Lab-to-Doctor Operations Dashboard

Operations · Clinical · Lab-to-doctor command view

From lab order to confirmed result in the clinician's hands.

Advanced OpenLab-style lab order routing, specimen lifecycle and chain of custody, result confirmation and triage, ICD-10 / ICD-11-coded outputs, turnaround-time risk, and patient continuity follow-up for HIV, TB, malaria, and general diagnostics — standalone-first, integration-ready, and low-bandwidth aware. AI assists confirmation and triage; clinicians retain judgment and every release is human-authorized.

You are viewing the Advanced Lab-to-Doctor Operations Dashboard

Lab orders 6

Electronic orders across programs

Pending specimens 3

In transit / analysis / awaiting dispatch

Completed results 2

Released to clinicians

Urgent / abnormal 2

Prioritized for clinician review

Delayed turnaround 2

High turnaround-time risk

Doctor routing queue 1

Awaiting clinician acknowledgement

ICD-coded results 3

ICD-10 / ICD-11 coded outputs

Continuity follow-ups 3

Linked to patient continuity

Missing evidence 2

Records lacking evidence

Result lifecycle

Every order moves through an auditable lifecycle. AI may flag and summarize at any stage, but a result is only released to a doctor after authorized human review.

orderedcollectedin-transitin-labin-analysisresultedin-reviewpending-authorizationreleaseddelivered-to-doctoracknowledged

Electronic lab order routing

Order	Test	Program	Priority	Status
ORD-5001	HIV Viral Load	HIV	routine	resulted
ORD-5002	TB GeneXpert MTB/RIF	TB	urgent	resulted
ORD-5003	Malaria Rapid Diagnostic Test	Malaria	urgent	resulted
ORD-5004	Complete Blood Count	General Diagnostics	routine	in-lab
ORD-5005	HIV Viral Load	HIV	routine	in-transit
ORD-5006	TB GeneXpert MTB/RIF	TB	routine	collected

Specimen lifecycle & chain of custody

Specimen condition and custody gaps are surfaced, not hidden — cold-chain excursions and missing custody forms route to human review.

Specimen	Order	Type	Condition	Status
SPEC-7001	ORD-5001	plasma	acceptable	processed
SPEC-7002	ORD-5002	sputum	acceptable	processed
SPEC-7003	ORD-5003	whole-blood	acceptable	processed
SPEC-7004	ORD-5004	whole-blood	acceptable	in-analysis
SPEC-7005	ORD-5005	plasma	cold-chain-at-risk	in-transit
SPEC-7006	ORD-5006	sputum	pending-review	awaiting-dispatch

Results, abnormal/urgent flags & ICD coding

Results carry ICD-10 / ICD-11-coded outputs. AI suggests coding; the clinician confirms coding and diagnosis at the point of care.

Test	Value	Flag	ICD coding	Release
HIV Viral Load	Not detected (<20 copies/mL)	normal	ICD-11 1C62.0	released
TB GeneXpert MTB/RIF	MTB detected; RIF resistance detected	urgent	ICD-10 A15.0 ICD-11 1B11	pending-authorization
Malaria Rapid Diagnostic Test	Positive (P. falciparum)	urgent	ICD-10 B50.9 ICD-11 1F40.0	released
HIV Viral Load	pending-secondary-review	normal	pending coding	in-review

Lab-to-doctor delivery & acknowledgement

Result	Clinician role	Priority	Status	Detail
RES-8001	physician	routine	acknowledged	delivered & acknowledged
RES-8003	nurse	urgent	acknowledged	delivered & acknowledged
RES-8002	physician	urgent	blocked	awaiting human result authorization before release

Turnaround-time risk

Test	Risk	Elapsed vs target	Recommended action
HIV Viral Load	high · 82	104h elapsed / 72h target	trace specimen, confirm cold-chain, consider recollection
TB GeneXpert MTB/RIF	high · 88	150h elapsed / 24h target	expedite dispatch; escalate to lab supervisor
Complete Blood Count	medium · 48	5h elapsed / 6h target	monitor; prioritize if urgent flags emerge

Patient continuity follow-up

Patient	Program	Follow-up action	Status
PT-DEMO-001	HIV	continue current ART regimen; next viral load in 6 months	scheduled
PT-DEMO-002	TB	initiate MDR-TB pathway on clinician authorization	pending-clinician
PT-DEMO-003	Malaria	start antimalarial per protocol; confirm dispensing	in-progress

Quality control flags

control passed (LAB-NRL) — daily controls within range ok
instrument calibration due (LAB-RGN-EAST) — GeneXpert module calibration due; results flagged for confirmation human review
specimen rejection (LAB-FAC-RIVER) — hemolyzed specimen rejected; recollection requested human review

Missing evidence signals

Missing chain of custody form for SPEC-7005
Missing secondary review evidence for RES-8004

AI-assisted result review signals

abnormal urgent result — RIF-resistant TB detected; prioritize clinician review and MDR-TB pathway Next: route to physician for authorization; do not release automatically. human decision required
delayed turnaround — HIV viral load specimen in transit beyond target with cold-chain risk Next: trace specimen and verify cold-chain integrity. human decision required
missing result evidence — secondary review result lacks attached evidence document Next: attach evidence before authorization. human decision required
icd coding suggestion — positive P. falciparum consistent with ICD-10 B50.9 / ICD-11 1F40.0 Next: clinician confirms coding at point of care. human decision required

AI posture

AI assists with

flag abnormal results
identify likely disease result categories
detect delayed turnaround risk
detect missing lab evidence
summarize result review priority
suggest next-review steps
support ICD coding suggestions

AI must never

diagnose autonomously
replace clinician judgment
approve final result release without authorized human review
close follow-up tasks automatically
delete audit records
override doctor or program review

AI supports lab-to-doctor review: it flags, triages, summarizes, and suggests, but never diagnoses autonomously or releases results without authorized human review. Clinician judgment, authorized human result release, role-based review, and an immutable audit trail remain mandatory.

Runtime boundary & posture

Impact runtime: impact.maxarchealth.com on 127.0.0.1:3201.
Medical Library boundary remains separate at library.maxarchealth.com (port 3101) and is not used here.
Standalone-first with local sample data; optional integration with OpenELIS, OpenLab, FHIR, DHIS2, and EHRs.
JSON API for verification: /lab-operations, /lab-operations/summary, /lab-operations/results, /lab-operations/doctor-routing, /lab-operations/icd-coding.