Updates

Release Date

May 30th, 2021

New Features

• Post COVID-19 Recovery Program
  • Diagnostic Results – 6 Min Walk test & Sit-to-Stand test
  • Questionnaire screen scores
  • Patient Reactivation
• Immunizations 
  • Immunization Report
  • BCCDC Provincial Immunization Registry immunization records
  • COVID-19 vaccine and brand naming updated
• Cerner: East Vancouver CDU

Improvements

• Immunization History
• Post COVID-19 Recovery (PCR)
• Document History (Classic)
• PD: Catheters added
• Other: TB Screening

Resolved Issues

• Diagnostic Results
• Other

New Features

Post COVID-19 Recovery (PCR) Program 

PROMIS 4 > Patient Overview > Orders/Results > Diagnostic Results

• Diagnostic Results: 6 Min Walk Test (6MWT) and Sit to Stand test added. 
• Diagnostic Results: Echo > Diastolic Dysfunction values added: Indeterminate, Mild, Moderate, Severe. 

PROMIS 4 > Patient Overview > Assessment > Post COVID-19 Questionnaire

• Post COVID-19 Questionnaire: Each section’s Screen Score (sum of section’s item scores) is calculated and display in View and Summary pages for Baseline and Follow-up questionnaires. 

PROMIS 4 > Patient Overview > Patient Info > Deactivation > Reactivate 

• Deactivated PCR patients can be reactivated by PROMIS Support.
• Deactivation’s “Date of Death” and “Cause of Death” entries are cleared if deactivation reason is changed from Deceased in PROMIS 4 > Patient Info > Deactivation. 
• Reactivation reason “PCR: Re-Referred to clinic” added for patients who return to the program.   

Immunization

PROMIS 4 > Reports > Center and Worklist Reports

• Immunization Report: identifies patients who have/did not have a specific type of immunization for a specified date range. This report can be generated at center level or for the entire patient list. 
• Immunization Report: converted into an on-screen report.

PROMIS 4 > Patient Overview > Orders/Results > Pt Infectious Status / Immunization Hx 

• BCCDC Provincial Immunization Registry (PIR) immunization records (not editable) are received via interface and display in Summary page.  The following record details are included:  
  • Hep B and COVID-19 vaccination:
    1. Vaccination Date
    2. Vaccine Name
    3. Series
    4. Vaccination Site
    5. Month/Year
    6. Dose
    7. Vaccine Brand 
    8. Vaccination Status
    9. Lot #
    10. Administered By
    11. Notes
    12. Entry Type
    13. Entry Mode
    14. Dose Number
    15. Vaccination Route
    16. Dosage
  • Other vaccinations:
    1. Vaccination Date
    2. Vaccine Name
    3. Vaccination Site
    4. Vaccination Status
    5. Lot #
    6. Administered By
    7. Notes
    8. Entry Type
    9. Entry Mode
    10. Dose Number
    11. Vaccination Route
    12. Dosage
• If a patient has a previously recorded manual entry for a COVID-19 vaccine, the COVID-19 vaccine and brand naming will be updated as follows:

Original	Updated
Vaccine	Vaccine	Brand Name
COVID-19	COVID-19 mRNA	Moderna
COVID-19	COVID-19 mRNA	Pfizer-BioNTech
COVID-19	COVID-19 non-replicating viral vector	AstraZeneca
COVID-19	COVID-19 non-replicating viral vector	Johnson and Johnson
COVID-19	COVID-19 non-replicating viral vector	COVISHIELD
COVID-19	COVID-19 unknown	Unknown

CST Cerner – East Vancouver CDU

• East Vancouver Community Dialysis Unit patient information and dialysis scheduling autoload from Cerner to PROMIS for this centre.

Improvements 

Immunization History

PROMIS 4 > Patient Overview > Orders/Results > Pt Infectious Status / Immunization Hx 

• “Hep B Month/Year” label (formerly “Month/Year”) displays in summary and details page. 
• Patient’s COVID-19 lab results are included as part of the Provincial lab list > Pt Infectious status and display in PROMIS 4. 
• The record’s entry mode displays within the Details header. Mode will display as either “Manual” to denote data as user entered, “Auto” if Labs are pulled through an interface, or “BCCDC” if an immunization record has been pulled from the BCCDC interface.

• COVID-19 vaccines series includes 1st Series, 2nd Series, Boosters, Unknown values. 

• Help link appears when manually adding immunizations and the link directs to the User Guide.  
• “Date of Vaccination” (formerly “Date of Latest Dose”) displays in PROMIS 4 > Reports > Center and Worklist Reports
• Patient level report retired from Patient chart > Reports > Immunization (no changes to Reports > Worklist > Immunization report).

Post COVID-19 Recovery (PCR)

• PCR Read-Only user role created.
• Questionnaire: Multiple symptoms can be selected in PCR Questionnaire>History section>Are Your Symptoms Brought On By? 
• Questionnaire status “Completed” displays when key questionnaire fields are completed (excluded fields are found in Patient Demographics, Smoking History, Cough sections).
• “Indigenous (formerly Aboriginal)” label displays in Post COVID-19 Questionnaire > Demographics > What Is Your Ethnicity value 

Document History (Classic)

• Pulmonary Function reports, formerly entered in Clinical Operation Procedures/ Notes category, are migrated to Pulmonary Function category.
• Holter Monitor Study document category added to Classic > Document History.

PD: Catheters added

• SUPPORT-16979 PD catheters used by BC Children’s Hospital added as values to PROMIS 4 > Renal > Dialysis Access (PD) > PD Catheter Procedure > PD Catheter Type.  
  • Covidien Argyle Pediatric Swan Neck Curl 38.9 cm (5.8 cm) – 2 cuffs
  • Covidien Argyle Pediatric Swan Neck Curl 42 cm (8.5 cm) – 2 cuffs
  • Covidien Argyle Pediatric Swan Neck Curl 59 cm (11.5 cm) – 2 cuffs
  • Covidien Argyle Pediatric Curl 57 cm (10.5 cm) – 2 cuffs

Other

Patient Reports > TB Screening > IGRA-QFT Requisition > TB IGRA Testing Criteria

• SUPPORT-15959 TB IGRA Requisition form: label under the TB IGRA Testing Criteria section updated from “Hemodialysis Patient” to “Dialysis Patient”, to include all dialysis treatment modalities.

Resolved Issues

Diagnostic Results

PROMIS 4 > Orders / Results > Diagnostic Results > Bone Mineral Density

• Diagnostic Results > Bone Mineral Density: Value displays consistently across Add, Edit, Details, and Summary pages.
• A number of field labels updated to display consistently across diagnostic record types and pages.

Other

PROMIS 4 > Reports > Worklist > Transplant.

• Transplant report menu can be expanded and collapsed.

 Classic > Monitoring> Medication > Medication Prescription report

• Medication Prescription report: Displays list of medications (address labels excluded) when patient does not have a Home address; patient address condition removed. 
• SUPPORT-16222 My Medication List report: does not include the User ID of the user printing the report.

Classic > Scheduling > Dialysis

• SUPPORT-15978  CST Cerner hemodialysis filtration 4h and 6h treatment records reflect in patient’s dialysis scheduling.