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We have accomplished this by having one order in Meditech called CT Thorax/Abd/Pelvis, and it goes to PACS as one order. In the meditech dictionaries, there is a billing code attached to the procedure for the CT Thorax, and then another billing code attached via the materials dictionary, which is attached to the procedure, for the abd/pelvis. This enables us to have one order to PACS, and explodes on the billing side in Meditech. Judy Russo, RT(R)(CV) Halifax Medical Center, Radiology Daytona Beach, Fl [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Freeman, Gale Sent: Thursday, June 15, 2006 11:18 AM To: 'T GRAY'; [EMAIL PROTECTED]; [email protected] Subject: RE: [MEDITECH-L] Fuji PACS and combining related studies All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== We use Fuji but have not moved to 5.5 yet. We do not use combo codes when We order, we have everything indivualized with queries that designate Right, left, bilateral Where appropriate. For example, we have Chest xray 1 view, Chest xray 2 views etc. CT Brain, CT Head , CT Shoulder etc... Each order has its own unique number We had MEDITECH create and put on our requisitions and is also sent to Fuji. Fuji calls it Accession number. Basically it is the Date , the order number , and the Category of the test for each order. For example an Xray of Chest 2 views ,which Is first order of today would have accession number of XR20060615-0001 . An CT of the Chest the third order today would be CT20060615-0001. If there are 3 images taken together , they all have individual accession numbers, Fuji takes the messages that come from Synapse and sends it back to MEDITECH in all Three accession numbers. Also we had to change a few of our categories in MEDITECH because the accession number can not Be longer that 16 characters. It wasn't that big of a deal but it was some effort. For example we had WTWMAMMO as a category , we had to change that to WTM so the Accession number would be WTM20060615-0020 for the 20th mammo ordered today . We had to take the query responses for R, L or B and append them to the test Mnenonics that are sent to Fuji in the interface string. MEDITECH did this for us. Fuji gets it and then displays the appropriate word for the radiologist on the Fuji side so they know what they are looking at before they go into the image. For example if the CT example above has mnemonic CWWOC and the query was answered As R ( for Right ) , the system would send CT.CWWOC^R^RIGHT to Fuji. Then the radiologist would see Chest xray 2 views RIGHT on fuji side. This is just An example I made up, this probably isnt a great example of right or left but you Get the idea. We also had MEDITECH enter in a global username and password that is used only when A user is in EMR and clicks on an Image in Imaging. MEDITECH passes the global username And password behind the scenes to the Synapse server and the image appears. We did this So the users would not all need access to Synapse where they can see all patient xrays. Instead if they use EMR they only see the one patient views. A problem we have here is the technicians who take the images frequently do not use The correct accession number . They cancel or the test is cancelled after they shoot The image. When that happens the MEDITECH can not find the image because it uses the Accession number it looks like there is no xray in EMR. This is because we have our System configured to send the image to EMR and ITS from Fuji as soon as the technician Sends the image from their xray machines. There is an option to send it to MEDITECH When the dictator marks the image in Fuji as dictated. I would suggest using that one. Originally our ER complained that they wanted to see the images in EMR as soon as they Were shot before the radiologist dictated. That sounds appropriate , but in reality, They doctors who do the diagnosising in the ER, don't use EMR they use Synapse directly So it doesn't matter to them. Hope this helps. Gale Y. Freeman SMC MIS Dept Clinical Analyst 315-785-5751 [EMAIL PROTECTED] This electronic message is intended only for the individual or entity to which it is addressed and may contain information that is confidential and protected by law. If you are not the intended recipient of this e-mail, you are cautioned that use of its contents in any way is prohibited and may be unlawful. If you have received this communication in error, please destroy it and notify the sender immediately by e-mail. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of T GRAY Sent: Wednesday, June 14, 2006 1:05 PM To: [EMAIL PROTECTED]; [email protected] Subject: RE: [MEDITECH-L] Fuji PACS and combining related studies All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Please post >From: "Amy Brigham" <[EMAIL PROTECTED]> >To: <[email protected]> >Subject: [MEDITECH-L] Fuji PACS and combining related studies >Date: Fri, 9 Jun 2006 11:55:38 -0400 > >All messages should be posted in plain text. HTML will be converted to >attachments. The meditech-l web site is MTUsers.com >====================================== > >We are going to implement Fuji PACS with Meditech 5.5 Client Server in >the next few months. This morning Fuji mentioned some Meditech sites >out there have created combination codes to consolidate related orders >(e.g. separate orders for a patient to get a CT Abdomen, CT Thorax, CT >Pelvis are entered, but only one combo order goes over to Fuji) and >then the procedures "explode" back out of the combo code so the billing >is correct. > >If anyone out there has done this or something similar, we'd really >like to hear from you about what you did and how you did it. > >Thanks! > >Amy > >Amy Brigham >Financial Systems Coordinator, MIS Dept. >Berger Health Systems >[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> >(740) 420-8454 >Confidentiality Notice: This e-mail message, including any attachments, >is for the sole use of the intended recipient and may include >confidential and privileged information. Any unauthorized review, use, >disclosure, or distribution is prohibited. If you are not the intended >recipient, please contact the sender by reply e-mail and destroy all >copies of the original message. > >_______________________________________________ >meditech-l mailing list >[email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
