State Bureau Lab Orders-Results

This use case scenario allows participants to electronically and efficiently deliver demographic and test order information for specimens that were sent to the state lab for testing, and in turn receive the results of those tests much more quickly.

Under certain circumstances lab specimens, such as blood spot samples, are sent to a state’s bureau of laboratories for testing. These specimens are typically sent along with requests to receive lab results as soon as possible.

Processing these requests quickly can be critical. Newborn screening labs such as blood spot can detect life-changing and, often, life-threatening genetic and metabolic disorders. The results can lead to immediate treatments for conditions such as:

* Phenylketonuria
* Cystic fibrosis
* Sickle cell disease

Efficiently processing these requests also allows public health departments to monitor and track possible pandemics and epidemics.

The “State Bureau Lab Orders-Results” use case scenario is under the Lab Orders-Results use case.

The following document(s) are available for this scenario:

State Bureau Lab Orders-Results Use Case Summary

State Bureau Lab Orders-Results Use Case Implementation Guide

The “Persona” Story

Aiden Michael Jones is only a few days old, but he already has a lot to feel lucky about. Aiden’s parents (Angelica and Darren) could not be more in love with him and playfully take turns holding him in the hospital while showing him off to relatives and promising everything under the sun for his happiness. The doctor and nurses said he was “perfect” when he first cried in the delivery room and both parents had to agree.

In the hospital’s nursery Aiden was given a routine newborn blood spot screening. The aim with the test was to screen for nine rare (but serious) congenital medical conditions. The blood spot sample was sent to the state bureau of labs for testing. The record of the screening and its result were logged in the hospital’s electronic medical record and then shared electronically with the newborn screening system for the state.

Unfortunately, Aiden tested positive for cystic fibrosis. Both Angelica and Darren were heartbroken over the news, but the hospital staff quickly assured them that the screen catches the disease early enough so immediate intervention can begin. The blood spot screening allows medical professionals to address Aiden’s condition during the critical early days of his life to alleviate his symptoms. That intervention will reduce the severity of Aiden’s condition, vastly improve his quality of life, and increase his life expectancy, none of which would have been possible without the early screening.

The test results were also shared with the state, including a chronic disease management registry, so if Aiden’s parents need help and more information there is a team waiting there.

Thanks to the test and the ensuing coordination between his healthcare team and parents, Aiden has an opportunity for a long and healthy life.