[optimal] Re: From Denice Heidelberg Issue
- From: "Stratton, Rick" <RSStratton@xxxxxxxxxxxxx>
- To: "'optimal@xxxxxxxxxxxxx'" <optimal@xxxxxxxxxxxxx>
- Date: Mon, 1 Jul 2013 15:12:06 -0400
"it is possible to DELETE AN ENTIRE DATABASE ENTRY"
It is and it's actually scary how easy it is. :( [equally you can create two
patients with the same MRN!]
What also concerns me [unless I'm mistaken] is no accessible log file to
validate if this was done [or who might have done the deleting]. I have nothing
that can open the USERLOG file but judging from how small it is I don't think
it's going to provide much anyway. Hopefully I'm wrong about this.
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Ethan Priel
Sent: Monday, July 01, 2013 2:56 PM
To: optimal@xxxxxxxxxxxxx
Cc: 'Orndorff, Karina'
Subject: [optimal] Re: From Denice Heidelberg Issue
Hi Denice, thanks for the twister...
- did she have more than 5 exams ? ( once you mention 'multiple' and once '5')
- it is possible to DELETE AN ENTIRE DATABASE ENTRY. Don't ask me how, not
telling.
- if it were my case: check out the last date of her exam, go over all other
HeyEx entries, and verify that they are 'bona fide' - meaning check to see that
none of them are actually of your missing patient - and that somehow they got
edited and changed.
- if they are all legit, try creating a New Patient entry with her correct data
and see if the HeyEx 'allows' you to create it without a prompt telling you
that there is already a patient by that name etc. etc.
- if all the above fails, contact Heidelberg Engineering.... And let us know
what you found out !
Ethan
Ps: how do you search by 'birthdate' ?
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of CPMC Ophthalmic Diagnostic Center
Sent: 01 July, 2013 19:18
To: 'optimal@xxxxxxxxxxxxx'
Cc: Orndorff, Karina
Subject: [optimal] From Denice Heidelberg Issue
Here's a puzzler for the day:
* I have a patient who has had multiple Spectralis studies going back
to 2010
* Our Heidelberg is backed up to a server nightly.
* She comes back last week, NO RECORD of her previous 5 exams. Not by
searching name, date of service, date of birth, personal identifier
* It's as if she never existed
* And yet, if I go back to our Willow DBS PACS, I can see the
Spectralis print outs we imported into this system, and the name, birthdate,
etc etc are all embedded in the Spectralis printout proving to me that a) not
crazy, we did see her b) we had the name spelled correctly
* How could so many different exams just disappear and is there another
way to search the database, independent of getting my server team to search the
backup ( not on the external Heidelberg drives, but rather my server) files to
find her?
* I could see an isolated exam date going missing, or even a repeat,
but 5 different exams, different dates and they are ALL gone? If the system
had hiccupped during backup, I don't see how consistently all of the records on
one patient would just go missing in a vacuum...
Denice
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
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