Case workflow

Last updated 12/10/2026

Every piece of work in VipLIMS is a case. A case moves through a series of statuses, from the moment it is registered to the moment its report is authorised and visible to the referrer. Each change of status is timestamped and recorded in the audit trail, and those timestamps feed your turnaround-time figures.

Case statuses

StatusWhat it meansWho acts next
RegisteredThe case has been booked in with its patient, institution and specimen detailsData entry or Laboratory manager assigns a pathologist
UnassignedThe case has no pathologist yetLaboratory manager assigns one
Awaiting acceptanceA pathologist has been assigned but has not yet accepted the caseThe assigned pathologist accepts it
AcceptedThe pathologist has taken responsibility for the caseThe pathologist starts the report
In progressThe report is being writtenThe pathologist completes the report
Awaiting authorisationAn optional second check before release, if your laboratory uses oneThe authorising pathologist reviews and authorises
Reported / CompletedThe report is authorised and visible to the referrerNo further action, unless a supplementary report is needed
Supplementary addedA supplementary report has been added after authorisationReferrer reads the supplementary report
CancelledThe case will not be reported, for example a duplicate bookingNo further action

Step 1: Register the case

Before you start, make sure the referring institution exists under Institutions.

  1. Open Cases and choose to register a new case.
  2. Find the patient by name, date of birth or identifier. If they are new, add them. Every case for a patient is listed on their page under Patients.
  3. Choose the case type. This sets the case number format, the report template and the default turnaround-time target.
  4. Choose the referring institution and enter the requesting clinician.
  5. Enter the clinical details, priority (routine or urgent), date and time received, and any hospital reference number.
  6. Add specimens, for example specimen A, B, C, with their type, site and any notes.
  7. Attach a scan of the request form if you have one.
  8. Save. VipLIMS gives the case its number, such as H26-00042, using the pattern set for that case type.

How case numbers are built

Each case type has a numbering pattern made from these tokens:

TokenMeaningExample
{PREFIX}The prefix for the case typeH
{YYYY}Four-digit year2026
{YY}Two-digit year26
{MM}Two-digit month10
{SEQ:n}Running number, padded to n digits{SEQ:5} gives 00042

For example, {PREFIX}{YY}-{SEQ:5} produces H26-00042. Administrators set patterns in Settings.

Step 2: Assign a pathologist

  1. Open the case, or select it from the Worklist.
  2. Assign a primary pathologist.
  3. If more than one person needs to be involved, add additional pathologists.

The case moves to Awaiting acceptance. If nobody is assigned, it stays Unassigned and appears on the Laboratory manager's worklist.

Step 3: Accept the case

The assigned pathologist opens the case from their Worklist and accepts it. The status changes to Accepted. Once they start writing, it moves to In progress.

Step 4: Write and authorise the report

See Writing and authorising reports for the detail. In brief:

  1. Complete the report sections for the template.
  2. Add codes from your terminology packs where needed.
  3. If your laboratory uses a second check, send the report for authorisation. It moves to Awaiting authorisation.
  4. Authorise the report. The case becomes Reported / Completed.

Authorising creates a version of the report that cannot be changed. The referrer can now see it in the referrer portal.

Step 5: Add a supplementary report if needed

If more information arrives after authorisation, such as results of further tests, add a supplementary report. Supplementary reports never overwrite the original. They are added in date order, and the case status becomes Supplementary added. Additional pathologists on the case can also add supplementary reports.

Archiving

Completed cases can be archived to keep worklists tidy. Archiving is only possible after a case is completed, and your Administrator decides which roles may archive. Archived cases are not deleted.

Cancelling a case

If a case was registered in error, cancel it rather than trying to remove it. Clinical records in VipLIMS are never deleted while your account is open. The cancelled case stays in the record and in the audit trail.

Tips

  • Use the Worklist to see the cases that need your attention.
  • Mark urgent cases as urgent at registration so the right turnaround target applies.
  • Use Messages to contact colleagues inside VipLIMS rather than by email.