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Oscar version 1 & 2 manual

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1. Last Name FirstName Sex DOB Chart No jad pod Action 152 HARPER HARPER M 1960 06 15 AC JoinIn 135 HARPER STEPHEN M 1950 06 15 RO AC JoinIn 89 HEATHERS KEITH F 1945 02 21 AC Join In 157 HFHDUHD HUANNSAB F 1988 06 15 AC JoinIn OSCAR User s Manual 178 PHCP Generate a PHCP report for providers by service or diagnostic code 7 z DOU OOQ L SS 9 sal Resident bad Nurse gt E co P 3 t octor oscardoc F Period 20060501 2006 05 25 M A001A Minorassessmem go O O 0 A003A General a sossrent c c oo cic c oc ral assessme d WFir E EH D 0 E075A RsSessmen o 0 0 0 0 0 Hyposenstzaton when G212A sole reason for vsittg 00 0 0 0 0 Anscoagulant supervision G271A iang term telephone advice d 0 CORRA Papanicolaou smear use n n n LAB UPLOAD Import labs into the OSCAR database OSCAR User s Manual 179 15 Troubleshooting In this chapter Y how to set up your computer for OSCAR Y how to back up OSCAR files to CD Y how to troubleshoot connections OSCAR User s Manual 180 Initial Computer Setup for OSCAR Clinic SCREEN SETTINGS Screen settings should be 1024 x 768 1 Change by clicking START gt control panel gt display and then settings 2 Under screen settings drag the arrow until it displays 1024 x 768 3 Click APPLY MARGINS FOR PRINTING OSCAR DOCUMENTS 1
2. gt Fr KE B M jR 7 J 7 9 g 1 gt Cy IE I M Rx T D g p 3 p g s Schedule View of the Appointment Screen Day Month Resources Search Report Billing Lab Pri 2006 05 19 Calendar OSCAR User s Ma Msg Con Pret eDoc Group View Dona Dusk JNN Bluth Geor ge michael JE JB M Rx O Mars Voronca JE IB M Re me Lymen Joshua JE JS M Rx nual 15 Mickey Mouse 44444 Msg Con Pref eDoc Tickler CO Mep Mello Donald Duck 232232 Group Docs Schedule View Log Ow b trudy recep cleawell gt Aa E iM lite Be IE IH M IN Rt Tikler co Heb Group Doci View AE Log Out Making Appointments Features e Hovering the cursor over the patient s name will show the reason for the ap pointment and any notes made regarding the appointment When the cursor turns to a hand clicking on the patient s name will display notes and reason for visit e Clicking the patient s name will open the Edit Appointment screen to make changes and updates BOOKING APPOINTMENT 1 Click on the appropriate date using the CALENDAR button on the upper left corner OR click the month tab and select the date OR advance a day at a time with the arrow on either side of the date in the upper left corner of the screen 2 Clicking on the desired time will open a window to enter appointment details MAKE AN APPOINTMENT Date Fri 2006 05 19 Status Start Time 09 00 Type Duration
3. 6 The task list can be printed to refer to as tasks are completed 7 When the requested task has been completed put a check mark in the box beside the completed task and click on the Completed button 8 To delete a task where there is a duplicate etc repeat the above and click on the de lete button TICKLER REPORTS See Chapter 9 Tickler Reports TICKLER ON APPOINTMENT SCREEN wer When the patient has an appointment a red will appear beside their name if they have a tickler message dated for that day or if they have an incomplete tickler before the date of the appointment Follow the directions above to view the tickler OSCAR User s Manual 131 12 E Documents and Forms In this chapter Y how to add scanned documents to a patient s chart Y how to complete and edit e forms Y how to make and customize e forms for your clinic OSCAR User s Manual 132 The E Document tool can be used to attach scanned documents typed referral letters or patient handouts you want to include in a patient s electronic medical file There is also a storage holding area for eDocs that you can use for your favorite patient hand outs keep your current contact list or the latest ON CALL schedule Adding eDocuments There are two places where you can add documents into OSCAR e Upload a document via the eDoc tab These will be files for your personal use or documents such as contact lists that the whole office
4. At the Windows screen click on the START button Go to PROGRAMS to ACCESSORIES to COMMUNICATIONS to HYPERTERMI NAL Click on HyperTerminal amp when the screen comes up type in the name of your ses sion EDT OHIP amp select an icon amp click OK Enter all of the dialing information with the Ministry EDT number for Ontario it is 613 544 3883 Confirm your information is correct amp click on the DIAL button Once you have successfully created a connections session the program will ask if you want to SAVE the connection set up when you exit Close out of the HyperTerminal window and set up the desktop shortcut HYPERTERMINAL SHORTCUT At the Windows screen click on the START button Go to PROGRAMS to ACCESSORIES to COMMUNICATIONS to HYPERTERMI NAL When you get to HyperTerminal right click on the one you created Click on SEND TO DESKTOP to put the EDT OHIP shortcut on your desktop for future use OSCAR User s Manual 62 SETTING AUTO DIRECTORIES FOR DOWNLOADS 1 Open HyperTerminal by double clicking on the desktop shortcut Click on the CANCEL button of the dial up for now On the Transfer menu on your computer click Receive File In the Place received file in the following folder box type the path of the folder in which you want to save the downloaded file this will hold for future download ses sions OR In Windows Explorer find the directory where you want to put your do
5. Canadian Obes ty Neteerk Caltnare Lek Drectony cba c1 06 Equagons for _ Ora rarezeocrm 23 Joumal of Pernnssooay Meckro Pius altore ve pit t tra OAL CP NOC A 3 3 n Prihod Checa Quony Cow re Moro b Atas um Dr Rec ices Ipfocmed OSCAR Metlassa F Zz2o6 Database OSCAR f ile C WS Ni Search Tide Description Search Advanced Seann Search Hel About OSCAR Resource OSCAR Resource is a project aimed at compiling a large accessible database of bookmarks liniong 3 a large vanaty of medical resources all over Ne web The flexibiley of OSCAR Resource allows us to work with various other bookmarking services Join us today and help us expand our mod cal resource database Join Us To join and contribute resources to our fast growing database gt gt Creato del icio us account to add and store your bookmarks Chick here to find cut more about del icio us gt gt Sign up for a fee service to import your collection of Inks into our database gt gt Sign Up lt lt Feedback f you Mave 099essons on how t improve mis site please feel Tee 10 share it wen us by chcking on me b below Sond us feedback Heme About OSCAR Resources Send Feodback comas Us OSCAR User s Manual 143 FINDING INFORMATION There are several ways you can use oscarResource to find the information you are look ing for e From the main page type in the topic you wish to read about into the Resource Sear
6. If your office has complex schedules for a number of doctors you may want to use the Templates feature With this the receptionist will be able to know at a glance at what times of the day the doctor is available the duration of each appointment or designate a time slot kept open for same day appointments Each office can designate their own coding system but the following is an example of some coding sys tems 15 min appointment 2 30 min appointment H hospital rounds A academic The template codes are displayed in a small box beside each time in the appointment screen Tem Bluth Georg E B M Rx plates are created in the Administrative View and Mars Veroni E B M Rx Tip e Click F11 to view the appointment screen from 8 am to 5 pm e F11 isa toggle switch that minimizes the task and menu bar at the top amp bottom giving you more viewing area on the appointment screen e When you log off and log in you will have to press F11 again to have the MELEE amp LymanJoshu E B M Rx KE will be discussed later in this manual Fig 3 1 Sample scheduling template OSCAR User s Manual 13 OSCAR User s Manual 14 View All Version of the Appointment Screen Day Fri 2005 05 19 Calendar Month Resources Search Report Billing Lab Morgan Price Denali Duck 3232333 Bl E Pm M rmx AE z C Ma JEB IM ARa bust dec Guest 22222 D SE 0 IM Re
7. UPDATE when finished 7 After Version Code errors have been corrected the encounter also needs to be re submitted in the Billing Correction function in the Administration Screen CORRECTING A BILLING ENCOUNTER ERROR amp RE SUBMITTING In Admin View 1 Under BILLING click on BILLING CORRECTION OSCAR User s Manual 67 2 Type the invoice number in the top box amp enter 3 The invoice is pulled up as it was sent to the MOH 4 Make the billing correction 5 Change the BILL TYPE to O for Bill OHIP 6 Click on SUBMIT to re calculate the billing correction and mark the invoice to be re submitted with the next MOH disk or EDT 7 Click SUBMIT again if the invoice is correct 8 Click either Correct Another One or Close this Window The SUBMIT button must be pressed to re calculate any corrections made to the Schedule of Benefits e Changes to the version code in the Patient s Detail Record will be automati cally pulled through to the new bill when you click on the SUBMIT button Remittance Advice amp Report For Ontario billers You will first need to connect to the Ministry GoNet and download the RA files to rec oncile to OSCAR billing See Invoicing via EDT for instructions on how to connect the GoNet DOWNLOADING FILES FROM GONET At the Ministry of Health Menu 1 Select 1 to DOWNLOAD FILE 2 Use the up and down arrow keys and select
8. Y how to use the oscarResource database search for information contribute to the database OSCAR User s Manual 142 Using the bookmarking website del icio us the oscarResource database is a grow ing source of information for all topics related to clinical practice medicine and be yond Learn how to use and contribute to this resource Using oscarResource OscarResource is a web based clinical resource database that is maintained by contribu tors from across the country It contains links to websites that are relevant to actual clinical practice and is constantly being updated with the latest information on medi cine and other relevant topics ACCESS You can access oscarResource in four different ways e Go directly to http resource oscarmcmaster org oscarResource e From the Appointment Screen click on the Resources tab e From a patient s Encounter screen click on the resources link under the Clinical Re sources heading on the left e From a patient s Encounter screen perform an internet search with OSCAR Search as your selected search engine Open Source Chnical Application Resource A a Favo Canada 417 Canadarost Mapauast Pharmacy ca McMaster Farmed Ontario Drug Benets Ontario Forms Catalca Eecrone Medical Record EMR Trovel oceno Ciniz tet iierratocsi Assoc toe fer Modera mecca tore ar Cooogh Mergtoral Crogenous androgens cacrease
9. column gives you the numeric count e The column gives you the percentage of females or males compared to the to tal of that sex Totals are across the bottom e You can continue to create a report for each doctor by changing the doctors name and clicking Create Report again e You can continue to create one of the other types of reports by clicking on another type of reports and clicking the Create Report again e The printer button is in the upper left corner to print the reports OSCAR User s Manual 95 VISIT REPORT Larry Kain Report Visit Report Select provider v Create Report Service Date Range E Date 2006 5 1 Date 2006 5 31 This is a report to analyze the types of encounters you are doing in your practice hospi tal clinic house call etc e There are 2 types of reports you can select Larry Kain and Visit Larry Kain report is a specific report of the total numbers for a clinic broken down into clinic visits HHS 4 Hamilton hospitals and All other house calls and St Jo sephs hospital Visit Report is a much more definitive report giving a breakdown of each doctor nurse and grouped into teams The people included in this report can be edited through the Manage Provider List link on the upper right corner of the screen To Begin 1 Click the radio button beside one of the two types of report you want to create 2 Select a begin and end date by clicking on the word links
10. press ENTER Click on the Demographic ID of the correct patient 3 Click on the Flu Billing link under the Billing heading on the left side of the Pa tient s Master Demographic record oscarBilling flu billing Demographic Name Health Number Demographic DOB Appointment Date MARS VERONICA WD 19870615 2006 5 23 Billing Provicer Appointment Provider Visit Type Duck Donald v Duck Donald lt Billing Type Bill OHIP v 00 Clinic Visit v Service Code D agnostic Coce Create Date Creator G591A 896 2006 5 23 Duck Donald Submit Submit amp Goto Prevention Cancel 4 The program will automatically default to the diagnostic code 896 for flu shot amp the service code G591A for Flu Shot without previous appointment 5 Clicking SUBMIT will immediately bill the patient for the flu shot OSCAR User s Manual 57 e You can also click Submit amp Go to Prevention which brings up the oscarPre vention screen so you can document the vaccination and save it in the patient s E Chart FLU BILLING REPORT The flu report allows you to print a report to track the amount of flu shots done in the clinic for statistical reasons and for confirmation of the Ministry bonus for Primary Health Care See Chapter 9 for details on how to create and print a flu billing report INR Billing ADDING PATIENT TO THE INR BILLING LIST This feature is for billing the monthly G271A monitoring for long term anticoagulant
11. 2006 04 23 00 00 00 BLOGGS FRED Bill WSIB No Appt INR 164 2006 04 20 11 00 00 BROWN PREGNANT Bill OHIP With Appt Doctor 262 2006 04 19 09 00 00 Test Three Bill OHIP With Appt Doctor 262 2006 04 15 10 45 00 Bravo Delta Bill OHIP With Appt Doctor 260 2006 04 02 00 00 00 GATES WILLIAM M Bill OHIP With Appt Doctor 253 2006 03 14 10 45 00 Bravo Delta Bill WSIB With Appt Doctor 267 2006 03 13 00 00 00 FERIN NICK Bill Patient No Appt INR 245 2006 02 28 08 00 00 BOB BILLY JOE Bill OHIP With Appt Doctor 243 2006 02 27 00 00 00 BOB BILLY JOE Bill PatientiNo Appt INR 231 2006 02 12 08 10 00 Duck Daffy Bill Patient Unmatched Appt Doctor 226 2006 01 25 08 30 00 TEST JOHN Bill OHIP With Appt Doctor 249 2005 12 21 09 00 00 CHILD THREE YR Bill OHIP With Appt Doctor 250 2005 12 13 08 30 00 BROWN PREGNANT Bill OHIP With Appt Doctor 284 This report shows all the billing for a doctor during a specific period of time with the ability to view and print each bill This report is used when a doctor wants to confirm that they have billed correctly for a procedure or is uncertain if they have done the bill ing for a visit OSCAR User s Manual 101 UNSETTLED REPORT oscarBilling OB FLU Select provider Duck Donald Unbilled SERVICE DATE 2006 04 03 2006 02 27 2006 02 17 2006 02 14 2006 02 12 2006 02 12 2006 02 08 2006 02 08 2006 01 27 2006 01 20 2006 01 18 2006 01 16 2006 01 14 2006 01 13 2006
12. CQarnficatian Code Wing Type Bs MSP hd Service Location Pryscens oce FEMBERTUN Service Date Service to date After Hours Time Call Start HMMM 24 r Ed HHMM 24h Deoede r 53 Code Payment Method MOS 5 19 ho B NS v Norm ELECTRONIC Facitity Visits Description S Fet ER Views Description fee Premiums Description ree 0010 VISIT IN OFFICE AGE 2 99 27 90 2 VISIT OUT OF OFFICE AGE 2 59 27 90 00112 VISIT EMERGENCY 81 47 none COMPLETE EXAMINATION IN OFFICE AGE 62 02 COMPLETE EXAMINATION OUT Of amp 2 03 01200 CALL OUT CHARGE EVENING 47 84 00 01 2 49 gt AMA OFFICE AGE 2 55 INDIVIDUAL COUNSELLING IN OFFICE AGE 18 5 01202 CALL OUT CHARGE NIGI 19 0 ma Us CALL DUT CHARGE SATURI NDAY x 01202 TAT DAY ga 00103 ADN A o U STAT HOLIDA EXTRA PATIENTS SEEN OLRING SAME 60213 ON CALL ON SITE HOSPITAL VIS EVEN 4 00104 OUSE CALL ae 00 05 ON CALL ON SITE HOSPITAL NIGHT 25 TF J 1 Rafarrai Type ON CALL ON SITE HOS v SAT SUN a Set Type Y 00123 OR NOLS mE 01205 SURCHARGE NONOPERATIVE EVENING 95 extTyoc 01206 SURCHARGE NONOPERATIVE iT 4 SURLHARGE NONOSTCRATIVE Wt END A 6 01207 STAT HOS DAY coce EMERGENCY BEDSIDE CARE oz c0282 CRITICAL CARE MONITORIN n 00003 CRISIS INTERVENTION 00 04 VYING PA V Diagnostic Code sns Nos Motes arc Fe nena 296 BIS Wl i be sent to MSP PATIENT S STATUS Patient Status shows whether the patient is active AC inactive IN deceased D
13. If you want to save the query set up with your selections for the next time you want to run this report give it a name in the box above the SAVE QUERY button and click the SAVE QUERY button This will then appear in the drop down beside the LOAD QUERY button at the top of the screen for future use OSCAR User s Manual 109 5 If you wish to keep the patient list generated by the query click Save Patient Set This will save the report for the next step to create a file that can be saved to a mem ory storage device To export a saved patient list you must have access to the administration view See Chapter 14 Demographic Export for instructions on how to retrieve your saved lists If you do not have permission to access the administration view i e you don t have a blue Admin tab on your appointment screen you must ask someone with admin access to either export the lists for you or assign you an admin role To save modify and or print a saved patient list select Demographic Set Edit from the list of reports in the Report Tab DEMOGRAPHIC SET EDIT If you have saved patient sets from the Demographic Report Tool you can view the list here as well as mark certain patients as ineligible if you are using this list to generate names of possible study subjects PREVENTION REPORT View a certain patient set s prevention status information 1 Select the desired Patient Set and Prevention Query 2 Click the calendar
14. Notes Add Record Swipe Card Cancel Date format yyyy mm dd OSCAR User s Manual 27 e NOTE When entering a patient s name the characters lt or gt should not be used These will cause errors in the database e For the rest of the fields and buttons the instructions are the same as those for Editing a Patient s Record Patient Detail Record PATIENT S DETAIL RECORD Appointment SEARCH ADPE HI story Z E waiting List f Name Phone DOB yyyym med j u E m Search Inactive All Billing Histor Address Health Ins Chart No l Ad Billing Fiy Bill ne Hospital Billing RECORD 163 Eom Acc INR DEMOGRAPHICS CONTACT INFORMATION Bail INR Last Name MARS First Name VERONICA Phone H 905 555 5555 Phone W Age 18 D0OB 1987 06 15 Accress 123 Sesame St Corsultations Sex F City Neptune prescripcions Language ENGLISH Province ON Chart OTHER CONTACTS ADD RELATION a Tickler Father SDM EC MARS KEITH 905 5 Send a Mescaoe Partner ECHOLLS LOGAN 905 HEALTH INSURANCE he G a 3g G Donuments Roster Status ACTIVE Date Rosterec 0001 01 01 EFF Date 0001 01 01 repos Patent Status AC PATIENT CLINIC STATUS ied St meow Chart No Doctor Duck Donald Cumont cforms Date Joinec 2006 05 16 Enc Date 0001 01 01 Nurse Dolittle David Add E Form Avert Midwife Carce Julie Resicent chiswell trudy Referral Doctor Tran Quoc Referral Doctor 789655 Notes Bac
15. OSCAR User s Manual The oscarEncounter screen is the patient s electronic medical record It contains all of the patient s medical information including patient history progress notes forms and documents MRP Dr Joan Chan TEST PATIENT F 18 years Next Appt Calculators CoTr l Medical History MMR O snge O rypercholesterciecs IBUPROFEN v 04 Dec 2007 MenC C OCOupaton university student Hypertenson SULFAMETHOXAZOLE 02 Mar 2006 TdP IPN Hib Hysterectomy PENICILLINS 07 Dec 2005 DTa 19N Diver cular Disease 4 vz Foaroan Y ALTACE CAP 10MG Take 1 Tabs PO Ol a Mi Ongoing Concerns came DEVENE BULPHA ALLEROY NEGATION 04 Apr 2008 Review wth patent re m 08 Aor 2008 NEGATION REVIEW REQU 08 Aor 2008 repeat LFT 12 Feb 2009 needs a pap 10 Sep 2006 i OSCAR Search H Search Ongoing Concerns as part of coo CITE Medical History as part of cpo LONG TERM USE ANTICC 13 May 2008 BN EOM EIN coa Hatory as nat of coo HX OF COLONIC MALIGN 25 Apr 2008 Reminders as part of coo OTH CHR ISCHEMIC HAT 25 Apr 2008 HUMAN IMMUNO VIRUS C 25 Apr 2008 OSTEOPOROSIS 12 Feb 2008 ANXIETY STATES 12 Feb 2008 v OVE VSS good color no ndes euro sensory symptoms persists left and right truck T10 and T 4 Vascular Tracker er LE approx 4 5 antalgic gait minimal Rhomberg neg cerebellar Lab Rec 2007 uu 12 Feb 2008 impaired eee ti geg g neg AR2005 23 Nov 2007 MParec prop l Coreaiv
16. TIPS 1 You can search by Date of Birth Name Health Number Address Phone Number or Chart Number OSCAR User s Manual 26 Pat AC AC AC AC 604 604 604 604 2 Fora General Search leave the search box blank and click the SEARCH button to obtain the full list of patients in the database 3 The smaller the amount of the name you type in for the search the better chance you have of finding the patient without a typo error Adding a New Patient 1 From the Appointment screen click on the SEARCH tab 2 Click on the link Create a new Demographic 3 Fill in the patient s information and click Add Record e You MUST at minimum fill in the following fields First Name Last Name and Date of Birth ADD A DEMOGRAPHIC RECORD Search Name Phone s DOB yyyymmdd EE EH Address Health Ins amp Chart No Record Last Name MARS First Name VERONICA Address 123 Sesame St City Neptune Province BC British Columbia Postal Phone H 604 Ext Phone W Ext Email PIN DOBiyyyymm di yyy 06 l 15 Sex r Health Ins ver EFF Date HC Type BC British Columbia Language Doctor Nurse Midwife vl Resident Referral Referral Doctor Doctor Roster Status v Add New Date Rostered Patient Status AC Active Add New Chart No Date Joined 2906 05 119 m End Date Alert
17. To INVOICE PATIENT DATE APPT CLINIC WALK IN STATUS 132 AFZAL TANVER 2005 10 06 8 50 Submitted to OHIP 141 AMMARY KAMIL 2005 10 27 21 25 Submitted to OHIP 253 BROWN PREGNANT 2006 04 20 33 45 8 145 Chiswell Testing 2005 11 04 54 20 Submitted to OHIP 224 DUCK DAFF Y 2006 02 12 8 50 Submitted to OHIP 253 GATES WILLIAM M 2006 04 02 8 50 B 282 NAGEL TEKLA 2006 05 12 8 50 z8 283 NAGEL TEKLA 2006 05 12 8 50 B 214 Potter Harry 2006 01 14 59 80 Submitted to OHIP 121 PRICELESS TOTALLY 2005 08 23 8 50 Submitted to OHIP 217 WING WONG 2006 01 20 4015 1 Submitted to OHIP Total Clinic Count 5 Walk in Count 6 4183 80 51 00 Back Close the window The flu report allows you to print a report to track the amount of flu shots done in the clinic for statistical reasons and for confirmation of the Ministry bonus for Primary Health Care Report Tab This tab found among the tabs on the appointment screen gives you access to various common reports used in a medical office EDB LIST Estimated Date of Birth This report is based on the EDB date fromthe AR electronic form in the Electronic Medical Records 1 Enter the date range in the boxes in yyyy mm dd order 2 Click CREATE REPORT to get a list of all OB patient s Estimated Date of Birth OSCAR User s Manual 103 EDB LIST Print Cancel EDB Patient s Name Age Gravida Term Phone Provider 1 2005 08 08 SMITH JOHN 24 905 545 3248 oscardoc doctor 2 2004 12 30
18. You can bill or look at the invoice for these encounters directly from here by clicking on Bill UNBILLED REPORT Unbilled Billed Unsettled OB FLU Select provider Duck Donald od Create Report Date From Ie SERVICE DATE TIME PATIENT DESCRIPTION COMMENTS 2006 05 19 11 00 00 BROWN PREGNANT flu Bill Ii 2006 04 19 10 00 00 TEST TWO fever pitt isi 2006 04 07 10 45 00 BRAVO OELTA sore throat pit 1 2006 04 03 11 00 00 BROWN COW w 2006 04 03 10 45 00 BLOGGS FRED Bil isi 2005 12 19 08 30 00 BROWN PREGNANT Bill i 2005 12 19 08 15 00 CHISWELL TRUDY knee git st 2005 12 16 10 15 00 BRAVO OELTA pit isi 2005 12 16 10 00 00 CHISWELL TRUDY Bilis 2005 12 16 08 45 00 BROWN BABY giu isi 2005 12 13 10 30 00 See a eee sore leg ein 1 2005 12 13 09 00 00 CHILD THREE YR pitt 1 2005 12 13 03 45 00 BROWN BABY Bits 2005 12 09 09 15 00 ICBC BANGUP BOB ist form cpx i 2005 12 08 13 00 00 JOENS MARK Bilis 2005 12 08 10 30 00 paramere IAR BAN soro log pill 18 2005 12 06 09 15 00 ICBC BANGUP BOB 1st form cpx nit j 2005 11 24 03 00 90 CHILD THREE YR Bits 2005 11 17 08 30 00 BROWN PREGNANT Bills 2005 11 16 08 30 00 BROWN PREGNANT Bill i 2005 11 15 10 30 00 MEE sore leg ginis 2005 11 15 09 45 00 CHISWELL TESTING flu 1 week Bilt j 2005 11 15 09 15 00 ICBC BANGUP BOS 1st form cpx pin i 2005 11 15 03 00 00 CHILD THREE YR iu This report searches through the appointment screen for any appointments that have not been b
19. documents that have been either scanned or received as a digital file and attached to the patients chart Lab results Consultation notes from other doctors and Annual physical forms are some the various papers you can attach as part of the patient s electronic medical record in this area You can also add documents or HTML code in the window directly Add Document The Add Document feature allows you to upload any Adobe Acrobat or html file into the patient s Electronic Record See Chapter 12 Current eForms View the forms you have added to the patient s record here It works in a similar way to the Documents function This area would hold items like the AR1 and AR2 forms the Baby Rourke form or any other forms that your office uses to document specific areas of the patient s health record Add E Form This button gives you access to various pre formatted forms a chart summary or letter heads Any letters and forms created in this area will be added to the patient s Elec tronic File See Chapter 12 OSCAR User s Manual 34 5 oscarEncounter The Electronic Medical Chart In this chapter Y how to access oscarEncounter Y how to write patient progress notes verify and sign resident notes edit old notes Y how to add to and edit the cumulative patient profile Y how to use and access other important functions writing and keeping track of prescriptions accessing lab results tracking patient measurements over time
20. tronic medical files fill out forms bill the encounter and check any future day s sched ules The screen can hold up to 6 providers comfortably Further on in the manual instruc tions will show you how to handle more than 6 providers by creating groups and flip ping between the groups APPOINTMENT STATUS ICONS To change the status of the appointment when the patient arrives click on the symbol immediately to the left of the patient s name in the appointment screen Each click ad vances to the next appointment status Meaning of appointment status symbols appointment booked day sheet printed amp patient is here ap chart pulled pointment bar will turn green patient is picked ap empty room ap no show appoint pointment bar will pointment bar will ment appointment turn pink turn yellow bar will turn grey appointment has been patient has been billed appointment bar will turn cancelled blue Other Symbols on Appointment Bar e E click to access the patient encounter record not available in receptionist view e B click to bill the encounter OSCAR User s Manual e B click to un bill an appointment for correction This icon only appears as a replacement for B after the patient has been billed e M click to view the patient s master demographic record e Rx click to view OscarRx where you can fill out prescriptions for the patient not available in receptionist view TEMPLATES
21. 01 01 2005 12 31 2005 12 22 2005 12 19 2005 12 19 2005 12 16 2005 12 13 2005 12 13 2005 12 09 2005 12 07 2005 12 07 2005 12 07 Billed Unsettled TIME 14 30 00 00 00 00 09 15 00 09 00 00 10 30 00 00 00 00 00 00 00 00 00 00 07 20 00 00 00 00 09 39 00 10 40 00 09 20 00 00 00 00 00 00 00 09 00 00 10 30 00 10 30 00 08 45 00 10 30 00 09 15 00 09 15 00 09 45 00 00 00 00 00 00 00 00 00 00 Date From PATIENT Rodrigues Catarina BOB BILLY JOE Bloggs Fred Bloggs Fred AMMARY KAMIL DUCK DAFFY WING WONG TESTER KONG Khan Farquar WING WONG Bob Billy Joe BLOGGS FRED Bloggs Fred BOB BILLY JOE WING WONG CHISWELL TESTING Out Of Province Joe boy Out Of Province Joe boy Brown Baby Out Of Province Joe boy George George Icbc bangup Bob Chiswell Testing CHISWELL TRUDY SMITH BROTHERS COUGH DROPS OUT OF PROVINCE JOE BOY To DESCRIPTION With Appt Doctor No Appt INR With Appt Doctor With Appt Doctor Unmatched Appt Doctor With Appt Doctor Unmatched Appt Doctor Unmatched Appt Doctor Unmatched Appt Doctor No Appt INR Unmatched Appt Doctor With Appt Doctor With Appt Doctor No Appt INR No Appt INR With Appt Doctor With Appt Doctor With Appt Doctor With Appt Doctor With Appt Doctor With Appt Doctor With Appt Doctor With Appt Doctor No Appt INR No Appt INR No Appt INR Create Report ACCOUNT 211 led 2 ERE N 221 N N
22. Chapter 6 Health Card Version Codes for details SURVEILLANCE REPORT Monitor the number of surveys being conducted with this feature REHAB STUDY View the results of the Encounter Forms which have been included as a part of this re search study OSCAR User s Manual 98 ID demographic no provider_no formCreated formEdited studyID treatmentGr controlGr eitherGr Billing Tab oscarBilling Unbilled Billed Unsettled oB C FLU Select provider Duck Donald X Create Report Date from To df Back Close the Window UNBILLED BILLED UNSETTLED OB FLU All of these reports are created in the same manner by clicking on the appropriate re port type and following the directions The explanation of each report follows the in structions CREATING BILLING REPORTS From the Appointment Screen 1 From the appointment screen click on the BILLING tab 2 Click on the button beside the type of report you want unbilled billed unsettled OB or flu 3 Select the doctor from the drop down list 4 Click on the From link beside the box for the begin date of the report OSCAR User s Manual 99 5 Clicking on the date will insert the begin date for the report in the box 6 Repeat with the end date for the report by clicking on the To link 7 Click CREATE REPORT 8 To create reports for other doctors during that time period just change the doctors name and click CREATE REPORT 9
23. E N w N H ind wu N b w N m 1 85 N o N o e 3l be n AAA 9 dE This report will give you a list of invoices that have been submitted to the Ministry of Health but have not been paid yet This is useful report to check if there are any out standing invoices to follow up and re submit before they exceed the 6 month limit for submissions OB REPORT oscarBilling Unbilled Billed INVOICE PATIENT 111 CHISWELL TESTING 112 CHISWELL TESTING 113 CHISWELL TESTING A14 CHISWELL TESTING 115 CHISWELL TESTING 206 OUT OF PROVINCE JOE BOY 207 OUT OF PROVINCE JOE BOY 208 OUT OF PROVINCE JOE BOY 227 AMMARY KAMIL Back OSCAR User s Manual Unsettied OB FLU Date From DATE 2005 08 14 P038A 2005 08 21 P023A 2005 08 22 P023A 2005 08 23 P023A 2005 08 24 P023A 2005 12 05 POO06A 2005 12 06 POOBA 2005 12 07 POO6A 2006 02 12 H001A 102 Select provider Duck Donald To BILLING CODE P020A E409A E411A E411A E411A E411A E411A Total Create Report BILLED STATUS 1168 3 132 80 132 80 132 80 132 80 1525 2 1525 2 1525 2 50 95 0 00 Paid Close the Window This reports can be used by doctors querying about how much OB billing they have submitted to confirm the status of a bill e g submitted or paid FLU REPORT oscarBilling Unbilled Billed Unsettled OB FLU Select provider Duck Donald v Create Report Date From
24. ENTERING PREVENTION HISTORY pcr Preventin LE 51 1 NN Prevention MMR Completed Date 2006 05 23 Ed C Refused Provider Duck Donald Ineligible Result Location Lot Route Manufacture Comments Set Next Date Save OSCAR User s Manual 86 1 Click on the test vaccination that you wish to document For an explanation of the abbreviations click a link 2 Select the date from the calendar next to the Date text box Select whether the pre vention was Completed Refused or Ineligible 3 Fill out the rest of the information about the prevention You can set the date of the next prevention with the option of not being reminded of it Click Save OSCAR User s Manual 87 Forms In this chapter Y how to add and complete forms commonly used in a fam ily clinic Annual Health Review form Antenatal Record 1 amp 2 Mini Mental State Exam Rourke Record OSCAR User s Manual Forms Introduction amp Directions FORMS IN THE ENCOUNTER SCREEN e CURRENT FORMS The most recent forms are displayed below the Forms heading in the Encounter screen To view the rest of the current forms click on the Forms head ing then click on the form you want to view or add to e ADD NEW FORM Click on the plus sign next to the Forms heading for a drop down menu of the most popular forms available then click on the desired form to add to the patient s e Ch
25. F5 Customizing Your Forms SELECTING ENCOUNTER FORMS You must be in the Administrative View of OSCAR to select which forms will be avail able in your patients Encounter screen See Chapter 14 Select Forms for details CREATING YOUR OWN FORMS You can make your own electronic forms using OSCAR s e form function See Chapter 12 Creating Your Own for instructions on making and uploading customized HTML forms These forms are used in the same way the regular electronic forms are used but are lo cated in a different area of the oscarEncounter screen See Chapter 12 Adding E forms for instructions on how to fill out save and access your e forms Available Forms ALPHA FORM Developing the Patients Antenatal Psychosocial Health Assessment ANNUAL HEALTH REVIEW VERSIONS 1 AND 2 OSCAR User s Manual 90 For the basic annual physical Both forms have a link to the Annual Review Planner which suggests further actions depending on the patient s conditions ANTENATAL RECORD 1 amp 2 ARI AR2 and Antenatal Planner are combined and linked in one form accessible through the AR form COST QUESTIONNAIRE Study questionnaire assessing the health care costs associated with the patient over a 9 month period Adapted from SLU cost questionnaire GROWTH CHARTS CDC US Growth Charts are used for patients aged 2 20 years in order to document their growth HOME FAST The Home Falls and Accidents Screening Tool Home
26. File Type it should be clicked on Delimited Click the NEXT button amp TAB should be clicked off under Delimiters Click the NEXT button amp under Comma Data Format GENERAL should be checked 10 Click FINISH e In the next box you want it to IMPORT DATA into EXISTING WORKSHEET e Your report will flow into Excel in columns and rows e You can now manipulate your data as desired TO EDIT FIELDS IN THE REPORT L 2 After selecting a report click on CONFIGURATION on the upper right screen The column to the right are the fields of the form that are currently selected for the report The column to the left are fields in the selected form database that have NOT been used in the report currently OSCAR User s Manual 114 e NOTE if you want to use any of the database fields on the left you MUST add cap tions to the fields or you will get an error when running the report ADD EDIT CAPTION 1 To edit any of the field captions click on the ADD CAPTION text link at the bottom of the left column Fields that already have captions are yellow 2 Type the desired heading for the field in the left hand box and click on the ADD UPDATE button opposite the database field name 3 When finished click on the BACK to the CONFIGURATION link on the upper right on the screen SELECTING THE FIELDS FOR THE REPORT 1 Select a field in the left hand column and click on the ADD button to move the data base field into th
27. Msg tab Select Message vi All Messages e From the Main Demographic Record click the Send a Message link e From the Encounter screen click the Send Msg link to send messages and All Messages to view messages linked to the patient READING MESSAGES e Click on the Subject title to display your message Note across the bottom of the screen the functions you can do with this message Reply Reply All Forward Delete Note across the top that you can still navigate to the following within the message views Compose Message Back to Inbox Exit OSCARmessenger sera CT Deleted Message EP Status Subject Date From delete REPLY FORWARD OR DELETE A MESSAGE Across the top of the message screen are the buttons to reply forward or delete a mes sage OSCAR User s Manual 126 1 When either the Reply or Forward button is clicked the full address book is avail able for use the address book names can be edited by any staff who has administra tive access to the program 2 Click on the individuals you want to forward the message to 3 Enter your reply and the click Send Message button 4 The next screen tells you that your message has been sent and give you the option to Compose a Message Back to Inbox or Exit oscarMessenger SENDING A MESSAGE 1 Click Compose Message 2 Type in a subject heading amp your message 3 If you want to send informatio
28. REFUGEE Billing Interim Federal Health Certificate of Eligibility FAS Benefit Administrators Contact Lianne Backstrom x 729 9th Floor 9707 110 Street Edmonton AB T5K 3T4 1 800 770 2998 Web Site for forms www fasadmin com Submitting Refugee Billing 1 Fill out the Medical Services Claim Form 2 Use OHIP codes and dollar amounts 3 Person sending in the claim can sign by Authorized Signature 4 Unit Label on section 2 above put ATTENTION BILLER 5 Attach a photo copy of the patient s Interim Federal Health Certificate 6 Mail to above address OSCAR User s Manual 76 WSIB BILLING Workplace Safety amp Insurance Board Contact Maria Galiarity x2937 200 Front Street West Toronto ON M5V 3J1 1 800 387 5540 Web Site for forms www wsib on ca wsibsite nsf public FormsHealth Details For all patient visits to the office we bill the same as an OHIP bill and just flag it at the beginning as a WSIB encounter They are paid the same as an OHIP claim WSIB Forms Completed by Doctor e Each doctor can apply for their WSIB Billing number before submitting invoices e The clinical visit of a patient concerning a WSIB claim is processed with other OHIP billing and by changing the Billing Type to Bill WSIB e This invoicing directly to WSIB is for filling out the WSIB forms e The form is the invoice when filled out with the appropriate billing code e There is also payment for letters reque
29. User s Manual 172 3 Click the file names on pop up window to save the files to the local computer 4 Burn a CD at the end of the week with everything in the directory amp keep off site 5 Usea couple of CD s and rotate them back amp forth from the office e The backup date will be shown on file names So it is easy to only download the files that are new e This process backs up documents and database of your OSCAR program The back up should usually be daily but even every 2nd day is OK Restoring the backup files if there ever was a problem will be looked after by the OSCAR programmer oscarMessenger EDITING THE MESSENGER LIST 1 Click Messenger Group Admin Group Configurator Root Now Group Click here to create new group on this Level All the groups in this Level Click to explore the lower level Groups coc recept paist 2acmin test p Upcate group members All the Members that are in this group are checked Lastname Firstname Provider Type BLAH BLAH Delete this group receptionist w Doles Donsic doctor w Dolitzie Davic aoctor 2 The initial list that comes up are the individual names showing under the groups 3 Click off only those names you would like to show in the address book 4 Click Update Group Members button OSCAR User s Manual 173 CREATE A NEW GROUP 1 Click Messenger Group Admin 2 Click New Group 3 Type in the name you want to call the g
30. Week Setting ran J P Mon R amp 30 4pm ee F Tue R830 pm F wed P8 30 4pm lt lt P surg am surgery am office pm F Thu 830 dpm x lt donalddd oiwjfe Fri P830 4pm ce ref Next Cancel 3 Specify a start and end date for the schedule 4 Check off the days of week that the provider is available 5 Transfer prepared templates by clicking on the template name and then the arrow beside the appropriate day 6 Alternate Week Schedules Click on if applicable before transferring template in formation to schedule This would be used if the provider has a schedule that alter nates every two weeks on the same cycle Transfer prepared templates to all applica ble available days 7 When you have filled in all the appropriate days click the Next button to save and view the schedule in calendar view e NOTE The effective dates are the only ones that will actually appear in the pro vider s schedule although the template names appear on all calendars OSCAR User s Manual 162 e TIP Concurrent schedules will need a new start and end date or the current R Sched ule can be extended by the end date Never change the start date of the current R Schedule Each additional schedule will be added to the drop down menu of available schedule fields UPDATING A SCHEDULE 1 When schedule updating is required for specific dates select the appropriate sched ule field
31. all of the same permissions as a doctor or locum EXCEPT the ability to Verify and Sign Encounter notes receptionist no access to doctors notes E chart oscarRx labs or the administration functions admin access only to the administration functions unless admin role is secondary to another role Step 6 Schedules Only complete this step if you want the user to have a schedule on the appointment screen eg practicing doctors residents nurses not receptionists Otherwise you are finished The template settings can be as complicated or as simple as your office requires There is one default schedule in the system and it must be applied to each provider in order for them to show up on the appointments screen e Click on the Schedule Setting Link under the Schedule heading SCHEDULE TEMPLATE SETTING Select a provider Or do Holiday Setting Template Code Settin Template Setting for CET Cancel OSCAR User s Manual 158 HOLIDAY SETTINGS Holiday Setting enables you to indicate recognized holidays and name them on the cal endar This information will be accessible to all users A separate public template for booked holidays will need to be developed and used on individual schedules TEMPLATE CODES AND DAY TEMPLATE SETTINGS Template Code Setting Assign a one character code letter or number and a description of less than 40 charac ters The duration of each code unit is in minutes and
32. amp Last Name Address Province First Name City Postal Coce Phone Phone 2 Year of Birth Month of Girth Date of Birth HIN Version Coce Roster Status Patient Status Date Joinec Chant amp al Ld LC CI Ld EI Provicer vi n Lj End Date Pen indicator E Date Health Card Tyce r Family Doctor HC R new Date Save Query Run Query OSCAR User s Manual 5 Months v ALL Providers Scanned Lab Documents Document Description Date Lab Documents Document Description Date Scanned Lab Documents Document Description Date Lab Documents Document Description Date TOOL tool that allows you to select the criteria you want from the be used to export ALL of one doctor s patient data or pa an be burned to a memory storage device Lond Quer Where f N Age Style Exact Inthe year Asof AGE NO AGE SPECIFIED es i First Name Last Name h FS NR RO oster Status irr E Sex NO SEX SPECIFIED p No larvex Ir Welby Marcus ORW Livingstene ORL steven steve Kimble DAK Paul acot compete study rovicer rir AC IN nu Patient Status p i NO ORDER gt NO LIMIT v Orcer By Limit Results to 108 1 Click Demographic Report Tool link in the Report tab 2 Make the desired selections based on the information you want to see in the report The checkboxes unde
33. as Read Write or Delete to specific roles Doctor Nurse etc or even to certain providers Choose from the drop down menus for the role or provider you wish to modify then click the checkboxes of the objects and privileges you want to assign to them LOG ADMIN REPORT Track who has been logging into the Admin screen or regular Log In screen using this function OSCAR User s Manual 166 Billing Functions UPLOAD SCHEDULE OF BENEFITS ADD EDIT BILLING SERVICE CODE For adding or modifying service codes that appear on the billing forms in the provider view ADD BILLING LOCATION If you wish to add to the Clinic Location drop down menu on the encounter billing form type in the desired code and description and click Add Code Description DOOD Not Applicable 0001 Non OHIP THIRD PARTY 0001 Non OHIP THIRD PARTY 1111 Coge Description 1212 test er 1972 Checoke Hospita Ada 1963 Henderson Genera 1965 Hamilton General 1994 McMaster University Mecical Center 2003 St Joseph s Hospita 3226 Stonechurch Family Health PCN 3642 The Wellington Locge 3821 StoneChurch FH 3831 Maternity Centre of Hamilton 3865 Stonhechurch Family Health Center 000S Connor Travel Clininc 9999 Home Visit MANAGE BILLING FORM ADDING DELETING BILL CODES 1 Click on Manage Billing Form in the BILLING section 2 Click on Service Code radio button 3 Click the MANAGE button OSCAR User s Manual 167 osca
34. field and checkbox MUST be unique The information WILL NOT SAVE if there are duplicate names The name of the tag should start with JJ name The name looks like name yourDefinedName 3 Make sure you remember to save your form as an html file Step 2 Uploading the E Form 1 Go to the Admin screen Click on Upload a Form under the E Forms heading OSCAR User s Manual 140 2 Enter the form s name and subject this can be a description of the form or the cate gory under which the form falls Click Browse and locate the html file of your form Click Upload 3 Once the form is added we can click on form name to view it One thing you might notice is that the image cannot be displayed this is because it hasn t been stored on the OSCAR Server yet This is the next step Step 3 Uploading the Form Image In order to display the image properly on the E Form we have to upload the image to E Form Image Container 1 In the Admin view click on Upload an Image under the E Forms heading 2 Click Browse and locate the right image Click Upload 3 Click on the image link to check that the image uploaded properly Step 4 Testing the Form When logged in as a provider test the form in a patient s record by filling out ever text field and checkox and saving it in their e form folder Make sure you delete the test form after saving it OSCAR User s Manual 141 13 OSCAR Resources In this chapter
35. html code is used for the back eround colour ligi n 1 15 Minute Appointment Edit Appt Template Code Code E Description Duration mins Color e g 1b2c3d ivory Confirm C Yes No Delete Save Exit Code only one char Description less than 40 chars Duration unit is minute Color html code for background color Color chart links lynda com Hillsborough Community College OSCAR User s Manual 159 Template Setting 1 Select Template Setting for Public or Provider templates from the drop down menu Public templates are automatically designated P and will develop templates avail able to all users when setting up personal schedules Personal templates remain available to the designated provider only Provider Public P Iblank Ad Edit 15 v Go Add A Template Template Name e20 chars Summary Template Code 00 00 01 00 02 00 03 0 04 00 05 00 06 00 07 00 08 00 09 00 10 00 11 00 12 00 13 00 14 00 15 00 16 00 17 00 18 00 19 00 20 00 21 00 22 00 23 00 Delete Save Exit Name the template to reflect the day s schedule This information will be visible on the Month tab calendar only Summarize the template i e Provider Name Mon day A template with the same name will overwrite the original template 3 Assign appropriate template code to 15 minutes time slots corresponding to pro vider s schedule 4 Click in the block and t
36. no abnormal eating habits Exercise vea No ves 2006 5 21 basketball gym twice a week Ww ni 2006 5 23 in BMI Cancel Submit 3 After completing the table click Submit e Past measurements can be viewed by clicking the link Old Measurements Consultations Order a consultation visit with the specialist for the patient See Chapter 10 RIGHT MENU BAR Allergies OSCAR User s Manual View and add to the list of allergies for the patient found in the oscarRx application See Chapter 7 Allergy Profile View old and current prescriptions as well as writing new scripts See Chapter 7 List other medication that was not prescribed by members of your clinic Current Issues List all the patient s current issues items added to the CPP fields are automatically in cluded in list Assigning different issues to different progress notes will allow you to fil ter your progress notes based on issue Click on one issue in the list to view all progress notes assigned to that issue OSCAR User s Manual 46 Billing In this chapter Y how to read the appointment screen Y how to make appointments book patient appointments group meetings Y how to change between different views of the schedule schedule view group view calendar view Y how to access the other parts of OSCAR using appoint ment screen tabs OSCAR User s Manual OscarBilling allows you to easily access and complete the patient billing pro
37. or CON FIRM the bill as correct 3 Click CONFIRM to save the billing record for processing and bring you back to the appointment screen OSCAR User s Manual 51 Ontario Billing Record Generic Billing Form for General Practice Billing Summary Patient MARS VERONICA Health WD Billing Type ODP Bill OHIP Service Date 2006 5 23 Visit Type Code 00 Clinic Visit Billing Physician Donald Duck Visit Location Not Applicable Admission Date 2006 5 23 Appointment Physician Not Available Secordary Physician Not Available Referral Physician Tran Quoc Referral Physician Number 789655 Creator Donald Duck Creation Date 2006 5 23 Service Code Description Unit Fee KD13A Counselling not ongoing 1 or more persons half hour 1 50 45 311 Stressed Depressive or other non psychotic disorders not Diagnostic Code elsewhere classified Total 50 45 Confirm edit Warning The patient does not have a valid HIN British Columbia Billing Records oscarBC Billing Patient information Patent Name Lyman Joshua Patent PHN Heaith Card Type Bc Patient Do8 19551010 Patient Age 46 Patient Sex M Patent Address 99 Unco Ave Chy Washington Posta tiling information Biling Type MSP Service Location O Phnyscan s office Clarification Code PL PEMBERTON Servee Date 2006 5 19 Service To Date After Hours No Time Cal StartT me End Time Biling Provider Dut 33333 Donald Apoontment Provider Duck 33333 Donaid Crestor Duc
38. rm sr rat Lat Upizad OSCAR User s Manual New User Setup Because of the confidentiality of the patient s records access to the administration area of the program needs to be controlled by one or two individuals in the office in order to maintain the integrity and security of the system The following steps walk you through setting up a new provider or user in OSCAR Step 1 Add a Provider Record Each provider s ID must be unique because of the database relationship it builds It is therefore necessary to check first to see what is your last number assigned to a provider before assigning a number to a new user 1 Before you can add a new provider you must look through the existing providers to see what your last provider number was 2 Click the Search Edit Delete Provider Records link under the Provider heading 3 Click the Search button without typing any name in the box to get the full list of providers in the database 4 Click on the ID heading to put the ID numbers in numerical order each heading allows you to sort the database by each of the heading titles when clicked 5 After noting your last provider ID number decide what the ID number will be for the new provider and write it down 6 Click the Back link 7 Click the Add a Provider Record link OSCAR User s Manual 152 10 Add a Provide Provider No Last Name First Name Type receptionist doctor nu
39. routes e drug allergy information e drug drug interaction information e drug information Fill out the information and dosage as you would for a normal prescription taking care to enter the name of the custom drug in the top text field Patient Demographics And Preferences The patient s name age and preferred pharmacy are displayed under Patient Demo graphics e Clicking on the Preferred Pharmacy link will display the pharmacist s name ad dress phone and fax number e mail and notes e Clicking Send to Personal Health Record EDIT PHARMACY OSCAR User s Manual 83 e This link found under the Special heading on the left takes you to the Select Phar macy page e Click Add Pharmacy if you wish to enter another pharmacy onto the list e Click Edit if you wish to change the information of a listed pharmacy e Click the name of the pharmacy that you wish to associate with this patient FAVOURITE PRESCRIPTIONS e You can create a list of your most common prescriptions which will appear on the left side menu under the Favourites heading every time you open oscarRx e This list can be edited by clicking Edit Favourites under the Special heading Here you can change details about the prescription quantity instructions etc then click Save Changes You can also Delete Favourite e To add a prescription from the Patient Drug Profile click the name of the prescription t
40. routine of your office They can be done once a week or once a month depending on the desired working routine of the office staff and when they like to make patient calls 1 Click on the Tickler tab 2 Select either a specific provider or all providers from the drop down beside Select Provider 3 Select the service date range by clicking on the word begin and end to access the specific date required for the report 4 Select the type of report you want active completed or deleted tasks from the drop down beside the move to box 5 Click Create Report 6 The task list can be printed to refer to as tasks are completed OSCAR User s Manual 116 7 When the requested task has been completed put a check mark in the box beside the completed task and click on the Complete button 8 To delete a task where there is a duplicate etc repeat the above and click on the de lete button 9 You can also access a patients individual ticklers through the View Tickler link in the Encounter notes See Chapter 11 for more information on the Tickler System TIP If you only select the END date the report will give you all the ticklers that have not been addressed up to that date If you only select the begin date and leave the end date blank you will get everything in the system from the be ginning date forward OSCAR User s Manual 117 10 Consults an
41. s name to select the correct patient 6 The patient s name will be displayed in the demographic name box OSCAR User s Manual 129 NOTE If you are doing this through the ENCOUNTER SCREEN the patients name is already in the Demographic Name box REMINDER DATES There are 3 ways to select when you want the reminder to show up on the report e Click on the calendar lookup link and advance through the calendar to click on the desired date e If this is a 6 month reminder click on the 6 month link to enter the date 6 months from today s date e Click on the 1 year link if you want the person s name to show up on the report 1 year from today s date e Reminder Message type in the text you want to show up as your reminder mes sage e Click on Submit amp Exit button and wait a few minutes while the request is proc essed VIEW A PATIENT S TICKLERS From the patient s Encounter Screen 1 Click on the View Tickler link in the navigation bar on the lower left hand side of the screen 2 Leave the Select Provider at the default of all providers 3 Select the service date range by clicking on the word begin and end to access the specific date required for the report 4 Select the type of report you want active completed or deleted tasks from the drop down beside the move to box 5 Click Create Report OSCAR User s Manual 130
42. submitted INR s e Search for Unbilled Encounters and bill e Error report encounters corrected and re submitted RECIPROCAL BILLING 1 In Patient Detail Record enter the out of province health number in the HIN box 2 In HC Type click on the drop down menu of the provinces amp select the correct province PROVINCE PROV CODE FORMAT Alberta B 9 numeric individual registration effective Oct 91 British Columbia BC 10 numeric individual registration prior to Jan 1 91 10 11 nu effective Jan 91 family based meric prior to May 94 11 numeric 6 numeric for the subscriber or family group Newfoundland N 12 numeric individual registration NB 9 numeric individual registration Northwest Territories NT 8 character individual registration ONE alpha N D M or T amp 7 numeric Nova Scotia NS 10 numeric individual registration prior to Jan 91 8 numeric effective Jan 94 family based family based Ontario ON 10 numeric individual reg version code prior to Jan 91 9 nu if applicable effective Jan 91 meric family based OSCAR User s Manual B F 55 PROVINCE PROV CODE FORMAT Prince Edward Island 8 numeric individual registration prior to Dec 96 9 numeric effective Dec 96 SIN individ Yukon 9 numeric individual registration Nunavut 9 numeric individual registration NOTE There is a Reciprocal Health billing agreement with all provinces except Que Saskatchewan SK 9 numeric in
43. supervision Set up the list of patients for each doctor by adding each patient via the Add INR button at the bottom of the Patient s Detail Record After the patient has been added to the INR list it is a simple matter of pulling up the list for each doctor and clicking the check box for patients who need to be billed 1 Pull up the Patients Detail Record by doing a SEARCH or by clicking the M icon on the Appointment screen if the patient has an appointment 2 Click on the Add INR button at the bottom of the PATIENT S DETAIL RECORD OSCAR User s Manual 58 Submit 3 Select the doctor for this patient in the drop down menu 4 The default Service amp Dx codes can be changed by their code search buttons as re quired 5 Click on the SUBMIT button 6 At the Review INR Billing click on the SUBMIT button again in order to review the information for accuracy MONTHLY INR BILLING 1 Click on the SEARCH tab and search for any INR patient s Patient Detail Record 2 Click on Bill INR MARS VERONICA 19870615 a Duck Donald Elinic on Service Date 2006 5 23 Selector Demographa CHISWELL TESTING AMMARY KAMIL AFZAL TANVER TESTER KONG WING WONG AMMARY KAMIL CHISWELL TESTING CHISWELL TESTING m ALI Msi MESE UMBARJE MANISHA Generate INR Batch Billing OSCAR User s Manual 59 Not Applicable a 3 Select the do
44. the Admin page Step 5 Assign Roles to User Note You must add all roles for your user even the one that you specified in Step 1 1 Search for the provider you wish to modify using the search field in the upper right corner 2 Choose a role from the drop down menu and click one of the three available actions Add Update or Delete 3 Each new role will appear as a new row Providers with multiple roles will have multiple rows in the chart If you are shown a message Role NOT added 11 you have already assigned this role to this provider ID First Name Last Name Role Action 999997 admin oscaradmin 11 Colleen Kirkham gt 181 David Dolittle Add Update 181 David Dolittle 999998 doctor oscardoc 999998 doctor oscardoc Add Update Delete 182 Donald Doless 1957 Donald Duck 9874 Glenwood Fairview w 88888 IT Support 45321 James EC Add 180 Julie Care 2223 Linny Zon lt Add update Delete 184 Lisa Greeting 2 man meiss J Caio os 2004 Mickey Mouse 44444 Add Update Delete 2003 mikey Ea Asa opdas diee i994 Morgan Price Orao Dele 1955 Morgan admin Price Add n 1956 Morgan recep Price _Add Update 999999 recepbonist oscarrep M OSCAR User s Manual 157 Available Roles doctor access to every part of OSCAR except the administrative view locum access to every part of OSCAR except the administrative view nurse
45. to need for this appointment 2 Follow all the steps in 2 Booking Appointments to the last point 3 Click ADD GROUP APPOINTMENT 4 Select the providers you want involved in this appointment by clicking the check box in the second column beside their name or click the check all link at the bot OSCAR User s Manual tom This will make the appointment with a number of people but with only one person able to do billing and encounter notes 5 Click ADD GROUP APPOINTMENT again and all the providers you checked off will have the same appointment with the same patient at the same time 6 The Existing Appt shows the related appointments in that time slot DOUBLE BOOKINGS If you click on a time which is already booked this creates a double booking OSCAR will warn you that you are about to make a double booking The background bars in the Make Appointment window will turn orange and a message at the bottom of the win dow will say Double Booking This is only a warning in case you didn t intend to make the double booking REPEAT BOOKINGS If you wish to book multiple appointments for the same reason ex annual checkup 1 Click the R button on the lower right corner of the Make an Appointment screen 2 Choose the time interval between appointments number of days weeks months or years and the end date the last date you want the repeated appointment to occur on 3 Click ADD GROUP APPOINTM
46. you re done Enter your Old Password Choose a New Password iwieesteches ConfirmyourNewPassword atlesst chors Tm 1 Done v Done Figure 2 3 Change Password screen OSCAR User s Manual 1 In the appointment screen click the Preference tab 2 Click on the Change Your Password link 3 Type your old password in the top box 4 Type your new password in the 2nd box 5 Re type your new password in the 3rd box 6 Click on the UPDATE button Passwords amp Physical Security by Nick Torenvliet SECURITY Why the big concern By using a variety of security and encryption standards OSCAR provides a secure sys tem for the safe transmission storage and review of sensitive patient information In many installations OSCAR resides on a remote server publicly accessible on the Inter net Other installations of OSCAR may reside on what is assumed to be a safe internal network or LAN In either case the security of your patients data rests on your efforts Just as the filing cabinet where patient records may previously have been kept was only as secure as your collective staff effort modern electronic systems are similarly en dowed with security that reflects the efforts of end users This should not trouble or dismay you in terms of appreciating the benefits of electronic records instead it should raise your vigilance in terms of making no compromises when it comes to system secu rity WEAKEST LINK I
47. 00 27 Ecit 2006 05 74 C0 OC DX LI S WELL TES TI ING g 1039 D OC 29 Let out Total 1120 00 OSCAR User s Manual 171 Base URL Settings RESOURCE BASE URL The Base URL Setting tool in the Aministration o Base URL e g nttp oscar memaster ca View is used for a clinic that has developed a Re source System of their own and does not want to use the OSCAR Resource Server This area would be EE used to point to a different resource directory sys tem other than the OSCAR Resource System e g http www oscarResource ore resource Back Up OSCAR Files to CD The following steps allow you to back up on a regular basis the data files in OSCAR in case of a critical fire or hardware problems Hardware can be replaced and the software re installed and set up by OSCAR technical support if the data has been updated on a regular basis SET UP THE DIRECTORIES 1 First set up a directory on the computer that has a CD burner 2 OR make the directory on another computer and make the directory a shared one so that it can be seen from the computer with the CD burner 3 To make a folder shared right click on directory click share amp click share folder BACK UP FILES Back up each file and put them in the directory you created to hold the back up files 1 Login to OSCAR as admin 2 Click the oscarDatabase Document Download link BACKUP DOWNLOAD PAGE Close File Name Size cvsondump dump 6556992 OSCAR
48. 05 Internet Access invoice Close IMPORT FORM DATA Use this function to import data for a specific form into the OSCAR database CUSTOMIZE DISEASE REGISTRY QUICK LIST 1 Add New Quick List or Edit Quick List 2 Type in the name choose from menu then click continue 3 Type part of name of disease and click code search check desired codes click add remove to modify list and close to finish CUSTOMIZE OSCARMEASUREMENTS You can modify e Measurement Groups Create or modify lists of measurements to be saved in the pa tient s E chart e Measurement Types Add or delete measurements that can be added to the measure ment groups e Measuring Instructions Add instructions that can be included in the description of a measurement type OSCAR User s Manual 176 e Style Sheets Change the look of the measurement forms with css style sheets See Chapter 5 Side Bar Menu Functions for details on how to use the oscarMeasurement function Miscellaneous Admin Functions PATIENT DATA EXPORT This export is for a patient going to another clinic which uses a different program into which the information needs to be imported The first step is to retrieve the patient data using the Demographic Report Tool see Chapter 9 for details e Choose a patient set from the drop down menu and save the list to disk e You can then open the file in Word Pad or Dream Weaver UPDATE PATIENT PROVIDER If a set of patients needs to ch
49. 063 13 2 est S eat ad ee DP dan xc 004 1 55 42 peste pales ev DO J 30 2 Ue sic yee Anic abete OJ 0 30 i Desic Bt 2 ADI a 45 1 Dee A yt e d OOS Sooxa a 15 ete If you have used images in your e form it is important that you also upload them to OSCAR This is especially important if you have simply scanned a form onto your computer and added html to make the form electronic Click Browse to find the im ages and Upload to add them FORM GROUPS Organize your e forms into convenient groups Add New Group Type in the name of the group you wish to create then click Add Group Select View Group Choose the desired group name from the drop down menu then click select You can also delete the selected group by clicking Delete Group Add to Group To add new forms to a group first select the group you wish to modify then choose the form you wish to add from the drop down menu Click Add To Group You can also remove forms from a group by clicking the Remove From Group link next to the desired form OSCAR User s Manual 175 oscarEncounter SELECT FORMS Choose which electronic forms you would like to have available in the patients E chart All Available Forms Selected Forms ADF A 2 Minute Walk ADFv2 ALPHA BC AR l Annual V2 Caregiver l Growth Charts Caregiver 5636 _Add gt gt Pall Care Move Up T ability n 2 move Down 5 U FDI Function AR Intake Information AR20
50. 31 Detail Record Menu Bar The navigation bar on the left hand side of the Patient Detail Record Screen allows you to access several other important features of OSCAR APPOINTMENT Appointment History This area allows you to view when the patient has been seen who saw the patient and whether the appointment was cancelled or was a no show Future appointments also appear in this window Waiting List If you have selected a waiting list from the drop down menu while editing the patient s main demographic information the list will appear here along with the patient s posi tion on the list and the date and time at which he she was added BILLING Billing History The Billing history allows you to view the billing history of a patient by billing date Add Billing The ADD BILLING button allows you to bill a patient directly from the Master Demo graphic area See Chapter 6 Flu Billing OSCAR has developed an easy billing function for special walk in Flu Shot clinics to eliminate the need to book an appointment or search for the billing code See Chapter 6 Flu Clinic Billing Hospital Billing You may bill a patient for a hospital visit from this link Follow all the same instructions as any other kind of billing as detailed in Chapter 6 OSCAR User s Manual 32 Add INR This feature is for billing the monthly G271A monitoring for long term anticoagulant supervision Set up the list of patients for each doct
51. 33333 P Segre Dect MNP 8 10 4pm Deh 399 apm Deck SSS P amp Mom DuA 39993081 44 23 14 25 26 27 Dock 330311 7 60 4930 Dack 33333 7I 5 364pm Duck 1311131 7 8 32 4 pe Dack J3M3MAI amp 16408 Durk 01113 7 8 32 4 p 3l 31 June 2006 6 Next Morth j Thu Fri at eck Sun Mor Tue Wed Thu Fri ox 1 i i 2 3 6 7 8 2 4 5 6 7 8 9 10 13 14 15 3 11 12 13 14 15 16 17 20 21 22 4 1B 15 20 21 22 23 24 27 28 29 5 25 26 27 28 29 30 and the next month below the current month If the desired month is not showing you can advance forward or back by using the arrows on either side of the date in the upper right hand corner of the screen OR your can enter the exact date in the box in the upper right corner of the screen and click the GO button 6 Clicking on the desired date will bring you to the Appointment Screen for that day OSCAR User s Manual 21 Appointment Screen Tabs Month Tab This tab allows you to see the whole month at a glance and see which doctor is working on specific days See previous paragraph Checking Schedules Resource Tab OscarResource is a web based clinical resource database that is maintained by contribu tors from across the country It contains links to websites that are relevant to actual clinical practice and is constantly being updated with the latest information on medi cine and other relevant topics See Chapter 13 Search Tab The Search Tab is used to search the database for a sp
52. 8 2005 10 15 905 333 1234 CONRADSKY STEPHANO 50 M 2006 01 19 905 DER ELVIS 40 F 2006 03 04 905 DFS AGASDDF 106 F 2005 10 27 905 DOE JANE 64 F 2005 10 27 905 DOE JANE 28 F 2005 12 10 905 DOE JANET 36 F 2005 10 11 905 123 4567 DOE JOHN 6 F 181 2006 05 25 905 DOUGLAS TOMMY 101 M 181 2006 07 04 905 DUCK DAFFY 37 F 2006 02 12 905 DUCK DAFFY 54 M 2006 06 16 905 OSCAR User s Manual 104 DAY SHEET From the drop down list select either the desired doctor group of doctors or All Doctors Click on the From and To links to select the date range for the day sheet from the calendar The time range of the report can be changed using the drop down menus beside the date range Click on All appointments for a list of every appointment within the time and date range selected OR click Print Day Sheet for only new appointments for a list that only includes appointments made after the last day sheet was printed This function will open the closed folder on the Appointment Screen beside each booked appointment signifying that the Day Sheet has been printed DAY SHEET 2006 7 14 15 28 Print Exit Duck Donald 2006 07 14 8 00 00 20 00 00 Appt Patient s Last Chart Roster Time Name No Status 10 45 Bravo Delta Dolittle D sore throat 11 00 Brown Pregnant RO Kirkham C f u 13 30 Ammary Kamil 14 00 Connor Steve RO oscardoc d Rx BAD APPOINTMENT SHEET This
53. E moved MO etc ROSTER STATUS Roster Status shows whether the patient is rostered RO not rostered NR fee for serv ice FS terminated TE etc BILLING TYPE Below the patient s name is the Billing Type NOTE the program will default to Bill OHIP For other types such as DO NOT BILL click on the arrow beside the window to select from the drop down menu OSCAR User s Manual 49 VISIT LOCATION The program will default to the Clinic name For hospital and other locations click on the arrow for a drop down menu REFERRAL If your program is set up for specialist billing you will have a check box beside the Visit Type The referring doctor must be in the patient s Master Demographic area for this to work ASSIGNED PHYSICIAN This is the physician assigned to the patient in the Master Demographics BILLING PHYSICIAN Click on the drop down menu to select a physician s name VISIT TYPE Visit Type will default to the clinic If the encounter was outside the clinic click on the drop down menu beside Visit Type to select Out Patient Visit Hospital Visit ER etc from the drop down menu ADMISSION DATE e Click on the Admission Date link underneath the Visit Type e Clicking on the appropriate date of the calendar will put the admission date in the Admission box SERVICE PROCEDURE AND PREMIUM CODES e Select the checkbox es of the codes you wish to bill to your patient e Ifaservice procedure premi
54. ENT DELETING AN APPOINTMENT 1 Click once on the patient s name 2 At the bottom of the EDIT APPOINTMENT screen click on DELETE APPOINT MENT CHANGING THE APPOINTMENT STATUS 1 Click once on the icon to the left of the patient s name OSCAR User s Manual 2 As you continue to click on the changing icon you progress to the next appointment status in the loop PATIENT S DEMOGRAPHIC RECORD e If the patient has an appointment click on the M icon beside the patient s name in the appointment screen e OR click on the SEARCH tab type the patient s name in the box and click SEARCH SEARCHING FOR A PATIENT The Search Tab is used to search the database for a specific patient s Master Demo graphic record which has many office functions including booking an appointment 1 From the Appointment screen click on the SEARCH tab po e You can search by Date of Birth Name Health Number Address 2 The program will default to a NAME Phone Number or Chart Number e Fora General Search leave the search search box blank and click the SEARCH but ton to get the full list of patients in the 3 Type in part of the patient s last name then eqs e The smaller amount of the name you a comma and then the 1st initial of the pa type in for the search the better tient s first name 4 Click the SEARCH button or press the ENTER key 5 When the list of names come up click on the Demographic ID but
55. FAST is a study tool used to assess the patient s home for potential fall and accident hazards INVOICE FORM Personal Invoice Form for the patient with all the relevant information from the pa tient s chart filled in LAB REQUISITION FORMS From provider view only MENTAL HEALTH FORMS Requesting a referral to a counselor or psychiatrist MINI MENTAL STATE EXAM For assessment of dementia OSCAR User s Manual 91 OVULATION This form is for tracking a woman s ovulation as well as other important factors when attempting to become pregnant PALLIATIVE CARE PATIENT CARE FLOWSHEET For developing a palliative care assessment plan RISK ASSESSMENT Self administered questions used in self report index ROURKE RECORD Tracking the baby s development up to five years of age T2 DIABETES FORM Tracking a patient with type 2 diabetes TWO MINUTE WALK Instructions for administering the 2 Minute Walk Test and the Lower Extremity Func tion Test OSCAR User s Manual 92 Keports In this chapter Y how to generate reports about the clinic s patient popula OSCAR User s Manual tion Age Sex Report Visit Report PCN Catchment Report Billing Reports Day Sheet Appointment Lists Consult List Tickler Reports Administration View oscarReport Find instructions on how to enter the Administrative View in Chapter 14 QUERY BY EXAMPLE If you know how to use SQL language you can create your own search q
56. FT MENU BAR Preventions oscarPrevention keeps track of the most common procedures that help prevent disease in a patient These include vaccines and common tests ex PAP smears See Chapter 7 oscar Prevention OSCAR User s Manual 42 View Tickler Remind staff to call or book a patient for a repeat procedure to pay an unpaid bill etc See Chapter 11 Tickler Reminder System Disease Dx Registry Add multiple diagnostic codes to the patients records that can be used for research pur poses in the future Disease Registry TEST PATIENT F 18 year Io LONG TERM USE ANTICOAGUL 2008 05 13 2008 05 13 Resolve Delete HX OF COLONIC MALIGNANCY 2008 04 28 2008 04 28 Resolve Delete OTH CHR ISCHEMIC HRT DIS 2008 04 28 2008 04 28 Resolve Delete OSTEOPOROSIS 2008 02 12 2008 02 12 Resolve Delete ANXIETY STATES 2008 01 08 2008 02 12 Resolve Delete HX VEN THROMBOSIS EMBOLS 2008 01 08 2008 01 08 Resolve Delete ASTHMA 2008 01 08 2008 01 08 Resolve Delete _Code Search Add HEART FAILURE 2008 01 08 2008 01 08 Resolve Delete HUMAN IMMUNO VIRUS DIS 2007 12 05 2008 04 28 Resolve Delete Chronic Diseases DIABETES MELLITUS 2007 12 05 2007 12 05 Resolve Delete Go i ESSENTIAL HYPERTENSION 2007 11 16 2007 11 16 Resolve Delete ABN GLUCOSE TOLERAN TEST ABN PAP SMEAR CERVIX ANXIETY STATES ASTHMA ATRIAL FIBRILL FLUTTER CEREBROVASC DISEASE NOS CHR AIRWAY OBSTRUCT
57. Flowsheet Negation A0C7A 08 Apr 2008 BMI 31 12 Feb 2008 Figure 5 1 The oscarEncounter screen Accessing the Encounter Screen From the Appointment Window 1 Click on the E for Electronic Chart to the right of the patient s name 2 The Encounter window will pop up with the patient s name in the top bar 3 Click on white areas all fields and type additional information OR 1 Click the Search tab at the top of the appointment screen OSCAR User s Manual 36 2 Type in last name or other piece of patient information such as chart number and click search 3 Click on the demographic number of the desired patient to pull up the patient s de tail record 4 Click on E Chart under the heading Clinical Modules in the left hand navigation bar Note The Encounter Screen is not usually accessible to those with receptionist permis SIONS Patient Progress Notes One of the most important features of the oscarEncounter screen is writing and editing progress notes for patients With oscarEnounter you can write new progress notes for each encounter you have with a patient displaying each encounter in its own easy to distinguish box as well as editing old progress notes while keeping the old copies of the notes DE VEG good color o des penssi et anc nght Tuck 7 9 and T4 mirma homo neg t Plo y anth Od e sone het st FOOT neg and o Feros gu pt ob lan 9 jer 9 Seton and we Teno
58. LL or not available e The provider can be made available will show on Schedule View or not avail able will show on View All only Save to update e A colour change to yellow on the schedule setting calendar indicates a template change and provider is available e A colour change on the schedule setting calendar to dark blue indicates a template change and provider is not available FINISHING 1 Click Next to save changes 2 You have finished one Schedule Setting successfully 3 Click the Do It Again button to go back to the first schedule page and do another provider s schedule 4 Choose next provider for template setting 5 Click the Finish button to exit the window OSCAR User s Manual 164 Security Functions As the Administrator it is your responsibility to educate new users to the importance of protecting their login and password in OSCAR This is important to protect the integrity of the system and the patient s confidential records ADD A LOGIN RECORD See New User Setup Step 4 SEARCH EDIT DELETE SECURITY RECORDS If you wish to view change the user name password and PIN of a certain provider type their provider number into the search field and click Search Click on the correct user name and modify You will not be able to view their old password as it will be encoded If you want to change the password delete the encoded text type in the new password then click U
59. N SECURITY Your system administrator plays a large role in ensuring the security of your patients data however there are some forms of attack over which administrators have no power It is widely acknowledged that the weakest link in system security is the user Since this is true the first step to good system security is to encourage the end user to actively participate in engendering safe practices OSCAR User s Manual THE THREAT OF HACKERS The first thing you can do is pick a very hard to guess password for your OSCAR login By far the largest security threat comes in the form of malicious individuals running user name and password lists against a log in screen It does not require great skill to crack into a system through a simple password All a hacker has to do is find some likely user names for your organization perhaps the first and last names of your staff She he can then run any of a number of download able programs against the OSCAR login screen which will test permutations of the likely user names with literally tens of thousands of commonly used passwords DEVELOPING A GOOD PASSWORD In order to ensure that no one gets into your patients record through your password you need to choose a password with low odds of being guessed Words found in the dictionary simple patterns such as alb2c3 or 36963 and variations of family names such as sheldon1 are very easy to remember but also very easy to guess It is recomm
60. NEC DEPRESSIVE DISORDER NEC DIABETES MELLITUS ESSENTIAL HYPERTENSION HEART FAILURE HUMAN IMMUNO VIRUS DIS HX VEN THROMBOSIS EMBOLS It is important to link your description with the diagnostic code for accurate research data Text not linked to a diagnostic code will not be counted in research reports e Type the 1st diagnosis in the top box then click on the code search button to get the correct diagnostic code from the database Clicking on the number link of the desired diagnostic code will insert it into the box to replace with the diagnostic code OSCAR User s Manual e You can repeat the above for as many diagnosis you would like to add to the patient s encounter record then click on the add button to add these to the list on the right e You can click on the Resolve link beside each encounter diagnosis to update the re cord when a diagnosis has been resolved or Delete if an error has been made in en tering a diagnosis Standard medical forms which can be easily accessed for research data collection Most common forms ex Antenatal Record can be found here Add new medical forms edit current forms or view old forms See Chapter 8 All other medical forms which can be made and uploaded by anyone in the clinic Forms that are personalized to your clinic and less common forms can be found here Add new medical forms edit current forms or view old forms See Chapter 12 Doc
61. O S C A R Open Source Clinical Application Resource USER S MANUAL A Open HM Source Clinical Application Resource VERSION 2 2 e www oscarcanada org e Table of Contents 1 Introducing OSCAR 1 The Open Source Philosophy 1 OSCAR History 2 2 Access Preferences and Security 4 Accessing OSCAR D User Preferences 6 Security 8 3 The Appointment Screen 11 The Appointment Screen 12 Making Appointments 16 CHECK SCHEDULES 21 Appointment Screen Tabs 22 4 Master Demographic Records 25 Searching For A Patient 26 Adding a New Patient Ze Organization Name Proposal Title Patient Detail Record 28 Editing A Patient s Record 29 Detail Record Menu Bar 32 5 oscarEncounter The Electronic Medical Chart 35 Accessing the Encounter Screen 36 Patient Progress Notes 37 Cumulative Patient Profile 39 Side Bar Menu Functions 41 6 Billing 47 Billing the Encounter 48 SENDING THE BILL 51 The Billing Process 53 Pre Invoice Functions 54 Billing for Walk In Flu Clinic 57 INR Billing 58 EDT Setup 60 Invoicing OHIP 63 Invoicing via EDT 65 Correcting Billing Errors 67 Remittance Advice amp Report 68 After the RA Report 73 Health Card Version Codes 74 UHIP WSIB amp Refugee 75 Organization Name Proposal Title 7 Prescription and Prevention Patient Demographics And Preferences Patient Drug Profile Allergy Profile oscarPrevention 8 Forms Forms Introduction amp Directions Customizing Your Forms Available Forms 9
62. Open Internet Explorer 2 Click FILE on the menu bar 3 Select PAGE SETUP 4 Delete the header and footer information 5 Put margins to 5 in SETTING UP NETWORK amp PRINTER SHARING Start with the computer that will be the central computer and that will always be turned on before the other computers Go through the steps for Setting up a New Computer that you would use for ALL computers Then share right click on the printer and select sharing the printers that are set up on this computer Tip If sharing is done on an item you ll see a hand sign at the bottom of the item To Begin 1 Right click on Network Neighborhood and then Properties 2 Click on the Identification tab and type in a unique name for each computer in the Computer Name box In the Workgroup box put the name of the whole Intranet e g MCHamilton stonechurch OSCAR User s Manual 181 3 It doesn t matter what you put in the Computer Description box you can put your name or exam room number if you want Configuration Tab L Install Client for Microsoft Network if it is not already installed Click the ADD button under the Configuration tab In Select Network Componen type click on CLIENT and then on ADD Now click on Client for Microsoft Network in the Configuration tab Click on Properties verify that only Quick Logon is clicked on amp then click OK In Select Network Clien window p
63. Report Percentage of patient who met guideline Continue Percentage of Patent in Abnormal Range Continue Frequency of Relevant Test Being Performed Continue 3 Select the tests and guidelines you wish to see in the report as well as the date range of the report Click Generate Report Number of Patient Seen Start Date End Date e 2005 7 14 amp 2006 7 14 S Percentage of patient who met guideline Test Test Description Measuring Instruction Above Below Guideline Start Date End Date BP Bood Pressure ec 2005 7 14 2006 7 14 5 F sttng poston Sitting Poston ana nan Target 130 90 Intervet 3mo Iv eneke Gene Generi Sezures ec 2005 7 14 2006 7 14 V record date of sezure Generate Report You can print the report that is generated Percentage of patient who met guideline There are 9 patients seen from 2005 7 14 to 2006 7 14 From 2005 7 14 to 2006 7 14 BP sitting position gt 0 0 0 0 0 0 of patients is gt From 2005 7 14 to 2006 7 14 BP Sitting Position nnn nnn Target 130 80 Interval 3mo gt 0 0 4 0 0 0 of patients is gt From 2005 7 14 to 2006 7 14 BP Check it gt 0 0 2 0 0 0 of patients is gt From 2005 7 14 to 2006 7 14 BP gt 0 0 6 0 0 0 of patients is gt WAITING LIST 1 Select the desired waiting list from the drop down menu and click Generate Report OSCAR User s Manual 112 2 Appointments for the patients on the
64. Reports Administration View oscarReport Billing Tab Report Tab Tickler Tab 10 Consults and Referrals Requesting a Consultation Appointment Booking the Specialist Appointment Edit Specialist Listing 11 Communication oscarMessenger Tickler Reminder System 12 E Documents and Forms Organization Name iii 78 83 64 85 86 88 89 90 90 93 94 99 103 116 118 119 121 122 125 126 128 12 Proposal Title Adding eDocuments 133 Using E Forms in a Patient s Chart 135 Creating Your Own eForms 136 13 DSCAR Resources 142 Using oscarResource 143 Contributing to the oscarResource Database 145 14 Administration 150 Accessing the Administrative View 151 New User Setup 152 Step 1 Add a Provider Record 152 Step 2 Add New User to a Group 154 Step 3 Preferences 155 Step 4 Set Up a Password 156 Step 5 Assign Roles to User 157 Step 6 Schedules 158 security Functions 165 Billing Functions 167 Base URL Settings 172 Back Up OSCAR Files to CD 172 oscarMessenger 173 E Forms 174 oscarEncounter 176 Miscellaneous Admin Functions 177 Organization Name Proposal Title 15 Troubleshooting 180 Initial Computer Setup for OSCAR Clinic 181 Back up OSCAR Files to CD 185 Troubleshooting Connections 186 Organization Name Proposal Title Introducing OSCAR The Open Source Philosophy The basic idea behind open source is simple when programmers can read redistribute and m
65. SCAR software is copyright 2002 McMaster University You can redistribute it and or modify it under the terms of the GNU General Public License version 2 as published by the Free Software Foundation This program is distributed in the hope that it will be useful but WITHOUT ANY WAR RANTY without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PAR TICULAR PURPOSE See the GNU General Public License for more details This software was created under con tract to McMaster University To purchase sup port or enhancements for this software contact Department of Family Medicine McMaster University 1200 Main Street West Hamilton Ontario Canada L8N 3Z5 The GNU General Public License for Free Soft ware can be found at www gnu org licenses gpl html bution with the same software license Based on a philosophy of academic development and information sharing open source products like OSCAR are not intended for profit by the developer A mechanism to support international collaboration is necessary to fully realize the significant patient system and research benefits offered by OSCAR Our lowcost open source approach is intended to enlist a critical mass of health care users and developers to use and continually enhance the OSCAR system OSCAR History In 1988 David Chan developed a DOS based program called MUFFIN McGill Univer sity Family Folder Information Network while at McGill University in Mo
66. See Chapter 2 Se curity for more tips on protecting your account DC OGIN USEF User Name Password Confirm Provider No None Expiry Date F Date E Pin remote Enable Pin local Enable r PIN more than 3 digits Confirm Add Record 1 Click on the Add Login Record link 2 Type ina login and temporary password 3 Type in a PIN number Only assign a PIN number if you want the user to be able to access the program from outside of the office 4 NOTE you will need to write down the login password and PIN number to give to the new user Once you click on the Add Record button the password will be en crypted and not even the Administrator will know it This is a security feature You need to inform the new user to change their password the first time they use the sys tem I find it is easier to have the new user sit with you while doing this function so that they can enter the login password and PIN number they will remember This eliminates any need for a little piece of paper floating around with a password on it 5 Click on the drop down menu beside Provider No to select the user s name 6 Select the provider s expiry date from the calendar next to the Date text box It is usually best if the user is planning to stay for a long time to make the expiry date many years into the future OSCAR User s Manual 156 7 Clicking on Add Record will save the settings and take you back to
67. TESTER ESTER 24 905 oscardoc doctor 3 2004 12 12 SMITH MARCELLE 43 905 224 6802 oscardoc doctor 4 2004 12 12 TEST PATIENT 6 905 555 1234 oscardoc doctor ACTIVE PATIENT LIST Click on the Active Patient List hot link to produce a full report of all the active pa tients in the clinic showing the patient s name chart number age sex health card number doctor date joined and phone number PATIEN Print B Cancel LastName First Name char Hos ex HIN Ver Jomed Phone Phone ABSENT TODAY 2006 04 19 Wd AFZAL TANVER E 2005 10 06 905 222 3333 AMMARY KAMIL F 1957 2005 09 19 02 660 6861 AT AT 106 F 2005 06 14 905 AT AT 26 F 8276985267 2005 06 14 905 ATEST1 ATEST2 7 F 2005 07 21 905 BLOGGS FRED 31 F 1957 2005 09 09 905 BLUTH GEORGE MICHAEL 49 M 2006 05 23 905 E BOB BILLY JOE 61 M 1957 2005 11 25 905 324 2432 BOY NMN 1 F 2006 04 24 905 BRAVO DELTA 86 F 181 2005 07 25 905 BROWN BABY 2 M 2347568957 181 2004 02 27 905 555 1234 BROWN COW 1 F 2005 08 13 905 BROWN PREGNANT 49 F 9069158251 11 2004 02 27 604 778 4593 CAVERO RENAN 36 M 8276985267 YL 1954 2005 07 21 905 257 8986 CEPEDA RENALDO 6 M 1957 2005 12 12 905 555 9999 CHILD THREE YR 4 F ER 2005 05 31 905 CHISWELL TESTING 49 M 9076491042 174 2004 02 00 604 549 7788 CHISWELL TRUDY 52 F 2005 08 08 905 CONNOR STEVE 50 M 99999
68. ab From the con tab the staff booking specialist appointments can pick up the request and process through each step Both doctor and staff can check the status of the task from waiting for the specialist to call back waiting for the patient to call back and com pletion of the task See Chapter 10 Preference Tab The Preference Tab gives you the following options Change your password change the start and end time showing on the appointment screen or edit or add a group See Chapter 2 User Preferences eDoc Tab This is the storage holding area for eDocs that you can use for your favorite patient handouts keep your current contact list or the latest ON CALL schedule See Chapter 12 OSCAR User s Manual 23 Tickler Tab The Tickler is a system is used to remind staff to call or book a patient for a repeat procedure as well as alerting staff of unpaid bills or any other important reminders See Chapter 11 Admin Tab Help To request help from the support team or make a suggestion click on the HELP link in the upper right corner of the screen Click on the CON TACT SUPPORT link in the bottom white screen and fill out the e mail with your name e mail topic and your request This e mail will go to a central person on the team who will direct it to the appropriate technical staff Only available for users who have a secondary admin role See Chapter 14 OSCAR User s Manual 24 4 Master Demog
69. ab or shift tab to add and delete code 5 Save completed template 6 The template will now be available on drop down menu to edit or delete as neces sary within the respective Public or Provider s template setting area OSCAR User s Manual 160 7 Exit when all templates for one Provider are done NOTE A template will not appear on the appointment screen once the date range for the template has exceeded one year If the template is remaining the same a new tem plate with the start date at the current day needs to be set MEANING OF SAMPLE CODES A Academic paperwork etc V Vacation B Behavioral Science U Urgent C Chart Audit Rounds t Travel D Department Meeting a Administrative Education Duties E Study Leave m Meeting H Hospital s Same Day Appointment L Lunch 1 15 Minute Appointment M Monitoring 2 30 Minute Appointment P Phone Calls 3 45 Minute Appointment R Rounds 6 60 Minute Appointment SETTING UP A SCHEDULE 1 Select a Provider from the drop down menu under Select a Provider in order to set up the schedule using the templates you have developed 2 The new window will show the provider s name in the upper left corner of the screen OSCAR User s Manual 161 Duck Donald 2006 01 01 2007 10 12 Delete SCHEDULE TEMPLATE a eas ao a SETTING Date fromivryy nm lt 2006 h f tOrveyy mm ecy 2007 hio h2 is available EVERY ios weex Alternating
70. after a submission and is printed through the OSCAR User s Manual 69 OSCAR program It is a report stating that the submission was received and will list any errors encountered under the Rejection Reason e File Reject Message X files The report would replace the Batch Acknowledgement if the MOH could not process the invoicing An error code will be present stating the problem with the file that was transmitted VERY RARE REMITTANCE ADVICE RECONCILIATION The RA disks are received from MOH once a month and contain all the PAID patient encounters you have invoiced to OHIP during the previous month It includes a de tailed report of which encounters were paid how much and any further billing errors that were not caught with the Machine Readable Error Report This process up loads the information from the disk or EDT file to OSCAR and marks the files as paid L Insert the diskette in the floppy drive or download the RA file from EDT to a local directory Log into the ADMINISTRATION view in OSCAR Click on the BILLING RECONCILIATION link under BILLING Click on the BROWSE button to select the RA file on the A drive or the EDT direc tory Click SUBMIT this process will take a few minutes Click CREATE REPORT to upload the RA file When the list of reports appears click on the NEW link under the STATUS col umn to reconcile the file with OSCAR records This
71. ange the Resident Nurse or Midwife that cares for them choose from the former and replacement provider as well as the last name patient range from the drop down menus Then click Go UPDATE PATIENT PROVIDER Resident Use Chiswell TrudyAdmin replace Dolittle David v ON CONDITION patient s last name from A to 0D gt Go Nurse Use Care Julie replace DRW Welby M ON CONDITION patient s last name from D tolQ Go Midwife Use Mouse 44444 Mickey replace Greeting Lisa v ON CONDITION patient s last name from C to u Go OSCAR User s Manual 177 INSERTING AN ENCOUNTER SCREEN TEMPLATE e Click on the Insert a Template link at the bottom of the screen e Follow the steps to add a new template that will be available from the Template list in the Encounter screen or edit an existing template from this screen ADD EDIT A TEMPLATE Edit Template CPX F gt Edit Template Otitismedia Name Template Text S Pain Location Duration Presence of URI Temp O Temp R canal TM L Canal TM A P Delete Save Exit STUDY Add patients to research studies by using the search engine to find the patient then clicking the Join In Click the checkbox next to the name of the study that you wish to add the patients to SEARCH FOR PATIENT STUDY RECORDS Name Prore DOD yyyy7 mec Search CO scress MIN Chart No Results based on keyword s h
72. art For the full list of forms click on the Forms heading e OLD FORMS when you create a second type of form that has already been created the current form will move down to OLD FORMS ie annual health review in 2001 will move to OLD forms when annual review is created for 2002 FEATURES OF FORMS e Data can be extracted for statistical purposes e Ease of comparison from year to year e The program pulls the patient s demographic information in automatically and will not allow you to enter incorrect data If a demographic change has to be made the change can not be made here The users must go back to the Patients Detail Record to make any changes preventing loss of important demographic changes e Specific text areas allow you to add free flowing text to certain areas e When you view the OLD FORMS you can see the Created Date and the Edited Date GENERAL DIRECTIONS FOR USING THE FORMS e Patients demographic information will be automatically pulled from the Patient s De tail Record e Use the TAB key to advance through the form OSCAR User s Manual 89 e Where there is a checkbox you will have to click with the mouse to check off the ap propriate box or press the spacebar e Be sure to note if the form has more than one page and SAVE EACH PAGE before proceeding onto the next e Before exiting you must SAVE the form In order to view the forms that have just been completed refresh the encounter screen by pressing
73. atabase that you wish to search then click Search 2 Select the Class Name Compound Brand Name that best identifies the allergy It is best to choose the most broad category that describes the patient s allergy 3 Write comments describing the nature of the allergy as well as identifying the age of onset severity of reaction and onset of reaction Click Add Allergy OSCAR User s Manual 85 oscarPrevention oscarPrevention keeps track of the most common procedures that help prevent disease in a pa tient These include vaccines and common tests ex Flu shots and PAP smears The main oscarPrevention screen can be accessed from the patient s Encounter screen Click the Preventions heading at the top of the left hand menu or on any of the pre ventions listed below that heading in order to access oscarPrevention PREVENTIONS Prevention Recommendations TdP IPV Hib e No Mammogram records can be found for this patient e Last PAP was done 12 month s ago S Td Age 46 years NE Date 1998 08 14 MenC C Flu HepB PAP Age 53 years Age 55 years Tap Date 2005 06 07 Date 2007 06 29 MAM FOBT Age 52 years Age 55 years HepAB Date 2004 09 23 Date 2007 09 10 show hide all other Preventions Pneumovax TdP IPV If an item on the list below the Preventions heading is red the patient is missing infor mation on that prevention
74. beside the date box to select the As of date for the report 3 Click Submit Query 4 Patients that are not up to date on the prevention measure you selected will have their prevention information highlighted in pink If the patient is up to date the data will be highlighted in green OSCAR User s Manual 110 ocr Preven Patient Set Select Set 7 Prevention Query Select Query vj As of 2006 07 14 Fe Submit Query DEMOGRAPHIC STUDY LIST This report gives you a list of patients in any study s being conducted in the clinic 1 Click Demographic Study List link in the Report tab 2 Click on a patient s last name to view their Patient Detail Record or Print to print the list Demographic Study List Print Cancel Last Name First Name Study Email Provider ELDER JUNE Compete 3 DRW arcus PRIVATE JOAN Anex 3rd SMIYTH JASON Kimble DRK TEST TEST PING Rehab 2MinWalk TEST TEST URSULA UNGER Livingstone DRL URSULA UNGER Livingstone DRL URSULA UNGER PING Rehab 2MinWalk Livingstone DRL CHRONIC DISEASE MANAGEMENT 1 Select the Chronic Disease Management group you wish to look at from the drop down menu 2 Click the Continue button beside the statistic you wish to view Your choices are Percentage of patients who met guideline Percentage of patients in abnormal range OSCAR User s Manual 111 Frequency of relevant test being performed
75. can take a clue from the list of billing pages in the blue box to the right e g 512 5 Type in a descriptive name for the billing form in the next box e g Obstetrics 6 In the billing form there are 3 columns of codes You may want to group these codes in categories like general hospital and premiums This makes it easier for the doc tors to find the codes quickly Enter the headings you want for the columns in these 3 boxes 7 Clickon ADD FORM 8 When the blank form appears you can follow the previous instructions to add the codes for this billing form in the order you want them to appear to the doctors in the billing form DELETING A BILLING FORM 1 Click on Manage Billing Form in the BILLING section 2 Select Add Delete Form from the drop down menu OSCAR User s Manual 169 3 Click the MANAGE button 4 Inthe blue box to the right click on the billing form you want to delete 5 Click YES to the question You are about to delete the billing form are you sure 6 Click on Close the Window link ADDING DELETING DIAGNOSTIC CODES 1 Click on Manage Billing Form in the BILLING section 2 Click on Dx Code radio button oscarBilling Select form Cz Hsere more Loone anmes Y Mo1398 3 From the drop down menu select the billing form you want to add delete the diag nostic codes from 4 Click the MANAGE button 5 Add or delete the desired diagnostic cod
76. can use e The second area is to attach files to the patient s electronic medical file ADD A DOCUMENT E Form is the tool by which users are able to design their own forms and integrate into OSCAR with only some knowledge of HTML DD DOCUMEN Function demog raphic Instruction unction 1 dick upload file Bola gt 2 select a file to upload 3 dick upload button Document Type Select Type v 4 once the file uploadec Document click cone Description resource 5 The file name will appear 6 Select document type Create Date 2006 5 23 16 15 45 7 Enter document Cescription Creator Duck Donald B click submit done File Name unload file SUBMIT Cancel 1 TO THE eDocs APPOINTMENT TAB Click on the eDoc tab and click ADD DOCUMENT in right corner OSCAR User s Manual 153 TO A PATIENT s e Chart Click on the documents link on the bottom left side of the e Chart screen Click ADD DOCUMENT in the upper right corner Document Type select the type of file you are going to upload NOTE If you put SHARE everyone in your office will have access to this file This option is great for contact lists and schedules If you select any of the other types of documents the program will sort the documents into either resource desktop handout or forms in your eDoc tab These documents will only be accessible when you log into OSCAR and not for the general office Others will n
77. cations with this field E g If the individual is a doctor and a number is not put in here they will not show up on the provider list in the billing form Self Learning username amp password will be used for a self learning program in the future 11 Click the Add Provider Record button when finished Step 2 Add New User to a Group Only complete this step if you want the user to have a schedule on the appointment screen ex practicing doctors residents nurses not receptionists Otherwise skip to Step 4 Groups are used as a way to manage who you want to view on your appointment screen at one time and is a very useful tool in a large clinic Even if you are a small of fice you will need to have at least one default group where you put all providers in or der to see them on the screen If you have set up a new user and they don t show on the appointment screen the most common problem is that they haven t been added to a eroup Group No Max 10 chers Doless Donald Dolittle David DRW Welby Duck Donald mikey mikey Mouse 44444 Mickey Cose 1 From the Admin Page click on the Add a Group No Record link NOTE Write down the exact spelling of the group to which you want to add the new user If you even capitalize a letter it will create a new group 2 Type in the exact spelling of the group you want to add the new user to OSCAR User s Manual 3 Puta check
78. ce from the drop down menu and it will automatically set the other settings for Always on Power Scheme ENABLING PRINT SHARING 1 On the initial computer that the printer is connected to enable the following 2 In Properties of Network Neighborhood click on the General tab 3 Put a check mark beside FILE PRINT SHARING 4 This will give you the share function when you right click on the printer in the next step MAPPING TO A NETWORK PRINTER After you have set all the computers with the same network settings and have the printer driver loaded on the computer if it is not already loaded follow these steps to network to the printer 1 Go to the printer settings by clicking on START SETTINGS PRINTERS 2 Double click on Add Printer OSCAR User s Manual 183 3 Click NEXT amp select the NETWORK PRINTER radio button Go to BROWSE to find the network printer search for the computer that the printer is physically con nected to 4 Click OK after selecting the appropriate printer Insert the driver Disk CD when prompted to install the driver that comes with the printer Follow the on screen instruc tion to finish the installation process May vary for different printers ADDING OSCAR SHORTCUT ICON TO THE DESKTOP 1 Open Internet Explorer amp type in the URL to get to the local server 2 Go to the Favourites tab and add this page as a bookmark add to Favourites 3 When it prompts you t
79. cess This chapter contains instructions for Ontario and BC billing as well as simplified Flu Clinic and INR billing The rest of the billing process which involves the Administra tive view of OSCAR is also detailed here Billing the Encounter How to access the billing screen and bill a patient also an explanation of the BC and ON billing screens FOUR WAYS TO ACCESS e From the B on the patient appointment screen e From the Add Billing button in the Patient s Detail Record window e From the Billing link in the Encounter window under Clinical Modules e From the Billing tab produce an Unbilled Report and you can bill by clicking the link Bill under the heading Comments The billing window will appear The patients name will be in the upper LEFT corner Ontario Billing Screen Service Doscripbon Foe Premium ADO1A G365A Q011A A007A G202A Q503A ADO3A G212A Q503A ADGA G372A Q515A ATTIA GITIA Q516A K02BA G538A Q400A K030A GS39A K005A E075A 6590A A90234A K017A G5921A B530 K013A G420A K994A K007A 2159A B992A A903A Z160A W290A ADOBA GITOA B934A H001A 2176A H105A G010A P003A P004A code seach POOSA Diagnostic Codes SSS 400A gnosi d code search OSCAR User s Manual 48 British Columbia Billing Screen oscarBC Billing Jation LYMAN JOSHUA Patient Status AC Raster Status Assgned Physican ge a6 Gilling form GP genoa practce Billing Physician Duck II bowed
80. ch text field Click Search e Click the Advanced Search link and search by tag i e by topic or by user 1 Search Title Description Do Search Simple Search Search Help 3 Search Users Jchan A Note Hold CTRL for multiple users Michaela leave blank for all users Oscar i Unknown apaul3457 azulay crystal Y e Look through the Most Popular and Newest Links as well as the Most Popular Tags in the left hand navigation bars e Look through the Quick Links at the top of the screen if you wish to navigate to popular medical sites such as Pubmed Cochrane and eMedicine Once you have found a link that you would like to visit you can either e Click the Upwards Arrow on the right of the link title to open the page in a new win dow e OR Click the World symbol or the link title itself to access the page in the same win dow GETTING MORE OUT OF OSCARRESOURCE OscarResource is not simply a database full of useful website links It can be tailor fit ted to act as your own personal internet resource filtering through its links to show OSCAR User s Manual 144 only your favourite websites and pages This way when you are using oscarResource at the hospital or clinic you can swiftly find the information you need without having to repeatedly perform searches for the same few websites You can get all of this out of oscarResource by becoming a contributor of the database Contributing to the oscarResou
81. containing these effective dates and modify Click Next to advance to the calendar view of the schedule Duck Donald effective 2006 01 01 2007 10 12 last month 2006 5 next month Sun Mon Tue Wed Thu Fri 1 2 4 5 F 1D pem H 30 4 P 8 30 4om P B 30 4 F 1D 4 9 10 11 12 P B8 30 4pm P B 30 4or P B 30 4or P 8 3O0 4per 16 17 18 19 P 8 30 4pm P B 30 4om P B 30 4pm P 8 30 4 23 24 25 26 P 8 30 4pm P R 30 don P 8 30 4or P 8 30 45 30 31 P 8 30 4pm P B 30 4pm Next Cancel 2 Click on the appropriate calendar date use arrows to advance calendars to be changed 3 Replace the current template with the appropriate Public or Personal template from the drop down menu 4 If the schedule change needs to revert to the original or an error was made selecting the correct date for a change click on the date to be updated and click Delete to return the schedule to the original template OSCAR User s Manual 163 5 Temporary changes to a template over a longer period of time or ongoing changes can be made by specifying the start and end dates to create a new schedule field and copying the appropriate templates for that time period 6 New templates can replace old templates Alternatively a minor change to the same template in the Template Setting area may be sufficient SINGLE DAYS e When you get to the calendar view of the process you can now select individual days that the provider will be ON CA
82. ctor from the drop down list 4 Click on the check box beside the patients you want billed this month 5 Click on Generate INR Batch Billing button to submit months billing 6 You can now change to another doctor and submit the INR billing for each doctor NOTE Monthly INR Billing can also be done in the Administrative View Click on INR Batch Billing under the Billing heading then follow steps 3 6 as described above EDT Setup For Ontario Billers The sending and receiving of the EDT files is done outside of OSCAR but viewing the files and reconciling the claims is done on the Administration screen of OSCAR The fol lowing information will assist you in registering with the MOH and setting up the ini tial connection REGISTERING FOR EDT SUBMISSION to MOH Register with the Ministry of Health for EDT service in Ontario Canada Ministry of Health and Long Term Care 1 800 262 6524 80 Queen St 3rd Floor Kingston ON K7K 6W7 Kingston 613 544 7700 Fax 613 544 6310 1 Contact the MOH for your EDT Application package Complete the application for GONet Electronic Data Transfer EDT Service and EDT Letter of Undertaking and Acknowledgement and mail to the address on the application OR Get EDT forms off the Web at www gov on ca MOH english pub ohip edtguide edtmanual html 2 Wait for notification from the Ministry of Health and Long Term Care that your EDT privileges have been activated This will ta
83. ctronic medical records VIEWING CHANGING AND DELETING YOUR E FORMS You can access the My Form screen from two places e the Master Demographic page under the Clinical Resources heading click Current eForms e the Patient Encounter screen under the Clinical Resources heading click E Forms If you wish to change the data on an existing form click on the name of the desired form and edit its content If you wish to keep the older form change the subject name on the edited form If you wish for the newly edited form to replace the old one after clicking Submit or Print delete the old form If you wish to delete an existing form click Delete in the Action column next to the form you wish to discard If you accidentally delete a form you wish to keep click on the Deleted Forms link then click Restore next the form you wish to keep Creating Your Own eForms There is an enormous variety of forms being used at clinics today It would be impossi ble for the original OSCAR team to create e forms for every single one Besides the OSCAR User s Manual 136 beauty of OSCAR s open source individual oriented concept is that our software and features are easily used to make OSCAR functional for your unique work environment If you have a basic knowledge of HTML you should be able to design forms to input output data for a patient The process is simple 1 Design HTML form Be familiar with the rules s
84. d Referrals In this chapter Y how to request a consultation appointment Y how to book a specialist appointment Y how to edit the listing of specialists available for referral OSCAR User s Manual 118 Requesting a Consultation Appointment 1 From the appointment screen click on E for the Encounter screen of the patient then click the Consultation link in the upper left hand corner of the Encounter screen OR the Consultation button in the Patient s Master Demographic window 2 A pop up window will appear with previous consultations made for this patient on the right and a link to request a new specialist appointment be booked for the pa tient on the left click on NEW CONSULTATION CETREE Created by Referral Date 2006 5 23 Patient BROWN PREGNANT ice All Services vi B 12 Mockingbird lane pe m Mees Pemberton BC V2S 1V9 Tel No 604 778 4593 Pca Non Urgent Birthdate 1957 01 31 Callback Sex F Pending Health Card No 9069158251 BC C Patient Callback Send to Teams c Completed E Patient Will Book Year Month Day Appointment Date 2006 or oi z Appointment Time j j oo AM z Reason for Consultation Pertinent clinical information Significant concurrent problems Unipolar Affective D O Biliary Cirrhosis urrent Medications ustom Drug 1 TID Days 21 Qty Repeats 0 oxazepam 15mq 1 TID 3 Mo
85. disk for submitting to MOH Right click on the OHIP Filename for each doctor select Save Target As and send file to a directory created for the invoice date on your local HD to save the OHIP file as a backup These files now reside on your local server with a local backup on your computer Set up a directory system on your HD and save each MOH submission in a directory for each invoice date PRINTING THE INVOICE REPORT This report is created when the OHIP file is created and saved on the server A local copy should also be saved to the local HD for reference backup to research future que ries or to print for doctors requesting a hard copy In the OHIP report window as above L z Right click on the html file for each doctor and click on print a report When you are all finished printing the reports Right click again and save the report in the directory created for this billing invoice period with the copy of the OHIP file OSCAR User s Manual 64 3 If you are submitting to the Ministry of Health by disk you will right click on the OHIP Filename for each doctor select Save Target As and send file to your A and send the disk in to the MOH office Invoicing via EDT For Ontario billers CONNECTING TO THE GONET NETWORK 1 Double click the EDT shortcut amp then click DIAL 2 At the GONET screen type in your login ALL CAPS provided by MOH amp enter 3 Type in your password lower case am
86. dividual registration prior to April 91 8 numeric effective April 91 family based bec For Quebec patients need to pay cash for the appointment and the patient submits the receipt to the Quebec Health system for reimbursement VIEWING PATIENT S BILLING HISTORY 1 In the Appointment Screen click the Search tab 2 Type in the patients name and click Search 3 Click on the Demographic ID for the correct patient to access the Patient s Detail Record OR 1 If the patient has an appointment click on the M beside the patient s name on the appointment screen 2 Clicking BILLING HISTORY shows a list of the encounters that have been billed with date bill type provider and comment column 3 Clicking on the date will allow you to view what was billed for each encounter e Only billed encounters that have NOT been submitted to OHIP can be unbilled and re billed OSCAR User s Manual 56 SEARCHING FOR UNBILLED APPOINTMENTS See Chapter 9 Unbilled Report for instructions on how to create billing reports which include a list of unbilled patients Billing for Walk In Flu Clinic Billing For Flu Shot OSCAR has developed an easy billing function for special walk in Flu Shot clinics to eliminate the need to book an appointment or search for the billing code From the Appointment Screen 1 Click on the SEARCH tab 2 Search for the patient in the normal way by typing in part of the patient s name and
87. e This is a 3 digit number that follows the Ministry of Health diagnostic code table obtained from the Ministry office 6 When finished click on UPDATE button on the lower left of the screen 7 Click Close this Window OSCAR User s Manual 170 SIMULATION OHIP DISKETTE and GENERATE OHIP DISKETTE See Chapter 6 Invoicing OHIP for directions on when and how to use each of these func tions BILLING CORRECTION See Chapter 6 Correcting Billing Errors for directions on when and how to use this func tion INR BATCH BILLING See Chapter 6 INR Billing for directions on when and how to use this function BILLING RECONCILIATION See Chapter 6 Remittance Advice amp Report and scroll down to REMITTANCE ADVICE RECONCILIATION for directions on when and how to use this function EDT BILLING REPORT GENERATOR See Chapter 6 Remittance Advice amp Report and scroll down to READING THE FILES DOWNLADED FROM GONET for directions on when and how to use this function BILL STATUS This feature allows you to create reports about patients billing status oscarBillin 9 2006 5 25 Select Provider Al Providers Create Report Service Date Range ten tne x Demographic Print Castatec B rir Sl Pan Do Not B wig Sur tec UllP Sctuec Pac Oy OP Sac Vet De cec 8 A SERVICE DATE PATIENT STAT CODE BILLED PAID DX1 DX2 DXI ACCOUNT MESSAGES 2006 Os SD CO OC DX DCN VOM U 1039 DLE ai EI O06 04 30 00 00 0C TESTER KONG o 1090 0
88. e Prescription Represcribe Delete Biaxin XL 2006 05 09 Amoxil 500mg 1 TID 10 Days 30 Oty Repeats 0 2006 04 13 percs 5 325 1 2 QIM PRN 7 Days 365 Qty Reoests O 2006 04 13 2 Larium 2006 04 13 crestor 1 OHS 2 Month 30 Oty Repeats 0 Lorilee 2006 04 13 Oxazepam i5mq i TID 3 Months 270 Oty Repeats 4 Lipitor 20mc Malarone 2006 04 13 Lipitor 20mc 1 OD 3D Days 30 Oty Repeats 1 Nc subs oxazcoam i5mg DOS D 13 3iaxin XL 500mg OD 7 Davs 14 Otv Reocats 0 PENICILLIN 2006 04 13 Biaxin XL 500mc 1 OE vs 14 Keocats percs 5 325 Show A View Edit Allergi Represcribe Delete FES TR TA Drug Search Drug Name Drug of Choice Search Reset Custom Drug OSCAR User s Manual 79 How to Write a Prescription STEP 1 SEARCH FOR DRUG 1 In the box beside Drug Name type in the name of the drug you want to prescribe For prescription recommendations for certain diagnoses click the Drug of Choice link to the right of the box 2 Click on the SEARCH button STEP 2 SELECT THE DESIRED DRUG 1 The next screen will give you a choice between generic and brand names for this drug Click on the info link next to a drug to access articles on oscarResources re lated to that drug 2 Click on the hyperlink of the drug you want to prescribe See below for steps to take if you cannot find the drug you are looking for STEP 3 WRITE THE PRESCRIPTION Step Search For Drug gt Step 2 Se
89. e desired instructions from the box on the left and then click the lt lt arrows to insert the text 5 The Special Instruction box can also be typed in to add your personalized instruc tions Avoid adding numerals 6 Drug Drug Interaction Information If one of the patient s current prescriptions is known to have an interaction with the new prescription an alert will appear at the bottom of the page If you are using MyDrugRef the warnings and interactions added by your trusted friends will appear here Drug Allergy Information If the new prescription contains an ingredient that has been listed under the patient s allergies an alert will appear at the bottom of the page 7 When all selections are made click on either of the 3 buttons below the Special In struction box e UPDATE This will simply save the prescription in the Pending Prescriptions sec tion e UPDATE AND GET NEW DRUC This will save the prescription in Pending Pre scriptions and bring up the STEP 1 screen so that you may repeat the process e UPDATE PRINT AND SAVE This will save the current prescription and any Pending Prescriptions in the Patient Drug Profile and bring up a print preview step 5 OSCAR User s Manual 81 STEP 4 EDIT OR DELETE PENDING PRESCRIPTIONS Pending Prescriptions Ecit Delete Custom Drug 1 TID 7 Days 21 Oty Repeats 0 Info Save and Print 1 Atthe bottom of any oscarRx screen there is a list of Pendi
90. e invoicing file the name will match the EDT file name you typed in above amp click OPEN button amp then SEND to send your invoice file to the Ministry and return you to the main menu where you can send another file if necessary or you can download any files waiting for you in your in box 6 Press 4 when finished to LOG OFF amp click CALL amp DISCONNECT on the Hy perlIerminal menu OSCAR User s Manual 66 Correcting Billing Errors For Ontario billers MACHINE READABLE ERROR REPORTS The Machine Readable Error Reports will arrive about a week after a disk goes in to the MOH These are errors that the OHIP computer rejects because it does not meet certain criteria It is as if these bills have never been received by OHIP For this reason it is im portant to correct the errors and re submit to OHIP for payment What to do with the Machine Readable Error Report Correct the billing errors amp re submit Correcting a Billing Encounter Call patients to correct Version Codes amp re submit the outstanding encounters CORRECTING VERSION CODE ERRORS From the Appointment Screen 1 Click on the SEARCH TAB 2 Type in the patient s name amp enter 3 Click on the patient s demographic number to pull up their PATIENT S DETAIL RECORD 4 Call the patient to get the new version code if it has not already been changed 5 Changes to the version code are done in the box beside HIN 6 Click
91. e right column which will be in the report 2 To take field names out of the report click on the field in the right column and click on the DELETE button to move it back to the right column CHANGE THE ORDER OF THE FIELDS IN THE REPORT In the same window as above 1 Click on the CHANGE ORDER word link at the bottom of the right column 2 Click on the tick box to the left of the field you want to move and click on the MOVE HERE button opposite where you want the field to move to 3 When finished click on the BACK to the CONFIGURATION word link ADD FIELDS FROM THE MASTER DEMOGRAPHIC AREA TO THE REPORT 1 Click on the PATIENT PROFILE word link above the left column a These are the field from the Master Demographic screen OSCAR User s Manual 115 2 The captions can also be changed in these by clicking on the CAPTION word link 3 To go back to the form database fields click on the FORM word link at the top of the column e Tickler Tab Print Service Date Range 2006 5 18 Regin 2005 05 23 End Move To Active Select provider All Providers v Assigned To All Providers v Create Report Demographic Name Doctor Name Date Priority TaskAssignedto Status M BROWN PREGNANT Kirkham Collee 2006 05 20 Norma Duck Donald Active BROWN PREGNANT 2006 05 20 Norma Ducx Donald Active Kirkham Colleer Check All Clear Al Add Tickler Complete Delete Cancel The Tickler Reports are printed off in accordance to the
92. ecific patient s Master Demo graphic record to perform many office functions including booking an appointment See Chapter 4 Report Tab This tab gives you access to various common reports used in a medical office Active Pa tient List Day Sheet All Appointments Bad Appointment Sheet Patient Chart List No Show Appointment List See Chapter 9 Billing Tab Reports can be created on appointments that fall under one of the following categories billed unbilled unsettled OB or Flu See Chapter 9 Lab Tab The Lab tab gives you a list of all new lab reports sent to the clinic for your patients This only applies to laboratories that send your clinic their reports via phoneline trans fers Paper reports still need to be scanned and uploaded as e docs Once you have read a lab you can click Acknowledge to remove the lab from the list OSCAR User s Manual 22 The acknowledged labs can still be viewed from the patient s e chart There is also a red asterisk that appears on the lab tab for unclaimed reports in other words reports that were not specified for a particular doctor All doctors have access to these labs and anyone can acknowledge them Note This function is not usually available for those with receptionist permissions MSG Tab OSCARmsg is a secure messaging system within the intranet of the OSCAR clinic and between OSCAR clinic sites The functions work like many common e mail programs See Chapter 11 Con T
93. ectory on another computer and make the director a shared one so that it can be seen from the computer where the CD burner is 3 To make a folder shared right click on directory click share amp click share folder BACK UP FILES Back up each file and put then in the directory you created to hold the back up files 1 Log in to OSCAR as the administrator 2 Click the OSCAR Backup link OSCAR User s Manual 185 3 Click the file names on pop up window to save the files to the local computer 4 Burn a CD at the end of the week with everything in the directory amp keep off site 5 Use a couple of CD s and rotate them back amp forth from the office The backup date will be shown on file names So it is easy to only download the files that are new This process backs up documents and the database of your OSCAR program The back up should usually be daily but even every second day is OK Restoring the backup files if there ever was a problem will be looked after by the OSCAR programmer Troubleshooting Connections LOSING CONNECTION TO SERVER The first thing you do before going to the following steps is to rule out the obvious on the computer 1 Double click on MY COMPUTER 2 If there is a red X on LAN connection check all the connections and confirm that there is no loose connection 3 Shutdown Power completely off wait 10 sec and Re Boot the computer 4 Wait a little while for the computer to c
94. ee the next section and design the HIML page 2 Upload the form Log in as admin and go to E Form topic 3 Upload images if required see above 4 Test Log in as provider and go to a patient s Master page Step 1 Designing the Form There are two main ways you can go about creating an e form e Strategy A If the form is quite simple you can create a new html form from scratch using the paper form as a model Be sure to look through the HTML rules below when designing your form Sometimes it is easier quick to use Dreamweaver or FrontPage to do the work e Strategy B If the form is more complex you can scan the original paper form onto your computer and follow the instructions below to add html text fields and check boxes to the image Instructions for Strategy B 1 Scan the form onto your computer Save it as a GIF file 2 Using a program like Paint go through the image and clean up any shadows or spots created by the scanning Resize the image so that the page fits on one page if possible 3 Create an html document in a program like Notebook using this template OSCAR User s Manual 137 4 Change the image source to the GIF file of the scanned form then preview the page in your internet browser 5 The JavaScript allows you to view the position of your cursor Left Top Place your cursor over the point where you would like a text field or checkbox to begin on your form and record the pixel pos
95. eived from MOH amp resubmit invoice to OHIP 1 Find patient name amp phone number in OSCAR amp call patient for new Version Code OSCAR User s Manual 59 2 Update information in OSCAR amp re save invoice for resubmission to OHIP Error Reports Corrected amp Re Submitted to MOH OHIP 10th 14th of Month RA Remittance Advice Received from OHIP 1 Receive digital file from OHIP shows detailed report of paid encounters amp payment amount for each doctor 2 Reconcile to OSCAR program 3 Correct any billing errors 4 Mark file for billing archive 5 Archive partial payments from MOH by changing the Billing Type to S Settled Paid by OHIP 6 Run the RA report generator 7 Make adjustments to partial payments 8 File digital copy of RA reports on server 18th of Month Submission to MINISTRY OF HEALTH OHIP Month End e Send month end submission to OHIP for next month s RA payment e TIME SENSITIVE must be in by 5 p m on the 18th of each month Revenue Reports Io Doctors Print the UNSETTLED REPORT to check on invoices submitted to the MOH but not paid Pre Invoice Functions For Ontario billers checklist of activities to be completed before OHIP submission For Canadian billers reciprocal billing provincial codes Before creating OHIP submissions read through the following checklist OSCAR User s Manual 54 e Version codes corrected and invoice marked for re submission e All monthly monitoring billing
96. ended that you choose a password that you will have trouble remembering and then that you take the time to memorize it Your password should be six digits or longer and should contain upper and lower case letters as well as numerals in addition your password should contain no repeat occurrences of any symbol A six digit password chosen ac cording to the rules above has a one in approximately 32 4 billion chance of being guessed by a brute force procedure Remember your password is your digital signature so choose it and use it with care PHYSICAL ACCESS Your second means of ensuring the security of your system is to avoid situations where unauthorized physical access could occur Don t leave patients unattended in rooms where OSCAR is running f it can t be avoided use a screen saver with a password lock out If you have a local server keep it under lock and key OSCAR User s Manual 3 The Appointment Screen In this chapter Y how to read the appointment screen Y how to make appointments book patient appointments group meetings Y how to change between different views of the schedule schedule view group view calendar view Y how to access the other parts of OSCAR using appoint ment screen tabs OSCAR User s Manual The Appointment Screen All of the day to day functions of the office can be performed from the appointment screen You can view the appointment schedule enter patient information into the elec
97. ents at a time on the screen amp you will need to click on the link on the upper left corner of the screen to view other pages 4 The printer button is in the upper left corner to print the complete report OSCAR User s Manual 97 FLU BILLING REPORT Criteria Patient Name DOB phone number sorted by physician 65 years and older have NOT had a flu shot as of start date if needed each year billing codes G590A and G591A Patient Status of AC and UHIP Roster Status of RO NR FS RE PL Anything else taken out Report 2006 ALL Providers bd Flu Report Name DOB Age Roster Status Patient Status Phone Billing Date OUT OF PROVINCE J0 BOY 1935 06 15 70 RO AC 905 525 1124 SMITH BROTHERS COUGH DROPS 1930 01 23 76 NR AC 604 123 0988 WING WONG 1932 06 15 73 RO AC 604 394 5678 2006 01 20 1 Click on the Flu Billing Report link 2 Click on Flu Billing Report at oscarReport section 3 Select a year it will default to search the period 2002 and 2003 and a provider you wish to generate It is recommended not to general all Provider or it needs to take 1 2 minutes for the complete process 4 Click Generate Report normal wait for 30 secs 5 The yellow patient rows mean they haven t had a flu shot while the purple means have had a flu shot on a specific date OVERNIGHT BATCH ELIGIBILITY CHECKING Use this report for a quick way to check the validity of patients health card codes See
98. er ves 24 Apr 2006 reports spintaneously emptying bladder Coreaiver SF36 24 Apr 2006 Abdo no bladder percussable abdo soft r um Qeon aaor 2006 Ichest clear CVS no murmurs SFHC Termination of Opio 28 Apr 2008 Genogram 11 Apr 2008 BC Breast Imaging 06 Jan 2008 A P recovering tranasverse myeliitis BC Breast Imaging D8 Jan 200B i i t BC Breast Imaging 02 Jan 2008 multiple issues discussed Smoking Progress Notes s 17 Oct 2007 v re hgb fu with GI re scope first set FOBT neg and on Ferrous glulc rpt Hgb n 6 8 weeks 2 neuro status improving and inout pt rehab at Cambridge Hospital fobt reminder letter 17 j4 2068 re cavernomas on spine and brair will fu in London with MRI and see irc letter a jan a eurosurgeon there and then discuss whether or not boys should be screened re tee Soca M re neuro recommendation re derm re melanoma and spien melanoma will await 31 FOBT3 17342008 bpinion of MRI in LOndon see prn 30 Pao4 17 Jan 2008 v Signed on 18 Jun 2008 15 41 by Chan Joan IT UU REN c Date 16 Jun 2008 15 41 revi Oscar Meg Ere Type wiechore encounter with cient Cholesterol 28 Apr 2008 Re Vaccine Letter in efor 04 Feb 2008 48 Jun 2008 Tel Progress Notes Vaccine Letter in eform 04 Feb 2008 test 25 Sep 2007 Not sure if I am doing thi 02 Mar 2006 Diabetes Mowsheet Hypertension Flowsheet Assign issues HIV Flowsheet lt INR
99. h for the provider you wish to modify using the search field in the upper right corner 2 Choose a role from the drop down menu and click one of the three available actions Add Update or Delete 3 Each new role will appear as a new row Providers with multiple roles will have multiple rows in the chart If you are shown a message Role NOT added 11 you have already assigned this role to this provider ASSIGN ROLE RIGHTS TO OBJECT Object Name Role Name Search l Role Object ID Privilege Priority Action iv Allnghis Read Write Dolete 189 admin I Norights ORead OWrtel O o Delote All nights Read Wite Dolete admin _admin Norights O Road OWrte O E Delete iv Allrghis Read Write Dolete Update doctor _appointment No rights ORead OWnte O o Delete Delete iv All rigs Read Weite Dolete Update doctor appointment doctorLink Norighs O Road OWrite O 0 7 Delete Delo u v All rights Read Write Delete Update doctor billing Noris ORead OWrtel O o Delet Delete iv All rights Read Weile Delete Update doctor demographic No tights OfRead OWrite O o hd D clete Delete All rights Read Wite Delete Update doctor _eChart M Nodgws T ORead M Ower o 10 2 pa All righvis Read Wile Delete Update doctor eChart verifyButton Norigh Oftead OWrte O o ha RTR This function can be used to assign certain privileges such
100. hen click the Add to Favourites button Patient Drug Profile Past prescriptions are displayed here REPRESCRIBING A PRESCRIPTION If the prescription you wish to give the patient is already listed you may click the corre sponding checkbox under Represcribe Click the Represcribe button then follow the directions for the Step 3 screen as detailed below DELETING A PRESCRIPTION If you wish to delete a current prescription check the corresponding checkbox then click Delete OSCAR User s Manual 84 Allergy Profile e The patient s allergies are listed on the left under the Allergies heading e To view more details about a patient s allergies or make changes to the list click the View Edit Allergies button at the bottom of the Patient Drug Profile oscarRx Step 1 Search For Orug gt Edit Allergy Profile Edit Allergy Profile Patient Demographics Name BROWN Age 49 Edit Allergy Profile Entry Date Description Allergy Type Severity Onset of Reaction Reaction Delete 2005 11 28 PENICILLINS AHFS Class Mild Immediate Delete 2005 11 28 SULPHUR COMPOUNOS ATC Class Mild Immediate Add an Allergy Search Search Reset Search the following categories Listed genera to specific Iv Drug Classes ingredients Generic Names Brand Names Select All Clear All Back to Search Drug ADD AN ALLERGY 1 Type in the name of the drug select the areas of the drug d
101. ic or at another OSCAR site You can edit the OscarMsg groups and contacts from the Administration View Tickler Reminder System The Tickler reminder system is used to remind staff to call or book a patient for a repeat procedure as well as alerting staff of unpaid bills or any other important reminders There are two places in OSCAR to add a patient to the report system e Through the Tickler tab or e Through the Add Tickler link in the upper left corner of the patients Encounter Note screen OSCAR User s Manual 128 Demographic Name BLUTH GCEORGE MICHAEL Search Chart No Service Date 2006 11 23 Calendar Looku j mont 1 yea Priority Normal Task Assigned to Duck 33333 Donald Reminder Message 6 month check up Cancel and EXIT Submit and EXIT A im ADD A TICKLER FOR A PATIENT 1 Click on the Tickler Tab 2 Click on Add Tickler OR if you are doing this through the Encounter screen click the Add Tickler link 3 In the Demographic Name box type in part of the patient s name with a comma and the 1st initial of the 1st name works like searching for a patient in the Search tab and click on the Search button or press Enter 4 The program will search the database and come up with a list of names if there is more than one match OR enters the full name of a patient if there is only one name 5 Ifa list of names comes up click on the Demographic ID box beside the person
102. ick Manufacturers Microsoft Network clients should be Client for Microsoft Networks and click OK In the Primary Network Logon box choose Client for Microsoft Networks from the drop down menu Click on File amp Print Sharing amp put a check mark beside I want others to be able to print to my printer IP Address Tab 6 Click TCPIP amp highlight the installed network component labeled TCP IP the net work card you have installed in the computer amp NOT the TCP IP dial up adapter Click on Properties button amp click on the IP ADDRESS tab Click on Obtain IP address automatically Click on the WINS configuration tab amp click on Disable WINS Resolution Click on Gateway there should be NO installed gateways listed If there are high light each one one by one and click on remove until they are all removed Click on the DNS Configuration tab amp click on Disable DNS OSCAR User s Manual 182 7 Click the OK button amp the computer will re boot Set all the computers in the network with the same settings as above TIP Having all computers in the clinic logging in with the same login amp password makes support much easier to maintain SETTING ALL COMPUTERS TO POWER SAVE MODE 1 Right click on the desk top and go to Properties 2 Click on Screen Savers amp Settings 3 Under Power Schemes choose Home Offi
103. illed during a specific time period This report is good to do about a week be fore the month end billing goes to the Ministry of Health to maximize the billing being submitted OSCAR User s Manual 100 e You can bill or look at the invoice for these encounters directly from here by clicking on Bill e Or you can print the report and have the physicians bill for the encounter BILLED REPORT oscarBilling C Unbilled Billed Unsettled OB FLU Select provider Duck Donald Create Report Date From To SERVICE DATE TIME PATIENT DESCRIPTION ACCOUNT 2006 05 23 00 00 00 MARS VERONICA Bill OHIP No Appt INR 290 2006 05 19 10 20 00 TATE BABY Bill Patient With Appt Doctor 288 2006 05 16 09 15 00 Smith Karen Bill OHIP With Appt Doctor 286 2006 05 12 00 00 00 NAGEL TEKLA Bill OHIP With Appt Doctor 282 2006 05 12 00 00 00 NAGEL TEKLA Bill OHIP With Appt Doctor 283 2006 05 08 11 00 00 Brown Pregnant Bill OHIP With Appt Doctor 278 2006 05 08 10 45 00 Bravo Delta Bill Patient With Appt Doctor 277 2006 05 06 11 00 00 Brown Pregnant Bill OHIP With Appt Doctor 274 2006 05 06 10 45 00 Bravo Delta Bill OHIP With Appt Doctor 275 2006 05 05 10 45 00 Bravo Delta Bill Patient With Appt Doctor 273 2006 04 30 00 00 00 WING WONG Bil OHIP Unmatched Appt Doctor 279 2006 04 30 00 00 00 TESTER KONG Bill OHIP Unmatched Appt Doctor 271 2006 04 24 10 45 00 Bravo Dolta Bill OHIP With Appt Doctor 265
104. illings paid on this RA report Clicking the SUMMARY link will also calculate the total amount on the next report 3 Click on the REPORT link to generate the OHIP Messaging report with the cheque totals breakdown and any Messages sent from the MOH OSCAR User s Manual 72 4 Right click on each of these 3 reports and save to a directory on your hard drive as a local backup of the RA files NOTE These files legally need to be kept for 7 years Much storage space can be saved by burning the digital file to a CD and keeping in a fire proof box instead of keeping a paper copy After the RA Report For Ontario billers THE UNSETTLED INVOICE REPORT After the RA files have been settled and all files backed up it is a good time to look at invoices in your system that are still unsettled to clean up your files or chase down in voices waiting for a version code before they become stale dated 1 From the appointment screen click on the BILLING tab 2 Click on the button beside UNSETTLED to create a report of invoices that have been submitted but not paid by the MOH 3 Select the doctor from the drop down list 4 Click on the BEGIN link beside the box for the date of when you want the report to begin 5 Clicking on the date will insert the begin date for the report in the box 6 Repeat with the end date for the report by clicking on the word END 7 Click CREATE REPORT e To generate re
105. is tag to your favourite links and add an object with this tag to your oscarRe source homepage Other clinical applications of link objects e Patient Handouts create an object with the tag handout Deleting Unwanted Links After your links have been added to the oscarResource database you may have reason to delete them for example if you added them accidentally or the link no longer works 1 Log into your oscarResource account 2 To view all of the links that you added click on the Advanced Search link next to the Search button on the main page 3 Find and select your user name from the Search Users list then click the Search button 4 Click the red X beside any link you wish to delete from the database OSCAR User s Manual 149 14 Administration In this chapter Y how to set up new users adding username password pin number Y how to assign privacy roles Y how to manage billing options edit bill codes billing forms Y how to manage other OSCAR functions backing up OSCAR oscarMessenger E forms oscarEncounter OSCAR User s Manual 150 The administration view of OSCAR contains many functions These include complet ing the billing process adding new users setting up appointment schedules and creat ing reports Accessing the Administrative View In order to view the administrative screen you must have admin rights If your pri mary role is Administrator log in as usua
106. ition to be specified in your html code You can also measure the length height of a text area hold the SHIFT key down while clicking 2 points on your screen and an alert box will pop up with either the x or y distance between the two points it will measure the longer of the x and y dis tances between the points 6 For each new text check box copy and paste the desired element s code in the html template directly under where it says lt All textfields checkboxes textareas go here gt and modify the tag with the correct position name box length etc OSCAR User s Manual 138 Text box one line lt div style position absolute left 90px top 5px gt lt input type text class noborder name thisfield121 style width 289px font family Arial font size 12px tabindex 1 gt lt div gt Text area multiple lines lt div style position absolute left 90px top 30px gt lt textarea class noborder name thisfield122 style height 83px width 289px font family Arial font size 12px tabindex 2 gt lt textarea gt lt div gt Check box lt div style position absolute left 90px top 130px gt lt input type checkbox name thischeckbox1042 gt lt div gt 7 Keep the class attribute the same noborder in order to ensure that none of the borders of the boxes appear in the final printed form If you wish for OSCAR to fill in patient information automatically f
107. k 33333 Donac Dependent 00 Sud Cade 0 Payment Method ELECTRONIC Short Note LOBE cam 00000000 Service Code Description Unit For Tote 00101 COMPLETE EXAMINATION IN OFFICE AGE 2 59 LO 62 03 62 03 62 03 Deegnostc Code Description 3 6 MIGRAINE notes Internal Notes Save amp Print Receipt Go Back Another BH SaveBH Cance OSCAR User s Manual 92 Diagnostic Research Coding 2 or more codes See Chapter 5 Clinical Modules Disease Registry for the details on how to add multi ple diagnostic codes to a patient s records The Billing Process For Ontario users Doctors input billing in OSCAR after seeing patient e Biller checks for unbilled appointments and prints a report for each doctor to bill OHIP Simulation e Run OHIP Simulation check billing for any billing entry errors before creating and sending OHIP invoice Submitting Invoice to OHIP 1 Flag any needed invoices for Manual Review and send supporting document with OHIP disks 2 Send digital billing invoice of all FF5 PCN amp WSIB encounters for each doctor to OHIP weekly 3 Create digital invoice reports for each doctor amp OHIP digital file format 4 File digital invoice amp invoice reports on server in directory for each submission date 5 Print Invoice Summary and file amp submit Invoice to MOH Invoice Submission to MINISTRY OF HEALTH OHIP Machine readable Error Reports Received from MOH Correct billing amp Version Code errors rec
108. k Cancel PDF Label Print Label Other than using the Search Tab Master Demographic Records are accessible on the Appointment Screen by clicking the M or by clicking the word MASTER on the navi gating bar to the left of the E Chart SEARCH FUNCTION Across the top of the window you can still access another patient s record directly from this screen in the same way you search for a patient when in the SEARCH tab Type in part of the patient s last name add a comma and the first initial of the given name to bring up a list of patients to choose from You can search by name phone ad dress health number or chart number in the same way OSCAR User s Manual 28 Editing A Patient s Record Click Edit at the top of the patient s record to correct add or delete information to his her record Swipe Card Clicking on the Card Swipe button will bring up a small window Swipe the patient s health card through the card swipe equipment and the information from the magnetic strip with download to the window Compare the information on the Master Demo graphic Record and update the information if appropriate Out Of Province Patients how to enter HIN 1 In Patient Detail Record enter the out of province health number in the HIN box 2 In HC Type click on the the drop down menu of the provinces amp select the correct province NOTE There is a Reciprocal Health billing agreement with al
109. ke approximately 2 4 weeks upon re OSCAR User s Manual 60 ceipt of your application You will receive an EDT User Manual and EDT User ID and temporary password WHAT YOU WILL NEED e Modem the direct dial access supports up to 56K modems e Dial up communication software MOH recommendation is HyperTerminal which is part of Windows e Telephone line capable of handling data communications e OSCAR software has the program features to interface with the MOH reports for this process e Configure your communication software to dial EDT Kingston 613 544 3883 ADVANTAGES OF EDT e Faster supports up to 56K modems as of August 2002 e Easier direct dial access connects directly to Government of Ontario Network log on screen e Easier ability to attach manual review indicator e Direct direct data transfer e Time error reports in 48 hours e Time longer period after 18th of the month cutoff for submissions e Time receive RA files and reports from 5th to 7th of the month e Cost Effective direct dial access requires no set up fees or monthly administra tive fees e Choice of telecommunications provider select your preferred long distance car rier OSCAR User s Manual 61 POINTS TO REMEMBER e Downtime of MOH server Sunday 5 am to 7 am e Password changed every 32 days e Must check mail box within 95 days after sign up amp check the mail box regu larly for it to stay active SETTING UP THE CONNECTION 1
110. l and the administrative view will appear in stead of the regular appointment screen If your primary role is something other than Admin but you have been given an admin role as described in Security Functions As sign Role to a Provider log in as usual then click the Admin tab from the row of tabs at the top of the appointment screen ADMINISTRATIVE PAGE Add a Provider Record Base URL Satting Sewreh EtDelela Provider Records Le or Sy Example Add a Group No Record Age Sex Report Search EG t Delete Group No Records Visit Repor PCN Catchment Repor Add a Preference Record for a User Flu Billing Report Search EdtDelete Preference Records Ovemight Baich Eligibility Checking Le Rs Ad e Login Recor LC aem Sanreh E t Dalete Security Resards p Add A Role oscarDatabase Document Download Assign Role to Provider Assign Rale Rights to Object ssagns Secunty Lag Kepart Messenger Group Admin Schedule Schedule Setting Upload a Farm Upload an rage Form Groups Upload Schedule Of Benefits Add Edit Billing Service Code oscartncounter Add Billing Lacatan Select Forns Manage Biling Farm Import F arm Data l P Simulation OHIP Diskette Customize Disease Registry Quick List Generate OHIP Diskette Customize oscatdeasurements Billing Correction Misc INR Batch Billing Demagraphic Expert Biling Reconcilliatan Update Patient Provider EDT Billing Report Generator Insert a Template Bis Status Sturdy P ICP Xt up ciim
111. l provinces except Quebec Quebec patients need to pay cash for the appointment and submit the receipt to the Quebec Health system for re imbursement Alert amp Notes Areas Anything typed in the Alert box will show up in bright yellow in the Make Appoint ment window to alert the receptionist during appointment booking The notes area can be used for various functions from keeping track of family members to reminders of re booking dates for tests OSCAR User s Manual 29 ADD A RELATION This feature can be used when the patient has relatives that are also patients at the clinic and already have active medical files in OSCAR Rte IT Name Search Relation Name MARS KEITH Relationship Father 7 Substtute Decision Maker Emergency Contact Notes Add Relationship 1 Click the ADD RELATION link next to OTHER CONTACTS in the main patient detail record screen 2 A table of the patients already labelled as relations appears below a Search field You can delete any incorrect relative contacts or search for new relatives 3 After entering a relative s last name and clicking Search a list of possible matches will appear Select the ID number of the correct patient 4 Choose the type of relationship that this person has with your original patient You can also mark him her as the patient s substitute decision maker or emergency con tact 5 Click Add Relationship The ne
112. l user preferences edit signature edit groups Y how to keep your OSCAR account secure OSCAR User s Manual Accessing OSCAR How to log in and out of OSCAR from home and work LOGGING ON Go to http www oscarcanada org oscar users demos to access the demo versions of OSCAR ecl User Name Password Sign in 2nd Level Passcode For estem ide Area Nebvotk occ ens Most browsers wil probably work wth OSCAR but the d evelopmer team has been permesity using the latest versions of Frefoxand intemet Explorer The user ipf eifac e assumes thatthe resolulion ot the creenis atleast 1024x768 OSCAR MeMasteris copyighted and trade marked by McMaster Unrvernty Youcanredisiribute k andiormodtyit und erthe tems of the GNU General Pubic OSCAR Service I ens e vero 2M 1 SAE the e t 2 License version da published bythe Free For more information email to trudychiswell fastmail fm Formore delata about the General Publie Figure 2 1 OSCAR Login Screen From Home 1 Go to www oscartools org 2 Go to the bottom of the page and click on your office logo 3 Log on with your personal logon password and PIN Outside access is given only to designated staff because of patient confidentiality You must use the PIN number in the 3rd box when accessing your office remotely OSCAR User s Manual At the Office 1 Log on with your personal logon and password 2 Select the group you want to work in t
113. lect the Desired Drug gt Step 3 Write the Prescription Step 3 Write the Prescription Prescription Details for PREGNANT BROWN Custom Drug Custom Drug as needed as needed for pain on an empty stomach until gone Start Date 2006 05 23 before meals after meals Take l1 Tabs PO 7 TID v PRN with meals before meals and at bedtime For 7 bd Days zi as directed Quantity auto in the morning 21 lt lt Calculated 21 in the evening at bedtime Repeats 0 v No Subs as needed for pain or itching as needed for fever as needed for wheezing while awake Special instructions Custom Drug Take 1 Tabs PO TID for 7Days Qtiy 21 Repeats 0 l hour before or 2 hours after before meals and at bedtime lt lt with food Apply to affected areas RD Apply sparingly Y Update Ubcate and Get New Drug Upcate Print anc Save Pending Prescriptions OSCAR User s Manual 80 1 The final screen brings up selections to actually write the prescription Make selec tions from the drop down menus to customize the prescription for your patient Note how the text in the Special Instructions box changes as you make your selec tions 2 If the program does not automatically calculate the correct total for the prescription click the lt lt beside the Quantity box 3 Check No Subs or PRN if appropriate 4 To put Special Instructions in the box on the right click on th
114. lect the type of Service from the drop down menu eg Allergies Cardiology When you select the Service the program automatically narrows down the list for the next area to only the doctors in that particular Service Click on the next drop down menu for the Consultant to show a list of doctors to match the Service you have chosen Clicking the desired doctor will insert all the doctors address and phone information Clicking on the next drop down allows you to indicate whether this appointment is URGENT NON URGENT or RETURN Click on the drop down menu to the right for the Send To function This function sends the consultation request to the individual who does the booking of specialist appointments in your office Fill in the reason for the consultation and any other pertinent information of which you want the specialist to be aware Clicking on SUBMIT CONSULTATION REQUEST at the bottom of the screen will send the Consultation to the con tab where the staff can pick it up to book the ap pointment and print and fax a copy of the consultation OSCAR User s Manual 120 e Another option is to print the request and hand deliver to the staff booking appoint ments PRINTING THE CONSULT REQUEST FORM 1 Click on the Submit Consultation Request and Print Preview button to print the form for processing 2 The Fax Footer button is to put the confidential fax footer information
115. list can be made directly from this screen by clicking Make Appointment and selecting the correct date riri UROGYN For Oscardoc v 1 MM BHB 416 666 5655 2006 05 03 22 53 43 Doless Donald Zj Make Remove Appointment Close FORM REPORT The Form Report s features will give you the ability to create study reports on any of the forms from the Encounter screen Each form report needs to have captions added to the database field names as well as the fields of the database you would like in the report selected The current configured form reports at present are for the BC Antenatal Re cord Labour and Birth Record and the Newborn Record 1 2 4 D Click on Form Report Click on the desired report Click on the filter limitations you would like Select the desired date range with the little calendar buttons Click on either the Report in HTML or Report in CSV e Report in HTML for a report that will display in OSCAR e Report in CSV for a report that will display in Excel e 1 in the report means yes 0 in the report means no OSCAR User s Manual 113 THE CSV REPORT 1 If the CSV report does not automatically open in Excel save the file to your hard drive Open the Excel program Click DATA amp then GET EXTERNAL DATA Click IMPORT TEXT FILE On the FILE of TYPE dropdown and select ALL FILES Find the file you saved to the hard drive amp double click on it Under Original
116. ll automatically come up as Tel Progress Note should be changed to the type of document required e g ER visit on 2001 10 2 3 The actual encounter note will simply be a short summary e g otitis media Rx Amoxil 250 TID 10 days 4 File the papers with the scanned documents in an archived box in chronological or der and keep for legal purposes for the requird 10 years DONE e This is actually more readable than even scanning in and appears directly on the pro gress note section for easy reading You will find that less paper needs to be scanned in and reading the chart is much faster Using E Forms in a Patient s Chart ADDING A NEW E FORM You can access the Add E Form screen from two places e the Master Demographic page under the Clinical Resources heading click Add E Form e the Patient Encounter screen under the Clinical Resources heading click E Forms then Add E Form OSCAR User s Manual 135 1 Choose the desired form from the list of the forms that are available at your unit If you have many forms you may first narrow down the list by selecting the right Form Group from the drop down menu at the top and clicking View 2 Fill in the the form or write the letter needed 3 Add an appropriate subject in the Subject box at the bottom of the form 4 Click on the SUBMIT or PRINT button when finished completing the form These forms will now be a part of the patient s ele
117. mark in the box beside the name s that you want to add to the group 4 Clicking on the SAVE button will save your selection and bring you back to the Admin page Step 3 Preferences Only complete this step if you want the user to have a schedule on the appointment screen ex practicing doctors residents nurses not receptionists Otherwise skip to Step 4 This section is used to set the hours of operation for the office and the length of the ap pointments You can further adjust the length of a provider s appointments within the group in the Schedule Settings Adc afere Provider No Start Hour 8 End Hour 18 Period min 15 Group No Add Record 1 From the Admin Page click on the Add a Preference for a User link 2 Type the person s provider number you assigned them in step 1 3 The Start Hour End Hour and Period will have default values in them 4 Make any required adjustments to the default values These settings will affect the start and end time of the appointment screen as well as the length of the appoint ments 5 Enter the name of the group you put the new user to in step 2 6 Clicking Add Record will save the settings and take you back to the Admin page OSCAR User s Manual 155 Step 4 Set Up a Password A user s password is their digital signature they should choose it and use it with care and not allow unauthorized access to systems logged in to OSCAR
118. minj 15 Last Name 8LUTH GEORGE MICHAEL Search 31 Check Up Reason Notes Location Resources Creator iDuck 33333 Donald Date Time 2006 5 19 14 33 11 Group Appt Add Appt amp PrintPreview Add Appointment Cancel R 3 In the NAME box type part of the patients last name and click the SEARCH button or hit the enter key OSCAR User s Manual 16 4 From the list generated click on the grey demographic number for the desired pa tient 5 Change the length of the appointment in the DURATION box if needed from the default of 15 min to 30 45 60 min etc 6 Fillin the reason for the appointment and click ADD APPOINTMENT BOOKING MEETINGS 1 Type the meeting information where you would put the patient s name and save in the same way that you would save a booked appointment If you do not click the SEARCH button the program assumes you are booking a meeting and will put a period in front of the first word 2 Click on the appropriate date using the CALENDAR button on the upper right cor ner or click the month tab and select the date or advance a day at a time with the ar row on either side of the date in the upper left corner of the screen 3 Clicking on the desired time will open a window to enter meeting details 4 Fill in the remainder of the information and click ADD APPOINTMENT to add to the appointment screen BOOKING GROUP APPOINTMENTS 1 Select a group that includes all of the providers that you are going
119. n Double bookings will appear as bright orange vertical lines You can make an appointment from this screen by clicking the desired day and time to access the same Make Appointment screen as in the Appointment screen Clicking on the hyperlink of the date will take you back to the Appointment screen for that particular date OSCAR User s Manual 20 CHECK SCHEDULES 1 From the Appointment screen switch to the group you want by clicking on the ar row beside the Groups box in the upper right corner of the screen Click on the MONTH tab This will show you which providers are in on each day co 2 Select the desired group of the month Day Month Resource Search 1005 05 Sun Mon Duc 3313 A dps 7 amp Deck 049m Durk 3333 7 8 304 pm 14 15 Dech SSS58 8 Sito Dach 93333 8 He 4p onm 21 22 Meck KEKER Aor Drack 1133 78 Ap 2H 29 Daxk 35553541 4 920p ach 33333 I pa Last Month 20964 April wera Sua Mon Tue Wee 1 2 2 3 4 5 3 9 10 11 12 4 16 17 18 19 5 23 24 25 26 6 30 4 The program will default to the current month at the top with the previous month Report Billing Lab Msg Pref 2006 0s DL Moy Dock 311313 Log Ou Tue Wee Tu Fri Sy 2 3 4 5 6 Dekh S5553 P 3 30290 Det BAP pa Durk 33333 9 5 99 490 Deck ARRA P amp Mito Dok 0033 58 ipa 9 10 il 12 13 Duck JILL ieee Dack TE Opm Duck 1311131 8 32 4g0 Dack J333A I 30 4pm Durk 033333 7 8 324 pm 16 17 18 19 20 Duxck
120. n about a patient type their last name in the search field at the bottom of the screen and click Search Demographic Click on patient s number then on Attach Demographic to choose the information you wish to send with your message 4 Select the people you want to send the message to and click Send Message REFRESH INBOX When you click this button the program will retrieve any new messages from the server SENT MESSAGE Clicking this button with show a list of all the messages you have sent You can use the Forward button if you want to send the message out again to another person DELETED MESSAGES Clicking this button will show you all the messages that you have deleted from your INBOX OSCAR User s Manual 127 You can restore them to the INBOX by clicking the UNDELETE button at the bottom of the page ATTACHMENTS 1 To read an attachment open the message by clicking on the link in the Subject col umn 2 Click on View Attachments 3 Click on Expand All to view all the information or Collapse All to minimize the information view 4 When you click Expand All it will show patient demographic information that an other health care professional has sent you e NOTE the attachments can only be added in the Encounter screen The attachment function is only used to send patient demographic information in a secure format to another health care professional within the clin
121. ng Prescriptions 2 Click Edit to make changes and Delete to delete the prescription Info pulls up information about the drug STEP 5 PRINT THE PRESCRIPTION To print right click on prescription oscarRx ind select print from the menu Step 6 Print the Prescription mccbkt McMaster Hospita Hamilton Hamilton LOR 4K3 Tel 555 555 5555 Actions Create a New Prescription cj ui Bac to Oscar May 23 2006 Print PREGNANT BROWN 12 Mockingb rd lane Pemberton V25 1V9 604 778 4593 Print amp Paste into EMR 304 778 4593 Drug Information Custom Drug Take 1 Tabs PO TID for 7Days Qty 21 Repeats 0 before meals and at bedtime Signature mccb t 1 From the STEP 1 screen Click the Save and Print button From the STEP 3 screen Click the Update Print and Save button OSCAR User s Manual 82 2 Click Print If you wish for a record of the prescription to appear in you Encounter notes click Print amp Paste into EMR 3 Your prescription is at the printer ready for your signature Custom Drugs If you can t find the drug you are looking for you can create a custom drug prescrip tion This can be done from the screens for both Steps 1 and 2 as well as the link I can t find what I m looking for on the step 2 screen Warning Only use this feature if absolutely necessary as you will lost the following functionality e known dosage forms
122. nks to the database L Click the Sign Up link under the heading Join Us on the main page Fill out the registration form You do not have to use your del icio us name and password but you can if you don t want to remember two sets of passwords Please enter account information Username no spaces Required Password Required First Name Last Name Del icio us Username Del icio us Password 23 E mail In the upper right hand corner of the screen another link has appeared named Ac count Settings Click on this link In the text box labelled Import links with tags write the name s of the del icio us tag s you have predetermined to be used only for sites that you wish to be added to oscarResource Good tags to use include oscarResource OSCAR oscaradd OSCAR User s Manual 146 Username Password Note Leave blank to leave unchanged Turis Username pour Del icio us Note Password not encrypted do not use a Password password that s important to you First Name Preston Last Name Disable Import from del icio us Number of Links o Contributed Import links with oscarshare Note Leave blank to import all t gs tags pscaronare Note separate by spaces Remove all my Note Can be used in conjuncton with the disable links import feature Do not search Search Move Jchan a Note If there are no users Michaala under Search then all Move All gt gt l
123. nths 270 Qty Repeats 4 ipitor 20mg 1 OD 30 Days 30 Oty Repeats 1 No subs FOSAMAX TAB 40MG 1 OD 14 Days 14 Oty Repeats 8 Allergies PENICILLINS AHFS Class SULPHUR COMPOUNDS ATC Class Appointment Notes Submit Consultation Request Submit Consultation Request And Print Preview 3 The patients demographic information will pull into the form prescription info from the Rx program and Ongoing Concerns from the encounter screen OSCAR User s Manual 119 10 11 2 D o LI NR NN New Consu tation Clicx 6 link to view Consultation Request Form Status Patient Provider Service Referal Date Pending Specailist BROWN PREGNANT chiswell tudy Carc ology 2005 09 09 Call back Pending Patient BROWN PREGNANT Duck Donald Dermatology 2005 11 28 Callback a BROWN PREGNANT chiswell trudy Cardiology 2005 12 03 Nothing has z EE mm anne 49 5 EES aa BROWN PREGNANT chiswell trudy Cardiology 2005 12 05 Nothing has BROWN PREGNANT Duck Donald Qohthal mology 2005 12 17 been done x Pending Specallist BROWN PREGNANT Duc Dona c Ophthalmology 2005 12 17 Callback Nothing h BROWN PREGNANT Duck Donald Cardiology 2005 12 17 been done oooi Cardiology rumen BROWN PREGNANT Duck Donald Cardiology 2006 03 02 Nothing has ces i z A heen done BROWN PREGNANT Duck Donald Card clogy 2005 04 13 Nothing has A ane ARE 11 been done BROWN PREGNANT Duck Donald Cardiology 2006 05 11 Se
124. ntreal Que bec This was one of the first programs developed according to the philosophy of Open Source software with source code that can be freely used changed and redistributed in the interest of collaboration and progress Originally designed with the objective of introducing a low cost computerized medical record system to primary care clinics the system was customized to meet the specifica tion of Provincial Health Care Programs MUFFIN embodied a problem oriented OSCAR User s Manual patient centred and episode oriented philosophy in its development implementation and evolution It was the beginning of something unprecedented in primary care infor matics the beginning of OSCAR In 2000 prototype programming began and funding was pursued In 2001 OSCAR s current capabilities and applications were becoming a reality After only 14 months of intense programming OSCAR was launched at its first large clinic site on April 15 2002 Dr Chan s visionary leadership inspired the programming team to produce a dy namic interactive software at the leading edge of medical informatics and open source clinical software In just 2 years OSCAR was brought from conception to completion with an official release of version 1 0 on November 17 2002 OSCAR User s Manual 2 Access Preferences and Security In this chapter Y how to access OSCAR from home and work logging in and out Y how to edit your persona
125. o name the page type in the location of the office OSCAR SFHC amp press enter 4 Go to Favourites again right click on the new link 5 Click on send to amp choose DESKTOP at the next pop up menu 6 The new shortcut will appear on you desktop ADDING OTHER SHORTCUTS TO THE DESKTOP 1 Right click on your Windows Desktop 2 Scroll down to New and then Shortcut 3 Either click on BROWSE or type in the path to the program 4 Click on Next 5 Type in the name of shortcut and click Finish Setting Properties of Shortcut 1 Right click on the shortcut you just created 2 Scroll down to Properties OSCAR User s Manual 184 3 Click on the Program Tab 4 Beside the RUN select Run Maximized 5 Check the box beside Close on Exit 6 Click on Change Icon 7 You can use one of the default Icons or browse to the location of an icon you have stored on the Hard Drive 8 You can set up a specific configuration if you are doing a DOS program but nor mally this will be sufficient 9 Click Apply and OK Back up OSCAR Files to CD The following steps allow you to back up the data files in OSCAR on a regular basis in case of a critical fire or hardware problems Hardware can be replaced and the software re installed and set up by OSCAR technical support if the data has been updated on a regular basis SET UP THE DIRECTORIES 1 First set up a directory on the computer that has a CD burner 2 OR Make the dir
126. oday 3 If you are a provider the screen will default to your personal appointment screen LOGGING OUT When you are finished for the day LOG OUT from the appointment screen using the Log Out symbol located to the right of the screen Your password electronically signs anything you have done in the program Logging out ensures that no unauthorized per son signs your name to their work User Preferences PREFERENCE Start Hour 7 hr End Hour 25 117 hr Period 10 min VewEda Group No 999998 Update Close Change Your Password Edit your Signature Figure 2 2 User Preferences Screen EDIT SIGNATURE Use this feature to edit the signature on the Prescription writing forms 1 In the appointment screen click the Preference tab 2 Click on the Edit Signature link at the bottom of the window 3 The top line tells you what you are signed in now 4 Click on the here link to display a text box OSCAR User s Manual 5 Type in your desired signature into the text box and click on the submit button 6 Click on the X to close the next 2 windows Note If you haven t yet created a signature you should see the text You do not have a Signature set VIEW EDIT GROUP Customize your appointment screen view by creating a group of people that you will be working with 1 Click on the Preference Tab 2 Click on the hyperlink view edit Group No To add a person to an existing group 1 Note the name
127. odify the source code for a piece of software the software evolves People im prove it adapt it fix it without the constraint of copyrights and patents Compared to the slow pace of conventional software development development of open source software can happen at an astonishing speed This rapid collaborative evolutionary process produces better software than the tradi tional closed model in which only a very few programmers can see the source and eve rybody else must rely on a black box of code Benefits of open source software include increased security ability to guard against viruses and adaptability to grow the soft ware with the organization Open source software is more than cost free it offers free OSCAR User s Manual dom The open source approach promotes rapid software innovation adaptation reliability and quality through open peer reviewed evidence based evolution of source code There is evidence of a growing open source community in health care and it is receiving proactive support in the European Union and other countries We ve ensured that OSCAR meets the open source definition established by the Open Source Initia tive www opensource org Open source software is freely distributed and may be used for any pur pose The source code can be viewed customized developed and redistributed as long as contribu tions allow further modifications and their distri Software License O
128. of the group to which you want to add a name 2 Go to the bottom of the window 3 Click on the New Group Add a Member button 4 Type in the name of the group in the box at the top of the screen 5 Click the check box beside the person s name that you want to add to the group 6 At the bottom of the window click SAVE To create a new group 1 Go to the bottom of the window 2 Click on New Group Add a Member button 3 Type in the name you want the group to be called in the box at the top of the screen 4 Click the check box beside each name that you want to add to the group 5 At the bottom of the window click SAVE OSCAR User s Manual Security YOUR PASSWORD amp SECURITY Your password is your digital signature choose it and use it with care A Good Password Is a minimum of six characters in length composed of alpha characters both upper and lower case and numerals no alphanumeric character appearing more than once not resembling a dictionary entry in any way not based on a trivial pattern like a1b2C3 or a family name such as sheldon1 not written down memorize it CHANGING YOUR PASSWORD loscarservice com UPDATE PREFERENCES re o PREFERENCE StatHour7 w End Hour 23 17 r Period h0 wn viewed Group No 099998 Update Close Change Your Password Edit your Signature e AA http oscarservice com CHANGE PASSWORD Enter your old password and then choose your new password QU pda button when
129. ompletely connect to the server about 10 sec after the screen has come up 5 Right click on Network Neighborhood and down to Properties 6 Click on the Identification tab and verify that the workgroup field has the name of the clinic workgroup stonechurch PROCESS OF ELIMINATION FOR TROUBLESOME CONNECTIONS OSCAR User s Manual 186 Try to restore the connection after each of the following steps 1 Check the network wall jack Plug a laptop into the network wall jack and try to get on the network 2 Check that the problem is not with the actual computer Plug the computer into an other network wall jack 3 Check the cable from the wall jack to the computer Plug another piece of network cable into the computer and text in the network wall jack outlet in another room if pos sible long network cable 4 Check network cable in the server room from the wall to the port on the HUB Switch Unplug the network cable for that room on the wall and replace with a known good cable Replace the network cable for that room on the HUB Switch with the test cable directly from wal to HUB 5 Test the port on the HUB Switch box by plugging into a known good port on the HUB Switch 6 By process of elimination if all of the above fail to reinstate a connection the wiring in the wall may be the problem You will need to get a professional to test the wire in the wall OSCAR User s Manual 187 Frequently Asked Question
130. on the form when faxed 3 To print the form click the PRINT button e FEATURE Each of the information boxes will expand as needed by the quantity of information entered into the form Booking the Specialist Appointment From the con tab on the top of the appointment screen the staff booking specialist ap pointments can pick up the request and process through each step Both doctor and staff can check the status of the task from waiting for the specialist to call back waiting for the patient to call back and completion of the task 3 Edit Specal ss LiSUDS eeiecr Team View All v Consultation Requests for this team Start FE End fal Induce Comoletec E Search on Referal Date Apot Date y Status Patient Provider Service Referal Date Appointment Date 1 Click on the Con tab to pick up the Consultation form and book the appointment 2 Click on the drop down menu to select the doctor or team you want or the view all selection to view the entire list of consultation booking requests 3 Clicking on Consultation Requests for This Team will display a list of consultation forms needing to be processed OSCAR User s Manual 121 10 11 12 The letters under the Status column indicate the progress of the specialist booking ND nothing done SR specialist response waiting for the specialist to call back with the appoin
131. or by adding each patient via the clicking this link See Chapter 6 INR Billing Bill INR After the patient has been added to the INR list it is a simple matter of pulling up the list for each doctor and clicking the check box for patients who need to be billed See Chapter 6 INR Billing CLINICAL MODULES Consultations The consultation form allows you to request the booking of a specialist appointment for the patient quickly and easily See Chapter 10 Prescriptions With oscarRx you can write prescriptions quickly and easily and keep of record of past and present medications too The program can also alert you to any allergies the patient has and informs you if there is a known problem with mixing two different medica tions See Chapter 7 E Chart E Chart takes you back to the patient s Electronic Chart with all its features as de scribed in Chapter 5 Tickler The Tickler is a system that is used to remind staff to call or book a patient for a repeat procedure as well as alerting staff of unpaid bills or any other notes they might need to be reminded of See Chapter 11 OSCAR User s Manual 33 Send a Message OSCARmsg is a secure messaging system within the intranet of the OSCAR clinic and between OSCAR clinic sites The functions work like many common e mail programs See Chapter 11 CLINICAL RESOURCES Documents Viewing documents in the patient s chart This link allows you to view any patient s
132. ork See Invoicing via EDT for instructions on how to connect the GoNet OSCAR User s Manual 74 SENDING OVERNIGHT BATCH ELIGIBILITY Send the file just created through GONET The next morning access the MOH GoNet again to collect your report UHIP WSIB amp Refugee For Ontario billers The following contact information is for reference purposes and are not functions of OSCAR UHIP BILLING Welton Beauchamp Nixon Inc WBN Contacts Clair provider registration Rachel claims 641 Montreal Road Ottawa ON K1K OT4 1 800 565 0484 Submitting to UHIP 1 Put card number in OSCAR in Additional Notes for reference 2 Fill out form completely 3 Patient fills out section 1 2 amp 3 put holder s UHIP number in upper right corner 4 Have card holder sign section 3 and date 5 Put provider s label on section 4 6 Doctor fills in section 5 with OHIP code and diagnosis signs and dates 7 Use the OMA Service Fee instead of OHIP OSCAR User s Manual 75 Patient s Ceiling The cardholder has 1M for the life of the insurance The decision is up to the doctor if they want to charge the OMA or OHIP fee schedule The patient could run out of cover age if they have a major illness Registering Doctors When the first completed form is sent in by a doctor UHIP will automatically create the doctor s number The doctor s UHIP billing number will be on the first cheque for fu ture invoices submitted
133. oscar users will be searched Searching Users Lainan default lt lt Move All 8p3ul3457 azulay crystal Submit 5 Click Save STEP 3 ADDING OSCAR RESOURCE LINKS When you find a website or page that contains information you feel could be helpful to OSCAR users for example a page on a new medication or the results of a medical re search study you can add it to your del icio us account 1 Click your post to del icio us or tag this button depending on what browser you are using 2 Write any notes that may help others understand what the site is about 3 Most importantly type in one word tags that categorize the page you can think of tags as keywords or subtopics that would help other users understand the content of this page Separate each tag with a space In order to add your links to the OSCAR OSCAR User s Manual 147 resource database you must include your special oscarResource tag that you identi fied in Step 2 e As you start adding links your special oscarResource tag will show up as a Recom mended Tag when you add other links This means that you won t have to remember and type in the tag every time Instead you can just click on the tag and it will be en tered automatically This applies to all commonly used tags e Once you have added a link with your oscarResource tag it will be added to the os carResource database by the following day STEP 4 MANAGING YOUR LINKS IN OSCAR C
134. ot see these docu ments in the eDoc tab when they log in Document Description Type a short descriptive name for the file users will see this name in your eDoc window Create Date is put in automatically Creator is put in automatically Click Upload file beside the File Name box Click the Browse button to search for your file on your hard drive Click on Upload once you have selected your file When you are back at the Add Document screen click on SUBMIT to add the file MANAGEMENT TIPS For documents that need to be scanned scan documents first into a local folder with a short name Then upload each scanned document giving more explanatory names in the Display Name Best text files to add PDF Acrobat file RTF Rich Text Format or html file Best type of picture file JPG GIF BMP PNG or TIF OSCAR User s Manual 134 MIGRATION TO ELECTRONIC FORMS amp NOTES Doctors who wish to start migrating towards a paperless office have often done so in the summer time Lower cost staffing is possible at this time of year since students are available to scan paper charts into PDF files and upload them into the patient s elec tronic medical records 1 Small handwritten records on scraps of paper in the file like home visits or nursing home visits are typed in as an encounter note date of the note entered and then Sign Save amp Exit 2 The Reason field which wi
135. p enter e This password must be changed every 32 days system will prompt you e Must be between 8 16 characters in length e Cannot repeat characters e g 01010101 if OK but not 11001100 e Cannot repeat the same password within a one year period 4 Press enter to bypass the Ministry Information Screen and begin EDT FUNCTION KEYS IN GONET amp THEIR PURPOSES The GONET software works in DOS which uses key commands instead of the mouse eu E On FUNCTION KEYS PURPOSE 3 EXIT ESC 3 Exit to MAIN menu 4 BACK ESC 4 To go BACK one page if more than 10 items 6 FOR ESC 6 To go FORWARD one page if more than 10 WARD items OSCAR User s Manual 65 OO ONS FUNCTION KEYS PURPOSE 8 SELNEW SHIFT 8 Select files with a to download to delete 9 DELETE ESC 9 Delete files marked with a 10 DOWN ESC 0 Download files marked with a LOAD SEL EE File selection area selected STAT ee File status U undelivered amp D delivered SENDING AN INVOICING 1 At the next GONET screen select 3 for Ministry of Health Menu amp Select 1 for Send Claim File 2 Press the enter KEY once to get to file name amp enter the EDT filename created when you ran OHIP INVOICING in OSCAR amp enter again 3 When PLEASE BEGIN UPLOAD NOW appears on the screen 4 Go to TRANSFER on the Main toolbar and click on SEND FILE 5 Click BROWSE and select the appropriat
136. pdate Record ADD A ROLE Type the role you wish to add until the search box If itis found to be a New Role click Save to add it ASSIGN ROLE TO PROVIDER OSCAR User s Manual First Name admin Colleen David David doctor doctor Donald Donald Glenwood IT James Julie Linny Lisa mark Mickey mikey Morgan Morgan admin Morgan recep recepbonist Last Name oscaradmin Kirkham Dolittle Dolittle oscardoc oscardoc Doless Duck Fairview Support EC Care Zon Greeting weiss Mouse 44444 mikey Price Price Price oscarrep 165 m o 5 admin coctor coctor admin coctor coctor receptionist vY receptionist Y nurse receptionist 7 doctor admin receptionist 7 receptionist Y LLL BLU i i Add gt gt ajja ajjaja Add Add Add Add Add Add Add Add Add Add BEEREEEEEEEEEEEE gt a a Add a 6 23 Update Update Update Update H Update Update Update if i 2 8 i i Update Update i 9 E 3 j Update i S E 2 Update Update i i Update Update i i Update i Update i Update Hi Update i Update l Update i Update l earch ete I ete ete ete ete 331p ete ete ete ete e s I ete Delete ete Delete Delete 1 Searc
137. ports for doctors during that time period just change the doctor s name and click CREATE REPORT e You can view these encounters directly from here by clicking on invoice number in the ACCOUNT column OSCAR User s Manual 73 e Or you can print the report and then look at them individually from the BILLING CORRECTION link Health Card Version Codes For Ontario billers Validating with Overnight Batch Eligibility Many hours are spent in chasing patients for correct version codes to re submit a bill to the Ministry of Health MOH Overnight Batch Eligibility allows you to get a jump on the process The file is sent to the MOH the night before and the report is picked up in the morning from the web allowing the receptionist to approch the patients who have invalid health cards before the appointment Patients can then be given the information to contact the MOH to rectify the problem 1 Log in as Administrator 2 Under oscarREPORT click on Overnight Batch Eligibility Checking link 3 Click on the Begin Date link for the calendar to enter the begin date from the ap pointment screen 4 Do the same to the End Date to give the date range that you will be sending to the MOH 5 Click on create report 6 Right click on the file name select Save As and save to the directory you are keep ing these files to up load to the MOH 7 Click Close this Window CONNECTING TO THE GONET Netw
138. r Search For should be used to select what information you wish to see in the report and the various menus and boxes on the right are used to limit your search For example if you wanted the Year of Birth for every person named Joe you would click the checkbox for Year of Birth on the left and enter Joe into the First Name box on the right 3 Under the title WHERE you can select the following filters to the report IF NEEDED Age you can qualify a specific age or an age range First Name Last Name you can export the data for just 1 specific patient by typing their name here Spelling must be exact to what is in the Master Demographic file Roster Status you can specify here if you want to make a report of all the patients with a specific roster status Tick off the desired one Sex you can specify if you just want to do a report on Male or Female patients Provider This allows you to create a report for just one specific doctor Patient Status you can select either ACTIVE patients INACTIVE patients or if you don t click off any you will get both active and inactive patients Order by This function allows you to set what order you want the patient records displayed in first name last name etc Limit Results to allows you to set a limit on how many patient records you want in each report 4 Click RUN QUERY the report will take a little time to run depending on the crite ria selected SAVE QUERY
139. r e Rejected batches contain an R and a reason for rejection e Examples of claims Batch Edit rejection messages include Trailer record missing Batch header missing Invalid counts in trailer record OSCAR User s Manual 71 Creation date gt system date Creation date invalid or not YYYYMMDD e You must regularly check your mailbox download and read all your claims output reports including the claims Batch Edit The other claims related reports are Claims File Reject Message only sent if your entire claims file is ejected normally sent within hours of claims file submission Claims Error Report notifies of rejected claims normally sent within 48 hours of claims file submission to allow reconciliation of errors and resubmission of claims within the monthly billing cycle Remittance Advice normally sent between the 5th and 7th day of the month to allow prompt reconciliation of accounts REPORTS The RA reports show the detailed report of which encounters were paid any additional errors that got past the Machine Readable Error Report a summary report of the cur rent payment and an OHIP Messaging report 1 Click on the ERROR link and print to correct and re submit via Remitance Advice inquiry any invoices where possible and manually reconcile the remainder that are paid at less or more than invoiced 2 Click on the SUMMARY link to see and print if desired all b
140. rBilling service coce Dx Code Select form oo2 Mara Hoes t2 Premiun rmx DIJA A LA 04A 4 PULA j u PUA ws PULL see MX 4 CIJA ADU E Coe AL 3 CoA X DO SS PIJA i KA 3 KULSA J A KIA OIDA KA 0A base 13 Ku ESTA 24 KIPA KA Ko 4 For Service Codes select the correct billing screen from the drop down menu at the top of the screen and click MANAGE 5 There are 2 columns for each service column in SERVICE CODES the 1st column is the actual billing code and the second column relates to the order the code will view to the user 6 Replace delete or add any new code you want to the boxes and give new codes a display view number for the order it will be displayed on the billing form 7 When finished click on UPDATE button on the lower left of the screen 8 Click Close this Window ADD A BILLING FORM 1 Click on Manage Billing Form in the BILLING section 2 Select Add Delete Form from the drop down menu OSCAR User s Manual 168 3 Click the MANAGE button oscarBilling o service code C Dx Code Select form Ago xxr Form Manage Service Type iD Service Tyoe Name Se vce Type Mame Groep Name Kroui Nane Gr s 2 Marie 2 nate Group J Name Kirous J home ACC form 803 4 505 we 507 EL 09 10 11 LELI vy AN PSY TRA xxx 4 Inthe 5 boxes to the right of the screen enter a 3 character code for the Service Type This is an internal code and you
141. raphic Records In this chapter V how to access OSCAR from home and work logging in and out Y how to edit your personal user preferences edit signature edit groups Y how to keep your OSCAR account secure OSCAR User s Manual The Patient Detail Info screen contains all of the patient s demographic information billing and appointment history You can add billings documents prescriptions or forms from this screen for example Also learn how to find an existing patient and how to add a new patient record Searching For A Patient 1 From the Appointment screen click on the SEARCH tab 2 The program will default to a NAME search 3 Type in part of the patient s last name then a comma and then the 1st initial of the patient s first name 4 Click the SEARCH button or press the ENTER key 5 When the list of names comes up click on the Demographic ID button to bring up the Patient Master Demographic information SEARCH FOR PATIENT RECORDS Search Name Phone DOB yyyymmdd Bluth Search Inactive All Address Health Ins Chart No Results based on keyword s Bluth i s gioco Last Name First Name Chart e DOB yyyy mm dd Doctor eos eu Phone x 36 Bluth Buster M 1970 09 30 E 31 Bluth George michael M 1987 06 15 EE 35 Bluth Gob M 1970 02 07 _ 34 Bluth Michael M 1969 01 14 Create a new Demographic Please select by clicking on the patient s demographic id for details
142. rce Database ABOUT DEL ICIO US del icio us is a website where users can keep a systematic list of their favourite links and bookmarks As a user you can keep your links organized using a tagging system plac ing each link under any number of categories in order to find it later Your set of links are available for others to view and you can find more websites about topics you enjoy by looking through others lists The OSCAR resource website uses the del icio us accounts of contributors as its source for all the information in its database ANYONE can contribute The database s effec tiveness as a clinical resource improves with each new user s links and files For more information on how del icio us works go here http del icio us help STEP 1 CREATING A DEL ICIO US ACCOUNT If you wish to contribute you first need to register http del icio us help and create an account with del icio us Follow all the registration instructions as prompted e When choosing a username and password pick something that you won t mind if other people see Do NOT use a password that you also use for other more secure sites e Make sure you install the two toolbar buttons when prompted These are essential for using del icio us OSCAR User s Manual 145 STEP 2 CREATING AN OSCARRESOURCE ACCOUNT Go to the oscarResource website to create a user account This account will be used to automatically add all of your oscarResource li
143. rea wi peat Ondo we or n don ta 2008 18 41 by Chen Joel a a tac ASI an En tee eee Figure 5 2 Progress note text field OSCAR User s Manual 37 WRITING A NEW PROGRESS NOTE If a new note text box is not already at the bottom of the progress note field click the New Note icon Click anywhere in the white space of the new progress note text box at the very bottom of the progress note field and begin typing Changing the date If you are typing a note for a different day you can choose the date from the calendar next to the word Date at the bottom of the note Saving as you type As you type your note it will automatically save in case the screen accidentally is closed without properly being saved You should also save the note yourself as you type by clicking the Save icon at the bottom of the field Adding reference to ongoing health issue You can use this feature to tag a particular encounter note as being involved in the treatment of a particular ongoing health issue for your patient This will allow you to selectively view only the notes which are tagged with a certain health issue Ex all pro gress notes which pertain to a patient s diabetes To view the list of ongoing issues for a patient click the Assign Issue icon on the lower left corner of the progress note field This list includes all of the current issues when are listed at the bottom of the right menu bar You can also add a new current issue by
144. reating Lists of Favourite Links After you log into your oscarResource account your new homepage has space for you to add lists of links that you find the most helpful This is especially useful when you want to quickly find information for a colleague or patient at your clinic since you can quicly access oscarResource from the Encounter or appointment screens then easily find the information desired in your favourite links 1 Click Add Object Object is just another word for the box containing the list of links Header Name Object Class objectl purple v Object Width px 200px is ideal Number of Links links Tag Add Add OSCAR User s Manual 148 2 Fill in the Add Object form Header Name ex My Favourites Patient Handouts Medical News Object Class the colour of the box s border Object Width unless you know what specific pixel size you desire just fill in 200 Number of Links how many links you want the list to include Tag the name of the tag keyword that you wish for all the links in your list to in clude For example if I wanted a list of family medicine websites and knew that fammed was a good tag for finding these sites I would type fammed here 3 Once all the fields are filled click Add TIP If you want to create a My Favourites object that includes only your favourite mon links create a unique tag that other users aren t already using ex smithfav joelink Add th
145. report is used to find appointments that have gotten lost in the system because the start time hasn t any time in it caused by an entry problem This usually only happens at the time of migrating a new database into the program L Select the provider amp the date Click on Bad Appt Sheet hot link to create the report Click on the PRINT button to print the report and search for the appointment to cor rect the error OSCAR User s Manual 105 PATIENT CHART LIST 1 Select the provider from the drop down list 2 Click on the Patient Chart List hot link to produce a patient list for the selected provider PATIENT CHART LIST Print Exit Duck Donald Last Name First Name Chart No AMMARY KAMIL BLOGGS FRED BOB BILLY JOE CEPEDA RENALDO JOHNSON DORTHY KHAN FARQUAR MARS VERONICA MM BHB TESTER KONG WHITE JACK OLD PATIENT LIST This report is a snapshot of the data base that is updated on a routine basis for the pur pose of creating patient lists with an age qualifier 1 Select the provider from the drop down list 2 Enter the age that you wish to be the lower age limit for the list i e all patients will be older than the age you enter 3 Click on the Old Patient List hot link to produce a patient list for the selected pro vider OSCAR User s Manual 106 NO SHOW APPOINTMENT LIST This report can be used to print a list of patients who did not show for their appoint men
146. ress is the address of each individual PC and is unique for each PC sta tion The fourth block is unique for each PC and varies from 2 to 99 e g 27 in IP ad dress 192 168 42 27 9 Press OK 10 If any of the above mentioned addresses have a problem call the Computer Techni cian UPDATING INTERNET EXPLORER Internet Explorer needs to be updated at various times for OSCAR to work efficiently 1 With Internet Explorer open click on Tools in the Menu bar 2 Click on Windows Update 3 When the MS Windows Update screen comes up click for your version of Windows 4 Install Critical Up dates first if there are Frequently Asked Questions any y Q I can t print to a network printer and see files on the 5 Check on LE Serv network public folder General Information ice Packs and download l i A Make sure you log in using the appropriate password accordingly m when your computer starts up Pressing Cancel on the 6 Click to accept all log in screen won t give you network access keep POP eae ep Q A message comes up saying incorrect password when ing in mind that the OS I try to log in being updated has a proper license A Make sure Caps Lock is off and try again 7 Click when it comes up with a message saying the computer needs to restart for the changes to take effect OSCAR User s Manual 189
147. rom the patient s e chart use the oscarDB tags shown below in the HTML rules NOTE Make sure all of the HTML rules explained below are met for each tag of your form or the data in your form may not be saved 8 With each new element preview the page in your internet browser to make sure the length location etc is correct If you wish to see what the form will look like when printed you can click Print Preview in your internet browser 9 Repeat steps 5 7 until the form is complete Test the form by filling out every text field and checking every checkbox then printing the form You may wish to erase unnecessary boxes and lines from the form image in a photo editing program ex Paint now that electronic boxes are now in place 10 Before you add your e form to OSCAR OSCAR User s Manual 139 e Change your image source to lt IMG SRC oscar_image_path imagename gif gt this will allow OSCAR to find the form image when pulling up the form e Remove the mouse cursor location JavaScript from your code From lt SCRIPT GIVES THE MOUSE COORDINATES lt script type text javascript language javascript var isIE document all true false lt script gt HTML RULES 1 These tags are designed for users to use if they want certain fields to be automati cally filled out with information from the patient s chart Copy the tags directly in the HTML file for the wanted items 2 The name of each text
148. roup e g doctors 4 Click the Submit button 5 Click the people you want in the group 6 The default will pull through from the previous group If there are any people that you DO NOT want in this group just take the check mark off beside their name 7 Click Update Group Members button 8 When finished editing close the window and go back to the Admin page oscarMsg You can also view or send mail in administration through the Messages link in this section E Forms See Chapter 12 for information on creating and using e forms in a patient s chart Once you have clicked on any one of the functions in this category you may navigate to any of the other functions using the small navigation bar in the upper right corner or the screen OSCAR User s Manual 174 UPLOAD A FORM Type in a form name and subject description then click Browse to find the e form you wish to add Click Upload to add the form to the directory UPLOAD E FORM Form name Subject File name Browse Uo j 2790 ees Form Name Subject File Form Date Form Time Action Hab ery ineo i veios a Reotiat voice ht 2005 12 17 10 33 33 De ste Me Ser sector E soc Nam zc 00S 0 19 54 Dect Genera Mote uc Gerners ict Ot y2l Dc cic vie vo bC work 0502 1 47 Lewis One 73 vr Mr Miss 6 3 DOS E amp 1 Dese Teper Carts Tre ern L DO a 15 24 De it Su iver are ooy S ncs z DO 214 20 Dc cic ent eu xm DOR I 20 33 Deel CURT OT 67 sw fae Oper s
149. rse resident admin receptionist v Specialty Team Sex F M DOB yyyy mm dd 0001 01 01 Address Phone home Phone work Pager Cell Other Phone Fax Provincial Insurance 3rd Party Billing Billing Alternate Billing Specialty Code Group Billing Self Learning Username Self Learning Password Status 1 Add Provider Record Enter the provider number you wrote down from the previous steps Fill in all the appropriate information for the new user Type from the drop down menu select the user s role in the clinic If they have more than one role choose their primary role For example if you wish for a doctor to also be an administrator select Doctor here then in Step 5 Assign Roles to Users add the admin role Note Even though you have chosen the user s role here you also have to assign that same role to them in the Security section of the admin view This is outlined in Step 5 of the New User Setup as well as more details on the access available to each of the roles Specialty Example FM for Family Medicine Team Example A B or Docs 3rd Part Billing This field is used when an outside company does the billing for an office or clinic This is usually the group number for the billing agency OSCAR User s Manual 153 Billing This field is used if the individual is a doctor and would be their Ministry of Health billing number There are billing function impli
150. s Q I don t know where my print page went A Click Start Settings and then Printers for Win 98 Me 2000 to see which printer has the check mark on Your print page went to this printer with the check mark on To change it right click on the printer you prefer and select the set as de fault option For Windows XP Click Start Control panel then Printers and Faxes once here fol low the same instruction as above Q I printed to the appropriate printer but nothing printed out A Pull the mouse pointer to the bottom right hand corner of your screen and dou ble click the printer icon Highlight the item s if more than one select the first item and press the shift key while pressing the down arrow to select all at once and press delete Try printing again TROUBLESHOOTING FOR INTERNET ACCESS The following are steps to take if the users are complaining about not being able to get a connection to their e mail REFRESHING IP CONFIGURATION 1 The screen can be accessed by following this sequence 2 Click on the Start button and then 3 Type winipcfg all in Open box and Hit OK 4 Select the network adapter for your PC from the drop down list in Ether Adapter Information 5 Click Release All to release all the Addresses 6 After they have all been released press the Renew button to renew the addresses OSCAR User s Manual 188 7 The default Gateway and DHCP Server addresses is 192 168 42 130 8 The IP Add
151. s type in a pass word ensure the password is something that you will remember at a later date Once you sign and save that note no one will be able to read or edit the note unless they have the password When you unlock a note make sure you repeat the locking process when you are finished to ensure a continued higher level of privacy Cumulative Patient Profile The patient s CPP is located above the progress note field separated into four boxes So cial History Medical History Ongoing Concerns and Reminders These are used to pro OSCAR User s Manual 39 vide a brief summary of essential information about the patient Any information added in these boxes will automatically become a Current Issue which can be referenced in any encounter note Figure 5 3 Cumulative Patient Profile boxes Adding a new item to the CPP 1 Click the plus sign in the upper right corner of the box to which you want to add the item A text box will pop up in which you can type as much as you want It is rec commended however that you keep each item as brief as possible so that you can view the whole list quickly and easily 2 Click the hard drive icon to Sign Save amp Exit OSCAR User s Manual 40 Editing an old item Click on the item you wish to edit A text box will appear where you can edit the text of the item Be sure to Sign Save amp Exit when you are finished If you change your mind about editing the i
152. st click ADD SERVICE 2 Type in the service you want to add in the box 3 Click on the ADD SERVICE button ADD SPECIALIST Click on ADD SPECIALIST Type in all the pertinent info for the new specialist NOTE DO NOT type a return enter in the address box It will cause an error in the program Click ADD SPECIALIST button ADD DOCTOR TO SERVICE GROUP Click on SHOW ALL SERVICES Click on the specialty of the doctor you have just added You will see a list of all the specialists Click on the checkbox beside each doctor that should be in this SPECIALTY group DELETING A SERVICE 1 Click DELETE SERVICES 2 Select the checkbox beside the SERVICE group you want to delete OSCAR User s Manual 123 3 The doctors that were in this group will still be in the list so be sure they are in an other group 4 Click the DELETE SERVICE button OSCAR User s Manual 124 11 Communication In this chapter Y how to send messages within the clinic using oscarMes senger read and reply to messages attach documents from a patient s chart Y how to use the Tickler reminder system OSCAR User s Manual 125 oscarMessenger OscarMsg is a secure messaging system within the intranet of the OSCAR clinic and be tween OSCAR clinic sites The functions work like many common e mail programs It also allows providers to send e documents to one another ACCESS e From the appointment screen click the
153. sted for WSIB Affix a label to a copy of the let ter with the appropriate WSIB code OSCAR User s Manual 77 Prescription and Prevention In this chapter Y how to write electronic prescriptions save commonly used prescriptions Y how to use MyDrugRef receive relevant information about drug interactions from trusted sources Y how to add and edit patient drug allergies OSCAR User s Manual oscar Rx allows you to write electronic prescriptions prompts you to create an allergy profile to avoid prescribing the wrong medication and alerts you to bad drug interactions with multiple prescriptions Access There are four ways to access the oscarRx program e Click on the Rx of the patient s appointment bar e After finding the patient using the Search tab on the appointment screen click the Rx next to the patient s name e In the patient s Main Demographic Page click Prescriptions under the Clinical Modules heading e In the patient s E Chart click the Prescriptions heading at the top of the right side bar menu Note OscarRx is not usually accessible to those with receptionist permissions EE EMEN Special Step 1 Search For Drug Edit Pharmacy Step 1 Search For Drug Patient Demographics Allergies Name PREGNANT BROWN Age 49 Prefered Pharmacy SULPHUR Send To Personal Health Record Favorites Amoxil 500 Patient Drug Profile Print Amoxil 500mG Aralen 250m Rx Dat
154. tem you may Exit without saving by clicking the door icon Accessing old versions of an item When an item is edited the old version is saved and can be viewed by clicking the link next to rev in the lower right corner below the icons Removing an old item Click on the item you wish to delete Click the scissors icon to remove the item from the CPP Side Bar Menu Functions oscarEncounter provides many functions beyond patient history and progress notes This section will briefly discuss each of these functions which can be viewed in the multicoloured side bar menus to the left and right of the CPP and progress note fields These menu bars give you easy access to other parts of the chart and other resources while you are in this area Some features add various documents to the patient s elec tronic chart others give you access to clinical resources and Internet resources without ever leaving the E Chart area OSCAR User s Manual 41 Figure 5 4 Side bar menus of oscarEncounter ADDING A NEW ITEM For all of the following features click on the plus sign to the right of the feature heading to add a new item in that feature For the FORMS and MEASUREMENTS features hov ering your mouse over the plus sign will produce a list of all the types of items you may add For example in the FORMS feature a list of all possible forms you can add will appear from which you can click on the form type you wish to add LE
155. the files you want to download 3 Mark all the undelivered items U with a by pressing shift 8 OSCAR User s Manual 68 4 Press Escape and then 0 to start the download the files will transfer to an auto designated folder 5 Once the download for that screen is complete the screen will return to the Main Menu to start the process again until all files are downloaded 6 To delete all files already downloaded press shift 8 to select the files again 7 Press Escape and then 9 to start to delete answer YES to delete 8 Press Escape 3 to exit from the EDT system and you must close out the screen to disconnect the modem READING THE FILES DOWNLOADED FROM GONET 1 Log into OSCAR Admin Screen 2 Click on EDT Billing Report Generator amp click Browse to find the file on your HD 3 Click on the file 4 Click on CREATE REPORT to view and print the report 5 You can use EDT Billing Report Generator to view and print all reports other than the RA Report FOUR TYPES OF FILES TO DOWNLOAD e Remittance Advice P files This file replaces the yellow diskette you received in the mail e Claims Error Report E files This report will be available in your mailbox 2 3 days after a submission You will no longer receive in the mail as a printed document These files are proc essed through OSCAR e Claims Batch Acknowledgement Report B files This report is available the day
156. tment PR patients response waiting for the patient to call back for their appointment in formation Click on the hot link under the Service column to open the patient s Consultation request This will open the patient s Consultation request to proceed with booking an ap pointment Continue with the normal procedure for booking a specialist appointment for a pa tient Clicking the hot link Appointment Date will cause a calendar to pop up Clicking on the appropriate date for the appointment will insert the date into the form Before clicking on completed print the document to fax to the specialist office in structions above When completed is clicked the consultation will disappear from this list and be displayed in the patients master demographic record when the Consultation button is clicked The Consultation form can be viewed again for information by clicking on the CONSULT button in the Patients Detail Record accessed through the Search Edit Specialist Listing These instructions are for editing the specialist list that appears in the Consultation Form OSCAR User s Manual 122 From the Appointment screen click on the con tab then click on EDIT SPECIAL ISTS LISTING Click SHOW ALL SERVICES Check to see if the category of service you wish to add to is already in the list ADD SERVICE 1 If the service you are looking for is not on the existing li
157. to access a calendar 3 Clicking on a day will insert the date into the date box 4 Click the Create Report button 5 You can continue to create one of the other types of reports by clicking on another type of report button and clicking Create Report again OSCAR User s Manual 96 Manage Provider List For Visit Report This gives you a complete list of all providers past and present drawn from the Pro viders Records at the top of the Admin Screen 1 Click on the Manage Provider List link on the upper right corner of the screen 2 Click on the checkmark box beside each person you want on the report and in the team you want them to show up 3 When you are finished click on the Submit button at the bottom of the screen PCN CATCHMENT REPORT The PCN Catchment Report is a program written for doctors who are part of the Pri mary Care Reform Health payment module This report is used as a double check to make sure patients outside of your allotted area have not been rostered in error The pa tients showing on this report would have to be de rostered and seen on a fee for service basis Print oscarReport PCN Catchment Area eee 1 ee ALL 1 Under oscarReport click on the PCN Catchment Report link 2 This will automatically check the database and display a report of patients with postal codes outside your perticular PCN Catchment Area only 3 The report only shows 50 pati
158. ton to bring up the Patient Master Demographic information NOTE Clicking on the day tab will automatically return you to the current day JUMPING TO ANOTHER DAY e In the MONTH view Click on the arrows to the left of the date on the upper corner of each monthly calendar to advance one month forward or backward OSCAR User s Manual In the MONTH view Click on the number of the month s date to show that day in the appointment screen In the DAY view enter the specific date in the boxes in the upper right corner of the screen and click on the GO button to jump to a specific day In the DAY view click on the word CALENDAR to access the Calendar win dow and click on the desired day to jump directly to that day on the appoint ment screen The current day will show in orange FLIP VIEW In the appointment screen To view many days of the appointment screen in order to look for an appointment space with a specific provider Click on the small round button to the left of each provider s name at the top of the screen This view gives you a month at a glance Click LAST MONTH or NEXT MONTH at the bottom of the list to advance to another month or alternatively use the arrows beside the provider s name All the providers in that group are displayed in a drop down menu on the up per left of the screen and can be accessed by clicking on one Booked appointment slots will be displayed as greyed out boxes with a minus sig
159. ts You can then use the report to send letters to patients 1 Select the provider amp the date 2 Click on the No Show Appointments List hot link to create the report 3 Click on the PRINT button to print the report CONSULTATION REPORT This report gives a list of requested consultations and their status 1 Click Consultation Report in the Report tab 2 Select the number of months from the drop down menu 3 Select the provider from the drop down menu 4 Click UPDATE REPORT Patient Name AMMARY KAMIL Consultations Consultation Documents Referal Date Service Specialist App Date Document Description Date 2005 02 12 Neurology 2006 06 02 2006 03 1t Cardiology trudy chisel 2006 01 01 Patient Name BOB BILLY JOE Consultations Consultation Documents Referal Date Service Specialist App Date Document Description Date 2906 02 17 Cardiology 2006 01 01 LABORATORY REQUISITION REPORT 1 Click Laboratory Requisition Report link in the Report tab 2 Select the number of months from the drop down menu 3 Select the provider from the drop down menu 4 Click UPDATE REPORT OSCAR User s Manual 107 Patient Name AFZAL TANVER Laboratory Requisition Requisition Date 2006 02 16 Patient Name BRAVO DELTA Laboratory Requisition Requisition Date 2906 05 28 DEMOGRAPHIC REPORT This is a powerful reporting data base This function can tient data for 1 patient that c Search For Demographic
160. typing it into the text box to the right of the Assign Issue icon and clicking the Assign Issues button This will not only tag the current progress note with that issue but wil also add that issue to the Current Issues list on the right Signing and saving When your note is complete you can Sign Save and Exit by clicking on the Sign Save and Exit icon The note will now appear with your signature at the bottom and your name will be listed among the Editors OSCAR User s Manual 38 Verifying a resident s note If your clerk or resident has written and signed a note you can Verify and Sign the note as well by clicking the Verify and Sign icon EDITING AN OLD PROGRESS NOTE Click anywhere in the white text box of the note you wish to edit The cursor will ap pear and you can begin to edit Be sure to save the note when you are finished editing using Save Sign Save amp Exit or Verify amp Sign Your name will now also appear among the names of Editors at the bottom of the note Accessing unedited version of old note All previous versions of the note will still be saved in the patient s Encounter You can access these versions by clicking the blue link next to Rev in the bottom right corner of the progress note OTHER FUNCTIONS IN THE PROGRESS NOTE FIELD Printing Click the Print icon to print a copy of the encounter note you are currently editing Locking a note Click the Lock icon Into the text field that appear
161. ueries person alizing your search of patient demographics Similar to the Demographic Report Tool in the Report Tab Enter Query Ecit My Favorite select demographic_No first_name last_name from demographic OR Select from my favorites Demographic Name Load Query Query e Select from past saved queries by choosing from the drop down menu then clicking Load Query e You may view your query history and edit your favourite queries by clicking on the corresponding links on the upper left corner of the window AGE SEX REPORT A Select provider Rostered Not Rostered Tote Duck Donald Create Report Service Date Range ogin Dat End Dat Date 2006 5 25 Unt Home Viet Physcan 1957 OSCAR User s Manual This report gives you the statistics for the number of patients in each age group and each sex for a practice L 9 There are 3 types of reports you can select Rostered Non rostered and Total Click the check box beside one of the above 3 for the type of report you want to cre ate Select a provider from the drop down menu or select all providers if you want a report on all the doctors in the office Select a begin and end date by clicking on the word links to get a calendar Clicking on a day will insert the date into the date box Click Create Report button To the far left is the age range Across the top give you the division between male and female The
162. um is not present and you DO know the code simply enter it into one of the three boxes under the heading Other service procedure premium codes and enter the number of units billed OSCAR User s Manual 50 e Ifaservice procedure premium is not present and you DO NOT know the code use the code search on the lower right corner of the screen to bill up to three additional codes then enter the number of units billed DIAGNOSTIC CODES e Click on the link labelled Diagnostic to view a list of common diagnostic codes and choose the appropriate diagnosis OR you can do a diagnostic code search in the box below DIAGNOSTIC CODE SEARCH This search engine accepts both diagnostic code numbers and text e If you know the numeric diagnostic code type it in the box and click the dx code search button to retrieve it from the data base e Using text in the diagnostic search engine type part of the diagnostic word in the box and click SEARCH using only part of the word will give you a longer list e f there is only one match it will put the diagnosis in the box if there is more that one match the program will give you a list from which to select e Clicking on the number link of the desired diagnostic code will insert it into the bill SENDING THE BILL 1 Once you have made all your selections click the CONTINUE button to view what you have billed 2 This gives you the opportunity to EDIT the bill if you forgot something
163. uments All paper medical documents related to your patient should be scanned and uploaded here for easy access Lab Result Menu of all lab results for this patient This is where you can view a patient s labs after they have been acknowledged from the Appointment Screen Lab Tab OSCARmsg is a secure messaging system within the intranet of the OSCAR clinic and between OSCAR clinic sites The functions work like many common e mail programs OSCAR User s Manual From here you can send messages to other members of your clinic and attach relevant parts of your patient s chart ex lab results prescriptions etc See Chapter 11 Measurements Document vitals and other information about the patient that is commonly measured at each visit ex blood pressure height 1 Hover your mouse over the plus sign next to the Measurements heading and select the measurement you wish to document ex blood pressure N In the Measurements window select and follow the desired measuring instruction For example if the type of measurement is exercise you can select either Yes No or min week 0 1200 If you select the former you just enter Y or N into the value box if you select the latter you would enter in a numerical value CE eem NN Tre meneuriog instruction vaio Eovwemmcagy o mmm O Alcoho C veniti no 2006 5 23 up sit ng position 180 20 2006 5 23 calculators Diet V vec No no 2006 5 23
164. will mark and archive the paid claims OSCAR User s Manual 70 ACCESSING THE BILLING ARCHIVE At the end of each year all the billing files that you have sent to the Ministry of Health will archive automatically To access these files for checking purposes when correcting bills click on the GENERATE OHIP DISK link and click on SHOW ARCHIVE Remittance Advice Reconciliation Window EDT CLAIMS BATCH EDIT REPORT From MOH November 2001 e You will receive fast notification of your claims batch acceptance or rejection via the EDT Claims Batch Edit Report This report acknowledges receipt of each batch in a claims file and notes if the batch was accepted or rejected The Claims Batch Edit Re port is sent usually within 24 hours of a claims file submission e This report is your only notification if a batch is rejected or accepted Rejected batches must be corrected and then resubmitted e Your claims Batch Edit Report will show the number of claims and records received the batch process date and the message showing acceptance or rejection When a batch is accepted you will see Batch Totals or a blank if there is a sub total line e Claims Batch Edit Reports for accepted batches which contain both HCP WCB and RMB claims will show three lines namely one line with HCP WCB totals online with RMB totals and one line with batch totals If only one type of claim is represented only the batch totals line will appea
165. wnloads copy the path in the address box at the top of the screen and paste in the Place re ceived file in the following folder box this will hold for future download sessions e To begin a HyperTerminal connection from this screen click on CALL gt CALL amp DIAL Invoicing OHIP For Ontario Billers CHECKING BILLING BEFORE SUBMITTING TO MOH Login as Administrator Under BILLING click on OHIP Simulation to give you a report to check the billing for errors before you submit invoices to MOH Select either all providers or individual providers Click on create report this process takes a few minutes You can either print this report and go through the invoices one by one or visually check the bills for obvious errors When finished checking the billing proceed to creating the MOH invoice disk OSCAR User s Manual 63 CREATING BILLING FILE TO INVOICE THE MOH 1 Under BILLING click on Generate OHIP Diskette if your practice is a group it will read Generate OHIP GROUP Diskette Select either all providers or individual providers Click on CREATE REPORT this process takes a few minutes When the window comes up with the list of files you can save the OHIP files to disk to send to the MOH and the invoice files to a local directory Right click on the OHIP Filename for each doctor select Save Target As and send file to the A drive to save the OHIP file to a
166. xt time you bring up the patient s detail record the person you just added will appear under the heading OTHER CONTACTS PDF LABEL The PDF Label button pulls up a pdf version of the patient s label OSCAR User s Manual 30 PRINT LABEL The Print Label button allows you to print any number of the 5 types of labels for the patient s files laboratory requisitions or mailing labels New Patant Label Copy to Clipboard 1 N 2c 1234569 t s232 02 15 f MARS VERONICA NEN 123 Sesame St jaa 200 Neprtuze BC KIO cs E Dome b24 555 5555 Copy to Clipboard I 1588 02 15 F Spo px S4SE78 23 456 AZ Dr Duck 33333 Donald height 145 px 123 Sesame Zt Copy to Clipboard 1 i epture BC KIO 405 gap o px 123 Sesame St Copy to Clipboard 1 7 Me gir It 223 Sesame St Beotuce DO KIO 465 533 72 1 ca F EM mo 12345673 32123 456 Copy to Clipboa nz 1 bog 555 5558 EE Pritt Preview Print So O e Place a check box and enter the quantity for any of the types of labels you wish to print and click Copy to Clipboard e Clicking New Patient Label will automatically enter in the number of labels that a new patient in your clinic needs for their file e The location of the text and the size of the label can be adjusted using the text boxes under the heading Location e Click Print Preview Print when you are ready to print the labels then click Print OSCAR User s Manual

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