The dispense and refill amounts can be edited from the main Medications screen.
A Back to Lookup button is now available on the prescription pad and medication alert screens when adding a new medication. This button returns you to the Medication Lookup screen (alerts are skipped).
The Variable, Alternate, and Taper buttons have been removed and are tabs in the prescription pad. These tabs allow you to switch between the different prescribing views (including the basic view) without having to discontinue the current medication and create a new one. When editing a medication and switching views, the medication information entered is carried to the new view. However, if switching to the Basic view from another view, the single does is the only information that dose not display since it is not available.
A Verify button is available from the Medications screen to indicate that a patient is still taking or using a medication or nonmedication.
A None button is now available on the main Medications view if there are no active medications. This button is available even if there are active nonmeds.
An Ok & Sign button now displays on the prescription pad to let you save and sign a prescription as soon as you complete it.
More descriptive prescription information (e.g., dose, dispense amount) now displays in medication reports.
Nonmedications can now be renewed, discontinued, verified, or added to your favorites list.
There are no more required fields for nonmedications.
Clinical message notifications are now sent when a prescription fax fails. Use the clinical message icon in the top right corner to monitor your messages.
The fax queue can be viewed for any provider in your practice. In addition, you can view the fax status and the number of times the medication was faxed from the Medication History view.
The Don’t Expire checkbox is now labeled "Expire." Select the checkbox to have the prescription automatically move to the inactive meds list when the end date is reached. By default, this checkbox in unchecked. If you select a preference option for this check box, it appears checked or unchecked based on your preference.
The Rx Print/Fax option is selected by default when activating a medication.
The “Directions” and “Additional Directions” fields are now labeled “Special Instructions.”
The prescription faxing and printing views displayed after signing for medication changes have been combined into one view. The left displays the default pharmacy to which the prescription will be sent as well as a preview of the prescription. The right displays all the pharmacies associated with the patient. You can change the default, add a new pharmacy, change the pharmacy to which this prescription is sent, or delete a pharmacy from the patient’s list.
When searching for a medication, labels now differentiate your medication favorites from your practice favorites.
Medications that have not been reviewed and assigned a cost evaluation, but have co-pay available, display with a
.When printing a medication, the date is now the Start Date from the Rx.
The
Problems module has been enhanced to include Knowledgelinks to
reference information for selected problems. Click the icon 
, where applicable. Also a number of
enhancements have been made in response to user feedback related
to working with family history problems. These include the following:
Family history problems (with a modifier "FH") now display directly in the list of problems on the Problems screen. Previously, family history problems displayed in a section at the top of the screen.
The Problems list screen has also been modified to display all related information in a single column (Additional details), rather than in separate columns for Comments, Type, Severity, and Onset. For family history problems, this column includes family member information, if applicable. Previously, family member information was not displayed on the Problems list screen.
Clicking the name for a family history problem displays the entry in Edit mode on the Family/Soc screen. (Upon clicking Ok or Cancel, you are returned to the Problems list screen.) Previously, family history problems could not be edited from the Problems list screen.
Family history problems now display at the end of the problems list. Clicking Re-order Problems displays the current list of problems, except for family history problems. You cannot reorder family history problems within the list.
The Problems tab on the Summary screen now includes family history problems (with the modifier "FH"). Previously, family history problems were not included.
A link
to the left of an entry name provides general information
on risk factors associated with family history problems.
You can now include a patient's last known values for labs on the Summary screen. You must manually update your default Custom Summary to see this view. For details, see Editing a Custom Summary.
For pilot users only, decision-support reminders that display on this screen have been enhanced for ease of use. You can now act on these reminders directly from this screen. Previously, you would need to be outside the context of the LMR to act on any reminder.
When viewing a clinical message, you can now save the message as a note or to-do item.
The name of the user who sent the original message, replies to, or forwards a clinical message is displayed prior to the message.
The time the last reply or forwards was sent is now available in the message header to the right of the date.
When printing a clinical message, the name of the person who prints the message is displayed at the top of the printout.
The Oncology Staging module has been enhanced to include flowsheets for:
- Lung cancer - NSCLC (non-small cell lung cancer)
- Lung cancer - Mesothelioma
- Lung cancer - SCLC (small cell lung cancer)
- Lung cancer - Thymoma
- Sarcoma - Soft tissue
- Sarcoma - Bone
Information from both the BMT and Infusion Flowsheets is now included in the HIS Patient Extract. This report is printed from outside of the LMR, from the Results Viewer application, by authorized users.
The Infusion Flowsheet has also been updated to require a dose be entered for chemotherapy medications. Previously, the Dose field was optional. Additionally, previously entered doses are now included in the display when you click the History button.
For the DFCI and BWH, the LMR now includes a Code Status module for recording and communicating DNR/DNI information. This module is included as an option from the Patient Chart menu. It provides detailed information to be used in the event of an emergent situation (outpatient setting only).
When you create a new EOV encounter, the Encounter detail screen no longer appears. Instead the “template player” opens. Specific data from the schedule auto-populates the encounter detail screen - date/time of appt, provider and visit type.
When you click OK to add data to the encounter, a preview of the encounter appears in the right pane.
Both signed and unsigned transactions display in the preview screen. Only signed transactions are included in any of the forms printed.
You no longer have to sign the encounter in order to preview it.
When entering orders you can either select a specific date and time or a generic time frame, such as 1 week.
The icon for adding comments has changed to
.The "Click to more" text used to display additional information has changed to "Click here to expand."
The term "EOV Concepts," used to add items like additional comments or locations has changed to "Additional Information."
Items in the Add Item From drop-down list have been reordered.
If there is no data within a section, the section is not listed on the encounter form.
Data previously selected data in an encounter can be added to a new encounter by selecting the category (e.g., orders, diagnosis, procedures) to add from the "Patient Data Section" and then selecting the specific items to pull into the note.
The most recent encounter is now selected by default.
You can now see transactions for which you must sign before you sign the encounter.
Site specific codes are printed on orders based on the location selected.
The End of Visit tab can be added to the Summary screen.
End-of-Visit is now an option from the Pop-up menu.
When printing lab orders, the application automatically defaults to the appropriate form for the site selected.
An EOV icon will appear on the schedule once an EOV encounter has been created for the patient. The icon is gray when the encounter is active.
When you delete an encounter for which transactions are associated, the application informs you that the transactions must be deleted first.
For pilot users only, you can now generate reports using the LMR data mart. See Reports Central Overview for details. These reports present data pertinent to providers and medical directors. Reports available for this release include:
Asthma report
Diabetes report
Overdue immunization report (for pediatric patients under 7 years old)
Smoking report
Medications report (frequency distribution)
Problems report