The information herein is available without warranty.
Use any or all at your own risk.
-----------------------------------------------------------------------
TwinNet Aborts/Can't Run
Symptoms
A. Cannot Sign On
Staff File probably is "missing".
It must be restored. Refer to Staff File Missing.
B. EOD Run was started but did not end normally
Possibly had a power failure, computer failure, file, or program failure.
C. TwinNet Aborts
================================================================================
MICROSOFT WINDOWS POP-UP PROGRAM SUPPORT �
================================================================================
Your pop-up program is ready to run. When you have finished using �
it, press Ctrl+C to close this window and return to Windows. �
================================================================================
Do as the POP_UP window indicates.
Press Ctrl+C to close this window and return to Windows.
*** Need DOS version also
------------------------------------------------------------------------------
Memory Management Problems
Generally if you have 420K of the 1MB "conventional RAM" as the
Largest Executable Program Size available TwinNet should run OK.
You should heed any "Low Memory" warning, even though TwinNet at the
moment is running OK.
You should run the following analytical programs from within TwinNet:
From within TwinNet, you can audit RAM & Disk resources via System Control,
Utility & Annual Purge.
A= Audit Disk & RAM Utilization (follow instructions on screen)
From the DOS prompt via the System Control module.
Type MEM/C/P [enter] To display results on the screen
Type MEM/C/P > LPT1 [enter] To print results on paper
Either way you will get a result something like this:
Modules using memory below 1 MB:
Name Total Conventional Upper Memory
-------- ---------------- ---------------- ----------------
MSDOS 43,904 (43K) 43,904 (43K) 0 (0K)
HIMEM 1,168 (1K) 1,168 (1K) 0 (0K)
EMM386 9,840 (10K) 9,840 (10K) 0 (0K)
POWER 4,512 (4K) 4,512 (4K) 0 (0K)
IFSHLP 2,864 (3K) 2,864 (3K) 0 (0K)
SETVER 832 (1K) 832 (1K) 0 (0K)
WIN 3,616 (4K) 3,616 (4K) 0 (0K)
DOSKEY 4,688 (5K) 4,688 (5K) 0 (0K)
vmm32 18,752 (18K) 18,752 (18K) 0 (0K)
COMMAND 8,656 (8K) 8,656 (8K) 0 (0K)
BTRIEVE 52,896 (52K) 52,896 (52K) 0 (0K)
KF 912 (1K) 912 (1K) 0 (0K)
MGSWAP 2,304 (2K) 2,304 (2K) 0 (0K)
mgmain 49,920 (49K) 49,920 (49K) 0 (0K)
COMMAND 8,384 (8K) 8,384 (8K) 0 (0K)
COMMAND 8,368 (8K) 8,368 (8K) 0 (0K)
Free 433,568 (423K) 433,568 (423K) 0 (0K)
Memory Summary:
Press any key to continue . . .
Type of Memory Total Used Free
---------------- ----------- ----------- -----------
Conventional 655,360 221,792 433,568
Upper 0 0 0
Reserved 393,216 393,216 0
Extended (XMS) 11,534,336 258,048 11,276,288
---------------- ----------- ----------- -----------
Total memory 12,582,912 873,056 11,709,856
Total under 1 MB 655,360 221,792 433,568
Total Expanded (EMS) 11,993,088 (11M)
Free Expanded (EMS) 11,927,552 (11M)
Largest executable program size 433,536 (423K)
Largest free upper memory block 0 (0K)
MS-DOS is resident in the high memory area.
---------------------------------------------------------------------------
Memory "Hogs"
You may have other programs active (TSR's, for example) that are
"memory hogs" that occupy memory required to run TwinNet.
Drvspace & Dblspace & Novell in particular take a lot of memory.
You should remove SmartDrive (not needed) from config.sys or autoexec.bat
Clearing the WIN95 ClipBoard may be very helpful,
Simply copy a single character into the ClipBoard from any WIN95 or WIN98
application to clear the ClipBoard and free up RAM.
---------------------------------------------------------------------------
MemMaker
Running MS-DOS MemMaker may be helpful. Run only if it seems necessary.
MemMaker will automatically alter the CONFIG.SYS and AUTOEXEC.BAT files
to control the load/install of applicable programs as much as possible
into memory higher than "conventional memory". In particular DOS will
be loaded mostly in upper memory.
---------------------------------------------------------------------------
CONFIG.SYS
You may not find a CONFIG.SYS file in the root directory of your computer
if you are running under WIN 95 or 98. This file normally is not needed
and is not installed by most windows setups.
---------------------------------------------------------------------------
Additional References
Any facility running WIN95 that is experiencing problems with insufficient
memory should purchase a copy of "Windows 95 Secrets" (Brian Livingston
& Davis Straub). Chapter 18 addresses this subject in detail.
Similar books are available for Windows 98.
Back to Contents
-----------------------------------------------------------------------
Staff File Missing
Sign on not working
If you cannot sign on to any TwinNet program, the Staff File has been lost
or damaged.
Go to TwinNet System Control Exit to DOS.
At "C\XR>" prompt type "STAFF" to restore manually.
If this problem happened during the EOD run (example, power failure)
verify that paperwork for yesterday was complete, and other files are OK.
If this does not recover a valid Staff File,
use your RESCUE DISK. Refer to Rescue Disk.
If the RESCUE DISK is not available or usable,
use one of the EOD ZIP files. Refer to EOD ZIP files.
Back to Contents
-----------------------------------------------------------------------
Rescue Disk
Static (permanent) Files are backed up onto the RESCUE disk.
With this disk you can restore a lost or corrupted
permanent file to the server.
Early in your installation process, and at convenient subsequent intervals
you should create a current RESCUE DISK as follows:
-----------------------------------------------------------------------
RESCUE INI
It is recommended that you use this program to create a unique rescue disk
for your PC. To proceed insert a blank virus free diskette:
Type RESCUE INI [enter]
Label each RESCUE disk with date. Store in a safe but convenient place.
The following illustrates the primary use:
Restore a lost or corrupted "permanent" file.
This assumes that you have already tried to restore a current file copy
using the BackUp/Restore, Option "R" to attempt a normal restoration of
the desired file.
-----------------------------------------------------------------------
RESCUE nn
Load the RESCUE disk.
Type RESCUE nn [enter] where nn is any one of:
07 Staff SignOn File 24 License Options
12 Customizer 26 License
16 System Control 38 Reports List
23 Standard Dictionary 39 Files List
-----------------------------------------------------------------------
Update Restored File (if applicable)
Refer to RESTORE.TXT using your MS-DOS program and applicable file.
EDIT \XR\restore.txt
Back to Contents
-----------------------------------------------------------------------
EOD ZIP Files
Every time the EOD program is started on your server,
PKZIP files are made from which an EOD RERUN can be run if necessary.
These files also provide for additional data safeguards.
Allowing you to restore any one, several, or all files in an emergency.
This set is "bumped" each time EOD is started. The files created are:
E:\xr\db\FROZEN.EOD This set of files is bumped each EOD started
E:\xr\db\FROZEN.EO1
E:\xr\db\FROZEN.EO2
E:\xr\XRFILES.ZIP This set of files is bumped each EOD finished
E:\xr\XRFILES.ZI1
E:\xr\XRFILES.ZI2
E:\xr\XRFILES.ZI3
E:\xr\XRFILES.ZI4
E:\xr\XRFILES.ZI5
E:\xr\XRFILES.ZI6
E:\xr\XRFILES.ZI7
E:\xr\db\C-FILES.1 This set of files is bumped each EOM finished
E:\xr\db\C-FILES.2
E:\xr\db\C-FILES.3
E:\xr\db\C-FILES.4
------------------------------------------------------------------
Note: MAC & TMH both reside on a single File Server.
MAC is installed in the standard way.
TMH has an additional directory built into the files pathway:
E:\tm\xr\.......files.
------------------------------------------------------------------
In order to access these files you should first use the
TwinNet EXIT to DOS:
Once in DOS you can RESTORE any or all files using the PKZIP program.
The following illustrates "restoring" the Staff File (xrfil007.dat):
The following illustrates "restoring" one or more files, where
you respond with "Y" to restore or "N" to bypass:
If the file you needed did not restore from the db\frozen.eod ZIP file
you can successively try any of the others.
Back to Contents
-----------------------------------------------------------------------
End of Day Failure
EOD Failure
If the EOD does not run to a successful completion, before attempting the
EOD (abnormal) ReRun
... you must "rule out" a damaged, missing, or corrupted file.
If you proceed with a ReRun without correcting an existing file problem
you will most certainly repeat the EOD Failure.
Refer to Correcting Abnormal Files.
If you conclude that the cause was not a file condition, and you are
satisfied that it was just a power failure or other failure you can
access the Daily Reporting Menu and select:
EOD (abnormal) ReRun
This will replace the active files with those that had been Backed Up in the
\DB\FROZEN.EOD (zip) format in preparation for running the EOD again.
While EOD failures should be extremely rare, a common correlated problem
is that the Staff File is not restored at the end of the EOD process.
If you cannot "sign on" to ReRun the EOD,
refer also to Staff File Missing.
Back to Contents
-----------------------------------------------------------------------
Correcting AbNormal Files
Question,
How do you know a file is not functioning correctly ?
Answer,
It requires analysis to verify what file is malfunctioning,
and then great care in your effort to correct the file problem.
1. You have attempted to "sign on" but cannot.
2. Your attempt to "run" any TwinNet process fails.
3. TwinNet "aborts".
Refer also to TUTORIAL SUBJECTS :
1=TwinNet "Aborted"
2=File Damaged or Lost
============================================================================
Open File Possibilities
Windows
Whenever a Windows system encounters a severe problem, it is possible that
a file in use was not closed properly, thus the file remains "open" and is
not usable until the condition is corrected.
If this condition is suspected do as follows:
1. Try to exit TwinNet with Ctrl&F9 & Ctrl&C or
put TwinNet onto a Main Menu and exit with Alt&F4.
2. Re-select the TwinNet ICON and try to process normally.
3. If the condition was not corrected, repeat step #1 and
SHUT DOWN Windows.
Turn power off. Wait 3 seconds. Turn power on.
4. Re-select the TwinNet ICON and try to process normally.
This will normally correct an "open" file condition.
If not, proceed to the "damaged" file process
MS-DOS
1. Try to exit TwinNet with Ctrl&F9 or put TwinNet onto a Main
Menu. If the affected WS id the MU File Server (RX) do the same with
ALL other WS.
2. Turn power off. Wait 3 seconds. Turn power on.
============================================================================
Options for Correcting an Abnormal File
1. Attempt to FIX it.
Magic PC has a built in "reorganize" feature.
2. Replace it with a prior "good" file.
You have several prior versions of most TwinNet DataBase Files
3. Delete it.
This is a last resort, acceptable only for some files.
============================================================================
TwinNet has diagnostic tools to help determine which file,
if any, is the problem file.
File Audit
If you suspect that any file is not functioning correctly, you can audit
the DataBase files via System Control,BackUp/Restore/Repair,
Option="Q" (all) Can print Audit Report or display on screen.
Option="L" (specific file) Will display on screen.
First determine which file is damaged or corrupted.
Proceed via the System Control Module to Restore/Recover/Repair
Select option "Q" test DataBase Quality.
Print (don't view on CRT) in order to "catch" the identity of the bad file.
Example, if the printout stops at file #003 you would normally conclude that
the next file #004 is the bad one.
Alternatively you can use option "L" to look at files "one at a time".
REORGANIZE OPTION
Proceed as indicated if:
File has been damaged or corrupted.
File index does not allow access to all records
(file index key not linked)
Reorganize File
Before you RESTORE any file, you should first try to FIX it with the
applicable file reorganize program.
Refer to "Utility Programs"
for background information and "how to" instructions.
If ReOrganize fails to remedy the abnormal file condition then proceed
as follows to restore the file(s) from a backup copy.
Keep in mind that in addition to the file backups that TwinNet automatically
creates during each EOD there are other backups that are under your control.
Generally the backup file from the last EOD is the best one from which to
restore.
RESTORE OPTION
You can restore a DataBase file via System Control,BackUp/Restore/Repair,
F= Restore any Data Base File
Normally you should try first to restore from OWN disk (last EOD file)
D= Restore from OWN disk
HILITE the file wanted, and select.
If that file is not usable, try next to restore from the Back Up diskettes.
The file normally will be retrieved from the backup file, after which
the RESTORE.TXT file will display. We recommend that you print this file so
you can use it as guidance in the probable need to update the file you
selected for RESTORING. You can also view with EDIT RESTORE.TXT.
For your convenience it's contents follow:
If you have restored a file it may be necessary to "update" that file with
records or additional information. Before proceeding VIEW the affected file
by accessing it as follows:
Via System Control Module,BackUp/Restore/Repair,BackUp/Restore,Option=L
This will display the file so you can see what items might be missing.
When done repeat this display to verify that the changes were made correctly.
Use the following as a guide for updating the applicable file(s):
Refer also to RESTORE.TXT
EDIT \XR\restore.txt
002 Film Index Demographic
All new index records that had been added since the file that was used for
restoring will need to be added. This can be done most rapidly using the
System Control Module,Master Files,Maintain Master Files,Option=F
Type in the "missing" demographic records.
003 Film Index Visits
All visit records that had been added since the file that was used for
restoring will need to be added. This can be done most rapidly using the
System Control Module,BackUp/Restore/Repair,BackUp/Restore,Option=E
You may also need to add information for DOB(century), Medical Alerts,
Medical Record number, etc. These information items are best added via
Patient Processing Module,Process Patient,Change Film Index
016 System Control Record
Normally only a couple of items in this record need to be updated.
Item 1 - the "next" new Film Index number to be assigned can be updated
via System Control Module,Client Customizing,Option=O
Select Film Index Options. Reset the next consecutive number. Hit F9
Item 2 - the "Temporary Film Index" is needed if scheduling is implemented.
Update this via System Control Module,Client Customizing,Option=O
Select Scheduling Options. Reset the next consecutive number. Hit F9
Item 3 - the "Last EOD Date" may need to be updated.
Update via Patient Processing,Daily Reporting,Utility MENU,Option=E
Change EOD Date (Y) but NOT Printer (N).
This date is typically the day before yesterday.
Any changes beyond these are equivalent to reinstalling all of your options.
This is highly unlikely if you have restored from a current backup.
020 Transcription X-REF File
All new X-REF records that had been added since the file that was used for
restoring will need to be recreated. This can be done by re-registering the
patients and creating a new Flash Card set with a new X-REF number for each.
Normally you will not want to LOG exams, since that would normally result in
many duplications.
025 CheckOut - Films
All new Film Checkout records that had been added since the file that was
used for restoring will need to be recreated. This can be done by locating
the file copy of the Check Out transmittal and reprocessing the information.
010 FU Patient Address & Phone
All new FU Patient Contact records that had been added since the file that
was used for restoring will need to be recreated.
Access via Follow Up module,Mammography,Option=C
Normally you will not find a matching "Contact Record" on file, and will
need to select the N=Access Film Index in order to create the record.
After creating the record, you will normally select
Option=N No new Episode Record wanted.
035 FU-Episode Record
All new FU Episode records that had been added since the file that was used
for restoring will need to be recreated.
Access via Follow Up module,Mammography,Option=C
Normally you should find a matching "Contact Record" on file, and will
select the P=Proceed with this record. Since the Contact Record probably
needs no changes, hit F9 to bypass. Next you will normally select
Option=P Proceed with this record. Then assign classification and fill in
the remainder of the Episode Record wanted.
Use the HELP F1 key.
If all of the above fails you may have to recreate the file.
REPAIR OPTION
Two files have yet another level of recovery that may be usable:
In some cases you can repair via System Control,BackUp/Restore/Repair,
D= Repair damaged Demographic File
V= Repair damaged Visits File
OTHER OPTIONS
Other options for restoring a damaged file:
Dynamic Files
...... (those that are updated as TwinNet Transactions are processed)
When EOD is started a BackUp set is made from which an EOD RERUN can be run
if necessary.
Refer to EOD ZIP FILES
Static Files
These are backed up on the RESCUE disk. Restore a lost or corrupted
permanent file to the server. This assumes that you have already tried
to restore a current file copy using the BackUp/Restore/Repair,
Option "R" to attempt a normal restoration of the desired file.
Refer to RESCUE DISK.
SPECIAL OPTIONS
Transcription won't run
Acronym File - Bad
The Transcription Acronym File as an example if not correctly set up will
prevent Transcription report typing from functioning. It can normally be
corrected via Results Reporting,Transcription Department,==UTILITY Programs,
Option="A". Most clients do not use this file. You can delete it if you do
not succeed with correcting it. Delete \xr\xrfilacr.dat.
Back to Contents
-----------------------------------------------------------------------
TwinNet Program Menus
TwinNet Program MENUS
The following describes the general sequence of access to the many
programs within the TwinNet System.
The first MENU is the System Menu.
This separates the TwinNet RIS into four major modules,
or Sub-Systems.
For most routine work you will select the "Patient Processing " option.
This brings you to the following Sub-System MENU.
The following details the many options within Patient Processing:
PATIENT PROCESSING
Process Patient
Log Exams
Regis & Exams Maintain
L= List Patients for Record Changes etc
V= View exams logged today
D= Delete an exam erroneously logged as done today
R= Reprint Patient Form
Utility
S= Synchronize Server Files onto Twin
D= Create Billing Diskette
I= Create Interface Diskette for Custom Trans
W= WorkStations Status Display
E= EOD Printer/Date Change
V= EOD View Last Step Completed
L= BackUp Server Logged Exams to own Hard
Disk
C= BackUp Server Data Base to own Hard Disk
T= BackUp Server Transcribed Reports to Twin
F= Clear WorkStation Sign On File
A= Duplicate Film Number Audit
When you are ready for running the End of Day program to produce the
daily reports, you will select the "Daily Reporting" option.
This brings you to the following Sub-System MENU.
The following briefly describes the remaining Program Menus:
MAMMOGRAPHY
F= Maintain Exam Finder File
C= Patient Contact File & Record Episode FU Detail
E= Result Letters for current Episode
M= Maintain the Case/Episode Classification
A= Print Audit List
P= Align Printer & Print Sample Letter
L= Reminder Letters to Patients and/or list to Doctors
S= Edit/Create Standard Letter Text
Q= Ad Hoc QC Reports
U= Update existing episode records
D= Delete obsoleted episode records
R= Restore deleted episode records
T= Tutorial
SCHEDULING
T= Tutorial
C= Print Scheduled Exams Combined
P= Print Scheduled Exams by Section
A= Print Ad Hoc QC Reports
U= Update current day's Schedule WorkList
D= Delete old records
R= Restore Files deleted incorrectly
FILM TRACKING
T= Tutorial
C= Check In & Out Films
V= View Films currently checked out/renew loan
D= Delinquent Films List
TRANSCRIPTION/RESULTS REPORTING
Type Result Reports
Print Result Reports
View\Print\Fax Result Reports
UTILITY Programs
S= Change Result Status, allow for RePrinting, etc
T= Transfer Archive Result to ASCII w/HOLD status
E= List Transcription Records with Exception Status
D= Delete unwanted Transcription Records
Z= Archive Missed Date's Result Reports
Y= Purge Archived ZIP Files after specified Year
N= Maintain NORMAL Reports
F= Maintain Report Format Prompts
A= Maintain Acronym List
R= Assign a specific Resources to this WS
MASTER FILES
Maintain Master Files
S= Staff (SignOn) File
E= Exam File
D= Doctor File
H= Hospital Service File
F= Film Index (Initial File SetUp)
A= Annual Exam Price Change
T= Tutorial
View Master Files
E= Exam Master File
D= Doctor Master File
S= Staff Master File
L= System Log
Print Master Files
E= Exam Master File
D= Doctor Master File
S= Staff Master File
SYSTEM CONTROL
Tool Box
Tool Box UTILITY
D= Date & Time Changes
S= Reset Statistics
A= Audit Disk & RAM Utilization
------------ MultiUser Option --------------------
W= WorkStation File - Assign Locations
Emergency Programs
Activate EMERGENCY SERVER
CLIENT CUSTOMIZING
T= Tutorial
O= Select Customizing Options
Specify Field Sizes
Film Index Options
Locator Methods
Exam Logging
Registration Record Purge
CPT Code
Transcription
Follow Up
Workload
Film Tracking
Scheduling
Billing
Flash card & Form
Primary printers
Printing Style
Exam Labels for Jackets
End of Day Options
Data Base Protection
WorkStation Authorization
Special Client Custom Set Up
E= End of Day Reports to Exclude
C= Print Current Setups
------- Advanced MultiUser & Custom Options --------
F= Flash Cards to Exclude specified sections
P= Printer Driver
H= HL7 Driver
G= ADT Generic Interface
M= Maintain WS File
Reorganize Files
======= PROX Monthly =========
ReOrganize Index Demographic
ReOrganize Registrations
ReOrganize Transcr XREF File
ReOrganize Any Other File
ReOrganize DISK
Purge Files ANNUAL
====ANNUAL FILM INDEX PURGE===
STEP A Identify Purge Records
STEP B Audit/Review/Print
STEP C Purge FILM/VISITS
STEP D ReOrg VISIT File
BackUp/Restore/Repair Files
BackUp/Restore
Q= Review Quality of Data Base Records
L= Look at last records on own disk
R= Restore Selected File to SERVER
E= Recreate VISIT records from logged exams
D= Repair damaged Demographic File
V= Repair damaged Visits File
B= Instructions for doing a BackUp
Exit to DOS
Tutorial - Complete MENU
I Introduction
P Patient Processing
N New Film Index
C Change Film Index
L Log Exams
E End of Day Reporting
R RePrint & Prel Reports
A Monthly & Annual
F Master Files
O Client Options
T Transcription
M Mammography
S Scheduling
J Film Checkout/In
V Change Time/Date
W Audit RAM/Disk Usage
G ADT Generic Interface
U MultiUser Planning
Emergency Procedures
0 TwinNet "Aborted"
1 File Damaged or Lost
2 Computer Failure
3 Printer Failure
4 End of Day Failure
5 Power Failure
6 Network Failure
7 Software Support
Back to Contents
-----------------------------------------------------------------------
TwinNet Files Described
TwinNet Files include permanent and temporary DataBase Files and ASCII Files.
In Windows Networks the TwinNet sees its own files only as being in the
"C:" drive.
There are also temporary work files and control files. Examples:
\XR\db\orders.dat Orders/not logged [More ?]
\XR\db\xrfil004.own Registration record
\XR\xrfil022.dat WBRMC Custom SORT for Form F
These are only transient "one time use" files and if any of these temporary files ever become
corrupted, use DEL command to remove them.
Example DEL \XR\db\orders.dat
DEL \XR\xrfil022.dat
DataBase Files
These are files that are semi-permanent or permanent. Many are updated
daily as transactions are processed. Normally you will not want to delete
any one of these.
The current version of each of these is retained in \xr\
These are of format XRFILnnn.DAT.
001 Exam Master File 018 Exams MTD Tot/Sect
002 Index/Demo 019 Lock File - Batch
003 Index/Visits 020 Transc Report X-REF
004 Registration 021 Normals X-REF
005 Doctor Master File 023 Standard Dictionary
006 Exams Today 024 License Options
007 Staff Master File 025 FT-Films CheckedOut
008 System Log 026 License
009 FU-Exam Finder File 027 WrkLd/Film MTD T/Sec
010 FU-Address/Phone 034 Schedule Detail Records [More ?]
011 Temporary File 035 FU-Episode Record
012 Customizer 036 FU-MTD Tot/Doctor
013 Custom T/Report HDRS 037 FU-Class MF
014 Index Review (purge) 038 Reports List
015 Hosp Services 039 Files List
016 System Control 040 Trans Orphans
017 WS Activity File 041 FT-CheckOut Notes
ACR - Acronyms
Result Reporting Files
If Flash Card Form #4 is activated a Result Report header record
(ASCII File) is created from each registration. Result Report ASCII
Files are retained in \XT\MMDDnnnn
MMDD is generated from the system date.
nnnn is unique number generated based upon time, where n1
is the last digit of hour, n2 is the last digit of minute, and n3 is the 1st
digit of seconds (00-59).
02250221/XR Waxhaw Memorial Hospital
-------------------------------------------------------------------------------------------------------------------
PATIENT: HILBURT,EVELENE SEX:F DOB: 06/28/33 ADMIT#: 2271230
-------------------------------------------------------------------------------------------------------------------
ATTEND DR: KASHMEYER,ALBERT DATE: 02/25/97 MR#:073556567
ORDER DR: JOHNSON,SAMUAL FILM #: 83788 ROOM: 123
-------------------------------------------------------------------------------------------------------------------
symptoms of multiple sclerosis abnormal bone scan 2-20-97 weight loss
+ MRI HEAD MRI WITH CONT
Back to Contents
-----------------------------------------------------------------------
Maintain Master Files
Please refer to "Program Menus" to find the following options
via System Control & Data Base Files:
T= Tutorial
It will describe how to set up and maintain the following files that are
specific to your facility. Initially use the F1 Help Key frequently.
Use F9 to exit from Help.
S= Staff (Sign On) File
You will need an entry in this file for each person that is authorized to
access the TwinNet System. Each should be assigned a security level.
Your existing file will display in a window "View Existing File" with
the HILITE on the first record. Hit F9 to select the HILITED record which
will display as a sample in the upper half of the screen.
Create a record for new staff members using the displayed sample as a guide.
Provide appropriate levels of security 1-3. Hit F1 key for Help.
Use F9 to exit from Help. Hit F9 when done.
D= Doctor File
You should prepare a Doctor Master File Record for each Doctor that
admits, attends, or orders exams. You should also create a record for each
Radiologist. Radiologists - Insert an asterisk - example (*RADIOLOGY) as
the 1st character in the specialty field.
Sign on with your own Staff ID and PASSWORD (level 3); then hit [enter]
Use F1 Help Key. Use F9 to exit from Help.
The existing file will display.
Move the HILITE to the any existing record.
Hit F9 to select the HILITED record which will display as a sample.
Create a record for new active doctor using the displayed record as a guide.
Hit the [down arrow] key to complete the record.
Do not delete (F3 key) the "/NOT ON FILE" entry. This has special use
in some programs.
Hit F9 when done.
E= Exam File
Multiple "description" entries may be used in the Exam Master File for the
same Exam Number (eg, synonyms). In addition multiple entries for the same
Exam Code can be set up with LEFT & RIGHT (L or R suffixes, eg 123456L).
Exam Master File Records should be assigned to an appropriate SECTION.
SECTIONS may be designated with 2 or 3 alphabetic characters. Do not
use numbers to identify SECTIONS.
Examples are:
DG (Diagnostic)
NM (Nuclear Medicine)
Generally, do not repeat the Section as the first letters of Exam Master
File descriptions (Example Section CT and Description CT Head are redundant)
because the DataBase location methods include searches by Section and
by Description. It is more effective to be able to locate a Head CT Scan
by either CT or Head.
But for Mammograms[More ?], always ensure that "MAM" are the 1st three
letters of the description in order to use of all the Mammography
follow up features and assistance in annual Film Index file purging.
The Exam Code Number is generally the "billing"[More ?] code number.
Assign the standard time that it takes to do the exam.
This is used in particular in the Scheduling[More ?] Module
to allocate an appropriate time between "to follow" exams.
Sign on with your own Staff ID and PASSWORD (level 3); then hit [enter].
Hit F1 key for Help. Use F9 to exit from Help.
Move the HILITE to select a record that closely resembles the one you want to add to the
Exam Master File, then hit F9 to make a CLONE copy.
Notice that this differs from the method used previously.
When "cloning" be certain to view and change or accept each field of
information in the record.
Hit the [down arrow] key to complete the record. Hit F9 when done.
H= Hospital Service File
This file is used to separate Logged Exams[More ?] into IP & OP & ER
categories for statistical reporting purposes.
Generally no Hospital Service Record is required for Inpatients.
Patients registered with a ROOM NUMBER beginning with a numeric digit
are automatically classified as an IP.
Room 123 is typed as 123. Room 4 in ICU is typed as 4-ICU.
Typically your file might include:
Inpatient CCU,ICU
Outpatient OP,PRE
Emergency ER
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ReInstalling TwinNet
If you need to reinstall TwinNet on your computer, the following
should be helpful.
TwinNet INSTALL automatically sets the properties for WIN 95 as follows:
Single User Configuration
Cmd line C:\BAT\AUTOWIN.BAT WX (some releases have WU )
Working C:\BAT
===================== Multi User Configurations ========================
Cmd line C:\BAT\AUTOWIN.BAT WX (WT,W1,etc)
File Sharing..Your Network provider will need to assist you in the
proper setup to run a Multi User Network using either WIN95 Microsoft
Networking or LANtastic Networking.
=========================================================================
When done with any TwinNet session hit "Ctrl+F9" together to exit TwinNet,
then Hit "Ctrl+C" to restart Windows.
You can optionally run TwinNet as a "minimized (eg, background program) if
you use the mouse device to click on the "-" in upper right corner of screen.
====== WIN 3.x ============ Special Instructions ========
Single User Configuration
Cmd line C:\BAT\AUTOLOAD.BAT UX
If WIN 3.x did not set up an ICON at all, you can do it as follows:
You probably want the TwinNet ICON in your usual StartUp Group Window.
Select "File"
Select "New"
"New Program Object" box will appear.
Select "Program Item" (normally the default).
Hit [enter] to select "OK".
"Program Item Properties" box will appear. Set up for Single User shown.
Description: Type TwinNet hit [tab]
Command Line: Type \BAT\AUTOLOAD UX hit [tab]
Working Directory: Type \XR hit [tab]
Hit [enter]
Done. This will normally assign a generic ICON to TwinNet.
Select TwinNet to process.
When done with TwinNet hit "Ctrl+F9" together, to restart Windows.
===========Multi User Configuration===================
Cmd line C:\BAT\AUTOLOAD.BAT RX (RT,R1,etc)
File Sharing..Your Network provider will need to assist you in the
proper setup to run a Multi User Network using LANtastic Networking.
If the installed Network Software does not automatically set up
file sharing the following line should be added to your CONFIG.SYS
INSTALL=C:\DOS\SHARE.EXE /L:200/F:2048
When done with TwinNet hit "Ctrl+F9" together, to exit TwinNet,
and to restart Windows.
TwinNet (Original Version) Directory Usage
Please be aware that it is possible that the identity of any existing directories may be the same
as one or more of the directories that will be created and used by TwinNet. These are:
XI,XN,XS,XR,XT,XZ,BAT,TEMP
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Your electronic Film Index file.
Replace your old film index card files with an electronic file.
Save resources by eliminating manual typing and "misfiling" index cards.
The Film Index Number is the foundation of the TwinNet patient information
database. TwinNet provides for three different types of Film Index Numbers:
Consecutively assigned permanent numbers
Consecutively assigned temporary numbers
Previously assigned permanent numbers
Convert previously assigned Film Index Cards
You have several options for converting the paper Film Index cards to the
TwinNet electronic Film index form.
1. Convert these at your own convenience.
Some facilities, for example, begin with the "A,s" and proceed in
sequence thru to the "Z's". This is the fastest option for replacing
the entire old card Film index file. This provides for very rapid
entry of the demographic and prior exams done.
More details on this subject
2. Convert as patients are registered for new exams.
During normal processing the Film Index Records will be automatically
added to your electronic Film Index File as you register patients
for Radiology Exams.
If a paper film index card exists for the patient you will be normally
want retain the "existing" number for the electronic Index File.
You may at this time transfer both the demographic and prior exams done,
or limit your process to only the demographic if you are extra busy.
Prior exams may be added to the index at your convenience.
Some facilities simply staple the old film index cards to the inside of
the film jacket.
If there is no prior Index Card for the patient a "next" number is
assigned automatically.
3. Temporary numbers may be used for:
Scheduling[More ?] future exams - Considering the probability of
"no shows" many facilities prefer to not assign a permanent number.
TwinNet automatically converts a temporary number to a permanent number
"when" the patient arrives at the facility for the scheduled exam(s).
Exams such as EKG or Stress Test - typically a permanent number may
not be wanted for this type of modality.
More details on this subject
Film Index Number Changes
For example if you have logged[More ?] an exam, scheduled [More ?]
a patient exam, or created a mammography[More ?] follow up record, that record
will carry with it the Film Index Number and Patient Name associated with the
Film Index Record at the time it was processed.
We recommend that you avoid making such Film Index record changes unless
you have evaluated the situation and are satisfied that no adverse
result might occur.
If you have made changes as noted above please review the following and
carefully audit your resultant file information.
The following may be of help to you:
Logged Exams
In most cases logged[More ?] exams do not represent a problem since
the Film Index is generally not the primary identifier for daily work. Here
the Facility Billing[More ?] number is typically more critical.
Logged exams also are automatically posted to the Film Index Visits file,
which in most cases "carries forward" to a changed Film Index record;
probably just as you wanted it to do. Audit with the PRINT VISITS option.
Scheduled[More ?] Exams
The Film Index number is used to retrieve scheduled exams for a "matching"
patient film index during the exam logging process. This gives you the
opportunity to review the information. An incorrect access will display
the Film Index Number, but the name of the patient to whom it was
originally assigned will display.
Mammography Follow Up [More ?]
There are two records of importance to review.
1. Contact record which contains phone/address information.
2. Episode record which contains information specific to the episode.
Contact Record
Note when accessing the contact record that the original (now incorrect)
patient name displays.
Select the N=Access Film Index option.
Select the new Film Index Record with the new patient name.
Select the P=Proceed with this record option.
Note that the name has been changed appropriately.
Do not hit F9 to EXIT. If you hit F9 the original record will remain
on file. Instead review each line until you reach the end then,
select P=Proceed.
Episode Record
In most cases no change will be necessary. However, make any changes that
you see as appropriate.
Mammography[More ?] Special Statistics[More ?]
For reporting to health agencies, create "duplicate mammography entries in
the Exam Master File.
Use section codes, example MA1, MA2, MA3,MA4
Each description must start with MAM (both full and abbreviated) to
maintain conformity with other programs that must "find" mammogram tests.
Embed into each description the necessary data to assist your techs with
selecting the correct exam. The exam codes must also be slightly
different to ensure that the correct exam is reported.
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Printer Compatibility
TwinNet compatibility can best be assured if the printer(s) have
"Epson LQ compatible" mode.
Many printers do, such as:
Epson LQ 570, Panasonic KXP series, some Okidata and some Lexmark models.
Both Epson and Panasonic are probably factory preset for LQ compatibility.
Lexmark needs a minor setup change. Lexmark Tech Support can probably help.
You and your staff get best efficiency if you use two compatible printers.
Set Printer #1 to print your daily reports
onto plain 8.5x11 continuous paper form.
Set Printer #2 to print the Flash Cards
3. Font & size - unfortunately all printers do not use the same
controls. Worst case generally is that the Flash Cards[More ?]
will not print properly. Most daily reports will generally be
readable, even if the characters are not the size intended.
4. Left alignment - most non-compatible printers begin printing at
the very first print position. Thus if you want to store your
reports in a 3 ring binder the left hand side of the report is
difficult to read. Most likely there is an option in the printer
that can be activated to make this left alignment interpretation work.
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Forms Planning
Forms may be purchased from your regular suppliers or
from the following sources:
Global 800-845-6225 Misco 800-333-5640 Viking 800-421-1222
Continuous Index Cards 3x5 1-up (Flash Cards) [More ?]
Continuous 8.5x11 forms w/o tear strips
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Billing System Interface
You can connect your Radiology PC with the Billing Computer using
Windows Microsoft Networking or transfer billing files via diskette.
TwinNet produces any one of three formatted ASCII billing file options
each time the End of Day program is run.
Refer to Client Customize to designate the option you want.
These files are placed in the \XR\db directory as:
OPTION File Name
Blank CHG_RAD.ASC (HL7 format)
R EXAM_RAD.ASC (Radiologist Billing)
S SMS_RAD.ASC (SMS Format)
L Price for Exams prints onto the Billing Report
The selected file can be written onto a diskette or transferred to
your billing system via your network.
Option "L" does not create a diskette file.
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Printer not working right
Solving printer problems:
1. Power Off & ON
Turn off the power. Pause. Turn back on.
2. Print Quality
Run the Self Test per instructions in your printer reference
manual. If this gives good results, while printing from programs
does not, then you possibly have a problem with one or more of
the following:
3. Epson LQ emulation
Most Panasonic, Okidata, Lexmark printers have an Epson LQ
compatibility. Verify per your printer manual instructions that
this emulation has been activated.
4. Garbled Characters
The TwinNet programs send printer control characters to the printer.
If any of these are not valid with your printer, you may get unexpected
results.
5. Paper Path
If paper is dragging or jamming, check the paper path. If you are
feeding paper directly from a carton (not recommended) check for
paper dragging on edge of carton.
6. New Ribbon
If print quality is poor, try changing the ribbon per instructions
in the printer manual.
7. Printer Port
Test the printer port as follows:
Go to a DOS prompt.
Type DIR > LPT1 (or LPT2 or LPT3)
If you get a printout of the directory the port is probably OK.
If not try switch the printer interface cable to another port and
try again.
8. Printer Interface Cable
Switch to another cable and try again.
9. Spare Printer
Switch printers and try again.
In some cases the above does not address the "hidden" problem.
Windows Print Settings not set up correctly
The recommended setup is:
Start,Settings,Printers,'Right' Click on Specific Printer (example LQ570),Properties,Details,Spool Settings,Click on
Start printing after first page is spooled, Click on OK to apply.
Epson LQ Printer EMULATION not set up properly
A printer control character variance may cause a print spacing problem
if your (example, Panasonic) printer is not set up for emulation.
Misc. Situations
RePrint Programs 3A,3B,3C Daily Logs and Recap have printer control
characters (turn off WIDE print) at two points - one in the heading and
another at the end of the report. If your printer is not set for LQ
emulation these possibly might cause a problem.
Printer hangs up with corrupted record (Room Number)
On a rare occasion a corrupted record may cause a printer stoppage.
You will need to delete the bad record in order to proceed.
Refer to "Adjusting Records".
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Customize TwinNet to your specific needs
Client Customizing - Application Control
File XRFIL023.DAT controls the application options that are usable.
If it does not allow a specific option it needs to be adjusted.
Attach this file to an Email to the author with your request to "open"
it to allow one or more specific custom options.
BINARY format is required.
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Before proceeding, please review "Client Customizing" in the Tutorial.
It describes how customize the TwinNet System to best meet the needs
at your facility.
Hit [esc] to "back up" to the Sub-System Menu,
1. Master Files
2. Tool Box
3. Client Customizing
4. Reorganize Files
5. Purge Files ANNUAL
6. Recover/Repair Files
7. Initialize TwinNet License
8. Tutorial - Full MENU
Select #3 to proceed to "Client Customizing":
T=Tutorial
O=Select Customizing Options
.......and several other options will display.
Customizing Options
Select "O"
Sign on with your own Staff ID and PASSWORD (level 3 security);
then hit [enter]
Please initially use the F1 Help Key frequently. Use F9 to exit from Help.
Hit "P" to Proceed.
You will see the following options displayed:
Specify Field Sizes
Film Index Options
Locator Methods
Exam Logging
CPT Code
Transcription
Follow-Up
Workload
Film Tracking
Scheduling
Billing
Flash Card & Form
Primary Printers
Printing Style
Printers-Other Options
End of Day Options
Data Base Protection
Workstation Authorization
Normally you will leave these at the DEFAULT settings except as follows:
Select "Film Index Options"
Set NEXT Consecutive Film Index Number.
Hit F9 to accept and to proceed.
Select "Primary Printers"
Assign the Flash Card/Form to Printer #1
and General printing to Printer #2 unless you have only one printer.
If you have only one printer for Flash cards and Reports to share,
it will be necessary to change paper in the printer in order to run
the End of Day (EOD) reports.
When changing forms always turn the printer OFF as a safety precaution
and to ensure that the new printer page controls take effect.
Hit F9 to accept and to proceed.
Select "Flash Card & Form"
Form 1 is a full page (8.5x11) form with Bar Codes for Film Index
& Medical Record Number to assist Radiologists with automated dictation
system patient identification.
Forms 2 & 3 are index card form size (3x5) to facilitate an economical
method of producing Flash Cards & Transport Cards.
Other forms are reserved for your own custom version.
When done specify the "U" = Update Option
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Print/RePrint Reports
RePrint Options
Daily Reporting from the Daily Reporting Subsystem
Select "RePrint/Prel EOD Reports"
Normally you can RePrint Daily reports for any of the past seven days and
Monthly Reports for any of the past seven months. The relative day or
month 1-7 is selected first.
NOTE: Each time EOD is run the respective files are "bumped". Relative
day "1" is from the last EOD, day "2" from next to last ... and so on.
Dates printed on the reports assume you have run an EOD for each day.
Thus you need to use a little "trial and error" if you have skipped days.
EXAMPLE: You have skipped three days since the last EOD. Relative day #2
is 4 days back. You should write the adjusted date if you print the Report.
Next the list of reports is displayed.
HILITE the report wanted and hit F9 to select.
Normally the report will print onto the printer that was specified in
Client Customizing as the "general report" printer.
Optionally you may specify a different printer or "C" for CRT display.
WeekEnds in Small Facilities
For applicable reports, you are asked if you want to split the exams by date.
This is a feature to accommodate the situation where an EOD process is run
on Monday morning for more than one day's business. This will separate,
for example, the daily logs[More ?] for Saturday from those for Sunday.
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Other Processing Problems
Film Tracking
Films Returned (status='I') do not get relieved (eg, removed/deleted) unless
the EOD-8 Film Tracking Report is run. This will not be run if you set up
the Client Customizing to 'Exclude' this report.
If the Films Checked Out file somehow gets an index key corrupted, some
records may be 'hidden' from the EOD record deletion logic. To enable you
to repair the corrupted index key, access the Reorganize Files MENU.
This program is "Reorganize ANY File".
Mammography Reporting
First examine your Master Files to verify that they comply with the
following:
Exam Master File
If you use MAM as the first 3 letters of the Exam Description for all
Mammography Exams you will have the necessary data in place for control
over Daily Reporting and Annual Film Index Purging.
FU Finder File
This file is used to cause a "pop up" of a demographic record at the time
an Exam that qualifies for Follow Up is logged[More ?]. This provides an
opportunity to collect and type in the address of the patient & phone number.
If follow up letters are sent or address labels are printed, this
information is required.
Daily Mammography Reporting
A daily Report of Mammogram Exams prints automatically at EOD as report #9.
Patient Follow Up System Requires at minimum:
E Edit/Create Standard Letter Text for each action/result
The following is used to create Files retrospectively (probably best method)
C Patient Contact File & Record Episode FU Detail
The following is required if you want to create Files prospectively:
F Maintain Exam Finder File
The following will help you to see what episode reports (if any) already
exist.
U Update existing episode records
1. On the date of exam, creates an episode record with a one year FU date.
2. When FU date has arrived, provides options for printing FU letters and/or
Referring Doctor lists.
3. FU Client Options set for "F". This will result in:
a. Follow up letters 8.5x11 paper.
b. Doctor lists.
Each referring doctor can be given a list on 8.5x11 paper containing
all of his/her patients due for FU.
6. With the Address Label customizing you have requested the labels will
print instead of or in addition to the doctors list.
Mammography
Annual/ Routine Follow Up Considerations:
Preliminary sort by Doctor takes time, so run on WS not needed for patient
processing.
Make sure the printers are set up properly.
Most likely they are, but it is worth checking.
Update Records to clear date sent. Initially just update a small number
(eg, 4). Subsequently someone will have to clear the follow up date on all
that you want to send letters. Keep in mind that there will be multiple
records for patients that have had multiple exams.
You probably want to clear only one of the set of multiples.
Run AUDIT to ensure that address is complete. The program gets the patient
name from the Film Index file, and the address from the FU Contact Record.
Remove hospital name and address from letter FU-Z.
The program will fill in facility name & address with "C" continuous sheet
option. Optionally, if preprinted (facility name & address) forms are used,
use "S" single sheet option. This should work with either matrix continuous
or a single sheet feed printer.
Deleting Logged Exams
Logged exams can be deleted ONLY before the End of Day is processed.
If the EOD has already been run, you must process credit(s) to offset
the exam(s) logged incorrectly.
Some facilities prefer to run a preliminary report to audit for completeness
before running the EOD.
To delete an exam logged incorrectly, proceed as follows:
Via Patient Processing, Select UTILITY - current day's work
D= Delete an exam erroneously logged as done today
Search by Patient Name
Select the record you want to delete, then select "D" to delete.
Deleting Registration Records
Registration records are deleted automatically after the number of days you
specify in Client Customize have passed. However, if you want to remove
an incorrect record immediately, it can be done as follows:
Via Patient Processing, Select UTILITY - current day's work
L= List Patients for Record Changes
Search by Patient Name leave search assist blank
Select the record you want to delete, then select option "D" to delete.
Adjusting Exams Logged
One way to correct the MTD totals is to process CREDITS for the exact same
exams, as long as you get it done before the end of the month.
Another way is to use the AD Hoc reporting in the Print/RePrint option.
This can be done at any time, and you can then run an AdHoc report for
the specified month.
The best way of course is to catch it before the EOD is run, so it can be
deleted before it ever adds into the statistics.
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MSDOS Commands
MS-DOS Commands - Accessing from TwinNet
The recommended way to access any MS-DOS command from TwinNet is
via the System Control Module.
This will bring you to the following prompt:
C:\XR>
From this prompt you can use any of the DOS commands in your version of MS-DOS.
The following example shows how to recover a file or set of files from
one of the many ZIP sets prepared by TwinNet when the EOD is run:
In this case you can selectively restore any or all of the files from
the condition as of the last EOD.
You must of course use extreme caution whenever running a "non standard"
function. Presumably you have already determined that the current file
is either damaged or incorrect.
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TwinNet/Windows/HelpDesk
The following information should be helpful to you to use Windows as a
special tool to "switch back-and-forth" between:
1. TwinNet and Help Desk
2. TwinNet and your Word Processor
1. TwinNet and Help Desk
With this Help Desk displayed by your Internet Browser, you can "disconnect"
to free up the phone line, but yet retain the Help Desk in the "cache"
memory of your computer.
Click on the Minimize (-) in upper right corner of screen.
This will normally display the Windows DeskTop, including the TwinNet ICON.
Click on the TwinNet ICON.
This will normally display the TwinNet ShareWare Version system menu.
If it is not a "full screen" display hit Alt&Enter.
Hit Alt&Space to switch back to the Windows DeskTop.
This will normally display a small box that begins with Restore.
Click on any open space on the Windows DeskTop to close the small display.
You should now have two (minimized) program references immediately to
the right of the {Start} display at the bottom left of the Windows DeskTop.
Click on the minimized Browser reference to activate.
This will normally re-display the HelpDesk.
Now switch back-and-forth between TwinNet and HelpDesk as you try the
various TwinNet features.
2. TwinNet and your Word Processor
With TwinNet activated, if you want to access your Windows Word Processor,
Hit Alt&Space to switch back to the Windows DeskTop.
This will normally display a small box that begins with Restore.
Click on any open space on the Windows DeskTop to close the small display.
You should now have one (minimized) program reference "AUTOWIN - mgmain"
immediately to the right of the {Start} display at the bottom left of the
Windows DeskTop.
Click on your preferred Word Processor ICON to activate.
At anytime that you wish to resume TwinNet processing,
Now you can switch back-and-forth between your Word Processor and TwinNet.
Other Windows Shortcut Keys
The most useful are:
If you follow the recommendation to assign Alt+Ctrl+T in TwinNet Properties
ICON you can activate TwinNet from the Windows Desktop with:
Alt+Ctrl+T
If you want to MINIMIZE TwinNet while you activate another program use:
Alt+Space
If you want to MAXIMIZE TwinNet to use the entire screen:
Alt+Enter
If you want to EXIT from TwinNet:
Ctrl+F9 followed by Ctrl+C
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Windows Hot Keys
Other Hot Keys of general use:
Many of these may be found useful to you - especially if the mouse is failing.
Many of these were copied from a PC periodical- use them at your own risk.
F10 Activate the menu bar in program
Alt & F4 Close current window or windows rogram
Ctrl & F4 Close current window or windows program (MDI)
Alt & SPACE Display current window's system menu
Alt & SPACE & N Minimize active window
Alt & SPACE & X Maximize active window
Alt & SPACE & C Close active window
Alt & SPACE & R Restore active window
Shift & F10 Display Context Menu for selected item
Ctrl & Esc Display Start Menu
Alt & [hyphen] Display system menu for MDI programs
Alt & [enter] Display Properties Dialog Box for selected item
Alt & M Minimize all windows (when taskbar is selected)
Alt & [underlined letter] Select menu item if underlined letter
Alt & Esc Cycle thru taskbar programs or windows
Alt & Tab Task Switcher to Cycle thru open programs or windows
Alt & Shift & Tab Same- Reverse Direction
Ctrl & [enter] Open selected folder or program
Ctrl & Shift & [enter] Open selected folder as two panel explorer window
Ctrl & Alt & Del Display Close Program dialog box
Dialog Box
F1 Display Help on a selected dialog box item
Esc Cancell the current task
[space] or [enter] Click on hilited item
[space] Select or clear hilited check box
[tab] Move forward through options
Shift & [tab] Move backward through options
Ctrl & [tab] Move forward through tabs
Ctrl & Shift & [tab] Move backward through tabs
DeskTop
Alt & [enter] View an item's properties
Shift & Del Delete an item w/o placing in recycle bin
F2 Rename an item
Ctrl & A Select all items
Ctrl while dragging a file Copy a file
Ctrl & Shift while dragging a file Create a shortcut
F5 Refresh a window's contents
F3 Open Find:All Files
Windows Key (WK)
WK & F Display Find:All Files
Ctrl & WK & F Display Find:Computer
WK & F1 Display Help
WK & R Display the Run command
WK Display the Start Menu
WK & Pause Display the System Properties dialog box
WK & E Display Windows Explorer
WK & D Minimize or restore all windows
WK & M Minimize all open windows
Shift & WK & M Undo minimize all windows
WK & Tab Cycle through buttons on the taskbar
Explorer
Left Arrow Collapse Current Application
Left Arrow Select Parent Folder
Num Lock & [minus] Collapse Selected Folder
Right Arrow Expand Current Application
Right Arrow Select first Sub Folder
Num Lock & [asterisk] Expand all Folders below selected one
Num Lock & [plus] Expand Selected Folder
F6 Shift among left & right pages & menu bars
Applications
Ctrl & Z Undo
Ctrl & X Cut
Ctrl & C Copy
Ctrl & V Paste
Ctrl & Home GoToTop
Ctrl & End GoToEnd
Microsoft Magnifier
WindowsKey & Up Arrow Increase Magnification
WindowsKey & Down Arrow Decrease Magnification
WindowsKey & PrintScreen Copy to ClipBoard with Mouse Cursor
WindowsKey & Scroll Lock Copy to ClipBoard w/o Mouse Cursor
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Utility Programs
Smooth & Safe Operation
There are several utility programs that are recommended to be run on a
monthly schedule to keep the TwinNet System running at its optimum
response time. You may adjust this frequency to meet your own requirements,
based upon transaction volume, computer speed, and disk file capacity.
ReOrganize Index Demographic
ReOrganize Registrations
The ReOrganize programs remove wasted space in disk sectors that result from
normal processing. Example, when a sector is partly filled when processing
transactions, and the processing program is exited, the pending record(s)
are written to the current disk sector. Any space not used in that sector
remains unused until the ReOrganize program is run. Wasted space might
eventually have an adverse effect on processing response time.
The ReOrganize programs also can be used to remedy corrupted records and
record indexing. Power failures and hardware problems may occasionally
corrupt one or more records in a file.
As a general rule reorganize a file if you believe it has a problem.
It is a good practice to do a "Diskette" BackUp first, even though
TwinNet has several sets of BackUp files on you hard disk.
Access ReOrganize via System Control, BackUp/Restore/Repair,
R= Reorganize any Data Base File
(follow instructions on screen).
Hilite File
In this example we want to reorganize #004 Registration
Then hit F9 to select. A "Convert" window will open.
Hit [enter] to accept the default Scan Key=0
Reply "Y" to Confirm CONVERT (Y/N) :
Most files process very quickly. Film Index files take longer.
Disk Utilization
TwinNet includes a utility program that checks the entire hard disk,
then creates a file that can be used for analysis.
You can audit RAM & Disk resources via System Control,Utility & Annual Purge
A= Audit Disk & RAM Utilization (follow instructions on screen)
This process will examine the entire disk, and create a file:
\XR\db\DIR
This file can be examined with the MS-DOS EDIT command or can be printed.
EDIT \XR\db\DIR To view on the screen
TYPE \XR\db\DIR > LPT1 To print on printer #1
If you find unwanted directories or files, delete these with caution.
Be careful not to delete any required for TwinNet to run on your computer.
As a precaution, do a TwinNet backup before any deletions are made.
ReOrganize Disk
Click on "Start", "Program", Accessories", "System Tools",
"Disk Defragmenter". Then repeat for "Scan Disk" if desired..
Windows Deletions
Use the "recycle bin" feature, as a safeguard.
Select "Start", "Find Files", "Delete"
to delete any unwanted files.
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Backup your files frequently
BackUp DataBase Files - Windows Backup
PreRequisite - Must have installed BackUp option.
If not, use HELP to INSTALL from Diskette Set or CD ROM.
If already installed, begin with:
Start,Programs,Accessories,System Tools,Backup
You will probably be advised that a "Full System Backup" setup was
automatically created. OK to proceed.
You may be advised that a "Tape Drive" was not detected.
You will be prompted to "Select Files" to back up.
Normally you will specify from [C:]
Click on the "TwinNet" folder.
Click on the "xr" folder.
A large number of files will display on the right side of the screen.
Unless you are planning a complete TwinNet backup including program files,
you should normally proceed as follows, ignoring other files:
Click on all xrfil???.dat files.
Click on "Next step"
You will be prompted to specify "Where to back up"
Normally you will specify the destination as the 3 � Floppy [A:]
Here you may optionally save this SET to make it easier next time.
Suggest "BackUp DataBase Files" as name of SET.
Click on "Start BackUp
You will probably be prompted to specify a "Backup Set Label"
Normally you will specify for example Database A, Database B, etc
for each consecutive set. Click on "Start BackUp"
If the "backup set" already exists you will receive a reminder to specify
another set. If data is already on the diskete, you will receive a warning.
Normally you will respond with "Yes" to proceed.
It is recommended that you "format" previously used diskettes before using
with "backup" to clean off old files and verify diskette surface quality.
If you get any indication of "bad sectors" DO NOT use the diskette.
If multiple diskettes are required you will be advised to
"Please insert the next disk" Click on OK.
It is recommended that you use the "Compare" option to verify quality of
file backup before filing the diskettes.
Restore Data Base File from BackUp Set
If it ever should become necessary, after all of the earlier steps have
failed, you can restore any specific file from the "backup set" on diskettes.
Begin with: Start,Programs,Accessories,System Tools,Backup
Click on the "Restore" tab.
Insert the most recent "backup set" diskette.
Click "Restore from" 3 1/2 Floppy A
The BackUp Set will display on the right side of the screen.
Click on the BackUp Set.
A new display will appear on the left "Select files from the backup set"
Click on TwinNet then XR.
A display of all files will appear on the right.
Select the specific file that you need to be restored.
Click on "Start Restore"
You will be prompted to "Select Files" to back up.
After operation complete is displayed, proceed to check the file that was
restored and update it as may be necessary before resuming processing.
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Annual Film Index Purge
Many facilities purge Film Index Records for patients that have not had
any new exams done during the past 5 years.
TwinNet provides for you to specify your own purge cycle.
TwinNet allows for exceptions to this practice for Pediatric Patients
and for Patients that have had a Mammogram Exam.
When starting the purge program you will specify the parameters for normal
purging and also for exceptions as noted above.
The purge process is done in four steps.
1. Find eligible records to be purged.
During this process every Film Index Record is examined and checked to
see if it meets any of the purge criteria you have provided. All that
do are used to add summary record to a work file.
2. Review/Print eligible records.
The work file can be viewed on the screen or printed.
You can edit this work file to eliminate any records that you don't
want to have purged. If the file indicates that you may have used
purge criteria that were incorrect, you simply redo step 1.
3. Purge (delete) eligible records.
This step is the only step that makes changes to the Film Index File.
It uses the worklist from steps 1 & 2 to remove purged records.
Please use the HELP F1 key when you run this set of programs.
NOTE: A good practice includes running "file reorganize" for both the
Film Index Demographic and Visit files at a convenient time
after the annual purge has been completed.
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