Laboratory Information System Requirements Checklist Form
Use this form to capture the requirements and priorities for a laboratory information system implementation or upgrade.
Laboratory Profile and Current Environment
Lab Name
*
Lab Type
*
Clinical
Pathology
Research
Diagnostic
Reference
Other
Number of Sites or Locations
*
Current System in Use
Current Workflow or Pain Points
Required LIS Capabilities and Integrations
Required LIS Capabilities
*
Sample/Specimen Tracking
Test Order Entry
Result Entry and Verification
Barcode Labeling
Quality Control
Audit Trail
Report Generation
Billing Interface
Instrument/Equipment Integration
Other
Required External Integrations
*
EMR/EHR
Analyzers
HL7
API
Billing System
Inventory System
Other
Additional Integration or Capability Details
Users, Reporting, Deployment, and Timeline
Primary user roles
*
Laboratory technicians
Pathologists
Lab managers
Reception/front desk
Billing/finance
IT administrators
Clinicians
Other
Required reports and dashboards
Test volume
Turnaround time
Quality control
Instrument utilization
Billing and revenue
Referral tracking
Regulatory compliance
Custom dashboard
Other
Preferred deployment model
*
Cloud
On-premise
Hybrid
Target go-live date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional requirements or constraints
Submit Requirements
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