 13/05/ :27:09 Test Not Req GLU integra To: LabDriver Sample Audit Trail Single Lab No 7
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Created: April 2002 of Review: February 2004 of Review: June 2006 of Review: July 2007, St. Joseph s Healthcare went live with Meditech as of June18, 2007. of Review: August 2009 of Review: December 2011;
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