June 7th

Added Portocath as a Page 8 medication route, maps to "Other" for NEMSIS v3.3.4.
Changed a number of Protocols in the system to V3.4 values, mapped to "Other" for NEMSIS v3.3.4. No visual change to users, values remain available for import.
- Cardiac Arrest-Determination of Death / Withholding Resuscitative Efforts,
- Injury-Conducted Electrical Weapon (e.g., Taser),
- Injury-Facial Trauma,Injury-General Trauma Management
- Injury-Lightning/Lightning Strike,
- Injury-SCUBA Injury/Accidents,
- Injury-Topical Chemical Burn,
- Medical-Beta Blocker Poisoning/Overdose,
- Medical-Calcium Channel Blocker Poisoning/Overdose,
- Medical-Opioid Poisoning/Overdose,
- Medical-Respiratory Distress-Bronchiolitis,
- Medical-Respiratory Distress-Croup,
- Medical-Stimulant Poisoning/Overdose
Added 3 Demographic Facility Types: Rehab, Mental Health, Dialysis Center
Added storage for CAD System to transmit "Unit Dispatch Record ID"
Service switch via Configuration >> Service >> Chart tab to use Patient Condition At Destination (v2/v3.3.4) which includes Improved, Worse, Unchanged or Final Patient Acuity which includes Critical, Emergent, Lower
New Hospital Unit - Outpatient Surgery to distinguish between Outpatient Center which is the same as Outpatient Bed
Added State of Emotional Distress to Barriers to Care. Maps to "Uncooperative" in NEMSIS v3.3.4 and Not Reporting in V2.
Added Unresponsive to allowed Pertinent Negatives for Allergies. Maps to Unable to Complete for NEMSIS v3.3.4
Added 4 Medication Routes for Patient, Prior, and Page 8 medications
- Micrograms per Kilogram (mcg/kg)
- International Units ( we already had the v3.4 "Units" and had made U and IU equivalent Therefore, instead we added the v3.3.4 "IU" to keep everything in sync)
- Units per Kilo per Hours (units/kg/hr)
- Units per Kilo (units/kg)
Added X12 Payer Type to Payors code table at service level
Added Insurance Group Name to Patient Page Billing section, clarified Group (Number) (*needs to be added to printing*)
Split Procedure Complications of Itching & Urticaria
Added Page Stroke/CVA Symptoms Resolved
Last Baseline Seen time on Page 3 available for all charts (previously only those utilizing pertinent negatives)
Additional Risk Factors were added for importing / mapping via Command Facility.
Drug/Alcohol field was removed except for charts which recorded that value. Indicators was renamed to Drug/Alcohol Indicators (non-NEMSIS enhancement)
Frequency of Patient Medications was added (non-NEMSIS enhancement)
Exam Updates
- Hid Gunshot Entry/Exit, used simple Gunshot Wound for a number of values

June 8th

Drug/Alcohol was rolled back, but Indicators is now always available. Drug/Alcohol will go away soon.

July 12th

Hospitals can now have multiple NPI numbers and Phone Numbers.

July 18th

Pt. Followup - multiple Injury Causes
Patient Page - Payment section - X12 Payor Type here which will be used for export since NEMSIS defines as per run, not per insurance payer.

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