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Enhancements
 
IOS-3661 Order history now available for individual orders
Setting Change: No
Min. Server Req'd: 9.2.0.2.36
If enabled at an organization, users can now view the history of an order by tapping the Order History button in the order Details screen. An order's history includes events such as the date and time the order was placed, the physician who placed and signed the order, if the order was ever on hold, and the current status of the order.
This historical information is available only on existing orders, since new orders do not yet have any history. For existing orders, it is available only on a) orders entered directly in the source system, or b) orders entered in PatientKeeper CPOE, after the order has made the round trip to the source system and back.
System administrators can enable the Order History button display using the Admin > Facility Group > CPOE Preferences > Show the Order History Option in CPOE Order Detail Screens preference.
NOTE: This feature is available only if your source system is MEDITECH® Magic.
 
IOS-3673 Compound medications now show ingredients below the compound name
Setting Change: No
Min. Server Req'd: 9.2.0.2.36
In systems such as MEDITECH, medications are compounded by the pharmacy in cases where it is either more cost efficient or an off the shelf product does not exist. For example, the brand Vytorin is a combination tablet consisting of ezetimibe and simvastatin. In the hospital, the pharmacist can substitute individual tablets of ezetimibe and simvastatin when a provider orders Vytorin. A pharmacist may also prepare a suspension made up of multiple ingredients.
Prior to this enhancement, PatientKeeper was displaying compound orders as multiple separate medications which made it difficult for the provider to review, discontinue, or modify. This approach also prohibited interfacing compound medications.
Now compounded medications display as a single order. On the Order Details, the elements that make up the compound (and their dosages) are listed below the order name as the "compound ingredients." This will improve provider workflow and allow for interfacing these kinds of medications.
 
IOS-3691 Administrators can now require the Resume Date/Time when providers place active medication orders on hold.
Setting Change: Yes
Min. Server Req'd: 9.2.0.2.36
Administrators can now select a new Require Resume Date/Time for Hold option in the Admin > Facility Group > Order Types > [medication] > Allowed Workflows setting, to require providers to specify a resume date and time when placing a hold on an active medication order on Apple devices (previously, this setting only affected the desktop application). 
When this setting is enabled and a provider is placing an active medication order on hold, the Resume Date/Time fields are marked with a red exclamation point to indicate that they are required and must be completed to complete the hold action.
When the setting is disabled, the Resume Date/Time fields display when a provider is placing an active medication order on hold, but they are not required.
The Require Resume Date/Time for Hold option is deselected by default.
 
IOS-3778 Providers can now use a time picker to specify a time when entering an order in the Orders or Medications module.
Setting Change: No
Min. Server Req'd: 9.2.0.2.36
Providers can now use a time picker to select a specific time when entering orders in the following scenarios:
In the Orders module, when the Start First Dose field has a selection of Today at, Tomorrow at, or In N days at.
In the Medications module, when the When field has a selection of Today at, Tomorrow at, or In N days at.
This enables providers to specify any time for the order. (Previously, the user could only select from a list of 30 minute increments.)
 
IOS-3782 Ability to favorite parent/child medication orders
Setting Change: No
Min. Server Req'd: 9.2.0.2.36
Parent/Child orders, such as IV medications that have a "parent" medication and then a "child" additive or diluent, can now be favorited on iOS devices (previously, clinicians could not add these types of medications to their favorites list). Clinicians can use all of the usual methods to favorite a parent/child medication order, such as favoriting a new order while entering it, favoriting an existing order while viewing its order details, or using the Manage Favorites option to favorite an order. Additionally, when searching for a medication in the Orders module, parent/child medications now show in a multi-line format.
 
IOS-3801 A new configuration prevents 1x and STAT hospital orders from matching to unreconciled home medications in AMR to make it clear to providers that the home medications may need to be continued in the hospital beyond just a one-time dose.
Setting Change: Yes
Min. Server Req'd: 9.2.0.2.36
Administrators can use a new CPOE Preference setting, called Match Existing One-Time Hospital Orders to Home Medications in AMR?, to prevent One-Time or STAT hospital orders (from the hospital's MEDITECH system) matching to unreconciled home medications in Admission Medication Reconciliation (AMR). This will make it clear to providers that the home medications may need to be continued in the hospital beyond just a one-time dose.
When Match Existing One-Time Hospital Orders to Home Medications in AMR? Is set to No, unreconciled equivalent One-Time or STAT hospital orders do not display as reconciled with home medications.
The default setting for Match Existing One-Time Hospital Orders to Home Medications in AMR? is Yes.
 
IOS-3812 Ability to enter Stop Date on medication orders
Setting Change: No
Min. Server Req'd: 9.2.0.2.36
A new Stop Date field is now available on the Order Details screen, if configured by the administrator. When configured, the Stop Date field allows the user to select a specific date and time to stop the medication using a calendar date/time picker. For non-PRN medications, the Stop Date field is available only if the user has not entered a value in the # of Days, # of Hours, # of Doses, or # of Bags field. For PRN medications, the user is allowed to manually enter a Stop Date in addition to the # of Doses or # of Bags fields.
When favoriting a new or existing medication that has a value in the Stop Date field, the medication is favorited, but the Stop Date field on the Favorite order is left blank (since an actual calendar date in this field would not make sense for a Favorite order). A warning message is displayed to the user to indicate that they should use the Manage Favorites option to edit the Favorite order and enter a relative Stop Date, such as "T + 2" meaning two days after today.
 
IOS-3862 Total Volume displayed for Parent/Child medications with a single diluent or additive
Setting Change: No
Min. Server Req'd: 9.2.0.2.36
For parent/child medications that have a single child medication that is a diluent or additive, the application now shows the total volume of the diluent/additive at the end of the order string, as in the example below:
Vancomycin Inj 1 GM IV Q12
  D5-Water (DFW) 100 mL (Total 110 mL)
This new information shows in all areas of the application where this type of order can be displayed, including for example:
On the Orders Summary for a new or existing order
On the Order Details screen for a new or existing order
On the Favorites List
In the search results after searching for an order
On the Order Set screen
On the Alerts screen when a parent/child medication interacts with or is a duplicate of another order
 
IOS-3903 Automatic calculation and display of Stop Date
Setting Change: Yes
Min. Server Req'd: 9.2.0.2.36
When entering a new order, if the user completes the # of Days field on the Order Details screen (which means that they cannot manually enter a value in the Stop Date field), then the application will now calculate the Stop Date for the user (based on the Start Date and the # of Days entered by the user) and display it just below the # of Days field. For example, if an order starts Today and # of Days is set to 3, the Stop Date/Time would be calculated as Today + 2 days at 2359 (2359 is always used as the calculated stop time). This calculation and automatic display of the Stop Date occurs only if the new configuration setting below is set to "Calendar Day."
Admin > Facility Group > [select a facility group] > CPOE Preferences > Define # of days
 
IOS-3905 Administrators can now require the Hold Reason when providers place active medication orders on hold on Apple devices
Setting Change: Yes
Min. Server Req'd: 9.2.0.2.36
Administrators can now select the Require Hold Reason  option in the Admin > Facility Group > Order Types > [medication] > Allowed Workflows setting, to require providers to specify a hold reason when placing a hold on a medication order on Apple devices (previously, this setting only affected the desktop application). 
When this setting is enabled and a provider is placing an active medication order on hold, the Hold Reason field is marked with a red exclamation point to indicate that it is required and must be completed to complete the hold action.
When the setting is disabled, the Hold Reason field displays when a provider is placing an active medication order on hold, but it is not required.
The Require Hold Reason option is deselected by default.

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