Requisition and Results Entry

The requisition follows the clinical ordering sequence. Searchable controls support wound coding, specimen, antimicrobial, dosing, allergies, pathogens, and MAST entry.

1Patient Information

Patient name

Patient ID / MRN

Date of birth

Sex

2Ordering Provider Information

Ordering provider

NPI

Practice / facility

Telephone

Fax

Address

3Test Ordered

TruWound PCR Only TruWound PCR with Reflex to MAST TruWound PCR with MAST

MAST workflow status

5Specimen and Laboratory Tracking

Specimen type

Accession number

Test facility

Collected

Received

Reported

6Empiric Antimicrobial Coverage

Empiric antimicrobial

Strength

Dosing instructions

7Allergies and Clinical Considerations

Antimicrobial allergies

Pregnancy

NoYesUnknown

Renal diseaseCreatinine ≥ 1.4 Liver diseaseElevated LFTs

8Pathogens Identified

PCR load is High, Moderate, or Low for every target. A separate numerical MAST load is entered only for bacteria when finalized MAST results are available.

9Alternative Antimicrobials

Final MAST results supersede PCR-only pathogen-to-antimicrobial mapping when ranking these options.

Recommendation 1

Recommendation 2

Recommendation 3

Automatically rank

10Individual Pathogen MAST Results

Each qualifying bacterial pathogen is shown only with its assigned Evolve wound antimicrobial plate from the current embedded database. Select S or R for each reported result. Plate membership controls only the organism-specific MAST fields and does not alter pathogen-to-alternative-antimicrobial mapping.

11Case Data Tools

Sample system: SAMPLE - NOT FOR CLINICAL USE pending formal laboratory validation and approval.

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