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Tarangnan Community Hospital — Clinical Laboratory

The QMS at a Glance

How our documents fit together — and how a specimen becomes a result.
INFOGRAPHIC IG-01
Source: LAB-QM-001
Version V0 — DRAFT

Document hierarchy — 6 levels

1
Quality Management Manual — LAB-QM-001
Sets the whole QMS: governance, responsibilities, quality framework. Parent of all QMS documents.
Answers: “What is the laboratory's Quality Management System?”
▼  each level supports the level above it — and must not contradict it  ▼
2
Quality Management Policies — LAB-QM-### and LAB-QM-[section]-###
Management requirements: expectations, responsibilities, governance, monitoring, ownership.
Answers: “What management requirements shall be implemented?”
▼
3
Standard Operating Procedures — e.g. SOP-H-001, SOP-C-001, SOP-S-002
Standard methods for laboratory work, so testing is consistent and technically reliable.
Answers: “How is the work performed?”
▼
4
Work Instructions — e.g. WI-C-002-A-V0, WI-QM-PRE-001-A-V0
Step-by-step guidance for one specific task: startup, maintenance, a bench method, a calculation.
Answers: “How is this specific task performed?”
▼
5
Controlled Forms & Templates — e.g. F-QM-003-A-V0, F-QM-PRE-003-A-V0
Forms, checklists, worksheets, registers and logbooks that standardize documentation.
Answers: “Where is information recorded?”
▼
6
Quality Records — no document numbers; made from completed forms
Completed QC logs, temperature records, audit and PT reports, competency and CAPA records, minutes.
Answers: “What objective evidence demonstrates compliance?”

Process map — the total testing process

Management processes oversee everything: leadership & quality planning · document control · risk management · quality indicators · internal audit · occurrence & CAPA · management review · continual improvement
1 · Pre-examination
Test request → patient preparation → specimen collection → labeling → transport → receipt & triage
Output: specimens acceptable for analysis
▼
2 · Examination
Accepted specimens tested with validated methods, competent personnel, controlled equipment & reagents, and internal quality control
Output: verified examination results
▼
3 · Post-examination
Result review → authorization → reporting → critical-result communication → retention of records & specimens
Output: results delivered to laboratory users
Support processes hold it up: personnel & competency · equipment management · purchasing & inventory · information management (LIS) · biosafety · facilities · supplier management · customer service
Services covered: Clinical Chemistry · Hematology · Clinical Microscopy · Serology / Immunology · Blood Typing · Point-of-Care Testing (POCT) (LAB-QM-001 §2.5; detailed scope in LAB-QM-004)