🎯Setting up conditions

When to use: For lab values with specific number ranges (e.g., pH levels)

Available comparisons:

• Critical alert can trigger when value is Less than, Greater than, Equal to, Between, Not between the specified number

• Example:

  • Between: Triggers when the value is within the specified range. You can choose if limits are inclusive or not.

  • Not Between: Triggers when the value is outside the specified range. You can choose if limits are inclusive or not.

When to use: For text-based results, checking if certain keywords appear

Included keywords

✅ Results WITH these keywords = Critical

• Example: SEEN, 1+, 2+ → Flags "Seen 1+" as critical

Excluded Keywords

❌ Results WITH these keywords = NOT Critical

• Example: NSEEN → "NSEEN" not flagged as critical

Image Example:

• You enter these Included Keywords: 1+ , 2+, 3+, SEEN

• You enter these Excluded Keywords: NSEEN

Here’s how Rooster will behave:

• If the result has: “Seen 1+” → Flagged as critical

• If the result has: “NSEEN” → Not flagged as critical

• If the result has BOTH: “Seen 1+” and “NSEEN” → Not flagged as critical

When to use: Applying rules only to specific tests or panels

• Matching Criteria: Exact match (case-insensitive)

• Example: Enter procedure code LAB240 and only results with that exact code will be flagged as critical.

When to use: To target specific specimen sources or specimen types in the HL7 message

• Matching Criteria: Exact match (case-insensitive)

• Example: Pleural tap, Knee aspirate → Only alerts for these sources, other spicimen sites will be ignored for this rule.

Purpose: Apply different alert thresholds based on patient age

How it works:

• Age calculated by rounding down to nearest unit

  • If patient's DOB is July 10, 2020, and today is July 8, 2024, they are considered 3 years old.

• Critical alert can trigger when patient's age is Less than, Greater than, Equal to, Between, Not between the specified age

Example scenarios:

• "Critical only if under 5 years old"

• "Critical only for those over 65"

Purpose: To avoid sending duplicate critical results SMS to clinicians

Two options:

1. Per Patient Admission

   • Only alerts for critical result once per patient's admission (based on visit number)

   • Subsequent similar results during same admission are ignored

   • Best for: Conditions that don't change much during a single hospital stay

   Example:

   • A patient is admitted for pneumonia.

   • A positive TB test is received → Flagged as critical

   • The same test result appears again during the same admission → Not flagged as critical

2. Within X Hours

   • Set custom time window (e.g., 4 hours)

   • First result will be flagged as critical, after that any other results received with the same keywords are silenced until the time window expires

   • After time window, alerts resume for new results

   • Best for: Conditions that may evolve or need periodic monitoring

   Example timeline (4-hour window):

   • Time 0: "Seen 1+" → Flagged as critical

   • Time 3h: "Seen 1+" again → Not flagged as critical

   • Time 4h 1min: "Seen 1+" → Flagged as critical

More configurations

• ☑ 'Included Keywords' is different from previous values

  • A result is treated as new if it contains a different keyword from before.

  • Example if enabled:

    • First result: “1+” → Flagged as critical

    • Second result: “SEEN” → Also flagged as critical (different keyword = new presentation)

  • Example if disabled:

    • First result: “1+” → Flagged as critical

    • Second result: “SEEN” → Not flagged as critical (different keyword = same presentation)

• ☑ 'Specimen Source or Specimen Type is different'

  • Results from different sample types or sources will be treated as a new presentation

    • Example if enabled:

      • First result: Bacterial culture from Pleural fluid → Flagged as critical

      • Later result: Same test from Synovial fluid → Also flagged as critical (different source = new presentation)

    • Example if disabled

      • First result: Bacterial culture from Pleural fluid → Flagged as critical

      • Later result: Same test from Synovial fluid → Not flagged as critical (different keyword = same presentation)