2.4 Number of refills on Current Medication/ Past Rx screen
2.5 Option to reschedule the No Show appointments
2.7 Add New option for Language
2.8 Zoom in option for patient's photo on Encounter screen
2.12 Time Slot on Start Encounter
2.20 Ranges for Text based Lab Results
2.21 Medication History on Current Medication
2.22 Multiple Labs Bi- Directional Interface
2.23 Patient Update Information pass to PMS (Patient Export HL7 Custom Segment)
2.24 Explicit generation of HL7 charge export message
2.30 Growth Chart Granularity- RS
2.34 Filter button on Open Encounter tab
2.40 Appointments Work Pattern
3.2 Document List Header/ Footer printing
The release note describes the various new features and enhancements carried out in Version 2.0 Build 7 of PrognoCIS TM . Release Notes describes the new features specifications with UI details wherever applicable.
Provided a provision to preview the scanned document before attaching it to any screen.
On the screen Messages > Scan , 'Preview' checkbox is provided for One Touch Scan. This feature enables the user to preview the scanned document and decide if the scanned document is to be attached or discarded.
The preview of the scanned document is displayed in a new popup window 'Scan Preview' with buttons 'Attach' and 'Cancel' .
Please note that 'Select Source' and 'Interface' are checkboxes not available when 'Preview' checkbox is checked.
Letters- Out screen lets the user to make letters to be sent quickly to other users or patients with the help of predefined templates. Sometimes the user needs to send multiple letters at a time. The feature Append' on the Letters- Out screen enables the user to do so.
On screen Patient > Letters- Out ,
Note :
Provided options to add Language , Ethnic Group and Race on Patient Portal . The property 'pp.basic.otherinfo.mandatory' is added and if set to ' Y ' then fields are mandatory and vice- versa.
In Patient Portal the fields Language , Ethnic Group and Race can be entered by;
Basic Details Sub Menu: Here, go to Patient Profile > Basic Details sub menu. At the bottom of the screen the fields Language, Ethnic Group and Race can be seen.
Basic Details Menu: Basic Details menu from the Patient Workflow options.
Sign In screen: On the index page of the Patient Portal , when the Sign In button is clicked; the Patient Registration window pops up wherein the fields Language , Ethnic Group and Race are at the bottom of the screen.
Note : If the fields Language , Ethnic Group and Race are mandatory and not selected then a message Language, Ethnic Group and Race are mandatory ' is displayed.
There is a provision to display number of refills on the current medication screen.
On the screen Patient > Encounter > Current Medication , the number of Refill is displayed just after Upto Date column.
Note: This Refill information displayed is the one entered on Prescription screen.
No Show' appointments can now be rescheduled and their status can be changed to Schedule' .
On the screen Appointment > Schedule , under the section Patient Info' click on Patient Workflow' button to change the status from No Show' to Schedule' . Also, after this for the patient the Mark Arrival' option is enabled.
Added a provision to show history of HM tests. On the screen Patient > Encounter > Health Maintenance , under History , the user can see a list of all the tests whose statuses were either Done' or Non - Compliance' or Not Required' .
In the popup Health Maintenance History, the history of tests (Done, Non- Compliance and Not Required) are displayed in columns Type, Test, Status, Date, and Result .
On Patient > Register screen, the user can now add a new language using the Add Language' button next to the field Language' under the tab Other Info .'.
The newly added Language is available under the Language dropdown list as shown in the above screenshot.
An option to zoom in the patient's photo is provided on encounter screen. 'Click to Zoom' tooltip can be seen on patient's photos as shown below. On clicking the image, it is zoomed in; displayed as a modal popup with a 'Close' option.
There are submenu options Lab Results , Radiology Results , Progress Notes , Letter In , Letter Out and Patient Notes added on Patient > Encounter > Document List . The above sub menu options are displayed on mouse over to Document List .
On clicking Document List , it will display the entire list of documents. Whereas clicking on sub menu will ONLY show the selected submenu documents. Suppose, if a user selects Progress Notes from the sub menu, then ONLY progress notes will be displayed with the Filter Options.
Notes entered in PrognoCIS can be unlimited. Earlier the user could enter only 5000 characters in Notes and this was sometimes insufficient. Increase in Notes limit have been done for the following screens:
Name |
Screen |
Encounter wise |
|
Medical History |
FS Encounter > PMH > Notes |
Current Medication |
FS Encounter > Current Medication > Notes |
Family History |
FS Encounter > Family History > Notes |
Personal Notes |
FS Encounter > Personal Notes > Notes |
Past Surgical History |
FS Encounter > Past Surgical History > Notes |
Doc Preferred Custom Notes1 |
Dictate/Transcribe > Custom Note1 |
Doc Preferred Custom Notes2 |
"Settings > My Preference > Titles for C2 > TOC > Dictate/Transcribe > Custom Note2 > Notes" |
Doc Preferred Custom Notes3 |
"Settings > My Preference > Titles for C3 > TOC > Dictate/Transcribe > Custom Note3 > Notes" |
General HPI |
TOC > HPI |
Assessment |
TOC > Assessment > Notes(assessment) |
Planned Procedures |
TOC > Assessment > Notes(Plan Procedure) |
Plan |
TOC > Assessment > Notes(Plan) |
Addendum |
TOC > Addendum > Notes(Enable only on Enc close) |
Encounter Confidential Notes |
TOC > Dictate Transcribe > Confidential Notes |
Lab Result Notes Id Result Notes > 5K, add to DB Notes else Test Remarks |
TOC > Lab Result > Remarks |
Rad Result Notes |
TOC > Radiology Result > Remarks |
|
|
Object wise |
|
Encounter Review |
TOC > Encounter Close > Review |
Letters In Review |
"Patient > Letter-in > add record > save > Click on review" |
Legal Doc |
"Patient > Review > Legal Documents > Click on attach Legal Doc > Click on Review" |
Other Doc |
"Patient > Review > Other Documents > Click on attach Legal Doc > Click on Review" |
Lab Review |
"TOC > Lab Result > Click on REVIEW > Review" |
Rad Review |
TOC > Radiology Result > Click on REVIEW > Review |
Insurance Disputed Allowed Amount |
Remittance > Disputed > Notes |
Claim Status Comments |
Patient Account Screen > Claims > Claim Notes |
Patient Billing |
Patient account screen > Patient Billing Notes |
User Notes 1 |
FSEncounter > Dictate Transcribe > User Notes 1 |
User Notes 2 |
FSEncounter > Dictate Transcribe > User Notes 2 |
User Notes 3 |
FSEncounter > Dictate Transcribe > User Notes 3 |
User Notes 4 |
FSEncounter > Dictate Transcribe > User Notes 4 |
User Notes 5 |
FSEncounter > Dictate Transcribe > User Notes 5 |
Facesheet Notes 1 |
FSEncounter > Dictate Transcribe > User Notes 1 |
Facesheet Notes 2 |
FSEncounter > Dictate Transcribe > User Notes 2 |
Facesheet Notes 3 |
FSEncounter > Dictate Transcribe > User Notes 3 |
Facesheet Notes 4 |
FSEncounter > Dictate Transcribe > User Notes 4 |
Facesheet Notes 5 |
FSEncounter > Dictate Transcribe > User Notes 5 |
Insurance Eligibility |
Patient Account screen >Insurance Details > Eligibility Details |
On the screen Patient > Letters- Out , the checkbox Send' is automatically checked for all the rows when any information (like Name, Email, Fax or Address) is entered.
On the screen Patient > Encounter > Start Encounter ; for a new encounter Time Slot is available next to the field for Date. It is optional for the users.
A provision to add procedural template from order sheet is available. There is a separate tab in the Order Sheet that allows adding the Procedural templates in Specialty. The user can click on Specialty from the Order Sheet and browse to specialty template.
The Procedure template can be selected by clicking on the plus sign.
When the user clicks save' the status changes to To be Processed' .
After the procedure is saved, the Procedure template will be added to the Specialty screen. A hyperlink is provided with the Specialty template name so that the user can browse to the Specialty screen from the link provided.
Home page status will be Process P .
When the user saves the information of the procedure template on Specialty screen or if the user specifically marks it Done' ; the status of the template on the Order Sheet changes to Processed' .
The user cannot close an encounter if a Procedure is not done . Procedure status is displayed in red on the Encounter Close screen; along with Prescription , Laboratory or Radiology status.
Likewise Procedure button is added on the Assessment screen from where the user can select the Procedural template, which gets added to the Order Sheet .
The user can not delete a Procedure from the Order Sheet if it is Processed' .
Please note that Specialty Template added from Encounter > TOC > Specialty , won't get added to Order Sheet .
There is an option on the Home Page for Patient Reminders (Hyperlink). When the user clicks on it; a popup is displayed with the following options:
Phone
Also there is an option for the user to create a reminder independent of any screen. This reminder is user defined and available for that user only. The email reminder is sent to the patients on their email ids entered on the Patient Registration screen.
A . Provided a provision to define Patient's preferred pharmacy. The user can select Preferred Pharmacy' on the Patient Registration screen.
On the Patient Registration screen, there is a button Pref Pharm' on the top right hand side of the screen. When the user clicks on this button, a popup to select Preferred Pharmacy' appears; wherein the user can select a maximum of 10 pharmacies.
The above selected pharmacy list is available on the Prescription screen too. On the Prescription screen the Pref Pharm' button is displayed near the Pharmacy field.
Note:
PrognoCIS now supports HL7 import of transcription messages which gets attached to other documents in PrognoCIS.
PrognoCIS has HL7 interface to import HL7 - DFT messages. If a Billing user on a different system updates some information, the Billing system can export this information and PrognoCIS can import it and update the Assessment section thus keeping the two systems in sync.
A new property export.MergePatient.createHL7Message ' has been added to PrognoCIS that will process the HL7 Merge Patient Export . If the property is set to Y ' and when the user clicks on merge into' button on the Patient Registration screen, then HL7 Merge Patient Export takes place.
The lab results have normal or expected ranges listed for test results defined as numeric or fractional. For test results defined ad alpha or text based;
The H ' button is renamed as Medication History and is placed at the top of the screen near the Warning button on the screen Patient > Encounter > Facesheet > Current Medication .
For Multiple Labs Bi- Directional Interface a new logic has been added. That is, in EMR there is a property hl7.export.laborder.propertiesfilename ' at the location d:\Interface\labexport\labexport.properties . The file labexport.properties has been modified as explained in the following examples.
Added a provision to send information on who has updated the patient through HL7 Patient Export message as a part of customized Z ' segment.
A new property othermedics.extid.applicable ' has been added under Medics section. If this property is set to Y ' then the External Id' field is enabled for Other Medics ( Medical Assistant , Clinical Staff , Admin Staff or Billing Staff ).
A format for Z ' Segment can be defined in HL7PatientExportParams.properties file can be defined by changing the tags defined in the value of the property named hl7.export.patient.zSegment.format .
Added a new property export.charge.explicitly.onpostchargeaction ' in PrognoCIS.
In case if the user makes changes after charge is posted by above check box and then closes the encounter then by routine call the charge will be reposted or will not be posted depending upon the property charge.export.only.once '. If the property charge.export.only.once ' is set to Y ' in the HL7 ChargeExport.properties file , it will not generate the Charge Export file on reopening of the encounter.
Added a provision to scan OCR card and update the information accordingly in PrognoCIS.
Property prognocis.card.scanners ' is added to define a list of available scanners in the clinic. The user can scan Insurance Card and Driving License with OCR Card Scanner installed on his machine.
OCR Card scanner works with PrognoCIS from two screens Patient Registration and Patient Insurance
Patient Registration
On the Patient Registration screen there is a Card Scan button next to Patient Details.
When it is clicked, Scan UI is displayed with the following information:
There is a check box to Update Personal details, Update Address details, Update Photo. User can check the checkboxes according to the information required to save. At the bottom of the popup Ok' and Cancel' is provided. On click of Ok, selected information is displayed on Patient Registration screen. Save' on patient registration screen will save the information.
Insurance Card Scan
On Patient Insurance screen there is a Card Scan' button at the top of the insurance card image. When the user clicks it, a popup is displayed with the following information:
The checkboxes,
Information is updated depending on the selection of the checkboxes. The popup has two buttons, ok' and cancel'.
Click ok' to display the information on the main insurance screen .
Added a new property patienteducation.checkbox.check ' to control Print/ Brochure/URL checkboxes under Patient > Encounter > TOC > Education .
If the property is set to Y ', then on screen TOC > Education , the checkboxes Print , Brochure and URL are checked by default; whereas if it is set to N ' then the checkboxes Print , Brochure and URL are unchecked by default.
There is a tag ADD ENC_CCFNOTES ' to display the contents of clinic form notes. A provision is made on the Clinic Form to print a Form Template corresponding to the current Clinic Form Template when Preview button is clicked.
The tag ADD ENC_CCFNOTES ' is used as a part of this template. The tag will not print when used in the Encounter Progress Notes . The other tags can be used in Progress Notes to print notes by default, associated with a template after printing the corresponding test values.
Added two fields Last Rx Date ' and Last No. of Refill ' on the Refill Request Message screen.
When Refill Request comes from Pharmacy and if that refill has the data of prescription (Prescription ID) created for the same patient and drug, then the user searches for a match for that patient and prescription. Once a match is found, then on the Refill Request Message screen the user enters data in the fields Last Rx Date ' and Last No. of Refill '.
In case if a match is not found, the above two fields are blank. Also, an additional field Last Fill Date ' has been added to this screen which was earlier present in the database only.
Added a new feature wherein if the user changes any template a message is sent to certain medics and roles. Roles and Medics are assigned to specific templates from Settings > Configuration > Medics and Settings > Configuration > Role screens.
When the user adds a new template or loads an existing template, then the system populates the view with the Roles/ Medics assigned by default for each template. A notification is sent for Clinic Form when clicked on Save & Notify '. On clicking Save & Notify ', a popup is displayed only if there is atleast one template which does not have a default Role/ Medic assigned (even if the template is modified or not).
The Notify popup has the following parameters:
Notification Recipients are Role/Medics Ids returned by Notification popup . In case popup was NOT invoked, Recipients are the default Role/Medics Ids assigned to ALL templates in the Clinic Form whether modified or not.
Growth Charts help users, to follow a child's growth over a period of time.
The pediatric Growth Charts have a granularity of 1 week . Hence, for the data recorded for a patient every week, there is a point representing it on the patient's Growth Chart. Earlier the Growth Charts had a granularity of 1 month .
In Patient > Encounter > Progress Notes, for the tags ENC_REVIEW__LAB$ ' and ENC_REVIEW__RAD$ '; the Order No .' and Dated' are displayed in bold. Earlier they were displayed in plain text.
The Grid information is now displayed along with the templates in Progress Notes.
When the user selects two templates from the patient encounter and if the first template has a Grid attached to it while the second template does not have a Grid attached to it, then on the Progress Notes , these templates are displayed in the sequence, first template with the Grid and then the second template .
Earlier the lab matrix values were listed alphabetically and not in the test sequence. The user can now change the order of the results displayed in the lab matrix. The test results are reflected in the same order as the tests given.
An option to filter the Refill Requests encounters is provided under filter button on Home Page.
The Refill Request is available under Visit Type in the 'Appointment Filters' popup window.
The prefix appended for the Title' on screen Patient > Encounter > TOC > Dictate Transcribe are:
The value of Facesheet Notes is defined in the properties facesheet.notes.title1 ', facesheet.notes.title2 ', facesheet.notes.title3 ', facesheet.notes.title4 ', facesheet.notes.title5 '.
The value of User Notes is defined in the properties user.notes.title1 ', user.notes.title2 ', user.notes.title3 ', user.notes.title4 ', user.notes.title5 '.
The value of Custom Notes is defined under Settings > My Preferences > Default .
A new functionality to add custom status for an appointment is provided. User can define the status based on the clinic's workflow and accordingly status will be displayed on home page.
Multiple roles and medics can be selected to send notification messages in Attach center (this functionality is also present in the Scan screen too).
On Message > Attach screen,
PrognoCIS now works well with iPad/ Mac/ Android system. Draw Tool (diagrams) and Progress Notes are available with iPad/ Mac/ Android system.
The menus available are:
Limitations:
PrognoCIS now supports Surescript 5010 communication.
Added a provision to view multiple encounter types on appointment scheduler.
On screen Appointments > Work Pattern , for a selected Date, Day and Location, the user can now select multiple encounter types for the selected provider for a selected location and day.
Property ' appointment.workpattern.overlap.allow ' is added when set to ' Y ' allows overlap in work pattern.
Property 'bizfax.failed.inform.role' added in PrognoCIS for the role FaxFailed which when assigned to a person, they are allowed to receive an auto-Generate message from system if fax is failed.
Patient > Encounter > Prescription ; wherein if there are any unapproved drugs in the list, then the user (provider) with approve rights can approve all of them by clicking on Save' .
The Save' button is enabled only when the Prescription screen has any non- approved drugs in the list. The user (clinical staff) without approve rights can only enter drugs on this screen. But these entered drugs are approved by the provider.
Note: For approved drugs , their status is displayed as Approved' ; whereas for unapproved drugs the status is Entered' .
Header/ Footer are available in merged PDF and can be printed from Document List . In the Document List the document types present have header/ footer properties as listed below:
Document Type |
Properties |
Progress Notes (PN) |
pdf.pn.header , pdf.pn.footer |
Letter In and Out (LT) |
pdf.lt.header , pdf.lt.footer |
Lab Result (LR) |
pdf.lr.header , pdf.lr.footer |
Rad Result (RR) |
pdf.rr.header , pdf.rr.footer |
In Settings > Configuration > Education the user can change the selected file type. On the Patient Education screen, the user can select a Name and attach the PDF or HTML file. Then he can save the changes and the other checkboxes remain enabled. If the user selects any other checkbox and clicks on save' , then the previous file will be detached and the user can attach a new file.
On the screens TOC > Draw Tool and TOC > Progress Notes ;