Processes and Software Building—Part 20
Medinfo software is rules-based so the institution may set its own custom rules for all processes. One chooses a framework and then adds any additional rules it needs for optimization. Turnkey systems do not offer this flexibility.
The rules for platelet and plasma components are much simpler than those for RBCs since usually we only consider ABO type. There are two modes: regular and emergency, the latter applying if not all the patient testing (including historical checking) is available. The components, on the other hand, must meet all criteria before being considered for patient use.
Example rules for plasma follow:
For platelets, note that for adults and anyone else >= 20 kg, I gave any type of platelet pool or plateletpheresis component without regard to ABO matching. With our production method, I did not give Rh immunoprophylaxis to females of child-bearing age receiving platelets from D-positive donors based on our clean (essentially RBC-free) Reveos automated production process.
Similarly, allocation rules for granulocytes, etc. could be made and enforced by the software. Low-B-titer group A universal plasma would also be easy to implement.
To Be Continued: