' PROMIS 4.15 Release Notes – PROMIS Portal
PROMIS Portal > Updates > PROMIS Support > PROMIS 4.15 Release Notes

PROMIS 4.15 Release Notes

Updates

Release Date: 

July 17th, 2022

New Features

Classic to PROMIS 4

Improvements

Resolved Issues 

Further details can be found in the PROMIS User Guide: https://promis.testing.canadian-visa-lawyer.com/manual/index.htm#!Documents/gettingstartedwithpromis.htm

New Features

Emergency Planning – updates

Patient Lists for Pre-dialysis, HHD, PD (new)

PROMIS 4 > Emergency Planning > Renal Patient List

In the Renal Patient Lists section, filtering patients based on a patient program group can create a group-specific patient list. Renal Patient Lists can be created, edited and saved with PD, Predialysis, HD, and HHD groups of patients for active emergency lists. Patients can be added to an existing active saved patient list of the same modality and included in both kidney care and relevant dialysis lists if they have both statuses open.

  • Patients included in an emergency list are identified in red if they have been deactivated, or if the patient’s dialysis type changes and does not match the list’s modality.
  • Edit free-text columns on each patient’s line of information either without creating an emergency list or within a saved emergency patient list.  
  • Kidney Care (Non-Dialysis) Patient List provides option to search for patients with a specified eGFR parameter. 
  • A column for Interdialytic Weight Gain is available and editable in the Renal Patient Lists. 

Home Therapies Map (new)

PROMIS 4 > Emergency Planning > Home Therapies Map

  • In the Home Therapies Map, the filter parameters indicate patients with a marker on the map as they are grouped in active emergency lists. Different coloured markers indicate if patients are included or not in the selected active emergency patient list, with an expandable Legend on the map providing a visual explanation.
  • Home Therapies Map function provides the ability to add and save selected patients to an existing active emergency patient list. The left pane displays the patients selected on the map. 
  • Additional patient details are made visible by clicking on a map marker.

Facility Report (updates)

PROMIS 4 > Emergency Planning > Facility Report 

  • In the Facility Report, the field “Patient Count” has been renamed to “Patient Count (Inpatients incl.)”, and the new label added with calculated value for “Patient Count (Inpatients excl.).” 
  • SUPPORT-14220 The revised Legend in the Facility Report includes:
    • New definition for Patient Count (incl. inpatients)
    • New definition for Patient Count (excl. inpatients)
    • New definition for Daily Emergency Occupancy
    • Updated definitions for Current Occupancy and Emergency Occupancy
  • Additional fields of a facility’s “Reserve Machine Count” and “Reserve Machine Type”. Values as entered with the centre’s annual review of facility information. 
  • Ability to view total daily number of a facility’s emergency occupancy in the Occupancy Detail matrix.  

EM User Management (updates)

PROMIS 4 > Emergency Planning > EM User Management 

  • In the EM User Management, primary users have the ability to filter primary and secondary users lists by management centres. 
  • The updated user management feature allows primary users to view information of secondary and primary users in separate sections. 

HD Catheter Reason Prevalence Report

PROMIS 4 > Reports > Centre Reports > HD Catheter Reason Prevalence Report

  • The HD Catheter Reason Prevalence report identifies and includes the number of patients dialyzing with a catheter as of a given date and with catheter reasons. 

Document History Preview

PROMIS 4 > Patient Overview > Documents > Document History

  • Documents uploaded in Document History can be viewed in PROMIS 4 before uploading a document or previewing before downloading. Access preview by clicking on the eye icon.

Classic to PROMIS 4

Hospitalization

PROMIS 4 > Pt Info > Hospitalizations

  • The Hospitalization module displays a record of the patient’s hospital visits, which includes information such as event type, visit number, hospital name, and hospital service. New hospitalization event details can be added, and existing hospitalization events can be modified or deleted. Open hospitalization records are easy to identify without an associated discharge record, by a full green circle on the Admissions record under the Event Type column.

PROMIS 4 > Renal > Dialysis Access > Access Management > Infections

  • The creation of a PD infection in Dialysis Access links the record to a hospital admissions record. 

Hospitalization Related Reports

Renal Program Inpatient Report

PROMIS 4 > Reports > Centre Reports > Renal Program Inpatient Report  

  • Renal Program Inpatient report displays renal and transplant patients who have been admitted and are currently in hospital. The report can be generated across management centres and has the ability to exclude non-renal transplant patients.

Quarterly Transplant Activity Report

Classic > Transplant > Reports > Patients Lists > Quarterly Transplants (Physician Billing) 

  • Quarterly Transplant Activity report modified to no longer display the hospitalization Discharge Date.

Admission Registered report

PROMIS 4 > Reports > Centre Reports > Transplant > Recipient > Admission Registered

  • The Admission Registered report displays a list of transplant patients currently admitted to hospital. The report provides options to select centre patients and allows output format of either excel or pdf.

Kidney Transplant Referral Form

PROMIS 4 > Patient Overview > Transplant > Referrals > Kidney  

The Kidney Referral Form moved from Classic to PROMIS 4. The workflow process remains the same, with improved functionalities.  

  • The Kidney Transplant Referral Summary is organized into two sections: (A) Absolute Contraindications Assessment and (B) Kidney Referral Summary. 
  • To complete the Kidney Referral form, 7 sections (tabs) are to be completed in the form. 

(A) Absolute Contraindications Assessment

The rules for Absolute Contraindications remain the same, with ability to Add, Edit, or View the record. 

  • Absolute Contraindications Summary: Absolute Contraindications of a patient can be viewed from the referral form, displaying when it was last updated and the date range of the assessment.
  • Absolute Contraindications (Add): Add Absolute Contraindications for a patient who doesn’t have a record in PROMIS.
  • Absolute Contraindications (Edit): Absolute Contraindications are modified from the referral form for subsequent referrals.
  • Absolute Contraindications description: Updated description of each absolute contraindication.

(B) Kidney Referral Summary

Summary view of Kidney Referral records, with referral number and current referral status. 

  • From Summary view, able to initiate a new Kidney Referral for a patient who has met absolute contraindications criteria.
  • Summary view lists the referrals initiated and referral status of the record. View latest and past referral records.

Kidney Referral Details

PROMIS 4 > Patient Overview > Transplant > Referrals > Kidney > Referral Details 

Referral Details view provides a summary at the top of the page on the selected referral displaying referring centre, transplant centre, current referral status, status as of date, and status reasons. 

  • Kidney Referral Details contains seven sections to view and to be updated. 

(Tab 1) Screening

View and edit screening information as previously in the Classic Referral form, including general questions, renal biopsy, link referral documents, view prior transplants, antibody profile details, and verify the patient’s primary renal diagnosis. 

  • Prior blood transfusions and prior pregnancies: the referral can be submitted even if the option selected is “Unknown”. If the patient is male, the Prior Pregnancies field is unavailable. 
  • View, add, update or delete any previous history of transplants in the Screening form.
  • View the latest HLA Antibody profile information; navigates to Recipient Immunology module.
  • Ability to view, add, edit or delete linked documents related to renal biopsy, referral notes, or other documents which are uploaded manually or received through interfaces.

(Tab 2) Demographics, Physical Exam

View, update or add information related to patients’ demographics, care providers, blood type and physical examination, with direct navigation to the physical examination and demographics page.

  • A patient’s blood type details can only be added or updated if not autoloaded via interface.
  • Calculated BMI can be viewed in this tab view. 

(Tab 3) Care Providers, Treatment

View and edit Physician and Treatment details as previously in the Classic Referral form, with the ability to update care provider’s details from the referral form and to view a patient’s current renal status, and past renal treatment history.

(Tab 4) Labs

Similar functionality and validity rules as in Classic, however for convenience similar labs have been grouped together where only one test is mandatory to complete. A help icon has been provided for each lab group. 

  • Group validation of lab results: lab values are valid if the lab visit date is equal to 365 days. 
  • EBV IGG: the EBV IGG test is mandatory.
  • All labs are required within 365 days to submit the referral. Missing and overdue labs (exceeding 365 days) are identified in red.
  • If labs are missing or past due, labs will be identified by a checked box against each test. When the PROMIS Lab Req button is generated, the requisition form contains the checked lab tests required to complete the bloodwork.

(Tab 5) Mandatory Tests

Similar functionality and validity rules as in Classic, with improved ease of use. A help icon provides details for several tests. Expanding the test row provides details along with the linked test result document. 

  • Ability to identify and update mandatory tests missing or overdue.
  • Ability to update, preview or download linked documents.   

(Tab 6) Additional Test, Consults, Referral

New section provides the ability to add or edit additional consults, referrals or tests needed for processing the referral,. Linked documents can be added.

(Tab 7) Patient Summary Shared

New section provides the ability to add, view or delete a record indicating if the referral information was shared with the GP or patient. 

Check Mandatory

The behavior of the Check Mandatory button has similar functionality as in Classic, with exception that a message will pop-up indicating if the referral is incomplete along with the use a triangular warning icon  displayed on tabs that are missing mandatory information. 

Kidney Referral Report

When a referral status is updated to “Referral Submitted”, the system verifies if the referral is complete. If the referral is completed, a kidney transplant program is created, and a referral report is generated. The report is saved in Document History under the Tx Referral Form category and provides a copy of the referral information at the time of submission. The report can be printed from the Kidney Referral Details at any time throughout the referral process. 

KY Transplant Tracking Sheet 

PROMIS 4 > Patient Overview > Report > Transplant > KY Transplant Tracking Sheet 

  • The Kidney Transplant Tracking Sheet is run from the patient’s file under Reports and provides a summary of:
    • Referral Details
    • Active Program, Physician and Centres
    • Mandatory Labs & Tests
    • Mandatory Tests Not Done
    • Additional Tests
    • Consults/Referrals
    • Patient Summary Shared
  • Kidney Transplant Tracking Sheet will contain Living Donor registration information based on the Living Donor Status: “Candidate”, “Approved”, “Candidate – baseline testing started” or “Donor”.

Improvements 

VA Prevalence Report 

PROMIS 4 > Reports > Dialysis Access > VA Prevalence Report

  • SUPPORT-22021 VA Prevalence Report includes patients with status of “In Use-Dysfunctional” in the “Known Access” cohort.  When filtering report with ‘Show Patients with Unknown Access’, unable to view patients with access status of ‘In Use-Dysfunctional’.
  • The “As of Date” parameter in VA Prevalence Report screen is editable. 
  • Ability to filter the report by primary nephrologist. 

VA Assessment Type

PROMIS 4 > Patient Overview > Renal > Dialysis Access > Dialysis Assess Summary > Access Details > Assessment

  • Ability to view Assessment Type by default for each assessment record, and ability to filter records by Assessment Type on the Assessment tab.
  • SUPPORT-4418 Edit VA Assessment: Vessel conditions updated with following options: 
    • Tortuous
    • Collateral development
    • Poorly Palpable
    • Easily Palpable
    • Aneurysmal
    • Pulsatile 

VA Referrals and Consults

  • SUPPORT-20345 When a ‘Create New’ procedure is cancelled in Consults, the access is no longer active. 
  • Access is considered active with ability to view ‘On Hold’ events on Single Access Hx/Event Details.

VA Procedure Reasons modified

PROMIS 4 > Renal > Dialysis Access > Dialysis Assess Summary > Access Details > Procedure

  • Procedure reason: updated list capturing catheter removal reasons when Access Type is Fistula, Graft or PD catheter, and Procedure = Removal.
  • List of catheter reasons at the time of insertion and post-insertion have been updated. 
  • SUPPORT-19555 / SUPPORT-22008 The following procedure reasons can be selected:
  • Added:
    • Cuff exposed/migration
    • Access Related Infection
    • Other
  • Modified from / to:
    • Unable to withdraw from catheter to Dysfunctional/Non-functional 
    • Signs of Systemic Infection (Suspected Secondary to Access) to Non-Access Related Infection
    • Physical Integrity Disrupted (Break-down) to Damaged
    • Edema – Facial to Edema
    • Fell Out to Removed by Patient/Fell Out
    • Catheter Malposition to Malposition
  • Retired from the list: 
    • Edema – Limb
    • Signs of Localized Infection
    • Unresolving Infection

Nutrition Supplements 

Classic > Treatment > CKD / Dialysis > Nutrition Supplements

  • SUPPORT-22675 Cell phone number field appears on the Nutrition Supplement form and is printed on the Nutrition Supplement Order Form.

ADPKD – Tolvaptan Patient ID 

PROMIS 4 > Meds/Other > Tolvaptan

  • ADPKD program ID numbers for tolvaptan patients allows 8 digits, from 6 digits.
  • “Tolvaptan Patient ID” is indicated as a mandatory field in Refill.

BC Provincial Waitlist

Classic > Transplant > BC Provincial Waitlist

  • SUPPORT-17184 In the BC Provincial Waitlist for the active Heart Program heart list, column BNP replaced by EBV. 

KY Transplant Referral Status 

PROMIS 4 > Patient Lists > Transplant > KY Transplant Referral Status 

  • The KY Transplant Referral Status on-screen report has a title change from “KY Transplant Tracking Sheet” to “KY Transplant Referral Status”. 
  • Report has new ABO column heading added.  
  • Action column and link have been removed.
  • The help links navigates to the User Guide page with revised title name change. 

Kidney Transplant Readiness Report

PROMS 4 > Reports > Centre reports > KY Transplant Readiness Report

  • An information icon, which allows users to see which centre is applicable for the report, is visible next to the Management Centre field on the report parameter form.
  • Kidney Transplant Readiness report will contain Living Donor registration information based on the Living Donor Status: “Candidate”, “Approved”, “Candidate – baseline testing started” or “Donor”.

Transplant Flowsheet updates

PROMS 4 > Reports > Worklist Reports > Transplant > Transplant Flowsheet 

PROMIS 4 > Patient Overview > Reports > Transplant > Transplant Flowsheet 

  • SUPPORT-5101 Labs added to the Transplant Flowsheet:
    • CK Creatine Kinase
    • Magnesium
    • Total Bilirubin

Living Donor: New status

Classic > Transplant > Donor > Registration

  • SUPPORT-24320 For the Living Donor Kidney option, new status under list-of-values added:  “Living Donor – Followed Out of Province”. 
  • Transplant reports reflecting Living Donor status updated to reflect new status option. 

Resolved Issues

PROMIS 4 > Reports > Dialysis Access > VA Appointment Booking

  • VA Appointment Booking reports display management centre results in relation to a user’s accessible management centres.

Classic > Scheduling > Dialysis > Actual

  • In Dialysis Scheduling, ability to indicate transonic monitoring during a scheduled hemodialysis run, under the ‘Special Reason for Dialysis’ drop-down list.

PROMIS 4 > Results > Diagnostics > CT Kidney Measurements

  • SUPPORT-22965 TKV kidney volume calculator module calculating accurately. 

PROMIS 4 > Reports > Worklist Reports > Patient Monthly Results > Monthly Results Summary Sheet

PROMIS 4 > Patient Overview > Reports > Patient Monthly Results > Monthly Results Summary Sheet

  • On the Patient Monthly Results Summary Sheet, if a patient’s list of labs run more than one page, the patient’s name will appear on multiple pages.

Classic > Legacy BCT > Donor Referral

New status under Donor Registration: the “Approved – Hold” re-named to “Candidate – Baseline Testing Started”. 

Classic > Legacy BCT > Post Transplant > Admissions

  • Access to the Admissions form has been removed from Transplant Legacy.

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