What is the Ocean-MA Extension?
The Ocean-MA Extension is an open source web browser extension for Google Chrome and Microsoft Edge. Med Access EMR users can take advantage of this extension to support more seamless and efficient workflows when using the Ocean Provider Network.
Please note that the extension is not currently supported or tested by Ocean for use with Ocean Patient Engagement tools (including Patient Messages).
The extension provides a streamlined way to include file attachments from a patient chart into an Ocean eReferral/eConsult, without needing to download the file onto the user's hard drive. This eliminates the need to download, attach, and manually delete attachments from your computer to protect patient health information.
Additionally, the extension streamlines the process for adjusting Ocean eReferral Tasks into the appropriate Task 'Category' and 'Type' in Med Access.
How do I install the Ocean-MA Extension?
The Ocean-MA Extension can be installed into both Google Chrome and Microsoft Edge browsers directly from the Chrome Webstore by clicking the button below.
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Press the 'Add to Chrome' button on the webstore page.
Note: Microsoft Edge users will see the button labeled as 'Get'.
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- Confirm the installation of the extension by pressing 'Add extension' in the popup window.
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How do I use the Ocean-MA Extension?
- When viewing or generating an attachment within a Med Access patient chart, users can press the Ocean icon to name and queue the file for attachment in an Ocean eReferral/eConsult.
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- A common example is to generate and attach a PDF version of the Chart Summary as shown below:
- From within a patient chart, press the 'Summary' button in the top right corner.
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- Use the checkboxes on the left to select the parts of the patient chart you would like to include as an attachment, and then press the 'Print' button in the top right corner to generate a PDF of your selection.
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Press the 'Chart Summary' option to simply capture the information shown in the Chart Summary window.
Alternatively, press the 'Chart Summary (with Attachments)' option to capture the information shown in the Chart Summary window along with any files that are already attached to the selected chart items.
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- A new window will automatically open containing a generated PDF version of your selection. Press the Ocean icon in the top right corner.
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- Enter a name for your file attachment and then press 'OK' to queue the attachment for use in Ocean.
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When filling out the eReferral/eConsult form, you will be automatically prompted to include the queued attachment(s).
Press 'OK' to confirm you would like to include the attachment(s).
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- Preview the attachment at the bottom of the referral form using the purple eye icon before sending your eReferral/eConsult.
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Can I include an attachment from other areas of the patient's chart?
Yes - the Ocean-MA Extension icon may appear in PDF viewing windows that are accessible through other areas of Med Access. Users may prefer to incorporate other workflows that take advantage of this feature. Please note that attachments should never be selected directly from the Import Pool for attachment to a referral.
A few examples of other common areas are provided below:
Note: This is not an exhaustive list of all areas in which the extension can be used.
Can I include multiple attachments?
Yes - the Ocean-MA Extension supports inclusion of multiple file attachments.
- Simply use the Ocean icon to queue the different attachments from within the patient chart, and then you will be automatically prompted to include all of the queued attachments in Ocean.
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- Attachments will be ordered in the same sequence in which they were queued.
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Note: The Ocean-MA Extension automatically prevents the upload of duplicate file attachments.
Can I use the extension to include attachments if I have already initiated my eReferral/eConsult in Ocean?
Yes - if you have already initiated and partially filled out the referral form in Ocean but forgot to include your attachment(s), you can return to the patient chart in Med Access and queue your desired attachment(s).
- Once you have queued the attachments in Med Access, simply return to your partially complete referral form, and press the 'Add Attachments' button near the bottom of the form to prompt the attachment confirmation pop-up window.
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- Press 'OK' to include your queued attachment(s).
- The attachment(s) will be included at the bottom of the referral form.
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Can I use the extension to add attachments to an eReferral/eConsult that I have already sent?
Yes - the Ocean-MA Extension supports adding attachments to an eReferral/eConsult that has already been sent.
- After queuing the desired attachments from the patient chart in Med Access, press the 'Launch' button.
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- Locate the Ocean module and press 'View Patient'.
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- Select the relevant eReferral/eConsult to open it.
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- You will be automatically prompted to include the queued attachments. Press 'OK' to confirm you would like to include the attachments.
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The attachment(s) will be automatically included within the 'Messaging' area of the referral.
Press the purple eye to preview the attachment, type an optional message in the text box, and then press 'Send' to send the attachment (and message) to the recipient.
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Do queued attachments have an expiry timer?
No - there is no time-based expiry for queued attachments. The attachment queue is automatically cleared when any one of the following actions are taken:
- The patient chart changes in the Med Access EMR
- The web browser session ends
- The 'Send eReferral' button at the bottom of the referral form is pressed
- The 'Send' button within the 'Messaging' area of an existing eReferral/eConsult is pressed
- The 'Save' button within an existing eReferral/eConsult is pressed
- The 'Save & Close' button within an existing eReferral/eConsult is pressed
Ocean Task Category and Type Conversion
The Ocean-MA extension also streamlines the process for adjusting Ocean eReferral Tasks into the appropriate Task 'Category' and 'Type' in Med Access.
- When an Ocean eReferral/eConsult is sent or accepted, a PDF copy of the referral record is automatically added as a new 'Attachment' Task in the relevant patient chart in Med Access.
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After opening the Task, the Ocean-MA extension automatically adjusts the Task 'Category' and 'Type' based on the details in the Task Description.
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- After reviewing the changes and making any other necessary adjustments to the Task, click 'Save'.
- Once saved, the Task is automatically categorized into the 'Active Requests' section of the corresponding 'Consults' or 'Investigations' area of the patient chart.
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Advanced Notes: Task Category and Type Conversion
- It is important to understand the difference between the Health Service Category, the Health Service Offering, and the Description value for a referral in Ocean.
- The automatic conversion in Step B will not occur for all Ocean-generated Tasks. The conversion only occurs when the following initial criteria are met within the opened Task:
- The 'Description' value for the opened Task begins with 'Ocean eReferral -'.
- The initial 'Category' value of the opened Task is 'Attachment' or 'Progress Note'.
- Tasks for referrals with a referral Description value related to Diagnostic Imaging will cause the 'Category' to be set to 'Investigation'. All other referral Description values will set the 'Category' to 'Consult'.
- When updating the Task 'Type', the extension performs a best-effort match between the referral Description value in Ocean and the list of default 'Types' that are supplied within Med Access. If a match cannot be found, the 'Type' field will not be updated. A complete table of the value mappings can be found at the bottom of this article.
- To ensure that the Task is categorized as an 'Active Request' upon saving, the extension updates the 'Order Type' value of the Task's Observation Template to 'Request'. This change is not visible within the Task user interface.
Ocean Referral 'Description' Value to Med Access 'Type' Mappings
Reminder: The 'Description' value for a referral in Ocean is most often inherited from the name of the Health Service Offering for the referral (while the name of the Health Service Offering is most often inherited from the name of the Health Service Category value associated with the offering, unless otherwise customized).
- When the Ocean-MA Extension performs the best-effort match between the referral Description value and the default 'Types' that are supplied within Med Access, it assesses the value stored in the Med Access Task's 'Description' field to see if it contains a term included in the 'Ocean Referral Description Contains' column below.
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If the extension finds a match, it sets the 'Type' value within the Task to the respective value in the 'Med Access Consult/Investigation Type' column below. The first match going down the list is used.
For example, if the Ocean referral Description value (and consequently the value stored in the Med Access Task's 'Description' field) contains either the term "allergy" or "immunolog", the the Med Access Task 'Type' will be set to "Clinical Immunology and Allergy".
| Ocean Referral Description Contains | Med Access Consult Type |
|---|---|
| adolescent | Adolescent Pediatrics |
| pathology | Anatomical Pathology |
| anesthesia, anaesthesia | Anesthesia |
| anesthesiology, anaesthesiology | Anesthesiology |
| cardiolog | Cardiology |
| cardiovascular | Cardiovascular and Thoracic Surgery |
| allergy, immunolog | Clinical Immunology and Allergy |
| pharmacolog | Clinical Pharmacology |
| colorectal surgery | Colorectal Surgery |
| dermatology | Dermatology |
| diabetes education | Diabetes Team Educator |
| radiology | Diagnostic and Therapeutic Radiology |
| dietitian | Dietitian Assessment |
| emergency medicine | Emergency Medicine |
| endocrinology | Endocrinology and Metabolism |
| emergency | ER Report |
| gastroenterology | Gastroenterology |
| pathology | General Pathology |
| family medicine | General Practitioner |
| general surgery | General Surgery |
| surgical oncology | General Surgical Oncology |
| geriatric | Geriatric Medicine |
| gynecologic oncology | Gynecologic Oncology |
| fertility | Gynecologic Reproductive Endocrinology and Infertility |
| hematology | Hematology |
| respiratory therapy | Home Oxygen |
| hospital discharge | Hospital Discharge Summary |
| infectious disease | Infectious Disease |
| internal medicine | Internal Medicine |
| maternal fetal medicine | Maternal-Fetal Medicine |
| medical biochemistry | Medical Biochemistry |
| genetics | Medical Genetics |
| microbiology | Medical Microbiology |
| oncology | Medical Oncology |
| mental health | Mental Health Assessment |
| neonat | Neonatal Perinatal Medicine |
| nephrology | Nephrology |
| neurodiagnostic | Neurodiagnostic |
| neurology | Neurology |
| neuropathology | Neuropathology |
| neuroradiology | Neuroradiology |
| neurosurgery | Neurosurgery |
| nuclear medicine | Nuclear Medicine |
| obstetrics, gynecology | Obstetrics and Gynecology |
| occupational medicine | Occupational Medicine |
| ophthalmology | Ophthalmology |
| or report | OR Report |
| orthopedic, orthopaedic | Orthopaedic Surgery |
| pediatric cardiology | Paediatric Cardiology |
| pediatrics | Paediatrics |
| palliative medicine, palliative care specialist | Palliative Medicine |
| pediatric emergency | Pediatric Emergency Medicine |
| pediatric general surgery, pediatric surgery | Pediatric General Surgery |
| pediatric intensive care | Pediatric Intensive Care |
| pediatric respirology | Pediatric Pulmonology |
| pediatric radiology | Pediatric Radiology |
| pediatric rheumatology | Pediatric Rheumatology |
| pediatric respira | Pediatrics Respiratory Medicine |
| pharmacist | Pharmacist Assessment |
| physiatry, physical medicine | Physical Medicine And Rehabilitation |
| plastic surgery | Plastic Surgery |
| psychiatry | Psychiatry |
| public health | Public Health |
| respirology, pulmonary medicine, asthma | Pulmonary Medicine |
| radiation oncology | Radiation Oncology |
| respirology | Respirology |
| rheumatology | Rheumatology |
| nurse, nursing | RN Assessment |
| therapeutic/interventional radiology, therapeutic radiology, interventional radiology | Therapeutic Radiology |
| thoracic surgery | Thoracic Surgery |
| urology | Urology |
| vascular surgery | Vascular Surgery |
| thoracic, cardiothoracic | Cardio & Thoracic |
| chiropract | Chiropractors |
| dental surg | Dental Surgeons |
| laboratory procedur | Laboratory Procedures |
| massage therapy | Massage Practitioner |
| naturopath | Naturopaths |
| optometry, optometrist | Optometrist |
| oral medicine, dentistry | Oral Medicine |
| oral surge | Oral Surgeons |
| orthodontist | Orthodontists |
| orthopedic, orthopaedic | Orthopaedics |
| orthoptic | Orthoptic |
| osteopath | Osteopathy |
| otolaryngolog, audiology | Otolaryngology |
| physical therap, physiotherapy | Physical Therapists |
| podiatrist, podiatry | Podiatrists |
| procedural cardiologist | Procedural Cardiologist |
| radiology | Radiology |
Note: By default, there are no referral Description values in Ocean that map to the following Med Access Consult 'Types':
Cardiac Surgery, Cardiothoracic Surgery, Clinical Immunology, Clinician Investigator Program, Community Medicine, Critical Care Medicine, Diagnostic Radiology, Hematological Pathology, Otolaryngology - Head and Neck Surgery, Clinical Immunization and Allergy
| Ocean Referral Description Contains | Med Access Investigation Type |
|---|---|
| angiogram | Angio/Interventional |
| colposcopy | Colposcopy |
| echocardiog | Echocardiography Lab |
| genetic | Genetic |
| holter | Holter Monitor |
| eeg | Neurology Electrodiagnostic |
| pulmonary function test, pft | Pulmonary Function Test |
| doppler | Vascular Lab Study |
| bone densit, bone mineral densit | Bone Density |
| mammogram, mammography, breast ultrasound | Breast Imaging |
| muga, stress test, ecg | Cardiac |
| ct | CT Scan |
| pap | Gynecological |
| mammogram | Mammogram |
| mri, magnetic resonance, mrcp | MRI |
| nuclear medicine, bone scan | Nuclear Medicine |
| respiratory, bronch | Respiratory |
| endoscop, colonoscopy, sigmoidoscopy, gastroscopy, egd, ercp | Scopes |
| sleep stud | Sleep Studies |
| ultrasound | Ultrasound |
| x-ray, fluoroscop | X-Ray |
Note: By default, there is no referral Description value in Ocean that maps to the 'Neurology' Med Access Investigation 'Type'.