MEDITECH

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To Do list:

Meditech 6.1 Laboratory Modules, Application User Manuals

Calculations

Variables defined with ^

! means OR

& means AND

_ means THEN?

[f lres method]^M,
((M="GAL350")!(M="GALXT3400"))^METHOD,
TRIG>6.70^AA,
IF{AA&METHOD CL_";ZTRIG");

Target test is where the comment will be applied to. Trigger test is what triggers the calculation

Shortcuts/Tricks

Methods to Identify a Specimen-LIS PATH-QCH 35787

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

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

  1. DNIT reports and forms
  2. Non-physician ordering doctor reports
  3. Doctor Update reports
  4. Patient Age/Sex reports
  5. QA Patient reports
  6. Specimens in COLB status
  7. Orders placed on unmanaged computers
    1. Which computers?
  8. Patient Account in PRE status
  9. Bio Data Notification forms
  10. GENMIC micro specimens (outstanding)
  11. Misdirected lab reports
  12. L to L errors
  13. OLIS errors
  14. Assess, prioritize and track LIS malfunction
  15. Assess, prioritize and track LIS change requests
  16. 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

  1. In TEST print current config of all dictionary entries (that will be changed) from the change request
  2. 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
  3. Determine how the dictionary entry modifications will affect other entries using their printed Cross Reference list (Calculations will be affected)
  4. Document a work plan and testing checklist if not available (examples, see Appendex 1-7)
  5. Perform database modifications
  6. Perform initial testing using the checklist, which much include:
    1. ordering tests in Lab
    2. verifying collection batches
    3. verifying labels
    4. verification of tests
    5. verifying the reference range
    6. verifying interpretative data
    7. verifying calculations
    8. printing all patient reports (Broadcast, Summary, Final, Specimen)
    9. verifying all affecting management and custom reports
  7. Once testing criteria have passed in TEST, print the updated configuration of all dictionary entries that have been changed
  8. 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

  1. perform validation using testing checklist provided
  2. Attach all validation print outs to the request
  3. if all passed, sign and date the request, set date for implementation into LIVE / prod, Return the request with documentation to the LIS analyst
  4. Approval to LIVE is based on user assessment of desired outcomes and impacts of modifications
  5. 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

  1. Confirm date to finish the change in Live once all documentation and training is done
  2. In LIVE print the current configuration of all dictionary entries (that will be affected/changed)
  3. 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
  4. Confirm that the dictionary entry modifications will affect other dictionary entries in the same manner that they where in Test
  5. Do the same modification as what was done in Test
  6. 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

TOH Interface Functiod Error Handler-LIS ANALYST-QCH 35696

Troubleshooting Analyzer Interfaces-LIS GENERAL-QCH 35489

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

TOH Cerner Label Printer-LIS ANALYST-QCH 35691

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

CBS Monthly Report-LIS TM-QCH

CBS Report-LIS TM-QCH

Monthly summary of all products received from other sites

Change Blood Type-LIS TM-QCH

Blood types are linked directly to a patient's unique ID number (UPI). The history record must be edited prior to the BBK enter/edit results in order to change blood type

Change to Inactive Status-Discard-LIS TM-QCH

Units set to Inactive cannot be crossmatched, issued or transfused.

There are several canned comments to explain a discarded product e.g. QDISRT too long at room temperature.

Change Unit To Ready Status-LIS TM-QCH

Collection Batch List Unreceived Specimens-LIS GENERAL-QCH

Complaints-GEN-QCH

Questions can be answered factually. If not satisfied the Question becomes a complaint.

Computer and Printer Issues-LIS GENERAL-QCH

Computer Data Transfer Review-LIS-QCH

Copying Peripheral Blood Results to a Bone Marrow Specimen-LIS CORE-QCH

Does QCH use PowerPath for Bone Marrows?

Create Collection Batch-LIS GENERAL-QCH

Daily Product Inventory-LIS TM-QCH

Decontamination Disinfection-SAFETY-QCH

Delete Units-LIS TM-QCH

only available for "Entered", "Available" and "Ready" statuses. Deleted units cannot be restored. After deleted their numbers can be used by other units

Desktop Preference Blood Bank-LIS TM-QCH

Digiport Setup - 2020 July

Router/switch board. For CA660, CS2100, ECHO, CLINIADV, Osmo1

Doctor Not in Table-LIS GENERAL-QCH

Edit Issued Units-LIS TM-QCH

You can edit ISSUED DATE, ISSUED TIME, ISSUED BY, MESSENGER, ISSUE LOCATION, WKLD FUNC, UNIT LOCATION

Edit Transfusion Medicine BBK History All Sources-LIS TM-QCH

You can edit antibodies, antigens, markers on patient/donor unit, NOT blood type

Edit Unit Pool-LIS TM-QCH

Edit Units-LIS TM-QCH

Emergency Issue Units-LIS TM-QCH (1)

Enter Lots-LIS TM-QCH

Only products produced in mass quantities are defined as "all units alike" and can be entered into lots. Albumin, Rh Immune Globulin (Others?)

Enter Results Transfusion Medicine BBK-LIS TM-QCH

Enter Units

Enter units of blood products into inventory

Entering Canned Text-LIS GENERAL-QCH

Entering CBS inventory

Blood.ca URL for daily inventory of blood products

Expiring Units Transfusion Medicine BBK Report-LIS TM-QCH

Print worklist for units expiring today and 7 days from now

Frozen History List-LIS TM-QCH

A scheduled print of frozen BBK histories is configured daily (when?)

Historical Data Edit-LIS TM-QCH

Transfer BBK history from a previous system (manual or computer)

Inventory List-LIS TM-QCH

List all the blood products in inventory

Inventory List-LIS TM-QCH

IT Connectivity Downtime-LIS GENERAL-QCH

Scenario #4 Everything is up except Interface, results will flow after the interface is back up but in the meantime a paper copy of the site batch is sent to TOH and they will order manually the tests in Cerner. Reports will be received by paper, stamp it with "Interim Report" and send to patient care area.

Scenario #7

Cerner printer jammed or labels unavailable. Do as normal but TOH will print labels. Who/how are they notified?

Lab Order Groups-LIS GENERAL-QCH

Lab Pending Specimen Tracking Screen-LIS GENERAL-QCH

Lab Analyzer Servers and Ports

Cobas IT Middleware CITM

Laboratory Computer Downtime Report-LIS-QCH

LIS Downtime Log-GEN-QCH

Make Aliquots

Make aliquots of a blood product, used with transfusions of newborns

Make Components FP FFP into Plasma Thawed PLTH-LIS TM-QCH

Miscellaneous Test Requests-LIS GENERAL-QCH

Mislabeled Onsite Specimens-LIS GENERAL-QCH

Cancel the specimen. If resulted, each test field must be deleted and a comment made QMISLABEL. WAN must be used for CBCs. If not resulted the specimen itself can be canceled.

Mislabeled Referral Specimens-LIS GENERAL-QCH

Fax a form to TOH. Is there any way to stop them from resulting prior to them receiving the fax? NP in meditech? Will the interface override?

Patient Registration Patient Demographic Issues-LIS GENERAL-QCH

"Once corrected the form will be faxed to the LIS analyst for review to see if any action may be required, define if patient report needed reprinting, send a copy to QCH health records"

Phoned Results From Reference Sites-GEN-QCH

form

Process Patients Specimens-LIS GENERAL-QCH

Edit, Enter/Edit, all other functions to the right of the screen

Proficiency Processing-LIS GENERAL-QCH

Administrative, Registration Management Desktop

CHMP LAB CENSUS. HIM Department leave blank, Select REFERRED

Receiving and Site Batching, COVID Care Clinic-POCT-QCH

Referral Report Correction-GEN-QCH

form


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

Cancel Specimen-LIS GENERAL-QCH

Cannot cancel a specimen when there's reported results. If the previously reported results are invalid you can clear each individual result and provide a comment. NP remaining tests, if any

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

Launching and Navigating to the Pathology Desktop-LIS PATH-QCH 35782

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

TOH TM Specimen Processing and Requirements-Specimen &Testing Requirements-PREANA-EORLA 41490

Scheduling-GENERAL-QCH

Shift swaps, guidelines ESS, not LIS related

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.

Specimen Review Report Laboratory-LIS CORE-QCH 35360

Specimen Status Lab vs OM-LIS GENERAL-QCH 35483

Specimen Statuses-LIS PATH-QCH 35863

Transfer Specimens To Alternate Testing Site-LIS GENERAL-QCH 35486

Test must be defined as an alternate testing site in the dictionary. Use Change Site routine for CBCs

Transfer Units-LIS TM-QCH 36041

TRANSFERRED is a 'final' status. Use Site Batches to move units between hospitals

Transfused Product To Patient Report-LIS TM-QCH 36037

Uncancel Product Order-LIS TM-QCH 36013

TM Flowcharts-LIS TM-QCH 106210

issuing products routines

Transfusion Medicine BBK History Inquiry-LIS TM-QCH 36029

Transfusion Report-LIS TM-QCH 36021

Uncancel Specimen-LIS GENERAL-QCH 35492

You cannot uncancel a specimen if it includes any blood type test results that do not match the blood type filed in the BBK history

Unit Inquiry-LIS TM-QCH 36007

Unit Site - Receive Unreceive-LIS TM-QCH 35999

Unit Site Batch - Receive-LIS TM-QCH 35993

Unit Site Batch - Reprint-LIS TM-QCH 35987

Unit Site Batch Enter-Edit-LIS TM-QCH 35981

Unreceived Specimens for Pathology Specimens Ordered in OM as Lab Specimens-LIS PATH-QCH 35868

Using Findings Entry Screens-LIS PATH-QCH 35873

View Available Products By Patient-LIS TM-QCH 35975

Viewing or Printing a Pathology Corrected Specimen Internal Report-LIS PATH-QCH 35879

Viewing or Printing a Pathology Patient Specimen Report-LIS PATH-QCH 35882

Viewing or Printing a Pathology Requisition-LIS PATH-QCH 35885

Add-On Tests Request Form for LIS Downtime-GEN-QCH 105756

Cancel Product Order-LIS TM-QCH 58025

Viewing or Printing a Pathology Specimen Internal Inquiry-LIS PATH-QCH 35888

Viewing or Updating the Copy to Doctors-LIS PATH-QCH 35891

Viewing Pathology Reports in the EMR-LIS PATH-QCH 35897

Viewing Related Findings Specimens-LIS PATH-QCH 35904

Worklist Specimen Desktop-Desktop Preferences-LIS GENERAL-QCH 35495