Microbiology Dictionaries Screen PrintsMagic Version 5.6

Copyright by MEDICAL INFORMATION TECHNOLOGY, INC.

MEDITECH Circle, Westwood, Massachusetts02090

(781) 821-3000

This information is proprietary and should be treated accordingly.

Source Category

Notes:

  • Source Category examples:

CategoryPrint Number

Wound100

Blood200

Urine300

Fluid400

Respiratory500

Environmental600

QC700

Source

Notes:

Source Examples:

Category / Print # / Sources / Print #
Wound / 100 / Arm / 100.100
Ear / 100.200
Foot / 100.300
Chest / 100.400
Head / 100.500
Blood / 200 / Blood / 200.100
Urine / 300 / Urine,CC / 300.100
Urine,Random / 300.200
Urine,Catheter / 300.300
Fluid / 400 / CSF / 400.100
Synovial / 400.200
Respiratory / 500 / Nasal / 500.100
Throat / 500.200
Environmental / 600 / Whirlpool / 600.100
Airconditioner / 600.200

Specimen Description

Procedure Prompt (page 1)

Procedure Prompt (page 2)
Department

Notes:

Routine Micro / Reference Tests

Prefix “M”

/ Prefix “R”
Bacteriology / Microbiology
Prefix “B” /

NO Prefix

  • Each department may have a unique prefix or share a prefix with another department
  • Each prefix sets up an accession wheel which resets yearly
  • The Microbiology Department is used for Charge and Group type tests where no specimen is resulted

03:M000005R

US -> YY:PrefixNumberPriority

Canada -> YY:PrefixNumberPriority

MIC Procedure Dictionary – “T” Type (pg. 1)

Notes:

  • Print numbers determine the order in which tests print on patient reports and in result entry. The following considerations should be made:
  • Assign each department a block of numbers
  • Assign each “T” type test leaving a space between the numbers for additions and/or corrections
  • Assign “G” type tests a lower print number than each of the components

Wound Culture / 400.0000
Gram Stain / 400.0100
Wound Culture / 400.0200
Types of Tests
"T" Type Test
  • single resultable test
  • Example: Gram Stain or Wound Culture
"G" Type Test
  • Group - cluster of "T" and "G" type tests from different departments (Attach the Microbiology department to these tests). Group names do not appear on patient reports.
  • Example: Wound Culture - Wound Culture and Gram Stain
"S" Type Test
  • Susceptibility – contains antibiotics
  • Example: Gram Negative Combo
"C" Type Test
  • Charge - tests which are ordered to generate a charge
  • Example: Venipuncture
  • Billing

The billing code is sent to the Billing/Accounts Receivable Module during the midnight run. The charge that appears on the patient's bill is determined by the charge associated to the BAR Procedure. The LIS does not send the charge associated in the Procedure dictionary. MEDITECH strongly advises associating the billing code at the highest level possible. Billing only "looks" down one level to retrieve a billing code. If no billing code is associated at the first or second level, no billing occurs.

Wound Culture / 300111
Gram Stain / 300120
Wound Culture / 300125
  • Containers (Volume vs. Count setup)
  • Containers determine how many specimen numbers are generated as well as how many specimen labels are printed – generally the swab or collection tube is listed
  • Agar Plates can be listed in the Aliquot container section

“T” Type (pg. 2)

Notes:

  • List the “restricted” sources in the Sources field so that when the procedure is ordered from the Lab module, only the sources listed here appear in the lookup as possible choices
  • Reference Chart Text is a footnote that is placed on reports and appears directly underneath the Susceptibility section

“T” Type (pg. 3)

Notes:

  • Screen Types:
  • Questionnaire Screen – several prompts but one answer per prompt
  • Multiple Screen – one prompt but several answers
  • Paragraph Screen – free text screen where an organism can be identified and canned text can be pulled in
  • Culture Screen – organism is identified and prompts can be answered
  • Result Mnemonics – list the various responses available in order to result out this culture (Example: NG24, NG36, NG48, etc)

“T” Type (pg. 4)

“G” Type Group (pg. 1)

“G” Type Group (pg. 2)

“G” Type Group (pg. 3)

“G” Type Group (pg. 4)

“C” Type Charge (pg.1)

“C” Type Charge (pg. 2)

“S” Type Susceptibility (pg. 1)

“S” Type Susceptibility (pg. 2)

“S” Type Susceptibility (pg. 3)

Notes:

  • Antibiotic Reporting Hierarchy
  • Analyzer
  • Antibiotic Dictionary
  • Source Dictionary
  • Organism Dictionary
  • MIC Procedure Dictionary (Susceptibility Type)
  • Calculation

“S” Type Susceptibility (pg. 4)

Organism Dictionary (pg. 1)

Notes:

  • Group – set this to “Y” for the generic organisms used in a preliminary identification. You would then associate all of the specific organisms that would be a member of this group. When the instrument sends over the identification, the workup information associated to the preliminary organism is then linked to the specific organism.

Example: Group -> Gram Negative Cocci

Specific Organism -> E.coli

Organism Dictionary (pg. 2)

Organism Dictionary (pg. 3)

Antibiotic Dictionary (pg. 1)

Antibiotic Dictionary (pg. 2)

Antibiotic Dictionary (pg. 3)

Analyzer Type (pg. 1)

Notes:

  • Two dictionaries are completed per instrument: Analyzer Type and Analyzer. The analyzer type dictionary is used to connect the upload and download codes to the laboratory test. These codes can be found on the "cheat sheets", which can be downloaded from

Analyzer Type (pg. 2)

Notes:

  • The Organisms and Sources all need valid upload and download codes listed in order to interface to the instrument appropriately (only enter those that would be utilized with the instrument).
  • The Panel should be the number of the susceptibility as identified on the analyzer.

Analyzer Dictionary