Release Notes(EMR)
Version No: 2.0
Build No: 8
Content
1. |
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| The release note describes the various new features and enhancements carried out in Version 2.0 Build 8 of PrognoCIS TM . Release Notes describes the new features specifications with UI details wherever applicable. | |||||||||
2 |
Enhancements to Patient Preferred pharmacy list |
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i. Patient Preferred pharmacy list is now available on patient's Progress Notes: A new tag, [PT_PREF__PHARMACY] has been introduced that prints patient's preferred pharmacy list (if any) on patient's Progress Notes. Refer to the following figure
ii) A Check mark ( ✔ ) on Pref Pharm button to indicate presence of Patient preferred pharmacy list |
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After user enters Patient's preferred pharmacy list from Patient registration screen then a checkmark symbol ( ✔ ) in white appears on the Pref Pharm button. Refer to the following figure Figure2.1
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3 |
FAX number along with the recipient's name also displayed in FAX failure message |
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| In the Letters-Out screen ( GoTo tab: Patient à Letters-Out ), while sending out multiple fax if any of the fax message(s) failed then the system sent the User individual message(s) for each failure. For example, if a FAX failed for a recipient, Sandra Bell and the patient's name is Dummy John then the message displayed is “Fax Failed to Sandra Bell (434-522-2240) for Patient Dummy John” | |||||||||
4 |
Drug search now displays all dispensable drugs |
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| Drug search pop-up invoked from the Prescription screen now displays dispensable drugs (drug names along with its strength). Refer to the following figure Figure 4.1
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5 |
Support for WHO Growth charts in PrognoCIS |
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• PrognoCIS now also supports the new WHO (World Health Organization) standards of Growth Charts to help Providers monitor growth of infants and children ages 0 to 5 years. • 36 new Growth Charts have been implemented: 18 new WHO Growth Charts have been added for boys, they are as follows: a) BMI for boys age Birth-2 Yrs b) BMI for boys age 2-5 Yrs c) BMI for boys age Birth-5 Yrs d) Head circumference for boys age birth-13 wk e) Head circumference for boys age birth-2 Yrs f) Head circumference for boys age birth-5 Yrs g) Height for boys age 2-5 Yrs h) Length for boys age Birth-6Mon i) Length for boys age Birth-2Yrs j) Length for boys age 6Mon-2Yrs k) Length/Height for boys age Birth-5yrs l) Weight for boys age Birth-6Months m) Weight for boys age Birth-2Yrs n) Weight for boys age 6Mon-2Yrs o) Weight for boys age 2-5 Yrs p) Weight for boys age Birth-5Yrs q) Weight Length for boys age Birth-2Yrs r) Weight/Height for boys age 2-5 Yrs 18 new WHO Growth Charts have been added for girls, they are as follows: a) BMI for girls age Birth-2 Yrs b) BMI for girls age 2-5 Yrs c) BMI for girls age Birth-5 Yrs d) Head circumference for girls age birth-13 wk e) Head circumference for girls age birth-2 Yrs f) Head circumference for girls age birth-5 Yrs g) Height for girls age 2-5 Yrs h) Length for girls age Birth-6Mon i) Length for girls age Birth-2Yrs j) Length for girls age 6Mon-2Yrs k) Length/Height for girls age Birth-5yrs l) Weight for girls age Birth-6Months m) Weight for girls age Birth-2Yrs n) Weight for girls age 6Mon-2Yrs o) Weight for girls age 2-5 Yrs p) Weight for girls age Birth-5Yrs q) Weight Length for girls age Birth-2Yrs r) Weight/Height for girls age 2-5 Yrs • The growth line in these WHO Growth Charts is displayed in blue for both, boys and girls. • The background colors of WHO Growth Charts are blue for a boy and pink for a girl. • On Print, the additional information about the chart is printed just below the graph. Refer to the following figure Figure 5.1
• A new property, growthchart.who.zoom.Percent has been added that would help User to SET a default size for the WHO Growth Charts on the system. • Utililze tag [ENC_GROWTHCHART] to print growth chart values. |
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6 |
The ‘Order Set' search is now available with Drug Search and Test Search pop-ups |
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Order Set search is now available with Drug Search pop-up and Test Search pop-up found on the following screens: ✔ Prescription – Navigation: GoTo patient Encounter → TOC → Prescription → click on the add drugs icon: Figure 6.1
✔ Similarly, from the Assessment screen – Navigation : GoTo patient Encounter → TOC → Assessment → tab: ICD → section: Assessment and Plan → click on button: Rx to invoke the Prescription screen. ✔Lab Order – Navigation : GoTo patient Encounter → TOC → Lab Order → click on Add More Tests icon: Figure 6.2
✔ Also, from the Assessment screen – Navigation : GoTo patient Encounter → TOC → Assessment → tab: ICD → section: Assessment and Plan → click on button: Lab Figure 6.3
✔Lab Result – Navigation : GoTo patient Encounter → TOC → tab: Lab Results → click on Add More Tests icon: Figure 6.4
✔ Radiology Order – Navigation : GoTo patient Encounter → TOC → Radiology Order → click on Add More Tests icon: Figure 6.5
✔ Also, from the Assessment screen – Navigation : GoTo patient Encounter → TOC → Assessment → tab: ICD → section: Assessment and Plan → click on button: Rad Figure 6.6
✔ Radiology Result – Navigation : GoTo patient Encounter → TOC → Radiology Result → tab: Results → click on Add More Tests icon: Figure 6.7
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7 |
Start/Edit Encounter TOC Encounter menu option has been renamed |
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• A TOC menu-item, ‘Start/Edit' has been renamed to ‘Encounter' and on mouse-hover two separate sub-menus namely Edit Existing and Start New are displayed. Refer to the following figure Figure 7.1
• In case, it is patient's first Encounter or else if all other open Encounters are closed then the TOC just displays the menu-item as ‘ Start Encounter '. Refer to the following figure Figure 7.2
• The Edit Encounter and Start Encounter, both have different background colors (according to the Encounter status band i.e. Open/Close) for easier recognition/identification. Refer to the following figures Figure 7.3
Figure 7.4
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8 |
Dictate/Transcribe |
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| • User now has control over the Titles appearing on the Dictate/Transcribe screen (GoTo patient Encounter → TOC). With help of the newly added property, toc.dictate.transcribe.options • User can choose the number of titles/forms being displayed and also set the sequence of these options. Refer to the following figure Figure 8.1
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9 |
Multiple attachment of Lab/Radiology results now supported |
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• At times Lab/Radiology results are awaited 3-4 weeks after the patient has undergone a test, thus it is possible that results may arrive at different times for the same Lab/Radiology Order and may require to be attached to the same order of patient. • Considering such scenarios, PrognoCIS now supports multiple ( maximum 5 ) attachments of Lab/Radiology results. Refer to the following figure Figure 9.1
• Navigation : GoTo tab: CPOE → Lab Results/Radiology Results → tab: Attach → Attach button. User can click on the attach button and attach attachments for the selected Lab/Radiology Order multiple times (maximum 5). • Individual deletion of attachments too is possible. • A new property, prognocis.attach.labrad.maxdays has been added that keeps a check on the maximum No. of days that the Order (Lab/Radiology) should be kept open for User to attach results. Maximum value for the property is of 90 days. • The visibility of such Lab/Radiology Orders in Search depends upon the condition that if an Order already has a maximum of 5 attachments and the ordered date with respect to the current date is less than 90 days then the Order will not be visible in any of the Order searches. |
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10 |
Option available to specify a ‘printer’ for printing Prescription |
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• User now has an option to specify a printer that would be specifically be used for printing Prescriptions on Rx paper from PrognoCIS. • All that a User needs to do is set the newly added property, rx.default.printer with the appropriate values as listed out in the following table:
Limitations: i. There is a dependent property, allow.directprint.rx and i t is important to SET its value as ‘Y' ii. The functionality is browser dependent – specifically Internet Explorer • Active X has to be enabled in the browser • Cookies should be allowed - if User happens to delete cookies then the configured User preferred settings would be lost; cookies are machine specific. • Enable the option: Script Active X controls marked as safe for scripting from Internet Options found under Tools tab in Internet Explorer ( GoTo Tools → Internet Options → Security Lab → Trusted Site → Custom Level → Active X controls and Plugins → enable the option: Script Active X controls marked as safe for scripting )
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11 |
Support for addition of multiple ICDs simultaneously to all selected tests on Lab Order |
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• A new button: Assign ICDs has been added to the Lab Order screen that would help User to assign multiple ICDs simultaneously to all the tests selected in the order. • The Assign ICD button invokes Assign ICDs to all Tests pop-up that displays ICDs selected by the User from the Assessment screen and general ICD search. Refer to the following figure Figure 11.1
• There is also a maximum ICD limit for each lab vendor and accordingly user is allowed to assign the ICDs. For example, QUEST allows maximum 10 ICDs for a Lab Order and Lab Corp allows maximum 8 ICDs. Accordingly, the User is prompted with a message for example, “ At a time only 8 ICDs can be assigned for this Lab Vendor – maximum limit reached .” |
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12 |
A new Encounter type, ‘Employer Billing’ has been added |
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• A new encounter type called Employer Billing has been added and can be selected by User from Patient Registration. • If the Encounter type is of ‘Employer Billing' then it is important that patient's Employer's address has been entered either at the time of Patient registration or later from Patient registration screen ( GoTo tab: Patient → Register → tab: Contacts → Employer Details ). • The system also has checks that prompts the User every time there is no record of the Employer's address details found on the system (either not entered or being cleared for some reason). Refer to the following figure Figure 12.1
• Under following situations would the User be prompted and stopped from proceeding in absence of patient's employer's address and if User has selected ‘Employer Billing' as encounter type: ✔ At the time of scheduling an appointment - Appointment Schedule pop-up (GoTo tab: Appointment → Schedule → Appointment Schedule pop-up). ✔ At the time a patient is marked as arrived from Appointment Schedule screen ( GoTo tab: Appointment → Schedule → icon: Mark Arrived) or PrognoCIS homepage. ✔ On Start or Edit of an Encounter i.e. either (GoTo tab: Patient → Encounter → TOC → Encounter → Start New/Edit Existing ) OR else (GoTo tab: Home → tab: Open Enc → click on patient name link). ✔ At the time of closing an Encounter. |
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13 |
Meaningful Use (MU) related enhancements |
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• Only those measures opted by the Clinic/Provider will be displayed to PrognoCIS User in the Mini or Encounter Dashboard and ARRA Dashboard. • The property, arra.mu.reqd.srnos has been modified and renamed as arra.cs.required.measures (Core Measures) and a newer property, (Menu Set) has been added. • If a measure number is not added in any of these properties then that particular measure appears gray on the ARRA Dashboard and Encounter Dashboard; and not seen in the Meaningful Use (MU) Report. Refer to the following figure Figure 13.1
• Measure number has been appended with measure name on ARRA dashboard • Encounter Dashboard will be available to the Users under following conditions: ✔ Encounter type is not in Exempted Enc types. ✔ Patient is not marked for Exempt from Reporting. ✔ Patient satisfies the Age criteria of a given measure. • PrognoCIS now satisfies Core Set: Measure 12 of Meaningful Use. In other words, it means that system is now able to provide patients with an electronic copy of their health information (including diagnostics test results; problem lists; medication lists; and medication allergies) upon request. While PrognoCIS was already providing all of this information to patients via portal, there was no support for Radiology results which is now available. The existing property, pp.toc.options has been updated to include Radiology Results as well as Radiology Matrix on TOC menu option on Patient portal. Refer to the following figure Figure 13.2
• There is a change in UI (User Interface) for MU tabular report. Refer to the following figure Figure 13.3
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14 |
User can now send messages to patient’s relation as well from Letters-Out screen |
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• It is possible to include patient's relation name on the Letters-Out screen • Navigation: GoTo tab: Patient → Register → tab: Contacts → button: More → Patient Other Relation pop-up • If a patient's relation details have been added from the Patient Registration screen then the entered names are available in the To drop-down menu from the Letters-Out screen ( GoTo tab: Patient → Letters-Out ) Refer to the following screen. |
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15 |
Each Template now has a Report Name and can be sequenced |
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| With the inclusion of Report Name, a User can now have meaningful heading/title that is independent of Template name. Also, these templates can be sequenced so as to display as per User's preference in the Template Search pop-ups. Refer to the following figure Figure 15.1
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16 |
PrognoCIS now supports eLab for Quest |
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• PrognoCIS now supports eLab for Quest, lab orders can now be exported directly to Quest and results from QUEST can be directly imported into our System – i.e. support for bi-directional Interface. • A direct Communication with Quest Server is done by using Web services (Care360 Hub). The process: User enters Lab Order for Quest from the Lab Order screen → Clicks on the eLab button → the Lab Order is processed by Quest and if the order requires an ABN (Advance Beneficiary Notice) to be sent and confirmation to be taken then system prompts the User with an alert, “This lab has an ABN generated, please get it signed by the Patient and get it printed by clicking on ABN” → ABN button is enabled and the User clicks on ABN button to take a print and takes Patient's consent for further processing of the Lab order → If patient agrees then User clicks on the eLab button again and the Lab Order is processed. Refer to the following figures Figure 16.1
Figure 16.2
• PrognoCIS now also provides provision to print labels via Label Printer. An icon: Figure 16.3
Figure 16.4
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17 |
Patient’s Date of Birth information is now visible on Refill screen (via CPOE) |
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| Navigation : GoTo tab: CPOE → Refill The date of birth information of the patient that was earlier available from Patient Contact Info is now also available directly on the Refill screen. Refer to the following figure Figure 17.1
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18 |
Supervising Provider can now be assigned on Start of an Encounter |
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• Reviewing Provider is now addressed as 'Supervising Provider' in PrognoCIS . • A drop-down list: 'Supervising Provider is now available for Users to select the Reviewing Provider for the encounter at the start of an encounter itself. Refer to the following figure Figure 18.1 • The lists of Providers appearing in the list are of that of medics who have already being defined as a Reviewer from Providers screen ( GoTo tab: Settings → Configuration → Medics → Providers (Master) → field: Reviewer Doc ) |
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19 |
Rendering Provider can now be assigned on Start of an Encounter |
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• A drop-down list: Rendering Provider is now available for Users to select the Rendering Provider for the encounter at the start of an encounter itself. Refer to the following figure • The lists of Providers appearing in the list are of that of medics who have already being defined as a Rendering Provider from Providers screen ( GoTo tab: Settings → Configuration → Medics → Providers (Master) → field: Rendering Doc ) Figure 19.1
• Consider the following cases: Case I: The checkbox: Non Billing if is checked for the Provider record by User logged in from ‘admin' login then that particular Provider's name would not appear in Rendering Doc list (found on Start/Edit Encounter screen). Case II: If the field: Rendering Doc is left blank for a Provider record then that Provider name would appear in the Rendering Doc list found on Start/Edit encounter screen. AND if the checkbox: Non Billing has NOT been checked for the Provider record then that particular Provider's name would not appear in Rendering Doc list (found on Start/Edit Encounter screen). Case III: After an encounter has been started then from Edit Encounter screen, if the Attending Doc is changed then immediately the above rules related to Start Encounter will apply and appropriately Rendering Doc will be populated or kept BLANK. And if the Rendering Doc is changed, by selecting another Rendering Doc from the list then the newly selected Rendering Doc would be associated or saved even if the provider was not the original Rendering Doc associated to the attending doc on the Medics screen. Case IV: On close of an encounter if the encounter does not have a Rendering doc selected then User is prompted to do so. And on close of an encounter the field remains unavailable for any changes. Case V: If the Sync property (sync as in from EMR to Billing mode) is ON and on Claim screen if the Rendering Doc is changed (on I button) then the corresponding field ‘Rendering Doc' on EMR side too would be changed. But it largely depends on whether the encounter is closed or not and also if the property for sync is set to Y or L. |
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20 |
Appointment History of a Patient now also displays the ‘Encounter Type’ details |
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| • The Appointment History pop-up invoked via History button found on the Schedule screen ( GoTo tab: Appointment → Schedule ) now also displays the details of Encounter Type as a separate column, Refer to the following figure Figure 20.1
• Also, on print of the Appointment History from the pop-up, the ‘Location' (Encounter location) details are also available for the User. • Similar changes can also noticed on the Appointment History pop-up invoked via button: Appt… found on Patient Registration screen (GoTo tab: Patient → Register) |
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21 |
Enhancement in Lab and Radiology review tags |
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• The encounter review tags, ENC_REVIEW__LAB$ ENC_REVIEW__RAD$ have now been enhanced to include the option to view Lab and Radiology results in text format. • The tags in combination with ‘N' when used on the Progress Notes template displays the respective results in text format with the ‘ordered' Panel Name from the Lab/Radiology Order appearing followed by a list of ‘ordered' tests. For example, Panel 1 Test1 Test2 Panel 2 Test 1 Test 2 |
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Note:The pharmacies are listed in reverse chronological order along with their addresses.
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for the same has been provided for the User on Lab Order screen for ‘ordered' Labs. Refer to the following figures 
