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'''MEDITECH''' has a pathology module | '''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.<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> | |||
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> | |||
=== | 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: | |||
*'' | ==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==== | |||
===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 | **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=== | ||
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====Remove return==== | ====Remove return==== | ||
*Shift-F6. | *Shift-F6. | ||
====Delete line==== | ====Delete line==== | ||
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*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=== | ||
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#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 | *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"). | ||
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Procedure: | Procedure: | ||
*"PATHOLOGY / RESIDENT MENU": | *"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== | ==See also== | ||
*[[Informatics]]. | *[[Informatics]]. | ||
*[[Softpath]]. | *[[Softpath]]. | ||
==References== | |||
{{Reflist|2}} | |||
==External links== | ==External links== |
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