Denali 3.0

Brief Release Notes

EMR

Important Note: Denali is the latest version of PrognoCIS and is supported with Compatibility View Settings OFF for IE (Internet Explorer) browsers.
1. Introduction
This section gives a brief overview of the new features and enhancements included in the latest version of PrognoCISTM Denali. For detailed Release Notes kindly, click on the Help icon: found on PrognoCIS screen click on V from the alphabets list click on Version Builds link click on Denali from the EMR Release Notes column

(click here to view the detailed Denali EMR Release Notes)
   
2. Home
   2.1 Label changes on Appointment and Open Enc tabs
Certain label changes have been done on the Appointment tab and Open Encounter tab of Home screen.
   2.2 The labels of Patient workflow statuses on the Appointment schedule screen has been relabeled
On the Patient Workflow popup, the labels of statuses such as 'With RN' and 'For Nurse' have been relabeled to 'With Clinical Staff' and 'For Clinical Staff' respectively.
   2.3 The Status field on the Patient Workflow popup has been relabeled
The label of the 'Status' field on the Patient Workflow popup is now relabeled to 'Visit Status'.
   2.4 The sequence of columns available on Open Enc tab and Appointment tab are now in sync
The columns sequence on the Open Enc tab and Appointment tab have been rearranged.
   2.5 Patient Insurance icon is now additionally available on the Patient Details popup
Patient Insurance icon is now additionally available on the Patient Details popup invoked from Home screen and Appointment Schedule screen.
   2.6 Last login information now shifted to the right of UI
The User’s last login details which displayed in center of the Home screen, now displays on the right of the UI.
   2.7 Checkout docs to additionally feature Consult and Procedure
On the Check Out Docs popup, additionally two new documents, Consult and Procedure have been provided.
   
3. Appointment – Schedule
   3.1 Changes done on Appointment Schedule popup
i. The ‘cancel’ button label has been changed to ‘close’.
ii. The ‘history’ button has been replaced by the Patient Appointment History icon: .
   
4. Patient – Register
   4.1 Patient Notes icon displays Orange if notes are entered
The Patient Notes icon on the Patient Registration screen now displays in Orange color if details have been entered.
   4.2 The ‘Resp Person' label is now changed to ‘Guarantor'
The 'Resp Person' label in Patient Registration screen and under Patient menu has been now changed to Guarantor.
   4.3 The ‘Patient' label displays as hyperlink to invoke the Patient Statement
Earlier there was no provision to view Patient Statement from the Patient Registration screen. Now, the 'Patient' label on Patient Registration screen is displayed as hyperlink which on click invokes the Patient Statement.
   
5. Patient – Encounter
   5.1 Order Management – Order Sheet with a new User Interface (UI)
Order Sheet UI has been enhanced and the concept of Order Management introduced. You now have provision to:
- maintain and track all your orders for the current encounter from a single screen with respect to Lab, Radiology, Consult, and Procedures
- track and maintain the results of a referred Patient from the same screen
- switch between individual screens of Orders is no more required
   5.2 Health Maintenance screen has provision to add Notes and Phrases
You now have a provision to add notes for Health Maintenance from the newly provided Notes section in the Health Maintenance screen.
   5.3 Scrubber Checks available on Assessment screen and Doctor Form to avoid Claims being rejected for incorrect code entries
CMS records almost 10% of claim rejection due to entry of incorrect diagnostic codes. Such rejections can be avoided if you have Scrubber Checks implemented on the Assessment screen and Doctor Form. Depending upon checks being implemented, on the Assessment screen and Doctor Form you’d now view alerts of type,
- Warning (System displays the alerts but allows you to continue further)
- Error (System displays the alerts and does not allow you to continue further until the error is rectified)
- Update (System alerts displays the and with no further notice, auto corrects the problem)
   5.4 Lab and Radiology result values are now displayed up to the last decimal place without being cut off
Earlier, when Lab or Radiology results were imported in PrognoCIS with decimal values, they were cut off up to two decimal places for display purpose. Now the values are printed as received.
   5.5 Copying or auto-copying of the Assessment ICD and CPT/HCPC codes, Goals, and Notes (in the Notes tab) to the next encounter is now configurable
From Specialty Master screen, a provision has been given to the Provider to configure if the Assessment ICD, CPT/HCPC, Goals, and Notes present in the Assessment screen are to be copied manually or auto-copied or not to be copied to the next encounter.
   5.6 The CPT/HCPC of State provided vaccines will no longer be transferred to the Patient’s Assessment
The CPT/HCPC of the Vaccines that are marked as ‘State Provided’ on the Vaccine Master screen will now not be transferred to the Patient’s assessment details, thus ensuring that it is not billed in the Claims.
   5.7 Provision to share document on Portals from the Document List screen
PrognoCIS now provides the facility to share documents from Clinic on the Patient, Referring Doc, and Employer Portals. A new Share icon: has been provided on the Document List screen to share the required document on the respective Patient, Referring Doc, and Employer Portals.
   5.8 Pagination has been provided on the Document List screen
Pagination has been provided on the Document List screen to navigate to the list of documents present.
   5.9 Claim filing code (of a Patient’s Primary Insurance) is preferred over Encounter Type code in the transfer of CPT/HCPC charge codes to the Patient’s Assessment
Depending upon the BNG value i.e. Both or Non-Government or Government, the Claim filing code of a Patient’s Primary Insurance is preferred while transferring CPT/HCPC charge codes to the Patient’s assessment details.
   5.10 Provision to view Past ICD codes on the HPI screen
A new Past ICD icon: has been added on the HPI screen to view a list of all the Past ICD codes associated to an encounter.
   5.11 Start Encounter UI (User Interface) fields and Edit Encounter UI fields are now in sync
Earlier there were discrepancies observed with respect to the fields present and their labels in both Start and Edit Encounter screens. Now changes have been made to bring both the fields in sync with each other.
   5.12 Provision to automatically copy Prescriptions of previous Encounter to the current Encounter
It is now possible to have the drugs prescribed in an encounter to be automatically copied to the next Encounter, thus saving the Provider the effort to re-enter or add the drugs again in the current Prescription.
   5.13 Drug Info popup now supports Print Preview in PDF format
Earlier, the print preview generated on the Drug Info popup used to generate the preview in a HTML file format. Now, the preview is generated in a PDF file format.
   5.14 eRx summary popup on the Prescription screen now also displays the validation related error messages
Now, there is a single popup, eRx Summary that first displays the validation error messages and if all the errors are rectified then the same popup would display the eRx Summary information.
   5.15 On Encounter TOC, Lab and Radiology now display as individual menus with their respective sub-menus clubbed together
Now on Encounter TOC, the Lab and Radiology display as individual menus with their respective sub-menus clubbed together.
   
6. Patient – Letters-Out
   6.1 Letters-Out ‘To' drop down list has 43 options to choose from
The list of 43 options now available in the 'To' dropdown list on the Letters-Out screen.
   
7. Patient – Clinic Forms
   7.1 Changes done on Clinic Form screen
i. The label of Name hyperlink is changed to Patient and instead of hyperlink, a search icon: has been provided which when on click invokes the Patient Search popup.
ii. The Insurance link is replaced with the Insurance icon: followed by the text, Ins.
   
8. Messages
   8.1 The ‘Medics’ label is changed to ‘Users’ on the Message Compose screen
The 'Medics' label on the Message Compose screen has been now changed to 'Users'.
   8.2 The Calendar on the Messages → Attach Center and Scan/Local Attach back dates to 50 year only
Earlier the Calendar dates on the Message → Attach Center and Scan/Local Attach could go back till 150 years. Now, the Calendar back dates to 50 years only.
   
9. CPOE
   9.1 The ‘Medics’ label is changed to ‘Users’ on the Lab/Rad Task popup
The 'Medics' label on the Lab/Rad Task popup has been now changed to 'Users'.
   
10. Reports
   10.1 New UI for Reports such as Tabular, Patient, Encounter, Mis Graph and Meaningful Use
Reports such as Tabular, Patient, Encounter, Mis Graph, and Meaningful Use now display a new UI. Earlier the details were displayed individually on their popups, now instead of a popup the details are displayed as a screen.
   10.2 Provision to display matrix of recommended vaccines as well in the Output templates
Now along with required vaccines, the matrix of recommended vaccines as well is displayed in the Certificate for Immunization form.
   10.3 Supervising Provider column added on the Review Encounter Report screen
A new column, Supervising Provider has been added on the Review Encounter Report screen.
   10.4 Two new Tabular reports, ‘PQRS Report’ and ‘Last Login for given Clinic user’ have been provided
The two new Tabular reports, ‘PQRS Report’ and ‘Last Login for given Clinic user’ have been additionally provided in Denali.
   
11. Settings
   11.1 Property to automatically save details (Autosave) in PrognoCIS has been enhanced
The property, prognocis.dontshow.confirm has been obsolete and instead a new property, prognocis.autosave.rule has been added to define whether the confirmation message to save details is to be displayed or automatically save the changes in PrognoCIS.
   11.2 Provision to display Clinic ID in Output Templates
The Clinic ID displayed on About PrognoCIS popup (click on the Info icon: from the Menu bar Clinic Information section) is now available to print on the Output Templates.
   11.3 Claims are generated for zero duration encounters as well
Earlier for Zero duration encounters, the claims were not generating. Now, for all the encounters irrespective of its duration, the claims would be generated.
   11.4 Provision to make a copy of Test Exec templates' Systems
A new icon, Copy of System: is provided on each of the Test Exec (i.e. Vitals, HPI, ROS, Physical, Specialty, and Clinic Forms) template screens (Goto menu: Settings Configuration) to facilitate copying of the selected system along with all its tests.
   11.5 UI of Property Help screens have been enhanced with User friendly elements
Users who have access and provision to make changes to PrognoCIS properties now have the ease of using various elements such as drop-down list, selection of options, slide bar, and color picker where information is entered without having to enter details.
   11.6 Two new Master screens, ‘Org Provider' and ‘Ref Org' added
With the addition of two new Master screens, you have provision to send Consults addressing an Organization rather than any particular individual in that Organization.
   11.7 Change of labels on the Master screen
i. The ‘Medics’ column is now relabeled as ‘Users’.
ii. The Label of ‘Admin Staff ’ link has been changed to ‘Office Staff’.
iii. On Specialty template screen, the ‘Facesheet’ label is changed to ‘Carry Forward’.
   11.8 Change of labels on the Role Master screen
i. The 'Configuration Medic's label has been changed to 'User Configuration'. Also, the 'Admin Staff' label has been changed to 'Office Staff'.
ii. Change of label from ‘Medical Assistance’ to ‘Medical Assistant’.
   11.9 Few sections on Doctor Form and Patient Form relating to Vaccination have been removed
Few of the Doctor Form sections related to Vaccination are no more available on the Doctor Form Master or Design screen.
   11.10 Deletion of CPTs and HCPCs from their respective Master screen is condition based
Now there are conditions added to avoid important and associated CPT/HCPC codes from getting deleted.
   11.11 Provision to set sequence of the Complaints from the Complaints Master screen
A new field, 'Sequence' has been added on the Complaints Master screen to set the sequence of the Complaints displayed on the Complaints search popup.
   11.12 New changes on Report design screen of Mis Graph
Mis graphs are now plotted using new set of libraries that support interactive graphs.
   11.13 Provision to create a new role based on the existing role’s access right definitions
A new button, 'save as' has been provided on the Role Master screen to save the defined access rights of the existing role with a new role name.
   11.14 Provision to import Tests from xls (MS Excel) file attachment
A new button, 'importXls' has been added on the Test Exec Master screens to import tests from any xls file that has been attached.
   11.15 A new Role, ‘TemplateHtmlEdit’ has been added to allow editing the HTML of a Template
A new Role, TemplateHtmlEdit has been added to allow a User to edit the HTML of any Template. The Normal View and HTML View options are then available on all the Text editor of PrognoCIS for that User to edit the HTML.
   11.16 The labels of Test Exec – Specialty sections on the Patient/Doctor Form Master screen have been changed
The labels of sections, Test Exec – Specialty Tests and Test Exec – Specialty Procedures have been changed to Test Exec – Specialty Template Tests and Test Exec – Specialty Templates respectively.
   11.17 The HL7 PropFiles Master has been removed
The HL7PropFiles Master has been now removed from PrognoCIS and hence the HL7PropFiles link under Admin column will not be available for a User.
   11.18 Protocol Master now invokes Procedure Master search instead of Specialty Templates search
The Procedure Order search has now replaced the earlier Specialty Templates search (templates that are marked as Procedure and associated with a print template) on the Protocol Master screen.
   
12. Miscellaneous
   12.1 Added Color Picker in multiple screens of PrognoCIS
Now the Color Picker is also available on the following screens:
- Graph Master
- Enc Types Master
- Locations Master
- Properties Master
   12.2 Provider's Work Pattern is now prepopulated (For Internal Use)
Earlier the Provider’s Work Pattern used to populate on the go. Now, the Provider’s Work Pattern is prepopulated and thus the performance of Appointment Schedule screen is enhanced.
   12.3 ‘Attach' and ‘Scan' under Messages menu are relabeled
i. The label of 'Attach' under Messages menu is now changed to 'Attach Center'.
ii. The label of 'Scan' under Messages menu is now changed to 'Scan/Local Attach'.
   12.4 Report Menu label is changed to ‘Reports'
The menu label of 'Report' is changed to ‘Reports’.
   12.5 Graph UIs in PrognoCIS now has a new look and feel
Graph UIs in PrognoCIS now have a new look and feel due to change in the set of supported libraries. These new libraries support in plotting interactive graphs. There is a noticeable change in the look and feel of the graphs seen.
   12.6 List of newly added tags in Denali
Describes the list of newly added tags in Denali.
   12.7 List of newly defined properties in Denali
Describes the list of newly added properties in Denali.
   12.8 List of newly added/updated icons in Denali
Describes the list of newly added/updated icons in Denali.
   12.9 List of Supported Events added for Consult and Procedure in Denali
Describes the list of newly added Supported Events for Consult and Procedure in Denali.
   12.10 List of obsolete tags in Denali
Describes the list of obsolete tags in Denali.
   12.11 List of obsolete properties in Denali
Describes the list of obsolete properties in Denali.
   

Portals

1. Introduction
This section gives a brief overview of the new features and enhancements included in the Portals latest version of PrognoCISTM Denali. For detailed Release Notes kindly, click on the Help icon: found on PrognoCIS screen click on V from the alphabets list click on Version Builds link click on Denali Build 1 from the Portals Release Notes column

(click here to view the detailed Denali Portals Release Notes)
   
2. Portal (Patient/Referring Doc/Employer)
   2.1 Employer Portal
PrognoCIS Employer Portal is designed for sharing the Patient’s Protected Health information to their Employer, who is registered in a Clinic. The Employer Portal will allow employers to view various documents shared by a Clinic and Patient’s billing related information for treatments taken in the Clinic.
   2.2 Messages from Patient Portal are now sent in a new format to the Clinic
When a Patient modifies or submits any Patient Form, requests an Appointment, or requests a Refill for any drug then a message notification is sent to the Clinic. Now, the format of these messages have been changed.
   2.3 Patient's all active Insurances are now available on Patient Portal
Earlier a Patient could view and edit only the Primary Insurance on Patient Portal. Now, additionally a provision has been given to view and edit all the active Insurances of a Patient on Patient Portal.
   2.4 UI changes of Patient Portal – Insurance screen
Certain UI changes have been done on the Insurance screen of the Patient Portal.
   2.5 Provision to view Lab Result attachments on Patient Portal
Earlier there was no provision for a Patient to view the Lab Result attachments on Patient Portal. Now, provision has been given to view the Lab Result attachments and additional information on the Lab Results screen of Patient Portal.
   2.6 Provision to share documents on Portals from the Document List screen
PrognoCIS now provides the facility to share documents from Clinic on portals such as Patient, Referring Doc, and Employer. These shared documents is available under a new menu, Clinic Shared Documents on the Patient and Referring Doc Portals.
   2.7 Configuration of the list of Patient Forms to be shown on Patient Portal is done from Interface Master screen
A newer link, Interface Master has been added – replacing the earlier link of HL7 Interfaces in PrognoCIS UI.