To Do list:
Meditech 6.1 Laboratory Modules, Application User Manuals
Type "S#" in a patient name field to enter Specimen # instead, or U# for when you have the MRN in a specimen field
Type "/e" to mark a result for a E report (exclusions)
Type "/r" to mark a result as 'repeated'
Type "/o" to mark as an outlier (for QC, but also for reflexes?)
Calculations, how to get functions Press F5 then "f " then F9
Shortcuts/Tricks
Methods to Identify a Specimen-LIS PATH-QCH 35787
Policies
Cancellation of Referral Specimens-LIS GENERAL-QCH 35375
Tests already sent to TOH but it needs to be canceled (why? examples?) Can't result it in Meditech because this prevents the TOH 'cancellation comments' from resulting. If they've already resulted it then it cannot be canceled (by them, but does the result still transfer and get resulted in Meditech?)
Cancelling or Uncancelling a Pathology Requisition-LIS PATH-QCH 35707
step 8 "Enter reason for cancelling pathology requisition", examples?
Canned Comment and Marker List Updates-LIS ANALYST-QCH 35615
Monthly, update the list that lab staff view in Excel on the T: network drive
Computer Sign on Request 35621
Request form (Username/Sign-on Request Form For Access To Computer System Network)
MIS staff performs the request first, after that the manager informs LIS.
Assign appropriate 'Meditech Access Group' (how?)
DNIT Doctor Copy-LIS ANALYST-QCH 35625
lab staff use DNIT when the doctor on the req isn't 'in the table'. Health records adds it then they contact LIS when it's added... a report is printed and DNIT is replaced by the mnemonic provided by Health Records.
Remove DNIT from Doctor tab and replace with proper mnemonic and repeat for all requisitions.
Step 9. "If eligible specimens have not printed this updated doctor" What is an eligible specimen?
Print Reports, ORD (Ordering Doc), OP (Other Doc)
Submitting Doctor DNIT Distribute to LIS Analyst report is printed daily (by the analyst?), supposed to follow up to make sure a form has been sent to Health Records
Delta Check Settings-LIS CORE-QCH 35315
some (if not all) tests have their checks defined here in the policy. The flag is transmitted to the EMR. Are these all of the defined delta checks?
LIS Daily Weekly Monthly Tasks-LIS ANALYST-QCH 35635
Daily
- DNIT reports and forms
- Non-physician ordering doctor reports
- Doctor Update reports
- Patient Age/Sex reports
- QA Patient reports
- Specimens in COLB status
- Orders placed on unmanaged computers
- Which computers?
- Patient Account in PRE status
- Bio Data Notification forms
- GENMIC micro specimens (outstanding)
- Misdirected lab reports
- L to L errors
- OLIS errors
- Assess, prioritize and track LIS malfunction
- Assess, prioritize and track LIS change requests
- Investigate L to L interface errors
Monthly
Update Canned Comment and Marker lists
LIS Database Modification Request-LIS ANALYST-QCH 35640
Form is completed by the 'authorized requestor', who is authorized?
Assigned tracking number, (Tracking number in CR... ? what generates the number?
Urgent, Important, Routine (time examples?)
Live production (is there test environment?)
memo to affected staff, if required (how do i know if it's required?)
All forms and and attached forms are filed in the LIS Analyst filing cabinet
Finish request is forwarded to lab manager and lab director for signature
LIS Database Modification Testing Validation-LIS ANALYST-QCH 35645
Modification and Initial Testing
- In TEST print current config of all dictionary entries (that will be changed) from the change request
- For each entry that will be modified, temporarily change their Active field to N and print their Cross Reference list (if exists, example?). But press Esc to leave the entry Active as Y
- Determine how the dictionary entry modifications will affect other entries using their printed Cross Reference list (Calculations will be affected)
- Document a work plan and testing checklist if not available (examples, see Appendex 1-7)
- Perform database modifications
- Perform initial testing using the checklist, which much include:
- ordering tests in Lab
- verifying collection batches
- verifying labels
- verification of tests
- verifying the reference range
- verifying interpretative data
- verifying calculations
- printing all patient reports (Broadcast, Summary, Final, Specimen)
- verifying all affecting management and custom reports
- Once testing criteria have passed in TEST, print the updated configuration of all dictionary entries that have been changed
- After initial testing is completed all documentation is attached the request form. Sign and date the request and give it back to the user for validation (? in test)
Requesting User Validation in TEST
- perform validation using testing checklist provided
- Attach all validation print outs to the request
- if all passed, sign and date the request, set date for implementation into LIVE / prod, Return the request with documentation to the LIS analyst
- Approval to LIVE is based on user assessment of desired outcomes and impacts of modifications
- If failed, notify analyst who will then restart modification and initial testing
QA analyst
Review the request and ensure that all impacts of modifications have been considered, all appropriate documentation has been reviewed/revised, all training has been reviewed and received
Live/Production
- Confirm date to finish the change in Live once all documentation and training is done
- In LIVE print the current configuration of all dictionary entries (that will be affected/changed)
- For each dictionary entry that will be modified, temporarily change their Active field to N and print their Cross Reverence list (if it exists), then press Esc to leave the entry Active
- Confirm that the dictionary entry modifications will affect other dictionary entries in the same manner that they where in Test
- Do the same modification as what was done in Test
- Tell the requesting user that the change has been completed
Requesting User Validation in LIVE
in Live, verify that the modifications have the desired outcome
If verification fails, notify the analyst for investigation and correction
If verification passes, sign and date the request and forward to Lab Manager
LIS Issues Escalating-LIS ANALYST-QCH 35651
MIS, Meditech Support Tools website, Meditech Service Request Centre (help line), MIS, Compugen (hardware?)
LIS MIS Location Dictionary Modification-LIS ANALYST-QCH 35656
Adding or changing a location (of what?) impacts multiple dictionaries
Reports
Auto Activity Log Auto Release Crossmatch-LIS TM-QCH 36509
track the automatic release of crossmatched red cell units
Red Cell units are set to auto release 3 days post cross match at 2359H
Coll Date By Patient Summary By Patient-LIS GENERAL-QCH
Despite the name, provides a summary of TEST RESULTS by collection date. use for all labs. path reports only before 2015, now use PowerPath, refer to Error! reference source not found" ??
Hematologists STATS-LIS ANALYST-QCH 35631
provide stats for manager for hematologist's workload, print and put in manager's box. Number of cases, Number of slides
Quality Indicators Statistics-LIS ANALYST-QCH 35680
due by the 10th of each month in the SharePoint
Scheduling Reports-LIS ANALYST-QCH 35686
Policies possibly not relevant
Analyzer Batch Desktop-LIS GENERAL-QCH 35366
Lab and BB analyzer batches are closed daily
Antibody Antigen ID Report-LIS TM-QCH 36515
report to print patient antibodies previously ID'd
BBK MANAGEMENT > ANTIGEN-ANTIBODY REPORT
Assign Units-LIS TM-QCH 36512
Bone Bank Inventory and Issuing-LIS TM-QCH 36506
How to enter BB samples into the inventory, Bones
Half of femoral heads are received from TOH to QCH
Change Users Lab Site-LIS GENERAL-QCH 35378
Change 'Lab' Site so that the proper footnote appears when resulting
Documenting Slides Blocks Sent Out-LIS PATH-QCH 35735
Data Section CASE REVIEW, record 'RECEPIENT', 'SENT DATE', 'RETURN DATE', 'REQUESTOR', # blocks, slides, any comments
Create Site Batch-LIS GENERAL-QCH 35393
Create a list of specimens to be shipped to another site for testing. Use for Valley Lab Program and referral labs
Compare STAT batch (TOH only?) vs regular batch
Creating a Pathology Cytology Requisition-LIS CORE-QCH 35310
Before powerpath?
Data Entered in OM to Re-Enter in Pathology-LIS PATH-QCH 35712
before powerpath?
Data Section Types-LIS PATH-QCH 35717
before powerpath?
Data Sections by Access Based Findings Entry Screens-LIS PATH-QCH 35725
before powerpath? if not, then should go under 'shortcuts'. looks like canned texts?
Data Sections-LIS PATH-QCH 35728
as above. Data sections seem to be like canned texts but actually pull data. so, shortcuts to pull data. Possibly also dictation templates?
Edit Specimen Collection Date-LIS GENERAL-QCH 35399
Edited or Corrected Results-LIS CORE-QCH 35320
Editing a Pathology Specimen-LIS PATH-QCH 35738
before powerpath?
Enter Edit Requisition-LIS GENERAL-QCH 35402
Enter Manual Test Results-LIS CORE-QCH 35325
Entering a Corrected Report-LIS PATH-QCH 35743
before powerpath?
Entering a Gross Description on a Surgical Pathology Specimen-LIS PATH-QCH 35748
Entering An Addendum-LIS PATH-QCH 35751
Entering Clinical Information for Cytology and Surgical Pathology Specimens-LIS PATH-QCH 35756
Entering or Transcribing Dictated Pathology Results-LIS PATH-QCH 35760
Entering Referred in Consult Information for a Consult Specimen-LIS PATH-QCH 35764
Entering Specimen Sites for Gyne no-Gyne Cytology and Surgical Pathology Specimens-LIS PATH-QCH 35768
Entering Stains Done By Dynacare-LIS PATH-QCH 35772
Glengarry Patient Registration-LIS GENERAL-QCH 35408
Gyne Cytology to Dynacare-LIS PATH-QCH 35777
Log On Off-LIS GENERAL-QCH 35420
Move Requisition to Another Account-LIS TM-QCH 36360
Printer Designations-LIS GENERAL-QCH 35444
Troubleshooting Log, Cerner Label Printer- LIS GENERAL-QCH 106222
Abridged document posted, see distribution log
Ordering Pathology in Order Management-LIS PATH-QCH 35795
Does not work in Test environment... got up to Step 6.
Outstanding Specimen Report Laboratory-LIS CORE-QCH 35330
Outstanding Specimen Report-LIS TM-QCH 36352
PAP Follow Up Letter-LIS PATH-QCH 35800
lab directory is responsibility for getting this list together?
Pathology Desktop Right Hand Side Buttons-LIS PATH-QCH 35804
Pathology Selection Criteria-LIS PATH-QCH 35808
Pathology Specimen Types-LIS PATH-QCH 35813
Patient Notification Letter Audit-LIS TM-QCH 36344
BBK markers QBBKPN using Edit Units routine and marker QBBKPNDEC when patient is dead (so don't send them a letter)
Patient Registration Kemptville-LIS GENERAL-QCH 35435
KKH is the only site that registers patients normally (no OM)
Patient Transfusion Notification Letter-LIS TM-QCH 36337
what marker is added? (if any) when a letter is printed. LIS Custom report BBK Patient Notification letter
Pool Units-LIS TM-QCH 36327
make a pooled unit, CRYO, OCTAPLEX
BBK UNIT desktop
Print Assignment Label-LIS TM-QCH 36301
Print Clinic Lists-LIS TM-QCH 36290
Print patients scheduled for transfusion, AAA (ARH and QCH)
Print Crossmatch Label-LIS TM-QCH 36282
crossmatch labels are printed for any bbk unit that has been crossmatched. Usually it's automatic.
Print Issue Transfusion Labels-LIS TM-QCH 36264
transfusion labels are usually printed automatically. They are for the patient's records to show that they had a transfusion. All products issued from meditech are presumed transfused.
Print Pathology Report Greater Than 90 Days-LIS ANALYST-QCH 35661
Print Specimen Internal-LIS GENERAL-QCH 35441
Print Unit Labels-LIS TM-QCH 36273
Printing Pathology Reports-LIS GENERAL-QCH 35447
For reports Before 2015
Printing Pathology Specimen Labels-LIS PATH-QCH 35837
Process Age Sex Edit Report-LIS ANALYST-QCH 35666
Investigate the impact of DOB and Sex demographics changes on test results
Enter \A beside each result to update the reference ranges and say "Sex Updated" or "Age Updated", or both.
"If any references ranges were changed, do not select any Verify option unless performed by a technologist, and press F12. Only a technologist can verify results whose reference ranges have been changed."
Process Specimen Batch-LIS TM-QCH 361799
Process Units By Batch-LIS TM-QCH 36173
To a bunch of BBK units you can add/remove markers, change status, print labels, release, add AG tests
QA Patient Report-LIS ANALYST-QCH 35671
Schedule for various QA reports for Lab BBK and Micro
QC Acceptable and Rejection-LIS CORE-QCH 35333
Canned text like QQC2SD
QC Cancel-LIS TM-QCH 36167
QC Enter Results Manual-LIS TM-QCH 36158
QC Enter Specimen-LIS TM-QCH 36152
QC Material-LIS TM-QCH 36144
QC Outstanding Specimen Report-LIS TM-QCH 36136
QC Printing Editing End of Month Graphs-LIS CORE-QCH 81237
QC Print-LIS TM-QCH 36128
QC Uncancel-LIS TM-QCH 36120
QC Unverified Results-LIS TM-QCH 36113
Receive By Specimen-LIS GENERAL-QCH 35456
Receive Site Batch-LIS GENERAL-QCH 35459
Receiving Pathology Specimens Ordered in OM-LIS PATH-QCH 35843
Referral Test TOH Addon-LIS GENERAL-QCH 35462
Registration Autopsy-LIS GENERAL-QCH 35465
Registration Client Medigas Additional Referrals-LIS GENERAL-QCH 35468
Registration TOH Patients Cancer Center Dialysis-LIS GENERAL-QCH 35474
Release Frozen History-LIS TM-QCH 36107
BBK histories are frozen when a user merges/unmerges or switches a BBK history
Release Issue Units Formerly Return To Prior Status-LIS TM-QCH 36099
Release Unit From Hold Status-LIS TM-QCH 36091
Replace Crossmatch XM Test-LIS TM-QCH 36088
Reprint Collection Batch Labels-LIS GENERAL-QCH 35471
Reprint Lab Specimen Labels-LIS GENERAL-QCH 35477
Result Entry Chemistry Hematology Onsite and Referral Tests 35346
\M change test method
\V verifies result
\U unverifies result
\Z marks test to not verify
\R records that the test has been repeated
\B marked for broadcast
\C comment entered
\H history result on file
\I result comment
Requisition Order Tests On Units-LIS TM-QCH 36080
Reprint Telecom Reports-LIS ANALYST-QCH 35674
Reserved Unit List-LIS TM-QCH 36072
Autologous donations, donor directed
Result Entry Stat NSI and TOH Infectious Diseases-LIS CORE-QCH 102160
Result Entry Virology and Serology-LIS CORE-QCH 35357
Return Unit To Prior Status-LIS TM-QCH 36067
Sending Receiving and Viewing Slides for Consults-LIS PATH-QCH 35848
Status List-LIS TM-QCH 36052
Print a list of units whose status was changed (choose the status) within a time period
Set Reset Crossmatch Not Available-LIS TM-QCH 36062
Setting Priority on a Specimen-LIS PATH-QCH 35852
Tissue Typing Specimen Processing and Requirements-Specimen & Testing Requirements-PREANA-EORLA 41493
Signing Out Specimens-LIS PATH-QCH 35857
Specimen Markers Enter-Edit-LIS TM-QCH 36057
Specimen Referrals TOH-LIS GENERAL-QCH 35480
Cerner labels will print on the TOH printer at the SCC bench when marked as "SENT" or "RECEIVED". Second label is for the second sheet when there's a different temperature for the batch (Frozen), the aliquots would not have Cerner labels.
LEUKPROF is not interfaced and will not print TOH label. Use "TEST NOT INTERFACED, PLEASE REGISTER AND ORDER" sticker.
TM Flowcharts-LIS TM-QCH 106210
issuing products routines