You can now switch between retail and mail order pharmacies directly from the main Medications screen when renewing medications. The medications list now includes a Pharm column, with options for Retail and Mail. Previously, you needed to access the detail screen for each medication to change the pharmacy indicator before renewing.
The Rx pad, displayed when adding a new prescription, now includes an "As directed" option for all medications.
The supervising MD (or MDs) printed on prescriptions can now vary based on the user's location. Previously, the supervising MD (or MDs) was defined per user and could not vary for different locations. (This only applies to selected users such as NPs who must include a supervising MD's name on prescriptions.) For details, click here.
The Send to Pharmacy page has been redesigned (this is the screen displayed after signing for medications updates that include a new or renewed prescription). The Send Prescription panel on the left now more clearly identifies the pharmacy to be used for each prescription, and now includes the pharmacy address.
The LMR now includes improved decision-support alerts for prescribing medications for elderly patients (Gerios dosing). Previously, alerts were triggered based on the patient reaching a hard-coded age (65 years old). Now, the LMR uses a variable age threshold, for more accurate medication alerts.
The Health Monitoring module has been modified to incorporate a number of usability related improvements:
The order of items within the grid has been modified. Within each section, items from the HM template display first, followed by other items, in alphabetical order.
CDR-based results now display additional information as a link in the Result column (such as "Bilateral Mammogram"), when available. Previously, CDR-based results displayed "See Report" for all such results.
The detail view, displayed when clicking the date for a previous entry, now includes only the first line of an associated comment (with additional details visible by hovering over the Comments field). Previously, multiple lines of a comment were displayed, making it more difficult to see the associated trend.
From the Summary module, you no longer need to scroll horizontally to view the complete Result column. The HM Item name column has been shortened, and displays truncated names (such as "Hypoglycemia assessme... ") for names that are too long. Move your mouse pointer over the HM Item field to display the complete name. Note that moving your mouse pointer also displays dates associated with patient history associated with Varicella or positive PPD ("Patient Had" details.
From the Custom HM Templates module, you can now double click any item in the All HM Items column to move it to the Other HM Items column. Previously, you needed to select the item and click the right arrow button.
Vaccine-related fields now automatically clear when you select an entry other than Done (applies for vaccine-related entries, such as Influenza vaccine, both here and in the Immunization module). Fields also clear when you select a different date.
The module now includes color coding of items based on due dates. Items that are due are highlighted in pink; items that are due within the next 30 days are highlighted in yellow.
Due status is automatically set for items associated with decision-support reminders. You can also set a due date for any item. For details, click .
The Forward Results screen has been enhanced for ease of use and mirrors the functionality for selecting a recipient in the Clinical Messages module. For details, see Forwarding a Result.
The results list now displays icons indicating the reason the result appears on the queue. The following icons display, if applicable:
(forwarded results), 
(watch list), 
(visit history assignment),
and 
(tickler). No
icon indicates the result was ordered by the provider.System macros (ex. ”..a”) and custom paragraphs are now available the following text areas: Patient Called notes, User Comments text area, User Flag/Comments text area, Create Ticklers comment area, and Quick/Turbo letter templates. For details, see Adding Custom Paragraphs Using "." Functionality and Adding Patient Data Using System Macros.
The tooltip for forwarded results now displays for as long as a user’s mouse is on the icon (
). The text
inside the tooltip has been reformatted for easier readability.The Customize screen has been reorganized and now includes enhanced letter formatting options for heading and salutation customization. In addition, users have the option of setting a salutation specifically for pediatric patients, such as ”To the parents/guardians of." The salutation enhancements are also available in Spanish. For details, see Customizing the Results Manager.
You can now save a Patient Called note as preliminary or final. For details, see Documenting a Patient Call. The Patient Communication column (renamed from Patient Letter) in the results list now displays new icons indicating the status of patient called notes. Clicking an icon displays the history view of the note.
You can now add trended General Chemistry and General Hematology data to result letters. For details, see Creating a Patient Letter.
When creating a result letter using a letter template, the critical result values are now added to the letter. In addition, for Radiology, Microbiology, and Pathology results, a header is now automatically added before the results in a letter.
"View only" users will now have the ability to set a preference to opt out of Clinical Messaging. Those who opt out will be eliminated from the recipient search.
You now have to sign when you save a clinical message as a note or to-do item.
The following additional sections have been added to the Visit Summary Report: active allergy list, procedures, problems, non-medications (”supply list”), and recent diagnostic test results. Items in the medications and non-medications are now grouped differently (stopped, added, renewed, changed, renewed and changed, no change) for enhanced readability.
The option to print the Visit Summary Report is now available from the right-click shortcut menu. For details, see Using the Right-Click Shortcut Menu.
Additional information such as patient’s race and ethnicity has been added to the Previsit form to conform the federal Meaningful Use guidelines.
The following new data and formatting options have been added based on user requests:
- Last Updated date has been added to the Insurance and Pharmacy (retail and mail order) fields to help staff identify outdated information.
- Parent/Guardian has been added as an option in the Acknowledgement section.
- ”No Known Allergies” displays instead of ”NKA,” if applicable, in the Allergies section.
- The Yes and No checkboxes for custom questions have been reformatted to display in columns.
- The Not Taking checkbox option has been moved to display first in the Medications section.
- When printing the form, if there is a page break in the middle of a section, the column heading for that section now displays at the top of the new page.
- The heading of the ”For Staff Use” section has been reformatted for easier recognition as a separate section.
The new Custom Visit Form module now contains customization options for both the Previsit form and Visit Summary report.
The following enhancements were made to the Previsit form customization:
- There is a new checkbox in each section of the form allowing you to specify a page break.
- You can now specify the number of blank lines to display before the form title.
- The character limit for question labels was increased to 100 (from 50).
Customization options for the Visit Summary report include the ability to edit the introduction section, remove and reorder sections, change the default font, and change the form title/description.
Patient Entered Family History (to pilot)
A study is being performed to investigate the utilization of the LMR Family Social History module once it contains family history data entered by patients. This feature applies only to a limited set of practices. For more information, click here.
In order to meet federal Meaningful Use criteria, patient care reminders can now be sent via a patient’s reminder preference (set in Summary 2) using the My Patient List module. For details, see Working with Patient Reminders
There is a new Order view that allows you to see all of the patient’s orders from your practice. From there you can edit future orders, delete orders, and add on a test for a specific date. For details, see Viewing the Orders for a Patient.
An NPI number check has been added as an additional validation rule. When you validate an encounter, the system now checks the EOV header for the presence or absence of an NPI number for the ordering, billing, and rendering providers. The validation message displays if an NPI number is missing. There is a new Header button in the EOV Shopping Cart that allows a user to open the Header and update the NPI number. For details, see Validating Encounters.
For clinics using electronic order submission (HL7), a user can view information about order transmission by clicking the basket
icon associated with an encounter (in the Orders column
of the EOV main screen or the Activity column of the EOV Desktop).
It displays the date for which the lab was ordered, the date
and time the order was transmitted or printed, the method
of transmission (printed or electronic), and the lab to which
it was sent. The information is updated if the encounter is
edited.In the Select Forms screen, an "e" now precedes the name of a form to indicate it is linked to an HL7 interface.
There is new report from the Unlinked Orders screen in EOV Desktop that displays Unlinked Orders (orders that are not linked to appointment) and unlinked appointments (appointments that are not linked to orders). For details, see Generating Order/Visit Linking Reports.
You are now able to select a patient’s preferred method of receiving reminders (email, mail, phone, or Patient Gateway, if applicable). For details, see Setting a Patient Reminder Preference.
If a new mail order or retail pharmacy is entered and is the first one within the patient’s chart, the default radio button will now be automatically selected.
New fields have been added to the header of the Staging/Treatment Plan screen to allow for flexibility when choosing the appropriate AJCC Version for Dx/Tumor type. You now must select a diagnosis date and diagnosis (and then update the autopopulated AJCC version and Tumor type, if necessary) before clicking Add New Primary to begin a staging/treatment plan.
The clinic name now displays in the header of the treatment plan module and generated note. The clinic is set to the one to which the user is logged in upon saving the treatment plan.
If a patient only has breast or lung tumor staging information entered and does need a treatment plan, you can now click Save, and a treatment plan is not generated. Otherwise, click Add Treatment Plan to do so for the patient.
You can now format text and use custom paragraphs and system macros in all Treatment Plan free text boxes. For details, see Adding Custom Paragraphs Using "." Functionality and Adding Patient Data Using System Macros.
If you error a Final or Stopped treatment plan, the LMR now automatically errors the note that was generated.
There is a new custom preference that allows users to specify the status of a note when a treatment plan is saved as final or stopped. For details, see Setting Your Preferences.
There is a new Chemotherapy Consent Form Builder module for authorized users. For details, see Working with Chemotherapy Consent Forms.
There is a new Print Consent Form button at the bottom of the Treatment Plan screen that allows you to view and print a consent form.
Chart Access Control will now be applied to patient selection from all Desktop modules.
Signing will be required when clinical messages are saved to the patient record (as notes or to do’s).