LAB NPR Report Writing Level I

Transcription

1 LAB NPR Report Writing Level I Module Introduction C opyright NPR Training & Technology Inc

2 Course Overview 1. Meditech System Overview 2. Lab Module Overview 3. Data Structures 4. Identifying Patients 5. Indexes in Lab

3 Meditech System Perspective

4 Actual System Configuration Independent Systems

5 Actual System Configuration Independent Systems

6 Module-to-Module Connections use Link

7 Module Information

8 Lab Module Information

9 Lab Module Information

10 Lab Module Information

11 Lab Module Information

12 Lab Module Information

13 Lab Module Information

14 Lab Module Information

15 Data Procedure Module (DPM) Group of programs and related data Each Group Contains Segments: Logical Groups of Fields Indexes: Sets of records in different orders

16 Data Processing LAB.PAT LAB.C.REQ LAB.L.SPEC LAB MODULE LAB.C.RPT LAB.C.METH LAB.L.TEST Modules (DPM s)

17 Data Processing LAB.PAT LAB.C.REQ DATA LAB.L.SPEC LAB LAB.C.RPT DICTIONARY LAB.C.METH LAB.L.TEST Modules (DPM s)

18 Data Definitions

19 Select LAB Module

20 Select DPM (Data Procedure Modules) Only.C. and.l. DPMS included with standard LAB For Report Writers!

21 DPM Data Storage All DPM s store data in arrays This means all Meditech application data is stored in arrays. This means you need to learn something about them!

22 Array Data Storage Definition Data structure consisting of elements accessed by indexing

23 Array Data Storage Technical Definition of Array Data structure consisting of elements accessed by indexing Data Structure Storage method for data (Record). Elements Discrete pieces of data (Fields). Indexing Pointers to the records.

24 Non-Technical Definition of Array Records consisting of fields accessed by pointers

25 Array Example: Spreadsheet

26 Array Fields Cell is the equivalent of a field.

27 Pointers One of the main reasons for dictionaries in the Meditech system is to build custom pointers to your data.

28 Array Pointer Names: Subscripts Column (Subscript) Row (Subscript)

29 Required for Fields to Work Column (Subscript) Row (Subscript) All subscripts (pointers) All in the right sequence [COLUMN, ROW] [D, 10]

30 Where s the Records? Column (Subscript) Row (Subscript) [COLUMN, ROW] [D, 10]

31 First Subscript Identifies the Record So far all we have looked at is a field value. Fields (Subscript) The Meditech system stores all data in arrays so how do we find the records? Record (Subscript) [Record, Field] [10, D ]

32 Adding Subscripts

33 Three Subscript Data Structure (LAB.L.SPEC) mul.results (Subscript) test (Subscript) urn (Subscript) [1, , 10] [urn, test, mul.results]

34 Meditech Arrays N-Dimensional Arrays Arrays do not have a fixed number of dimensions (Subscripts). Segments have different numbers of subscripts based on their requirements.

35 LAB.L.SPEC Data Record Subscripts: Left of the equals sign Data: Right of the equals sign

36 [ Subscripts] = Access Requirements 1 4 4

37 Packed Data Pieces Fields separated by special character ( )

38 DPM s & Data Definitions Contain Segments: Logical groups of fields Fields: Data elements connected to subscripts (pointers) Indexes: Subscripts that point to sets of records

39 Segments Logical Group of Fields Logically groups records. i.e. Facility Patients Insurances Insurance Queries C A B D Hierarchical structure E F G

40 Segment Hierarchy & Subscripts [Subscripts]

41 Lab Application Modules Lab Application Standard Lab Microbiology Pathology Blood Bank LAB MIC PTH BB or BBK Optional

42 Common Components LAB Standard Lab MIC Microbiology Patients Requisitions Sites Reports BB Blood Bank PTH Pathology

43 Specimen Data Structures LAB LAB.L.SPEC MIC LAB.M.SPEC Patients Requisitions Sites Reports BB LAB.B.SPEC PTH LAB.P.SPEC

44 Common Component Data Structures LAB.C.PAT Patient specific information LAB.C.REQ Requisition information. LAB.C.SIB Site batch specific information LAB.C.RB Report batch information

45 LAB.C.PAT Patient demographic information Main Segment: lab.c.patient.file Common Fields: account number, unit number, age, sex, address, patient status, room and location Primary R/W Indexes lab.c.pat.location.index (when selecting on location and/or patient)

46 LAB.C.PAT Main Segment:?

47 Not Main Segment!

48 LAB.C.PAT Main Segment

49 Main Segment

50 What s Different About This Segment? HINT!

51 Data Field Types Review Offset - Packed data (Disk) Local - Local variable (Memory) VAL - Computed value (Run Time)

52 A Normal Data Segment Local / Memory Offset / Disk Run Time VAL: Magic Code

53 What is Different?

54 There is no data stored in this data segment! All are field pointers to other data segments

55 Indicates Which Prefixes (Modules) Available MIS.PAT ADM.PAT & LAB.PARAM You are not restricted to these fields. Similar Magic code can be pasted in your fields.

56 LAB.C.PAT Main Segment Subscript Magic Client Server

57 LAB.C.PAT Main Segment Subscript Magic Client Server LAB LAB ADM ADM

58 Different Data Segments Same Subscript LAB.C.PAT ADM.PAT MIS.PAT

59 Clinical Modules LAB RAD PHA ADM.PAT MIS.PAT [aa] NUR OE EDM Same Patient Subscript

60 Patient Identification Modules ADM.PAT Admissions Module Main patient data segment Full Data Set Current & Recent Visits MIS.PAT MIS Module Patient Data Backup for clinical modules Partial Data Set Contains ADM Purged Visits MRI - Medical Records Module MRI.PAT - Master visit history for system Never Purges MRI.DRC Last copy of demographic data

61 ADM.PAT (Admissions Module) Prefix Always Open Direct Reference (ADM.PAT.field.name) Complete Data Set & Demographics Records Purged Based on ADM parameter setting Can be as short as 30 days

62 MIS.PAT (MIS Module) Prefix Always Open Direct Reference (MIS.PAT.field.name) Partial Demographics Data Set Records Purged Based on LAB purge parameters. Usually much longer purge period.

63 MRI.PAT (Medical Records Module) Prefix Not Open Fragment or open prefix required Complete Demographics Latest Demographic Data Including insurance subscriber data Complete Visit History

64 ADM Access Direct Access Main Segment All Child Segments Subscript Access Parallel Segments No Access Indexes Main Parallel Segments Main Segment is access start point Child Segments

65 Linking to Patient Data ADM.PAT Subscript (child segment) VAL=ADM.PAT.ccdqr.response[ query.mnemonic (main) VAL=@MIS.PAT.triage.level

66 ADM Module & Clinical Queries Responses to Queries in OE & NUR OE Administrative data screen queries NUR Last response from intervention queries Date & Time Stamps for Query Responses ccdqr.date ccdqr.time

67 No Index Access Different Prefix Open

68 LAB Module Connections

69 LAB.C.PAT Common Fields Main Segment: lab.c.patient.file

70 Main Segment Fields

71 LAB.C.PAT Parallel Segment: Index??

72 Segment Index for Patient Master Log Subscripts

73 Indexes LAB.C.PAT

74 LAB.C.REQ Requisition information. Main Segment: lab.c.requisition.file Fields collected.by.req, order.site, subm.doctor, status, order.source, Indexes lab.c.req.doctor.index (selecting on submitting doctor) lab.c.req.number.index (selecting on requisition number) lab.c.req.patient.index (selecting on patient and/or number)

75 Segments - LAB.C.REQ Main Segment: lab.c.requisition.file

76 Module Related Segments LAB.C.REQ BBK 2 LAB 3 MIC 4 PTH

77 Common Fields LAB.C.REQ

78 Indexes LAB.C.REQ

79 LAB.C.SIB Site batch specific information Main Segment: lab.c.site.batch.file Fields site batch temperature, site batch type, received site, site batch specimens, site batch units, comments and queries Indexes lab.c.site.batch.number.index (selecting on date or number) lab.c.site.batch.spec.index (selecting on module and/or specimen.urn

80 Segments - LAB.C.SIB Main Segment: lab.c.site.batch.file

81 Fields - LAB.C.SIB

82 Indexes - LAB.C.SIB

83 LAB.C.RB Report batch information Main Segment: lab.c.report.batch Fields: report batch number, batch doctor ranges, sort criteria and batch header information Indexes None

84 Segments - LAB.C.RB

85 Fields - LAB.C.RB

86 Indexes - LAB.C.RB