Difference between revisions of "MEDITECH"

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'''MEDITECH''' has a pathology module.  In three words, it is ''needs a re-write''.
'''MEDITECH''' is an old electronic health record program that is used widely and has a pathology module.  


==Usage tips==
==Look & feel==
===After login===
The interface has some likeness to the a DOS graphical interface, as was seen in the 1990s.<ref>URL: [http://en.wikipedia.org/wiki/File:Norton_Utilities_6.01_UI.png http://en.wikipedia.org/wiki/File:Norton_Utilities_6.01_UI.png]. Accessed on: 5 October 2013.</ref>
*''1'' - enter lab component.
Tasks, such as printing, may be quite complicated (see below). Getting information out of MEDITECH can be challenging.<ref>URL: [http://www.releases.gov.nl.ca/releases/2010/health/0324n04.htm http://www.releases.gov.nl.ca/releases/2010/health/0324n04.htm]. Accessed on: 5 October 2013.</ref>
**''10'' (''FINDINGS ENTRY'') to find cases.
***''1'' (''ENTER FINDINGS (STANDARD)'') to actually do work.


===Searching for cases===
The user experience may leave one wanting.<ref>URL: [https://www.klasresearch.com/Store/ReportDetail.aspx?Productid=877 https://www.klasresearch.com/Store/ReportDetail.aspx?Productid=877]. Accessed on: 5 October 2013.</ref>
Enter:
 
*''LASTNAME,FIRSTNAME''
==Usage tips - basics==
Configurations may vary substantially; the below may not apply in all work environments.
 
===Accessing the pathology ''enter findings'' screen===
*''1. LAB.GHC'' to enter lab component.
**''10. FINDINGS ENTRY'' to find cases.
***''1. ''ENTER FINDINGS (STANDARD)'' to actually do work.
 
====Accessing cases in batches====
*''1. LAB.GHC'' to enter lab component.
**''14. PTH REQUISITION MENU''.
***''83. SPECIMEN BATCHES'' to enter batch screen.
 
Selecting cases:
*Enter ''.sel'' into the box immediately adjacent to the word ''Select'' and press return.
*Enter case identifier, e.g. ''SU123''.
*Enter ''ESI'' in the box next to ''Function''.
 
Note:
*''F9'' displays a menu of options.


Example:
====Accessing a case====
*SMITH,JOHN
===Accessing a case===
Enter:
Enter:
*''XXYYYYY''
*''XXYYYYY''
Line 20: Line 35:
*XX = two letter code.  
*XX = two letter code.  
**SU = surgical.
**SU = surgical.
**RI = consult (outside).
**RI = ''referred in'' (consult from outside institution).
**AU = [[autopsy]].
**AU = [[autopsy]].
*YYYYY = case number.
*YYYYY = case number.
Line 26: Line 41:
Example:
Example:
*''SU17877''
*''SU17877''
=====Searching for cases by name=====
Enter:
*''LASTNAME,FIRSTNAME''
Example:
*SMITH,JOHN
Note:
*A space cannot appear after the comma, i.e. it is "SMITH,JOHN" ''not'' "SMITH, JOHN".
=====Access by ''Batch Sign Out''=====
*''22. Batch Sign Out''
**Enter ".SEL" into the box to the right of "Select" and press return.
***Scan specimen with barcode reader and press return.
****Click on the small box to the left of the "Specimen #" and a small check mark should appear.
*****Enter 'r' in the box to the left of "Function" and press return.
=====Searching for cases by MCP number=====
Enter:
*"#123456789012"
Where: ''123456789012'' is the MCP number.
===Re-assigning a case===
====EH====
*1. LAB.GHC.
**14. PTH REQUISITION MENU.
***23. EDIT PTH
****Enter '';su12345'', where ''12345'' is the surgical number.
*****Delete the initials in the ''Assign To'' box and enter the initials of the new pathologist.
====HHSC====
*Enter case.
**(Right) Ctrl -> 6 Edit Assign To -> F9 -> select 'DELETE' (for person case assigned to) -> (type in new provider) 'Assign To' -> F12 (to save).
===Change specimen label===
:AKA change ''Source of Specimen'' information - what the submitting MD wrote on the requisition for specimen/location.
*Select ''22. Process Specimen Batch'' from ''Findings Entry Menu''.
*Enter ''.SEL'' in box next to ''Select''.
*Enter case number.
*Click on small box beside the case number and a check mark should appear.
*Enter ''ER'' (for ''edit requisition'') in the box beside ''Function''.
===[[Clinical history]]===
*Ctrl - only the ''right'' ctrl button (the left one does not work)!
**2 Link to PCI = clinical history.
***Departmental Reports.
****Medical Records.
**4 Related Findings = past pathology.
External reports:
*"EXTERNAL PEN PCI".
Note:
*"PCI" seems to be ''patient care information''.
====Medical imaging - EH====
*"Diagnostic Imaging" = older reports.
*"DIAGNOSTIC IMAGING Reports" = recent reports.
Note:
*These categories should really be merged. It speaks volumes that they aren't.
====Laboratory data - HHSC====
=====Flow cytometery results=====
*Laboratory Data.
**CELL MARKERS.
====Laboratory data - EH====
=====CA-125=====
*Laboratory Data.
**HORMONE CHEMISTRY.
=====CEA=====
*Laboratory Data.
**HORMONE CHEMISTRY.
=====[[TTG]]=====
*Laboratory Data.
**RENAL LAB Summary.
=====PSA=====
*Laboratory Data.
**CLINICAL CHEMISTRY LABORATORY.
***PROS.SPEC.AG.
=====Gastrin=====
*Laboratory Data.
**RENAL LAB Summary.
=====Helicobacter pylori serology=====
*Laboratory Data.
**REFERRED SEROLOGY
***H PYLORI IgG.
====Discharge summaries====
*Ctrl-2 (PCI).
**Medical Record Forms.
***DISCHARGE DOCUMENTATION.


===Editing===
===Editing===
Line 38: Line 151:
*Shift-F6.
*Shift-F6.


====Add synoptic report====
====Delete line====
*F4.
*F10.
*TSCOLON.


====Spell check====
====Spell check====
Line 48: Line 160:
*Usually: ''Esc''.
*Usually: ''Esc''.
*Sometimes: ''F12''.
*Sometimes: ''F12''.
====Clinical comment====
"CLINICAL COMMENT" is used to record a discussion with the clinician, e.g. ''adipose tissue is present on an [[endometrium|endometrial]] biopsy''. The comment is not in the report itself.
====Add synoptic report====
*''F4''.
*''TSCOLON'' - for (blank) colorectal carcinoma synoptic report.
Note:
*See the ''Canned text'' section for how to edit and create these.
====Canned text====
Insert canned text:
*F4.
**Enter abbreviation for canned text, e.g. ''pseen'', then press ''Enter''.
Example:
*F4 -> type ''HER'' -> press ''F9'' -> select ''12'' ("HER2M3").
=====Editing=====
*''1. LAB.GHC'' to enter lab component.
**''51. DICTIONARIES''.
Enter/edit:
*''13. ENTER/EDIT CANNED TEXT''.
View:
*''14. VIEW CANNED TEXT''.
===Errors===
====''There are no eligible procedures to result for this specimen'' error====
*Goto ''PATHOLOGY/ RESIDENT MENU''.
**40. CHANGE USER SITE.
***In ''Change To Site'' box enter "H".
Notes:
*"S" = St. Clare's Mercy Hospital.
*"H" = Health Sciences Centre.
====''Updating specs for req'' error====
<pre>
Updating specs for req ___REQUEST_NUMBER___ in progress.
By ___USER___ on device ___COMPUTER___ at ___TIME___ on ___DATE___.
</pre>
Causes:
#Case is being accessed by another user.
#Case was accessed in session that timed-out.
Resolution:
*Ask other user to exit case.
*Call help desk - ''1950''.
====''MEDITECH WORKSTATION CONNECTIONS''====
Things to try:
*Check network cable.
*Confirm network connection working, e.g. go to ''Google'' home page with web browser.
*Re-boot.


===Printing===
===Printing===
#14. PTH REQUISITION MENU.
#14. PTH REQUISITION MENU.
#83. SPECIMEN BATCHES.
#83. SPECIMEN BATCHES.
#Enter ''.sel'' into the box next to ''Select''.
#Enter ''.sel'' into the box next to "Select".
#Enter specimen e.g. ''AU36'' into the box that pops-up and then hit enter.
#Enter specimen, e.g. ''AU36'', into the box that pops-up and then hit enter.
#Click the box beside the ''Specimen #'' - so that a check mark appears.
#Click the box beside "Specimen #" - so that a check mark appears.
#Enter ''ppr'' into the box beside ''Function''.
#Enter ''ppr'' into the box beside "Function".
#Enter ''all a'' in the box beside ''Report Format'' then hit enter several times and a box with ''Print on:'' will appear.
#Enter ''all a'' in the box beside "Report Format" then hit enter several times and a box with ''Print on:'' will appear.
#Enter ''HSC-LAB-P09'' and hit enter.
#Enter ''HSC-LAB-P09'' and hit enter.
#*Alternate printer ''HPATH-P2''.
Note:
*The last two steps at SJ: enter ''P.FINAL'' instead of ''all a'', and ''PSJHLAB5'' for the (cytology) printer.
====IHC====
Format:
*''P-IHC''.
Printer:
*''P-IHC''.
====Ancillary tests====
Format:
*''P.ANC''.
Printer:
*''PSJ1617''.
====Check whether something has printed====
*22. Process Specimen Batch.
**Enter ''.BAT'' into the box next to "Select".
***Press ''F9''.


===Sign-out===
===Sign-out===
*Enter "F" in box "Type"
*Enter "F" in box "Type"
*Hit return - it then fills in the METITECH ID and name.
*Hit return - it then fills in the MEDITECH ID and name.
*Change Status "Y".
*Change Status "Y".
*Pop-up appears - choose first option ("File").
*Pop-up appears - choose first option ("File").
Line 75: Line 268:
***Enter "F" at "Type" of signature. Then press "F12" and "F" (for "File") to complete.
***Enter "F" at "Type" of signature. Then press "F12" and "F" (for "File") to complete.


====Ammending a report====
====Amending a report====
*Should be used when a mistake was made - see [[quality]].
*Should be used when a mistake was made - see [[quality]].


Procedure:
Procedure:
*"PATHOLOGY / RESIDENT MENU":
*"PATHOLOGY / RESIDENT MENU":
** 10. FINDINGS ENTRY.
** 14. PTH REQUISITION MENU.
*** 6. ENTER CORRECTED REPORT FINDINGS.
*** 83. SPECIMEN BATCHES.
****Reason for Edit: <insert a reason>
****Type ".sel" in the box beside "Select"
*****Then one gets the edit menu... as if the case were a fresh case.
*****Type in the case number.
******It is prudent to put in a comment explaining the change, in the "diagnosis" field, so there can be no confusion.
*****Select the case.
******One signs the case in the usual way.
****Type "ESI1" in the box beside "Function".
*****Enter electronic PIN.
*****Goto the sign out box at the bottom... Enter "F" and then delete the date.  Then hit enter and a pop-up box will appear.  Hit "F" for "File".
 
===Staff directory===
*2 MOX Email/MOX - HCC **LIVE**.
**22 Employee Locator.


==See also==
==See also==
*[[Informatics]].
*[[Informatics]].
*[[Softpath]].
*[[Softpath]].
==References==
{{Reflist|2}}


==External links==
==External links==

Latest revision as of 18:16, 6 July 2020

MEDITECH is an old electronic health record program that is used widely and has a pathology module.

Look & feel

The interface has some likeness to the a DOS graphical interface, as was seen in the 1990s.[1] Tasks, such as printing, may be quite complicated (see below). Getting information out of MEDITECH can be challenging.[2]

The user experience may leave one wanting.[3]

Usage tips - basics

Configurations may vary substantially; the below may not apply in all work environments.

Accessing the pathology enter findings screen

  • 1. LAB.GHC to enter lab component.
    • 10. FINDINGS ENTRY to find cases.
      • 1. ENTER FINDINGS (STANDARD) to actually do work.

Accessing cases in batches

  • 1. LAB.GHC to enter lab component.
    • 14. PTH REQUISITION MENU.
      • 83. SPECIMEN BATCHES to enter batch screen.

Selecting cases:

  • Enter .sel into the box immediately adjacent to the word Select and press return.
  • Enter case identifier, e.g. SU123.
  • Enter ESI in the box next to Function.

Note:

  • F9 displays a menu of options.

Accessing a case

Enter:

  • XXYYYYY

Where:

  • XX = two letter code.
    • SU = surgical.
    • RI = referred in (consult from outside institution).
    • AU = autopsy.
  • YYYYY = case number.

Example:

  • SU17877
Searching for cases by name

Enter:

  • LASTNAME,FIRSTNAME

Example:

  • SMITH,JOHN

Note:

  • A space cannot appear after the comma, i.e. it is "SMITH,JOHN" not "SMITH, JOHN".
Access by Batch Sign Out
  • 22. Batch Sign Out
    • Enter ".SEL" into the box to the right of "Select" and press return.
      • Scan specimen with barcode reader and press return.
        • Click on the small box to the left of the "Specimen #" and a small check mark should appear.
          • Enter 'r' in the box to the left of "Function" and press return.
Searching for cases by MCP number

Enter:

  • "#123456789012"

Where: 123456789012 is the MCP number.

Re-assigning a case

EH

  • 1. LAB.GHC.
    • 14. PTH REQUISITION MENU.
      • 23. EDIT PTH
        • Enter ;su12345, where 12345 is the surgical number.
          • Delete the initials in the Assign To box and enter the initials of the new pathologist.

HHSC

  • Enter case.
    • (Right) Ctrl -> 6 Edit Assign To -> F9 -> select 'DELETE' (for person case assigned to) -> (type in new provider) 'Assign To' -> F12 (to save).

Change specimen label

AKA change Source of Specimen information - what the submitting MD wrote on the requisition for specimen/location.
  • Select 22. Process Specimen Batch from Findings Entry Menu.
  • Enter .SEL in box next to Select.
  • Enter case number.
  • Click on small box beside the case number and a check mark should appear.
  • Enter ER (for edit requisition) in the box beside Function.

Clinical history

  • Ctrl - only the right ctrl button (the left one does not work)!
    • 2 Link to PCI = clinical history.
      • Departmental Reports.
        • Medical Records.
    • 4 Related Findings = past pathology.

External reports:

  • "EXTERNAL PEN PCI".

Note:

  • "PCI" seems to be patient care information.

Medical imaging - EH

  • "Diagnostic Imaging" = older reports.
  • "DIAGNOSTIC IMAGING Reports" = recent reports.

Note:

  • These categories should really be merged. It speaks volumes that they aren't.

Laboratory data - HHSC

Flow cytometery results
  • Laboratory Data.
    • CELL MARKERS.

Laboratory data - EH

CA-125
  • Laboratory Data.
    • HORMONE CHEMISTRY.
CEA
  • Laboratory Data.
    • HORMONE CHEMISTRY.
TTG
  • Laboratory Data.
    • RENAL LAB Summary.
PSA
  • Laboratory Data.
    • CLINICAL CHEMISTRY LABORATORY.
      • PROS.SPEC.AG.
Gastrin
  • Laboratory Data.
    • RENAL LAB Summary.
Helicobacter pylori serology
  • Laboratory Data.
    • REFERRED SEROLOGY
      • H PYLORI IgG.

Discharge summaries

  • Ctrl-2 (PCI).
    • Medical Record Forms.
      • DISCHARGE DOCUMENTATION.

Editing

Copy & paste

  • To paste into MEDITECH: ALT-V.

Highlight text

  • Hit "F1" when cursor at beginning of desired text.
  • Hit "F2" when cursor at end of dersired text.

Remove return

  • Shift-F6.

Delete line

  • F10.

Spell check

  • Shift-F9.

Save diagnosis

  • Usually: Esc.
  • Sometimes: F12.

Clinical comment

"CLINICAL COMMENT" is used to record a discussion with the clinician, e.g. adipose tissue is present on an endometrial biopsy. The comment is not in the report itself.

Add synoptic report

  • F4.
  • TSCOLON - for (blank) colorectal carcinoma synoptic report.

Note:

  • See the Canned text section for how to edit and create these.

Canned text

Insert canned text:

  • F4.
    • Enter abbreviation for canned text, e.g. pseen, then press Enter.

Example:

  • F4 -> type HER -> press F9 -> select 12 ("HER2M3").
Editing
  • 1. LAB.GHC to enter lab component.
    • 51. DICTIONARIES.

Enter/edit:

  • 13. ENTER/EDIT CANNED TEXT.

View:

  • 14. VIEW CANNED TEXT.

Errors

There are no eligible procedures to result for this specimen error

  • Goto PATHOLOGY/ RESIDENT MENU.
    • 40. CHANGE USER SITE.
      • In Change To Site box enter "H".

Notes:

  • "S" = St. Clare's Mercy Hospital.
  • "H" = Health Sciences Centre.

Updating specs for req error

Updating specs for req ___REQUEST_NUMBER___ in progress.
By ___USER___ on device ___COMPUTER___ at ___TIME___ on ___DATE___.

Causes:

  1. Case is being accessed by another user.
  2. Case was accessed in session that timed-out.

Resolution:

  • Ask other user to exit case.
  • Call help desk - 1950.

MEDITECH WORKSTATION CONNECTIONS

Things to try:

  • Check network cable.
  • Confirm network connection working, e.g. go to Google home page with web browser.
  • Re-boot.

Printing

  1. 14. PTH REQUISITION MENU.
  2. 83. SPECIMEN BATCHES.
  3. Enter .sel into the box next to "Select".
  4. Enter specimen, e.g. AU36, into the box that pops-up and then hit enter.
  5. Click the box beside "Specimen #" - so that a check mark appears.
  6. Enter ppr into the box beside "Function".
  7. Enter all a in the box beside "Report Format" then hit enter several times and a box with Print on: will appear.
  8. Enter HSC-LAB-P09 and hit enter.
    • Alternate printer HPATH-P2.

Note:

  • The last two steps at SJ: enter P.FINAL instead of all a, and PSJHLAB5 for the (cytology) printer.

IHC

Format:

  • P-IHC.

Printer:

  • P-IHC.

Ancillary tests

Format:

  • P.ANC.

Printer:

  • PSJ1617.

Check whether something has printed

  • 22. Process Specimen Batch.
    • Enter .BAT into the box next to "Select".
      • Press F9.

Sign-out

  • Enter "F" in box "Type"
  • Hit return - it then fills in the MEDITECH ID and name.
  • Change Status "Y".
  • Pop-up appears - choose first option ("File").

Addending a report

Main article: Addendum
  • Case must be signed-out.
  • Add text of addendum in field number 14.
  • Sign-out addendum:
    • Goto PTH Sign Out With Electronic Signature - as when signing a case-out otherwise.
    • Goto Sign Out Addenda? - enter a "Y".
      • Select the addendum - usually "1".
      • Enter "F" at "Type" of signature. Then press "F12" and "F" (for "File") to complete.

Amending a report

  • Should be used when a mistake was made - see quality.

Procedure:

  • "PATHOLOGY / RESIDENT MENU":
    • 14. PTH REQUISITION MENU.
      • 83. SPECIMEN BATCHES.
        • Type ".sel" in the box beside "Select"
          • Type in the case number.
          • Select the case.
        • Type "ESI1" in the box beside "Function".
          • Enter electronic PIN.
          • Goto the sign out box at the bottom... Enter "F" and then delete the date. Then hit enter and a pop-up box will appear. Hit "F" for "File".

Staff directory

  • 2 MOX Email/MOX - HCC **LIVE**.
    • 22 Employee Locator.

See also

References

  1. ↑ URL: http://en.wikipedia.org/wiki/File:Norton_Utilities_6.01_UI.png. Accessed on: 5 October 2013.
  2. ↑ URL: http://www.releases.gov.nl.ca/releases/2010/health/0324n04.htm. Accessed on: 5 October 2013.
  3. ↑ URL: https://www.klasresearch.com/Store/ReportDetail.aspx?Productid=877. Accessed on: 5 October 2013.

External links

Retrieved from "https://librepathology.org/w/index.php?title=MEDITECH&oldid=50862"