General - Changes include the following:
- Scanning is available to a limited number of pilot practices. It allows outside documentation to be included in the patient's electronic record. Scanned documents are available from the Notes module. See Working with Scanned Notes and Results for details.
- The Batch Printing option (from the Schedule) now allows printing of the Patient Meds/Allergy List report. This report includes a "patient friendly" list of active medications and allergies, making it an ideal report to be shared with the patient. See Printing the Patient Meds/Allergy List from the Schedule for details.
- The Preceptor Queue is available from the Desktop menu for practices who utilized it in the CAS (Clinical Application Suite).
- A new Rx report has been added to the HIS Report list, accessed using the Tools option from the Admin menu (for authorized users). This report generates a report of all prescriptions that have been written by nurse practitioners for a selected practice for a selected time frame. See Printing HIS Reports for details.
- Once a note has been viewed during a session (from either the Notes or Document Management modules), the Subject link for that note changes color.
Notes - Changes include the following:
- You can now import (copy) the patient's procedure list into free-form notes by clicking the Procedures button. Also, the Vital Signs and Other Flowsheet Items buttons have been replaced by a single button, Flowsheets. Use this button to copy the most recent list of all flowsheet items into a note (including vital signs) in a single click. See Adding Free-Form Notes for details.
- You can now add vital signs directly into structured notes. Previously, you could only import (copy) vitals signs previously entered using the Flowsheets module. See Adding Structured Notes for details.
- When adding a structured notes, an Ok-Next button has been added to allow you to accept your previous entry and move to the next section with a single click. Previously, sections for medications, problems, and allergies did not include this button.
- Also, when adding a structured note, if no previous entries for medications, problems, or allergies exist, you can now specify "None" or "NKA" (no known allergies), as appropriate. This indication is added for both the note and the associated patient list.
- When viewing notes, buttons have been added to limit your display to only scanned notes and reports. Also, when viewing a note that includes an addendum, a link to that addendum has been added (appears only when you click the Subject of the note to view it). A similar link exists for the addendum.
Medications - Changes include the following:
- New alerts display with drug-pregnancy warnings for women of child-bearing age or when you enter medications that may conflict with the patient's laboratory results or with other patient medications. See Responding to Prescribing Alerts for details.
- A new warning displays when you attempt to renew multiple medications that are missing required information (such as dispense amount or frequency).
- The Medication History screen has been updated to improve usability. Also, if a prescription has been sent by fax, the pharmacy name, phone number, and fax name is displayed with the entry. See Viewing Medication History for details.
- The default sort order for medications has been changed to alphabetical per user request.
Custom - Changes include the following:
- Options for Medication Favorites and Problem Favorites have been added to the Custom menu. These options allow you to maintain the associated list of Favorites without having to first select a patient. See Working with Medication Favorites and Working with Problem Favorites for details.
- An option for Pharmacy Info has also been added. This option allows you to create a Favorites list for local pharmacies to save time when updating patient pharmacy information. See Working with Pharmacy Info for details.
- When adding new Structured Note Templates, you can now set the default to either Outpatient or Inpatient properly label notes created from them.
Document Management - You can now update the subject of a note directly from the Edit screen. Previously, you had to click the Correct button to do so. This should make it easier for you to add more meaningful subjects to dictated notes. See Editing Notes for details.
Infusion Flowsheet - The Pain Assessment section of the Patient Assessment has been enhanced. Additionally, a popup screen was added to the Vital Signs section to make it easier to view data when more than one set of entries was recorded for a single day.