Evidence2Practice Ontario Release Notes for TELUS PS Suite Bundle

E2P – Tool Bundle Version 4.1

General	Version	Description
E2P Toolbar	4.2	Tooltips for Heart Failure and Diabetes tools now display relevant billing and diagnosis status info Toolbar can now be customized to launch tools as pop-ups (default) or inserted directly into the patient chart Updated buttons will now launch screening or tool visit depending on the existing diagnosis in the chart Clicking on dates now will scroll to the last done date of form for quick review
E2P – Criteria	1.0	NEW This form replaces the existing DM criteria and will now connect customized goal targets and frequencies to both the HF and DM tools Ability to clear all custom values Now includes TIBC and Iron (serum)
E2P – Lab Req	1.0	Removed 2hPG test for confirmed diabetes buttons (Annual and quarterly)
E2P Toolbar	4.1	Addition of COPD button
Usage Analytics	2.0	Updated messaging to include: Corrected the term “expressed consent” to “express consent” The data may be shared with our partners for funding purposes, external evaluators, etc. Shorted the language to make it more concise Removed program-specific language so that language is aligned across tools

Heart Failure Module or Form	Version	Description
E2P – HF – Visit Form PSS	3.0	NEW Re-designed and updated tool Key highlights include: Consolidated and condensed the content to provide a simplified experience to clinicians Localization features have been added that enable sites to customize the visit SOAP stamp, referral, and imaging links Ability to easily identify quadruple therapy and medication status for unique patients A comprehensive Management Hub with panels for diagnostics, medication reconciliation, and billing An updated diagnosis section for precise ejection fraction-based classification Additional updates: Support for adding ENCODE to diagnosis now available Dry/target weight now captured as a custom vital
The following changes have been applied in Version 2.0: ✓ Toolbar indicator colours have been changed to align with PSS ✓ The tool has been assessed to meet the requirements of the OHIP's CHF Management Bonus, so clinicians may now submit billing ✓ A Heart Failure Patient search has been created to identify of registry of patients with heart failure and is available upon request
Assessment Module	2.0	Icons for hovering over text, pop-up windows, and hyperlinks have been made consistent within the tool Bug: NP-pro BNT result is now being pulled into labs section Removed ECG, Ferritin from labs section Added TSH, CBCs, electrolytes, renal function, urinalysis, glucose, and thyroid functions Respiratory Examination added: L, R, Bilateral with free text, separated mid lung and lung bases, as well as the decreased air entry section LVEF filter has been modified to filter to the echo labs
Medications Module	2.0	The patient’s current medication’s list has been added to this module The list of medication names has been alphabetized (including beta-blockers) The input fields for dosage and frequency have been removed Quadruple therapy class safety statements to consider have been added
Management Module	2.0	Icons for hovering over text, pop-up windows, and hyperlinks have been made consistent within the tool Vaccine clarification for Pneumococcal vaccines will now pull in both Pneumovax and Prevnar
Patient Care Plan and Resources	2.0	Bug: Error message triggered when the patient care plan was opened but nothing was added; Removed error message

COPD Module or Form	Version	Description
Management Visit Form	1.0	New tool for ongoing COPD management
Management Visit Form PSS	1.1	UI and spelling issues addressed Clarified language in COPD Action Plan Added follow-up in reason for visit dropdown menu Updated messaging for guidance on Step down therapy Tool now captures LLN value for spirometry
Screening and Diagnosis	1.0	New tool for identifying clinically suspect patients and capturing
Dyspnea	1.0	New tool for capturing dyspnea score
Exacerbation	1.0	New tool for recording acute exacerbations
Exacerbation	1.1	Fixed issue where Finish button was not always visible
Risk Factors	1.0	New tool for documenting/review risk factors associated with COPD
Update Diagnosis	1.0	New tool to update spirometry results
COPD Assessment Tool CAT	1.0	New tool to record CAT score
COPD Assessment Tool CAT	1.1	Fixed issue with calculating score values of 0
Patient Care Plan and Resources	1.1	Addition in COPD resources & COPD Action Plan + Prescription for flare-ups

Anxiety Disorders and Depression Module or Form

Version

Description

Screening

1.1

When a confirmed diagnosis is added to the screening tool when the tool is reopened or refreshed the confirmed diagnosis is shown as anxiety.

Fix: Each diagnosis pulls in the appropriate/selected code to the problem list

SNOMED

370143000: Depression
21897009: Generalized Anxiety Disorder
25501002: Social anxiety
371631005: Panic Disorder
54587008: Phobia

ICD-9

311: Depression
300.02: Generalized Anxiety Disorder
300.23: Social Phobia
300.01: Panic Disorder without Agoraphobia
300.20: Phobia Not Otherwise Specified

Screening

1.1

Checkboxes for suspect conditions are unintentionally deselecting previously checked items.

Fix:

Each checkbox is acting independently of another. Users can insert a date associated with a suspect condition. If a diagnosis is made after a condition is deemed suspect, the form will retain the date and checkbox condition in the suspect column.

Diabetes Module or Form	Version	Description
Screening & Diagnosis	1.1	UI Improvements and spelling errors addressed Fixed issue with graphing of certain lab values Canrisk score is now captured as a custom vital @CANRISK. It is recommended to re-enter the most recent score so that moving forward these values can be viewed and graphed easily. Canrisk score now displays the latest value and date upon form open Added confirmation flag when clearing form values Added confirmation flag when updating visit frequency Addressed issue where diagnosis status checkboxes were not all mutually exclusive Form will now collapse when added to progress notes and chart is refreshed
Criteria Form	1.1	UI Improvements and spelling errors addressed Form will now collapse when added to progress notes and chart is refreshed
Visit Form PSS	1.1	UI Improvements and spelling errors addressed Specific complications monitoring - filter will now display diagnostic tests to find ECG and Stress test results Now includes updated info on OHIP coverage for optometry Fixed issues with displaying pop-up content Fixed issue where smoking status did not pull from risk factors Fixed issue where side effects did not display when pulling in latest values Lab req now includes shortcuts for Quarterly and Annual lab tests Improvements to Generate note functionality - updates to formatting and headers Added Shringrix (shingles) to immunization section Adding or updating diagnosis labels now match code being added
Patient Care Plan and Resources	1.1	New DM resources added for: Safe Insulin Injection Techniques Fit4Diabetes