Education

1997 : SMAK Depkes Makassar

Dr. Miswar Fattah, MSi
Makassar, 6th June 1978
Current position
2002 : Chemistry - UNHAS
2006 : Master of Science in Clinical Chemistry,
Biomedicine- UNHAS
2012 : Doctor of Medicine – Clinical chemistry,
UNHAS

1. Specialty & Research Laboratory Manager, Prodia Clinical Laboratory 2018

2. PATELKI : Vice President of PATELKI 2017-Now & Member of Collegium PATELKI 2015 - Now
3. HKKI Scientific division : Reference Interval & Decision limit, Indonesian Association for Clinical
Chemistry 2013- Now
4. President of AACLS
5. Member of Board of Directors of Asian Association of Medical Laboratory Science (AAMLS) 2017 - Now
CRITICAL ASPECT FOR MEDTECH IN
AUTOMATION TESTING

AUTOTECH 2018
Solo, 01 Desember 2018

Miswar Fattah
Specialty & Research Laboratory
Prodia Clinical Laboratory
miswar.fattah@prodia.co.id
miswarfattah@gmail.com
10 FUTURE LAB MED

• Balance Centralize Lab and Periphery Lab

• More Specialize & Unique Test
• Shift to the multiplex Test
• More Simple Technology & Fast Results
• Less Sample / mini sample
• High Personalize Test
• Increase coverage of Government insurance for lab test
• High IT utilization (Big Data, IoT & AI)
• More Preventive test
• Increase DCT
WHY AUTOMATION
WHY AUTOMATION

Reduce human
Safety decrease lab costs improve TOT
error

increase Operate with fewer

Run more tests Test in fewer sites
productivity instruments.

Use more
Retain lower Employ relatively automation in a
operating costs. less skilled labor. paperless
environment
ADDING VALUE TO LAB TESTS THROUGH AUTOMATION

• Lab Test
• Faster TOT
• Accuracy, Precision, Safety
• Add information value
• Autovalidation
Lab Test
• Trending Autovalidation
• Effecting change using lab Trending
Life Style Adjustments
results
Appropriate Therapeutics
• Lifestyle changes
• Selection of therapeutics
 Preanalytical, analytical,
Primary Disease 19728
post analytical, material Disease Disease
of control, Role statistic,
Type of error, Quality of >20
people, IQA, EQA etc Sample Whole blood,
Quality serum, plasma,
Type urine, saliva,
breast milk,
semen, faecal,
artery, capillary,
Biomarker Fluids, Hair, cord
blood, tissue etc
120509
1115
Geriatric, adult, Assay
pediatric, Pregnancy, Cutoff RI Instrument, reaction,
Method Manufacturer

Time &
biological
https://gobiomdb.com/
Variation Fasting, non fasting, acute, chronic, early morning
https://edrn.nci.nih.gov
Night, posisition etc
https://www.malacards.org
 Blood
Artery, Periphery or Placenta

ETC Tissue

Sample
Type
Semen Fluid

Urine
& Fecal
NCBI TAXID DATABASE

171,967 10,989 1415

species subspecies pathogens
Mobile Robot Conveyance

10
SAMPLE LABELING EFFICIENCIES

• Bar coding at the point-of-

phlebotomy B-D id
• 2D vs. 1D bar codes
• Reduce the number of computer
interfaces
• Self directing specimens
• RFID
• Current costs of RFID around 25
cents
11
Phlebotomy Tray Preparation

BC-ROBO – mini 20 BC-ROBO – mini 40

Single tray system Multi-tray system 12
 BLOOD CELL

Morphology Cell Count Functional

 Number
of Cells

Activity Size of
of Cells Clinical Lab Cells
-
Hematology

Content Maturity
of Cells of Cells
DIFF COUNT, NRBC, RETICULOCYTE
IMPEDANCE
AUTOSLIDE MAKER, STAIN & DIFF
 LABORATORY AUTOMATION

Conveyor Distribution Technologist Distribution

Picture of the UVA lab

here

Sonic Healthcare The University of Virginia

Sydney Australia Clinical Laboratory
Charlottesville, VA
19
AUTOMATION IN MICROBIOLOGY
AUTOMATION PREVIISOLA
AUTOMATION ASAP
 FMLA system.

Paul P. Bourbeau, and Nathan A. Ledeboer J. Clin. Microbiol. 2013;51:1658-

1665
Automation microbiology BD Kiestra
STANDARISASI AUTOMASI
· AUTO1—Specimen Container/Specimen Carrier contains standards for the design and manufacture of specimen containers and
carriers used for collecting and processing samples, such as blood and urine, for testing on laboratory automation systems.

· AUTO2—Bar Codes for Specimen Container Identification provides specifications for linear barcodes on specimen containers for
use on laboratory automation systems.

· AUTO3—Communications with Automated Systems facilitates accurate and timely electronic exchange of data and information
among automated instruments, laboratory automation systems, and other information systems.

· AUTO4—Systems Operational Requirements, Characteristics, and Informational Elements provides standards of interest to
operators for display of system status information such as specimen location, reagent supply, and warnings and alerts to support
laboratory automation operations.

· AUTO5—Electromechanical Interfaces provides guidance for the standardization of electromechanical interfaces between
instruments and/or specimen processing and handling devices and automation systems in the automated laboratory.
TERIMA KASIH