# 5. Scope

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The Malawi LIMS covers the management and exchange of information associated with laboratory services from the point of laboratory request through testing, result management and reporting.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The scope encompasses both **facility-level laboratory operations** and **national-level laboratory information management and analytics**.</span>

**<span style="font-size: 18.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">5.1 Facility-Level Scope</span>**

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">At the facility level, iBLIS supports:</span>

- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Patient registration</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Patient search</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Patient demographics</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Laboratory order management</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Priority samples</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Referral samples</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Test ordering</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Sample collection</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Barcode generation and printing</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Sample reception</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Sample tracking</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Sample storage</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Referral tracking</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Manual result entry</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Automated analyzer result import</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Result verification</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Result authorization</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Result printing</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Quality control</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Inventory management</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Local reporting</span>

**<span style="font-size: 18.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">5.2 National-Level Scope</span>**

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">At the national level, NLIMS supports:</span>

- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Laboratory data aggregation</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">National reporting</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Dashboard visualization</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">National analytics</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Monitoring laboratory performance</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Monitoring synchronization</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Integration with external systems</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Programme and disease reporting</span>

**<span style="font-size: 18.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">5.3 Integration Scope</span>**

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The LIMS ecosystem interfaces with:</span>

- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">ART/EMR systems</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">NLIMS</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Laboratory analyzers</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">External systems through APIs</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The current documentation identifies REST APIs and data formats, including JSON, CSV, XML, and HL7 where applicable.</span>

**<span style="font-size: 18.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">5.4 Infrastructure Scope</span>**

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The LIMS environment includes the supporting infrastructure required for laboratory information management, including:</span>

- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Servers</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Client computers</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Barcode printers</span>
- <span lang="EN-US" style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: #2000;">A4</span><span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;"> printers</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Barcode scanners</span>
- <span lang="EN-US" style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: #2000;">Power backup systems</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">LAN infrastructure</span>
- <span lang="EN-US" style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: #2000;">VPN</span><span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;"> connectivity</span>
- <span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">Laboratory analyzers</span>

**<span style="font-size: 18.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">5.5 Geographic Scope</span>**

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The system is implemented as a national laboratory information ecosystem supporting laboratory services across Malawi.</span>

<span style="font-size: 12.0pt; font-family: 'Times New Roman',serif; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: #2000; mso-fareast-language: #2000;">The current implementation includes iBLIS deployment across most district hospital laboratories and integration with ART/EMR across approximately 272 facilities.</span>