Microbiology Settings

Select one of the following test types from this drop-down list:

• Antibiotic: Defines antibiotics for use in the susceptibility panels.
• Clinical Information Test: Defines those tests that will link to an order entry question to contain any information gathered at the time of order entry or collection. Test information will be gathered into a Clinical Information section of the Microbiology Work Card Pop-up.
• Culture Test: Qualifies the test to be added to the Microbiology Work Card Pop-up at the culture level and will qualify as part of the list to be selected when a test is added to the work card. It will be given its own section on the work card and allowed to create a link with a media container if necessary.
• Isolate Auto ID: This system-defined test is specific to isolate observation. It cannot be edited or inactivated.
• Isolate Test: Qualifies the test to be added to the isolate components part of an Isolate section on the Microbiology Work Card Pop-up. It is to assist in the identification and further testing of a specific isolate and is not at the culture level.
• Susceptibility Panel: Used to represent groupings of antibiotic tests. Automated instrument interfaces automatically associate the received antibiotics into the test/order choice as the data is received or the antibiotics can be assigned to the susceptibility panel. Examples include a Neg Urine Combo 62, Gram Pos Sens (104), or manual MIC tests and groupings.
• Culture Observation: Used for recording culture-level notes or comments that are internal or reportable. Example of a culture observation includes “No growth at 24 hours.”
• Isolate Observation: Used for recording isolate-level notes or comments that are internal or reportable. Example of a culture observation includes “Susceptibility to follow.”
• Isolate Organism: Used for recording organism-level notes or comments that are internal or reportable. Example of an isolate organism is many types of bacteria in water and soil.
• Isolate Section: This represents the individual isolates on the work card.

Select to display a list of Susceptibility Panels that use this Antibiotic.

This opens the Associated Susceptibility Panels pop-up. The pop-up displays a table with Name and Is Active. Select or clear the Show Active Only checkbox to have the table auto-update based on the selected criteria. Select Close to close the pop-up.

Enter text or select in this search-as-you-type field to select instruments. Once you select an instrument, it will appear in the table.

• X: Select this button to remove the instrument from the table.
• Testing Facility: Displays the name of the testing facility.
• Department: Displays the name of the department within the facility.
• Instrument: Displays the name of the instrument that will be performing results.
• Enterability: Defines how the test will be resulted. This column can only be set to the Enterable as numeric and choice list option.
  • Choice List: Select this button to open the Choice List pop-up to enter result values.
    • Select the Add Default Value to add the option of making one of the result values the default choice list option; select the Default option to make that choice list option the default. 
    • Select the Instrument Codes button to assign instrument codes to the result value. When the received result matches to an instrument code, it will set the corresponding choice list value as the result.
    • Select the SNOMED Codes button to assign SNOMED codes to the result value. 
  • Micro Interp: Select this button to open the Custom Interpretation List pop-up, where you can define custom antibiotic interpretation codes for antibiotic tests that will be available for selection on the Microbiology Work Card Susceptibilities tab. The system has default interpretation values already in the list for Susceptible (S), Intermediate (I), and Resistant (R) interpretations; you can't remove or edit them. You can enter your own custom antibiotic interpretation codes using the Interpretation Value field.
    • In the Interpretation Value field, enter your own custom antibiotic interpretation code.
    • Select the Add button to add the interpretation code to the list.
    • Select the X to remove the custom interpretation code from the list. 
    • In the Description field, enter the short description for the code.
    • Select and drag the equal sign in the Sort column to sort the interpretation codes in the list.
• Inbound ID: Define an inbound identifier by instrument (if needed) when it is ordered on an isolate.
• Outbound ID: Define an outbound identifier by instrument (if needed) when it is ordered on an isolate.
• LOINC Codes: Select this button to open the LOINC Code Assignments Pop-up.
• CPT Codes: Select this button to open the CPT Code Assignments Pop-up.

This checkbox is selected by default and indicates that the test will be marked as reportable when the test is first added to the Microbiology Work Card. Clear the checkbox to mark the test as not reportable when the test is first added to the Microbiology Work Card. 

This checkbox sets the default value of the reportable/not reportable toggle; users can still toggle the test as reportable or not reportable on the work card.

Select this checkbox to enable the Linked Container search-as-you-type field in the microbiology test section of the Microbiology Work Card Pop-up to associate this test with any microbiology media container associated with this order choice. The linked container does not affect the workup status.

This also allows the Media tab to list the test performed and its result under the appropriate media.

Enter text or select in this search-as-you-type field to select instruments. Once you select an instrument, it will appear in the table.

• X: Select this button to remove the instrument from the table.
• Testing Facility: Displays the name of the testing facility.
• Department: Displays the name of the department within the facility.
• Instrument: Displays the name of the instrument that will be performing results.
• Enterability: Defines how the test will be resulted. Select an option from this drop-down list to determine enterability.
  • Choice List: Select this button to open the Choice List pop-up to enter result values.
    • Select the Add Default Value to add the option of making one of the result values the default choice list option; select the Default option to make that choice list option the default. 
    • Select the Instrument Codes button to assign instrument codes to the result value. When the received result matches to an instrument code, it will set the corresponding choice list value as the result.
    • Select the SNOMED Codes button to assign SNOMED codes to the result value. 
• Inbound ID: Define an inbound identifier by instrument (if needed) when it is ordered on an isolate.
• Outbound ID: Define an outbound identifier by instrument (if needed) when it is ordered on an isolate.
• LOINC Codes: Select this button to open the LOINC Code Assignments Pop-up.
• CPT Codes: Select this button to open the CPT Code Assignments Pop-up.

Enter text or select in this search-as-you-type field to select a susceptibility panel.

The selected panel is automatically added to the isolate on the Microbiology Work Card Pop-up when the isolate auto ID is added.

Enter text or select in this search-as-you-type field to select organisms. Once you select an organism, it will appear in the table.

• Select: Clear this checkbox to remove the organism from the table.
• Organism abbreviation: Displays the organism abbreviation.
• Organism: Displays the organism name. Select the name to remove the organism from the table.
• Genus: Displays the organism genus.
• Class: Displays the organism class.

Enter text or select in this search-as-you-type field to select sample types. Once you select a sample type, it will appear in the table.

• Select: Clear this checkbox to remove the sample type from the table.
• Name: Displays the sample type name.

Enter text or select in this search-as-you-type field to select order choices. Once you select an order choice, it will appear in the table.

• Select: Clear this checkbox to remove the order choice from the table.
• Name: Displays the order choice name.

Enter text or select in this search-as-you-type field to select instruments. Once you select an instrument, it will appear in the table.

• X: Select this button to remove the instrument from the table.
• Testing Facility: Displays the name of the testing facility.
• Department: Displays the name of the department within the facility.
• Instrument: Displays the name of the instrument that will be performing results.
• Enterability: Defines how the test will be resulted. For Isolate Auto ID tests, the enterability defaults to Enterable as text/choice list only, which means you can result the tests using a text box or a pre-defined choice list. To define the enterability as a choice list, select the Choice List button and define the choice list options.  
  • Choice List: Select this button to open the Choice List pop-up to enter result values for the choice list options.
    • Select the Add Default Value to add the option of making one of the result values the default choice list option; select the Default option to make that choice list option the default. 
    • Select the Instrument Codes button to assign instrument codes to the result value. When the received result matches to an instrument code, it will set the corresponding choice list value as the result.
    • Select the SNOMED Codes button to assign SNOMED codes to the result value. 
• Inbound ID: Define an inbound identifier by instrument (if needed) when it is ordered on an isolate.
• Outbound ID: Define an outbound identifier by instrument (if needed) when it is ordered on an isolate.
• LOINC Codes: Select this button to open the LOINC Code Assignments Pop-up.
• CPT Codes: Select this button to open the CPT Code Assignments Pop-up.
• Update Isolate: Select this checkbox to have the instrument automatically update the isolate when it receives an organism name as a result.
• Required Results: Select this button to open the Required Results Pop-up to define a list of tests that should send their results to the instrument when the results are received.

If an Auto ID with a linked Susceptibility Panel is being built, and if the instrument needs to have a single order interface message for both, the alias should be attached outbound on the Isolate Auto ID while the Susceptibility Panel outbound interface alias should remain blank. If the instrument requires a separate transmission for both the Isolate Auto ID and the Susceptibility Panel, each should have its respective outbound alias defined as such.

Enter text or select in this search-as-you-type field to select instruments. Once you select an instrument, it will appear in the table.

• X: Select this button to remove the instrument from the table.
• Testing Facility: Displays the name of the testing facility.
• Department: Displays the name of the department within the facility.
• Instrument: Displays the name of the instrument that will be performing results.
• Enterability: Defines how the test will be resulted. Select an option from this drop-down list to determine enterability.
  • Choice List: Select this button to open the Choice List pop-up to enter result values. 
    • Select the Add Default Value to add the option of making one of the result values the default choice list option; select the Default option to make that choice list option the default. 
    • Select the Instrument Codes button to assign instrument codes to the result value. When the received result matches to an instrument code, it will set the corresponding choice list value as the result.
    • Select the SNOMED Codes button to assign SNOMED codes to the result value. 
• Inbound ID: Define an inbound identifier by instrument (if needed) when it is ordered on an isolate.
• Outbound ID: Define an outbound identifier by instrument (if needed) when it is ordered on an isolate.
• LOINC Codes: Select this button to open the LOINC Code Assignments Pop-up.
• CPT Codes: Select this button to open the CPT Code Assignments Pop-up.

Enter text or select in this search-as-you-type field to select organisms. Once you select an organism, it will appear in the table.

• Select: Clear this checkbox to remove the organism from the table.
• Organism abbreviation: Displays the organism abbreviation.
• Organism: Displays the organism name. Select the name to remove the organism from the table.
• Genus: Displays the organism genus.
• Class: Displays the organism class.

Enter text or select in this search-as-you-type field to select sample types. Once you select a sample type, it will appear in the table.

• Select: Clear this checkbox to remove the sample type from the table.
• Name: Displays the sample type name.

Enter text or select in this search-as-you-type field to select order choices. Once you select an order choice, it will appear in the table.

• Select: Clear this checkbox to remove the order choice from the table.
• Name: Displays the order choice name.

Enter text or select in this search-as-you-type field to select instruments. Once you select an instrument, it will appear in the table.

• X: Select this button to remove the instrument from the table.
• Testing Facility: Displays the name of the testing facility.
• Department: Displays the name of the department within the facility.
• Instrument: Displays the name of the instrument that will be performing results.
• Inbound ID: Define an inbound identifier by instrument (if needed) when it is ordered on an isolate.
• Outbound ID: Define an outbound identifier by instrument (if needed) when it is ordered on an isolate.
• LOINC Codes: Select this button to open the LOINC Code Assignments Pop-up.
• CPT Codes: Select this button to open the CPT Code Assignments Pop-up.

Select the checkbox to have the system auto-approve the order choice unless:

• The culture contains an isolate
• The culture contains an abnormal culture level test
• The work card contains specific disqualifying text
• Result Evaluation Rule criteria to stop auto-approval is met

Select the Disqualifying Text button to open the Disqualifying Text pop-up, where you can define disqualifying text for each instrument.

• Add: Select to add disqualifying text.
• Remove: Select to remove the disqualifying text.
• Save: Select to save your changes and return to the culture observation test settings.
• Cancel: Select to discard your changes and return to the culture observation test settings.

Select this button to open the LOINC Code Assignments Pop-up.

Select this button to assign billing codes to the culture observation test.