Problems 26.04.01

The solution changes below are available for Problems with this release for Oracle Health EHR.

Solution Change Details

Solution Change Component, Description, and UI Impact Reference Materials Validation Guidelines Implementation and Maintenance Impact

Enhancement EHRM-3934:

Manage Outside Problem Records

Tip:

This functionality is available to a limited number of customers but may be generally available at a later date. If you want to use this functionality, contact your Oracle representative.

Component: Problems

You now can reconcile outside problem records in Oracle Health EHR.

UI Impact: Workflow (Automatic)

The Manage Outside Records page is available to accept or reject outside problem records.

See the Manage Outside Problem Records section of the Problems User Guide.

See the Validation Guidelines section below for this solution change.

Implementation Impact: None

Maintenance Impact: None

Enhancement EHRM-25298:

Problems in Forms

Component: Problems

The Problems page now is displayed in the form when you create an intake form for a patient.

UI Impact: Visual only

See Problems List for more information.

Draft an intake form for a patient. Verify that the Problems page is displayed in the form.

Implementation Impact: None

Maintenance Impact: None

Enhancement EHRM-29262:

Add Diagnosis to an Order

Component: Problems

You now can search for a problem from the current visit during the order entry workflow.

UI Impact: Workflow (Automatic)

Previous problems cannot be viewed.

See the Place Orders section of the Orders User Guide for more information.

  1. In the Medications & Orders section in the patient's chart, select Add Order.
  2. Select an order.
  3. In the Diagnoses section of the order form, search for a problem from the current visit. Verify that the problem can be selected.

Implementation Impact: None

Maintenance Impact: None

Enhancement EHRM-35960:

Laboratory Results and Vitals in Problem Details Page

Component: Problems

Laboratory results and vital signs now can be viewed on the problem details page

UI Impact: Visual only

See the View Problem Details section of the Problems User Guide for more information.

Select a problem from the Problems section in the patient's chart or on the Problems page. On the problem details page, verify that the laboratory results and vital signs are displayed.

Implementation Impact: None

Maintenance Impact: None

Enhancement EHRM-36790:

Viewing Resolved Ongoing Problems

Component: Problems

You now can view resolved ongoing problems and problems from previous visits.

UI Impact: Workflow (Automatic)

Previous problems cannot be viewed.

See the View Problem Details section of the Problems User Guide for more information.

On the Problems page, verify that resolved problems are displayed.

Implementation Impact: None

Maintenance Impact: None

Enhancement EHRM-35959:

Problems UI Updates

Component: Problems

The Confidentiality field is removed from the Edit Problem panel.

UI Impact: Visual only

See the Modify a Problem section of the Problems User Guide for more information.

On the Problems page, select More Actions (...) next to a problem, then select Edit Problem. Verify that the Confidentiality field is not displayed on the Edit Problem panel.

Implementation Impact: None

Maintenance Impact: None

Enhancement EHRM-49573:

Cancer Stage Details

Component: Problems

A badge indicating the staging progress is displayed next to cancer diagnoses in the Problems section of the patient's chart and on the Problems page.

UI Impact: Visual only

See the View Problem Details section of the Problems User Guide for more information.

  1. Identify a patient with a cancer diagnosis.
  2. Access the Problems section of the patient's chart or the Problems page. Verify that a badge is displayed indicating the staging progress.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-82147:

Problem Updated to This Visit and Ongoing During Order

Component: Problems

When you associate an ongoing problem to an order, the problem is updated to This Visit and Ongoing.

UI Impact: Workflow (Automatic)

When an ongoing problem is associated to an order, a message now is displayed to notify providers that the problem is updated to This Visit and Ongoing.

See the Convert a Problem to This Visit or Ongoing section of the Problems User Guide.

  1. In the Medications & Orders section of the patient's chart, select Add Order.
  2. On the New Order page, select a medication.
  3. In the Diagnoses section, select an ongoing problem. Verify that a message is displayed below the Associated Diagnosis box indicating that the problem is updated to This Visit and Ongoing.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-42014:

Problems Section in Patient's Chart

Component: Problems

The Problems section is displayed in the patient's chart.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

Open the patient's chart. Verify that the Problems section is displayed.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-44469:

Updates to Problems

Component: Problems

You do not need to refresh the Problems page to view updated problems.

UI Impact: None

See the Modify a Problem section of the Problems User Guide for more information.

  1. From the Problems page, update a problem, such as marking a problem as Ongoing.
  2. Save the change. Verify that the change is displayed on the Problems page without refreshing the page.

Implementation Impact: None

Maintenance Impact: None

Corrections EHRM-44894 and EHRM-69350:

Screen Readers on Symbols in Problems

Component: Problems

On the Problems page, screen readers will not read vertical bars or parentheses.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

Using a screen reader, open the Problems page. Verify that the reader does not read vertical bars or parentheses.

Implementation Impact: None

Maintenance Impact: None

Corrections EHRM-45001 and EHRM-69350:

Screen Readers on Months in Problems

Component: Problems

On the Problems page, screen readers correctly pronounce the names of months.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

Using a screen reader, open the Problems page. Verify that the names of months are correctly pronounced.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-45014:

Screen Readers on Fields and Lists in Problems

Component: Problems

On the Problems page, screen readers read field labels and list options.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

Using a screen reader, open the Problems page and add or edit a problem. Verify that field labels and list options are read.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-45019:

Tooltips in Problems Page

Component: Problems

On the Problems page, tooltips now are displayed for Add Problem and More Actions (...).

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

Open the Problems page. Verify that the tooltips are displayed for Add Problem and More Actions (...).

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-45661:

Removing a This Visit Problem

Component: Problems

When a problem is removed from the This Visit list, the problem is moved to the Ongoing list.

UI Impact: None

See Convert a Problem to This Visit or Ongoing of the Problems User Guide for more information.
  1. On the Problems page, select an ongoing problem on the This Visit list.
  2. On the problem details page, select More Actions (...) and select Remove as This Visit.
  3. Go back to the Problems page and verify that the problem is listed on the Ongoing list.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-48726:

PowerChart Problems added to PowerChart

Component: Problems

Problems added in PowerChart (PowerChart.exe) now are displayed in Oracle Health EHR.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

  1. In PowerChart, add a problem.
  2. In Oracle Health EHR, verify that the problem is displayed.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-50850:

Keyboard Navigation in Problems

Component: Problems

Only interactive options are selected when you use a keyboard to navigate the Problems page.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

On the Problems page, press Tab to access the page. Verify that only interactive options are selected.

Implementation Impact: None

None

Maintenance Impact: None

Correction EHRM-50865:

Oracle Accessibility Tool While Editing a Problem

Component: Problems

No errors are displayed in the Oracle Accessibility tool in the Edit Problem Details panel.

UI Impact: None

See the Modify a Problem section of the Problems User Guide for more information.

  1. On the Problems page, select Actions (...) next to a problem, then select Edit Problem.
  2. Open the Oracle Accessibility tool and verify that no errors are displayed.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-50886:

Remove Priority Option

Component: Problems

You now can use a keyboard to select Remove Priority for a problem on the Problems for This Visit list.

UI Impact: None

See the Modify a Problem section of the Problems User Guide for more information.

  1. Using a keyboard, access the Problems page.
  2. Next to a problem on the Problems for This Visit list, select Actions (...), then press Enter.
  3. Select Remove Priority, then press Enter. Verify that the priority is removed.

Implementation Impact: None

Maintenance Impact: None

Corrections EHRM-50850 and EHRM-50956:

Keyboard Navigation in Problems Section

Component: Problems

Only interactive options are selected when you use a keyboard to navigate in the Problems section on the patient's chart.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

From the patient's chart, press Tab to navigate the Problems section. Verify that only interactive options are selected.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-50857:

Tooltips for the Trend View and List View

Component: Problems

Only interactive options are selected when you use a keyboard to navigate in the Problems section on the patient's chart.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

From the patient's chart, press Tab to navigate the Problems section. Verify that only interactive options are selected.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-50873:

More Actions in Problem Details Page

Component: Problems

You now can use a keyboard to select options under More Actions (...) on the problem details page.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

  1. On the Problems page, select a problem.
  2. Use a keyboard to select More Actions (...), then select an option. Verify that the option is selected properly.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-50886:

Remove Priority with Keyboard

Component: Problems

You now can use a keyboard to add or remove a problem's priority.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

  1. On the Problems page, select Actions (...) next to a problem in the Problems for This Visit section.
  2. Using a keyboard, select Add Priority. Verify that priority is added to the problem.
  3. For the same problem, select Actions (...), then select Remove Priority using a keyboard. Verify that priority is removed from the problem.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-50959:

Keyboard Navigation to Add to Ongoing

Component: Problems

When using a keyboard on the patient's chart, you now can select Add to Ongoing next to a problem in the Problems section to mark the problem as Ongoing.

UI Impact: None

See the View Problem Details section of the Problems User Guide for more information.

From the patient's chart, use a keyboard to access Add to Ongoing next to a problem in the Problems section and press Enter. Verify that the problem is marked as Ongoing.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-51324:

Changes Without Refreshing

Component: Problems

Changes made to the Problems page are displayed immediately.

UI Impact: None

See Problems List for more information.

  1. On the Problems page, make an update, such as adding a problem or modifying a problem.
  2. Save the update and verify that the change is displayed on the Problems page without refreshing the page.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-52521:

Changes for a Problem Save

Component: Problems

Edits made to a problem are saved successfully.

UI Impact: None

See the Modify a Problem section of the Problems User Guide for more information.

  1. On the Problems page, select Actions (...) next to the problem and then select Edit Problem.
  2. Edit the problem and select Save. Verify that the changes correctly saved.

Implementation Impact: None

Maintenance Impact: None

Correction EHRM-57017:

Evolve Problem Changes Without Refreshing

Component: Problems

Changes made from evolving a problem are displayed immediately.

UI Impact: None

See the Evolve a Problem section of the Problems User Guide for more information.

  1. On the Problems page, select Actions (...) next to a problem, then select Evolve to open the Evolve a Problem panel. Search for and select a new problem and select Evolve. Verify that the problem is displayed as the selected evolved problem on the Problems page without refreshing the page.

Implementation Impact: None

Maintenance Impact: None

Solution Change Details

Manage Outside Problem Records (EHRM-3934)

Prerequisites:
  1. Identify a patient with unreconciled outside problem records and open the Problems page for that patient.
  2. From the outside problem records message, select View to open the Manage Outside Records page.
Scenario 1: Reconcile an Outside Problem Record
  1. On the Manage Outside Records page, select Move next to a problem record on the Data to Review list to move it to the Local list.
  2. Select Sign. Verify that the problem record is reconciled.
Scenario 2: Reconcile Multiple Outside Problem Records
  1. On the Manage Outside Records page, select the checkboxes next to the problem records under Data to Review.
  2. At the top of the list, select Move to add the problem records to the Local list.
  3. Select Sign. Verify that the multiple selected problem records are reconciled.

Scenario 3: Discard an Outside Problem Record

  1. On the Manage Outside Records page, select Actions (...) next to a problem record, then select Discard. Verify that the problem is moved to the Discarded Records section.
  2. Select Sign. Verify that the problem record is discarded.
Scenario 4: Discard Multiple Outside Problem Records
  1. On the Manage Outside Records page, select the checkboxes next to the problem records on the Data to Review list.
  2. At the top of the list, select Discard to move the records to the Discarded Records section.
  3. Select Sign. Verify that the problem records are discarded.
Scenario 5: Edit an Outside Problem Record Before Moving It
  1. On the Manage Outside Records page, select Actions (...) next to a problem record on the Data to Review list, then select Move and Edit.
  2. In the problem details panel, edit the details and select Save. Verify that the problem is moved to the Local list.
  3. Select Sign. Verify that the problem record is moved to the Local list and reconciled.

Parent topic: Oracle Health EHR 26.04.01