| As of June 27, 2007 | ORCA(1) | MINDscape(2) | CIS(3) | Paper | |
| UWMC/SCCAClinical
Data |
Includes Inpatient/Outpatient |
Includes Inpatient/Outpatient |
Inpatient | Includes Inpatient/Outpatient |
Where to look first for current data |
| Note: For UWMedicine Neighborhood Clinics, Family Medicine Clinic, Eastside Specialties Clinic, Alderwood Cardiology Clinic and Hall Health Clinic, see the | |||||
| "EpicWeb" Medical Record system, accessible from the MINDscape header link labeled "EpicWeb". | |||||
| Advance Directive | | | Paper (questions for AD in CIS) | ||
| Alerts--ClinicalAlerts/CROSReminders | | MINDscape | |||
| Alerts--Caution Alerts | | | | ORCA or MINDscape | |
| Allergies (Medications, Food, other) | | | ORCA or MINDscape | ||
| Anatomic Pathology Results | | | | MINDscape | |
| Anesthesia Record | (scanned 5NE) | | Paper | ||
| Cardiac Catheterization Reports | (6) | | | MINDscape | |
| CareMaps:Reference | (scanned 5NE) | (limited) |
| Paper or CIS | |
| Clinic Appointment/Schedules(view only) | | | MINDscape or ORCA | ||
| Clinic Notes | | dictated, Flexnotes (4) |
| ORCA | |
| Consent for Care | | Paper | |||
| Consult Requests | | | ORCA or Paper | ||
| Consult Notes | | dictated, Flexnotes (4) |
| ORCA or Paper | |
| Correspondence | | | | ORCA or Paper Paper |
|
| Discharge Instructions-ED | | ||||
| Discharge Report, Interdisciplinary | | | Paper or CIS | ||
| Discharge Summary | | | | ORCA or MINDscape | |
| Echocardiogram Reports | (6) | | | MINDscape | |
| EEG Report | | | MINDscape | ||
| EKG Rhythm and report | | | | MINDscape | |
| EMG Report | | | MINDscape | ||
| GI Endoscopy | (SCCA) |
(SCCA) |
MINDscape or ORCA | ||
| Graphical display of physiological data | | | ORCA or CIS | ||
| Hematopathology | | | | MINDscape | |
| History and Physical-inpatient | | | Paper | ||
| History and Physical-SCCA and Psych inpatient | | | | ORCA or MINDscape | |
| Immunizations | | | | | ORCA, MINDscape or Paper |
| Initial Physician Assessment-outpatient | | if dictated | | ORCA or Paper | |
| IV Drip:ambulatory | | | ORCA or Paper | ||
| IV Drips:inpatient | | | | ORCA, CIS or Paper | |
| Lab Results (chem, heme, micro) | | | | MINDscape or ORCA | |
| Labs, Graphical Display | | | ORCA | ||
| Lab, Vascular Access | | | (SCCA infusion) |
MINDscape or ORCA | |
| Medication Administration Record | | Paper | |||
| Medication List | | | (also MDS) |
ORCA, MINDscape or Paper | |
| Nursing Documentation - Patient History, Assessment, I/0, Treatments; Outcomes; Pain Management, Note, Plan of Care, weight , etc | | | CIS or Paper | ||
| Nursing Documentation - Medical Oncology notes & Transition Services | (SCCA) |
(SCCA) |
ORCA or MINDscape | ||
| Nursing Documentation - Transplant, Infusion | | (SCCA) |
ORCA or Paper | ||
| Nutrition Documentation | outpt | (SCCA) |
| | ORCA,CIS,MINDscape or Pape |
| Nutrition Documentation | (SCCA) |
(SCCA) |
ORCA or MINDscape | ||
| Operative Report--dictated | | | ORCA | ||
| Orders | | Paper | |||
| External Medical Records | | Paper | |||
| Pathology | | | MINDscape or ORCA | ||
| Patient Education-including HealthLinks | | | | MINDscape, CIS, or Paper | |
| Patient Problem List | | | | MINDscape, CIS, or Paper | |
| Patient Summary List | | MINDscape | |||
| Perinatal Information | | | MINDscape or Paper | ||
| Physical/Occupational Therapy notes | outpt | | | CIS or Paper | |
| Procedure List | (scanned 5NE) | | MINDscape | ||
| Procedure Reports | | | | ORCA or Paper | |
| Progress notes, inpatient: varies by team member; service, and care area | | Flexnote (4) | | | ORCA , CIS or Paper |
| Pulmonary Function Tests | | | | MINDscape, ORCA or Paper | |
| Radiology reports | | | ORCA | ||
| Final CT, MR, standard radiography | | | | ORCA | |
| Preliminary CT, MR, standard radiography | | | | ORCA | |
| Preliminary invasive radiology | | Paper | |||
| Preliminary vascular studies | | Paper | |||
| Radiology Images | | | MINDscape | ||
| Respiratory Care notes/documentation | outpt | | | CIS or Paper | |
| Signout information | or CORES (5) | CORES or Paper | |||
| Social work notes/documentation | outpt | | | CIS, Paper or ORCA | |
| Surgery Schedule | | | MINDscape | ||
| Transcription | | | ORCA or MINDscape | ||
| Vital signs | | | | CIS or Paper | |
| (1) Online Record of Clinical Activity- inbox, pt lists, clinical results, | |||||
| (2) Web-based patient health system | |||||
| (3) Clinical Information System - documentation by most inpatient di | |||||
| (4) Flexnotes- Documents entered into and viewable ONLY in MIND | |||||
| (5) CORES- system supporting resident workflows | |||||
| (6) Starting mid-May 2006 | |||||