Is anyone using the Mapping Dictionary in Meditech's MIS Applications to automatically order extended crossmatches for patients with a history of clinically significant antibodies? As I understand the "Best Practices" information, this will automatically order an extended crossmatch once an intervention in MIS is performed (the Replace Crossmatch Test routine is used to associate the Crossmatch Test Map with a patient history.)

I'll have to look into that, since that is an issue with some techs remembering to order XM GEL and cancelling XM IS for antibody patients.

I have it working in test, but I wondered if there were any downsides other than the extra step to map the test change once an antibody is identified. We just started doing only immediate spin crossmatches on patients that qualify, and I don't want to see any techs omitting the XM Gel when it is needed. (I know- welcome to the 21st century!!!!!!)

Edited August 27, 20159 yr by Winter

This is one thing that does work in Meditech for Blood Bank.

Once patient is "mapped" to the test code for your "coombs crossmatch", any RBC order that is placed with have the "coombs crossmatch" associated with it. Meditech version 5.66

Why would you cancel the Immediate Spin, since it is looking at the ABO compatibility and the Extended Spin is looking at the Antibody compatibility?  Don't you still need the Immediate Spin since the are looking at two totally different things?

We wouldn't cancel the Immediate Spin procedure. The map will replace the immediate spin order with the  extended crossmatch order which does includes an immediate spin.

Nice, so both results are visible.