How do I bring up the consultation timer?

To bring up the consultation timer:

It is possible to have a consultation timer display at the bottom right hand corner of the window. The timer will show how long the patient has been In Consultation. The time will only be displayed if the patient has a valid appointment within the Appointment Book that has been flagged as being In Consultation.

1. With the correct patient on the palette and the Consultation window open, select Consultation - Show Timer. The time is displayed in Green in the bottom right corner of the Consultation window.

The colour will change to Yellow when there is two minutes of the allocated appointment time left.

Upon expiration of the appointment time, the colour will change to Red.

The timer is reset if the screen is closed during the consultative process.

It is also possible to adjust the timer by right clicking the mouse and selecting one of the available options (Reset, Pause or Resume).

I have entered consultation notes into the wrong patients file. How do I move the notes to the correct file?

To move patients notes to the correct patient:

Consultation notes cannot simply be transferred from one patient to another due to medico legal issues (i.e. any changes to patient's files need to be tracked for auditing purposes). The below steps can be followed to move the notes to the correct patient and inactivate the notes from the incorrect patient.

1. Ensure the incorrect patient is on the palette and open their Daily Record (F6).
2. Double click the incorrect consultation notes from the Daily Record.
3. Copy the notes and paste them into the correct patients Consultation window (i.e. Highlight the incorrect notes, right click the highlighted notes and select copy, go to the correct patients Consultation window, right click and select paste).
4. Go back into the incorrect Consultation notes, select the More tab, select the Inactive tick box and close the consultation.

Can I spell check my consultation notes?

To spell check consultation notes:

Consultation notes can be checked for correct spelling by selecting Consultation - Spell Check. If a word is not found in the dictionary, a list of suggestions will be displayed.

Select one of the options listed below to continue the spell check.

Ignore - Skips the current word and continues to check the rest of the consultation notes.
Ignore All - Will skip all occurrences of that word in the consultation notes.
Add - Will add the word in the Not in Dictionary field to the user defined dictionary.
Change - Will change the word in the Not in Dictionary field to the word that is displayed in the Replace With field (either highlight a word from the Suggestions list or type the word directly into the Replace With field).
Change All - Will change all occurrences of the word in the consultation notes with the word displayed in the Replace With field.
Auto Correct - This will always change the word in the Not in Dictionary field to the word displayed in the Replace With field - handy if you always make the same spelling mistake!

Once the spell check is complete, an Information window will be displayed. Click OK or press Enter to return to the Consultation window

How can I forward pathology results to another staff member to action?

To forward results to another provider to action:

You are able to forward pathology results from your inbox to another staff member's inbox for them to action if necessary.

1. Select Module â–º Inbox â–º Provider Inbox.
2. Double click the result that is to be transferred to another staff member.
3. Select the required staff member from the Attention field and click OK.

How can I tell if pathology results have been actioned when viewing the results in the Patient Inbox?

To tell if pathology results have been actions:

If the Subject field in the Patient Inbox is in bold font it means the pathology result has not yet been actioned.

Am I able to graph a patients test results?

To graph inbox results:

Test results can only be graphed if received in HL7 format. To graph test results please follow the below instructions:

1. With the correct patient on the palette, select Module â–º Inbox â–º Patient Inbox.
2. Right click the mouse on the result in the inbox that is to be graphed and select This Subject Only.
3. Select Patient Inbox â–º Chart.
4. If only one row is to be graphed, select the row required by clicking the mouse on it. If multiple rows are required, select the first row, press the Ctrl key at the same time as clicking on the other rows required with the mouse.
5. Select Patient Inbox Chart â–º Graph.

If I have filed a pathology result to the wrong patient how do I re-file the result to the correct patient?

To re-file a pathology result:

1. Select Module â–º Inbox â–º Provider Inbox.
2. Select Provider Inbox â–º Filter.
3. Select the Filed Results Only tick box and click OK.
4. Double click the mouse on the result to be refiled to the correct patient.
5. Click the Find button and search for the patient you require. Click the File button.

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How do I flag a medication as a favourite?

To flag a medication as a favourite:

If a provider has medicines that they prefer to prescribe, they can be setup as Preferred Medicines. This allows for standardised fast prescribing as preferred medicines will appear first before other drugs in the MIMS list. For example, if a certain brand of paracetamol is preferred, this brand will appear first on the list, with the preferred directions defined.

1. Select Setup â–º Clinical â–º Preferred Medicines. The Preferred Medicines window will be displayed.
2. Select Preferred Medicine â–º New, Ctrl+N or click the Add a new preferred medicine icon . The New Preferred Medicine window will be displayed.
3. Enter the first few letters of the medication and press the Tab key. The Find Drug window will be displayed.
4. Highlight the Drug and Pack required and click OK or press Enter.
5. Type the key denoting the preferred medicine in the Key Field. The Key field enables the user to link a variety of medications to the same keyword. For example the key URTI may have antibiotics and pain relief associated with it. When prescribing, the user can type the key within the Drug field and all associated preferred medicines will appear enabling multiple selection and prescribing.
6. Enter the quantity of the preferred medicine in the Mitte field.
7. Enter the number of repeats for the preferred medicine in the Repeats field.
8. Enter the directions for the preferred medication into the Directions text box.
9. Select the Generic Substitution Allowed tick box if necessary.
10. Select the provider that the preferred medicine is to be attached to from the Provider dropdown list. Select All if all providers require access to the preferred medicine.
11. Click OK or press Enter.

How can I create my own User Defined Medications ie: a medication that is not contained in the MIMS database?

To create a User Defined Medication:

User Defined Drugs can be added into Medtech32. This allows providers to add their own mixtures and other preparations eg ointments, creams, lotions etc.

1. Select Setup â–º Clinical â–º User Defined Drug.
2. Select MIMS Drug â–º New, Ctrl+N or click the Add a new user defined drug, (Sub section) icon .
3. In the Drug Name field, type the name of the drug, eg Wart Paint.
4. In the Form field, enter the state of the drug, eg Paint.
5. From the Therapeutic Group dropdown list select the group the new user defined drug belongs to. If the appropriate group does not exist, select Add and enter the name of the new therapeutic group.
6. Enter the recommended dosage information into the Dosage instructions text field; this will appear at the bottom of the New / View Medication screen when selecting the drug eg Apply to affected area up to three times daily.
7. Enter the ingredients for mixtures and preparations into the Composition field. This information will print on the prescription, providing the formulae for the pharmacy.
8. Information recorded within the Food field, will be displayed on the Prescriber Information sheet (accessed via the Information button in the New/View Medication and Drug Search windows).
9. Select the Pack tab, this allows the user to enter strength, quantity and repeat information.
10. Click the Add button.
11. Enter the drug strength into the Strength field eg 200mg/0.8ml.
12. Enter the quantity of the drug into the Quantity field.
13. Either type the number of repeats into the Repeats field or use the associated arrows to increase or decrease the number of repeats required.
14. Click OK.
15. If more packs are required, repeat steps 10-14.
16. Click OK once finished.

How can I view all instanced of a particular drug prescribed for a patient?

To view all instances of a drug prescribed to a patient:

1. Select Module â–º Clinical â–º Patient Medications (or select the Medications tab in the Patient Manager).
2. Right click on the medication in the grid you wish to filter for and select This Medication Only.

Can I flag a patient as pregnant to activate prescription warnings?

To flag a patient as pregnant for prescription warnings:

A patient can be flagged as pregnant so that when they are prescribed any medication a warning will be displayed advising they are pregnant.

1. Ensure the correct patient is on the palette, open the Patient Manager (F6) and select the Medical Warning tab.
2. Select The Pregnant Warning Type.
3. Click OK.

How can I print off a patient's full medical history?

To print of a patients full medical history:

1. Select Report â–º Patient â–º Medical History.
2. Select the tick boxes next data that is required to print on the medical report and click OK

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Is there a way the provider can advise the front desk staff member how the patient is to be invoiced?

For a provider to advise the front desk staff how a patient is to be invoiced:

Providers can use the Quick Bill facility in Medtech32 to advise other staff members how the patient is to be invoiced.

1. Place the patient to be invoiced onto the palette.
2. Select Module â–º Accounts â–º Quick Bill, Ctrl+Q or click the Quick Bill icon . The New Quick Bill window will be displayed.
3. Select the payment level for the invoice from the Payment Level dropdown list eg Private.
4. Select the provider of the consultation from the Provider dropdown list.
5. If necessary, select the income provider for the consultation from the Income Provider dropdown list.
6. Select the service to be invoiced from the Services to Invoice dropdown list (the item number can also be typed into this field instead of searching for the service in the list eg 23).
7. Click the Add button to add the service to the invoice.
8. If multiple services are to be invoiced, repeat steps 6 and 7 until all services have been added.
9. If any notes are to be added for the staff member invoicing the patient (eg "Make repeat appointment in two weeks"), type these into the Notes field.
10. Click OK. The billing requirements will default on the invoice window when the front desk staff member commences invoicing the patient. Any notes will be displayed in red font at the top of the window.

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How can I add new tests to pathology or radiology order forms?

To add new tests to order forms:

Referral Services are the individual items that are generated as part of an Outbox Document eg Laboratory and Radiology Outbox Documents.

The services are linked by Referral Folder and are displayed in the Outbox Document window in the order displayed; therefore the services must be grouped together according to their Referral Headings.

1. Select Setup â–º In / Outbox â–º Referral Services.
2. Select the Referral Folder the Referral Service is being created in from the Folder dropdown list eg Laboratory.
3. Select Referral Service â–º New, Ctrl+N or click the Add a new referral service icon .
4. Type a unique code to identify the Referral Service in the Code field (eg the initials of the description).
5. Type the name of the Referral Service in the Description field (eg Liver Function Tests).
6. Select the folder the Referral Service is to be linked to from the Folder dropdown list eg Laboratory.
7. Select the Referral Heading that the referral service will be listed under from the Ref Heading dropdown list eg Haematology.
8. Referral Services are automatically displayed as tick boxes within the Outbox Document. If a Referral Service requires an extra field to type notes, entering the information to precede the note field in the Prompt field will enable the extra field eg Site (of a swab).
9. If, when the Referral Service being added is selected, more than one copy of the document is required, type the required number into the Copies to Print field.
10. If necessary, type the cost of the test in the Cost field.
11. Click OK or press Enter. The new Referral Service now needs to be grouped with other existing Referral Services that match its Heading / Group.
12. Highlight the newly added Referral Service and select either Ctrl+U or click the Move row up icon  to move the Referral Service up or select Ctrl+D or click the Move row down icon to move the Referral Service down.

Continue to move the new Referral Service to the place it is to appear in the list on the Outbox document.

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How do I increase the size of the Patient Manager window?

To increase the size of the Patient Manager window:

The Patient Manager can be enlarged via the Daily Record tab.

1. Select Daily Record â–º View â–º Large or click the View Daily Record at large size icon .
2. To decrease the size of the Patient Manager, select the Daily Record Tab and then Daily Record â–º View â–º Normal or click the View Daily Record at normal size icon .

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