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About eMDT
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| 1. |
What are the modules that are inside eMDT, and what do they cover?
Inside eMDT there are 5 modules: the Summary, the System module, eMDT module, the Meetings module, and the Calendar module. They all utilise each other throughout the system. In brief, these modules perform the following:
Summary
A brief summary view of your meetings for today and your events in the calender for today.
This is the screen that eMDT opens up with after you have logged in.
System
The system area where you can set up Users, groups, roles, modules - set up notifications -
create, manage and edit forms and lists - and create and set up inventories and filters.
eMDT
This is where you manage patients with forms, files, histories, summaries, letters and reports.
Meetings
This is where you manage meetings for patients.
Calendar
A diary where you can book appointments, events and meetings. |
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| 2. |
Which cancer specialities are currently covered by eMDT?
- Colorectal
- Breast
- Liver
- Oesophageal
- Lung |
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| 3. |
As an individual user, what can eMDT do for me?
As a “personal application” eMDT allows any clinician to configure a patient-centred work flow solution that shares information with team members and automates administration during the clinical stages of the care process. It is positioned as a MDT decision support tool that integrates the basic Electronic Patient Record with clinical and management activity. |
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| 4. |
How does eMDT manage information relating to Cancer Waiting Times?
eMDT has been configured to collect and manage information relating to Cancer Waiting Times using team-wide electronic forms and pages to capture the data required to produce reports. eMDT has been configured to help monitor key indicators and other pathway activity that has been identified by the Trusts. The activity is aimed at monitoring events in the Care Pathway identified as adversely affecting the Waiting Times being measured. |
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Acquiring and installing eMDT
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| 1. |
What is the basic hardware specification that is needed for eMDT?
Taking the Dell PowerEdge 1950 as a base line for a typical application server, the hardware requirements for a basic configuration for eMDT are:
- Dual Core Intel® Xeon®
- 2GB RAM or better
- 2 x 73GB Hard disk drives (mirrored)
- CD or DVD ROM |
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| 2. |
What is the basic software specification that is needed for eMDT?
eMDT is written to be cross-platform and can therefore be installed in Microsoft or Linux environments. It can also support a variety of databases such as MS SQL Server, MySQL, PostgreSQL, Oracle.
For a Microsoft platform, the following is required:
- Microsoft Windows Server 2000 or later, Standard Edition
- Microsoft SQL Server 2000 or later, Standard Edition
As part of the eMDT installation process, additional software such as Sun Java Runtime Environment 5.0 or later and Apache Tomcat v6 will be installed. |
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| 3. |
How is eMDT introduced to a clinical team?
An example of how eMDT would be introduced to a clinical team would be in the following stages:
- Set up the initial system (users, roles etc).
- Deploy screens for each type of user to allow the team to capture and share data during the care pathway.
- Integrate your data elements with pathway screens.
- Enable Administrative staff to produce letters directly from the data entered by staff along the pathway.
- Set up notifications to inform team members when new information is available.
- Introduce the MDT meeting planner in the patient discussion/evaluation/follow up process. |
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What will the functionality to support Cancer Waiting Times management include?
The functionality to support Cancer Waiting Times management will include:
- The production of Cancer Waiting Times reports across tumour sites managed by eMDT.
- Show what stage patients are at in the pathway.
- Enable users to report delays that occur during different stages of the pathway.
- Use the information entered by the Team to help the Trust monitor and highlight specific events and conditions
and notify staff of potential Cancer Waiting Time breaches.
- Incorporate the newest updated reports from your database.
- Staff will be able to produce reports on a real-time basis, as required. |
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| 5. |
How long does it take to set up eMDT?
eMDT can be setup by clinicians and IT staff within hours. It can be networked to create clinical teams in days and interconnected nationally to create a virtual health network. |
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| 6. |
What is covered in the training for the eMDT module?
Training on this module is designed to get you up and running with the basic functions of the eMDT so that you can login, find and create patients and Care Spells, and view/edit the patients forms. Below is a brief outline of this training.
- Starting the application
- Logging in
- Selecting the eMDT module
- Searching for a patient
- Selecting a patient from the search results
- Viewing the patients details and history
- Selecting a Care Spell
- Creating a Care Spell
- About Care Spells
- Selecting a form from the form group menu
- Viewing or creating a form
- Completing and saving a form
- Selecting and updating form drop down lists
- Login out |
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The eMDT module
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| 1. |
What search features does the Patient Search have and what module is it in?
The Patient Search facility is inside the eMDT module, it is the first screen you see when you select the tab to enter the eMDT module. The Patient Search has the following search features from which you can search by:
- Patient Name
- NHS Number
- Hospital Number
- Date of Birth
- Primary Clinician
- Patient Status
- Search Within - - Allowing you to perform searches within different parameters, such as:
All patients on the system that you have access to.
All patients you am responsible for.
All patients that are selected to be discussed in your next meeting.
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| 2. |
In the Patient Search results, is there any other information displayed other than the patients name?
The Patient Search results screen displays the follow details:
Patients Surname
Patients Forename
NHS Number
Hospital Number
Date of Birth
Primary Clinician
The Primary Clinician is for the patients treatment.
Key Worker
This is displaying who the Key Worker is for the patients treatment. The Key Worker may be anyone who is dealing with or helping out with the patient, in any way.
Status
This determines whether the patient is Active (currently undergoing treatment), Suspended ('On Hold' - not currently undergoing treatment, yet not discharged) or Discharged (no longer undergoing treatment).
Care Spell
The Care Spell defines the type of treatment or disease / cancer group that the patient fits into.
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| 3. |
What is a Care Spell?
A Care Spell defines the type of treatment or disease / cancer group that the patient fits into and is selected before any medical forms are filled in for the patient. The patient may have just 1 or several Care Spells. All Care Spells for the patient are displayed with the patient details when the details are displayed as a search result. |
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| 4. |
What does the Patient Reports section do?
The Patient Reports section takes you to the 'Select Report' screen. eMDT comes set up with Cancer Waiting Times reports from which you can select to run the type of report you want from the listing of reports on this screen. |
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How does the Query Builder work?
On the Query Builder screen, you can view, print, and create queries. The queries are presented in a report type fashion, listing queries that have been selected from fields on forms in form groups. The user creating or running the query selects the form group, the form, and the field of interest from which they wish to run the query of. They then select a condition for that field from a list of conditions, and then enter a value to query against. |
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| 6. |
What does the Patient History screen do?
This screen displays the Care Spells created for the patient, and the medical forms associated with those Care Spells. From this screen you can access the patients medical forms. |
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| 7. |
What does the Patient Demographics screen do?
This screen displays the Patient Demographics form. When you register or create a new patient on the system, the patients details are entered into the Patient Demographics form. This you can access by selecting the 'Create Patient' link on the left side menu. The Patient Demographics form records patient information such as their name, NHS and hospital numbers, address, date of birth and nationality, among other details. It also holds information such as their next of kin details (name, address, contact numbers, etc), and the same for their GP details too. |
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| 8. |
How do the medical forms work and how are they set up and structured in eMDT?
Forms in eMDT are held in Form Groups. A Form Group is a grouping of forms that are for use (usually) for a particular speciality or cancer group. As Form Groups and forms can be created by users, they are not restricted to just specialities and cancer groups, they can be designed, built and used for anything which involves using forms for logging, viewing and managing data and information of a certain type (the type determined by the Form Group they are in).
You can have as many Form Groups as you wish, and as many forms in each Form Group as you wish. When you create new forms and Form Groups, you create the Form Group first then create the forms inside it (this is done in the Form Editor).
Large forms are usually split up into a number of pages. Each page can have information entered into it and saved, therefore the user does not have to fill in the entire form to save the form, they can fill in any amount of the form and save it. Splitting large forms up across more than one page helps to segregate parts of the form for certain areas of interest, and also stops the users from having to scroll down the form too much to get to the area of the form they want - making the form easier to manage and use. There is no limit to the amount of pages allowed in a form. In each page there are Sections, sectioning off all fields on the page that are related to the same topic (in the same way that Pages segregate parts of the form). Fields are the white boxes where the user types in the information to populate the form. The Sections give you the option to break up areas of the form even further by sectioning off areas of the page.
A breakdown of the structure and set up of the forms in eMDT is as follows:
Domain - This is the area where the Form Groups are held.
Form Groups - Groups of forms, grouping together all forms that are related, for example: Specialties and cancer types.
Forms - The forms themselves. Forms can be made up of just 1 page or split up into many pages.
Pages - The pages of a form. Pages contain sections. They can contain just 1 section or many sections.
Section - Sections that are on a page of the form. A section contains fields. Sections group together fields relating to similar subjects.
Fields - The white input boxes that the user types information into. Fields are also drop down lists and tick boxes.
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| 9. |
What does the Patients Files option on the left side menu do?
The Patient Files link lets you access all files that have been stored for the patient on your local network. These files can be anything from scanned images such as letters and documents, etc or medical scans such as MRI, CAT scans etc, to the documents themselves - letters, forms and results documents, reports, etc. Any documentation to do with the patient can be stored and accessed here. The files can be in any format, ie: documents, spreadsheets, PDF files, various image files, and other fie types. |
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| 10. |
How are the Patient Summaries produced?
Patient summaries can be produced from information and data that is saved in the patients medical forms. The user can select which form/s they wish to use to extract the information from for the summary, they can also select which fields within the form they wish to use in the summary. When you create a patient summary you are not restricted to a single form, you can select any number of forms, and the fields in those forms, to be used to extract data from. |
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What does the Patient Summary show you?
The patient summary displays the selected fields from the patients form, along with the field values (the information that has been entered into the field box on the form and saved). The summary screen is laid out to show which form the summary details are being taken from, the Sections in the form (the title of any Section that a field selected for summary use is in), and the Fields with their values, from within the Section. |
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What are the Patient Letters made up of and what format are they in?
eMDT automates certain aspects of communications between doctors, hospitals and patients with its letters facility. Information and data that has been entered into forms is automatically extracted from the forms and put into letter templates to produce letters. These letters are produced in the 3 different most commonly used formats:
- HTML (Web page format)
- RTF (Rich Text Format, a document file like .doc)
- PDF (Portable Data File)
The letters produced in the 3 different formats are identical to each other in content. The data that is extracted from the fields of the forms does not have to come from a single form. A single letter can be made up of information that has come from many forms, as all the information that is needed for a certain letter may not all be on 1 form.
The information for certain parts of the letter is extracted from the patient details - Patient Demographics. This would be information such as the patients name, age, NHS number, hospital number, GP name, etc. The information that is used for the 'body' of the letter (ie: the description of symptoms, treatment, tests, results, findings, etc) is extracted from the medical forms which contain this information. |
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| 13. |
How does the forms search work and what does it show you?
The Search in eMDT allows the user to search through all the medical forms that have been saved for a patient, for the data that is of interest to them. It is a simple text input box and a submit (search) button.
The search displays results of only the fields that have had data entered into them and saved on the system however, it is not the data that has been entered into the field (the field value) that the search works on, it is the Field Label itself. When the user types a word/s into the search box and submits a search, the word that the user has typed in is search on for its presence in the field label, not the field value. The search does however need a value in the field for it to be able to pick up on as a result.
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| 14. |
How many and what type of Cancer Waiting Times reports are there in the eMDT module?
eMDT currently has 6 different Cancer Waiting Times reports. These are:
- Urgent GP Referral to Date First Seen - Two Week Standard
- Urgent GP Referral to First Definitive Treatment
- GP Referral To First Definitive Treatment Date Not Entered
- GP Referral Cancer Status Breakdown
- Urgent GP Referral To Date First Seen Not Entered - Two Week Standard
- GP Referral To First Definitive Treatment Date Not Entered |
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| 15. |
How are the lists in the medical forms created and edited?
To create and edit lists in forms you need to have permissions to do so set up in your user profile. If you have these permissions, you will see the 'Edit List' icon to the right of all drop down lists on all forms that have drop down lists. Select the 'Edit List' icon to bring up the edit list box. In this box there are 2 columns, a Key column and a Value column.
The Key
The Key column contains the 'keys' (text / name) that the user wishes to give to their list items. Key's are what the system uses 'behind the scenes' to manage information and data, they are not what is displayed in the drop down list. They can be different to the words in the Value column, or the same if you wish. The user types the Key words into the text input box in the Key column. Once the Key's have been entered and saved, it is probably best to leave them and not change them at a later date, as the system uses these Key's for a number of functions. This is not the case with the Value words.
The Value
The Value column contains the text / name that is shown in the drop down list. You can enter what you wish for the Value, and change this text / name at a latter date if you wish to do so.
By adding Keys and Values you are adding list items onto your list. You can add as many list items to your list as you like, making your list as long as you like. You can also delete list items, and move them up and down the list to put them into the order you want them to show up in the list. |
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FAQ