PMID- 35101595 OWN - NLM STAT- MEDLINE DCOM- 20220517 LR - 20220620 IS - 1943-7811 (Electronic) IS - 1525-1578 (Linking) VI - 24 IP - 5 DP - 2022 May TI - A Model for Design and Implementation of a Laboratory Information-Management System Specific for Molecular Pathology Laboratory Operations. PG - 503-514 LID - S1525-1578(22)00012-5 [pii] LID - 10.1016/j.jmoldx.2022.01.002 [doi] AB - The Molecular Pathology Section, Cleveland Clinic (Cleveland, OH), has undergone enhancement of its testing portfolio and processes. An Excel 2013- and paper-based data-management system was replaced with a commercially available laboratory information-management system (LIMS) software application, a separate bioinformatics platform, customized test-interpretation applications, a dedicated sample-accessioning service, and a results-releasing software application. The customized LIMS solution manages complex workflows, large-scale data packets, and process automation. A customized approach was required because, in a survey of commercially available off-the-shelf software products, none met the diverse and complex needs of this molecular diagnostics service. The project utilized the expertise of clinical laboratorians, pathologists, genetics counselors, bioinformaticians, and systems analysts in partnering with software-engineering consultants to design and implement a solution. Concurrently, Agile software-building best practices were formulated, which may be emulated for scalable and cost-effective laboratory-authored software. CI - Copyright (c) 2022 Association for Molecular Pathology and American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved. FAU - Tomlinson, Eban AU - Tomlinson E AD - Semaphore Solutions, Victoria, British Columbia, Canada. FAU - Goodman, Jennifer AU - Goodman J AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Loftus, Margaret AU - Loftus M AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Bitto, Stephen AU - Bitto S AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Carpenter, Erica AU - Carpenter E AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Oddo, Richard AU - Oddo R AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Judis, LuAnn AU - Judis L AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Ali, Shabab AU - Ali S AD - Semaphore Solutions, Victoria, British Columbia, Canada. FAU - Robinson, Wyatt E AU - Robinson WE AD - Semaphore Solutions, Victoria, British Columbia, Canada. FAU - Carver, Miranda AU - Carver M AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Ganea, Mariana AU - Ganea M AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - McDonnell, Kristen AU - McDonnell K AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - O'Neill, Diane AU - O'Neill D AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Starbuck, Jennifer AU - Starbuck J AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Johnson, Eric AU - Johnson E AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Meister, Erik AU - Meister E AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Pohl, Jonathan AU - Pohl J AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Spildener, Jessica AU - Spildener J AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Shurtleff, Sheila AU - Shurtleff S AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Sovie, Sheryl AU - Sovie S AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Melendez, Cathleen AU - Melendez C AD - Semaphore Solutions, Victoria, British Columbia, Canada. FAU - Krebs, Pamela AU - Krebs P AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Riley, Jacquelyn D AU - Riley JD AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Wensel, Christine AU - Wensel C AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Astbury, Caroline AU - Astbury C AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Azzato, Elizabeth M AU - Azzato EM AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Bosler, David S AU - Bosler DS AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Brock, Jay E AU - Brock JE AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Cook, James R AU - Cook JR AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Cheng, Yu-Wei AU - Cheng YW AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Tu, Zheng Jin AU - Tu ZJ AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Cruise, Michael AU - Cruise M AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Henricks, Walter H AU - Henricks WH AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Farkas, Daniel H AU - Farkas DH AD - Robert J. Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: farkasd2@ccf.org. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220131 PL - United States TA - J Mol Diagn JT - The Journal of molecular diagnostics : JMD JID - 100893612 SB - IM MH - Computational Biology MH - Humans MH - Laboratories MH - *Pathology, Molecular MH - *Software MH - Workflow EDAT- 2022/02/02 06:00 MHDA- 2022/05/18 06:00 CRDT- 2022/02/01 05:49 PHST- 2021/07/12 00:00 [received] PHST- 2021/12/07 00:00 [revised] PHST- 2022/01/18 00:00 [accepted] PHST- 2022/02/02 06:00 [pubmed] PHST- 2022/05/18 06:00 [medline] PHST- 2022/02/01 05:49 [entrez] AID - S1525-1578(22)00012-5 [pii] AID - 10.1016/j.jmoldx.2022.01.002 [doi] PST - ppublish SO - J Mol Diagn. 2022 May;24(5):503-514. doi: 10.1016/j.jmoldx.2022.01.002. Epub 2022 Jan 31.