MEDITECH

MEDITECH has a pathology module. In three words, it is needs a re-write.

Usage tips - basics

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 a case

Enter:

XXYYYYY

Where:

XX = two letter code.
- SU = surgical.
- RI = consult (outside).
- AU = autopsy.
YYYYY = case number.

Example:

SU17877

Searching for cases by name

Enter:

LASTNAME,FIRSTNAME

Example:

SMITH,JOHN

History

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

Medical imaging

"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

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.

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.

Canned text

1 - (LAB.GHC) to enter lab component.
- 10 (FINDINGS ENTRY) to find cases.
  - 51 (DICTIONARIES).
    - 13 (ENTER/EDIT 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:

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.

Printing

14. PTH REQUISITION MENU.
83. SPECIMEN BATCHES.
Enter .sel into the box next to "Select".
Enter specimen, e.g. AU36, into the box that pops-up and then hit enter.
Click the box beside "Specimen #" - so that a check mark appears.
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 HSC-LAB-P09 and hit enter.
- Alternate printer HPATH-P2.

Sign-out

Enter "F" in box "Type"
Hit return - it then fills in the METITECH 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":
- 10. FINDINGS ENTRY.
  - 6. ENTER CORRECTED REPORT FINDINGS.
    - Reason for Edit: <insert a reason>
      - Then one gets the edit menu... as if the case were a fresh case.
        It is prudent to put in a comment explaining the change, in the "diagnosis" field, so there can be no confusion.
        
        One signs the case in the usual way.

Staff directory

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

External links

Homepage (meditech.com).