[MT-L] help
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Julie....@hcahealthcare.com
Oct 15, 2013, 2:19:15 PM10/15/13
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Please unsubscribe me
Julie Olthof
Clinical Informatics Quality Analyst
Office 408.559.2217
-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of meditech-...@mtusers.com
Sent: Tuesday, October 15, 2013 12:00 PM
To: medit...@mtusers.com
Subject: Meditech-l Digest, Vol 9, Issue 26
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Today's Topics:
1. Clinical Analyst and Project Manager opportunities (Todd Lamb)
2. CS 5.65 MIS.OA.MSG.auto macro (Weidner, Marilyn)
3. Re: CS 5.65 MIS.OA.MSG.auto macro (Bryce Schloyer)
4. Re: PHA Support for CPOE Magic 5.64 (Becky Miller)
5. CPOE Term Server (Cobb, Chris)
6. FW: IT Financial Ladder information needed (Sandmann, JoAnn)
7. Re: BBK unit labels (Freeman, Gale)
8. DI middleware and Vitek (Peyjam, Fariborz)
9. ISBT label question (Looker, Julee)
10. LAB Analyzer: Opti Touch CCA (Jill Runnion)
11. MM STOCK STATUS (WIDE) 5.65 C/S (Seema...@NCMC-Hospital.com)
12. Magic 5.66 B/AR (Renee Rinehart)
13. PDOC and PCS occurrences. (Espejo, Robbie - Information Systems)
14. Re: Magic 5.66 B/AR (Julia Carter)
15. B/AR: Step Magic Code (Utter, Patricia)
16. Default attribute Magic 5.66 (Ritcher, Samantha)
17. Re: Default attribute Magic 5.66 (Jerry Beals)
----------------------------------------------------------------------
Message: 1
Date: Mon, 14 Oct 2013 13:19:48 -0500
From: "Todd Lamb" <tl...@e-matrix1.com>
To: <medit...@mtusers.com>
Subject: [MT-L] Clinical Analyst and Project Manager opportunities
Message-ID: <0c0001cec909$f829a310$e87ce930$@e-matrix1.com>
Content-Type: text/plain; charset="us-ascii"
We have several needs for experienced CS and 6x Clinical Analysts and Project Managers for full-time consulting positions with leaders in the Meditech space.
Design, build through implementation of clinical applications and or Project Managers that have been hands on through implementations and upgrades.
Mon-Thur travel with industry leading pay, benefits and bonuses working for leading consulting firms in the Meditech space.
Send resumes/inquiries to: tl...@e-matrix1.com
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Message: 2
Date: Mon, 14 Oct 2013 19:06:21 +0000
From: "Weidner, Marilyn" <Marilyn...@Centura.Org>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] CS 5.65 MIS.OA.MSG.auto macro
Message-ID:
<7B76B0D559A2D74E827A...@CEINVMX04C.corp.centura.org>
Content-Type: text/plain; charset="us-ascii"
I am utilizing the routine MIS.OA.MSG.auto to generate custom email messages from an NPR macro. The sender of the email is 'Meditech.alerts'. Is there any way to modify the sender? I'm assuming not, but was hoping someone might have a solution.
Marilyn Weidner
Sr. Programmer/Analyst
Centura Health
719-557-5805 Phone
719-557-4689 Fax
1008 Minnequa Ave
Pueblo, Co 81005
marilyn...@centura.org<mailto:na...@centura.org>
www.centura.org<http://www.centura.org>
*****************************************************************************
This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.
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Message: 3
Date: Mon, 14 Oct 2013 19:22:02 +0000
From: Bryce Schloyer <bsch...@savanthealthcare.com>
To: "Weidner, Marilyn" <Marilyn...@Centura.Org>
Cc: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: Re: [MT-L] CS 5.65 MIS.OA.MSG.auto macro
Message-ID:
<A931FAAD-0956-433E...@savanthealthcare.com>
Content-Type: text/plain; charset="windows-1252"
Hi Marilyn,
Using the MIS.OA.MSG.auto program, there is no way to change the recipient, it will actually use the MIS.PARAM.mail.recipient field. The MIS.OA.MSG.auto program really uses the %Z.mail program to do the emailing, so you could change your reports to call that program directly, which allows you to pass in a different recipient.
Bryce
--
Bryce A. Schloyer
Savant Healthcare Solutions, Inc.
office: (805) 253-3624
On Oct 14, 2013, at 2:06 PM, "Weidner, Marilyn" <Marilyn...@Centura.Org<mailto:Marilyn...@Centura.Org>>
wrote:
I am utilizing the routine MIS.OA.MSG.auto to generate custom email messages from an NPR macro. The sender of the email is ?Meditech.alerts?. Is there any way to modify the sender? I?m assuming not, but was hoping someone might have a solution.
Marilyn Weidner
Sr. Programmer/Analyst
Centura Health
719-557-5805 Phone
719-557-4689 Fax
1008 Minnequa Ave
Pueblo, Co 81005
marilyn...@centura.org<mailto:na...@centura.org>
www.centura.org<http://www.centura.org>
*****************************************************************************
This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.
*****************************************************************************
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Message: 4
Date: Mon, 14 Oct 2013 14:06:51 -0600
From: Becky Miller <BMi...@bdh-boz.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: Re: [MT-L] PHA Support for CPOE Magic 5.64
Message-ID:
<D84694723425F34582AE7...@Exchange07.bdh-boz.com>
Content-Type: text/plain; charset="us-ascii"
Hi Trish,
Here is our experience at Bozeman Deaconess Hospital. We are now Magic 5.66 but went LIVE with CPOE about a year ago with 5.64 with our hospitalists only. We are an 86-bed level 3 trauma center. We have a small population of pediatrics and did not go LIVE with any weight-based strings or additive/component functionality other than PHA strings. We are not currently using CPOE for any pediatric or NICU populations.
***************************************************
Following are a couple of questions that we are benchmarking
1. Do any sites similar to our size have a dedicated Pharmacist for IS related issues and/or projects---we have 2 dedicated informatics pharmacist FTE's (these include a staffing component of about 10 hours/biweekly pay period); duties include FSV maintenance, formulary maintenance, as well as CPOE/PHA/RXM/ONC build and interface support. We spent about 12 months total (6 months on RXM/PHA optimization followed by 5 months build time to CPOE LIVE followed by 1 month intensive support).
2. Does the dedicated Pharmacist report to Pharmacy or IS (both---budgeted under IS but paid under Pharmacy; managed jointly)
3. What type of Human Resources were needed for the CPOE project (# Pharmacists, techs etc)--2 fulltime pharmacists as above, plus 1 consultant pharmacist for a short period of time (about 10 weeks) and several ad lib pharmacist work days (about 30 total days); this assumes your site is optimized with PHA and RXM per Meditech's build recommendations prior to starting CPOE build. This does not include other IT staff such as clinical nursing, physician champion, etc.---this is pharmacy only.
4. Was Pharmacy actively involved in the Physician Training for Medication Ordering---Yes; a pharmacist teaches the medication ordering sections for each physician with/without order sets; we use a "training script" to present pre-defined scenarios for teaching
5. How are issues addressed that come up during off shifts, weekends and/or holidays (on-call system, or someone
actually available in house)---we have an on-call pharmacist pager and an on-call/ on-site "Green Team" CPOE support person who is 1st call; we did provide 24/7 on-site support post-go-LIVE
6. Post LIVE support - did you keep a dedicated pharmacist on board for maintenance of any IS related issues---As we only came up with our hospitalist group, we are phasing in new groups (Family Practice, Critical Care, Pediatrics to come) so the build and support are ongoing; we do not anticipate decreasing pharmacist FTE's
Hope this helps,
Becky
Rebecca Miller, Pharm.D.
Clinical Pharmacist/ Pharmacy Informatics Bozeman Deaconess Hospital
915 Highland Blvd.
Bozeman, MT 59715
(406) 522-1741 voicemail
(406) 585-1050 main pharmacy
bmi...@bdh-boz.com
This communication is confidential to Bozeman Deaconess Hospital and is intended solely for the use of the individual or organization to whom it is addressed. It may contain privileged information. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you should not use, copy, alter, or disclose the contents of this message. All information or opinions expressed in this message and/or any attachments are those of the author and are not necessarily those of Bozeman Deaconess Hospital. Bozeman Deaconess Hospital accepts no responsibility for loss or damage arising from its use.
------------------------------
Message: 5
Date: Mon, 14 Oct 2013 16:29:16 -0400
From: "Cobb, Chris" <coc...@wgh.org>
To: <medit...@mtusers.com>
Subject: [MT-L] CPOE Term Server
Message-ID:
<21F1706D07A0A6429C64...@wgh-exch.wgh.org>
Content-Type: text/plain; charset="us-ascii"
Does anyone know how to define a Term Server for workstation names when putting in CPOE orders. Remote doctors change their workstations and we are running the risk of missing order due to their workstations not being defined in Meditech.
Thanks,
Chris
Christopher Cobb
Technical Support Manager
Warren General Hospital
814-723-4973 x1726
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Message: 6
Date: Mon, 14 Oct 2013 21:25:15 +0000
From: "Sandmann, JoAnn" <JSan...@schneckmed.org>
To: "'medit...@mtusers.com'" <medit...@mtusers.com>
Subject: [MT-L] FW: IT Financial Ladder information needed
Message-ID:
<A0151D4BDECE8F46B3A4...@smc-exchange01.smalltown.memorial-hospital.org>
Content-Type: text/plain; charset="us-ascii"
We are a Client Server 5.66 site & are in the process of building an IT Financial Ladder. I am our sites IT Financial Analyst & support the ABS, ADM, AP, BAR, ESS, FA, GL, HR, MIS, MM, MRI, SCA, PP, SCH, LSS (SCH,REG, & PBR). I also help with support on NPR, NMI, & various other clinical applications when needed.
I hope to incorporate number of applications supported, possibly years of service, &/or education. I have seen Clinical & nursing ladders but have thus far not been able to locate anyone that is either in the building process of an IT financial ladder or already has one in use. If anyone has any form of a ladder that is used from the IT support that they would be willing to share with me or any resources that are available I would greatly appreciate your help/guidance. Thanks, JoAnn
JoAnn Sandmann
IT Financial Analyst
Schneck Medical Center
Seymour, IN 47274
jsan...@schneckmed.org<mailto:jsan...@schneckmed.org>
[http://www.schneckmed.org/__editorfiles/image/baldrigelogo.gif]
NOTICE: The information contained in this email and any document attached hereto is intended only for the named recipient(s). If you are not the intended recipient, nor the employee or agent responsible for delivering this message in confidence to the intended recipient(s), you are hereby notified that you have received this transmittal in error, and any review, dissemination, distribution or copying of this transmittal or its attachments is strictly prohibited. If you have received this transmittal and/or attachments in error, please notify me immediately by reply e-mail and then delete this message, including any attachments.
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Message: 7
Date: Mon, 14 Oct 2013 15:59:28 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: "'Looker, Julee'" <jlo...@logansportmemorial.org>,
"'meditech-l@mtusers.'" <medit...@mtusers.com>
Subject: Re: [MT-L] BBK unit labels
Message-ID:
<CB7659AD03414A48A02E5...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"
I got this info from our LIS / Supervisor...
"We don't put any labels on a unit of blood. The only labels and numbers are from the blood supplier.
We put a crossmatch card with the unit, that is the only Meditech thing that associates the unit with a patient. mkk"
Hope this helps !
Gale Y Freeman
gfre...@shsny.com<mailto:gfre...@shsny.com>
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Looker, Julee
Sent: Wednesday, October 09, 2013 11:54 AM
To: 'meditech-l@mtusers.'
Subject: [MT-L] BBK unit labels
Our blood bank supervisor wants me to ask a question about BBK procedures to the L. Does anyone on the use a meditech generated label to attach to a unit of blood with patient specific info prior to issue? We are looking at replacing our current patient armband and unit labeling system (manual) that we currently use for a more electronic driven process. Do you use the L# or the M# as your main patient number and do you use R#'s for your wristbands? Thank you for any info.
Julee Looker, MLS (ASCP) CHTS-PW
LIS Coordinator
Logansport Memorial Hospital
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Message: 8
Date: Tue, 15 Oct 2013 12:24:33 +0000
From: "Peyjam, Fariborz" <fpe...@edward.org>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] DI middleware and Vitek
Message-ID:
<5353DEBC2D94814780F9...@mxmb1.edward.org>
Content-Type: text/plain; charset="us-ascii"
Is anyone using DI (Data Innovation - Instrument Manager) middleware for Vitek and BactAlert analyzers? Please let me know.
Thanks
Fariborz Peyjam
Sr. Application Analyst
Edward Hospital and Health Services
Naperville, IL 60540
(630) 646-4017
fpe...@edward.org
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Message: 9
Date: Tue, 15 Oct 2013 09:54:52 -0400
From: "Looker, Julee" <jlo...@logansportmemorial.org>
To: "'meditech-l@mtusers.'" <medit...@mtusers.com>
Subject: [MT-L] ISBT label question
Message-ID: <93B112E9E266A244A4F2FA30C9420BD50C3CF9B8D9@exchange07>
Content-Type: text/plain; charset="us-ascii"
My BBK supervisor wanted me to check on the L about ISBT labels and the last three digits of the unit number. What are you doing with the last three digits of the unit number where the two numbers are on their side and then a letter or symbol at the very end? There has been a little confusion from our blood supplier as to the requirements of having those drop into Meditech. Thanks for any info you can send me.
Julee Looker, MLS (ASCP) CHTS-PW
Lab Coordinator
Logansport Memorial Hospital
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Message: 10
Date: Tue, 15 Oct 2013 14:58:17 +0000
From: Jill Runnion <jrun...@srhc.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] LAB Analyzer: Opti Touch CCA
Message-ID: <A62F7E7EADEDBD40B6B...@EXCH-MBX.srhc.net>
Content-Type: text/plain; charset="us-ascii"
Good Morning. I was wondering if there are any Meditech users out there that have interfaced the OPTI TOUCH CCA Blood Gas analyzers. Did you use an analyzer interface or a POC interface? We have two that we use that we would like to interface. Another question would be if you are using TELCOR, RALS or another POC Data management system with them.
Thanks,
Jill Runnion
LIS Coordinator
[description: salinareg]
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Message: 11
Date: Tue, 15 Oct 2013 16:13:30 +0000
From: <Seema...@NCMC-Hospital.com>
To: <medit...@MTUsers.com>
Subject: [MT-L] MM STOCK STATUS (WIDE) 5.65 C/S
Message-ID:
<BA56EAC2FFBE27459929...@NCY-VWXCHMBX01.NCMC-HOSPITAL.local>
Content-Type: text/plain; charset="us-ascii"
Hello,
Does anyone have an NPR report similar to MM STOCK STATUS (WIDE) REPORT with a date range? Any help is appreciated.
Thanks,
Seema R. Rajan
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Message: 12
Date: Tue, 15 Oct 2013 16:53:14 +0000
From: Renee Rinehart <rrin...@grmedcenter.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] Magic 5.66 B/AR
Message-ID: <548aa7309b074874...@SVREXCHANGE01.GVH.LOCAL>
Content-Type: text/plain; charset="us-ascii"
I need to have a report that will list patients in a particular financial class and indicate the claim status, PAID or UNPAID. I have most of the report built but I'm not sure how to arrive at the claim status. Any ideas?
Renee' Rinehart
HCIS Financial Coord., IT Dept.
Guadalupe Regional Medical Center
1215 East Court Street
Seguin, Texas 78155
830-401-7214
830-481-4347 Cell
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Message: 13
Date: Tue, 15 Oct 2013 13:14:10 -0400
From: "Espejo, Robbie - Information Systems"
<Robbie...@Firelands.com>
To: medit...@mtusers.com
Subject: [MT-L] PDOC and PCS occurrences.
Message-ID:
<3B0655DCAF817249B1AE...@FRMC-MAIL.firelands.local>
Content-Type: text/plain; charset="us-ascii"
Does anyone have a work around for the PCS Occurrences/Repeatables in PDOC? In our wound care clinic, nurses use one assessment to document
all wounds by adding occurrences for each wound. Meditech is telling
us since occurrences use the same queries on each occurrence, PDOC can differentiate between the repeated assessments. There is a proposal for the functionality to be added to PDOC but you know how long those can take. We may have up to 20 wounds on one person so the ability to add occurrences as needed works well for the wound care. Thanks in advance.
ROBBIE ESPEJO
SYSTEM ANALYST
FIRELANDS REGIONAL MEDICAL CTR
SANDUSKY, OHIO 44870
419-557-6828
ROBBIE...@FIRELANDS.COM
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Message: 14
Date: Tue, 15 Oct 2013 13:39:50 -0400
From: Julia Carter <jca...@jacobusconsulting.com>
To: Renee Rinehart <rrin...@grmedcenter.com>, medit...@mtusers.com
Subject: Re: [MT-L] Magic 5.66 B/AR
Message-ID: <6e4ed7d4357e7004...@mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1
I'm assuming that you're basing the status on whether a receipt has been posted, so can you look for that procedure type? I think it's item.procedure's.type = "RCP"? Do you also post a $0 for a denial? So item.procedure's.amount >.01?
Julia Carter
Jacobus
CONSULTING
O 229-891-6668
-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Renee Rinehart
Sent: Tuesday, October 15, 2013 12:53 PM
To: medit...@mtusers.com
Subject: [MT-L] Magic 5.66 B/AR
I need to have a report that will list patients in a particular financial class and indicate the claim status, PAID or UNPAID. I have most of the report built but I'm not sure how to arrive at the claim status. Any ideas?
Renee' Rinehart
HCIS Financial Coord., IT Dept.
Guadalupe Regional Medical Center
1215 East Court Street
Seguin, Texas 78155
830-401-7214
830-481-4347 Cell
------------------------------
Message: 15
Date: Tue, 15 Oct 2013 17:59:42 +0000
From: "Utter, Patricia" <PUt...@sfhhc.org>
To: "medit...@MTUsers.com" <medit...@MTUsers.com>
Subject: [MT-L] B/AR: Step Magic Code
Message-ID:
<821B66BA9AC3DF45BFF...@SFHW2K8EMAIL2.sfhhc.org>
Content-Type: text/plain; charset="us-ascii"
Hello,
We are a 6.x site and I am looking to see if anyone has a step magic code written to enter in the Reimbursement Dictionary for Co Pay amounts. The amount would come from the insurance copay field. We would like the code to transfer the amount to the SP field.
We are trying to generate a copay letter for ED patient who have not or could not pay there copay's at the time of visit. In the letters there is not a value for insurance copay's just patient balance.
Or if you know of another way to do this that would be helpful also.
Thank you,
Patti
Patricia Utter
Systems Analyst
Saint Francis Hospital and Health Centers Information Technology
241 North Road
Poughkeepsie, NY 12601
Office: 845-483-5163
Fax: 845-483-5342
Report IT and Telecom Issues to 845-483-5723 (7x24) Visit us on the web: www.sfhhc.org<http://www.sfhhc.org/>
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Message: 16
Date: Tue, 15 Oct 2013 13:23:13 -0400
From: "Ritcher, Samantha" <srit...@nbhealth.org>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] Default attribute Magic 5.66
Message-ID:
<ADB833A7E916684EAA099...@NBHS-EXCH2K7.NBHEALTH.ORG>
Content-Type: text/plain; charset="us-ascii"
I'm usually good with attributes but this one is aggravating me! I want to default in the patients service date if the answer to NURCL06 is Y.... Can anyone see where I went wrong?
DFT=(IF{/[ANS%0,"NURCL06"]|0="Y" @p.ADM.PAT.service.date})
Thanks,
Sam
Samantha Ritcher, RN
Clinical Support Specialist
North Adams Regional Hospital
Phone- 413-664-5378
Fax- 413-664-5675
srit...@nbhealth.org
"I always wondered why somebody didn't do something about that, then I realized I was somebody." ~ Lily Tomlin
"Intelligence minus purpose equals stupidity." ~ Toba Beta<http://www.goodreads.com/author/show/3336353.Toba_Beta>
****CONFIDENTIALITY NOTICE**** The information transmitted in this electronic communication is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you receive this information in error, please reply to this e-mail address and properly dispose of the information.
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Message: 17
Date: Tue, 15 Oct 2013 14:14:26 -0400
From: "Jerry Beals" <Beals...@holyokehealth.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>, "Samantha
Ritcher" <srit...@nbhealth.org>
Subject: Re: [MT-L] Default attribute Magic 5.66
Message-ID: <525D4DC20200...@hh11.holyokehealth.com>
Content-Type: text/plain; charset="iso-8859-15"
Hi Samantha,
I'm not sure exactly where the issue is, but you shouldn't need the /[ANS%0, just [ANS should suffice. If you're in a registration CDS it's possible that the service date has not yet filed to the permanent
(*) database, so the second IF statement below would grab the temporary service date first, if one exists.
DFT=IF{"Y"=[ANS,"NURCL06"]|0
IF{@t.ADM.PAT.service.date;@p.ADM.PAT.service.date}}
Good luck,
Jerry Beals
Holyoke Medical Center
Holyoke, MA
>>> "Ritcher, Samantha" <srit...@nbhealth.org> 10/15/2013 1:23 PM >>>
I'm usually good with attributes but this one is aggravating me! I want to default in the patients service date if the answer to NURCL06 is Y.... Can anyone see where I went wrong?
DFT=(IF{/[ANS%0,"NURCL06"]|0="Y" @p.ADM.PAT.service.date})
Thanks,
Sam
Samantha Ritcher, RN
Clinical Support Specialist
North Adams Regional Hospital
Phone- 413-664-5378
Fax- 413-664-5675
srit...@nbhealth.org
"I always wondered why somebody didn't do something about that, then I realized I was somebody." ~ Lily Tomlin
*Intelligence minus purpose equals stupidity.* ~Toba Beta ( http://www.goodreads.com/author/show/3336353.Toba_Beta )
****CONFIDENTIALITY NOTICE**** The information transmitted in this electronic communication is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you receive this information in error, please reply to this e-mail address and properly dispose of the information.
CONFIDENTIALITY NOTICE: This email communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please reply to the sender immediately and destroy all copies of this communication and any attachments. For further information regarding Holyoke Medical Center's privacy policy, Please visit our Internet web site at http://www.holyokehealth.com
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End of Meditech-l Digest, Vol 9, Issue 26
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Julie Olthof
Clinical Informatics Quality Analyst
Office 408.559.2217
-----Original Message-----
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of meditech-...@mtusers.com
Sent: Tuesday, October 15, 2013 12:00 PM
To: medit...@mtusers.com
Subject: Meditech-l Digest, Vol 9, Issue 26
Send Meditech-l mailing list submissions to
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To subscribe or unsubscribe via the World Wide Web, visit
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When replying, please edit your Subject line so it is more specific than "Re: Contents of Meditech-l digest..."
Today's Topics:
1. Clinical Analyst and Project Manager opportunities (Todd Lamb)
2. CS 5.65 MIS.OA.MSG.auto macro (Weidner, Marilyn)
3. Re: CS 5.65 MIS.OA.MSG.auto macro (Bryce Schloyer)
4. Re: PHA Support for CPOE Magic 5.64 (Becky Miller)
5. CPOE Term Server (Cobb, Chris)
6. FW: IT Financial Ladder information needed (Sandmann, JoAnn)
7. Re: BBK unit labels (Freeman, Gale)
8. DI middleware and Vitek (Peyjam, Fariborz)
9. ISBT label question (Looker, Julee)
10. LAB Analyzer: Opti Touch CCA (Jill Runnion)
11. MM STOCK STATUS (WIDE) 5.65 C/S (Seema...@NCMC-Hospital.com)
12. Magic 5.66 B/AR (Renee Rinehart)
13. PDOC and PCS occurrences. (Espejo, Robbie - Information Systems)
14. Re: Magic 5.66 B/AR (Julia Carter)
15. B/AR: Step Magic Code (Utter, Patricia)
16. Default attribute Magic 5.66 (Ritcher, Samantha)
17. Re: Default attribute Magic 5.66 (Jerry Beals)
----------------------------------------------------------------------
Message: 1
Date: Mon, 14 Oct 2013 13:19:48 -0500
From: "Todd Lamb" <tl...@e-matrix1.com>
To: <medit...@mtusers.com>
Subject: [MT-L] Clinical Analyst and Project Manager opportunities
Message-ID: <0c0001cec909$f829a310$e87ce930$@e-matrix1.com>
Content-Type: text/plain; charset="us-ascii"
We have several needs for experienced CS and 6x Clinical Analysts and Project Managers for full-time consulting positions with leaders in the Meditech space.
Design, build through implementation of clinical applications and or Project Managers that have been hands on through implementations and upgrades.
Mon-Thur travel with industry leading pay, benefits and bonuses working for leading consulting firms in the Meditech space.
Send resumes/inquiries to: tl...@e-matrix1.com
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Message: 2
Date: Mon, 14 Oct 2013 19:06:21 +0000
From: "Weidner, Marilyn" <Marilyn...@Centura.Org>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] CS 5.65 MIS.OA.MSG.auto macro
Message-ID:
<7B76B0D559A2D74E827A...@CEINVMX04C.corp.centura.org>
Content-Type: text/plain; charset="us-ascii"
I am utilizing the routine MIS.OA.MSG.auto to generate custom email messages from an NPR macro. The sender of the email is 'Meditech.alerts'. Is there any way to modify the sender? I'm assuming not, but was hoping someone might have a solution.
Marilyn Weidner
Sr. Programmer/Analyst
Centura Health
719-557-5805 Phone
719-557-4689 Fax
1008 Minnequa Ave
Pueblo, Co 81005
marilyn...@centura.org<mailto:na...@centura.org>
www.centura.org<http://www.centura.org>
*****************************************************************************
This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.
*****************************************************************************
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Message: 3
Date: Mon, 14 Oct 2013 19:22:02 +0000
From: Bryce Schloyer <bsch...@savanthealthcare.com>
To: "Weidner, Marilyn" <Marilyn...@Centura.Org>
Cc: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: Re: [MT-L] CS 5.65 MIS.OA.MSG.auto macro
Message-ID:
<A931FAAD-0956-433E...@savanthealthcare.com>
Content-Type: text/plain; charset="windows-1252"
Hi Marilyn,
Using the MIS.OA.MSG.auto program, there is no way to change the recipient, it will actually use the MIS.PARAM.mail.recipient field. The MIS.OA.MSG.auto program really uses the %Z.mail program to do the emailing, so you could change your reports to call that program directly, which allows you to pass in a different recipient.
Bryce
--
Bryce A. Schloyer
Savant Healthcare Solutions, Inc.
office: (805) 253-3624
On Oct 14, 2013, at 2:06 PM, "Weidner, Marilyn" <Marilyn...@Centura.Org<mailto:Marilyn...@Centura.Org>>
wrote:
I am utilizing the routine MIS.OA.MSG.auto to generate custom email messages from an NPR macro. The sender of the email is ?Meditech.alerts?. Is there any way to modify the sender? I?m assuming not, but was hoping someone might have a solution.
Marilyn Weidner
Sr. Programmer/Analyst
Centura Health
719-557-5805 Phone
719-557-4689 Fax
1008 Minnequa Ave
Pueblo, Co 81005
marilyn...@centura.org<mailto:na...@centura.org>
www.centura.org<http://www.centura.org>
*****************************************************************************
This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.
*****************************************************************************
===###===###===###===###===###===###===
To unsubscribe from the meditech-l, follow the instructions at the URL http://mtusers.com/mailman/options/meditech-l_mtusers.com/
Please do NOT send messages that ask "Please post to the list" or "I'd like to see your answers" or "Send that info to me, too" These are useless messages that just waste the email server's resources. Instead, email the original requester and ask that they send you or post the results of their question.
Go to http://MTUsers.net for other information on the list, as well as:
1) reading meditech-l messages online
2) job opportunities
3) vendor products and service
Do NOT send email to meditech...@MTUsers.com<mailto:meditech...@MTUsers.com>. This is a system email box that is NOT monitored by a human. If you need help or advice on how to use the meditech-l, email ju...@MTUsers.net<mailto:ju...@MTUsers.net>. Julia helps manage the meditech-l, so she is your best resource.
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Message: 4
Date: Mon, 14 Oct 2013 14:06:51 -0600
From: Becky Miller <BMi...@bdh-boz.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: Re: [MT-L] PHA Support for CPOE Magic 5.64
Message-ID:
<D84694723425F34582AE7...@Exchange07.bdh-boz.com>
Content-Type: text/plain; charset="us-ascii"
Hi Trish,
Here is our experience at Bozeman Deaconess Hospital. We are now Magic 5.66 but went LIVE with CPOE about a year ago with 5.64 with our hospitalists only. We are an 86-bed level 3 trauma center. We have a small population of pediatrics and did not go LIVE with any weight-based strings or additive/component functionality other than PHA strings. We are not currently using CPOE for any pediatric or NICU populations.
***************************************************
Following are a couple of questions that we are benchmarking
1. Do any sites similar to our size have a dedicated Pharmacist for IS related issues and/or projects---we have 2 dedicated informatics pharmacist FTE's (these include a staffing component of about 10 hours/biweekly pay period); duties include FSV maintenance, formulary maintenance, as well as CPOE/PHA/RXM/ONC build and interface support. We spent about 12 months total (6 months on RXM/PHA optimization followed by 5 months build time to CPOE LIVE followed by 1 month intensive support).
2. Does the dedicated Pharmacist report to Pharmacy or IS (both---budgeted under IS but paid under Pharmacy; managed jointly)
3. What type of Human Resources were needed for the CPOE project (# Pharmacists, techs etc)--2 fulltime pharmacists as above, plus 1 consultant pharmacist for a short period of time (about 10 weeks) and several ad lib pharmacist work days (about 30 total days); this assumes your site is optimized with PHA and RXM per Meditech's build recommendations prior to starting CPOE build. This does not include other IT staff such as clinical nursing, physician champion, etc.---this is pharmacy only.
4. Was Pharmacy actively involved in the Physician Training for Medication Ordering---Yes; a pharmacist teaches the medication ordering sections for each physician with/without order sets; we use a "training script" to present pre-defined scenarios for teaching
5. How are issues addressed that come up during off shifts, weekends and/or holidays (on-call system, or someone
actually available in house)---we have an on-call pharmacist pager and an on-call/ on-site "Green Team" CPOE support person who is 1st call; we did provide 24/7 on-site support post-go-LIVE
6. Post LIVE support - did you keep a dedicated pharmacist on board for maintenance of any IS related issues---As we only came up with our hospitalist group, we are phasing in new groups (Family Practice, Critical Care, Pediatrics to come) so the build and support are ongoing; we do not anticipate decreasing pharmacist FTE's
Hope this helps,
Becky
Rebecca Miller, Pharm.D.
Clinical Pharmacist/ Pharmacy Informatics Bozeman Deaconess Hospital
915 Highland Blvd.
Bozeman, MT 59715
(406) 522-1741 voicemail
(406) 585-1050 main pharmacy
bmi...@bdh-boz.com
This communication is confidential to Bozeman Deaconess Hospital and is intended solely for the use of the individual or organization to whom it is addressed. It may contain privileged information. If you have received this message in error, please notify the originator immediately. If you are not the intended recipient, you should not use, copy, alter, or disclose the contents of this message. All information or opinions expressed in this message and/or any attachments are those of the author and are not necessarily those of Bozeman Deaconess Hospital. Bozeman Deaconess Hospital accepts no responsibility for loss or damage arising from its use.
------------------------------
Message: 5
Date: Mon, 14 Oct 2013 16:29:16 -0400
From: "Cobb, Chris" <coc...@wgh.org>
To: <medit...@mtusers.com>
Subject: [MT-L] CPOE Term Server
Message-ID:
<21F1706D07A0A6429C64...@wgh-exch.wgh.org>
Content-Type: text/plain; charset="us-ascii"
Does anyone know how to define a Term Server for workstation names when putting in CPOE orders. Remote doctors change their workstations and we are running the risk of missing order due to their workstations not being defined in Meditech.
Thanks,
Chris
Christopher Cobb
Technical Support Manager
Warren General Hospital
814-723-4973 x1726
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Message: 6
Date: Mon, 14 Oct 2013 21:25:15 +0000
From: "Sandmann, JoAnn" <JSan...@schneckmed.org>
To: "'medit...@mtusers.com'" <medit...@mtusers.com>
Subject: [MT-L] FW: IT Financial Ladder information needed
Message-ID:
<A0151D4BDECE8F46B3A4...@smc-exchange01.smalltown.memorial-hospital.org>
Content-Type: text/plain; charset="us-ascii"
We are a Client Server 5.66 site & are in the process of building an IT Financial Ladder. I am our sites IT Financial Analyst & support the ABS, ADM, AP, BAR, ESS, FA, GL, HR, MIS, MM, MRI, SCA, PP, SCH, LSS (SCH,REG, & PBR). I also help with support on NPR, NMI, & various other clinical applications when needed.
I hope to incorporate number of applications supported, possibly years of service, &/or education. I have seen Clinical & nursing ladders but have thus far not been able to locate anyone that is either in the building process of an IT financial ladder or already has one in use. If anyone has any form of a ladder that is used from the IT support that they would be willing to share with me or any resources that are available I would greatly appreciate your help/guidance. Thanks, JoAnn
JoAnn Sandmann
IT Financial Analyst
Schneck Medical Center
Seymour, IN 47274
jsan...@schneckmed.org<mailto:jsan...@schneckmed.org>
[http://www.schneckmed.org/__editorfiles/image/baldrigelogo.gif]
NOTICE: The information contained in this email and any document attached hereto is intended only for the named recipient(s). If you are not the intended recipient, nor the employee or agent responsible for delivering this message in confidence to the intended recipient(s), you are hereby notified that you have received this transmittal in error, and any review, dissemination, distribution or copying of this transmittal or its attachments is strictly prohibited. If you have received this transmittal and/or attachments in error, please notify me immediately by reply e-mail and then delete this message, including any attachments.
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Message: 7
Date: Mon, 14 Oct 2013 15:59:28 -0400
From: "Freeman, Gale" <gfre...@shsny.com>
To: "'Looker, Julee'" <jlo...@logansportmemorial.org>,
"'meditech-l@mtusers.'" <medit...@mtusers.com>
Subject: Re: [MT-L] BBK unit labels
Message-ID:
<CB7659AD03414A48A02E5...@exch2.shsny.com>
Content-Type: text/plain; charset="us-ascii"
I got this info from our LIS / Supervisor...
"We don't put any labels on a unit of blood. The only labels and numbers are from the blood supplier.
We put a crossmatch card with the unit, that is the only Meditech thing that associates the unit with a patient. mkk"
Hope this helps !
Gale Y Freeman
gfre...@shsny.com<mailto:gfre...@shsny.com>
From: meditech-...@mtusers.com [mailto:meditech-...@mtusers.com] On Behalf Of Looker, Julee
Sent: Wednesday, October 09, 2013 11:54 AM
To: 'meditech-l@mtusers.'
Subject: [MT-L] BBK unit labels
Our blood bank supervisor wants me to ask a question about BBK procedures to the L. Does anyone on the use a meditech generated label to attach to a unit of blood with patient specific info prior to issue? We are looking at replacing our current patient armband and unit labeling system (manual) that we currently use for a more electronic driven process. Do you use the L# or the M# as your main patient number and do you use R#'s for your wristbands? Thank you for any info.
Julee Looker, MLS (ASCP) CHTS-PW
LIS Coordinator
Logansport Memorial Hospital
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Message: 8
Date: Tue, 15 Oct 2013 12:24:33 +0000
From: "Peyjam, Fariborz" <fpe...@edward.org>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] DI middleware and Vitek
Message-ID:
<5353DEBC2D94814780F9...@mxmb1.edward.org>
Content-Type: text/plain; charset="us-ascii"
Is anyone using DI (Data Innovation - Instrument Manager) middleware for Vitek and BactAlert analyzers? Please let me know.
Thanks
Fariborz Peyjam
Sr. Application Analyst
Edward Hospital and Health Services
Naperville, IL 60540
(630) 646-4017
fpe...@edward.org
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Message: 9
Date: Tue, 15 Oct 2013 09:54:52 -0400
From: "Looker, Julee" <jlo...@logansportmemorial.org>
To: "'meditech-l@mtusers.'" <medit...@mtusers.com>
Subject: [MT-L] ISBT label question
Message-ID: <93B112E9E266A244A4F2FA30C9420BD50C3CF9B8D9@exchange07>
Content-Type: text/plain; charset="us-ascii"
My BBK supervisor wanted me to check on the L about ISBT labels and the last three digits of the unit number. What are you doing with the last three digits of the unit number where the two numbers are on their side and then a letter or symbol at the very end? There has been a little confusion from our blood supplier as to the requirements of having those drop into Meditech. Thanks for any info you can send me.
Julee Looker, MLS (ASCP) CHTS-PW
Lab Coordinator
Logansport Memorial Hospital
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Message: 10
Date: Tue, 15 Oct 2013 14:58:17 +0000
From: Jill Runnion <jrun...@srhc.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] LAB Analyzer: Opti Touch CCA
Message-ID: <A62F7E7EADEDBD40B6B...@EXCH-MBX.srhc.net>
Content-Type: text/plain; charset="us-ascii"
Good Morning. I was wondering if there are any Meditech users out there that have interfaced the OPTI TOUCH CCA Blood Gas analyzers. Did you use an analyzer interface or a POC interface? We have two that we use that we would like to interface. Another question would be if you are using TELCOR, RALS or another POC Data management system with them.
Thanks,
Jill Runnion
LIS Coordinator
[description: salinareg]
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Message: 11
Date: Tue, 15 Oct 2013 16:13:30 +0000
From: <Seema...@NCMC-Hospital.com>
To: <medit...@MTUsers.com>
Subject: [MT-L] MM STOCK STATUS (WIDE) 5.65 C/S
Message-ID:
<BA56EAC2FFBE27459929...@NCY-VWXCHMBX01.NCMC-HOSPITAL.local>
Content-Type: text/plain; charset="us-ascii"
Hello,
Does anyone have an NPR report similar to MM STOCK STATUS (WIDE) REPORT with a date range? Any help is appreciated.
Thanks,
Seema R. Rajan
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Message: 12
Date: Tue, 15 Oct 2013 16:53:14 +0000
From: Renee Rinehart <rrin...@grmedcenter.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] Magic 5.66 B/AR
Message-ID: <548aa7309b074874...@SVREXCHANGE01.GVH.LOCAL>
Content-Type: text/plain; charset="us-ascii"
I need to have a report that will list patients in a particular financial class and indicate the claim status, PAID or UNPAID. I have most of the report built but I'm not sure how to arrive at the claim status. Any ideas?
Renee' Rinehart
HCIS Financial Coord., IT Dept.
Guadalupe Regional Medical Center
1215 East Court Street
Seguin, Texas 78155
830-401-7214
830-481-4347 Cell
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Message: 13
Date: Tue, 15 Oct 2013 13:14:10 -0400
From: "Espejo, Robbie - Information Systems"
<Robbie...@Firelands.com>
To: medit...@mtusers.com
Subject: [MT-L] PDOC and PCS occurrences.
Message-ID:
<3B0655DCAF817249B1AE...@FRMC-MAIL.firelands.local>
Content-Type: text/plain; charset="us-ascii"
Does anyone have a work around for the PCS Occurrences/Repeatables in PDOC? In our wound care clinic, nurses use one assessment to document
all wounds by adding occurrences for each wound. Meditech is telling
us since occurrences use the same queries on each occurrence, PDOC can differentiate between the repeated assessments. There is a proposal for the functionality to be added to PDOC but you know how long those can take. We may have up to 20 wounds on one person so the ability to add occurrences as needed works well for the wound care. Thanks in advance.
ROBBIE ESPEJO
SYSTEM ANALYST
FIRELANDS REGIONAL MEDICAL CTR
SANDUSKY, OHIO 44870
419-557-6828
ROBBIE...@FIRELANDS.COM
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Message: 14
Date: Tue, 15 Oct 2013 13:39:50 -0400
From: Julia Carter <jca...@jacobusconsulting.com>
To: Renee Rinehart <rrin...@grmedcenter.com>, medit...@mtusers.com
Subject: Re: [MT-L] Magic 5.66 B/AR
Message-ID: <6e4ed7d4357e7004...@mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1
I'm assuming that you're basing the status on whether a receipt has been posted, so can you look for that procedure type? I think it's item.procedure's.type = "RCP"? Do you also post a $0 for a denial? So item.procedure's.amount >.01?
Julia Carter
Jacobus
CONSULTING
O 229-891-6668
-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Renee Rinehart
Sent: Tuesday, October 15, 2013 12:53 PM
To: medit...@mtusers.com
Subject: [MT-L] Magic 5.66 B/AR
I need to have a report that will list patients in a particular financial class and indicate the claim status, PAID or UNPAID. I have most of the report built but I'm not sure how to arrive at the claim status. Any ideas?
Renee' Rinehart
HCIS Financial Coord., IT Dept.
Guadalupe Regional Medical Center
1215 East Court Street
Seguin, Texas 78155
830-401-7214
830-481-4347 Cell
------------------------------
Message: 15
Date: Tue, 15 Oct 2013 17:59:42 +0000
From: "Utter, Patricia" <PUt...@sfhhc.org>
To: "medit...@MTUsers.com" <medit...@MTUsers.com>
Subject: [MT-L] B/AR: Step Magic Code
Message-ID:
<821B66BA9AC3DF45BFF...@SFHW2K8EMAIL2.sfhhc.org>
Content-Type: text/plain; charset="us-ascii"
Hello,
We are a 6.x site and I am looking to see if anyone has a step magic code written to enter in the Reimbursement Dictionary for Co Pay amounts. The amount would come from the insurance copay field. We would like the code to transfer the amount to the SP field.
We are trying to generate a copay letter for ED patient who have not or could not pay there copay's at the time of visit. In the letters there is not a value for insurance copay's just patient balance.
Or if you know of another way to do this that would be helpful also.
Thank you,
Patti
Patricia Utter
Systems Analyst
Saint Francis Hospital and Health Centers Information Technology
241 North Road
Poughkeepsie, NY 12601
Office: 845-483-5163
Fax: 845-483-5342
Report IT and Telecom Issues to 845-483-5723 (7x24) Visit us on the web: www.sfhhc.org<http://www.sfhhc.org/>
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Message: 16
Date: Tue, 15 Oct 2013 13:23:13 -0400
From: "Ritcher, Samantha" <srit...@nbhealth.org>
To: "medit...@mtusers.com" <medit...@mtusers.com>
Subject: [MT-L] Default attribute Magic 5.66
Message-ID:
<ADB833A7E916684EAA099...@NBHS-EXCH2K7.NBHEALTH.ORG>
Content-Type: text/plain; charset="us-ascii"
I'm usually good with attributes but this one is aggravating me! I want to default in the patients service date if the answer to NURCL06 is Y.... Can anyone see where I went wrong?
DFT=(IF{/[ANS%0,"NURCL06"]|0="Y" @p.ADM.PAT.service.date})
Thanks,
Sam
Samantha Ritcher, RN
Clinical Support Specialist
North Adams Regional Hospital
Phone- 413-664-5378
Fax- 413-664-5675
srit...@nbhealth.org
"I always wondered why somebody didn't do something about that, then I realized I was somebody." ~ Lily Tomlin
"Intelligence minus purpose equals stupidity." ~ Toba Beta<http://www.goodreads.com/author/show/3336353.Toba_Beta>
****CONFIDENTIALITY NOTICE**** The information transmitted in this electronic communication is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you receive this information in error, please reply to this e-mail address and properly dispose of the information.
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Message: 17
Date: Tue, 15 Oct 2013 14:14:26 -0400
From: "Jerry Beals" <Beals...@holyokehealth.com>
To: "medit...@mtusers.com" <medit...@mtusers.com>, "Samantha
Ritcher" <srit...@nbhealth.org>
Subject: Re: [MT-L] Default attribute Magic 5.66
Message-ID: <525D4DC20200...@hh11.holyokehealth.com>
Content-Type: text/plain; charset="iso-8859-15"
Hi Samantha,
I'm not sure exactly where the issue is, but you shouldn't need the /[ANS%0, just [ANS should suffice. If you're in a registration CDS it's possible that the service date has not yet filed to the permanent
(*) database, so the second IF statement below would grab the temporary service date first, if one exists.
DFT=IF{"Y"=[ANS,"NURCL06"]|0
IF{@t.ADM.PAT.service.date;@p.ADM.PAT.service.date}}
Good luck,
Jerry Beals
Holyoke Medical Center
Holyoke, MA
>>> "Ritcher, Samantha" <srit...@nbhealth.org> 10/15/2013 1:23 PM >>>
I'm usually good with attributes but this one is aggravating me! I want to default in the patients service date if the answer to NURCL06 is Y.... Can anyone see where I went wrong?
DFT=(IF{/[ANS%0,"NURCL06"]|0="Y" @p.ADM.PAT.service.date})
Thanks,
Sam
Samantha Ritcher, RN
Clinical Support Specialist
North Adams Regional Hospital
Phone- 413-664-5378
Fax- 413-664-5675
srit...@nbhealth.org
"I always wondered why somebody didn't do something about that, then I realized I was somebody." ~ Lily Tomlin
*Intelligence minus purpose equals stupidity.* ~Toba Beta ( http://www.goodreads.com/author/show/3336353.Toba_Beta )
****CONFIDENTIALITY NOTICE**** The information transmitted in this electronic communication is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you receive this information in error, please reply to this e-mail address and properly dispose of the information.
CONFIDENTIALITY NOTICE: This email communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please reply to the sender immediately and destroy all copies of this communication and any attachments. For further information regarding Holyoke Medical Center's privacy policy, Please visit our Internet web site at http://www.holyokehealth.com
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