Difference between revisions of "MEDITECH"

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MEDITECH (view source)

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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 27: Line 42:
*''SU17877''
*''SU17877''


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


====Medical imaging====
External reports:
*"EXTERNAL PEN PCI".
 
Note:
*"PCI" seems to be ''patient care information''.
====Medical imaging - EH====
*"Diagnostic Imaging" = older reports.
*"Diagnostic Imaging" = older reports.
*"DIAGNOSTIC IMAGING Reports" = recent reports.
*"DIAGNOSTIC IMAGING Reports" = recent reports.
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Note:
Note:
*These categories should really be merged. It speaks volumes that they aren't.
*These categories should really be merged. It speaks volumes that they aren't.
====Laboratory data====
====Laboratory data - HHSC====
=====Flow cytometery results=====
*Laboratory Data.
**CELL MARKERS.
 
====Laboratory data - EH====
=====CA-125=====
=====CA-125=====
*Laboratory Data.
*Laboratory Data.
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**HORMONE CHEMISTRY.
**HORMONE CHEMISTRY.


=====TTG=====
=====[[TTG]]=====
*Laboratory Data.
*Laboratory Data.
**RENAL LAB Summary.
**RENAL LAB Summary.
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**CLINICAL CHEMISTRY LABORATORY.
**CLINICAL CHEMISTRY LABORATORY.
***PROS.SPEC.AG.
***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.
====Add synoptic report====
*F4.
*TSCOLON.


====Delete line====
====Delete line====
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*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====
====''There are no eligible procedures to result for this specimen'' error====
*Goto ''PATHOLOGY/ RESIDENT MENU''.
*Goto ''PATHOLOGY/ RESIDENT MENU''.
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***In ''Change To Site'' box enter "H".
***In ''Change To Site'' box enter "H".


Note:
Notes:
*"S" = St. Clare's Mercy Hospital.
*"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''.


====Clinic comment====
====''MEDITECH WORKSTATION CONNECTIONS''====
"CLINICAL COMMENT" is used to record discussion with the clinician.
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 ''HSC-LAB-P09'' and hit enter.
#Enter ''HSC-LAB-P09'' and hit enter.
#*Alternate printer ''HPATH-P2''.
#*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").
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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===
===Staff directory===
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*[[Informatics]].
*[[Informatics]].
*[[Softpath]].
*[[Softpath]].
==References==
{{Reflist|2}}


==External links==
==External links==
Michael
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