218 Betas

R218B20 26 Aug 2010

New - More buttons/color to guide the use of the detailed encounter mode
New - Checks to see if you have saved the exam before allowing you to switch organ systems

R218B21 31 Aug 2010

New - If the appts are updated, then the physician dashboard appts is now also updated if it's for the same date
New - If the current patient vitals are updated in a different beta 21 client, then it updates now in your client
New - If the inbox is updated, then the [Refresh] button warns you to do an update by going a brown colour
Bugfix - graphs are working again
Needs server 89

Googlevoice for sending SMS is now working

R218B22 3 Sep 2010

New - GoogleVoice is now an option for sending SMS (free within the USA including the Hawaiian Islands)
New - Providers can be managed from the consult editor

R218B24 4 Sep 2010

Bugfix - Provider functionality should now all be working from the applet
New - can now SMS providers ( if their cell is in the BEEPER field )

R218B25 6 Sep 2010

Bugfix - Click on a file in the HL7 applet should show the contents
Bugfix - clicking on Googlevoice when changing SMS providers now loads the Googlevoice settings
New - saving config now displays a flash

R218B26 9 Sep 2010

New - a summary of your various inboxes now appears on the initial setup verification screen ( needs server 91 )
New - the MAP Loinc window now shows the LOINC codes for the vitals

R218B27 11 Sep 2010

New - There is a new Settings/User/beta access panel which allows you to save your credentials to access the beta clients
New - Any user will now be able to upgrade a client using the stored credentials

Betas will after this be hosted on Amazon's S3. You will be issued an Access and Secret key to download these. These keys are different from your own Amazon keys and can not be used for any other purpose.
Hosted users and valid shareware users will receive their keys as an email. Let me know if you do not receive yours in the next few days.

R218B28 12 Sep 2010

Bugfix - and more information on testing credentials

R218B29 15 Sep 2010

New - min max range is printed on the Sparklines
New - bug reports are now sent by the Cheyenne MTA
New - outcome measures, and vitals can now be modified after entry
Bugfix - units of alcohol were being inserted into text as per day when it was per week

note, to modify a vital/outcome measure, right click on it in the numerical table, say no to delete and yes to modify. Give a reason and then click "Update". It will actually do a delete and add with the same date. This allows the audit log to keep a record of this change.

R218B30 20 Sep 2010

• Now adds LOINC codes when finds them in the result ( needs server 92 )
• Discards cytology LOINC codes such as "final diagnosis", "smear adequacy" ie. non-numeric results
• Results are now displayed in Courier New font ( monospaced ) so that laboratory report formatting is preserved
• Interleaved OBX and NTE results are now displayed correctly
• ZPS segments are now processed

R218B32 22 Sep 2010

* PDF display is now by default using Acrobat ( or the default PDF reader ... it no longer uses the browser plugin )
* bugfix - PDF display not working for print preview now fixed

R218B34 24 Sep 2010

* Digital results when printed now have hilighting to indicate out of normal range
* The xfdf filename is now radomized when viewing a previous XFDF so that Acrobat can no longer lock the file causing a write error

R218B35 28 Sep 2010

* Problems can now be filtered on Active, Inactive, Resolved and Other. Needs server 93.

MU requires that problem lists be able to display separate categories of problems. Synapse also uses chronic, intermittent classes but ONC has decided that Active, Inactive and Resolved are all that are needed.
It may be that later on, I will add the ability to list in letters, the active problem list then followed by the "other" problem list ie. those that are not classed as "active".

BTW, these changes are meant to ensure compliance with this test http://xw2k.nist.gov/healthcare/docs/170.302.c_problemlist_v1.0.pdf

So, if anyone wants to independently confirm that it's okay?

R218B36 28 Sep 2010

* Now can inactivate a previously recorded drug allergy

R218B37 9 Oct 2010

* Requires server beta 94
* Fix - resizing of the prescription applet
* New - can reconcile medication lists if external list is provided in CCR format ( see menu at top of the prescription applet )
* New - Vaccination applet can now check for updates. All the previously blank CPT codes are now shown ( uses the beta 94 server update )
* New - Reports can now patients who have not received a vaccination by a certain date
* New - Reports can now test on multiple LOINC codes ( eg LDL >, and Triglycerides > ) etc.
* New - LOINC popup to search on LOINC codes
* New - Numerical results table - can display all the unique labs requested to easily allow filtering
* New - removed the RELMA link, and changes to the LOINC web search facility
* New - CRP, and Glucose now use the LOINC codes for the USA labs ie. non SI units. Plan to allow this to be configured.
* New - the MAP LOINC tool can use the search LOINC applet
* New - PDFs are not written if they already exist when printing

R218B38 5 Nov 2010

* Requires server beta 95
* Being released early as it fixes a bug when you can not view the original PDF/TIFF if the file has a reserved Windows shell character in the filename ( ^()|<> )
* Improved HL7 display of results flagged as abnormal, severely abnormal, and critically abnormal ( now uses *, **, and *** )
* Demographics now include race, ethnicity, preferred language and country using the OMB definitions
* Can now create a HL7 immunization record, and record VIS data
* Can create a minimum CCR, and also display both a CCR and a CCD
* Added check boxes for indicating that counselling is being given when BMI is out of range
* Saving the social history from inside a consult records a smoking enqiry event
* Added a flag to indicate whether an encounter is for an inpatient or outpatient
* Coded the basic queries for the 6 core PQRI tests, and 3 alternate tests ( these will need to be checked for accuracy )
* New fields to save the PQRI registy information
* Patient name should now be included when you message staff about a patient in the patients/messages interface

R218B39 9 Nov 2010

*Settings/User/Miscellaneous2/DropBox

Use this setting and your favorites.r file ( medication shortcuts ) will be saved there. You'll need to put your favorites.r file there first so that it can be found. And then this way you'll share the file with all the users who wish to use the same settings.

R218B40 11 Nov 2010

* Bugfix - if the HL7 contains a very long number as their internal patient ID, Synapse would try to locate a patient using that number. This causes a numeric overflow as an integer, so the number got converted to decimal instead which caused the find patient routine to fail.