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.

Add synoptic report

• F4.
• TSCOLON.

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.

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":
  • 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.

See also

• Informatics.
• Softpath.

External links

• Homepage (meditech.com).