[MEDITECH-L] Magic 5.61 Lab reflex rule for urine micro
Andrews, Stephen
I am faced with the challenge of writing a rule to reflex urine
microscopic testing based on results from the dipstick. Since there are
multiple results from the dipstick to trigger this on this becomes
rather tricky. Meditech suggested dummy tests which I built. Then when
I asked how to trigger them we ran into a snag. Has anyone ever done
this? Are you willing to share? We have an iris analyzer at one of
our sites just to complicate things.
Thanks in advance for all your help.
Stephen Andrews
LIS Coordinator
Saratoga Hospital
Saratoga Springs N.Y. 12866
Phn: 518-580-2810
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Paul Goedicke
On page 3 of the Test Dictionary for each dipstick test that could trigger the microscopic, add the Reflex Order Group for microscopic to each result that meets the criteria.
That should be all that's needed. Shouldn't make any difference for the Iris versus manual testing.
Paul
Paul Goedicke
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Jackson County Memorial Hospital
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Altus, OK 73521
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Stephen Andrews
LIS Coordinator
Saratoga Hospital
Saratoga Springs N.Y. 12866
Phn: 518-580-2810
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Ruth Szolis
Answering "N" to this test reflexes an Order Group that charges for a Macroscopic Urinalysis. All of the tests that would be included in the microscopic urinalysis are "NP" and auto verify if not resulted. Here are some screen shots.
Hope this helps.
Ruth Szolis
LIS Sr. Support Analyst
Ochsner Medical Center
Baton Rouge, LA 70816
Phone: 225-755-4824
Fax: 225-755-4867
rsz...@ochsner.org
>>> "Andrews, Stephen" <SAnd...@SARATOGACARE.ORG> 6/8/2009 8:13 AM >>>
Jim Sehloff
order a culture based on dipstick and/or micro. So far it is in test
only. It looks like this:
UA Y URINALYSIS REFLEX RULE RFLX
[q LAB UAS]="CA"^CA,
[q LAB UAS]="IC"^IC,
[f lord test]("UACI")^C,
[lres]("UABACT")="N"^BN,
[lres]("UABACT")="X"^B2,
[lres]("UABACT")="C"^B3,
[lres]("UABACT")="V"^B4,
[lres]("UAWBC")="4"^W0,
[lres]("UAWBC")="5"^W1,
[lres]("UAWBC")="6"^W2,
[lres]("UAWBC")="7"^W3,
[lres]("UAWBC")="8"^W4,
[lres]("UAWBC")="9"^W5,
[lres]("UAWBC")="G"^W6,
IF{C&[lres]("UANIT")="P" [rflx ok];
C&[lres]("UANIT")="pos" [rflx ok];
C&[lres]("UANIT")="POS" [rflx ok];
C&[lres]("UANIT")="1" [rflx ok];
C&[lres]("UANIT")="1+" [rflx ok];
C&[lres]("UANIT")="+" [rflx ok];
(CA!IC)&'BN [rflx ok];
C&B2&W0 [rflx ok];
C&B3&W0 [rflx ok];
C&B4&W0 [rflx ok];
C&B2&W1 [rflx ok];
C&B3&W1 [rflx ok];
C&B4&W1 [rflx ok];
C&B2&W2 [rflx ok];
C&B3&W2 [rflx ok];
C&B4&W2 [rflx ok];
C&B2&W3 [rflx ok];
C&B3&W3 [rflx ok];
C&B4&W3 [rflx ok];
C&B2&W4 [rflx ok];
C&B3&W4 [rflx ok];
C&B4&W4 [rflx ok];
C&B2&W5 [rflx ok];
C&B3&W5 [rflx ok];
C&B4&W5 [rflx ok];
C&B2&W6 [rflx ok];
C&B3&W6 [rflx ok];
C&B4&W6 [rflx ok];
[rflx not ok]};
The first bunch of lines assigns a bunch of variables including two
responses to queries and then all the possible combinations that for us
indicate a culture follow. It works but is not live yet because we are
not sure how to handle the queries when providers are entering orders
(POM). There is also a reflex order group with a duplicate order of 24
hours to prevent the culture from being reflexed if it is already
ordered. The reflex group is attached to each of the components that
might cause it to add the culture.
Hope this helps,
Jim Sehloff
M.S. MT(ASCP)
Information Security Analyst
Caretech Solutions
Holy Family Memorial Medical Center
P.O. Box 1450
Manitowoc, WI 54221-1450
920-320-2799
-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Andrews, Stephen
Sent: Monday, June 08, 2009 8:13 AM
To: medit...@mtusers.com
Subject: [MEDITECH-L] Magic 5.61 Lab reflex rule for urine micro
Stephen Andrews
LIS Coordinator
Saratoga Hospital
Saratoga Springs N.Y. 12866
Phn: 518-580-2810
====================================
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Gayle Taylor
We are Magic 5.61 and have been reflexing urine cultures based on results
(and location and source) for a couple of years . We have been very happy
with the results. We only reflex if 1. the source is not voided
2. LET or Nitrite is not negative
3. The location is ED
4. if a urine culture has not been
ordered In the past 4 hrs.
As Jim S indicated, we have a
reflex test created that
Has 4 hours as a dup order.
;ER = mnemonic of Emergency Room
;ER ADMIT = mnemonic of Emergency Room Holding Bed
;URS = mnemonic of Urine Source (can not be Voided Specimen)
IF{[f lres]("URS")="VOID" [f rflx not ok];
[f rflx ok]};
Gayle Taylor, LIS Coordinator
Sampson Regional Medical Center
607 Beaman Street-PO Drawer 260
Clinton, NC 28329
Fax: 910-596-4247
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