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1.6.10.3 Measurements Admin

The oscar Encounter Admin section allows you to customise measurements including measurement mapping

CUSTOMIZE OSCAR MEASUREMENTS

 

A) ADD OR EDIT MEASUREMENT GROUPS

 

Edit Measurements

 

  1. Click on Admin tab
  2. Customize oscarMeasurements
  3. Add Measurement Group
  4. Supply a name for the Group (say COPD Clinic) and (optionally) a CSS style sheet
  5. Continue

In Edit Measurement Group add the desired measurements by highlighting and clicking on Add

(and if you make a mistake like adding 24-hr urine to a COPD clinic you can delete highlighted entries as well)

 

Edit Measurement Group

 

B) VIEW  OR EDIT MEASUREMENT TYPES

To view or delete click on 'View All Measurement Types' to see all the ones on your system. 

  • If you click on the Type you will see the XML associated with the type. 
  • The delete box is to the far right

View Measurement Types

 

To Add a new type Click on 'Add Measurement Type'

 Add new Measurement Type

  • The Type code in this example is RHUB, you will need this code when you reference the measurement in eForms
  • The description is descriptive
  • The Display Name is a short way how the measurement is shown in Measurements groups and in a list of Measurements
  • Measurement Instruction is usually blank or self explanatory, but can give units (mmHg) , or position (Sitting) or insight to the validation rule (eg Y/N)
  • Validation Rule is the rule set that Oscar accepts valid input for this Type

C) MAPPING MEASUREMENTS

Your labs can download into Oscar just fine without mapping.  However it is useful to have at least some of those results map across to a Measurement so that the latest value is readily accessible in the Chart and for eForms.  LOINC stands for Logical Observation Identifiers Names and Codes and has been developed in an attempt to unify transfer of lab information electronically.  Lab values can be or are linked to this code which in turn can be linked (mapped) onto an Oscar Measurement. 

LOINC Matching Notes

  • To do any work here it is suggested that you consult a LOINC reference as there are many LOINC codes that match a given Test. 
  • We suggest that you use the abbreviated table of the top 2000 codes supplied by loinc.org 
  • You probably want the SI version of the top 2000 LOINC codes. 
  • Advanced users who know which of 10 similar codes to choose from may want to use the REMLA application, also  download from that site. 
  • When using the LOINC/REMLA engine search by NAME and not Loinc.

So how to map values in OSCAR.

1) Check that the measurement type you want to map is on the system in B) above

2) Check that the Loinc code for the test is on the system. 

To view mappings, click on View Mappings

 View Mapping

In this example what

  1. LOINC codes as 9318-7
  2. ICL lab codes as UMALB
  3. PATHL7 codes as Urine ACR with the numeric code that is the same as Loinc as 9318-7
  4. and CML codes as RATIO(MICROALB/CREAT) with the numeric code 20081

are ALL linked to Oscar's Measurement Type Code 'ACR' which has the display name 'Alb creat ratio' 

If they are not mapped to a measurement it won't show such as the example above 1 25-(OH)2 Vitamin D.  In that case the 'map' link is present and you can link the appropriate Loinc Code to the appropriate Measurement Type as below.  Select the measurement that corresponds to the Loinc code for ACR which is 9318-7 for Urine ACR.  If the Loinc code you need is not already listed you can click on the Add New Loinc Code button.

Mapping to a Measurement Type

The ACR measurement type is what Oscar uses in the Diabetic flow sheet, so once it is mapped future labwork will populate the flowsheet automatically.  However for this to happen you also have to map the labs tests to the Loinc code.  You can do so with 'Add Measurement Mapping'

 

Map Lab Code

 

 

  • You can only select codes from labs that have already been downloaded. 
  • As the list of mappable codes is extensive you can search for the right one(s), in this case using T3
  • After the search the possible codes to pick from are a shorter list
  • update the measurement mapping and you have linked future labwork to this particular Loinc code
  • If you can't find an appropriate LOINC code you can add one. 

 

D) MEASUREMENT INSTRUCTIONS

Some measurements need more than one instruction type.  For example Blood Pressure can be taken sitting standing or laying and you may want to record against each type but the default install does not provide a Standing BP and you do not want to delete an existing measurement.

 

Add Instruction

 

 

D) MEASUREMENT STYLE

Style Sheets: Change the look of the measurement forms with css style sheets.

 

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