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| Name of laboratory information system | Cerner Millennium |
| First ever*/Most recent LIS installation (based on August 2018 survey deadline) | 1982/August 2018 |
| Total No. of contracts for sites operating LIS | 282 domains (not tracked by contract) |
| No. of sales of LIS between August 2017–August 2018 | — |
| Total No. of sites operating LIS (U.S. hospitals/U.S. independent labs/U.S. clinics or group practices/U.S. public health labs/other U.S. sites/foreign sites) | — (tracked by domain, not site) |
| • Types/Locations of foreign installations | —/Australia, Brazil, Canada, Cayman Islands, Egypt, Malaysia, Qatar, Saudi Arabia, Singapore, U.K., UAE |
| No. of LIS installations between August 2017–August 2018 | — |
| Percentage of high-volume** sites installed/Low-volume*** sites installed | — |
| Percentage of sites where company has no other software installed | 10% |
| Foreign countries where company actively markets LIS | Australia, Canada, Europe, Ireland, Latin America, Middle East, Singapore, United Kingdom |
| Provide list of installed client sites to potential customers on request | yes (partial list of comparable sites) |
| Clients restricted from sharing their experience with company or LIS | no |
| No. of employees in entire company | 26,000+ |
| • No. of employees dedicated to LIS development, installation, and support | 300+ |
| Range in No. of user workstations in sites operating LIS | not tracked |
| Central hardware or service type | client hosted (IBM, HP) or Cerner hosted |
| How central server failure is handled | manual intervention necessary to restore operation or system continues uninterrupted (user’s option) |
| Programming language(s) | Java, Visual Basic, C++, C#, Visual C |
| Operating system(s) | HP-UX, AIX, VMS |
| Databases and tools | Oracle |
| System includes full transaction logging | yes |
| Languages (other than English) offered on system | British-English, German, Spanish, French |
| Features/modules incorporated in product: | |
| • Chemistry/Hematology | installed at client sites/installed at client sites |
| • Bar-coded collection labels | installed at client sites |
| • Microbiology/Public health microbiology | installed at client sites/installed at client sites |
| • Blood bank donor/Blood bank transfusion | not available/installed at client sites |
| • Surgical pathology/Cytology | installed at client sites/installed at client sites |
| • Molecular pathology/Cytogenetics/Flow cytometry | installed at client sites/installed at client sites/installed at client sites |
| • EHR interface for admission/discharge/transfer (ADT) | installed at client sites |
| • EHR interface for order entry/EHR interface for results reporting | installed at client sites/installed at client sites |
| • EHR interface for packaging results into PDF format | installed at client sites |
| • EHR interface for packaging results into CDA1 format/CDA2 format | installed at client sites/installed at client sites |
| • Ad hoc reporting/Rules-based system | installed at client sites/installed at client sites |
| • Management and statistical reporting | installed at client sites |
| • Connection to provider offices/Commercial lab functionality | installed at client sites/installed at client sites |
| • Compliance checking | installed at client sites |
| • Billing and accounts receivable | installed at client sites |
| • Materials management and inventory | installed at client sites |
| • Test partition/Remote faxing or printing | installed at client sites/installed at client sites |
| • HIPAA-standard transaction formats | installed at client sites |
| • Web-based remote inquiry of reports/Web access for order entry | not available†/not available† |
| • Specimen management and tracking | installed at client sites |
| • Compliance and quality assurance tools | installed at client sites |
| • Environmental health/Business analytics | installed at client sites/installed at client sites |
| • Reference lab interface for orders, results return, status return | installed at client sites |
| LIS can report lab data that is focus of meaningful use guidelines to public health agencies via automated electronic transmission using specified formats**** for: | |
| • Microbiology data (culture and sensitivity) | yes |
| • Other reportable diseases (blood lead, immunology, etc.) | yes |
| • Tumor diagnosis and case data to regional cancer registry***** | yes |
| LIS provides database flag or field to set time parameters for retaining test results online without being archived? | system does not archive (all test results retained online [not archived] indefinitely) |
| • How test results retained online are made available | query, reports |
| Lab automation systems or workcells to which LIS has a direct interface | Beckman Coulter, Siemens, Labotix Automation, Olympus America, Roche, Abbott |
| LIS allows third-party updates of tables and rules | no |
| LIS allows for image capture, display, reporting | yes |
| LIS provides indexed field in each test definition for LOINC code | yes |
| Provide LOINC dictionary for each new installation | yes |
| LIS supports use of SNOMED CT | yes |
| Use of third-party middleware for LIS–instrument interfaces | no (interface directly) |
| Provide LIS clients with company's own positive patient ID software to identify patients and blood specimens collected at bedside | yes (Point of Care Specimen Collection, Bridge Specimen Collection) |
| • LIS interfaces to third-party positive patient ID software used at bedside | — |
| Source code/User group that meets on established schedule | no/yes (in person and via webinar) |
| Methods by which users can tailor LIS in their own setting | ad hoc query tools, user-defined interfaces, dictionary settings |
| Standard software maintenance fee covers periodic updates to LIS | yes |
| Fee for software modifications to comply with federal regulations and laws | standard (no charge) |
| LIS functionality available via ASP or cloud-based data center | available as a local server or an ASP or cloud-based product (client’s option) |
| Cost for smallest existing LIS install (includes hardware, software, install, training) | — |
| Cost for largest existing LIS install (includes hardware, software, install, training) | — |
| Distinguishing product features (supplied by company) | • driving innovations to connect laboratories, customers, and devices • best-of-breed LIS with a large, diverse client base • more than 35 years of creating and implementing LIS software innovations |
| *any brand or model | |
| **generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day | |
| ***generate < 500,000 billed tests annually, or < 200 bed hospitals, or < 500 requisitions per day | |
| ****HL7 2.5.1, LOINC, SNOMED, etc. | |
| *****using NAACCR Pathology Laboratory Electronic Reporting, vol. V, version 4.0, April 2011 ed. | |
| Note: a dash as an answer means company did not respond or question is not applicable | †interface to electronic portals for orders and results |
| All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP. |
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