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Is there a way for a user to enter an obs term with a date into a open encounter. Or do Obs terms only work if put into a form and linked to a flow sheet. I have seen instructions for putting MEL into quick text. Can you also do it with OBS Terms?
Posted : August 31, 2015 4:02 am
Hopefully this will Help. The obs is entered with today's date:
example of Quick text to enter a mammogram result:
quick text is
.mam2
result is:
mammogram {OBSNOW("mammogram", "bi-rads1")} Negative
There’s no significant abnormality to report. The breasts look the same (they are symmetrical) with no masses (lumps), distorted structures, or suspicious calcifications. In this case, negative means nothing bad was found.
Another example of how to pull OBS terms with quick text:
{IF OBSANY("CHOLESTEROL") == "" then "No Cholesterol results on file. " ELSE "Recent Cholesterol results: Tot Chol:" + obsany("CHOLESTEROL") + ", HDL:" + obsany("HDL") + ", LDL:" + obsany("LDL") + ", TRIG:" + obsany("TRIGLYCERIDE") + ". Lab date (" + LASTOBSDATE("CHOLESTEROL") + "). " ENDIF} Discussed the importance of lipid reduction in overall vascular health and risk reduction of stroke and heart attack. Discussed weight management and aerobic exercise as integral parts of lipid management.
Posted : August 31, 2015 4:43 am
If you are referring to adding an obs term to the patient's chart via quicktext, the code is very simple:
for a mammogram done on January 1st 2015 with a result of Normal:
{OBSNOW("MAMMOGRAM","Normal","01/01/2015")}
This will record a normal mammogram on Jan. 1st 2015 in the patients chart, and it can be added via a quicktext.
If you are wanting to pull an observation from a previous date, it is possible with the LIST_OBS code, but it would require some programming to get it to work in a useful way.
Posted : September 1, 2015 6:51 am
Topic starter
dcarpenter :
"If you are wanting to pull an observation from a previous date, it is possible with the LIST_OBS code, but it would require some programming to get it to work in a useful way."
I think that this possibly answers my question. It sounds to me like you are saying that it is fairly easy to enter the obs term, date and result. But by the above statement I assume it is more difficult to later pull the terms from various patient charts for any meaningful use without some programming being to to get it to work.
Posted : September 1, 2015 1:36 pm
