FYI.

Putting C:\ManageEzy not \\Server\ManageEzy in the main configuration
pane allowed us to create a successful backup file. You need to use the
UNC in the ManageEzy pane of course to allow remote connections.

HTHO.

David

From the HCN BB.

David

------------------------------------------------------------------------
> In MD3 Tools/Options menu there is a tab marked RSD for Referral Status and
Discharge Summary system. It allows you to select whether electronic status and
discharge summaries are filed under the Letters or Documents tab of the clinical
window. Does anyone know anything about the mechanism of getting such summaries
into MD3?
Yes.

> They would presumably be received by a secure communications system,
mostly paper


> but how are they transferred to MD?
via the pathology import facility.


> How are they read before being incorporated in a patient record?
on screen.


> Where is this set up?
pathology defaults.


>  Where is it documented?
Here? The document has to be massaged into HL7 or PIT for processing by
the MD pathology import facility.


> The online help is not forthcoming.  There is also a PKI tab in Tools/Options.
What is MD doing with PKI?
See Bob's reply and also see Argus (http://argusconnect.com.au/) as an
external PKI encrypter / decrypter.

------------------------------------------------------------------------
On a slightly less facetious note, we receive quite a bit of
correspondence via Medical Objects (http://www.medical-objects.com.au/)
and are now getting test discharge summaries from the local hospital via
Argus. Our preference is to receive them as RTF of ASCII and view them
in the Letters module. This is quicker than using the documents folder
and having to launch an external viewer. (You can also search for a text
string in the letters in the same way as you can in progress notes.)

However, the metadata from the letter is lost during Letters processing.
That is, the from field is left blank and the subject line reads
pathology import. Anything you put in the pathology comments field is
thrown away. Attempting to edit the metadata in Letters module is disabled.

After a year our patient files show lots of incoming letters from
"blank" specialists and there is no metadata saved about the contents of
the letter. This upsets the accreditors.

David








[Non-text portions of this message have been removed]

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Setup - MD 3.6.6, Sullivan and Nicolaides Pathology Fetch program,
Medial Objects Capricorn Bleeding Edge.

My \\server\HCNMSGS\OUT directory is full of S&N, MO ACKS.

Fetch seems to integrate properly into MD and downloads are working
fine. The Fetch upload directory points to \\server\HCNMSGS\OUT. (Tools
| Options | Investigations | Setup data transfer | Advanced | Fetch |
Edit | Export Directory. Enabled - checked. Generate ACKS - checked)

I am not quite sure how to configure Capricorn. The defaults look
sensible and MO program defaults usually seem to just work.

My question is does the Out directory just fill up with ACKS or should
they be archived off somewhere else?

The Medical Objects electronic referral client, Trinity, uses the
recipient provider number to uniquely identify and automate the sending
process.

MD3 has a field for the sender's provider number but not the recipient's.

Can this be added and made available through the MD template system?

David

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could all acir password holders try to logon to the new bowel cancer screening
program site

http://www.medicareaustralia.gov.au/providers/online_initiatives/pds_providers.s\
html#logon_pds
then go to
How to log on to PDS
Log in with ACIR or FRF password

should take you to
https://www2.medicareaustralia.gov.au/pext/provider/pages/pds/main.htm

you need the keyfile and your password


please let me know if you can or cannot log on and any other details
if you lurk email me privately

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--
There's no such thing as a free lunch.
		 -- Milton Friendman
--
I just got my PRINCE bumper sticker ... But now I can't remember WHO he is ...

Helen Porteus wrote:
>
> More effort has been put into convincing our local specialists in more
> recent times - but at the end of the day, from their perspective, why
> would they bother?  Their attitude was that they basically needed
> computers at a level where they were capable on only word processing -
> so why would they bother to take the computers to a "higher level" to
> allow "secure" correspondence.
>
Yes, there's nothing in it for them. "Meet 'em and street 'em." You'd
only do it if you were interested in optimal patient care or thought GPs
mattered.


> There may need to be a major re-education of specialists before there
> will be universal acceptance of the need (or desirability) of the
> electronic health record.   I am sure this is not the case with the
> newer generations coming through - but a lot of them seem IT-wary,
> from my observation.  GPs are very much at the forefront of the move
> to the electronic health record - but they are limited by those to
> whom they are referring.
>
> We use Argus for transporting our radiology reports, but not
> specialist letters.
>
In our area about a third of our specialist reports come electronically
through the Medical Objects client, Capricorn, that I mentioned above.
It's only a third of the reports but it sure beats scanning.

Once setup specialists' secretaries prefer e-sending.

Helen, buy all your e-specialists' receptionists chocolates and roses
for Christmas.

David

Pete

It's small, it's fast, it's free, it's KVM
(http://en.wikipedia.org/wiki/Kernel-based_Virtual_Machine).
http://ozdoc.mine.nu/kvm/kvm-wincli.png

David

(Addit: OK, don't really know yet about the fast under load.)

Bob Lewin wrote elsewhere:

snip
>
> As a pre-Argus user, I dont know about its pdf capability.
>
It's a document transport system and indifferent to the data payload.


> My limited experience of importing pfd letters created elsewhere is
> that most people dont adequately compress when pdf is created.
> Typically a 15KB word document might have been sent as a 150Kb or
> larger pdf. Cumulatively that degrades the operation of the document
> management system. I presently scan paper letters to pdf with settings
> giving 15-20KB per page.
>
My objection to any format other than RTF and ASCII is that I have to
open an external viewer. This is inefficient.

Like you, Bob, I object to bloated pdf data and under Windows I
particularly hate Acrobat which is so large it must have delusions of
being an operating system.


> If a text letter is being sent ie nearly all specialist to GP
> correspondence, the text body and some author authentication is all
> that is required.
>
As far as I am aware only Medical Objects (?and Argus) preserve data
authentication but no electronic health record can hold and use this data.

Specialists say they like pdfs because the user cannot alter the data. I
think by that they mean they cannot alter the data.

IMHO there has been far too little discussion at the local level about
what format and by what media doctors want to receive data. It seems to
me that most specialists are happy to receive paper and most GPs what
electronic ASCII.


> Images need to be able to be sent, a lower priority. Again, the sender
> may primarily have very large format photos eg endoscopic procedure
> images. There is usually either no absolute requirement for us as GPs
> to store this bloat at all, or we need to ensure that we can downsize
> inbound images to file sizes we want. While there wont be agreement as
> to who wants exactly  what on the latter, the ability for the
> importing practice to control what is added to patient EHR is essential.
>
I don't want binaries. GPs work at a higher level than that. Sorting out
what all those squiggles mean looks like tedious boring work. That's why
specialists are paid so much.

David

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online or leave me messages.Y waiting? I don't bite(unless you like it;))
http://gothlovespace.tripod.com/

I am a goth girl(19) from US and I'd like to invite some friends to
join my friends circle. I am called sadnikki66 and I am into goth,
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FYI.

http://www.pracsoftutilities.com/

It's very red but seems to be quite useful for MD3 users.

David

--- In AusMedicalSoftware@..., David Guest <dguest@...>
wrote:
>
> FYI.
>
> http://www.pracsoftutilities.com/
>
> It's very red but seems to be quite useful for MD3 users.
>
> David
>

Hi David,

I can't test this as I don't have MD3 on my system.
I am intrigued by the
"Installs on any workstations.... Does not need administrator
privileges.." I assume that there is some security that prevents
people just installing this software on someone else's system, and
accessing confidential data.

Gary
Gary

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[Non-text portions of this message have been removed]

Our practice is currently using MD2 and looking at either upgrading to
MD3 or changing to Best Practice.  Does anyone have any opinion on
which is better.  Does Best Practice clinical really work well with
Pracsoft if we decide not to change our admin program?

BP works well with PS.

For the other part of your question: BP users will tell you BP is far
superior & better than MD3.  MD3 users will tell you to change to MD3 and
will claim they like it better than BP.   I feel BP is much better.  Briefly
why:
1) No hassles restoring backup of BP onto other computers.  Simple as
clicking "restore" and it's done
2) Live updates - no downtime updating computers - Practices with more than
1 computer has to update Server when no-one logged on etc
3) 100% SQL
4) Support way superior.
5) No advertising to slow things down
6) BP will import patients from MD2, MD3, BP.  MD3 will not import patients
from BP.

I have dozens of other reasons why.  Join BP forum (www.bpsoftware.com.au
and see for yourself.  Even if you don't have BP you can view and contribute
to this forum

Cedric


-----Original Message-----
From: AusMedicalSoftware@...
[mailto:AusMedicalSoftware@...] On Behalf Of robinsone80
Sent: Tuesday, 20 May 2008 12:11 PM
To: AusMedicalSoftware@...
Subject: [AusMedicalSoftware] Is MD3 or Best Practice Better



Our practice is currently using MD2 and looking at either upgrading to
MD3 or changing to Best Practice. Does anyone have any opinion on
which is better. Does Best Practice clinical really work well with
Pracsoft if we decide not to change our admin program?







[Non-text portions of this message have been removed]

Best Practice is far better in my opinion.

Best Practice works better with PS than MD2 ever did.

I don't believe that MD3 is an 'upgrade'.

Please contact me directly for more.
Matt Gilchrist
Practice Manager
Goondiwindi Medical Centre

--- In AusMedicalSoftware@..., "robinsone80"
<robinsone80@...> wrote:
>
> Our practice is currently using MD2 and looking at either upgrading to
> MD3 or changing to Best Practice.  Does anyone have any opinion on
> which is better.  Does Best Practice clinical really work well with
> Pracsoft if we decide not to change our admin program?
>

robinsone80 wrote:
> Our practice is currently using MD2 and looking at either upgrading to
> MD3 or changing to Best Practice.  Does anyone have any opinion on
> which is better.  Does Best Practice clinical really work well with
> Pracsoft if we decide not to change our admin program?
>
Best Practice users are enthusiastic about their software and support.
Medical Director users less so.

I am told that Medical Director version 3.7.1 is the best ever produced
by HCN.

My father would describe this as "being damned with faint praise".

Good luck.

David