MEDITECH

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

Usage tips - basics

These tips apply only the local install. Configurations may vary substantially.

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 - see below.

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 "SMITH,JOHN" not "SMITH, JOHN".

Re-assigning a case

• 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.

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

• "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.

Gastrin

• Laboratory Data.
  • RENAL LAB Summary.

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

• 1. LAB.GHC to enter lab component.
  • 10. FINDINGS ENTRY to find cases.
    • 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.

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.

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":
  • 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

• Informatics.
• Softpath.

External links

• Homepage (meditech.com).