| MICRO CARD TYPE |
-
- 0E
- CARD NAME: GNI
- PROCESS CARD CALL: D 512^LAMIV12
- MESSAGE:
-
-
- CODE: 43
- FLAG VALUE: 0
- Suggested - Serology confirmation required
-
- CODE: 44
- FLAG VALUE: 1
- Suggested - confirm with indole reaction
-
- CODE: 45
- FLAG VALUE: 0
- Questionable Inoculum
-
- CODE: 46
- FLAG VALUE: 0
- Questionable Biopattern
-
- CODE: 47
- FLAG VALUE: 0
- Good Confidence, Marginal Separation
-
- 10
- CARD NAME: GPS-M
- PROCESS CARD CALL: D ^LAMIV11
- MESSAGE:
-
-
- CODE: 46
- FLAG VALUE: 0
- CATALASE NEGATIVE
-
- CODE: 51
- FLAG VALUE: 1
- Possible OX, CF, CZ, AMOX/CA, AMP/SULB resistant organism- NCCLS
-
- CODE: 46
- FLAG VALUE: 1
- CATALASE POSITIVE
-
- CODE: 47
- FLAG VALUE: 0
- Catalase Negative/Enterococcus
-
- CODE: 47
- FLAG VALUE: 1
- Catalase Negative/Non-enterococcus
-
- CODE: 47
- FLAG VALUE: 2
- Catalase Positive/Coagulase positive
-
- CODE: 47
- FLAG VALUE: 3
- Catalase positive/Coagulase negative
-
- CODE: 48
- FLAG VALUE: 0
- Beta Lactamase negative
-
- CODE: 49
- FLAG VALUE: 1
- Beta Lactamase positive
-
- CODE: 50
- FLAG VALUE: 0
- CF, CZ, AMOX/CA, AMP/SULB reported as "R" for oxacillin- resistant staph- NCCLS
-
- 13
- CARD NAME: GNS
- PROCESS CARD CALL: D ^LAMIV12
- MESSAGE:
-
-
- CODE: 46
- FLAG VALUE: 0
- Oxidase negative
-
- CODE: 46
- FLAG VALUE: 1
- Oxidase positive
-
- 05
- CARD NAME: YBC
- PROCESS CARD CALL: D 54^LAMIV11
- MESSAGE:
-
-
- CODE: 36
- FLAG VALUE: 0
- Trichosporon penicillatum if true hyphae, arthrospores,blastospores present
-
- CODE: 41
- FLAG VALUE: 2
- NOTE 4: Sucrose Negative. See tech bulletin.
-
- CODE: 42
- FLAG VALUE: 2
- NOTE 4: Sucrose Negative. See tech bulletin
-
- CODE: 43
- FLAG VALUE: 0
- Questional Biopattern
-
- CODE: 46
- FLAG VALUE: 0
- NOTE 2: Check inoculum.
-
- CODE: 47
- FLAG VALUE: 0
- NOTE 3: Supplemental tests required.
-
- CODE: 44
- FLAG VALUE: 0
- Good confidence, Marginal Separation
-
- CODE: 45
- FLAG VALUE: 0
- NOTE 1: Glucose well Negative
-
- 14
- CARD NAME: GNU
- PROCESS CARD CALL: D ^LAMIV12
- MESSAGE:
-
-
- CODE: 41
- FLAG VALUE: 2
- NOTE 4: Sucrose Negative. See tech bulletin.
-
- CODE: 42
- FLAG VALUE: 2
- NOTE 4: Sucrose Negative. See tech bulletin
-
- CODE: 43
- FLAG VALUE: 0
- Questional Biopattern
-
- CODE: 44
- FLAG VALUE: 0
- Good confidence, Marginal Separation
-
- CODE: 46
- FLAG VALUE: 0
- NOTE 2: Check inoculum.
-
- CODE: 47
- FLAG VALUE: 0
- NOTE 3: Supplemental tests required.
-
- CODE: 45
- FLAG VALUE: 0
- NOTE 1: Glucose well Negative
-
- 0F
- CARD NAME: GPI
- PROCESS CARD CALL: D 511^LAMIV11
- MESSAGE:
-
-
- CODE: 46
- FLAG VALUE: 0
- Questionable Biopattern
-
- CODE: 47
- FLAG VALUE: 0
- Good confidence, Marginal Separation
-
- 0FB
- CARD NAME: GPI-2
- PROCESS CARD CALL: D 510^LAMIV10
- MESSAGE:
-
-
- CODE: 46
- FLAG VALUE: 0
- Questionable Biopattern
-
- CODE: 47
- FLAG VALUE: 0
- Good Confidence, Marginal Separation
-
- 0B
- CARD NAME: UID-1
- PROCESS CARD CALL: D ^LAMIV10
- MESSAGE:
-
-
- CODE: 43
- FLAG VALUE: 0
- Suggest confirmation of non-stained globules
-
- 12
- CARD NAME: UID-3
- PROCESS CARD CALL: D 510^LAMIV10
- MESSAGE:
-
-
- CODE: 46
- FLAG VALUE: 0
- Oxidase negative
-
- CODE: 46
- FLAG VALUE: 1
- Oxidase positive
-
- 0C
- CARD NAME: BACIL
- PROCESS CARD CALL: D 52^LAMIV10
- MESSAGE:
-
-
- CODE: 43
- FLAG VALUE: 0
- Suggest confirmation of non-stained globules
|
| INTERFACE NOTES |
The electrical connection of the VITEK can be done with the following.
20--|
up the Autoinstrument node (62.4). See lab installation guide for
procedures on adding a new organism to the etiology file.
STEP 3.
Step thru the beginning fields and fill them in as you would normally
do. Several fields will need to be set up differently depending on
whether you are running unidirectionally or bidirectionally.
These fields are:
Program Name uni = LAMIVTK bi = LAMIVTKU
Handshake response uni = S OUT=$C(6) bi = D ^LAMIVTKC
STEP 4.
The entry comes with 10 card types already started for you. These entries
are never to be deleted as other entries will refer back to them.
Using your VITEK interface documentation enter the card type you will
want to enter organisms or drugs for. Step thru the prompts until you
come to the Select Organism prompt. Enter the organism name and its
card code for each organism for this card type. Once you have organisms
entered for the intitial 10 entries you do not have to enter organisms for
any of the following card types as the code will refer back to these
7------------------------7
initial entries.
When entering a new card the process card call field needs to be filled
in with the MUMPS code listed below for PRocessing call. For example
if you want to process a GNS-F1 card which has a card code of 54 you
would enter 'D ^LAMIV12'.
Card Ref.
Code Spec. Name Processing call
01 5.1 GPS-A D ^LAMIV11
02 5.3 GPSSA D ^LAMIV11
03 5.5 GPSTA D ^LAMIV11
04 NOT USED
05 5.4 YBC D 54^LAMIV11
06-0A CARD TYPES NOT USED
0B 5.10 UID-1 D ^LAMIV10
0C 5.2 BACIL D 52^LAMIV10
0D XXX BIOLD NOT SUPPORTED BY VITEK
0E 5.12 GNI D 512^LAMIV12
0F 5.11 GPI D 511^LAMIV11
To set up the VITEK unidirectionally you will need to run the program
0FB 5.11 GPI-2 Mate to '0F' which holds 2nd organism table.
Called from '0F' card if needed.
10 5.13 GPS-M D ^LAMIV11
11 XXX SCC NOT SUPPORTED BY VITEK
12 5.10 UID-3 D 510^LAMIV10
13 5.14 GNS D ^LAMIV12
14 5.15 GNU D ^LAMIV12
15 5.16 GNS-T D ^LAMIV12
16 5.17 GNU-T D ^LAMIV12
17-A4 GNS FLEX D ^LAMIV12
CIEP on the VITEK to configure the instrument. If you are running with
Since so many of the cards have the same organisms identified they are
entered only once on one type of card. The Gram Positive cards
use 1 of 2 tables of organisms which are listed under card types '0F'
and '0FB' and these tables are used for lookup of the organism for all
gram positive identifications whether it is on an GPI card or on a
GPS flex card. The Gram Negative codes are handled by a single table
identified under the GNI card and is used for all flex panals also.
Gram Negative flex cards can list up to 5 organisms on one card and
when this occurs the organism list is found on the GNS card.
bidirectional you will need to run the program BCIEP to accomplish this.
The following is a list of where the organisms will be found for
the different cards.
Card '0F' is the main GPI card, and is used by all GPS cards for
Org ID lookup.
Card '0FB' is the secondary GPI card used to hold second table of
organisms. It is used by processing routine when needed.
This card is a Pseudo card and therefore does not have a call.
Card '0E' is the main GNI card, and is used by all GNS cards for
Org ID lookup.
CARD '10' is the main GPS flex card and is used by all other flex cards
for Organism lookup when multiple organisms are identified.
CARD '05' is the main card used for identifying yeasts.
CARD '0B' is used to identify urines
CARd '12' is also used to identify urines.
CARD '13' is the GNS flex card and is used by all other flex cards
for organism lookup when multiple organisms are identified.
CARD '14' is the GNU flex card and is used by all other flex cards
for organism lookup when multiple organisms are identified.
To set up the VITEK for unidirectional the following paramaters should
CARD '0C' is used for Bacillus identification.
STEP 5
Now step to the Select drug prompt for the card type. If the
documentation has a list of drugs for that card type then enter the
drug name, its param 1, its card code, and the print order.
Many of the drugs listed for a card type have more than one code
associated with the drug. When this occurs you will add the drug
name to the listing once for each code associated with that drug.
be set as:
The VITEK data is processed by a set of routines that start LAMIV.
LAMIV00 is routine used to determine MIC value for the drug.
The routine is called from the param1 field of the drug
subfield of the micro card type field. The param1 is in
the form: "S RUN="x"_U_LARTN D @RUN where "x" is the line
tag to enter the routine LAMIV00.. The Tag line in the
routine LAMIV00 for each entry point tells which drug codes
and type of card (pos, neg) are valid for this entry point.
For example if you are using a gram negative card which
VITEK LSI
reports out the drug code as 'C' for tetracycline you
would find by looking at the routine LAMIV00 that the
proper entry point would be at 'I' and the entry in param1
would then be 'S LARTN="I"_U_"LAMIV00" D @LARTN'.
LAMIV10 is routine used for processing bacillus and urine ID cards
LAMIV11 is routine for processing Gram Positive identification,
flex cards and Yeast cards.
LAMIV12 is routine for processing Gram Negative identification
and Gram Negative flex cards cards.
ON/OFF SWITCH: OFF
The above routines will convert the VITEK coded data to an organism
name, a drug name, a raw MIC value, and an interpretation which will
all be shown to you upon verification.
Certain drugs have codes which can not be entered thru fileman. These
drug codes are "^@?". These characters have special meaning to FILEMAN
and cannot be entered directly. To get around this problem the routine
LAMICRA is included. This routine will prompt for the autoinstrument
entry, the card type and then walk thru the drug nodes displaying the
entered code. You can enter the code or enter a return at this time.
RETRY WAIT: 10 SECONDS (SET TO MAX ALLOWED)
The routine will either continue when a return is entered or enter the
code into the file and build the "C" cross reference entry for you.
****NOTE**** If the autoinstrument file is ever recross referenced you
will have to reenter these codes as they will be lost.
The last field here is the print order field. This field is used by
the verify code to display the list of drugs in whatever order you
chose. This was primarily added so that the organisms and drugs would
display in the same order as the printed VITEK form.
ACK WAIT: 3 SECONDS (SET TO MAX ALLOWED)
Occasionally VITEK will start producing a new card type. These cards will
usually have a card code above A4. If you want to use the new card be
sure of the type of card it is and use the process card call that is used
for a similar card.
When running in bidirectional mode some additional fields need to be
filled in.
The FILE BUILD ROUTINE field needs to have the program name LAMIVTKD
NACKS BEFORE AUTO DISABLE: 3
which builds and stores the download records from the load list file.
In the Lab Site Parameter file you will need to respond to the new field
DOWNLOAD FULL DATA. If you answer YES the routines will download all
of the data available about the patient and test. If you answer NO the
routines will only download the minimum information needed by the
instrument to run the test.
In the LAB TEST file those tests that are to be downloaded will need a
unique number assigned to it (0-9) in the field MICRO PREFIX CODE.
STX/ETX PROTOCOL: "SSS"/<CR><LF>
The auto instrument file has 3 additional fields to fill in.
Send tray/cup - which is a yes/no answer and is the default display
when you start generating the download file.
Queue build - is a yes/no answer that is the default display when
starting to generate a download file and determines if the file is
built while you wait or is queued out to run by itself giving you
you terminal back immediately.
Be very aware that the verify routines used by the rest of the LAB will
HOST PROTOCAL CHARACTERISTICS: 1200 BAUD, NO PARITY, 8 BIT/CHAR,
NOT work for microbiology. Use only the verify routines for micro
which will be supplied.
2 STOP BITS
XON TIME-OUT VALUE: 10
DELAY BETWEEN CHARACTERS: 50
2---------\/-------------2
DISPLAY DATA OPTION: OFF
AMS COMPUTER INTERFACE: ENABLED
For bidirectional you have the following parameters.
BIDIRECTIONAL INTERFACE (UPLOAD) IS : ENABLED
BIDIRECTIONAL INTERFACE (DOWNLOAD) IS: ENABLED
DOWNLOAD PORT: /dev/tty1
UPLOAD PORT: /dev/tty1
TIMEOUTS:
CHECKSUM <ACK>: default is 3 set as high as possible
3---------/\-------------3
HOST RESPONSE: defalut is 3 set as high as possible
XON/XOFF: default is 10 set higher if having problems
RETRY LIMITS:
CHECKSUM ERROR: 3
<ENQ>: 3
RETRY INTERVALS:
CHECKSUM ERROR: 10
<ENQ>: 10
DELAYS:
LAST MASTER: DEFAULT 10 SET HIGHER
4--|
INTER-RECORD: DEFAULT 10 SET HIGHER
INTERMESSAGE: DEFAULT 10 SET HIGHER
END OF RECORD FORMATS
STX: ENABLED ETX: DISABLED
RS: DISABLED GS: DISABLED
TOTAL NUMBER OF FAILED MESSAGED ALLOWED: 3
FIELD TERMINATION CHARACTER(S): |
START UP MESSAGE: DISABLED
In some instances the VITEK will not recieve our acknowledge back in the
5--|
10 second time limit of VITEK and will retransmit the record a second time.
If this is occuring from the console of the VITEK enter /ETC/HOSTCTS OFF
This command will in most cases clear up double sending of records.
The VITEK has one caution that must be remembered. If during transmission
the VITEK does not receive acknowledgement from the CPU that the records
had been received within 3 tries it will turn the interface off. When
this occurs several things must be remembered.
1. The VITEK will not transmit again until the operator turns the
interface back on.
2. Once the interface has been turned back on the operator can retransmit
records ONLY if the cards have NOT been removed from the machine. If they
have been removed the entire test must be rerun.
This node of the Auto Instrument file is configured to support revision
AI of the VITEK software. Sometime around release of Revision L there was
a change in the reporting of values out of the VITEK. Then with the release
of Revisions W and above to Revision AI they have periodically changed
values being reported. The entries in this file have been set up for
Revision AI and therefore NOTE that we will support only revision AI or
6--|
later.
The VITEK has several tables which need to be built before the
instrument can be run. These tables have an entry and then a
abbrreviation. These tables are set up to match your DHCP tables.
Now we are ready to start setting up the VITEK entry which has several
steps that must be followed in sequence in order to set the entry up
properly.
8--|---------------------20
STEP 1.
The VITEK uses a large number of drugs when doing its reporting.
You MUST have all drugs entered into the Antimicrobial Sensitivity file
(62.06) and the Lab Data File (63) before setting up the Autoinstrument
file (62.4). See the Lab installation guide for particulars for
adding new drugs to the system.
STEP 2.
Also since the VITEK can report over 100 different organisms make sure that
all the organisms are entered into the Etiology file (61.2) before setting
|
