You can check out the video HERE.
Lab results can be mapped to populate directly within the Measurements module of the patient's eChart. This is beneficial for graphing and reviewing trends.
This process involves identifying a LOINC code associated with a specific measurement, identifying the id associated with it as presented by a lab source (Lifelabs, Dynacare, Alpha, etc.), and finally pairing it (or mapping) to the associated measurement in OSCAR.
Once this is done, OSCAR will know what measurements to add automatically to the eChart when the lab is transmitted electronically and associated with a patient, or display it in the Grid Display.
View Mapping:
We would need to navigate to Administration > System Management > Customize Measurements and select View Mapping:
This will load a new window displaying all the mapped measurements. Here is a breakdown of the columns displayed:
MEAS: indicates what Measurement this code is mapped to.
Loinc Code: The LOINC code for the associated measurement
Desc: the description/name of the associated measurement.
MDS/GDML/etc.: These are names of associated lab providers. Each lab may have its own ID of how it identifies the associated measurement.
Please note that if the link "map" is appearing, this means that this measurement is NOT mapped.
Mapping Measurements:
Items can be mapped from the View Mapping area.
For example, the screenshot below shows that LOINC code 718-7 is associated with the following identifier codes. Each lab has its own identifier code for the measurements.
- MDS (lifelabs) - Hemoglobin: -HGB
- GDML (Dynacare): - Hemoglobin: 418
- Excelleris: - Hemoglobin: -HGB
This indicates the identifier codes from lab sources are mapped to the 718-7 LOINC code. However, since the "map" link is still showing, this means that the LOINC code 718-7 is not mapped to any measurement in OSCAR. As such while OSCAR can identify the measurement within the lab, it does not know which measurement to enter into the system for LOINC code 718-7:
Once 718-7 is mapped using the "map" button to the appropriate measurement, OSCAR will know to add it to the Measurements section of the eChart.
Here we will need to select the appropriate measurement from the list and click Update Measurement Mapping:
The measurement will now appear as mapped under View Mapping:
Now, if a GDML lab is transmitted with the Measurement Identifier (418 - Hemoglobin), OSCAR will automatically add this as a hemoglobin measurement into the patients eChart, as it now knows that 418 is associated with this specific Measurement.
Please note that mapped measurements will only display for new labs received after being mapped. This does not apply historically.
Measurements Not Mapping:
A mapped result may stop loading in the measurements section. This can occur if the LOINC code has been modified so it is no longer matching under View Mapping.
To confirm the identifier number, while viewing the lab result you may hover the mouse over the affected measurement to obtain the identifier number:
While hovering our mouse over RBC, we can see in the bottom left corner of the window details that contain the identifier at the end.
Once you have the identifier number, you can navigate to Administration > System Management > Customize Measurements and select View Mapping again.
From here you can locate the measurement and review if the identifier number is different.
If the numbers do not match, please contact Support for further assistance providing the name of the lab facility, the measurement and identifier number. You can contact Support at help@oscarprodesk.ca
If the measurement is not mapped, then the above listed steps can be completed to map the result.