Author: admin

News: November 2022

Oscar v19 released and in production

There have been lots of improvements and updates to Oscar with the latest v19.

RAMQ gives a new incentive for Family Docs (Advanced Access)

RAMQ is offering large bonuses to Family Docs if they make a percentage of their urgent appointments available on the PetalHub. The bonuses can be over $20,000, depending on how many appointments they offer. Most physicians already reserve appointments for urgent cases, but that’s not enough. The appointments must be must be posted to the PetalHub to be counted.

Unfortunately, there is no way for Oscar to link to the PetalHub, so if the physicians want the bonus, they will have to switch EMRs.

So far, specialists are still allowed to use whatever EMR they want…

Oscar mini-conference #5 in Toronto on Thu Nov 29,2018

Next OSCAR EMR mini-conference Toronto #5 is on Thu Nov 29, 2018 6 – 9 pm

Place: Don Mills Public Library, on Lawrence Ave E and Don Mills (NW corner across the street from Don Mills Shopping Mall)  DINNER will be provided by sponsor.

OSCAR users in TORONTO are still getting together!
 
TOPICS to be announced:  some are
eHealth econsult integration (get advice from specialists through OTNhub portal)
eHealth Clinical Connect Viewer (replaces many of the HRM, OLIS, LAB functions)
Keep track of your vaccines and cold chain management (vaccine fridge) with OSCAR EMR and PASS the annual Public Health Inspection (an event that normally strikes fear in many GP offices)
AND MORE
ARTIFICIAL INTELLIGENCE MACHINE LEARNING!
Please register early by emailing   ianpun@gmail.com     Space is limited  and Registration is Free.
ALSO PLEASE POST on this list topics you’d like to talk about at the meeting.
Ian PUN MD
OSCAR EMR user

Updated: OSCAR EMR mini conference #3 Toronto for Physicians Thursday MARCH 1, 2018 5 – 9 pm

Post-event Update:

We had a great turnout at our last OSCAR mini-conference again!

Slides from OSCAR MINI CONFERENCE #3 March 1, 2018 UPLOADED
Topics
CVDREAL realworld study. 39% RRR in HHF, 51% RRR All cause mortality. How to find your diabetes and HF patients with my RBT.
Recap of searching for patients with high PSA. My results after 8 months.
Drug Safety tips : drug search RBT, SADMANS, TallMANs
Techniques using Technology – more details on using smartphone to take pictures
EMR Reliability and Maintenance

https://classroom.google.com/o/OTUxNjY5MTE4M1pa

Hope to see everyone again at the next mini conference set around late June to early July!

Next  time,  I will show some cutting edge technologies I am trying on my own OSCAR EMR data — A.I. Deep Learning with TensorFlow and Intel Modivius Neural Net USB stick.  Stay tuned!

Ian PUN MD

We will continue with more clinically relevant EMR topics!  And we GO BEYOND OSCAR EMR!

PLACE:  Toronto Public Library – Don Mills Library  on Lawrence and Don Mills (this is the same place as the July meeting, not the November meeting)
Address: 888 Lawrence Ave E, North York, ON M3C 1P6

DATE and TIME:   THURSDAY MARCH 1 , 2018   5pm – 9 pm ; registration and dinner 5-7 pm ,   lecture 7-9 pm

REGISTRATION FEE:  FREE and free dinner is provided.

To REGISTER see details in my google classmate, please email me for an invite
https://classroom.google.com/o/OTUxNjY5MTE4M1pa

Practice Improvement:
Using OSCAR EMR for real-world evidence studies (retrospective observational studies) by searching for cohort and measurement data of actual patients in practice by using report by templates for improving quality of practice in diabetes management.
Recap of searching for patients with high PSA. My results after 8 months.

Patient Safety:
How to search for your drugs that are being warned or recalled (Black box warnings and vaccine recalls)
SAD MANS eform

Techniques using Technology
More digital photo and video techniques
How to upload videos to OSCAR (great for documenting 3D views of lesions, patient movement disorders, surgical procedures, dashcam videos etc).
How to take digital photos through ophthalmoscopes and otoscopes with smartphone
Recording video from the cameras of operating microscopes and endoscopes using inexpensive video capture equipment intended originally for video gaming
Uploading patient BP records from Omron bluetooth enabled BP monitor
Your Google Assistant (Android Phone or Google Home) can be your medical assistant.  Convert measurements. Ask for drug dosages and interactions. Ask for ICD-9 diagnostic billing codes.

EMR Reliability and Computer Safety:
OSCAR EMR reliability – computer maintenance and upgrading, backup strategies and Plan B’s. What to do if your server / Internet is down or very slow.  And what not to do!
How to avoid being victim of ransomware.  How to scan your server to make sure it is safe from hacking!
What you can do about RateMDs.com website.

This sponsored event is restricted to physicians and their immediate IT support staff only.

Please bring your own laptop / ipad to try the techniques immediately.  And your own extension cord for power. FREE Wifi provided by Library.

To register, please email me at ianpun@gmail.com (I’ll try to accommodate the physicians who missed our first two meetings but returning attendees are welcomed to come). Limit 40 attendees. so first come, first served.

More details in my google classmate, please email me for an invite
https://classroom.google.com/o/OTUxNjY5MTE4M1pa

Ian PUN MD
302-4040 Finch Ave E  Scarborough ON  M1S 4V5   416-848-7788
OSCAR EMR user

OSCAR EMR is a trademark of McMaster University. This conference is an independent user group meeting and has no affiliation.

** DISCLOSURE: This event is generously sponsored by
Absolute Health Center Physiotherapy, Website: Absolutehealthcentre.com   at  Woodside Square Mall 135-1571 Sandhurst Circle  Scarborough, ON M1V 1V2 T:416-551-1168   F:416-551-1578
and
AstraZeneca  SGLT2-inhibitor Forxiga (Dapagliflozin)
https://www.cvdreal.com/cvd-real-study.html

Oscar User Group meeting – Sat. Nov 11th 2017

There will be an Oscar User Group meeting on Saturday November 11th at the Hotel Intercontinental. The meeting will run from 9:00 AM to 5:00 PM.

The Oscar meeting is being held at the same time as the annual FMF conference, but is NOT part of that conference.   FMF Conference Web Page

The event is being sponsored by the Queen Elizabeth Medical Group, which is the largest  Oscar clinic in Quebec.

We thought that if physicians were attending the FMF conference, they might want to cross the street and visit.

There is no charge and everyone who is interested in Oscar is welcome. We are providing snacks and lunch. You do NOT have to register with the FMF to attend but you DO have to RSVP.

Note: We need to know how many lunches to prepare, so please let us know beforehand.

 

Tentative Agenda (to be confirmed)

David Chan, the creator of Oscar will give the keynote presentation.

OscarQC vs Oscar Open Source

SelfBooking for Oscar

 

 

To confirm, please call me (514) 891-3275 or email earlwer@gmail.com

More news to follow…

 

Oscar 15 is here

Good news: Oscar 15 is out of beta and is being installed.

Bad news: Some of the underlying components (Tomcat, Java) have been updated and the upgrade may not be compatible with your current Ubuntu version.  This makes the upgrade more complicated.

I will probably start to upgrade clients in the Fall of 2016.

 

eForm programming notes

Converting PDF images to PNG

Open PDF with Inkscape:
– File, Export Bitmap (high resolution is good)
Open Bitmap file with IrfanView:
– crop borders: select area, Edit, Crop Selection (Ctrl-Y)
– adjust resolution to 1500 x 2000: Image, Resize/Resample, Width 1500, Height 2000 max, DPI 600
– reduce color depth to 16 colours: Image, Decrease Color depth, 16 Colors
– save as .PNG

Auto refresh eForm changes

Adding the following line to your eForm will force it to automatically refresh every 5 seconds, which is great when changing code in one window and viewing the results in another.

<meta http-equiv="refresh" content="5" >

Accent conversion

The RTL needs correct HTML codes for the accents.
This web site makes it easy to convert the text:
http://www.web2generators.com/html-based-tools/online-html-entities-encoder-and-decoder

Yes/No choices with XBox

<input name="HPTWaY" id="HPTWaY" type="text" class="Xbox" style="position:absolute; left:382px; top:580px; width:12px; height:12px; font-family:sans-serif; font-style:normal; font-weight:bold; font-size:14px; text-align:center; border:1px solid #000000; background-color:transparent;" onkeypress="javascript:return displayKeyCode(event,this.id);" onClick="document.FormName.HPTWaN.value='';">
<input name="HPTWaN" id="HPTWaN" type="text" class="Xbox" style="position:absolute; left:435px; top:580px; width:12px; height:12px; font-family:sans-serif; font-style:normal; font-weight:bold; font-size:14px; text-align:center; border:1px solid #000000; background-color:transparent;" onkeypress="javascript:return displayKeyCode(event,this.id);" onClick="document.FormName.HPTWaY.value='';">

Yes/No choices with checkboxes

<script language="javascript">
function ChkBoxYN(checkboxid,uncheckboxid) { 
 if(document.getElementById(checkboxid).checked==true) { 
 document.getElementById(uncheckboxid).checked=false;
 }
}
</script>
<input name="physy" id="physy" type="checkbox" class="largerCheckbox" style="position:absolute; left:140px; top:211px;" onclick="ChkBoxYN('physy','physn');">
<input name="physn" id="physn" type="checkbox" class="largerCheckbox" style="position:absolute; left:187px; top:211px;" onclick="ChkBoxYN('physn','physy');">

Multipage creation

Split multi-page PDF into PNGs
– Open with Acrobat.
– Delete other pages. Document, Delete Pages (Shift+Ctrl+D)
– Save as <filename>-Px.PNG
– Close, Don’t save changes
– Repeat for each page.

Edit images to 1500 pixels wide
– Open with Irfanview
– Image Information show info
– Select area (to crop extra borders)
– Edit, Crop selection (Ctrl+Y)
– Image, Resize/Resample, Set new size, Width = 1500, Height = 1960, Preserve aspect ratio (proportional) OFF
– Image, Decrease Color Depth, 2 Colors (black/white) (1 BPP)
– Repeat for each page.

Copy final cropped, monochrome documents into eForm Generator folder

eForm Generator
– Enter: Image Name; Click: Load Image
– should show Page 1
– Create fields on form

– Repeat for each page

As you go, click on ‘Load HTML code in new window’ and cut/paste for safe-keeping

 

Montreal Oscar User Group – Wine & Cheese Dec 10th

Please note different time and location!

Due to the upcoming Holiday season and the difficulty of meeting during office hours, we are going to try a new time and location for the next meeting.

Date: Thursday, Dec 10th
Time: 17:00
Location: Queen Elizabeth Health Centre
Address: 2100 Marlowe, Montréal, QC H4A 3L5

The meeting will be in the conference room, accessible beside the restaurant entrance or through the Walk-In clinic. Signs will be posted.

Agenda:

New Online Booking for Oscar. Written by Dr. Tan Pham

new RAMQ requirements and funding. Oscar vs OscarQC.

MyOscar. The latest version is now called Kindredphr.org

Know2Act.org: The new eForm repository,

Oscar15 demo: Almost done…

Note: If you have any other topics that you want to cover, let me know.

Please RSVP. earlw@oscar-quebec.com
We will be providing refreshments.

OCUS (Oscar Canada Users’ Society) Meeting at FMF 2015

OCUS will be having their Annual AGM in conjunction with the FMF in Toronto, on Friday Nov 13,2015.

In addition with the AGM, there will be some interesting demos, talks and workshops.

If you are going to the FMF, you should find a few minutes to visit the meeting:

Friday, November 13, 2015 –  10:00 to 17:30

The Intercontinental Hotel – Caledon/Oakville Room

 

The meeting is open to all attendees of the FMF.

 

Oscar .deb updating

The advantage of using .deb installs is that it simplifies installation and updates.
Dr. Peter Hutton-Czapski has done an excellent job releasing new .debs on a regular basis.

Unfortunately, there can be some unexpected problems..

On an update from deb 169 to 494, I had an unexpected error when the deb could not be found.

The problem was that the dpkg version on the server was not compatible with the dpkg version used to create the .deb
ie. The server was running Ubuntu 10.04, which included an old version of dpkg ( ).

The only solution was to upgrade the server from Ubuntu 10.04 to 12.04.

Once that was done, the dpkg -i for the new deb ran properly.

The final issue was that the deb update script did not update the oscar_mcmaster database with all the schema changes.

To fix that, I ran a comparison between the existing oscar_mcmaster database and the upgraded oscar_12_1 database.

Once all the schema changes were done, Oscar ran perfectly.