Electronic Health Record

Electronic Health Record Summary of changes in version 1.1

Session Content • This session gives a brief overview of the changes to the Electronic Health Record (EHR) since the release of version 1.1. • It is not intended to be a detailed guide to the changes.

EHR version 1.1 patch 1

Summary of Changes • Order Checks allow discontinuation of an order. • Allows entry of imprecise date of onset for Problem List or POV. • Saves default Problem List filter between sessions. • Allows clinical indication for lab test orders. • Adverse Reaction data entry changed from “order” to the Adverse Reaction component.

Summary of Changes, continued • Allows display of Patient Record Flags in EHR. • Provides parameter for Maximum Allowable Days Supply. • New Vital Measurements: • Ankle Blood Pressure • PHQ2 • PHQ9 • AUDIT • CRAFFT • Ages and Stages (ASQ)

Summary of Changes, continued • Fixes for Issues With: • Vital Measurements • Lab Results • Order Entry • Patient and Encounter Selection • Notifications • Patient Education • Problem List and Visit Diagnoses • Immunizations • Pharmacy Education • And More

Patch Notes • For full information, see the patch notes • Patch notes may be downloaded here: ftp://ftp.ihs.gov/rpms/patches/ehr_0110.01o.pdf

Summary of Changes • Extended licensing date

Summary of Changes • Extended Licensing date

Summary of Changes • Removed requirement for licensing

Summary of Changes • Numerous bug fixes: • Vital Measurements • Reminders • Purpose of Visit • Patient Education • Exams • Problem List

Summary of Changes, continued • Added: • Suicide Form • Measurements: • AUDIT-C • Asthma Measurements • CPT modifiers • Immunization Expiration Date and Provider Counseling • Point of Care Lab Entry

Patch Notes • For full information, see the patch notes • Patch notes may be downloaded here:ftp://ftp.ihs.gov/rpms/patches/ehr_0110.05o.pdf

Summary of Changes • Fixed: • Brief Visit Display • Fractional Quantities in Medication Quick Orders • Reminder Dialog for Skin Test • Adverse Reactions • Historical Immunization Entry • Reminders Prompts • Narcotic Medication Renewal • Medication “Process” Button and Chronic Status • Provider Narratives • Record Flags • Logon Window • Relocking Unlocked Visits • Order Comments • Recurring Lab Order Display

Summary of Changes, continued Added: VFC Prompt for Childhood Immunizations Readiness to Learn for Education Topics Asthma and Problem List Asthma and POV Desktop Tools Integrated Signature Tool Enhancement Message Logging Pharmacy Auto-finish Family History Imaging Multiple New Parameters • Outside Medications • On Demand Drug Interaction Checking • Filter, Search, or Sort Notes By Associated Diagnosis • Visit Summaries with Date Range • Infant Feeding Choice • Reproductive Factors • Clinical Indication for Medications • Radiology Report Annotation • Encounter Detail • Contraindications for Immunizations (Reminders)

Summary of Changes Fixed: Display of Auto-Discontinued Medications on Inpatient Patient Education Privacy Screen of SSN Pharmacy Education Order Printing Reminder Dialog Prompts Skin Test Documentation CPT Modifiers and Code Set Versioning Vital Measurements Suicide Reporting Form • “Clear” Function • Medication List (Cover Sheet) • Autofinish of Renewed Medications • Medication Management Issues • Note Sorting • Notification Display • Pick Up Location on Copied Orders • Pick Up Location Display • Display of Message Field for Medications

Summary of Changes, continued • Added: • Outside Medications Enhancements • New Print Fields • Quick Notes • Reminder Dialog Prompts • Skin Test Documentation Fields • Vital Measurement “Cardiac Ejection Fraction” • Historical Vital Measurements • New Order Statuses • Multiple New Parameters

Summary of Changes • Fixed: • Adverse Reactions Notifications • CIA Logging • Orders • Personal History • Problem List • Triage Summary Component • Visit Diagnosis • Windows 7 Compatibility

Summary of Changes, continued • Added: • Adverse Reaction Tracking Enhancements • Adverse Reaction Tracking Verification • CCD/C32 Viewer • Chart Review Component • Info Button Displays • Medication Management Enhancements • Notifications Enhancements • Patient Detail Report Enhancements • Problem List Cover Sheet Enhancements • Vital Measurements Enhancements • Multiple New Parameters

Summary of Changes Enhancements, Fixes, and New Features: Print Format Default Templates Rx Printer Preference Editor Pharmacy Search Printing Notifications Order Checks Outside Medication Details Patient Education Quick Orders Reminder Dialogs Reports Suicide Form Visit Context Windows 7 Compatibility Multiple New Parameters • Adverse Reactions • CCD/C32 Viewer • Chart Review • Code Set Versioning • Immunizations • Medication Order Dialog • Clinical Indications Prompt • Medication Order Field Restrictions • Pharmacy Type • Pick Up Locations • CII Prescribing • Printing Functionality • Print Configuration • Rx Print Format Editor

Patch Notes • For full information, see the patch notes • Patch notes may be downloaded here:ftp://ftp.ihs.gov/rpms/patches/ehr_0110.09o.pdf • Configuration Guide for the C32 Viewer:ftp://ftp.ihs.gov/rpms/patches/ehr_0110.09oa.pdf

Summary of Changes • Fixes: • Adverse Reactions • Consults • Quick Orders • Reminders

Summary of Changes, continued • Added: • Asthma Action Zone • E-Prescribing Enhancements • Immunizations Enhancements • Measurements (EGA, MMSE) • Medication Order Enhancements • Patient Goals • Personal History Enhancements • Quick Notes Enhancements • Reminder Dialog Prompts • Reproductive History Enhancements

Electronic Health Record