Release Notes(EMR)
Version No: 2.0
Build No: 3

       

 

 

 

 

 

 

 

 

 

 

Contents

  1. Introduction  
  2. New Features  
  2.1 Support for multi-resolution available  
  2.2 Support to sort and view Document List from Attach  
  2.3 Patient Alert functionality now available in Face Sheet, Claims screen, and Patient Account screen  
  2.4 User Note now supports unlimited text entry  
  2.5 Open Encounter list can now be filtered to view the list based on the Provider; Visit type; and Appointment Status  
  2.6 The default value of the patient's Title (Mr. or Ms.) can be SET to blank  
  2.7 Call List tool tip now also displays the Primary Contact information  
  2.8 Additional icons added to view Patient's details in the Appointment Schedule screen  
  2.9 Preferred ICDs now also available in screen: Past Medication History (PMH)  
  2.10 Face Sheet cells now includes a ‘Print’ button  
  2.11 Resource Encounter related details  
  2.12 Hyper-link provided in Specialty Templates that takes the user to the associated form in edit mode  
  2.13 New icon to mark patient as ‘Arrived’ included in the Home Page  
  2.14 System alert displayed when user tries to save the Responsible Person information as ‘Self’ for a minor  
  2.15 Availability of Order Sheet options in Assessment is condition based  
  2.16 Patient Search list in the Message Compose screen will display Patient’s having registered email IDs  
  2.17 Test Master now includes the option to hide or not report certain tests details in the Progress Notes  
  2.18 Specialty template type has provision to hide or not report template related details  
  2.19 Directions provided for drugs during prescription remains unchanged if prescribed long term or otherwise  
  2.20 In a multiple location environment the pop-up: Appointment Schedule displays the appropriate Clinic location  
  2.21 Test level ICDs added from the Specialty templates are now also available in the Assessment  
  2.22 Support for reporting a single quality-data code, G8553 (eRx G-code)  
  2.23 Support for Transcription data import of three types – Encounter related notes; Letter Out Notes, and Special Notes  
  2.24 Progress Note is auto-generated when an encounter is reopened  
  2.25 Draw Tool now available in PrognoCIS  
  1. Introduction

The release notes describe the various new features and enhancements carried out in version 2.0 build 3 of PrognoCIS™.

2. New Features

2.1 Support for multi-resolution available

PrognoCIS now supports multi-resolution functionality wherein a user with different resolution of computer monitor views PrognoCIS with equal clarity and fine resolution.

Support available for 1024 * 768 pixels and higher

  2.2 Support to sort and view Document List from Attach  

GoTo tab: Messages à Attach

Document list displaying under the section: Select List can now be sorted and viewed with names displaying in ascending or descending order; or according to last modified Date and Time displaying in ascending or descending order.

The display of document list is property based. The property: prognocis.attach.filelist.sort sorts the display of document list according to the value SET; currently the default value (1A) sorts and displays the names of the document list in ascending order, you may change it to 1D – Sort by name Descending; 2A - Sort by Last Modified Date Time Ascending; and 2D - Sort by Last Modified Date Time Descending.

2.3 Patient Alert functionality now available in Face Sheet, Claims screen, and Patient Account screen

The property: facesheet.showalert.fortypes when SET with newly introduced value, PA invokes Patient Alert on the following screens:

i) Patient Encounter Face Sheet
ii) Claims screen (GoTo Billing Module using the toggle button tab: Claims Entry/Edit)
iii) Patient Account screen (GoTo Billing Module using the toggle button Patient Account – invoked via icon: )

  Note:

The option mentioned in point (ii) and (iii) are specifically related to PrognoCIS flavor of EMR and Billing module, wherein the user is able to switch between the EMR and the billing module.

  2.4 User Note now supports unlimited text entry

Unlimited text entries are now supported for User Notes.

  2.5 Open Encounter list can now be filtered to view the list based on the Provider; Visit type; and Appointment Status

The functionality of the button: Filter found in the tab: Appointments in the home page has been further extended to the tab: Open Enc. Now, it is possible to filter the list of open encounters based on the categories of Provider; Visit type; and Appointment Status.

2.6 The default value of the patient’s Title (Mr. or Ms.) can be SET to blank
 

In the Patient Registration screen (GoTo tab: Patient )

The field: Title , displays the value Mr. or Ms in the registration screen, depending on the value (‘M' or ‘F') configured in the property: patient.default.sex

But incase the Clinic does not require the pre-defined value to appear in the Registration record then user has to leave the value for the property ( patient.default.sex ) as blank. This way, the user then requires to manually select the Title ( i.e. Mr. or Mrs . or Ms . or Dr . ). And the default gender selected in the registration screen would be ‘Male'.

2.7 Tool tip available on Call List, now also displays the Primary Contact information  
 

•  The call list seen in the Appointment Schedule screen (GoTo tab: Appointment à Schedule) with patient's name displayed as hyperlink, now also includes patient's Primary Contact information in the tool tip displayed. Refer to figure 2.1

Figure 2.1: Patient's primary contact details displayed

•  The system picks up the Primary Contact information from the values entered at the time of Patient's registration.

The drop-down box: Primary Contact found in the Registration screen ( GoTo tab: Patient Register tab: Contacts ) consists of values such as Residence; Cell Phone; Work Phone; and E-mail. Based on the selection the system picks up the relative details respectively from the fields found under tab: Address within Patient's registration screen.

  2.8 Additional icons added to view Patient’s details in the Appointment Schedule screen

Additionally, two icons have been included to view Patient’s details frame of the screen: Appointment Schedule (GoTo tab: Appointment Schedule). Refer to figure 2.2

Figure 2.2: Icons – ‘Insurance Details’ and ‘Current Encounter’ seen

- The icon: takes you to the patient’s Insurance screen. Note that this icon has replaced the hyperlink: Insurance details, that existed earlier.

- The icon: takes you to the patient’s encounter screen. The icon is enabled only if Patient has an open encounter and if the patient has been marked as ‘Arrived’.

  2.9 Preferred ICDs now also available in screen: Past Medication History (PMH)  

• GoTo patient’s Encounter Face Sheet PMH

• Click on the button: to invoke ICD search; an option to have a separate list of ‘Preferred ICDs’ is available on click on the button:

• The Preferred ICD list includes Doctor Preferred; Specialty Preferred; and Clinic Preferred ICD list .

 

2.10 Face Sheet cells now includes a ‘Print’ button

•  The Face Sheet cells now support the functionality of Print. Each of the cell screens now has a button: Print .

•  The appearance of the button: Print is property based and works in conjunction with their respective templates ( GoTo tab: Settings Configuration Templates Forms)

•  The following FORM template names are be included:

•  Facesheet_Allergy

•  Facesheet_FamilyHistory

•  Facesheet_MedicalHistory

•  Facesheet_PersonalNotes

•  Facesheet_HealthMaintenance

•  Facesheet_Surgery

•  Facesheet_Vaccination

•  Facesheet_CurrentMedication

Note: The FORM template names if changed will affect the display of ‘Print' button – the Print button will not be displayed

2.11 Resource Encounter related details  

Consider a scenario wherein an appointment has been scheduled for one of the Resource in the Clinic, then:

•  A Resource has the provision to start an Encounter. The field: Attending Provider , found in the screen: Start Encounter now also lists out the available resource's name along with the names of the providers.

•  The tab: Appointment in the home page also displays the Resource name under the column: Provider.

•  Also, throughout the encounter the Resource's name appears as the Attending doc.

But, a Resource CANNOT close an encounter. Thus, if a provider happens to change the ‘Attending Provider' information from the screen: Edit Encounter and save the record then the trace of the Resource's name is replaced from the Encounter details totally; the home page displays the provider's name (replaced) instead of the Resource's; and the field: Attending Provider (found in the screen: Start Encounter) too no longer displays the Resource's name in the list.

The appointments scheduled for resources have the Resource name mentioned in the appointment details irrespective of any change done by a provider, this is property based. If the value for the property, appointment.keep.resource.doc is SET as ‘Y' then the name on the appointment details maintains the Resource's name.

  2.12 Hyper-link provided in Specialty Templates that takes the user to the associated form in edit mode  
  A hyperlink: Print Template has been provided in the screen: Specialty Template (GoTo tab: Settings Configuration column: Specialty Template). Through this link, user gains access to the form associated with the template in the edit mode and changes saved are effective immediately.
  2.13 New icon to mark patient as ‘Arrived’ included in the Home Page  
An icon: to mark a patient as ‘Arrived’ has been included in the Home Page. The icon is accessible and applicable only for patients displayed in the tab: Appointment and having current day’s appointment.
  2.14 System alert displayed when user tries to save the Responsible Person information as ‘Self’ for a minor  
 

The following system alert is displayed incase the patient is a minor and the user is trying to save the user’s Responsible Person as ‘Self’. Refer to figure 2.3

Figure 2.3: System alerts the user with the following prompt

Note: The system will NOT allow saving of the details till the user does not save the Responsible Person's details.

 
  2.15 Availability of Order Sheet options in Assessment is condition based  
  The availability of Order sheet options such as Rx, Rad, Lab, and Consult in the screen: Assessment ( GoTo patient's Encounter TOC Assessment ) depends on the conditions that in the property for TOC menu ( toc.menu.options ) Order Sheet value (OS) has been included and the property: assessment.hideordersheet.options has been SET to ‘N'
  2.16 Patient Search list in the Message Compose screen will display Patient’s having registered email IDs  
  In the screen: Compose ( GoTo tab: Message Compose ), the Patient Search now only displays the name of those patients who have registered their email IDs in PrognoCIS.
  2.17 Test Master now includes the option to hide or not report certain tests details in the Progress Notes <
 

All the test master screens ( GoTo tab: Settings Configuration table: Tests type: Tests ) now include checkbox option: Non-Reporting. The option when selected from the Test Master and associated to a Template then the test details related to these tests are not displayed (Not Reported) in the patient's Progress Notes.

  2.18 Specialty template type has provision to hide or not report template related details  
  The Specialty template ( GoTo tab: Settings Configuration Specialty Template) now includes a checkbox option: Non-Reporting. This option when selected hides the template details and does not display (Not Reporting action) in the patient's Progress Notes
  2.19 Directions provided for drugs during prescription remains unchanged if prescribed long term or otherwise
 

From the screen: Prescription ( GoTo a patient's Encounter TOC Prescription), a provider prescribes drugs and provides the proper ‘directions' for the consumption or usage of these drugs. These directions are meant to be either long term or non-long term. If a provider prefers to provide same directions for both long term drugs and non long term drugs at the time of prescription then the provider has to SET the values for two related properties.

Property tags : rx.lt.direction.days and rx.nlt.direction.days are the two properties whose values when SET with same values (i.e. either FD or DD) works to provide same ‘directions' to the long term and non-long term drugs being prescribed.

  2.20 User now sees the current Clinic's location automatically displaying in the Appointment Schedule screen - in a multi-location environment

It is possible to view the appointment schedule details of other Clinic locations, and the user had to manually select his/her Clinic's location from the screen: Appointment Schedule screen, now this step would not be required as the Clinic location is displayed automatically while scheduling appointments for a particular Clinic location.

Depending on the Clinic location chosen from the screen: Appointments (GoTo tab: Appointments Schedule), the field: location on the pop-up: Appointment Schedule displays the selected Clinic location automatically. Refer to figure 2.4

Figure 2.4: Appointment Schedule displaying Clinic Location
  2.21 Test level ICDs added from the Specialty templates are now also available in the Assessment

 

The Test-level ICDs added in the Specialty Templates ( GoTo patient's Encounter TOC Clinic's Specialty link ) are also available in the Assessment.

Following are the pre-conditions required for the applying the feature:

i) Value entered under the section: Value Set in the pop-up: Elements should be 1 ICD. Refer to figure 2.5

ii) Value entered for the property: assessment.addicd.fromspl should be 'Y'

  Now, when the user associates these ICDs to a specialty, from the specialty screen then on save, the system makes these ICDs available in the assessment screen as well.

  2.22 Support for reporting a single quality-data code, G8553 (eRx G-code)
  • If any of the following CPT codes are selected and added in the screen: Assessment (GoTo patient Encounter TOC Assessment) and at least one prescription created during the encounter was generated and transmitted electronically using a qualified eRx system then the G-code is added to the tab: HCPC of the Assessment screen.
  • CPT Codes: 90801, 90802, 90804-90809, 90862, 92002, 92004, 92012, 92014, 96150-96152, 99201-99205, 99211-99215, 99304-99310, 99315-99316, 99324-99328, 99334-99337, 99341-99345, 99347- 99350.
  • The functionality is property based, the property, rx.supress.gcode accepts one of the two values i.e. either ‘Y’ or ‘N'. Enter the property value as ‘N’ to report the quality-data code G8553.
  • This functionality helps the provider to qualify for ‘Claims-based Reporting Principles for Electronic Prescription (eRx) Incentive Program’.
  • To add additional CPT codes (that has not been included in the list), use the property: erx.incentive.extracptcodes add multiple codes with comma separated value. The list is then considered for denominator criteria of the eRx incentive.
 
2.23 Support for Transcription data import of three types – Encounter related notes; Letter Out Notes, and Special Notes
 
 

As a part of a backend schedule process the Transcription data import now supports three types of Notes – Encounter related data; Letter Out; and Special Notes.

  • Encounter related data: Though PrognoCIS already has a Progress Notes import process, Transcription data import for Encounter related data further extends to the following list:

  • •  Assessment Notes

    •  Plan Notes

    •  Procedure Notes

    •  HPI Notes

    •  Medical History Notes

    •  Current Medication Notes

    •  Surgical history Notes

    •  Personal Notes

    •  Comments

    •  User Notes

    •  Patient special Notes

    •  Vitals Notes

    •  Weight and Height related Notes

    •  Physical Notes

    •  ROS Notes

    •  Social History Notes

    •  Complaints

    The scheduled process reads the content of text files saved in a pre-configured folder and displays these contents appropriately to their respective screens for given patient Encounter.

    For a successful Transcription data import of an Encounter the mandatory details to be present in the file are Patient should have an ‘Open Encounter'; Patient's First Name and Last Name; Visit Date; and Chart No.

  • Letter Out notes :
  • The scheduled process for Transcription of data import for Letter Out reads the message contents of the Letter and Patient's details i.e. First Name and Last Name. It is not mandatory that the patient's Encounter is Open.

  • Special notes :
  • The Special Notes imported via the scheduled process to import Special Notes are displayed under the Document List ( GoTo patient Encounter TOC Document List ). Note the column: Type displays the document type as Special Notes.
 

2.24 Progress Note is auto-generated when an encounter is reopened

On closing of reopened encounter, progress note is generated automatically. Condition being, my notes should not have been edited manually by the user. If My Notes were edited by a user, then system won't auto generate progress note at the time of closing reopened encounter instead an alert informing the user is displayed. The alert displays the following message, "Test Exec Done after modifying My notes. Do you want to continue?”

 

2.25 Draw Tool now available in PrognoCIS

•  To include the option of Draw Tool in the TOC, add the value: DRG to the property: toc.menu.options

•  Availability of the Draw Tool to the user is Role-based.

•  A free-hand drawing pencils available to draw on the pre-existing/pre-defined templates. Refer to figure 2.6

Figure 2.6: Free-hand drawings and textual annotations marked on the diagrams with the help of Draw Tool

•  Provision provided to add textual annotations to the diagrams.

•  Provisions to add pin on the diagrams.

•  Provision to add complaints to the different systems of PrognoCIS such as: HPI (History of Present Illness); ROS (Review of Systems); PHY (Physical Examinations), SC (Specialty); PMH (Patient Medical History). The complaints added from Draw Tool are reflected in their respective cells of Face Sheet. Refer to figure 2.7

Figure 2.7: ROS screen invoked, on click on the respective icon: ROS

•  The diagrams edited in Draw Tool are exported in JPEG file format.

• The draw tool saves files with *.bzm extension; it is a zip file format.

• Image files with *.png extension are supported for upload.

• Textual annotations added in the current encounter DO NOT get carried forward to the next encounter