MEDITECH

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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.

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=50355"