Table 1.

Tasks for the Accessioning Station and How They Were Addressed

Need	Sample task	Solution(s)
Accurate entry/cross-check of demographics and sample data	Logging a sample into both the lab system and LIS	Barcoding
		Automatic matching of sample demographics against hospital records system
Algorithm-driven panel-based or individualized test ordering	Order a mutation test (alternatively) for one exon, a set of exons, or a set of genes based on diagnosis or pre-determined clinical indication(s)	Database design with granular definitions down to testable level
		On-screen display of gene-exon-codon in a nested format
		Allow either gene-specific or panel-based ordering based on rules
Prioritize testing when sample is limited	Decide which of the ordered tests to complete first	Supervisor reviews the queues, and the provisional (hold) status for tests
Eliminate duplicate ordering	Don't allow two mutation screens or translocation panels for the same patient	Display previous test results for each patient, with on-screen color highlighting duplicates
Choosing the correct followup tests	Ordering the correct assays for a tumor-associated translocation or mutation previously detected	MRD, prior results, and tumor-type database fields available at login
		Rules-based population of data fields, whenever possible