Ocean Server Upgrade November 24th, 2022 Release Notes

The Ocean Server upgrade scheduled for November 24th, 2022 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

  • A new report is available for Support Site users that shows the latest referral sent date by user for all users that they support.
  • Senders of an eReferral can now change their request to an eConsult and vice versa.
  • Added a 'spyglass' icon to the side menu of the Healthmap to make the Advanced Search more accessible.
  • Added an "Accepting New Patients" directory listing tag.
  • Ocean Healthmap directory listings can now be created using a FHIR API
    • The POST endpoint is specified in our FHIR eReferral documentation.
    • Ocean will log an audit event specifying that the listing has been created by an API author.
  • Added support for the Ontario Health Card Number OID 2.16.840.1.113883.4.59 to the Ocean SMART launch.

Fixed Bugs:

  • Improved error message clarity when attempting to resubmit a referral that has already been sent.

Patient Engagement

Improvements:

  • OSCAR Pro sites can now utilize Ocean Kiosks for walk-in (non-scheduled) patient visits.
  • All Ocean Sites using Online Booking can now specify a ‘Medium’ (i.e., ‘Telephone Call’ or ‘Virtual Visit Video’) for each appointment type when the ‘Location’ is set to ‘Virtual’. The booking confirmation page and confirmation email will indicate the medium for the booked appointment.
  • Created FHIR APIs to support Ocean Kiosk walk-in (non-scheduled) features.

Fixed Bugs:

  • Enhanced controls for enabling unsolicited replies to Patient Messaging.
  • When a user that has sent a Patient Message with Ocean forms is no longer a part of a site, Ocean will now send the email notification of form completion to the clinical administrator email.
  • Added an 'Attachment Upload' event to the virtual visit audit report.
  • Added a check to prevent users that do not have a Patient Messaging license from sending out cohort messages.

Platform

Fixed Bugs:

  • Resolved bug preventing internationalization of an Ocean form when the caption has too many non alphanumerical characters.

Ocean Server Upgrade November 3rd, 2022 Release Notes

The Ocean Server upgrade scheduled for November 3rd, 2022 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

  • The Appointment Date(s) will now appear at the top of downloaded referral summaries in the referral status line.
  • Modified the default “File Type” selection within Referral Analytic Export settings from “All” to “Clean”, which excludes master, test, and deleted referrals.
  • The FHIR Questionnaire resource in the ServiceRequest bundle now includes both the referral form question and answer text.
  • When registering an integration (Admin > Integrations view), the FHIR payload type will now be the default option.
  • The integration setting for contextual launch to an external referral system will now need to be enabled by CognisantMD Support.

Patient Engagement

Improvements:

  • Patient Engagement FHIR API development.

Platform

Fixed Bugs:

  • Improved the accuracy of the start and end dates that are being reported on weekly usage report tables.
  • Fixed bug that prevented FHIR events from being sent when Cloud Connect is offline.

Ocean Server Upgrade October 13th, 2022 Release Notes

The Ocean Server upgrade scheduled for October 13th, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • The referral summary will now be automatically hidden in the "Referral Request Initiated" modal for External Launch integrations.

  • Sites will now be able to generate site-specific analytic exports that include custom fields.

  • Sites will now be able to generate site-specific analytic exports in the API that include custom fields.

  • Removed legacy 'ax_' fields from the default referral analytics export.

  • Facilitated URL redirect using FHIR eReferral APIs.

Fixed Bugs

  • Fixed a bug that created referral demographic values that could not be found using the surname prefix search.

Patient Engagement

Improvements

  • Added capabilities and methods to facilitate integration between Ocean's patient engagement tools and point-of-service (POS) systems using FHIR endpoints.

Fixed Bugs

  • Included 'failed login attempts' events into the Admin > Reports audit reports.

  • Added checks to prevent non-numeric values from being stored in eForm items that expect numeric fields.

  • Resolved bug causing OSCAR attachments to be linked to the wrong patient.

  • Resolved error arising when a new patient is created using the Ocean tablet into PSS.

Platform

Improvements

  • The password requirement will now be 12 characters going forward for new users and when resetting passwords.

  • Added the CognisantMD data retention clause to the end-user licence agreement (EULA).

  • Created a Virtual Visit audit report.

Fixed Bugs

  • Resolved bug associated with assigning credits to unassigned provider licences.

  • Added the logging of the recipient's IP address to audit reports related to accessing a secure message (virtual visit)

  • Resolved bug causing duplicated invitations to the same email addresses during a bulk email invite.                                                                                                                            


Ocean Server Upgrade September 22nd, 2022 Release Notes

The Ocean Server upgrade scheduled for September 22nd, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • The Directory Listings dropdown menu within both the ‘Admin’ area and the ‘eReferrals & eConsults’ area are now alphabetically ordered.
  • Referral Integrations with an external system launching will now have the redirect link automatically loaded without a manual click in the same tab.
  • The same URL for the FHIR wait time extension will now be accepted across all Ocean environments.

Fixed Bugs

  • Fixed a bug where attachments added to a referral that was ‘Saved for Later’ were no longer present when revisiting the referral from the ‘Incomplete’ folder.
  • Resolved a bug causing Ocean Message contents to be cut off in the Referral PDF if the special character "<" was included in the message.
  • The Ocean API will now return a meaningful error message when referral attachments exceed the 10MB file size limit.

Patient Engagement

Improvements

  • Updated pricing specified within the platform to reflect changes that will take effect October 1, 2022. 
  • Added capabilities and methods to facilitate online appointment booking using FHIR endpoints.

Fixed Bugs

  •  Improved handling of javascript expressions for Reminder Rules.

 


Ocean Server Upgrade September 1st, 2022 Release Notes

The Ocean Server upgrade scheduled for September 1st, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • If a referral is forwarded more than once after a Central Intake, the secondary Regional Authority will now dynamically update in the referral analytics.
  • Existing site-specific analytic exports will now only appear in the reports for the relevant site.

Fixed Bugs

  • Fixed bug preventing the name of the provider that received an email notification from displaying in the eReferral's event log. 

Patient Engagement

Improvements

  • Users can now insert the keyword [weblink_french] into the Patient Messaging email body so that when there is an eForm to complete or a secure message, Ocean will add a French version of the hyperlink into the email to the patient. 
  • Developed HL7 FHIR R4-based EMR/POS synchronization capabilities to determine which providers, schedules, and appointment types are available within an EMR.
  • Developed HL7 FHIR R4-based methods to perform patient query and import notes into an EMR. 

Fixed Bugs

  • Fixed bug blocking Patient Reminder rules from being sent if they have been edited prior to the scheduled daily run time. 
  • Mitigated bug that enabled an attachment that had been uploaded to Ocean and instantly removed from being included in a Patient Message. 

Platform

Fixed Bugs

  • The keyword @apptDate.DDMMdyy will now insert the weekday along with the calendar date (e.g. Thursday, September 1, 2022) and exclude the time. 
  • Ocean will now immediately recognize when a Cloud Connect module has been changed from being an EMR module to a 'no EMR' module.

 


Ocean Server Upgrade August 11th, 2022 Release Notes

The Ocean Server upgrade scheduled for August 11th, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • Changes to the UI displayed to Referral Senders when they are redirected to another application to encourage completion of the entire referral flow. 
  • Changed the OH eConsult listing page button to “Send Ontario eConsult”.
  • Updated the eReferral receiver notification email copy from “eReferral Resent” to “eReferral Resubmitted” and corrected copy for "eReferral Ownership Reclaimed" email to be consistent.
  • Added a survey link to the booking notification email sent for patient self-referrals.
  • Ocean can now process multiple foci within an inbound HL7 FHIR message.

Fixed Bugs

  • Added the capture of the ‘Referral Resubmitted Automatic Email Notification” event to the eReferral Event log.

Patient Engagement

Improvements

  • Accessibility improvements to the eForm answer types for dates, numeric scale, and diagram components.

Fixed Bugs

  • Added a field for the user to enter the oscar server url when re-authenticating the Oscar toolbar so that it matches the emristanceID already stored in Cloud Connect.

Ocean Server Upgrade July 21st, 2022 Release Notes

The Ocean Server upgrade scheduled for July 21st, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • If the primary care provider that requested an eConsult chooses to 'Proceed with Referral', the (converted) eReferral will now appear in the Specialist's NEW Folder.
  • A new setting is now available in the Directory Listing page to specify the default appointment medium for scheduled appointments.
  • Added an email notification to notify the Regional Authority clinical administrator/Ocean support when a new listing has been submitted for validation.
  • Added a  "Referrals Received by Modality" Section to the weekly Ocean usage report emails.
  • Updated the Navigation Menu with the terms "Ocean Provider Network" and an "eReferrals & eConsults" Page.
  • Added new HSOs to support Paediatric Centres.

Fixed Bugs

  • A notification email will be sent to the receiving site when an appointment update is made by the eReferral sender site, regardless of whether the patient is notified.
  • Resolved a bug that caused the "Send eReferral" Button to be disabled when users that are not associated with a Regional Authority (RA) switch in the Healthmap from an RA-assigned service listing to a non-RA listing. 
  • The “Preview Appointment Time Options” list in the eReferral Scheduling pane will now display options according to the 24-hour clock when this is the setting selected in the eReferrals > Settings > Configure page.
  • Resolved a bug in the Healthmap that appeared when searches based on the patient’s location included a listing result that did not contain sufficient location information.
  • Addressed bug preventing the attachments associated with the Notes pane from downloading into Accuro upon referral import.

 

Patient Engagement

Improvements

  • Implemented ARIA hinted button options to make the eForm answer options (e.g. No/Yes, No/Yes/Not Sure, Menu) more accessible. 
  • Improved the labeling of eForm inputs to increase readability by screen-readers.
  • When a user is being removed from a site, Ocean will now check if they are assigned as a primary delegate to another user and remove them from this role before their site account is deactivated.

Fixed Bugs

  • Addressed bug preventing the ability to reverse tab through inputs.
  • Addressed a bug that was preventing the patient-facing Online Booking pages from displaying when the browser’s default language was set to a language other than English or French.
  • Ocean can now load Med Access schedules that include appointments that are marked ‘Confidential’. 
  • Patient message email notifications will now only be sent to the specific user(s) at the site that has set the “Allow reply” option. 
  • Fixed the appointment suggestions search in the Online Booking schedule to display results even before an exact match is found.

 

Platform

Improvements

  • By default, sensitive site administration configuration information will be obfuscated, with a toggle to reveal the information.

Fixed Bugs

  • .avi, .mov, and .mp4 file types can now be uploaded via our FileUploader.

Ocean Server Upgrade June 30th, 2022 Release Notes

The Ocean Server upgrade scheduled for June 30th, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • Implemented virus scan when attaching EMR files to new eReferrals and when attaching EMR files to existing eReferrals.
  • Users with a clinician type of ‘Nurse practitioner’ can now send a CT or MRI eReferral without requiring an authorizing physician.
  • The appointment medium will now be displayed to eReferral senders in the Scheduling Pane.
  • Open API integrations can now add an outbound authorization service in the Integrations page.

Fixed Bugs

  • Updated the method for capturing the referral notification email when an eReferral is sent using the Delegate "Other Referrer" option.
  • Referrals forwarded to a standard directory listing at a Central Intake site will now be included in the site's referral analytics.
  • Addressed an error caused when users attempt to update a directory listing claimed to the eFax site.
  • Addressed an error preventing Referring Providers from being able to save updates in the Scheduling Pane of eReferrals sent via eFax.

 

Patient Engagement

Improvements

  • A single Online Booking appointment type restriction can now be applied to multiple EMR time slots within a single provider schedule.

Fixed Bugs

  • The Template Manager > advanced setting > overdue notification will now accept a value of zero (0) or blank.
  • Addressed an error causing reminder rule failures for sites that have converted their referral reminder rules to patient reminder rules.

 

Happy Canada Day!


Ocean Server Upgrade June 9th, 2022 Release Notes

The Ocean Server upgrade scheduled for June 9th, 2022 at 9:30 PM EST contains the following  improvements and fixes.

Provider Network

Improvements

  • Regional Authorities can now specify a patient survey hyperlink that will appear in eReferral appointment reminder emails.
  • Ocean will now refer to the user’s jurisdiction (in User Account Settings > Province) to present province-specific eConsult application guidance. 
  • Implement virus scan for portal users when adding attachments to the Notes, Scheduling or Messaging panes within an eReferral.

Fixed Bugs

  • Patient email notifications for eReferral bookings will no longer include mention of past appointments when a future-dated appointment is added to the referral.
  • When a provider is copied on a newly submitted referral, Ocean will now use the email address associated with the provider’s directory listing to send email notifications rather than defaulting to the email address specified for receiving notification for the Ocean site that the listing is associated with.

 

Patient Engagement

Improvements

  • Site Admin Users now have access to a ‘Duplicate’ function to copy an existing Online Booking > Provider Schedule listing. 
  • An indicator will now be displayed on the Template Manager > Edit Template page when the template has been previously set as the ‘site default’ template.
  • Ukrainian translations are now available for Tablet instructions and for Patient Messaging and the medical intake form.

Fixed Bugs

  • Ocean will no longer allow further Online Booking restrictions to be applied once a restriction for a given weekday has already been applied.

 

Platform

Improvements

  • Ocean will now create a note in the EMR containing updated demographics that it was not able to programmatically update. 
  • The default sync period between Cloud Connect and OSCAR Pro will now be one day.

Ocean Server Upgrade May 19th, 2022 Release Notes

The Ocean Server upgrade scheduled for May 19th, 2022 at 9:30 PM EST contains the following features, improvements and fixes.

Provider Network

Improvements

  • Added a new Health Service Offering "Healthcare Navigation Service".
  • Added a new analytic column "integrationName" that captures the name of the API integration bound to a directory listing.
  • When an appointment date is submitted with the HL7 FHIR Wait Time extension set to Wait 1a, Ocean will now use that date as the Initial Assessment appointment date for its wait time calculations.
  • Added fields to enable a site using the Ocean Open APIs to retrieve its own Public Key that has been encrypted with the one-time-key.
  • Added the ability to retrieve a Referral PDF with a cover sheet from the FHIR API. 

Fixed Bugs

  • Addressed a bug preventing eConsults that are ‘saved for later’ from being retrieved. 
  • Addressed a bug preventing updates made to the phone number field in the Site Admin > Organization page from being saved.
  • Addressed a bug affecting eReferral appointment dates when an update is made to them via the HL7 FHIR API.

 

Patient Engagement

New Feature

  • A new Template Manager section is now available from the Ocean Launcher to make it easier to create and manage the templates used in the Patient Messaging and Patient Reminders products.
    • Site admin users now have access to a Template Manager landing page that lists the existing templates and provides a summary of key properties.
    • A new Template Settings page groups all of the global settings relevant to template management into a single location.
    • Every new Ocean site created will have two default templates available in the Template Manager - one targeted for Patient Messaging and the other for Patient Reminders - that can be used immediately by any user or as a content guideline that can be customized. 
    • A new Edit Template pages makes the editing of templates easier and more intuitive.
    • Site admin users can now access a shortcut to the Template Manager from the bottom of the template list appearing in the Patient Messaging dialog.

Improvements

  • Implemented translations for key Ocean tablet sign-in and form completion instructions in twelve languages (Tamil, Hindi, Punjabi, Portuguese, Turkish, Spanish, Vietnamese, Korean, Japanese, Filipino, Tagalog, Traditional Chinese).

Fixed Bugs

  • Resolved bug causing patient-facing errors when an Accuro schedule interval ends with hour = 24.

Ocean Server Upgrade April 28th, 2022 Release Notes

The Ocean Server upgrade scheduled for April 28th, 2022 at 9:30 PM EST contains the following features, improvements and fixes.

Provider Network

Improvements

  • Revised the increment options listed in the billing time field of eConsult messages to support the Ontario eReferral-to-eConsult workflow. 
  • The "Apply to respond to eReferrals as eConsults" feature is now only available to users with the clinician type of “Specialist”, “Family Physician”, or “Nurse Practitioner”.
  • Added a new analytic to the main eReferral analytics export that documents which provider sent the latest eConsult message.
  • Updated the font of the referral reference ID in the footer of the referral record file format.
  • Directory Listings claimed to the eFax Ocean Site will be treated the same as unclaimed listings when ‘carbon copied (cc’ed)’ on a sent eReferral.  (Note: This is only available for the eFax proof of concept project at this time.)
  • When an eReferral is sent to the eFax Ocean site, the sender will have the option to have an email notification sent to the patient when updating the Scheduling pane. (Note: This is only available for the eFax proof of concept project at this time.)
  • Added an option to the HL7 FHIR "Retrieve Referral Letter PDF" API endpoint to retrieve the referral summary and all attachments as a single consolidated PDF.

Fixed Bugs

  • Resolved a bug causing the PSS eReferral custom form to display "Needs Review" for referrals with initial attachments.

 

Patient Engagement

Feature

  • Online Booking is now generally available to (WELL EMR) OSCAR Pro sites. 

Improvements

  • Users can now search the Patient Messaging template list using a text-based search feature.
  • Improvements in how Ocean manages routing of form completions and patient message notifications when multiple Ocean users at a single site interact with the same patient.
  • Added corrective guidance to the Reminder rule configuration page to disallow appointment confirmations when the rule same-day reminder rules.

Fixed Bugs

  • The Online Booking edit schedule page will now save multiple alternate configurations at the same time.

 

 

 


Ocean Server Upgrade April 7th, 2022 Release Notes

The Ocean Server upgrade scheduled for April 7th, 2022 at 9:30 PM EST contains the following improvements and fixes.

 

Provider Network

Improvements

  • Ocean directory listings claimed to the eFax site will display a "Send eReferral via eFax" button and the status updates within the Ocean Portal will reflect that of an eFax (limited to eFax Proof of Concept (PoC) participants)
  • eReferrals that have been sent to an eFax directory listing can be updated by the referring provider with the appointment date and time (limited to eFax PoC participants).
  • Improved the layout of the Admin > Integrations > eReferrals page and clarified the scope and outcomes of the settings and permissions.
  • When an API integration fails, Ocean will immediately send an email notification to the clinical administrator (if populated in the Admin > Site Account > Clinical Administrator field) and after 24 hours of continued failures. 
  • When there are multiple recipients of a eReferral HL7 FHIR payload, the referral target will be specified in the MessageHeader.destination field.

Fixed Bugs

  • Added text wrapping for the health number and gender fields in the Referral Note PDF. 
  • Resolved a bug causing multiple health service offering (HSO) dialogs to open when an site admin user user double-clicked on an HSO. 
  • Resolved a bug preventing referrals from closing when launched from the Patient Summary dashboard.

 

Patient Engagement

Improvements

  • The template code description will now be included in the Online Booking appointment summary.

 

Platform

Improvements

  • Ocean now supports the client_secret option during the SMART launch flow "Exchange the authorization code for an access token" step.
  • Improvements to the human readability and guidance provided in several Ocean error messages.

Fixed Bugs

  • Resolved bug affecting the use of Ocean keywords "ptFamilyDoc" and "ptFamilyDoc.name" with Telus PSS patient records. 
  • Ocean will now send notifications of Cloud Connect sync errors over the weekend.

Ocean Server Upgrade March 17th, 2022 Release Notes

The Ocean Server upgrade scheduled for March 17th, 2022 at 9:30 PM EST contains the following improvements and fixes.

 

Provider Network

Improvements

  • Enhancements to the new multi-factor authentication (MFA) enablement process:
    • The "Disable Two Factor Authentication" Button in the User Account page will be visible, but inactive once the user joins a site that requires MFA.
    • Enhancements to the MFA enablement UI.
  • When the eReferral status is updated in Ocean to “Declined” or “Cancelled”, OSCAR Pro (Well EMR) will now move these into its “Completed” consultation status.

Fixed Bugs

  •  Removed the ‘Any listing containing’ default when the search button is selected on the Ocean Healthmap.
  • Changes to the Referral Note's “referralDescription" item reference will now update the Description of the referral.
  • ‘Child’ referrals' currentHealthservice will no longer be updated due to changes to other referrals from the same ‘source’ referral.
  • Referral senders will now be redirected to the central intake directory listing of a site regardless of which directory listing they selected in the Healthmap.
  • Resolved a bug causing an incorrect row to appear in the weekly Ocean Usage Reports emails for sites that have a self-referral form.
  • Changed the Hubly catchment area parsing to Hubly's new data format.

 

Patient Engagement

Improvements

  • OSCAR Por (WELL EMR) users can now set where their secure message and eForms notes appear using a new Cloud Connect setting. 
  • The “Open” button on the OSCAR Pro (WELL EMR) Ocean toolbar has been replaced with a “Patient Summary” button that will launch into a patient-centred view within the Ocean portal.
  • Removed the patient experience survey link at the end of the patient-facing Online Booking flow. 
  • Reduced the date range of appointments that will be retrieved when Ocean is applying booking restrictions before presenting Online Booking appointment options to a patient. 
  • Improvements to the UI and field validation of the OSCAR Pro (WELL EMR) Cloud Connect setup page.

Fixed Bugs

  • Resolved bug causing the user to be automatically logged out from the Ocean portal when their computer’s system clock is ‘fast’ (in the future).

 

Platform

Fixed Bugs

  • The “Remember this device” for the two-factor authentication function for Ocean now works on mobile devices.

Ocean Server Upgrade February 24th, 2022 Release Notes

The Ocean Server upgrade scheduled for February 24th, 2022 at 9:30 PM EST contains the following improvements and fixes.

 

Provider Network

New Features:

  •  Ocean site administrators can now enable mandatory multi-factor authentication (MFA) for all users invited to their Ocean site. Once enabled, all users without MFA enabled will be prompted to enroll when they receive the invitation to join the site. They will not be granted site access until the MFA has been enabled. 

Improvements:

  • The Gender field on eReferral forms is no longer mandatory.
  • Recipient sites that are not yet using Ocean fully can now mark their referrals as received and managed externally, completing them within their Ocean site.
    • A disclaimer will appear on the Directory Listing view for the site: “This listing does not update the [eReferral/eConsult] status in Ocean. Contact the listing directly as needed for follow-up.”
  • eReferral sites that are designated with a Listing Type of ‘Central Intake’ can now move eReferrals to the 'completed' status via the API.
  • Ocean will now resend API messages that have failed (i.e. Ocean has received a response code other than 200) hourly for up to four days.

Fixed Bugs:

    • Resolved bug preventing logos from appearing in the Directory Listing View of sites accepting eReferrals.

 

Patient Engagement

Fixed Bugs:

  • Improved dynamic focus order when navigating through patient facing Online Booking pages. This will ensure that when a user navigates through these pages, their view will automatically be brought to the top of the page.
  • Improved how Reminder rules evaluate when the condition includes a provider that has been removed from the EMR.

Ocean Server Upgrade February 3rd, 2022 Release Notes

The Ocean Server upgrade scheduled for February 3rd, 2022 at 9:30 PM EST contains the following improvements and fixes.

 

Provider Network

Improvements:

  • The Status column in the Sent folders of the Portal view has been cleaned up and simplified to match that of the Patient Dashboard view, for ease of sorting and reviewing referrals.
  • An “Appointment Type” and “Booked” column has been added to the Sent - Booking folders to allow senders to filter and sort on referrals by booking dates.
  • Aligned the Ocean eReferral status mapping with the expanded list of  OSCAR Pro (WELL EMR) Consultation statuses. For example, this includes mapping “Booked - Confirmed” referrals to a new “Booking Confirmed” status in the Oscar consultation, instead of updating the consultation to “Completed” right away.
  • Notes added by a referrer within the Ocean eReferral page will now update the new "Notes" section in the OSCAR Pro (WELL EMR) Consultation window.
  • eReferrals sent via eFax will appear in the Patient Dashboard view’s Status column as ‘Sent via eFax’ (NOTE: This is only applicable to participants in the eFax pilot at this time).
  • The HL7 FHIR eReferral “Notify Update Appointment” API can now be used to remove an appointment.
  • The ‘Allow note entry’ configuration setting for API integrations has been updated so that when it is disabled, neither sender or receiver can add a note to the referral.  It has been relabeled as "Allow shared note entry".  
  • The "Allow referral note edits" configuration setting for API integrations has been relabeled as "Allow Referral Form Summary edits" for clarity.

Fixed Bugs:

  • Addressed bug preventing Regional Authority admin users from viewing the Patient and Provider Survey Link Fields.
  • Patient self-referrals will now be counted in the referral analytics.

 

Patient Engagement

Improvements:

  • As part of our Online Booking WCAG AA improvements, patients booking an online appointment will be warned before their session times out. The warning will give the patient the option to continue where they left off. If the session timeout is exceeded, the patient will be redirected back to the check in page.
  • Accessibility improvements have been made to the progress bar that guides patients through the Online Booking flow.
  • Patients booking online with their browser language set to French will now receive the email notifications for booking confirmations and cancellations in French.
  • eForms submitted via Patient Messages, Patient Reminders and Tablets into the OSCAR Pro (WELL EMR) Documents section as Ocean notes will now always be in PDF format. 

Fixed Bugs:

  • Resolved bug causing Ocean to send an Oscar appointment confirmation update that incorrectly changed appointment status.
  • Resolved bug so that appointments on the last day of the month are retrieved from OSCAR Pro (WELL EMR).
  • Trimmed whitespaces that were causing email addresses to be considered invalid when converting from an OSCAR Pro (WELL EMR) Patient into an Ocean Patient.

 

Platform

Improvements

  • Ocean users will now be warned before their session times out. The warning will give the user the option to continue where they left off. If the session timeout is exceeded, they will be redirected the Ocean login page.

Ocean Server Upgrade January 13th, 2022 Release Notes

The Ocean Server upgrade scheduled for January 13th, 2022 at 9:30 PM EST contains the following improvements and fixes.

NOTE:  The 'eServices' section will now be labeled 'Provider Network'.  Along with eReferral and eConsult improvements and fixes, it will also include new and emerging provider-to-provider capabilities, such as the eReferral via eFax capabilities listed below.

 

Provider Network

Improvements

  • Automatic referral splits will now only send the 'child' referrals via the HL7 FHIR API webhook messages.  Manually split referrals will send both the source and child referrals.

The following improvements are currently only available to participants in the eFax pilot:

  • A site can now enable their Healthmap listing to display a “Send eReferral via eFax" Button. 
  • When a referral is sent as an eFax via a Central Intake, the intended recipient will be displayed in the eReferral Dashboard’s Provider column. It will also display “Sent via eFax” in the Status column. 
  • The carbon copy (cc) function will not appear within the eReferral page for listings receiving eReferrals as via eFax.
  • Updated the 'referralSource' analytic field to capture eReferrals sent via eFax.

Fixed Bugs:

  • eReferrals will now display a “Please Wait” dialog when various actions are being processed (e.g. when an eReferral is being sent, actions are performed in the eReferral page). 
  • Ocean user accounts must now be associated with an Ocean site before they can create an eReferral from the Healthmap. 
  • Addressed bug preventing some users from viewing referral attachments that have been uploaded via an API. 

Patient Engagement

Improvements:

  • Implemented a WCAG 2.0 AA compliant progress bar in the Online Booking patient-facing pages.
  • Replaced several EMR-generated error messages that can appear in the Online Booking patient-facing pages so that they are meaningful to the patient. 
  • Online Booking will now prevent the creation of duplicate demographic update notes in Med Access. 

Fixed Bugs:

  • Addressed bug causing the caption field to be overwritten by a custom note when using the "Internationalization" feature in the eForm editor.
  • Ensured that Online Booking appointment cancellation page displays once the appointment has been successfully canceled  in the EMR.

 


Ocean Server Upgrade December 9th, 2021 Release Notes

The Ocean Server upgrade scheduled for December 9th, 2021 at 9:30 PM EST contains the following improvements and fixes.

NOTE: Our next release will be on January 13th, 2022

eServices

Improvements

  • Enabled Regional Authority sites to embed provider survey links in the provider email notifications and Sent eReferral/eConsult summary page (Nova Scotia pilot).
  • Streamlined the eConsult enablement settings (Nova Scotia pilot).
  • Ocean’s eReferral HL7 FHIR APIs now support the ability to send webhook events to multiple referral stakeholders so that forwarded eReferrals can be received by downstream integrated sites.
  • Modified how Ocean responds to multiple Open API events so that only one email notification is sent when a referral update & message are received sequentially.
  • Enabled attachments to be passed via the Open APIs when another system is launched ‘in context’ as part of a referral submission.
  • Ocean can now receive appointment information (location, appointment medium) through its eReferral FHIR API endpoint. 
  • Updated copy that appears in the eReferral Messaging pane when a site that has an API-integration chooses to disable messaging. 
  • Added a new Health Service Offering for “Ontario eConsult”

Patient Engagement

Improvements

  • Expanded the ability to vary Online Booking appointment type restrictions across the days of the week. 
  • Updated the user interface for the patient-facing Online Booking cancellation pages.

Fixed Bugs

  • Addressed bug so that updates made to Med Access demographic fields that cannot be modified will create a note.
  • Addressed bug that was causing an unnecessary "Post Booking Form Note" to be created in the EMR upon completion of the Online Booking post-booking form by the patient. 
  • Addressed bug that wasn’t clearing error messages during the booking flow.
  • Resolved a user interface bug in the Online Booking introductory message so that line breaks are now allowed.

Platform

Improvements

  • Added the ability to access a printable copy of the invoice.
  • Ocean Patient Messaging now requires a valid credit card and payer specified for the Ocean site before a secure message can be sent. 

 


Ocean Server Upgrade November 18th, 2021 Release Notes

The Ocean Server upgrade scheduled for November 18th, 2021 at 9:30 PM EST contains the following improvements and fixes.

 

eServices

Improvements

  • Added Health Service Offerings for Multi-Disciplinary Assessment and Management - Adult and Multi-Disciplinary Assessment and Management - Pediatric with the following keywords/synonyms; "multidisciplinary", "interprofessional", "socially complex patients". Also added an Offering for  Psychotic Disorders with "schizophrenia", "schizoaffective", "mania", "psychosis", "antipsychotic" as keywords.
  • Updated the button options displayed at the bottom of an Ocean eConsult request when it is first received by a site (Nova Scotia pilot).
  • The Complete button on an Ocean eConsult request is hidden for requesting providers until after an eConsult message has been received (Nova Scotia pilot).
  • The patient email notification will not be sent upon the initial send of an Ocean eConsult Request (Nova Scotia pilot).

Fixed Bugs

  • Addressed bug so that updates to consultations in Ocean will not cause the Well Health (OSCAR Pro) sending provider to be updated to the current-logged-in user (or a default user).
  • Child eReferrals will now store the Source’s ‘referralUrgency’ analytic, rather than defaulting to an "Unassigned" value.
  • Blocked unclaimed listings from being able to be updated to display the "Send Ocean eConsult" button in the Ocean Healthmap.

 

Patient Engagement

Fixed Bugs

  • Fixed a timezone discrepancy on the Reminders summary page to match the Ocean site’s timezone.
  • Fixed timezone discrepancy on the Reminders test rule page to match the Ocean site’s timezone.
  • Fixed Online Booking bug that would not allow a patient to cancel and rebook an appointment if a restriction was placed on that day due to caching of the appointment data.
  • Fixed Online Booking bug that was not allowing the “Prevent patients from booking another appointment within ## days”. Ocean was searching for appointments past the number of days in the restriction and would sometimes match on older appointments.

Platform

Improvements

  • Users that are invited to a new site with an email account other than the one associated with their Ocean account can now link the invite to their existing account by through a sign-in feature added to the top of the Sign Up page.

Ocean Server Upgrade October 28th, 2021 Release Notes

The Ocean Server upgrade scheduled for October 28th, 2021 at 9:30 PM EST contains the following improvements and fixes.

 

eServices

Improvements

  • eReferral users will now be presented with a role-based ‘requirements checklist’ on the eReferrals Settings page to guide them through site setup.
  • A setting has been added to the HSO configuration window to enable the display of a “Send eConsult” button on directory listings.   NOTE: This functionality is intended for Nova Scotia users only, and does not represent the Ontario eConsult Service. Integrated workflow to send eConsults to the Ontario eConsult Service through Ocean will be available to senders in the coming months.
  • The "Respond as eConsult" checkbox and the "Accept as eConsult" button will now be hidden if the initial eConsult has been submitted by fax or phone.
  • Changed the language of the Directory Listing Validation Email Notification to be product-neutral (rather than eReferral focused).
  • Minor updates to the validation prompt and label on Directory Listing claims dialog.
  • Added the Referral Target’s external service id to the HL7 FHIR eReferral payload references.

Fixed Bugs

  • Addressed a bug causing either duplicate or no Pending Referral Notifications to be sent.
  • Resolved bug preventing users from closing referrals after launching the Patient Dashboard from an integrated EMR and saving a note.
  • Minor improvements to the error handling for malformed FHIR eReferral bundles. 
  • Addressed bug related to the eReferral HN Province field that was impacting the use of HRM messaging.

 

Patient Engagement

Improvements

  • Patient authenticated website form submissions will now be imported into the Progress Note section of Well Health (OSCAR Pro). (Attachments will continue to download in the Documents section of the patient chart. These attachments will be renamed to include the following prefix before the file attachment name “Patient Message- file name”.)
  • UI improvements to the Online Booking Individual Edit Provider Schedule page to include an actions bar.
  • Patient-facing Online Booking AODA-related improvements.
  • Improved the error handling of the patient-facing Online Booking flow.
    •  

Fixed Bugs

  • Addressed a bug causing multiple site encryption dialog overlays in certain pages. 

 


Ocean Server Upgrade October 7th, 2021 Release Notes

The Ocean Server upgrade scheduled for October 7th, 2021 at 9:30 PM EST contains the following improvements and fixes.

eServices

Improvements

  • For eConsult messages, the Messaging pane's "To:" dropdown list will now update to only show the Referrer to ensure the eConsult response is directed appropriately.
  • Added a new setting to the Admin > Integrations > Register a Referral Integration page that allows API integrated sites to disable the ability for Referral Senders to include attachments with the initial referral. 
  • The Open eReferral APIs and FHIR eReferral APIs now support sending automatically split referrals as distinct 'child' referrals to the downstream system.  
  • Added an Wait Time Type extension to the HL7 FHIR eReferral APIs. 
  • Added the Ocean directory listing external service id as a FHIR PractitionerRole identifier sent in the eReferral bundle.
  • The outcome of outbound API calls (success/failure) will now be accessible in the Referral record's Action > View Event Log of each referral. 
  • Ocean will now send an email notification to the site admin if an outbound webhook notification fails.

Fixed Bugs

  • The "Health Information Custodian" selection on the Referrals Configuration page will now be validated for new Ocean sites, when the page is first saved.
  • The eReferral time will now remain empty if it is left blank when saving a booking date (rather than defaulting to 12:00am).
  • EMR appointments passed from Accuro onto the referral’s scheduling pane will no longer be subject to the browser’s timezone.

 

Patient Engagement

Improvements

  • Moved the Appointment Suggestion/Template setting from the schedule setting to the schedule configuration level for Accuro and Med Access EMR modules. This will enable users to specify different appointment suggestion/template slots for alternate schedule configurations.

 

Fixed Bugs

  • Ocean will no longer overwrite existing health numbers in OSCAR Classic.

 

Platform

Improvements

  • Emails sent from the default Ocean email address will now add "Ocean by CognisantMD" to the "From" email address unless the site admin has set a site specific 'friendly name' to display. This is a best practice for improving email deliverability. (The default Ocean email address () is unchanged.

Ocean Server Upgrade September 16th, 2021 Release Notes

The Ocean Server upgrade scheduled for September 16th, 2021 at 9:30 PM EST contains the following improvements and fixes.

eServices

Improvements

  • Implemented a virus scanning service for attachments added to eReferrals submitted through the Ocean Healthmap, Referral Website Form Links, or as Inbound eReferrals (Note: the service currently scans attachment uploads from within the eReferral. Scanning for EMR uploaded attachments will follow in a later release).
  • Removed the "Client Type" setting from the Site Features page. 
  • Removed the 'Accept eReferrals/Provider Messages' setting from the Site Features page, and associated functionality.  Site enablement to accept eReferrals is now set only within the Directory Listing.
  • Expanded the information presented in the dialog prompt for site admins to validate a directory listing.

Fixed Bugs

  • The appointment times selection preview that is displayed in the Referral Settings Configuration page will only show time slots between the specified earliest and latest booking times.
  • Resolved bugs related to metadata tags that were preventing the eReferral Note TIFF files from loading.

 

Patient Engagement

Improvements

  • Site admins can now specify an email address to receive Website Form update notifications that is distinct from the email address used to receive eReferral update notifications.
  • Online Booking UI accessibility-related enhancements.
  • Enhanced methods to prevent duplicate documents uploads into Accuro upon post-error retries. 

Fixed Bugs

  • Resolved bug causing the wrong date to be used as the overdue date for some Patient Messages.
  • When a new provider licence is enabled in the Providers page, it now appears immediately in the Users page’s EMR Provider field.

Recent Support Articles

The following articles will be available on September 17th, 2021 with new or updated content:

Set Up Your Site to Receive eReferrals

Can I change the file format for downloaded referral records and referral notes?

Can Ocean automatically mark booked eReferrals as closed at my site?

Can I configure the booking time options that appear in the eReferral scheduling pane?


Ocean Server Upgrade August 26th, 2021 Release Notes

The Ocean Server upgrade scheduled for August 26th, 2021 at 9:30 PM EST contains the following features, improvements and fixes.

eServices

New Features

  • All of the eReferral configuration settings have now been centralized within the eReferrals product.  From a new Settings Landing page, Admin users will be guided to the configuration settings that are relevant to their site, depending on whether they are eReferral senders and/or receivers.

Improvements

  • Created unique settings for the “Default Incoming Referral Notification Emails” and “Website Form Notification Email” so that users can specify distinct email addresses/recipients for these event notifications. 
  • Submitted values for the gender field will always appear in Referral PDFs.

Fixed Bugs

  • Ocean will accept the ‘General Importer’ batch file upload if blank fields are present in any of the columns.
  • eConsult-related copy will only appear in "eReferral Update" email templates that are related to an eConsult episode.

Patient Engagement

New Features

  • Accuro users can now configure within Cloud Connect whether secure message Ocean notes are published within the ‘Encounter Notes’ or ‘Documents’  sections.  Notes published to the ‘Documents’ section will first be converted into a PDF.
  • Med Access users can now set Ocean notes to download as either “Active” or “Completed” tasks within their EMR.
    • Two Ocean notes types (Secure message sent and patient acknowledgement) will always be marked as "Completed" in Med Access.

Improvements

  • User interface enhancements to the Online Booking and Patient Authenticated Website Form authentication page.
  • Online Booking activity logs can now be exported. 
  • Forms completed by an Ocean user in a browser can now trigger an Open API webhook notification containing the Session ID. 
  • Minor code changes to the detailed Reminder Rule History page.
  • Enhanced Ocean’s capabilities to retry sending a Reminder after an EMR recovers from a downtime.
    •  

Fixed Bugs

  • When a site exports a report of Ocean Studies responses, the time values reported in the Date column will reflect the exporting site’s timezone.

 

Recent Support Articles

The following articles will be available on August 27h, 2021 with new or updated content:

Ocean Portal's new & improved Admin Settings page

Enhanced Patient Reminders configuration settings for Well Health (OSCAR Pro)

Adding a user that already has an Ocean user account to your Ocean site


Ocean Server Upgrade August 5th, 2021 Release Notes

The Ocean Server upgrade scheduled for August 5th, 2021 at 9:30 PM EST contains the following features, improvements and fixes.

NOTE: Beginning with this sprint, Ocean releases will occur every third week on Thursday evenings.   Release notes will also be published on these Thursdays. 

 

eServices

Improvements

  • Redesigned Ocean’s Admin Settings page.
  • Sites that do not have an Ocean-EMR integration can now import a patient demographics batch file to enable eReferral pre-population.
  • Added referral analytics related to appointment events in order to capture the appointment medium, the confirmed state of the referral, who confirmed the appointment info, and whether an appointment reminder was emailed to the patient.

Fixed Bugs

  • Referrals that are marked as ‘Completed’ by Central Intake sites that have the ability to close a referral without an appointment will now appear in the ‘Completed’ folder.
  • Resolved issue so that field mappings with extra spaces in the lab results can still be published in Accuro.
  • Cloud Connect will now test that a URL is accessible prior to completing an OSCAR/ Well Health (OSCAR Pro) setup.
  • Ensured Ocean Toolbar externalPatientRef is consistently populated across all Well Health (OSCAR Pro) encounter screens.

Patient Engagement

Features

  • Site Admins can now access a detailed history for each sent Reminder rule from the Sent Reminders History page. It will display the individual appointments relevant to the Reminder rule, those that received an email, those that received a text message and those that could not receive a reminder (with an explanation).

Improvements

  • Users can now configure how Ocean interacts with the Well Health (OSCAR Pro) Appointment Status Manager within the Reminder rule settings. 

Fixed Bugs

  • Ocean will no longer revert the appointment status of 'Confirmed' back to the Ocean reminder 'Sent' status for Well Health (OSCAR Pro).
  • Resolved error that blocked Online Booking when a "Book Day Off" had been applied to the schedule in Accuro.
  • Included an error message to notify the user when the Online Booking appointment type restrictions matches the appointment type selected in the configuration page.
  • The Reminders Test Rule page will display appointments in the site’s timezone. 
  • The records retrieved in the downloaded Reminder logs will now show the time the reminder was sent in the site's timezone.

Ocean Server Upgrade July 13th, 2021 Release Notes

The Ocean Server upgrade scheduled for July 13th, 2021 at 9:30 PM EST contains the following improvements and fixes.

NOTE: Beginning on Thursday, August 5, 2021, Ocean releases will occur every third week on Thursday evenings.   Release notes will also be published on these Thursdays. 

 

Improvements

  • New provisioning workflow for enabling clinicians to provide eConsult responses:
    • Site admin users can now enable their sites to receive eConsults (Admin > Site Features, "Allow eReferrals to be responded to as eConsults")
    • Once enabled, the site’s users can apply individually for Regional Authority approval to provide eConsult responses (for remuneration)
    • Regional Authorities can grant eConsult response access at the individual user level (rather than the entire site) 
    • Added instructional aids for the eConsult lifecycle to the eReferral View and email notifications.
  • Removed the directory listing’s address from the iCalendar included in a eReferral patient email notification when the appointment medium is not “In Person”.
  • Additions and updates to the Ocean Healthmap’s directory listings can now only be made by authenticated Ocean users. 
  • The Ocean Healthmap no longer supports Google Places.
  • Revisions to the AEFI report template.
  • Improved FHIR API message error reporting for debugging purposes. 

Fixed Bugs

  • At the bottom of the Directory Listings > Advanced section, the “This listing was last modified by” stamp will now always be populated when a listing is changed. The date of that modification will now also be included in the stamp. 

 

Patient Engagement

Improvements

  • The Sent Reminders History page now displays the number of text message and email reminders sent per reminder rule, as well as the total number of patient reminders sent.
  • Site admins can now enable/disable iCal file from appearing in Patient Reminders emails.
  • Added a safeguard to prevent users from editing a reminder rule while a 'force send' is in progress.

 

Recent Support Articles

The following articles will be available on July 14th, 2021 with new or updated content:


Ocean Server Upgrade June 22nd, 2021 Release Notes

The Ocean Server upgrade scheduled for June 22nd, 2021 at 9:30 PM EST contains the following improvements and fixes. Recently created and updated support articles are listed below. 

 

eServices

Improvements

  • eReferral Recipient sites can be configured (by request of a regional authority) to have the ability to change the status of an eReferral to ‘Complete’ without adding an appointment to it. 
  • Enabled Central Intake sites to add a referral appointment without specifying an appointment medium.
  • Referral Form Summary edits will only display the most current visible items (rather than also displaying hidden items). 
  • Added clarity to the audit log events by distinguishing between when a letter has been manually printed and when it has been automatically generated.  
  • Ocean’s OAuth2 token requests can now be configured to include a scope parameter.

Fixed Bugs

  • Cosmetic improvement to the Scheduling Pane in the eReferral view. 
  • Any update to the eReferral appointment medium will now trigger an email notification to the  patient.
  • Resolved error so that Ocean patient reference number appears in the OSCAR Ocean toolbar immediately after an eReferral is submitted.
  • Added a check to ensure eReferral site billing begins after the listing has been activated to accept eReferrals (Directory Listings > eReferral Policy section).
  • Addressed billing issue related to eReferral sites with multiple self-referral website forms. 
  • Improvements to ensure that appointment times are displayed properly in the Scheduling Panel view of sending sites.

 

Patient Engagement

Improvements

  • Ocean will now forward Patient Messaging email notifications to the ‘clinical delegate email’ (listed in the My Account view and will no longer forward them to the primary and/or clinical delegates).
  • Incoming notes into Med Access will now be marked as "Active" rather than as "Completed".
  • Med Access Online Booking will now read templates from the EMR.
  • Added an Ocean Open API that returns an array of NoteIDs, completion date and associated statuses of all notes for a patient that match the search parameters.

Fixed Bugs

  • Accuro patient uploads will now include custom demographics even if the  patient does not have an upcoming appointment.
  • Fixed back button in the new Test Reminder Rule page for new rules.
  • Resolved bug so that the Test Reminder Rule page displays the correct count for 'No reminders sent' on email only reminders.
  • Addressed issue affecting the ability to upload images to a Patient Message by ‘copy/paste’.
  • Resolved bug affecting the utility of the “Disable EMR Appointment Type Mapping” dialog.

 

Platform

Improvements

  • Added a ‘safety check’ notification to users to confirm the intended Ocean  site they wish to connect to when there are two different PSS/OSCAR EMRs instances that connect to the same Ocean site.
  • When a user changes their email address, a verification email will now be sent to the new address that will prompt the user to login into Ocean to finalize the update.  The former email address will receive an email once the update is completed.

Recent Support Articles

The following articles will be available on June 23rd, 2021 with new or updated content:

Adding Appointment Details to eReferrals

Sending Patients the Details About the Medium and/or Location of Their eReferral Appointment

Restricting the Types of Appointments that can be Booked into a Certain Time Slot Within Med Access

Setting Up Provider Schedules for Online Booking

Creating an "Ocean Connect" Provider and User in OSCAR PRO

Assigning Clinical Delegates to Receive Notifications

Updating the Email Account Associated With Your Ocean User Account

Protecting the Privacy of Your Site's Shared Encryption Key

 


Ocean Server Upgrade June 1st, 2021 Release Notes

The Ocean Server upgrade scheduled for June 1st, 2021 at 9:30 PM EST contains the following features, improvements and fixes. Recently created and updated support articles are listed below. 

 

eServices

Features

  • An appointment medium can now be selected at the time of booking the eReferral, which will then be included in the patient’s booking email notifications.  These selections will also be reflected in the patient handout. 
  • Referrers will now be able to access the eReferral Notes pane to document notes.

Improvements

  • A PDF eReferral letter can be retrieved for download via the HL7 FHIR payload.
  • Referring providers creating a new eReferral using either Ocean's Open API or SMART on FHIR contextual launch can now use the HL7 FHIR API or Ocean open API to receive the initial referral request and updates.
    • Added "Notify on Sent Referrals from this Site" configuration checkbox to the Referral Integration setup form.

Fixed Bugs

  • When an eReferral appointment does not have a specified time, the appointment time component of the iCalendar included in the appointment notification will now be blank. 
  • Adjusted method for creating PDFs from lossless images to reduce PDF file size.

 

Patient Engagement

Features

  • Revamped the Patient Reminders test feature so that users can easily view which patients meet the conditions of a reminder rule without having to fully simulate a real reminder rule.
    • Added a new 'Save and Test Rule' button to the Edit Reminder Rule page, which will open a new page for Reminders testing.  Appointments matching the rule being tested will be displayed.  It will also include a preview panel for the message and body text of the Reminder.

Improvements

  • Modified the integration with Med Access to improve the Online Booking query response times.
  • Added a check to the Admin > Providers tab to determine if the provider has associated subsites before showing the subsites dropdown.
  • Improved Cloud Connect’s ability to support greater EMR action concurrency for Patient Reminders.
  • Files added as attachments to a Patient Message will now be scanned for viruses. 

Fixed Bugs

  • Resolved bug that was leading to duplicate website form submissions.
  • Reminders based on an appointment type of 'Blank/No Type' will now work with Well Health (OSCAR Pro).

 

Recent Support Articles

The following articles will be available on June 2nd, 2021 with new or updated content:

Selecting a file format for downloaded eReferral records and notes

Using the new appointment medium feature when managing incoming eReferrals

Using the new Patient Reminders test feature

Using keywords to automatically insert content

Accuro: Lab Values Available to be Pulled from the EMR

List of demographic fields that Ocean cannot update in Accuro

 

 


Ocean Server Upgrade May 11th, 2021 Release Notes

The Ocean Server upgrade scheduled for May 11th, 2021 at 9:30 PM EST contains the following features, improvements and fixes. Recently created and updated support articles are listed below. 

 

eServices

Improvements

  • Referrals initiated from Accuro will now auto-populate the family physician, height and weight [in metric units] and lab value fields in the eReferral.
  • Added a setting to enable sites to download Referral Records and Notes in the TIFF file format instead of the default PDF format.
  • Renamed the "Cancel" action in the Referrals Action Menu to "Cancel Referral" for clarity.
  • Removed the default "Print Referral" button from Ocean eReferral Network listings that do not accept eReferrals.
  • Added a lockout mechanism to the OAuth credentials API to increase security.
  • Added the ability to perform authentication before downloading attachments received via the HL7 FHIR Communication payloads.
  • Added the Referring site's siteNum and PractitionerRole to the HL7 FHIR ServiceRequest resource so that a single POS endpoint can be used to receive referrals for multiple Ocean sites.

Fixed Bugs

  • Improvements to the eReferral import software routine to mitigate confusing UI messaging and duplicated download content. 
  • When a Referral provider-to-provider message is sent via HRM but the provider’s Professional ID has not been saved (in the My Account > Clinical Contact Information section), Ocean will no longer display a checkmark (successful send) icon.

 

Patient Engagement

Improvements

  • Site Administrators can now enable text messages for Reminders without submitting a request to CMD Support.
  • Improved the Reminders rule builder "Provider" filter clarity by labeling and grouping "Licenced"/"Unlicenced" providers.
  • Minor UI/UX enhancements to the Reminders landing page’s Sent Reminders History.
  • Minor UI/UX enhancements to the Reminders Rule Condition Builder.

Fixed Bugs

  • Ocean will now perform a fresh sync with the EMR for all patients identified by the group cohort file to ensure their information is completely up to date.

 

Platform

Features

  • A new report is now available for site administrators to identify which site users have enabled two-factor authentication (under Admin > Reports view) . 

Improvements

  • Ocean now allows a user with the clinician type "Other" to be designated as a primary delegate.

Fixed Bugs

  • Code adjustments to enable the Accuro Encounter Notes Viewer to render French accented characters properly.

 

Recent Support Articles

The following articles will be available on May 12th, 2021 with new or updated content:

eServices

How to Re-download a Sent Referral into PSS

HL7 FHIR eReferral API Implementation Guidance

Patient Engagement

Sending Patient Reminders via SMS Text Message

Managing Text Message Consent

Patient Opt-out From Text Messages

General

Using Keywords to Automatically Insert Content (updated to include Accuro keywords for family physician field and height and weight)

Tracking Two-Factor Authentication Compliance

Updating Accuro Provider Permissions 

Understanding Directory Listing Fields

Cancelling Ocean Services and Subscriptions

 

 


Ocean Server Upgrade April 20th, 2021 Release Notes

The Ocean Server upgrade scheduled for April 20th, 2021 at 9:30 PM EST contains the following improvements and fixes. Recently created and updated support articles are listed below. 

 

eServices

Improvements

  • SMART on FHIR implementation enhancements to support Canadian considerations of the HL7 FHIR Patient resource data elements.
  • Updated the examples available in the HL7 FHIR eReferral API Documentation.
  • Ocean’s HL7 FHIR webhook notification now supports system-system authorization to an eReferral target system using OAuth2 client credentials.
  • Added a configuration user interface (UI) to the Admin > Integrations tab to input the OAuth2 client credentials of the eReferral target system for outbound HL7 FHIR eReferral operations.
  • Modified how Referral PDFs are generated to improve privacy posture.

Fixed Bugs

  • The referring provider will now be correctly listed as the referring practitioner in the OSCAR Consultation note that is created upon a sent referral.
  • When an eReferral in the “Booking Confirmed” folder has an appointment that occurred in the past added/updated to it, Ocean will no longer send a "Health Referral - Booking" email notification to the patient. 
  • Resolved bug so that eReferral Reminders will appear under the ‘Additional Features Activated’ section within Cloud Connect. 
  • Resolved bug so that Accuro medication description entries are populated completely into Ocean eForms.

Patient Engagement

Improvements

  • Clarified the text in the Reminders Universal Settings page that the Time of Day setting reflects when Ocean will begin processing reminders.
  • Implemented virus scanning for attachments that are submitted by patients via a Patient Authenticated Website Form.

Fixed Bugs

  • Reminder rules for post-appointment follow-ups will now suppress sending a reminder to appointments marked as "no show" in the PSS schedule.
  • Resolved bug so that Website Forms are able to make updates to the hnProv (health insurance number province) field in Accuro. 
  • Resolved bug so that the eForm name is included in the title of the Website Form note created within Med Access.
  • Resolved bug so that the Oscar toolbar is updated with the status of “download” after a note has been downloaded. 
  • Resolved bug so that disabled eRequest links accessed from IntakePortal.html are no longer active.

Platform

Improvements

  • Updated the Ocean End-User Licence Agreement (EULA) to notify Ocean users that CognisantMD may update and/or remove inappropriate service directory content.
  • Updated the PSS attachment exporter to support virus scanning of attachments (for future expansion of virus scanning across products). 

Fixed Bugs

  • Resolved bug affecting Ocean Open API handling of OPTIONS requests and made it compatible with browser-based JS integrations.

 

Recent Support Articles

The following articles will be available on April 21st, 2021 with new or updated content:

 

 

 


Ocean Server Upgrade March 30th, 2021 Release Notes

The Ocean Server upgrade scheduled for March 30th, 2021 at 9:30 PM EST contains the following improvements and fixes. Recently created and updated support articles are listed below. 

eServices

Improvements

  • “Master” referrals (referrals that are sent with more than one health service assigned, and split by the recipient site), will now be referenced as “Source” referrals in Ocean.
  • Improved the ease of identifying and navigating between Source Referrals and their related Child Referrals.
  • Patient demographic updates made to either the Source or Child Referral will be reflected in all related referrals (Source, ‘sibling’ Child referrals).
  • The Child Referral's analytics will reflect the data specific to the Child Referral (rather than the Source Referral). 
  • Added audits and referral events to capture when patient demographics are changed.
  • Added the capability for Ocean to send the "send-communication-from-requester" HL7 FHIR API event and to parse and process a "send-communication-from-provider" event sent by a downstream system.
  • FHIR eReferral API Documentation
    • Documentation on how to generate the required OAuth2 tokens to authenticate with the Ocean endpoint.
    • Documentation and example payloads for outbound messages (send eReferral, communication about the referral, revoke referral) and inbound referral updates (i.e. update-service-request, notify-create-appointment, notify-update-appointment, and incoming communication messages).

Fixed Bugs

  • Deployed additional referral dashboard index optimization.

Patient Engagement

Improvements

  • Separated out a channel of mail delivery for bulk email send jobs to ensure individual patient messaging is not backed up behind large email blasts. As a result, individual patient messages will be delivered more quickly in all circumstances; batch email delivery may be delayed under high volume email situations as has been seen lately for COVID vaccine information sharing.
  • Updated the Patient Reminders email appointment confirmation to use a synchronous flow.
  • Improved the clarity of the statuses displayed while a Patient Reminders ‘Force Send’ is being processed.
  • Ocean will now set the appointment ‘medium’ (i.e. phone, virtual visit) in PSS for appointments generated by Online Booking.

Fixed Bugs

  • Removed the term ‘eRequest’ from the header in the EMR note when Website Form submission is imported.

Recent Support Articles

The following articles will be available on March 31st, 2021 with new or updated content:

 


Ocean Server Upgrade March 9th, 2021 Release Notes

The Ocean Server upgrade scheduled for March 9th, 2021 at 9:30 PM EST contains the following features, improvements and fixes. Recently created and updated support articles are listed below. 

eServices

New Features

  • Ontario’s ONE-ID identity credential can now be used to sign into Ocean.
    • There is also an option to use ONE ID to sign-in from the Ocean Healthmap via a popup login window.

Improvements

  • Removed the footer in patient email notifications for referrals to walk-in health services (e.g. x-rays). 
  • Improved the Referral view's initial loading performance through new searching methods
  • Removed the Referral count from the ‘Completed’ folder.
  • Added ‘Neuroradiology’, ‘Ontario Breast Screening Program (OBSP)’, and ‘Remote Patient Monitoring’ to the list of Health Service Offerings and modified ‘Surgery’ to ‘General Surgery’.
  • Included in Ocean’s HL7 FHIR ServiceRequest resource a DocumentReference resource to retrieve an attachment separately (rather than sending it in the ServiceRequest payload).
  • Enabled Ocean to receive HL7 FHIR-based referral updates from downstream systems (e.g. updates to status, appointment information) as well as updates to core patient information.
  • Updated the Site Admin > Integrations tab to enable sites to manage OAuth2 credentials for the HL7 FHIR integration.

Fixed Bugs

  • Addressed bug preventing referral attachments in OSCAR and Accuro from presenting during the initial load of patient information.

 

Patient Engagement

New Features

  • Ocean can now automatically create new patient records within PSS and Med Access from an Online Booking, Website Form, Kiosk or Referral submission. 
    • Sites can enable/disable this feature individually for each product from the Admin > Site Features tab.

Improvements

  • Reminders rules can now be enabled/disabled at an individual rule level rather than universally.
    • Each Reminder rule on the Reminder Main Setting page has an individual enable/disable setting, as well as an indicator of the current status of each rule.
  • The Reminder Rule Builder on the Individual Reminder Setting page will now indicate to the user when a  Reason/Appointment Type/Provider has been deleted (within the EMR), so they can determine if that is the cause of a Reminder Rule not working.

Fixed Bugs

  • Ocean will now populate the health card number during an Accuro demographic update if it is blank.
  • Resolved a bug causing duplicate file downloads into Accuro Documents.

 

Recent Support Articles

The following articles will be available on March 10th, 2021 with new or updated content:

ONE ID 

Automatic Creation of New Patient Records in PSS and MA

Reminders

Online Booking for Accuro: