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Electronic crossmatch with Meditech


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I am needing some help setting  up electronic crossmatch in Meditech. I have everything else in place but can not figure out how to prevent EXM in patients who have mixed field reactions. I am wanting to be able to perform the IS serologically as I understand this is needed per CAP and FDA regulations. Has anyone else experience this. We are currently on version 6.08. Thanks in advance!

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  • 4 weeks later...

To prevent Meditech from qualifying a patient for EXM when mixed-field agglutination is detected, then detection of a mixed-field result must be entered into Meditech in some manner. In this way, Meditech can react to that test result using rules, reflexing tests, calculations and interpretations.

Currently, if mixed-field agglutination is detected in the Anti-A, Anti-B, Anti-A,B and/or Anti-D test, how is that mixed-field test result entered into Meditech? 

What is your current policy for documenting selection of blood for transfusion in Meditech when mixed-field agglutination is detected in ABO/Rh grouping tests?  For example, do you automatically select group O when mixed-field is detected in ABO grouping? Rh negative when mixed-field is detected in Rh grouping?

How is your Crossmatch test configured?

Do you use a Meditech Blood Issue routine in real-time when releasing blood to Nursing, et al?

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  • 3 years later...
On 3/25/2018 at 10:30 AM, BloodbankZ said:

I am needing some help setting  up electronic crossmatch in Meditech. I have everything else in place but can not figure out how to prevent EXM in patients who have mixed field reactions. I am wanting to be able to perform the IS serologically as I understand this is needed per CAP and FDA regulations. Has anyone else experience this. We are currently on version 6.08. Thanks in advance!

Do you have a dictionary build how to bill for EXM?\

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You will need to go to the BBK History desktop and then to Replace XM Test. Under it you will need to enter the history record number and put a Y in the Exclude from Electronic Crossmatch. Their are of course steps in LIS and BBK parameters but the billing is on this page below.

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