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 Paper
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, clinical documents, inpatient and clinic administred medications          
(2) Web-based  patient health system          
(3) Clinical Information System - documentation by most inpatient disciplines; units not using CIS are Psychiatry, MIC, NICU          
(4) Flexnotes- Documents entered into and viewable ONLY in MINDscape          
(5) CORES- system supporting resident workflows          
(6) Starting mid-May 2006