Micro Results

Micro Results

Postby TammyJo » Tue Aug 21, 2012 10:31 am

I'm trying to figure out how to process the message below. There are multiple OBR's and OBX's and NTE's but I think this should be non-discrete instead of discrete? I would prefer if OBX.3.1 was a code (i.e. 12345) and OBX.3.2 was a description (urine culture) and then OBX.5 was the result value but that's not how it's coming from Meditech. Anyone know how I code this in ConnectR FileResult? We are getting 607 error's and I think it's just because of the multiple obr and obx's but I'm not sure what to even do with this. Any help appreciated.

<11>MSH|^~\&|GVMHLab||||201208161717||ORU^R01|1024420639.1.M6799|D|2.3<13>
PID|1||||TEST^PURPLE||19760209|F|||100 S MAIN^^MAGENTA^MO^64738||(555)555-5555^^^^^555^5555555|||||V00000017087<13>
PV1|1|O|RAD^^^GVM|3 |||1851323901^BELLAMY^BRIAN^^^^MD^^^^^^PN|||||||2 C||||||CO|||||||||||||||||||GV||RE|||201206061703||||||||1851323901^BELLAMY^BRIAN^^^^MD^^^^^^PN<13>
ORC|RE||12:M0000054R||||||201208161712<13>
OBR|1|12667.001|12667.001^M6799^12:M00|M599.9940^Urine Culture^MIC^00006017^UR CULT^URINE CULTURE|||201208161712|||js853||||201208161712|Urine^^^Catheterized|1851323901^BELLAMY^BRIAN^^^^^^^^^^PN||||||201208161717||MB|F|||1851323901^BELLAMY^BRIAN^^^^MD^^^^^^PN<13>
OBX|1|ST|.^.^MIC|1|50,000 - 60,000|CFU/ml||A|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|2|ST|.^.^MIC|2|GRAM NEGATIVE ROD|||N|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|3|ST|.^.^MIC|3|ID AND MIC TO FOLLOW|||A|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|4|ST|.^.^MIC|4|30,000 - 40,000|CFU/ml||A|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|5|ST|.^.^MIC|5|GRAM NEGATIVE ROD|||N|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|6|ST|UR CULT^UR CULT^UR CULT|6|||||||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|7|ST|.^.^MIC|7|FINAL REPORT|||N|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|8|ST|.^.^MIC|8|ORGANISM(S) ID SUSCEPTIBILITY REPORTED|||A|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|9|ST|UR CULT^UR CULT^UR CULT|9|||||||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|10|CE|ORG^ORGANISM^MIC|1|ESCHERICHIA COLI^ESCHERICHIA COLI||||||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|11|CE|ORG^ORGANISM^MIC|2|KLEBSIELLA PNEUMONIAE^KLEBSIELLA PNEUMONIAE||||||F|||201208161717||JS853^SRCH^JEAN<13>
OBR|2||12667.001^M6799^12:M00|MIC-ORGANISM 1:^Urine Culture^MIC|||201208161712|||||||||1851323901^BELLAMY^BRIAN^^^^^^^^^^PN|||||||||F|M599.9940<13>
OBX|1|ST|ORGANISM 1:^ORGANISM 1:^ORGANISM 1:|1|ESCHERICHIA COLI<13>
OBX|2|ST|AMOXACILLIN/CLAVULANATE^AMOXACILLIN/CLAVULANATE^AMOXACILLIN/CLAVULANATE|1|>16/8|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|3|ST|AMPICILLIN^AMPICILLIN^AMPICILLIN|1|>128|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|4|ST|AMPICILLIN/SULBACTAM^AMPICILLIN/SULBACTAM^AMPICILLIN/SULBACTAM|1|>=32/16|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|5|ST|CEFAZOLIN^CEFAZOLIN^CEFAZOLIN|1|>16|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|6|ST|CEFEPIME^CEFEPIME^CEFEPIME|1|>16|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|7|ST|CEFTRIAXONE^CEFTRIAXONE^CEFTRIAXONE|1|>32|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|8|ST|CEFUROXIME AXETIL (ORAL)^CEFUROXIME AXETIL (ORAL)^CEFUROXIME AXETIL (ORAL)|1|>16|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|9|ST|CIPROFLOXACIN^CIPROFLOXACIN^CIPROFLOXACIN|1|>2|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|10|ST|GENTAMICIN^GENTAMICIN^GENTAMICIN|1|>8|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|11|ST|IMIPENEM^IMIPENEM^IMIPENEM|1|>8|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|12|ST|ERTAPENEM^ERTAPENEM^ERTAPENEM|1|<=2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|13|ST|LEVOFLOXACIN^LEVOFLOXACIN^LEVOFLOXACIN|1|>4|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|14|ST|NITROFURANTOIN^NITROFURANTOIN^NITROFURANTOIN|1|>64|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|15|ST|PIPERACILLIN/TAZOBACTAM^PIPERACILLIN/TAZOBACTAM^PIPERACILLIN/TAZOBACTAM|1|>64|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|16|ST|TETRACYCLINE^TETRACYCLINE^TETRACYCLINE|1|>8|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|17|ST|TICARCILLIN/K CLAV'ATE^TICARCILLIN/K CLAV'ATE^TICARCILLIN/K CLAV'ATE|1|>=256|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|18|ST|TOBRAMYCIN^TOBRAMYCIN^TOBRAMYCIN|1|>8|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|19|ST|TRIMETHOPRIM/SULFAMETHOXAZOLE^TRIMETHOPRIM/SULFAMETHOXAZOLE^TRIMETHOPRIM/SULFAMETHOXAZOLE|1|>2/38|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|20|ST|TRIMETHOPRIM^TRIMETHOPRIM^TRIMETHOPRIM|1|>8|||R|||F|||201208161717||JS853^SRCH^JEAN<13>
NTE|1|| SUSCEPTIBILITY INTERPRETATION SUMMARY <13>
NTE|2||S = Susceptible BLac = Beta-Lactamase Positive <13>
NTE|3||I = Intermediate EBL? = Suspected Extended Spectrum Beta-Lactamase <13>
NTE|4||R = Resistant N/R = Interpretation not reported <13>
NTE|5||R* = Predicted Resistance ESBL = Extended Spectrum Beta-Lactamase <13>
NTE|6||* = Non-formulary drug TFG = Thymidine-dependent Strain <13>
NTE|7||Blank = Data not available, or drug not advisable or tested <13>
NTE|8||NI = Drug not advisable for organism/source combination OR <13>
NTE|9|| Interpretation standards not established. <13>
NTE|10|| Interpretations based on CLSI M100-S20. Jan 2010. <13>
OBR|3||12667.001^M6799^12:M00|MIC-ORGANISM 2:^Urine Culture^MIC|||201208161712|||||||||1851323901^BELLAMY^BRIAN^^^^^^^^^^PN|||||||||F|M599.9940<13>
OBX|1|ST|ORGANISM 2:^ORGANISM 2:^ORGANISM 2:|1|KLEBSIELLA PNEUMONIAE<13>
OBX|2|ST|AMOXACILLIN/CLAVULANATE^AMOXACILLIN/CLAVULANATE^AMOXACILLIN/CLAVULANATE|1|<=4/2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|3|ST|AMPICILLIN^AMPICILLIN^AMPICILLIN|1|<=8|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|4|ST|AMPICILLIN/SULBACTAM^AMPICILLIN/SULBACTAM^AMPICILLIN/SULBACTAM|1|<=8/4|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|5|ST|CEFAZOLIN^CEFAZOLIN^CEFAZOLIN|1|<=8|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|6|ST|CEFEPIME^CEFEPIME^CEFEPIME|1|<=2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|7|ST|CEFTRIAXONE^CEFTRIAXONE^CEFTRIAXONE|1|<=4|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|8|ST|CEFUROXIME AXETIL (ORAL)^CEFUROXIME AXETIL (ORAL)^CEFUROXIME AXETIL (ORAL)|1|<=4|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|9|ST|CIPROFLOXACIN^CIPROFLOXACIN^CIPROFLOXACIN|1|<=1|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|10|ST|GENTAMICIN^GENTAMICIN^GENTAMICIN|1|<=1|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|11|ST|IMIPENEM^IMIPENEM^IMIPENEM|1|<=4|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|12|ST|ERTAPENEM^ERTAPENEM^ERTAPENEM|1|<=2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|13|ST|LEVOFLOXACIN^LEVOFLOXACIN^LEVOFLOXACIN|1|<=2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|14|ST|NITROFURANTOIN^NITROFURANTOIN^NITROFURANTOIN|1|<=32|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|15|ST|PIPERACILLIN/TAZOBACTAM^PIPERACILLIN/TAZOBACTAM^PIPERACILLIN/TAZOBACTAM|1|<=8|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|16|ST|TETRACYCLINE^TETRACYCLINE^TETRACYCLINE|1|<=2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|17|ST|TICARCILLIN/K CLAV'ATE^TICARCILLIN/K CLAV'ATE^TICARCILLIN/K CLAV'ATE|1|<=16|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|18|ST|TOBRAMYCIN^TOBRAMYCIN^TOBRAMYCIN|1|<=2|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|19|ST|TRIMETHOPRIM/SULFAMETHOXAZOLE^TRIMETHOPRIM/SULFAMETHOXAZOLE^TRIMETHOPRIM/SULFAMETHOXAZOLE|1|<=2/38|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
OBX|20|ST|TRIMETHOPRIM^TRIMETHOPRIM^TRIMETHOPRIM|1|<=8|||S|||F|||201208161717||JS853^SRCH^JEAN<13>
NTE|1|| SUSCEPTIBILITY INTERPRETATION SUMMARY <13>
NTE|2||S = Susceptible BLac = Beta-Lactamase Positive <13>
NTE|3||I = Intermediate EBL? = Suspected Extended Spectrum Beta-Lactamase <13>
NTE|4||R = Resistant N/R = Interpretation not reported <13>
NTE|5||R* = Predicted Resistance ESBL = Extended Spectrum Beta-Lactamase <13>
NTE|6||* = Non-formulary drug TFG = Thymidine-dependent Strain <13>
NTE|7||Blank = Data not available, or drug not advisable or tested <13>
NTE|8||NI = Drug not advisable for organism/source combination OR <13>
NTE|9|| Interpretation standards not established. <13>
NTE|10|| Interpretations based on CLSI M100-S20. Jan 2010. <13>
<28><13>
TammyJo
 
Posts: 4
Joined: Thu Aug 11, 2011 12:25 pm

Re: Micro Results

Postby tsuacci » Thu Aug 23, 2012 10:44 pm

Micro results are hard enough to display nicely in Allscripts, but figuring out how to process that message will be extremely difficult. Good luck!! I wish I could be of more help, but there are a lot of things going on with that message that will be difficult to overcome in ConnectR and Allscripts.
Tyler Suacci
Consultant
Galen Healthcare Solutions
707.335.4710
tyler.suacci@galenhealthcare.com
tsuacci
 
Posts: 55
Joined: Mon Apr 04, 2011 12:08 pm


Return to Order/Result

Who is online

Users browsing this forum: No registered users and 1 guest

cron