# MDT (and digital DST)

To access the electronic DST and to view all evidence linked to the case click on the MDT tab for the case:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2FEHQS4C06y0QioyrO2RT9%2Fimage.png?alt=media\&token=810f0d98-3373-4736-abef-1012c920885e)

Click on the Meeting code and this will drill you down into the meeting details:

![](file:///C:/Users/JACKIE~1/AppData/Local/Temp/msohtmlclip1/01/clip_image097.jpg)

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On this screen, you can choose which documents that have been linked to the case should be visible during the MDT meeting.  You can select any documents you feel should be visible during the meeting by clicking on the document and then clicking on the “Save changes” button.

**Please Note - if you are attending an MDT Meeting where access to the internet might be limited it is advisable to download the documents prior to the meeting.  You may also wish to use a blank DST template during the meeting to record what is discussed with a view to copying and pasting your notes in once you are back in an area where you can access the Digital CHC system.**

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Click on the “Open DST” button in the top right-hand corner and this will open the meeting for the case:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2F4ZsVgFDx4EcQWD5xzcgq%2Fimage.png?alt=media\&token=7cfe403e-bc4b-4f4d-9a0e-d0a8c5b39137)

Click on the “Connect” button and this will take you to the digital DST:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2F7SlvXVTM3TNqL2ZGnhoj%2Fimage.png?alt=media\&token=f413c87f-64c5-4381-9a2d-82ef5cb90fef)

You will see the Patient details on the first page.  All other sections are listed down the left-hand side of the screen.  To move between sections simply click on the name of section you want to move to.

You need to scroll down the page and complete all other Patient fields which are mandatory:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2Fb9w3zarl7QlBWCKhv0px%2Fimage.png?alt=media\&token=9cc2c5a3-04ed-4546-a500-18c0567385ad)

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The Documents section will allow you to view all documents that you had agreed (on the previous step) could be shared during the MDT meeting.

All other sections mirror the paper Decision Support Tool (DST) with 12 domains listed.  You need to respond to all 12 domains and all fields on the Decision page.

Where assessors have completed electronic MDNAs their name and their responses will be displayed in each of the relevant domains.

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2Fl3R4FEyLWHmIkJ29V5qk%2Fimage.png?alt=media\&token=e4ff969a-7283-4df2-97a1-69c42d730b32)

As the person running the meeting you can score the “level of need” by clicking on the letter of the score e.g. M (which is then highlighted in yellow) and then by clicking on the appropriate standard paragraph(s) that describes the need:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2FZAKXDqLgiLGlmI5mk0HM%2Fimage.png?alt=media\&token=25b965b7-4499-46a6-8f34-d75d40ec1714)

You can then add in unlimited comments in the Rationale text box, including details of any disagreements on the level of need.

Where there is a disagreement this can be recorded by clicking on the “i” icon next to the “collaborative level of need” field:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2FYUVAV8nODU7FHOnzrEi2%2Fimage.png?alt=media\&token=4ce3d52e-74a0-4599-bc26-b44fb73b4a33)

&#x20;This dynamically calls in an additional row to record the dispute in the score:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2FyfMgiWMxtGutMgekwsrC%2Fimage.png?alt=media\&token=ef0ea4bf-4ac6-4cd3-b8f4-1bd54e1ba745)

The “Rationale” text box can be used to record details of the disagreement.

All domains on the DST must be completed, even if it is to state there are no needs.

Once all domains have been responded to click on the “Decision” page on the navigation bar on the left-hand side of the screen.  This will give you a summary of the scoring assigned to each of the domains:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2FhNurCiG1PeySTLMRUru9%2Fimage.png?alt=media\&token=18bf84c5-a9ad-4530-83b1-896c51e78179)

When all fields are completed, at the bottom of the page, the “Submit” button:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2F1Tta5HvvzrbLkaEdtc0x%2Fimage.png?alt=media\&token=25dc5b2d-8ed8-4f3f-ae04-e006bca682e3)

The status of the MDT will now show as “under review”:

![](https://2709112310-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F-Mjn7pgPg2HEK_HEvhTw%2Fuploads%2FwDd5WmC6EtOUNGTSDEMR%2Fimage.png?alt=media\&token=e7c89330-326d-4343-9317-dab699964692)

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A new workflow has now been started “Decisions”.
