PROMIS production servers have been moved from St. Pauls Hospital (SPH) site to Kamloops Data Centre (KDC) successfully.

Please check our release notes for the new release.

Ongoing Training Available Online:

Online eLearning training courses are available permanently on LearningHub https://learninghub.phsa.ca/

If you are having issues with your account on LearningHub, please contact LearningHub support LearningHubAdmin@phsa.ca

Online PROMIS User Guide

The PROMIS User Guide will also contain this information and will be available on the PROMIS portal https://promis.testing.canadian-visa-lawyer.com/manual/index.htm

The primary focus of this release is to add new and revised transplant-related data collection to PROMIS. These updates are in support of the Canadian Institute for Health Information (CIHI) Pan-Canadian Organ Donation and Transplantation (ODT) Data and Performance Reporting System Project.  Since 2023, this initiative has been a collaboration between B.C. health authorities, the Ministry of Health, BC Transplant (BCT), Canada Health Infoway, and the Canadian Institute for Health Information (CIHI). Once implemented, this project will result in a national repository of transplant patient data that will support better decision-making, research, and policy development for these patients across Canada. More information on this national project can be found here.

What’s Changing?

Most of the relevant PROMIS updates are confined to changes to PROMIS Classic, with only minor impact to PROMIS 4 at this time. A summary of the updates to PROMIS can be viewed here.

Project Background

Previously, CIHI engaged with each of organ program leads to represent the province in the requirements finalization to identify the Minimum Data Set (MDS) to be collected for deceased donors, living donors, and transplant recipients within the national ODT patient database.

Since November 2023, the BC Transplant (BCT) project team has worked with the teams from the source systems, the organ groups, clinical informatics and data analytics teams to review each of the 280 MDS elements and:

• Identify the source system (i.e. CST Cerner, PROMIS, and other registries) for each data element.
• Meet with clinicians/care teams to determine solutions on how data gaps will be addressed in each system.
• Build a custom report to pull this data from each system for submission to CIHI.
• Prepare a submission file as per specifications from CIHI team
• Securely transmit the data to the national CanODT database

Currently, approximately 75% of these MDS data elements will be collected for B.C. via this custom report.

Towards the Future

CIHI is working on the development of a Secure (Private) Comparative Reporting tool with restricted-access for data providers and provinces to show aggregated results and comparative data to support best practices and performance improvement.

After implementation, BCT will continue to work with this project’s stakeholders to optimize B.C.’s transplant data reporting in a manner that is the least onerous for our medical teams.  In addition, transplant clinicians and program leaders will be able to request access to this database directly from CIHI.

More information regarding this request process will become available from CIHI after this database has been implemented.  For any immediate questions, please reach out to CIHI at odt@cihi.ca for more information.

If you have any questions or feedback regarding the changes in PROMIS, please contact Charles Hoare at Charles.Hoare@bcrenal.ca

For questions related to the ODT MDS implementation in BC, please contact Parvind Grewal at Parvind.Grewal@bct.phsa.ca

Summary of Changes in Transplant Procedure

Navigation:

Classic > Transplant > Transplant Procedure

• There are two new drop-down fields in the Transplant Procedure screen in Classic for Heart and Lung transplant patients only.
  • Primary Graft Dysfunction
  • Primary Graft Dysfunction Grade

• The Graft Fail Reason drop-down has new items in the list and some existing items have been updated.
  • Antibody-mediated rejection
  • Cardiac allograft vasculopathy 
  • Coronary artery disease
  • Post-transplant lymphoproliferative disorder 
  • Primary graft dysfunction 
  • Rejection after stopping immunosuppression
  • Rejection secondary to noncompliance
  • Surgical complication: Bowel perforation 
  • Surgical complication: Other 
  • Surgical complication: Vascular
  • Vascular event in graft
  • Venous thrombosis

• The Donor Organ Type drop-down has an updated list of options for Lung transplant patients:
  • Left Lung Lower Lobe
  • Left Lung Upper Lobe
  • Right Lung Lower Lobe
  • Right Lung Middle Lobe
  • Right Lung Upper Lobe

• The Lobe drop-down has an updated list of options for Liver transplant patients.
  • Lateral segment
  • Mono segment

Summary of Changes in Activation

Navigation:

Classic > Transplant > Activation

• The Activation screen has a new field Insulin Dependent for Pancreas, Islet and Kidney-Pancreas recipients.
• The ECD field is now available for all transplant programs.

• For Liver transplants, a new field called Meld Exception is available on the Activation screen.

Summary of Changes in Liver Referral Date Summary

Navigation:

Classic > Transplant > Liver Referral Dates Summary

1. A field called Living Donor Discussion Occurred is available on the Liver Referral Dates screen.

Summary of Changes in Demographics

Navigation:

PROMIS 4 > Patient Overview > Pt. Info > Demographics

1. There are two new fields in the Demographics screen:
   • Educational Level
   • Academic Grade Level

Summary of Changes in Patient Program Status

Navigation:

Classic > Treatment > Patient Program Status

1. The Unsuitable status has new values in the End Reason list. The new values are:
   
   
   • Extrahepatic hepatocellular carcinoma
   • High-risk cardiovascular disease 
   • History of poor medical adherence 
   • Patient’s condition deteriorated — too sick for transplantation 
   • Poor life expectancy
   • Recent/metastatic malignancy 
   • Risks outweighs benefits of transplant 
   • Test outdated  
   • Ventricular assist device: Bridge to recovery 
   • UNK: Unknown 

Summary of Changes in Deactivate Transplant

Navigation:

Classic > Patients > Deactivate Transplant

1. The Reason drop-down list has new items/reasons on the list:
   • Contact Information Outdated
   • Patient Refusal
   • Other

To get a copy of the document please follow the link:

https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/11/PROMIS-4.21.1_CIHI-Changes-3.docx

Issue Summary:
Post Release 4.21, users are experiencing an ongoing issue with the eGFR Priority Report and the Kidney
Transplant Readiness Report failing to generate when certain parameters are selected. We are working to
resolve this issue as quickly as possible, however as an interim measure, the following workaround is
available:

eGFR Priority Report – Observed Issue:
The report can fail to generate for users if the following report parameters are used:

• Primary Nephrologist field is set to All
  or
• Dialysis Decision field is set to All

Workaround:
When selecting the parameters to run the report please ensure that the:

• Primary Nephrologist field has an individual Nephrologist selected rather than All.
  and
• Dialysis Decision field has a maximum of one decision selected rather than multiple or All.

Kidney Transplant Readiness Report – Observed Issue:
The report can fail to generate for users if a Primary Nephrologist is not selected.

Workaround

When selecting the parameters to run the report please ensure that a Primary Nephrologist is selected.
Thank you for your understanding and patience while the PROMIS Team is working to fix these issues.
Questions/Support – PROMIS Support
Tel: 604-806-8868 / 855-806-8868
Email: support@bcpra.ubc.ca

New features

• KFRE (Kidney Failure Risk Equation) calculated labs

Classic to PROMIS 4

Transplant Donor modules 

• Donor Registration
• Donor Hospitalization
• Donor Overview and Banner
• Donor Referral
  • Referral Info
  • Test Results
  • Medical History & Care Provider
  • Procedure & Recipient Info (Living Donor)
• Donor Organ Details
• Donor Labs
• Donor Immunology
• Donor Physical Examinations
• Donor Outgoing Offer Allocation
• Donor Documents
• Living Donor Followup

Donor Reports 

• Centre Reports:
  • BC Donor List report
  • Summary reports
  • Deceased Donor reports
  • Living Donor reports
  • Finance reports
• Donor-specific Reports
  • Donor Immunology
  • Donor Information
  • Living Donor (donor-select) reports:
    • LD FaceSheet
    • LD Follow-up Letter

Improvements

• Donor & Patient first and last name – character length
• Modality Selection
• KY TX Readiness Report

Resolved Issues

• Dialysis Status
• Dialysis Access 
• Medication Profile Report
• TB Screening
• Tolvaptan Application Menu
• Tolvaptan Discontinuation Report
• Post COVID Education 
• VA Prevalence Report

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

KFRE (Kidney Failure Risk Equation) calculated labs

KFRE is a formula used to calculate the risk of future kidney failure based on specific criteria for non-dialysis patients. 

• The risk factors used to calculate a patient’s KFRE are:
  • Age
  • Sex 
  • Estimated GFR
  • ACR
• KFRE calculation variables will be stated in the comment section of Lab Results.

• KFRE values will be available in the following screens and reports:
  • Lab Visits
  • Patient Monthly Results report
  • CKD Flowsheet
  • eGFR Report (a new KFRE column)
  • Transplant Kidney Readiness report 
• In the eGFR and Transplant Kidney Readiness report, the KFRE will only be displayed if the value is ≤180 days old. KFRE values older than 180 days will be omitted.
• Noted: this value should not be used in specific renal diseases that have their own disease specific prognostication tools, e.g. ADPKD and glomerular diseases.

Classic to PROMIS 4: 

Transplant Donor modules  

Donor Registration

Living Donor Training Document Link: https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/PROMIS-4.21-Training-Living-Donor-Registration.pdf

Deceased Donor Training Document Link:  https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/PROMIS-4.21-Training-Deceased-Donor-Registration.pdf

PROMIS 4 > Donor Search > Register Donor > Donor Type

Donor Registration is used for the initial registration of Deceased and Living Donors. On Donor Search, a “Register Donor” link provides the new Donor Registration screen.

• Alt. Insurer# is no longer mandatory. 
• The CBS National Registry fields are mandatory in the Deceased Donor Registration screen.
• In the Living Donor program field, found in Registration and Donor Referral, the list previously contained acronyms and now reflects the full written description for the selection list. 
  • LAD > Living donor – Non-directed Anonymous donor
  • PKX > Living donor – Paired exchange
  • REG > Living donor – Directed
  • LAD-KPD > Living Donor Non-directed anonymous Paired exchange

• SUPPORT-5226, SUPPORT-21536 Donors can be registered in PROMIS as a deceased donor, if the individual was previously registered as a living donor.
• Patients who were previously registered in PROMIS as a patient on the transplant recipient side and were receiving renal treatment can now be more easily registered as a donor in PROMIS.
• If a recipient was a Living Kidney Donor in the past, this gives the recipient a higher priority on the waitlist. The system will identify if the recipient was once a kidney donor and send the information to CTR (Canadian Transplant Registry), to update under their Health tab and on the question “Has Recipient previously donated a kidney?”.

Living Donor Centres

• In Living Donor Registration there are two options for Donor Hospital:
  • St. Paul’s Hospital LR Donor / VGH LR Donor
  • St Paul’s Hospital KY Donor / VGH KY Donor

Death Details > Declaration of Death Type

• SUPPORT-36933 The following definitions of deceased donor programs, under Registration and Referrals, has been updated:
  • Renamed:
    • NDD (ECD) -> DNC (ECD)
    • NDD (SCD) -> DNC (SCD)
  • Added:
    • DCC (ECD)
    • DCC (SCD)
  • Expired: 
    • DCD 

Donor Hospitalization

PROMIS 4 > Donor Search > Donor select > Donor Info > Hospitalizations

Donor hospitalizations are displayed under Donor Info. This provides hospitalization view for a Deceased or Living Donor.

Donor Overview and Banner

PROMIS 4 > Donor Search > Donor select > Donor Banner

The Donor banner has been expanded to display Contact Information, including Emergency Contacts, and Family Physician.

• Contact Information updates can be made under Donor Info > Demographics > Patient Contact / Contact List. Emergency contacts display for Living Donors.
• Family Physician updates can be made under Referrals > Medical History and Care Providers tab. 
• Donor Banner displays the current donor type with icon representing:

  1. Living Donor: Kidney

  2. Living Donor: Liver

  3. Deceased Donor

Donor Referral 

Donor Training Document Link: https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/PROMIS-4.21-Training-Donor-Referral.pdf

PROMIS 4 > Donor Search > Donor select > Referrals

The Donor Referral module displays all Donor referrals for the selected Donor and any further actions of view, edit or a creating a new referral, can be performed. The summary table displays the current state of the referral, including CTR national registration and if donor serology and donor immunology have been sent to CTR.

Donor Referral > Referral Info

PROMIS 4 > Donor Search > Donor select > Referral Info

• When a patient’s primary donor hospital has changed due to donor transfers, updates can be made through the Donor Referral screen, in the Donor Hospital field.
• In Donor Registration or Donor Referral, when the “Send to the National Registry” is updated from No to Yes, PROMIS sends all relevant information to CTR which includes the following: 
  • Adding a Donor
  • Donor Serology
  • HLA Typing
  • Attachments 
• When a Donor Origin is selected as Out of Province (for Living Donor), the Out of Province ODO field appears with a drop-down list of ODO’s across Canada.
• Additional referrals can be made on selected Living Donors for a different organ or ended referral. 
• When a Living Donor is re-referred, a new referral can be added. The associated program, start date, and primary management centre are also updated automatically.

• When a Living Donor referral is closed by entering file closed date, the associated donor program will be closed as well with all associated centres.
• Corrections can be made to the Living Donor referral if closed in error.  

• The Donor Status field for Living Donors has an updated list for closed reasons. 

Donor Referral > Test Results

PROMIS 4 > Donor Search > Donor select > Referrals > Test Results

The Test Result tab is only available for Deceased Donor Referral. Donor serology and hepatitis updates can be manually updated and provided separately to a donor registered to CTR. If a donor has been selected to send data to CTR, some serology fields will be mandatory to complete.

Donor Referral > Medical History & Care Provider

PROMIS 4 > Donor Search > Donor select > Referrals > Medical History & Care Providers

Medical history is captured to view/update the medical history of the Donor. Care Providers for living donors can be entered and viewed. 

• Deceased Donor out-of-province surgeons are captured in the Medical History & Care Providers tab for billing purposes.

Donor Referral > Procedure & Recipient Info (Living Donor)

PROMIS 4 > Donor Search > Donor select > Referrals > Procedure & Recipient Info (Living Donor)

The Procedure & Recipient Info (Living Donor) tab provides a view/update of the donor’s current procedure information. It also provides a display of the Living Donor’s Hospitalization, their latest 5 records. Selected recipient information linked to the Living Donor can be added.

• SUPPORT-16843 In the Procedure & Recipient Info (Living Donor), the list in the Donor Retrieval Centre field for living donors has been updated to reflect all organ recovery facilities across Canada, as optional centres for selection.  

Donor Organ Details

PROMIS 4 > Donor select > Organ Details

Once a donor registration is created in PROMIS, the system automatically creates a record in Organ Details. Selecting Donor Type, the field options can be edited.

• Living Kidney, three rows will be created – Left Kidney, Right Kidney, Dual Kidney
• Living Liver, three rows will be created – Left lobe, Right lobe, Whole Liver
• Deceased Donor – all organs will be created as rows

Donor Labs

PROMIS 4 > Donor select > Results > Labs > Lab Results

Donor labs are available to view and manually enter under Lab Results. 

• SUPPORT-32253 A donor’s serology/immunology/virology is pulled from Lab Results and Immunology and mapped to the Kidney Transplant Flowsheet report.

Donor Immunology

Donor Training Document Link: https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/PROMIS-4.21-Training-Immunology.pdf

PROMIS 4 > Donor select > Results > Immunology

Living and Deceased Donor Immunology displays the most recent record details for the donor’s HLA, along with historical immunology records. Donor immunology allows manual entry. 

• When an incoming offer is received from CTR, the donor (whose origin is Out of Province/Out of Country) profile is created along with serology and immunology records, so the details of the recipient’s donor record is available. 
• HLA autoload records will be automatically sent to CTR when the donor is registered in CTR.

Donor Physical Examinations

PROMIS 4 > Donor select > Assessments > Physical Examinations

Donor assessments of clinic visits, physical exam, and blood pressure can be entered manually and viewed under Physical Examinations. 

Donor Outgoing Offer Allocation

Donor Training Document Link: https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/PROMIS-4.21-Training-Donor-Allocation.pdf

PROMIS 4 > Donor select > Allocations > Kidney Outgoing Offers

Kidney Outgoing Offers provides a view summary of the donor’s status, registration in CTR, and submission of immunology to CTR. The Kidney Outgoing Offers provides the ability to make an electronic offer, accept, cancel or decline a kidney to HSP (Highly Sensitized Patient) kidney recipients.

• When the button “Run Allocation” is selected, the latest allocation displays and ‘List Retrieved’ and Allocation Date will be updated. If Run Allocation is clicked but there is no allocation list for the donor, then only List Retrieved Date will be displayed.

• SUPPORT-4429 Allocation of a deceased donor’s right and left kidneys can be made to two different recipients. 
• If the CBS National Registry Consent = Not Consented / Not Participating for kidney, the Kidney Outgoing Offers summary page will display the message “Kidney not consented for donation” with a blank page. 
• A Re-offer can be made on the Kidney Outgoing Offers to a recipient’s organ request, when the offer current state is Withdrawn, Decline, or Cancel Acceptance in the allocation list. The function would be the same as Make Offer.
• Re-running the allocation list withdraws all existing offers, unless the offer state has been updated to organ shipped, which will no longer provide a withdrawn option. 
• Preview Allocation provides preview information of the present-time CTR Allocation List to see if the list has been updated and if there is another patient next in line available.

Donor Documents

PROMIS 4 > Donor select > Documents > Living/Deceased Documents

Document upload is available for both Living and Deceased Donors. Living Donor document upload will have all categories available. 

• Deceased Donor document upload will only have 3 available categories. When a deceased donor is registered in CTR, and a saved document is added in Deceased Donor Documents with the category of HLA Typing Report, the report will be sent to CTR. 
• The 3 categories for Deceased Donor are:
  1. HLA Typing Report 
  2. Selection Report
  3. Other

Living Donor Followup

PROMIS 4 > Donor select > LD Followup 

SUPPORT-26027, SUPPORT-26266, SUPPORT-9412 Living Donor Follow up provides follow-up letter tracking with the donor for up to 80 years, after the donor organ was collected and the donor was discharged from hospital. Once the recipient transplant date is entered, the system will generate records initially in Living Donor Follow up. The Summary view will display the list of all follow-up visits planned for the living donor, as well as the status of the follow-up letter.

• Living Kidney donors – the following fields will be automatically created:
  • Day of discharge from hospital
  • 1 month
  • 6 months
  • 1 year
  • Then every year, if the donor status is not in ‘Closed’ status, the system will create a new record on January 1st of the new year.
• Living Liver donors – the following fields will be automatically created:
  • Day of discharge from hospital
  • 3 months
  • 6 months
  • 9 months
  • 1 year
  • Then every year, if the donor status is not in ‘Closed’ status, the system will create a new record on January 1st of the new year.
• Living Donor Follow up on-demand letters can be created with the add button.
• The Living Donor Follow up cannot be created with the same test due date as an existing record, which will trigger an error message displaying “Same Test Due Date already exists”.

Donor Reports

Centre Reports

PROMIS 4 > Reports > Centre/Worklist Reports > Transplant > Donor 

The following reports have moved from Classic to PROMIS 4:

• BC Donor List
• Summary Reports:
  • LD Kidney Tx by Year and Relation
  • LD KY Tx activity vs Previous Year
  • Deceased Donor Referrals vs Previous Year
  • Donor Summary Report
    • SUPPORT-23466 Living Donor has been modified to display the breakdown of imported vs BC origin organs, whereas previously the report combined the two.
  • Organs Retrieved and Moved
    • SUPPORT-23466 The report will display and count only transplanted organs under the Exported column.
  • Organs Per Donor by Retrieval Hospital
  • Donors by Hospital/Import Centre

Deceased Donor Reports

Donor Training Document Link: https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/PROMIS-4.21-Training-Deceased-Donor-Documents.pdf

PROMIS 4 > Reports > Centre/Worklist Reports > Transplant > Donor > Deceased Donor

• Deceased Donor with Missing Information
• Deceased Donor List – Details 

Living Donor Reports

PROMIS 4 > Reports > Centre/Worklist Reports > Transplant > Donor > Living Donor

• Kidney Follow-up Letter – with options for:
  • St. Paul’s Hospital KY Donor
  • VGH KY Donor
  • Option to include Donor Address (create printed envelopes for either centre donors). When printing, address field includes out of province address information.
• LD for OOP Recipient
• LD Referral Worksheet
• Living Donor with Missing Information
• Liver Follow-up Letter
• Living Donor Candidates with Wrong Status

Finance Reports

PROMIS 4 > Reports > Centre/Worklist Reports > Transplant > Finance

• Living Donors by Retrieval Centre
• Organs by Transplant Centre

Donor Specific Reports

PROMIS 4 > Donor select > Reports 

• Donor Immunology
• This report can be accessed for both living and deceased donors and found both on the Immunology module screen and through Donor select > Reports. 
• Donor Information
  •  A new report for both Deceased and Living Donors. 

Donor Specific Reports: Living Donor

PROMIS 4 > Donor Search > Donor select > Reports > Living Donor 

• LD FaceSheet
  • SUPPORT-7048 The LD Facesheet can be run based upon donor referral type, of either Living Kidney or Living Liver.
  • SUPPORT-36944 The following have been added to the Living Donor Facesheet report:
    • Recipient BCT ID
    • CTR Number
    • CTD Number

• LD Follow-up Letter
  • The letter will print the following: 
    1. Patient Letter
    2. Physician Letter
    3. Lab Requisition
    4. Donor address label

• SUPPORT-23464 The term “Cadaveric Donor” has been changed to “Deceased Donor” in donor report titles.

Improvements

Donor & Patient first and last name – character length

PROMIS 4 > Patient select > Assessments > ACP

The character length for Donor and Patient’s first and last name has been increased to a maximum limit of 50 characters each.

Modality Selection

Training Document Link: https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/06/TrainingOnePager-ModalitySelection2024-1.pdf

PROMIS 4 > Patient select > Renal > Modality Selection

• In Modality Selection, the Treatment options have been updated as captured below:
  • Removed PD Assist
  • Renamed ‘PD Independent’ to ‘PD’
• When Candidate for Independent Therapies = No, then Under Treatment options HD Home and PD are disabled.
• SUPPORT-37450 The Reason for Independent Therapy Unsuitability is updated as below:
  • Significant cognitive impairment and no dialysis support person (brain damage, dementia)
  • Significant mental health barrier and no dialysis support person (psychiatric condition, active substance use disorder excluding: alcohol, marijuana, prescribed narcotics)
  • Unsuitable home conditions and lack of facility-based independent dialysis (unhoused, no space for supplies)
• Under Potential Candidate for Transplant, when the Reason selection is set to “No” a new list value has been added:
  • No absolute contraindications, not a candidate based on team/nephrologist decision 

KY TX Readiness Report

• To maintain patient confidentiality, patients with the dialysis decision of conservative care are excluded from the KY TX Readiness Report.

Resolved Issues

Dialysis Status

PROMIS 4 > Renal > Dialysis Status   

• Three list options have been added to Dialysis Status end reasons:
  • Temporary change to HD/HDPD (specify reasons in PD module)
  • Permanent change to HD (specify reasons in PD module)
  • Permanent change to HDPD (specify reasons in PD module)
• SUPPORT-35482 In Dialysis Status when Dialysis Type = Peritoneal Dialysis, then the subtype is mandatory.
• SUPPORT-34466 Under Dialysis Status, the dialysis type column wraps text so that the training types can be differentiated.

Dialysis Access 

PROMIS 4 > Patient select > Renal > Dialysis Access > New Access > PD Procedure

• SUPPORT-33656, SUPPORT-34081 New PD catheter types have been added to the list under Dialysis Access > PD Procedure. 
  • Covidien Argyle Curl 57cm – 2 Cuff
  • Covidien Argyle Moncrief-Popovich Swan Neck 62.5cm – 2 Cuff

PROMIS 4 > Patient select > Renal > Dialysis Access > (PD Access) > Access Details > Access Management > Infections > Test and Results > Add Test Order

• SUPPORT-39015 In Dialysis Access under Access Management > Infections > Test and Results, a new list value of ‘Other’ has been added to the Test Centre list, to classify a test centre for patients who are from out-of-province.

Medication Profile Report

PROMIS 4 > Reports > Centre or Worklist Reports > Worklist Reports > Medication > Medication Profile

PROMIS 4 > Patient select > Meds/Other > Medications

PROMIS 4 > Patient select > Reports > Medications > Medication Profile

• SUPPORT-37850 All dose types display the start and end dates on medications summary view. These changes are reflected in the patient panel of current medications and the Medication Profile report. 
• SUPPORT-36113 On the Medication Profile report, a page break ensures the generic and brand name medications display on one page.

TB Screening

PROMIS 4 > Patient select > Reports > TB Screening > IGRA-QFT Requisition

• SUPPORT-37098 The BCCDC TB IGRA-QFT requisition includes the name for Dr. Victoria Cook and includes her MSP number.

Tolvaptan Application menu

Med/Order > Tolvaptan (PKD) > Add – Application

• The Tolvaptan Application menu item has temporarily been hidden from view as per request. 

Tolvaptan Discontinuation Report

Med/Other > Tolvaptan (PKD) > Discontinuation Form > Generate Report

The following changes have been made to the Tolvaptan Discontinuation Report:

• Tolvaptan dose and bloodwork components have been removed from the discontinuation report.
• The name “MacDonald’s Pharmacy” has been updated to “MacDonald’s Prescriptions Renal Pharmacy” and indicates the fax location. 
• A text message has been added to the report, above the section with header “For Physicians”, noting that the patient has stopped Tolvaptan therapy, with instructions regarding ongoing monitoring purposes. 

• The discontinue reasons for Tolvaptan’s list has been updated to include in the following order:
  • Intolerable aquaretic symptoms
  • Patient approaching ESKD
  • Process issue (e.g. bloodwork delayed)
  • Patient preference 
  • Abnormal liver enzymes (see recommended testing note)
  • Other blood work abnormality, please specify
  • Other, please specify
• The Tolvaptan Discontinuation form fits onto one printed page. 

Post COVID Education 

PROMIS 4 > Patient select > Post COVID-19 > PCR Education

SUPPORT-35281 The following changes have been made to the Post-COVID Education sessions, for Session Type selected as Large Group Education or Group Therapy. 

• Large Group Education – the following have been removed from the list:
  • Fatigue
  • Mental Health
• Large Group Education – the following have been added to the list:
  • Dysautonomia & POTS (info)
  • Fatigue 1
  • Fatigue 2
  • Fatigue 3
  • Mental Health 1
  • Mental Health 2
  • Monthly Forum
  • Navigating Finances
  • Mindfulness
• Large Group Education – the following have been relabeled (old -> new):
  • Return to Activity > Accommodations & Return to Work
  • Shortness of Breath > Breathlessness 
  • Introduction/Orientation > Intro Session
  • Financial Management and Return to Work > Work and Finance
• Group Therapy – the following have been removed from the list: 
  • Fatigue
• Group Therapy – the following have been added to the list:
  • Breathing & Relaxation
  • Coping with Post COVID
  • Fatigue & Pacing
  • Mindfulness 
• Group Therapy – the following have been relabeled (old -> new):
  • Symptom Titrated Exercise > Symptom Titrated Activity

VA Prevalence Report

PROMIS 4 > Reports > Centre/Worklist Reports > Dialysis Access > VA Prevalence Report

• SUPPORT-37697 Patients who have an access created or first used after the report date are not included in the report results based on date parameters. Report captures the correct patients as expected.

Available in PROMIS 4 and Retired in Classic:

Transplant Donor modules and related reports.

New PROMIS 4 Feature:

Kidney Failure Risk Equation (KFRE) Calculated Labs

Further information can be found in the 4.21 Release Notes available on the PROMIS Portal, under Updates, from Monday June 17th.

Training:

If you have any questions or feedback, please contact Charles Hoare, Change Lead. charles.hoare@bcrenal.ca

Thank you, from the PROMIS team!

Improvements

Performance Improvement

• Improvement in loading performance for Dialysis Schedule and Patient overview screens.

PCR Population Report

• SUPPORT-36242 PCR Population Report will now include PCR central triage center visit records which were excluded earlier.

Medication Prescription Report

• Medications Prescription Report’s formatting has been enhanced. 

Vascular Access Incident Report & HD Catheter Reason

• Vascular Access Incident Report & HD Catheter Reason Incidence Report has been modified to improve logic for the included date ranges.