Release Notes CA Nightingale 9.2.3 - RSA SecurID · PDF filebased clinical and practice management technology for physicians and other health ... The insurance company must be added

Nightingale On Demand 9.2.3 – October 30th/2013 Page 1

Software Release Notes for Version 9.2.3 Release Date November 2nd/2013 Version Nightingale On Demand Version 9.2.3 Type Major Release Description This is a major release of the Nightingale On Demand application from

Nightingale Informatix Corporation. This release is comprehensive of all custom approved development, highly requested enhancements as well resolutions to 127 identified production issues.

Table of Contents

Product Description .................................................................................................................................................. 2

Release Summary ...................................................................................................................................................... 2

Certified Environments ............................................................................................................................................. 2

Supported Browsers .......................................................................................................................................... 2

MAC & Parallels 5.0 ......................................................................................................................................... 2

Tested Peripheral Hardware ...................................................................................................................................... 3

Feature Details .......................................................................................................................................................... 4

3rd Party Invoice Report .................................................................................................................................... 4

Bio-Test Laboratory Interface ........................................................................................................................... 6

9.2.3 Issues resolution and minor enhancements .............................................................................................. 7


Product Description

The Nightingale suite of products is a proprietary, integrated, hosted, application suite that offers real-time, browser-based clinical and practice management technology for physicians and other health care providers. The Nightingale On Demand application enables physicians and office staff to streamline their workflow, schedule patient appointments, invoice payers for services rendered, document patients’ charts and write prescriptions electronically.

Release Summary

This Major release is comprehensive of resolutions to production reported issues across the application as well as newly added features. These features include:

1. 3rd Party Invoice Report 2. Bio-Test Laboratory Interface

3. 9.2.3 Issues and Resolutions

Certified Environments

Nightingale has not yet approved Internet Explorer 9.0. We continue to work with third-party vendors to resolve the printing issues that are associated with the upgrade to Internet Explorer 9.0.

Supported Browsers

Nightingale On Demand version 9.2.3 has been tested and certified in the following environments:

• Windows XP SP2 & IE 7.0



• Windows 7 & IE 8.0

MAC & Parallels 5.0

Nightingale recommends the following Mac configuration when using Parallels 5.0:

• Mac OS X

• Parallels 5.0

• Microsoft Windows 7.0

• Memory requirements for Mac hardware is a minimum of 3 Gigabytes RAM

• Parallels should be configured to allocate 1 Gigabyte to the Windows 7 environment. 1.5

• 2 Gigabytes are recommended to be allocated to the Windows 7 instance if ADM is to be used. For optimal viewing you should be running Parallels in full-screen mode


Tested Peripheral Hardware

The following peripheral hardware has been tested and confirmed to work with the identified environments above.

• Label Printers:

o Dymo 320 Label Writer (Windows XP & IE 6, 7, 8 only)

o Dymo 450 Label Writer

• Card Swipe:

o Digitech MX33USB

o Unitech MS241-2UG

• Scanners:

o Fujitsu F1 412002 – Twain

o HP Multifunction (HP Office Jet Pro 7680) - Local Twain

o HP Scanjet 5590


Feature Details

3rd Party Invoice Report

This enhancement will allow users to report on billing information recorded within ‘Private – 3rd Party’ invoices. This will be implemented as a custom report and will only be available to users from Windsor Medical Clinic. All other users who would like to have access to this functionality must contact Help Desk. Prior to generating a 3rd Party Invoice report, the following must be completed for data to appear in the report:

1. An insurance company must be created in Enterprise > Billing > Insurance. 2. The insurance company must be added to a patient’s chart (Details > Demographics). 3. At least one 3rd party invoice must be issued or partially paid (i.e. Invoice Status = Issued or Partial). Only

services with outstanding amounts will display in the report. a. An invoice has a status of ‘Issued’ when clicking the ‘Save & Issue’ button when creating a ‘Private

– 3rd Party’ invoice. b. An invoice has a status of ‘Partial’ when the total billed amount of the invoice is only partially paid

(i.e. an outstanding amount exists). Note: If an invoice has a status of ‘Edit’, the services within that invoice will not display in the report.

Once the necessary steps have been completed, the report can be generated and printed from the following location in NOD: Reports > Custom > Options > 3rd Party Invoice Report.

Users can specify a specific date range for the report that will display services that occurred (i.e. Service Date) within that range. The report can also be filtered based on the ‘Days Outstanding’ which indicates how long a service has been outstanding (i.e. not paid in full from the date the invoice was issued to the current date). There are 5 categories that will be available in the ‘Days Outstanding’ drop-down list:

• All (default) = Displays all services no matter how long they are outstanding.

• 30 = only displays services that are outstanding for less than or equal to 30 days.



• 90+ = only displays services that are outstanding for greater than 90 days. Below is an example of how the 3rd Party Invoice report will display along with the sections included in the report.

1. “Payer” Invoice – This section displays details of all 3rd Party Invoices for a specific payer. 2. Payee Details 3. Payer Details 4. Reporting Period 5. Service Details 6. Page Break 7. “Payer” Invoice – This is the beginning of the next payer invoice.



Bio-Test Laboratory Interface

This enhancement addresses the development of an HL7-based interface that supports inbound receipt and display of Laboratory reports in the NOD application. The messages will be received from Bio-Test Laboratories Inc. who provides test results for patients visiting Centre Medical Ste-Anne. As with other HL7-based reports, these will display in NOD as either matched or unmatched. If the report is matched (i.e. provider and patient in HL7 message are the same as in NOD), then the report will display as an unsigned report in the following areas within NOD (Refer to screenshot below).

1. Review Reports list (Office Actions module > Administration > Review Reports) 2. Unsigned Reports list (Patients module > Reports > Lab Reports)

Provider matching will be based on the following provider identifier:

• Group = ‘Lab Codes’

• Type = ‘Bio-Test Lab Code’

Patient matching will be based on the following rules:

• Primary match = Health Card Number + Date of Birth (DOB); if patient does not match, then check secondary criteria.

• Secondary match = Patient first name + last name + DOB + Sex If the report is matched to a provider but not to a patient, the report will display in the Unmatched Reports list (Office Actions module > Administration > Review Reports > Unmatched hyperlink).


9.2.3 Issues resolution and minor enhancements

The list of resolutions below is a subset of customer requests that has been selected for inclusion in this release based on criticality and impact on users. If your reported case is not listed below, it will remain as a known issue and will be addressed in a future release.

85797 Resolved issue where the Statement of Account was displaying companies that did not have an outstanding balance. Only companies with an outstanding balance will display now.

89290 Resolved issue where the quantities were not displaying in the prescriptions.

97774 Resolved issue where clinical notes were not masking.

98383 Resolved issue where the premium amounts were incorrectly calculated when loading multiple bundled codes.

98876 Changed the sort order for the list of read-only (split screen) lab reports. They are now displayed chronologically (Sorted by Date Collected instead of Date Ordered).

99820 Resolved issue where the patient phone number displayed in an appointment was different than what was recorded in the patient’s demographics.

99977

Resolved issue where a warning message was not displaying when an appointment was booked more than once (on the same day) for a patient. If an appointment is already booked for a patient and a user attempts to book another on the same day, a message is displayed to inform the user the patient is already booked.

103534 Resolved issue where the Billing number of a Referring Physician was not saving in Simple Demographics.

104634 Resolved issue where some providers were available for selection in the OLIS Patient Query.

105336 Resolved issue where a session error was occurring when a user attempted to add a new staff role that contained a single quote (‘) or comma (,).

106280 Resolved issue where users were prompted to enter the arrival date to Canada when attempting to save any changes to Demographics.

107509 Resolved issue where report queries in OLIS were failing. This error was only occurring for Nurse Practitioners but has now been fixed.

107789 Same as case #107509.

108289 Resolved issue where the patient address was not displaying in the Adhoc Report.

109070

Resolved issue where the read-only encounter or CPP information (displayed on the left side of the split screen) could be for one patient but the Lab or DI report displayed on the right could be for another patient. The following has been implemented to prevent this situation from occurring:

• The name of the patient is now displayed in the read-only Encounter and CPP display.

• When the user navigates to another Lab or DI report in Review Reports (via the up or down keys), then the Encounter or CPP split screen will close.

110847 Resolved issue where the dispense information was not displaying in full when a prescription was previewed or printed.

110873 Resolved issue where the patient’s age was not displaying correctly within the Tabular or Graph view of a lab result.

110877 Resolved issue where the incorrect time (12 am) was displaying when creating an encounter.

111069 Added the option ‘On-Call’ to the list of Types for an encounter.

111631 Resolved issue where an object error was displaying when a user attempted to add a new Provider Identifier type.

111639 Resolved issue where duplicate records were being included in the BIRT Extract.

111717 Modified the BIRT extract schema to support alpha numeric for the CLIENT_ID

111763 Removed an Rx that was mistakenly entered into a patient’s chart with the wrong medication.

111937 Resolved issue where printed encounters were displaying the incorrect date of birth for the patient.

112122 Resolved issue where an error message was displaying when attempting to remove a contact from patient demographics.

112184 Resolved issue where users were not able to enter a free text value for a patient identifier


112317 Resolved issue where the claims listed in Claims to Send were not listed alphabetically.

112390 Resolved issue where a session error was occurring when searching for a medication within a clinical report.

112736 Resolved issue where lab results were displaying under the wrong category

112890 Resolved issue where users were not able to query multiple reasons for visit within the Data Miner application.

113353 Resolved issue where vitals - from two or more encounters – measured in different units (e.g. LBS and KGS) was not converting appropriately within a flowsheet graph.

113375 Resolved issue where information was missing from antenatal forms.

113376

Resolved issue where the name of the user – who made a comment in an unmatched lab report – was not displaying in the same lab report that was matched to a patient by another user. In other words, when user 1 made a comment to an unmatched report and user 2 matched the report, user 1 was not being shown as the one who made the comment. It was marking user 2 – who matched the report – as the one who made the comment. With this fix, user 1 is now displayed as the user who made the comment.

113456 Resolved issue where the following message was displaying when modifying a user role: “This user role in already taken.”

113461 Resolved issue where plan notes were not masking properly.

113617 Resolved issue where a session error was displaying when a user attempted to view the Tabular or Graphic Trend for a lab report.

113674 Resolved issue where the insurance company information was not saving (Enterprise > Billing > Insurance > New).

113722 Resolved issue where the overnight HM report (immunization) was reporting on patients with the incorrect age range.

113776 Resolved issue where a session error was displaying when a user attempted to view a clinical note – that was uploaded to an encounter from ADM.

113880 Resolved issue where users were unable to save or update a dialogue from System Setup or Enterprise modules.

113885 Resolved issue where the electronic report – received from MDS – was not displaying all the results.

113968 Resolved issue where all of a patient’s medications (including historical and deleted ones) were displaying in the antenatal form. Only the patient’s active medications are displaying now.

114018 Added a new image of a detailed colon labeled as ‘Colon – Detailed’ within Reportable Fields

114277 Resolved issue where the incorrect dates were displaying for the Chart Status Date and Deceased Date fields within a Data Miner report.

114395

Updated the percentages for the following billing codes:

• E400 = 40%

• E401 = 65 %

114417 Resolved issue where some encounter information such as plan notes and assessments were not displaying when viewed from Chart History.

114676 Resolved issue where the dispense amount for medications – with a frequency of ‘OD’ or ‘QD’ – were displaying as ‘NaN’. The correct dispense amount is displaying now.

114717

Resolved issue where a session error was occurring when attempting to access the following locations:

• Login to NOD (csimpson39) > go to system setup > practice > Security > users > click on the user

• Go to enterprise > users > users > click on a user > click on the location tab

114990 Resolved issue where HTML lab reports were not displaying properly when imported from Purkinje. HTML documents within lab reports can now be viewed as expected.

115422 Resolved issue where the copying and pasting of a group appointment was resulting in a session error.

115589 Resolved issue where the tabular trend for a lab report (from CPP) was not showing the correct test results.


115640

Resolved issue where the immunization - Pneumovax 23 - could only be administered Subcutaneously (SC). The route can now be selected as either IM (Intramuscularly) or SC when selecting Pneumovax 23.

115659

Resolved issue where the directions for medications within a consult letter were printing incorrectly. The issue was only occurring with ‘As directed’ medications. The directions for these medications are now displaying appropriately.

115711

Resolved issue where the list of shortcut icons – displayed at the bottom left corner of all NOD screens – was not accessible. A session error was displaying. This was occurring when the default provider in Dashboard was set to None. The icons will now display whether a default provider is selected or not.

115737 Resolved issue where two appointments were shown as booked on a schedule when only one was actually booked.

115765 Resolved issue where the masking of assessments was not working properly.

115789 Resolved issue where users were unable to query multiple assessments within an encounter in Data Miner.

115991 Resolved issue where a session error was occurring when opening a prescription from Dashboard.

116243 Resolved issue where ‘Undefined’ was displayed in patient handouts.

116577 Resolved issue where some electronic correspondence and DI reports were not displaying in NOD.

116613

Resolved issue where the following message was displaying when deleting a pending requisition: “There is currently no open clinical encounter to view.” Upon deleting a requisition from the Pending Requisitions list, the message no longer displays; instead, the Favorite Requisitions screen is now displayed.

116870

Resolved issue where some custom reports were displaying incorrect or no results. The following reports have been fixed:

• Rostered patient per family physician

• Patients per family physician

• Preventative practice care patients per physician (Mammogram, Pap Smear, Influenza, and Immunization)

117741

Added two new fields to the Appointments category in Data Miner:

• Checked In At

• Checked Out At

118219 Resolved issue where a session error was occurring when attempting to add the control – ‘Problem Management’ – to a dialogue.

118362 Resolved issue where an ‘Error on page’ error was occurring when attempting to search for a patient by last name.

118783 Resolved issue where lab reports were not sorting properly.

118977 Resolved issue where users were able to view, edit, and run Data Miner reports that belonged to other enterprises.

118983

Updated the cancer screening criteria for three standard HM reports as specified by MOHLTC. The new guidelines – which can be found at the following address – will impact the following HM reports: FOBT, Mammogram, and Pap Smear. http://www.health.gov.on.ca/en/public/programs/cancer/screening/guidelines.aspx

119205 Resolved issue where users were unable to search for a patient by phone number.

119222

Resolved issue where outgoing correspondence reports (i.e. Consult letters) were not showing Recipient information if the recipient was selected from the Company Address book (Rolodex) where the First/Last name was blank but the Department had a value. In this scenario, the department is now displaying as the recipient.


119384 Resolved issue where the date stamp for running a custom report was not defaulting to the current date.

119426 Resolved issue where the test result categories – within a lab report – were not displayed in the correct order.

119443

A new field has been added to the Encounter category within Data Miner called ‘Signed Off By Provider Type’. This will allow users to report on the provider type of the user who signed off an encounter.

119447 Resolved issue where the BIRT extract was identifying ‘deleted’ and ‘removed’ records as duplicates. The extract now contains the data as expected.

119450 A new field – Location – has been added to the Productivity Information category within Data Miner. This will allow users to report on the location for users of this category.

119477

Resolved issue where the full legal name (first and last) of a patient was not displaying in a prescription, lab requisition and other areas in NOD where the patient name is displayed. The following changes have been applied to resolve this situation:

• The patient name field in Demographics now allows 50 characters for both the first and last names.

• All areas in NOD where the patient name is displayed were modified to ensure all characters would display properly.

• Word wrapping was applied in areas that do not have sufficient space to display all characters in one line.

• For ON General laboratory requisition only, the following changes have been made due to space restrictions:

o Display first 24 characters of the Last Name (in Last Name field) and cut off any characters beyond that.

o First Name/Middle Name field = If middle name exists in Demographics, display first 12 characters of first name and first 12 of middle. Cut off any characters beyond that limit. If middle name does not exist, display up to 24 characters of the first name. Cut off any characters beyond that limit.

119500

Resolved issue where the medication results box was not displaying the entire medication name when searching in the drug database. The results box is now wider to allow for the entire name to display. The medication results drop-down list was also widened for the CPP quick drug search.

119617 Resolved issue where a new field – Payment Program – has been added within Data Miner. This will allows users to generate a revenue report in Data Miner.

119630 Resolved issue where users were unable to add or save an OHIP number or alternate identifier. It is now saving as expected.

119920 Resolved issue where a session error was occurring when generating an OBEC report.

120032

Resolved issue where the Encounter split-screen view was closing when adding an assessment to the current encounter displayed on the right side of the screen. The split-screen remains open with this fix.

120079 In the BIRT export schema, the Group Title in the Group Profile data element has been modified from 40 characters of type String to 100 characters of type String.

120209 Resolved issue where an outgoing correspondence report was not displayed in the Outgoing Correspondence Reports list.

120292 Resolved issue where claims within a RA file were not sorting properly when clicking the Patient heading. The claims are now sorting properly by patient name with this fix.

120295

Ensured that when a real-time health card validation is done, it will display the code as well as the description to the user AND will update the patients Health Care Alerts with the new error message, or if it is a "valid" card, then clear the current alert.

120625 Resolved issue where MSH labs and DI reports were not processing and displaying in NOD.

120727 Resolved issue where a session error was occurring upon logging into NOD.

121132 Resolved issue where a Medicare (NB) claim was not defaulting to the proper location set in Setup > EDI > Provider information.

121486 Resolved issue where the encounter time was not displaying correctly in the Unsigned and


Signed Off list views. The time is now showing as 12:00 PM instead of 0:00 PM.

121594 Two new categories – Invoice and Payments – have been added under the Billing section of Data Miner. This will help facilitate Billing/Financial reporting.

121605

Resolved issue where an invalid referral status date was displaying for an outstanding correspondence report (Patients > Reports > Outstanding Reports). It is now displaying as "Pending", "Sent", or "Booked", as expected.

121835

Resolved issue where as session error was occurring when editing a schedule. This was occurring when the number of appointment types in the schedule exceeded 200. Schedules can now be edited without error in this situation.

121875 Resolved issue where the first and last names of co-signors of an encounter were not displaying in a Data Miner report.

122022

Resolved issue where specific information was not saving properly within an encounter. This was occurring specifically with subjective/objective and plan notes. These two fields are saved as soon as a user clicks outside of either text area (This can be seen when the text area turns red indicating that it is saving). The more text there is, the longer it will take to save (but not a significant amount of time) so when the Sign Off button is clicked, the Sign off action occurs before the system can completely save all the text. When clicking any action button (i.e. Sign off Now, Sign off later, Print encounter), the system forces the Save action to occur first. Once the save is complete, it will then automatically trigger the action that the user selected (e.g. Sign off now).

122072

Resolved issue where an encounter and correspondence report was being created when receiving an HL7 message for GBHS (Grey Bruce Health Services). Only one or the other is created now in NOD depending on the type of provider that is matched. If the report is matched to the Dictating Provider, then an unsigned encounter will be created. If matched to the consulting provider, then an Incoming Correspondence report will be created.

122266 Resolved issue where the Reason for Visit – which is recorded within an encounter – was not displaying in the read-only (i.e. split-screen) view of an encounter.

122363 Resolved issue where users were not able to select an option – ‘Unknown’ – as a reason for an injection. This option is now available within the Reaction drop-down list for injections.

122875 Resolved issue where the CONTACT_LOCATION element within the BIRT extract was returning an unknown value (7) to AOHC. The correct value (0) is now being returned.

122905 Resolved issue where an error was occurring when running an Adhoc report that included a schedule with a name that consisted of more than 50 characters

123015

Resolved issue where a session error was occurring when a user attempted to update a patients chart within an appointment (Schedule > Click on appointment time (hyperlink) > Search & select any patient > Click Update Patient button at the top). The registration window is now displayed as expected when clicking the button.

123054 Resolved issue where NL DI Reports were displaying as ‘unmatched’ even though the patient name and DOB matched to a patient within NOD.

123492 Resolved issue where the deletion of an encounter was not being recorded in the Activity Log.

123662 Resolved issue where a task – assigned to users with the ‘Receptionist’ role – sent from one office could not be seen in other offices.

123968 Resolved issue where the status date of a patient was not being updated when receiving an ADT message from TOH (The Ottawa Hospital).

124081

Resolved issue where the incorrect amount was being calculated when billing premiums in an OHIP claim. When manually correcting the value and saving the invoice, the amount was reverting back to the incorrect amount. The amount for premium – ‘E409A’ (50%) – for codes Z442, Z440, G297B is now displaying the correct amount and is saving properly.

124203 Resolved issue where the comments for a scanned document were not displaying within the lab report.

124475 Resolved issue where two appointments were being booked in a schedule when only one was actually booked.

124606 Resolved issue where TOH incoming correspondence reports were printing blank. The actual


report is printing as expected.

124624 124625

Resolved issue where medication expiry date was changing when updating the SIG instructions of the medication. The expiry date is no longer changing in this scenario.

124820 Resolved issue where a completed task was not being removed from a user’s To Do List. Upon clicking the Complete button, the selected task(s) will now be removed as expected.

124859 Resolved issue where the sort order – when clicking a header – for Correspondence reports (Review Reports) was changing when navigating to the next page of results.

125046 Resolved issue where a session error was occurring when attempting to open a signed encounter.

125069

Resolved issue where the brand name and manufacturer information would not display (i.e. results would display and then disappear) when creating a new default immunization (Patients Module > Setup > Manage Clinical Lists > Immunizations > New). This was occurring due to the fact that the user was searching for a brand name prior to selecting an immunization. If this situation occurs now, the user will be prompted to select an immunization first.

125429

Added the following values within their respective in Demographics. 1. Language of Origin - Cayuga, Oneida, Onondaga, Seneca, Tuscarora 2. Religion - Longhouse/Traditional 3. Ethnicity - First Nation/Inuit/Metis 4. Citizenship - North American Indian

125449

Resolved issue where the incorrect billing amounts were being calculated when loading bundled codes. This was due to the system associating a premium code (within bundle) to the first service code (non-bundle) instead of a code within the bundle.

125514 Resolved issue where the incorrect time was displayed for Adhoc and Financial reports.

125915

Resolved issue where the drug list results box – when searching for a drug via a drug class within the Drug Database – was displaying wider than the screen resulting in the display of a horizontal scroll bar. This was due to drugs whose name was longer than the drug list. For these drugs, the name will be cut off; however, the full name will display below the drug list.

126015

Resolved issue where an error message was displaying when loading a PDF document from Office Actions > Admin > File Report > File All. Users can now upload any type of document without issue.

126057 Resolved issue where the Start and End date/time fields within an NB invoice were disabled (greyed out) by default. This is active upon opening the invoice.

126135

Resolved issue where the Search and Search Across Locations functions were not working. When the search button was clicked the user's location was being pulled and became the same as the patient's location. When the search across location button is clicked the location of patients from other locations appear as N/A. When the search button is clicked, the location field now will display the location that was saved in the patient's chart. When the search across location button is clicked the location of patients from other locations does not display N/A.

126193 Resolved issue where users were not able to open PDF documents that were uploaded from Office Actions.

126457 Resolved issue where users were not able to view claims in error in an office where they had the proper permissions set.

126597 Resolved issue where the incorrect encounter time was saving when signing off an encounter.

126847

Resolved issue where an error was occurring when a user attempted to load a bundled code to an invoice. This was due to the bundle containing more than one premium code and the premium service fee was calculating using the incorrect service code.

127143

Resolved issue where the billed amounts within the Applied Payments report were displaying amounts without a $. This was due to the fact that these amounts were being treated as ‘Text’. The amounts are now displaying as expected.

127229 Resolved issue where a patient was not displaying in the Reverse Payment search results even


though a payment was already applied to the patient’s account.

128948

Resolved issue where the past medical history was not merging properly when merging patients. The Past Medical History of the top patient is now appending below the Past Medical History of the master patient.

Documents

Release Notes CA Nightingale 9.2.3 - RSA SecurID · PDF filebased clinical and practice management technology for physicians and other health ... The insurance company must be added