Knowledge base » Release Notes - epi-me » 2023/02/08 Release Notes - epi-me (eAdmissions & eReferrals)
2023/02/08 Release Notes - epi-me (eAdmissions & eReferrals)
Please contact help@episoft.com.au if you would like any of these features activated in your epi-me portal.
NEW FEATURES
PATIENT PORTAL
Addition of CDC Paediatric BMI calculator to Lifestyle & Diet Page (EM-5151, Helpdesk #21520)
Patients between the ages of 2-19 years inclusive (measured at date of admission) will now have their BMI Percentile and Percentile Range calculated using the Centers for Disease Control and Prevention BMI Percentile Calculator for Child and Teen. Whilst the calculation of BMI remains as per Adult patients, the percentile and range is a statistical interpretation based on BMI ranges for the patient's sex and age. The display of the percentile range is designed to be patient-friendly whilst being clinically precise.
This was an enhancement request by a hospital customer which would like to improve the clinical safety of their preadmission screening for these paediatric patients.
As a healthcare provider's definition of 'Paediatric' may differ from the CDC's (2-19 years of age), the BMI calculation has been added to both the Adult and Paediatric Lifestyle & Diet pages. So a General Admission patient may have a paediatric BMI calculated.
IMPORTANT! As the CDC's calculator relies on statistical datasets for Boys and Girls to calculate BMI percentile, one known issue is that paediatric patients of an Indeterminate Sex will not have a Paediatric BMI percentile calculated - it will appear as '-1th'.
Showing the calculation of BMI Percentile and corresponding Percentile Range on the Lifestyle & Diet page.
Patients 20 years and older will continue to have their BMI presented as an absolute value. Patients under 2 years of age will have not have their BMI calculated as Height and Weight are not appropriate inputs for BMI calculation.
The BMI percentile and percentile range values also show on the 'dynamic' Health History PDF printouts.
Two Clinical Alerts have also been developed to flag paediatric patients with 'out of range' values - see below in 'Admin Portal' notes.
Added configuration to show / hide 'Room Type' preference the Mental Health Admission Details page based on Admission Type (EM-5421)
As a new Mental Health customer can only offer Private Rooms for their overnight patients they have requested that Room Type preference be removed for Mental Health Overnight admission type. This has been achieved via a configuration called 'Admission Display Type ID' has been added to control the show / hide of Room Type per Admission Type.
Showing the location of the Room Type field that can be hidden via configuration.
New Form Configuration to show / hide 'Special diet / cultural needs?' on the Mental Health Lifestyle & Diet page (EM-5294, Helpdesk #22976)
As there is a means to capture patient special diets on the Patient Demographics additional page via Form Configuration DEMOGRAPHICS_ADDITIONAL_INCLUDE_DIETS_AND_FOOD_ALLERGY, this new Form Configuration allows the duplicate special diets question to be removed in the Mental Health History.
ADMIN PORTAL
Clinical Alerts for Underweight and Obese Paediatric Patients (EM-5151, Helpdesk #21520)
As described above, paediatric patients now have their BMI Percentile and Percentile Range calculated using the CDC calculation method.
To support clinical preadmission screening of this patient cohort, two new Clinical Alert types have been added; 'BMI Paed < 5th Percentile' (Underweight) and 'BMI Paed >= 95th Percentile' (Obese) respectively. As the name of the Alert suggests, they trigger based on the patient's calculated BMI Percentile
.
TIP! As there are existing Adult BMI alerts (for both underweight and obese patients) that apply to the Adult Lifestyle & Diet page, logic has been introduced to trigger only one BMI alert rather than two in the scenario where the healthcare provider has subscribed to both Adult & Paediatric BMI alerts.
IMPORTANT! The logic assumes that the healthcare provider will subscribe to both or none of the Paediatric BMI Alerts - not just one. If only Paediatric BMI Alert is subscribed - for example, the < 5th Percentile (Underweight) alert type - then there is a chance that no BMI Alert will trigger for an underweight patient between 2-19 years of age admitting as a General or Maternity patient.
The Alert text displayed on the Alerts Worklist and Staff Clinical Alerts email PDF displays the calculated BMI Percentile.
Showing one of the Paediatric BMI alerts, and the corresponding Alert Text, on the Alert Worklist.
Allow for Estimates of Fees to be generated for Mental Health eAdmissions where only the Patient Registration Form (PRF) has been submitted (EM-5307)
Aligned with other types of eAdmission Forms, we have introduced the ability to generate an Estimate of Fees for Mental Health eAdmissions where only the first half of the forms have been submitted (i.e the Registration Form). Previously the eAdmission form had to be fully submitted for an Estimate of Fees to import.
Allow for select documents to be printed from the eAdmission processing page from the Admission Worklist, rather than printing everything (EM-1789, Helpdesk #12292)
This was a feature in version 2 eAdmissions that has been reintroduced into epi-me V3.
For healthcare providers which process their eAdmission forms into their Patient Administration System from the Admission Worklist, the 'PRINT SELECTED' button has been added to complement the existing 'PRINT ALL DOCUMENTS' function.
This allows certain eAdmission documents to be printed by one staff member, and other documents by another.
Showing the addition of the PRINT SELECTED button on the eAdmission processing page.
INTERFACE CHANGES
Addition of Paediatric BMI data to <HistoryForm> extract (EM-5151, Helpdesk #21520)
To support the Paediatric BMI function described above, two new fields have been added to the <HistoryForm> XML extract.
BUG FIXES
REFERRER PORTAL
Status list on the External Referral Worklist had different Status options after performing a search (EM-5302, Helpdesk #22970)
In the referrer portal, two different Status DDLs appeared under different circumstances:
On login:
After a search / new eReferral submission:
A fix was applied so that only the reduced list of statuses shown in the first screenshot apply at all times.
Removal of the following two options from the ‘Referral Source’ drop down on the Mental health Referral page: 'Other Hospital - Healthscope' and 'Other Hospital - Non-Healthscope' (EM-5352)
Two Healthscope specific options in the Referral Source drop down list on the Mental health Assessment Outcome page have been removed for other customers.
PATIENT PORTAL
Medicare Card Number - field restricted to 10 digits (EM-5302, Helpdesk #23052)
Patients were previously able to accidentally enter 11 digits (their Medicare card number + the individual identifier) into the “Medicare card number” field on the Insurance Details page of the Patient Registration form.
This caused errors within certain customers instances of webPAS.
The field validation has been reduced to 10 digits to prevent patients from doing this.
Having a whitespace at the end of the 'Other card number' field (Insurance Details page) caused errors (EM-4470, Helpdesk #19034)
If the patient leaves a whitespace in this field, validation will now apply to instruct the patient to correct the entry before the page can save.
Showing validation to prevent whitespaces in the Other card number field.
Pages not copying-forward on subsequent Mental Health eAdmissions (EM-5308)
The following pages were not copying forward on subsequent Mental health Admissions:
> Mental Health history
> Mental Health - Lifestyle and diet
Mental Health - Recent issues/family history
This has now been fixed so that all fields copies forward as expected.
If a patient changes their allergy status (Allergies & Medications page) in a subsequent eAdmission, they were not able to save the page unless they individually removed all allergy entries (EM-5208, Helpdesk #22727)
For a patient that has previously entered allergies in the grid on the Allergies & Medications page and then selected 'No' in a subsequent eAdmission, the entered allergies were incorrectly retained which prevented the patient from saving the page
The patient's entered allergies are now cleared if they respond 'No' to the parent question.
ADMIN PORTAL
Invite Button for Mental Health eAdmission continued to show after the Mental Health Assessment was created (EM-5296)
This caused confusion for Admin Portal Users as the Mental Health Admission invite remained active after the Mental Health Assessment had been created which prevents any further prepopulation from the Mental Health eAdmission. This most commonly occurred where the Admin Portal User had started the Assessment without patient input on the Patient Portal.
This fix prevents patients wasting their time by providing an eAdmission that can't be imported into the Mental Health Assessment.
Typo in 'Admission Form Complete - Ready For Assessment' status in the Admin Portal Referral Worklist. (EM-5309)
The Referral Worklist Status formerly read: 'Admisison Form Complete - Ready For Assessment' it now reads: 'Admission Form Complete - Ready For Assessment'.
On the Insurance Details page the Medicare details were not populating from the Mental Health eAdmission to the Mental Health Assessment (EM-5326, Helpdesk #23041)
When creating the Mental Health Assessment from a linked Mental Health eAdmission, the Medicare Card details were not importing This has now been rectified and the details populate from the Admission into the assessment.
Special Diet details from the Patient Registration Form were not populating from the Mental Health eAdmission to the Mental Health Assessment (EM-5329, Helpdesk #23040)
As per above, the Special Diet details were also not importing into the Assessment. This has been fixed.
If Mental Health eAdmission had been submitted, the re-invite button still displayed (EM-5340)
This button has been hidden for forms with a completed admission.
NEW FEATURES
PATIENT PORTAL
Addition of CDC Paediatric BMI calculator to Lifestyle & Diet Page (EM-5151, Helpdesk #21520)
Patients between the ages of 2-19 years inclusive (measured at date of admission) will now have their BMI Percentile and Percentile Range calculated using the Centers for Disease Control and Prevention BMI Percentile Calculator for Child and Teen. Whilst the calculation of BMI remains as per Adult patients, the percentile and range is a statistical interpretation based on BMI ranges for the patient's sex and age. The display of the percentile range is designed to be patient-friendly whilst being clinically precise.
This was an enhancement request by a hospital customer which would like to improve the clinical safety of their preadmission screening for these paediatric patients.
As a healthcare provider's definition of 'Paediatric' may differ from the CDC's (2-19 years of age), the BMI calculation has been added to both the Adult and Paediatric Lifestyle & Diet pages. So a General Admission patient may have a paediatric BMI calculated.
IMPORTANT! As the CDC's calculator relies on statistical datasets for Boys and Girls to calculate BMI percentile, one known issue is that paediatric patients of an Indeterminate Sex will not have a Paediatric BMI percentile calculated - it will appear as '-1th'.
Showing the calculation of BMI Percentile and corresponding Percentile Range on the Lifestyle & Diet page.
Patients 20 years and older will continue to have their BMI presented as an absolute value. Patients under 2 years of age will have not have their BMI calculated as Height and Weight are not appropriate inputs for BMI calculation.
The BMI percentile and percentile range values also show on the 'dynamic' Health History PDF printouts.
Two Clinical Alerts have also been developed to flag paediatric patients with 'out of range' values - see below in 'Admin Portal' notes.
Added configuration to show / hide 'Room Type' preference the Mental Health Admission Details page based on Admission Type (EM-5421)
As a new Mental Health customer can only offer Private Rooms for their overnight patients they have requested that Room Type preference be removed for Mental Health Overnight admission type. This has been achieved via a configuration called 'Admission Display Type ID' has been added to control the show / hide of Room Type per Admission Type.
Showing the location of the Room Type field that can be hidden via configuration.
New Form Configuration to show / hide 'Special diet / cultural needs?' on the Mental Health Lifestyle & Diet page (EM-5294, Helpdesk #22976)
As there is a means to capture patient special diets on the Patient Demographics additional page via Form Configuration DEMOGRAPHICS_ADDITIONAL_INCLUDE_DIETS_AND_FOOD_ALLERGY, this new Form Configuration allows the duplicate special diets question to be removed in the Mental Health History.
ADMIN PORTAL
Clinical Alerts for Underweight and Obese Paediatric Patients (EM-5151, Helpdesk #21520)
As described above, paediatric patients now have their BMI Percentile and Percentile Range calculated using the CDC calculation method.
To support clinical preadmission screening of this patient cohort, two new Clinical Alert types have been added; 'BMI Paed < 5th Percentile' (Underweight) and 'BMI Paed >= 95th Percentile' (Obese) respectively. As the name of the Alert suggests, they trigger based on the patient's calculated BMI Percentile
.
TIP! As there are existing Adult BMI alerts (for both underweight and obese patients) that apply to the Adult Lifestyle & Diet page, logic has been introduced to trigger only one BMI alert rather than two in the scenario where the healthcare provider has subscribed to both Adult & Paediatric BMI alerts.
IMPORTANT! The logic assumes that the healthcare provider will subscribe to both or none of the Paediatric BMI Alerts - not just one. If only Paediatric BMI Alert is subscribed - for example, the < 5th Percentile (Underweight) alert type - then there is a chance that no BMI Alert will trigger for an underweight patient between 2-19 years of age admitting as a General or Maternity patient.
The Alert text displayed on the Alerts Worklist and Staff Clinical Alerts email PDF displays the calculated BMI Percentile.
Showing one of the Paediatric BMI alerts, and the corresponding Alert Text, on the Alert Worklist.
Allow for Estimates of Fees to be generated for Mental Health eAdmissions where only the Patient Registration Form (PRF) has been submitted (EM-5307)
Aligned with other types of eAdmission Forms, we have introduced the ability to generate an Estimate of Fees for Mental Health eAdmissions where only the first half of the forms have been submitted (i.e the Registration Form). Previously the eAdmission form had to be fully submitted for an Estimate of Fees to import.
Allow for select documents to be printed from the eAdmission processing page from the Admission Worklist, rather than printing everything (EM-1789, Helpdesk #12292)
This was a feature in version 2 eAdmissions that has been reintroduced into epi-me V3.
For healthcare providers which process their eAdmission forms into their Patient Administration System from the Admission Worklist, the 'PRINT SELECTED' button has been added to complement the existing 'PRINT ALL DOCUMENTS' function.
This allows certain eAdmission documents to be printed by one staff member, and other documents by another.
Showing the addition of the PRINT SELECTED button on the eAdmission processing page.
INTERFACE CHANGES
Addition of Paediatric BMI data to <HistoryForm> extract (EM-5151, Helpdesk #21520)
To support the Paediatric BMI function described above, two new fields have been added to the <HistoryForm> XML extract.
- <BMIPaedPercentile>
- <BMIPaedPercentileText>
BUG FIXES
REFERRER PORTAL
Status list on the External Referral Worklist had different Status options after performing a search (EM-5302, Helpdesk #22970)
In the referrer portal, two different Status DDLs appeared under different circumstances:
On login:
After a search / new eReferral submission:
A fix was applied so that only the reduced list of statuses shown in the first screenshot apply at all times.
Removal of the following two options from the ‘Referral Source’ drop down on the Mental health Referral page: 'Other Hospital - Healthscope' and 'Other Hospital - Non-Healthscope' (EM-5352)
Two Healthscope specific options in the Referral Source drop down list on the Mental health Assessment Outcome page have been removed for other customers.
PATIENT PORTAL
Medicare Card Number - field restricted to 10 digits (EM-5302, Helpdesk #23052)
Patients were previously able to accidentally enter 11 digits (their Medicare card number + the individual identifier) into the “Medicare card number” field on the Insurance Details page of the Patient Registration form.
This caused errors within certain customers instances of webPAS.
The field validation has been reduced to 10 digits to prevent patients from doing this.
Having a whitespace at the end of the 'Other card number' field (Insurance Details page) caused errors (EM-4470, Helpdesk #19034)
If the patient leaves a whitespace in this field, validation will now apply to instruct the patient to correct the entry before the page can save.
Showing validation to prevent whitespaces in the Other card number field.
Pages not copying-forward on subsequent Mental Health eAdmissions (EM-5308)
The following pages were not copying forward on subsequent Mental health Admissions:
> Mental Health history
> Mental Health - Lifestyle and diet
Mental Health - Recent issues/family history
This has now been fixed so that all fields copies forward as expected.
If a patient changes their allergy status (Allergies & Medications page) in a subsequent eAdmission, they were not able to save the page unless they individually removed all allergy entries (EM-5208, Helpdesk #22727)
For a patient that has previously entered allergies in the grid on the Allergies & Medications page and then selected 'No' in a subsequent eAdmission, the entered allergies were incorrectly retained which prevented the patient from saving the page
The patient's entered allergies are now cleared if they respond 'No' to the parent question.
ADMIN PORTAL
Invite Button for Mental Health eAdmission continued to show after the Mental Health Assessment was created (EM-5296)
This caused confusion for Admin Portal Users as the Mental Health Admission invite remained active after the Mental Health Assessment had been created which prevents any further prepopulation from the Mental Health eAdmission. This most commonly occurred where the Admin Portal User had started the Assessment without patient input on the Patient Portal.
This fix prevents patients wasting their time by providing an eAdmission that can't be imported into the Mental Health Assessment.
Typo in 'Admission Form Complete - Ready For Assessment' status in the Admin Portal Referral Worklist. (EM-5309)
The Referral Worklist Status formerly read: 'Admisison Form Complete - Ready For Assessment' it now reads: 'Admission Form Complete - Ready For Assessment'.
On the Insurance Details page the Medicare details were not populating from the Mental Health eAdmission to the Mental Health Assessment (EM-5326, Helpdesk #23041)
When creating the Mental Health Assessment from a linked Mental Health eAdmission, the Medicare Card details were not importing This has now been rectified and the details populate from the Admission into the assessment.
Special Diet details from the Patient Registration Form were not populating from the Mental Health eAdmission to the Mental Health Assessment (EM-5329, Helpdesk #23040)
As per above, the Special Diet details were also not importing into the Assessment. This has been fixed.
If Mental Health eAdmission had been submitted, the re-invite button still displayed (EM-5340)
This button has been hidden for forms with a completed admission.
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