Ocean Server Release Notes

The Ocean server upgrade scheduled for the evening of May 15th, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements

• Minor updates to the new Directory Listings admin page including:
  • Billing number is no longer mandatory.
  • Offering reference is correctly displayed at the bottom of each Health Service Offering page.
  • Support link updated for Directory Listings requiring validation.
  • Central Intake listings will no longer see the “Route to Central Intake” setting on their listing.
• The formatting of the DOB column on the eReferrals & eConsults page in the portal has been updated to YYYY-MMM-DD (e.g. 2003-JAN-02), where the month is represented by a three-letter uppercase abbreviation, to improve clarity of patients' dates of birth.
• Modified the 'eReferral'-specific copy on warnings in the Ocean Healthmap to be more generic ('eRequest' and/or 'request').
• Added an eSubmission advanced search filter to the Healthmap.
• Added the JHN code systems for Nova Scotia and Nunavut to the Ocean eReferral FHIR server.

Fixed Bugs

• Modified the processing logic for calculating the referral archiving date so that it can only be extended into the future.
• Fixed bug causing the eReferral filter in the Healthmap to include non-eReferral listing results.
• Fixed a bug causing the referral URL generated after sending a referral to not launch the referral.
• Included the correct JHN's type system value for FHIR PE messages.
• Enabled Ocean’s SMART Launch to accept the correct JHN type system (v2-0203).
• When sending eRequests, users will now only see and be able to select from active listings within the "Copy of referral and status updates to:" dropdown on the request form. Conversely, for users in test mode, they will be able to see and select test or demo listings within this field.
• Deprecated Health Service Categories (HSC) will no longer appear as options in the HSC dropdown selection of the Directory Listings page.
• Improved validation of the patient email field on eRequests to prevent the referral from being sent if more than one email is included.
• Corrected the SNOMED code values associated with the Geriatric Behaviour and Geriatric Mental Heath Health Services HSCs.

Patient Engagement

Improvements

• Improvements to the Health Messenger patient reply feature by linking patient replies directly to the relevant provider message for a more user-friendly experience.
  • Updated the design of button components and reply bars for better usability.
  • Redesigned provider message and patient reply cards, adding a dedicated reply bar to each message, making it easier for patients to respond to the right message directly.
  • Updated the print preview styling for combined message cards.
  • Backend changes to ensure the correct provider is notified when a patient replies to their message, and to ensure EMR stamping reflects the correct thread.
  • General design cleanup of the Health Messenger’s Messages tab.

Fixed Bugs

• Fixed an issue in the Template Manager, where duplicated templates were not pulling the correct name.
• Health Messenger will now ensure the user is required to re-authenticate after 30 minutes after both a session time out and end session.
• Fixed a bug causing the appointment duration to be incorrect in some Team Based Booking scenarios.

Platform

Fixed Bugs

• Replaced a broken link on the PatientPrivacy.html page.

Support Article Updates

• Directory Listings
• Update Your Directory Listing Settings
• Ocean Note Tasks
• Create a Directory Listing for Your Clinic
• How does Ocean integrate with Health Report Manager (HRM)?
• Accuro: Automatic eReferral Document Assignment
• What is a Central Intake?
• Select an eReferral Recipient
• Select Your eConsult Recipient
• How long are eConsults/eReferrals stored after they are sent through Ocean?
• When does Ocean send Patient Message email notifications and where do they get sent to?
• Can patients include attachments when replying to a Patient Message?
• Introducing Patient Messages

The Ocean server upgrade scheduled for the evening of April 24th, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements

• To setup a Directory Listing to accept eConsults, the Listing Status must now be enabled alongside the individual Health Service Offering(s). The behaviour of these eConsult-only listings will now align with eReferral listings; correct billing, clear test mode prompts and validation warnings, and accurate status indicators in the Ocean Healthmap.
• The ‘Wait Times’ configuration on Health Service Offerings will only be shown on Directory Listings being set up to accept eRequests.
• For Directory Listings that will be accepting eRequests, a new setting is available to hide the Directory Listing’s address on the Ocean Healthmap and instead display a catchment area.

Fixed Bugs

• Delete option now only appears on Inbound Referrals if they have not been forwarded.
• The home phone number value, from the EMR source patient, will no longer be duplicated in the FHIR payload.

Patient Engagement

Improvements

• Replaced the two-language toggle in Health Messenger with a flexible language dropdown that supports preferred browser language for supported locales.
• Added a language dropdown to eForms to align translation logic across the Health Messenger interface.
• Updated Health Messenger language bundles with new content to support recent features, including a full Spanish translation of the Health Messenger interface.
• Users can now securely end their Health Messenger session at any time from the action menu.
• Improved styling and copy on the Health Messenger intro page for a clearer, more user-friendly experience.

Fixed Bugs

• Patient-friendly names for Alternate Configurations now display correctly in the confirmation email.
• Resolved an issue where patients could skip health card version code validation during non-swipe check-in.

Support Article Updates

• Can I hide my Directory Listing's address on the Ocean Healthmap?
• Update Your Directory Listing Settings
• Directory Listings
• Managing Calculated and Self-Reported Wait Times
• Introducing Patient Messages
• How can patients choose their preferred language in the Ocean Health Messenger?
• Can patients end their session in the Health Messenger?
• Do Ocean eForms support French? Other languages?
• What languages does Ocean support?

The Ocean server upgrade scheduled for the evening of April 3, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements

• A new, modern Directory Listings user interface (UI) for Admin users to add, manage, and configure their Ocean site's Directory Listing(s).
  
  • New show/hide logic for various settings on the page based on the 'Listing Purpose'.
  • Updated searchable dropdown components.
  • Two new Listing Types to support 'eSubmission' and 'Lab eOrder' workflows (must be configured by OceanMD admin).
  • New concept of an "eRequest Term" to enable recipients to update the copy of the “Send” button, email notifications and other aspects of the send flow.
  • Individual versus group information can now be clearly indicated on listings.
  • Health Service Offering settings can now be easily configured in their own tab, with simplified ‘Yes/No’ options for accepting the various eRequest types.
  • New status display in the top right of the listing configuration page to indicate if the listing is live and accepting eRequests or in 'Test Mode'.
  • 'Tags' and 'Online booking URL' settings removed from the listing settings.

Fixed Bugs

• Resolved an image sizing issue that caused marks on a Markable Diagram to appear distorted when a referral was created.
• Applied the correct FHIR Identifier code set system value for physicians and nurses in British Columbia.
• Fixed a bug where a saved filter list using "all" filter criteria were not automatically updating when a new clinician was added to the site.
• A faulty clinic admin email will no longer stop Webhook failure processing for integrations – we'll still log the referral event and update the integration status.

Patient Engagement

Improvements

• Patients can now clear all messages in their Health Messenger thread easily from the action menu.
• A Spanish language bundle has been added to the Health Messenger.

Fixed Bugs

• Online Booking links are no longer blocked when Safari’s Advanced Tracking/Finger Printing is enabled.
• Improved error handling when an appointment fails to refresh during a confirmation check.
• Resolved bug causing the HN Eligibility field to be updated with values from risk factor EMR fields in PSS.
• Improvements made to reduce the likelihood of DWR CSRF errors on the Health Messenger verification page.

Platform

Improvements

• Updated the HST rate for Nova Scotia as of April 1, 2025 to 14%.

Support Article Updates

Please expand the tab below to view the full list of updated articles.

The Ocean server upgrade scheduled for the evening of March 13, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Fixed Bugs

• The ‘Bulk Update Wait Time’ feature, for adding an anticipated wait time to referrals, will now reliably work when the ‘Priority’ field is used to identify referrals to be updated.

Patient Engagement

Improvements

• Added new validation to Cloud Connect to verify up-to-date appointment information and enhance the reminders confirmation flow.
• Introduced a patient-facing webpage in the confirmation flow for appointments that have already been confirmed.
• Introduced a patient-facing webpage in the confirmation flow for appointments that are not found.
• Updated the SMS Confirmation Page in the confirmation flow to indicate invalid and already confirmed appointments.

Fixed Bugs

• Add additional retries to Walk-In appointment creation when there are delays due to Cloud Connect Cloud congestion.
• Fixed an issue where some appointments were missing from the Ocean Portal Day Sheet for high-volume clinics.
• Health Messenger now properly displays the reply confirmation message on mobile.
• Health Messenger no longer breaks after deleting a message with multiple attachments.
• Online Booking Links can now be edited even if they contain a deleted schedule configuration.

Platform

Improvements

• Patient Engagement licence fees will be increased as of April 1, 2025.

Support Article Updates

• How do I update the Anticipated Time to Appointment for multiple referrals at once?
• What happens if a patient tries to confirm an appointment that has been moved, cancelled, or deleted in the EMR schedule after the reminder was sent?
• What happens if a patient tries to confirm an appointment more than once?

The Ocean server upgrade scheduled for the evening of February 20th, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Fixed Bugs

• Regional Authority site invoices will now include tax even if the covered site has an EMR vendor contract.
• When a listing is added to the ‘copy-to’ field of a referral, but there is no clinician information associated with that directory listing, Ocean will no longer return a Practitioner Resource as part of the resources in the FHIR bundles ‘copy-to’ extension.
• Addressed encryption issue related to API-based forwarding of referrals.
• Re-instated changes made in previous sprint to update the referral description on forward if the Health Service Category changed. This was in order to accomodate Central Intake workflows where the description needs to be maintained regardless of service updates to the referral.

Patient Engagement

Improvements

• Added new columns to the ‘Secure Message Sent’ audit report to capture if the ‘allow patient to reply’, ‘allow patient to send attachment’, or ‘notify when patient viewed’ features were enabled for each message.

Fixed Bugs

• Appointments that had their times modified will now accurately reflect the updated date and time in the patient reminder confirmation flow when a new reminder is sent.
• The status of delivered messages is now recorded correctly for SMS logs and no longer appears as ‘queued’.
• Re-instated change made in last sprint to update links in provider email notifications, due to unforeseen impact to EMR portal links. This will be addressed in a future sprint separating the behaviour of the email links from the EMR portal links.

Support Article Updates

• Where can I get reports on Ocean usage? ('Secure Message Sent' Data Dictionary)

The Ocean server upgrade scheduled for the evening of January 30th, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements

• The Professional ID of the referring provider will no longer be a required field on Inbound referrals (referrals transcribed into Ocean from phone or fax by the recipient site).

Fixed Bugs

• When a referral is forwarded the health service description is now updated alongside the current health service, when appropriate.
• Launching into the HealthMap directly into Test Mode will no longer intermittently present the .hide() error.
• Bulk referral send actions no longer drop HTTP protocol from OAuth token requests.

Patient Engagement

Improvements

• New Cloud Connect setting for Accuro users to configure if their Online Booking notes download as Encounter Notes or as Documents within a folder.

Fixed Bugs

• Corrected an Accuro Online Booking issue where the incorrect time was booked in the EMR due to Daylight Savings Time change.
• Embedded links in email notifications will now take providers to the intended hyperlink destination rather than their default home page.

Platform

Fixed Bugs

• Fixed the invitation flow for users invited to sites where two-factor authentication (2FA) is mandatory.

Support Article Updates

• Setting Up Ocean Cloud Connect
• Customize your Cloud Connect Configuration
• How do Online Booking Form notes appear in my EMR?
• Which User Roles require a Professional ID prior to sending an eReferral/eConsult?

The Ocean server upgrade scheduled for the evening of January 9th, 2025 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements

• Early Access Program Users - Markable Diagram images can now be included in the Referral View and Referral Record PDF.
• Externally Managed referrals that are electronically forwarded will now be removed from Externally Managed and placed into the appropriate status folder. There will also be a new option in the Action Menu to remove/add a referral to Externally Managed.
• Added 'copy-to' providers to the FHIR bundle.
• Added a new extension within the FHIR bundle to indicate whether items in the Questionnaire Response (form) are hidden, including retracted responses.

Patient Engagement

Fixed Bugs

• Additional validation to ensure Website Forms with partial Health Numbers do not import into the wrong patient chart in Oscar Pro.

Support Article Updates

• What do the different Action Menu Items mean?
• What are 'Externally Managed' eReferrals?
• Information for Team-Based Booking Early Adopters

The Ocean server upgrade scheduled for the evening of November 28th, 2024 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements:

• Central Intake users no longer have the ability to update unclaimed directory listings without approval. This privilege is limited to users with Trusted User status under a Regional Authority only.
• Listings that enable an API integration on a listing that already has active referrals can use a new bulk action feature in the Admin > Integrations page to have these active referrals sent via the integration. 

Fixed Bugs:

• Fixed an issue causing the Healthmap to display an error when in test mode.

Patient Engagement

Improvements:

• A French/English language toggle has been added to the patient-facing Online Booking user interface.

• The Health Messenger has a new menu to unlock patient actions, such as the ability to print and clear all messages.

• A menu has been added to individual message cards to enable patients to copy and delete individual messages.

Platform

Improvements:

• Added the ability to setup and configure external clinical decision support integrations (HL7 CDS Hooks) in the Admin > Integrations page.
• Ocean will now display to the user 'Critical', 'Warning', and/or 'Informational' cards with content from the external CDS service as part of the Send eReferral flow.
• Added new copy to Section 7 of the Ocean end user licence agreement (EULA).

Support Article Updates

• Can patients print, copy, and clear messages that have been sent to them?
• Can active referrals be resent to an eReferral API endpoint?
• Understanding Trusted Users: Making Directory Listing Management Efficient for Regional & Provincial Roll-outs
• Enabling Ocean Integrations

The Ocean server upgrade scheduled for the evening of November 7th, 2024 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements:

• Alphanumeric characters can now be added to provider billing number fields. 
• Referrals can now be forwarded using the HL7 FHIR eReferral APIs (both v0.11.1 and v0.10.0).

Fixed Bugs:

• Fixed an issue where an extra progress note was added in Med Access when sending/receiving referrals.

Patient Engagement

Improvements:

• Improvements to Health Messenger's appointment confirmation modal.

• The default keyboard for all Health Messenger numeric inputs will now be the numeric keyboard. 
• The Health Messenger will now always auto-scroll to the newest message.
• Increased the font size of dates appearing in the Health Messenger.
• Added controls so that Online Booking does not send the EMR concurrent requests for the same schedulables.

Fixed Bugs:

• Resolved issue preventing the Online Booking  'max of X appts per Y day' configuration from engaging for FHIR-based integrations.

• Addressed issue impacting Health Messenger accessibility by making it possible to navigate pop-ups using keyboard buttons.

Platform

Improvements:

• Ocean's HRM integration now uses Ontario Health's One Access Gateway (OAG) protocol for authentication
• There is a new ‘Menu Type’ setting in the eForm editor to configure how menu-type items are displayed to the user (ex. Buttons, Dropdown)
• Changed the copy of the new 'Register a new integration' option from "Data" to “External Data Source"

Fixed Bugs:

• Resolved bug that was causing an error when a user previewed a shared eForm.

Support Article Updates

• eForm Item Types
• Guide to the eForm Editor - Add Item
• Introducing Patient Reminders
• Enabling Appointment Confirmation from Patient Reminders

The Ocean server upgrade scheduled for the evening of October 17th, 2024 contains the following improvements and fixes.

Ocean will be intermittently unavailable between 10:00 - 11:00 PM EST while the upgrade is being deployed. To view all scheduled Ocean server upgrade dates, check out the Ocean Server Upgrade Schedule.

Provider Network

Improvements:

• Migrated Ocean’s Health Report Manager functionality (only available to a pilot sites) to the Ontario Health One Access Gateway.

Fixed Bugs:

• Fixed a bug in eReferrals & eConsult page where the “Referring clinician with name containing” search option did not show results for Received referrals.
• Fixed bug affecting the eReferrals & eConsult 'Appt Date - Start' and 'Appt Date - End' filters.

Patient Engagement

Improvements:

• OSCAR Pro users will now have default access to the Oscar Pro Attachment Manager.

  • OSCAR-based EMRs (e.g., Avaros) that integrate using the OSCAR Pro Cloud Connect module will now have to enable the ‘Enable Non-OSCAR Pro Compatibility’ feature within Cloud Connect to maintain current integration capabilities.

• The 'Same-Day Appointment' feature now supports alternate configurations.

• Added a button to the Health Messenger's 'Appointment Confirmation Redirect' to nudge patients to check their Messages and Forms.

Fixed Bugs:

• Resolved bug that prevented EMR schedules from being sent to Online Booking when all the suggestion slots have been removed from the EMR. 

• Fixed bug appearing in the Health Messenger 'Appointment Confirmation' page that was impacted by internationalization of the platform.

• Fixed bug that caused extra characters to appear in the Online Booking Schedulable Summary page. 

• Fixed an issue that caused Reminders to ignore provider restrictions due to timing interactions.

• Fixed bug causing an additional "yes" text to be added to e-form encounter note with French locale.

Platform

Improvements:

• Limited access release of new multi-lingual internationalization capabilities across the Ocean platform.
• Integration names can now include up to 255 characters.
• Added a new Admin > Integrations page option to specify "Data Integrations".
• Added support for a new authentication requirement in the Accuro integration.

Support Article Updates

• Customize your Cloud Connect Configuration
• Setting Up Ocean Cloud Connect
• Creating a PDF Attachment to Add to a Secure Message
• Sending an eReferral/eConsult with Attachments from OSCAR Pro

The Ocean Server upgrade scheduled for September 26th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Referral reminder rules will now by default have the option to include an iCal disabled. 
• Regional Authorities can now receive a new report detailing the import results and error details of a bulk upload of directory listings.

Patient Engagement

Improvements:

• After several months of testing with our end users, we’re excited to announce the release of Ocean Health Messenger! Health Messenger is a significant upgrade to our patient messaging experience that focuses on intuitive design and mobile accessibility.  The following articles provides more details:  https://www.oceanmd.com/news/introducing-ocean-health-messenger/
• Patient reminder rules will now by default have the option to include an iCal disabled. 

Support Article Updates

• How are iCal files used with Patient Reminders?
• Set Up Automated Referral Appointment Reminders
• Setting Up Ocean Cloud Connect
• Customize your Cloud Connect Configuration
• New! Accuro: Configuring Cloud Connect Document Folders for the Ocean Health Messenger
• New! Introducing Patient Messages
• New! Can patients include attachments when replying to a Patient Message?
• Review Your Default Templates & Template Settings
• Customize Your Templates (Optional)
• Basic Patient Messages Workflow
• Patient Messages Settings
• What if a patient shares health information in Ocean that requires urgent follow up?
• Are there limits to the number of files that can be attached to a Patient Message?
• Introducing Patient Reminders
• Enabling Appointment Confirmation from Patient Reminders
• Information for Health Messenger Early Adopters

The Ocean Server upgrade scheduled for September 5th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• For Early Access Program Users: Enhancement to the importing of attachments from Ocean into Telus PSS. The Referral Form Summary with eReferral URL will now be included in the progress note for Senders and Receivers.

Fixed Bugs:

• Updated the eConsult email copy to use “eConsult” terminology consistently rather than “eReferral”.
• Fixed a bug so that eConsults in Central Intake sites appear in the ‘Accepted as eConsult’ and ‘eConsult in Progress’ status folders as applicable.

Platform

Improvements:

• Updated the 'check for payment' method to include messaging credits to permit the addition of new licences and patient messaging usage.

Fixed Bugs:

• Enable Site Admins to remove the Shared Encryption Key (SEK) when it is flagged by Ocean as being malformed.
• Fixed a date transformation bug that was causing birthdate parsing issues.
• Fixed bug preventing Support Site users from transferring credits to subsites of their supported sites.
• Fixed bug that was automatically changing the EMR type of ‘OSCAR Pro’ sites to ‘OSCAR’ sites.

Support Article Updates

• Track Your Ocean eConsults
• Accepting & Declining eConsults

The Ocean Server upgrade scheduled for August 15th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Upon accepting an eReferral and generating a new patient chart in OSCAR Pro, the 'Referral Doctor' field in the OSCAR Pro Master Record will be automatically updated with the referrer's full name if there is an existing contact in the OSCAR Pro Specialist library with a matching Billing #.
• Modifications to improve the loading times of the eReferrals & eConsults page for sites with many users.

Patient Engagement

Improvements:

• New ‘Patient Friendly Name’ field added to the Online Booking alternate configurations. 
• Multiple configurations of a Booking Schedule can now be added to the same Online Booking link.
• French translation of the Website Form close-out message.

Fixed Bugs:

• Fixed bug preventing the FHIR Cloud Connect module from reviewing the Online Booking appointment status when checking patient restrictions.

Platform

Improvements:

• New alerts have been added within the Licence Management page to inform Site Admins when an EMR Schedule is no longer accessible to Ocean Cloud Connect, or if the EMR Schedule is no longer selected for synchronization in Cloud Connect.
• Copy updates made to the ‘Assign’ windows in the 'Add Licence' workflow.

Support Article Updates

• Licence Management
• Adding Ocean Licences
• Add an Ocean Licence for Patient Messaging
• Set Up Booking Schedules
• Set Up Booking Links
• Alternate Configuration
• Accepting New Patients for Online Booking
• Accepting & Declining eReferrals

The Ocean Server upgrade scheduled for July 25th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Enhanced the Directory Listing and Service filters in eReferrals & eConsult dashboard.
  • When referrals are manually entered via the inbound eReferral flow, the user will now be required to select the appropriate listing rather than base it on the selected listing in the Listing and/or Service filter.
  • The Listing filter will no longer look at the referral’s event log and consider it a match when any event is associated with that listing. It will only look at where the referral is currently at for both CI site and non-CI site.
• The Referring Clinician filter is now available in the General folder group (i.e. Needs Review) and Deletion Warning for Senders.
• Changed the notification copy in the Declined Referral dialog to "Referral will be returned to Sender".

Fixed Bugs:

• Fixed a bug causing the notes section at the bottom of a Healthmap listing to disappear when the user navigated away from the listing and then returned.
• Fixed a bug where the "Are you looking for a specific Health Service?" showed even if the user searched with a specific Health Service.
• Referrals that are re-opened via an FHIR API message event will now move into the eReferral Receiver's 'Pending Booking' folder.
• Fixed a bug that was causing filter values set in one eReferral folder to be applied in other folders.

Patient Engagement

Fixed Bugs:

• Fixed bug so that Ocean will ignore appended characters in the WELL Health OSCAR Pro Confirmed/Cancelled Appointment Status values.

Platform

Improvements:

• Updated the text in section 8.3 of the Ocean end-user licence agreement (EULA).
• Ocean will now prompt the Site Admin to remove the Messages Licence assigned to a user that is being removed from the site.
• Date of User’s latest Patient Message added to the Users Export.

Fixed Bugs:

• Additional checks have been added to prevent duplicate licences from being created.
• Sites can now change the hint for their shared encryption key (SEK) without seeing the 'invalid permission code' prompt.
• Fixed a bug preventing the upload of a Task resource in the FHIR Cloud Connect module.

Support Article Updates

• New! Filtering Improvements for eReferral & eConsult Users
• Users
• Manage All Your eReferrals in the Ocean Portal
• Understanding the eReferrals & eConsults View
• What do the different folders mean in the eReferrals & eConsults page?
• Can I filter the eConsults/eReferrals in my Ocean Site?
• Managing Appointment Type / Reason for Visit for Reminders

The Ocean Server upgrade scheduled for July 4th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• When referrals are forwarded multiple times and declined, referrals will return back to the Rapid Access Clinic (if applicable) then Central Intake.
• Updated Healthmap Listing message shown for Externally Managed Central Intake Listings.

Fixed Bugs:

• Med Access Extension: Fixed bug that caused attachments to occasionally fail when queued prior to the attachment scanner load.
• Med Access Extension: Fixed a bug that would occasionally clear a patient's queued attachments from Med Access prior to the user attaching them in Ocean.
• Fixed a bug when selecting "Any" and "Users removed from site" in Needs Review filter.
• Fixed bug that was causing duplicate notes to be created and persist as ‘not reviewed’.

Patient Engagement

Improvements:

• Added the ability to restrict OAB schedules for Same-Day bookings.

Fixed Bugs:

• Website Form submissions now support the ability to submit answers to Ocean Studies.
• Added preventative measures against excessive retries to load a patient record for Ocean Appointment Reminders.

Platform

Improvements:

• Updated the 'Assign Providers' List in the 'Add Licence' Workflow to include Nurses.
• Updated the 'Assign EMR Schedules' list in the 'Add Licence' Workflow to ONLY display EMR Schedules being synced from Cloud Connect.
• Added Audit Logs for Licence Removals.
• Show the Payer's Name at the top of the generated PDF when 'Print Invoice' is selected.
• Deprecated the 'Cost per Use' feature on eForms.
• Updated prompt for when Single-Sign-On fails to be established for user.
• Modified Cloud Connects response to a 502 "Bad Gateway" error so that it continues attempts to re-authenticate.

Support Article Updates

• Configure Your Study Settings
• Allowing Anonymous Public Access to an Ocean Study from a Website
• Can I run an Ocean Study without subscribing to additional Ocean services?
• New! Configuring a Booking Schedule to Only Accept Same-Day Appointments
• Information for Health Messenger Early Adopters
• Accepting & Declining eReferrals
• The Action Menu
• New! Who needs a Patient Engagement Licence to send Patient Messages?
• Set Up Booking Schedules
• New! What does "Error: Existing EMR User Account Linkage Detected" mean?

The Ocean Server upgrade scheduled for June 13th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Users can now Save Filters for a specific folder or groups of folders for all existing filter types.
• Moved the Print Referrals Button to the Actions Sidebar.
• Pinned Referral Inbox column headers and filters to the top of the page.
• Added additional columns for the regionalAuthoritySiteNum, CCEnabled, CCSEK, integrationName and updated HIC to Trustee/Custodian in the Regional Authority Listing Report.

Patient Engagement

Fixed Bugs:

• Fixed a bug where the appointment duration field for appointment type mapping was too narrow.

Platform

Improvements:

• Updated the Shared Encryption Key (SEK) change code algorithm, as well as the prompt that appears when a new SEK is successfully created for the site.
• Added a 'Licence Totals' summary to the top of the new Licence Management page to indicate the number of billable licences added for the site.
• Updated the status bar and pricing details that appear on the Patient Reminders Settings page, when reminders are configured to run against eReferrals for the site.
• New prompt to direct user to the Licence Management page when a Booking Schedule is deleted, so the licence can be removed as well.

Fixed Bugs:

• Added check for subsite use in online booking licences when attempting to remove a subsite.
• Fixed bug where the 'Add Licence' workflow breaks if the selected EMR Schedule for Online Booking is already being used for Patient Reminders.

Support Article Updates

• Information for Health Messenger Early Adopters
• Adding Ocean Licences
• Can I filter the eConsults/eReferrals in my Ocean Site?
• Understanding the eReferrals & eConsults View
• Set Up Automated Referral Appointment Reminders
• Manage All Your eReferrals in the Ocean Portal
• Batch Printing eReferrals/eConsults
• Licence Management
• What do the different inboxes mean?
• As a Regional Authority Admin, how can I enable the ability for an Ocean Site to contribute data to a Service Request Repository?

The Ocean Server upgrade scheduled for May 23rd, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• The Referral History icon will now be site specific and show accurately for both Receivers, Senders, Central Intakes, and for forwards if there are other referrals with the same patient.
• Improved business rule alignment of the calculation of eReferral purging rules.

Fixed Bugs:

• Fixed a bug that was causing an error message when clicking on "View the eReferral" in the Needs Review email notifications.
• Fixed a bug causing eReferrals with updated Wait Times to appear in the Deletion Warnings folder when they were not due to be purged.
• Fixed a bug causing eReferrals to be imported into the EMR if the scheduling fields were clicked on prior to a 'decline' action.
• Resolved issue that impacted the Med Access Chrome Extension automated task type assignment mapping for Gynecology.
• Resolved issue that was preventing the eFax-specific designations from appearing in the Healthmap and Referral Analytics. 

Patient Engagement

Improvements:

• Same-day appointments booked by existing patients through Online Booking, will now immediately appear in the Ocean Day Sheet.

Fixed Bugs:

• Fixed a Cohort Messaging bug that was causing inconsistent health number hashing in bulk patient uploads.

Platform

Improvements:

• New Licence Management for Online Booking, Patient Messaging and Reminders
  
  • Added a new Licence Management page to the Admin Settings Page
  • Introduced user-friendly workflows to add and remove Online Booking, Patient Reminder and Patient Messages Licences
  • Migrated all existing licence assignments to the new Licence Management page.
  • The Patient Reminders Settings page will now display the number of licensed EMR Schedules that Reminder Rules are running against.
  • Online Booking Schedules will now display the EMR Schedule they are configured against underneath the patient-friendly name.
  • Online Booking Schedules now require the EMR Schedule to have a licence prior to activating them. Users will be redirected to the new Licence Management page to do this.
    Admins can only select licensed EMR schedules when setting up and configuring new Online Booking Schedules.
    Enabled Online Booking Links will now display an orange status bar if there are no active Booking Schedules associated with them.
  • The Users Export has been updated with the following changes; the 'Linked EMR Provider' column was removed, the 'Clinician Type' column renamed to 'User Role', and 'License Mapped to User' column updated to 'Patient Messages Licence Type' with the following values: "Message", "Clinic Support" and "Sitewide"
    

Fixed Bugs:

• Corrected bug impacting the calculation of the Online Booking monthly fee.

Support Article Updates

• Enabling a Patient Messages and Reminders Licence
• Introducing Patient Reminders
• Patient Reminders Dashboard
• Patient Reminders Settings
• Edit Reminder Rules
• Testing Patient Reminders
• Your EMR and Ocean Online Booking What you need to know
• Set Up Provider Schedules
• Set Up Booking Links
• Online Booking Metrics
• How can I control billing for my online booking schedules
• Users
• Providers
• Removing a User from your Ocean Site
• How do I update my User Role
• How do I cancel my Ocean subscriptions
• Creating Separate Bills for Different Ocean Services
• Ocean MA Extension FAQ

The Ocean Server upgrade scheduled for May 2nd, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Updated Patient Requisition PDF and Healthmap eRequisition Repository listing text.
• Added the requisition provider access code to the initial notification email the patient receives from an eRequisition Repository listing.
• When sending a referral, both attachments and the referral record PDF will automatically be included in the automatic import into the Sender EMR.
• Optimized Ocean Healthmap data storage and search performance.
• Updated the term "Health Information Custodian" to the more general term "Trustee/Custodian" in the Healthmap, eReferrals & eConsults configuration page.

Fixed Bugs:

• Fixed a bug that was causing the "Number of Clinicians" field to revert to 'null' after applying to the RA.
• Better reporting of "no known allergies" when importing patients from Accuro or FHIR EMRs.

Patient Engagement

Improvements:

• The Patient Authenticated Website Form now presents French instructions to patients that have set their browser preferred language to French.
• Patient Reminders can now be used systems that have integrated with Ocean's Patient Engagement (Cloud Connect) FHIR module.

Fixed Bugs:

• Users will now be prompted to confirm that they wish to delete any directory listings that are associated with any Online Booking links.
• Fixed a bug causing a duplicate appointment to be sent in the test reminder feature if the Telus PSS "Secondary Provider" field is populated.

Platform

Improvements:

• Regional Authorities will be prevented from indicating coverage of licence fees at a site if another Regional Authority is already covering them.
• New columns for the "Approval Status" and "Test Mode" indicators added to the Regional Authorities' Listings Export.

Fixed Bugs:

• Resolved bug affecting the display of the "IT Support", "Administrator" and "Executive Director" user roles on Edit Delegates Page.

Support Article Updates

• Send Your eReferral
• What languages does Ocean support?
• As a Regional Authority Admin, how can I assume responsibility for licence fees related to Patient Messaging and Online Booking at an Ocean Site?
• Understanding Trustees/Custodians in Ocean

The Ocean Server upgrade scheduled for April 11th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Enhanced the filter options for Central Intakes in the eReferrals & eConsults portal Forward folder to filter on referrals that have been forwarded then accepted and declined.
• Enhanced existing Needs Review by filter in the eReferrals & eConsults portal Needs Review Folder.
• Changed purge criteria to retain the patients for the full lifecycle of the associated Referral or Website Form. Users are warned when manually deleting Patients that associated notes will also be removed.
• Added a “Contact Email for Patient Notifications” field in directory listing settings.  When populated, the email address will appear in the referral patient notification emails.

Fixed Bugs:

• Users are now prevented from viewing Saved for Later referrals from URL links if they do not have appropriate access permissions.

Platform

Improvements:

• New automated email generated and sent to the site when a Regional Authority (RA) disables billing coverage for Patient Messages or Online Booking.
• Minor updates to the Site Licence Approval’s “Manage” page under RA sites.
• Ocean will now check whether a site can send messages based on a site-specific payment method  or if there is a RA assigned Patient Messaging licence.

Fixed Bugs:

• RA Site Export & Search function updated to include all Sites under the RA.
• Invoices will once again display billing items organized by type.

Support Article Updates

• Including Multi-Page Attachments in the Ocean Referral Record - March 26, 2024 [RESOLVED]
• What email notifications will patients receive regarding their eReferrals?
• How long are patient records (with PHI) kept in Ocean?
• What do the different inboxes mean?
• As a Regional Authority Admin, how can I assume responsibility for licence fees related to Patient Messaging and Online Booking at an Ocean Site?
• Directory Listings
• How Can I Remove a Patient's Data From Ocean?
• How can I save an eConsult and/or eReferral for completion at a later time?
• Update Your Directory Listing Settings
• What is a Central Intake?
• Can I assign an eReferral to be reviewed by someone on my Ocean Site?

The Ocean Server upgrade scheduled for March 21st, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Added Priority and Protocol filters in the eReferrals & eConsult dashboard Pending Booking folder.
• Added a new Forwards filter in the eReferrals & eConsults dashboard Pending Booking folder for Central Intakes.
• Added request submitter/delegate Practitioner resource to the FHIR payload.
• Added a configuration option to allow the use of the patient's email address in the FHIR payload for patient email notifications instead of the patient's Ocean email address.

Fixed Bugs:

• Fixed an issue in the ReferralAnalytic export where the values of the integrationName and externalServiceId column were not displaying properly after a referral was forwarded.
• Minor Update to Ocean's v0.11.1 DocumentReference Resource to remove prefixes making the identifier simply be a UUID.
• Fixed bug with referral counts not updating when a portal filter is applied.

Patient Engagement

Fixed Bugs:

• Fixed bug causing Ocean’s FHIR Patient Engagement module to create redundant demographic notes for smoking status.
• Changed how Ocean updates a site’s appointment types during each sync to mitigate issues where there are mismatches between the previous and current set.

Platform

Improvements:

• Allow Regional Authority sites to manage Patient Engagement licence coverage separately from approving Directory Listings for the Provider Network.
• Sites with only test listings will now appear in the Regional Authority management pages.

Fixed Bugs:

• Accessibility improvement: EForm captions are no longer treated as headings by screenreaders.

Support Article Updates

• As a Regional Authority Admin, how can I assume responsibility for licence fees related to Patient Messaging and Online Booking at an Ocean Site?
• Ocean-MA Extension FAQ
• Send Your eReferral
• Accepting & Declining eReferrals
• What is a Central Intake?
• View & Track Your eReferral
• Update Your eConsult and eReferral Receiver Configuration
• HL7 FHIR eReferral API Implementation Guidance

The Ocean Server upgrade scheduled for Feb 29th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Enhanced Healthmap search algorithm for relevance ranking.
• Improved Wait Time Information configuration screen and added an "Unknown" self-reported wait time option.
• Updated the Healthmap search results layout and wait time information display in the listing offering. The default Calculated Wait Time will now be using the Average Wait Time instead of 90% Within Wait Time.
• Updated the search results view to display more Wait Time information and updated the Wait Time information display.
• Updated match listings view with new table functionality and display Chosen Wait Time.

Fixed Bugs:

• Red validation warnings will now only show for listings that have signed up for eReferrals but not yet validated.

Patient Engagement

Fixed Bugs:

• Fixed a bug where certain booking restrictions were ignored when patients book with a minimum days before rebooking restriction.

Platform

Improvements:

• Regional Authority (RA) sites can now provide licence coverage for Patient Messaging and Reminders, as well as Online Booking, for sites within their jurisdiction.
  • An automated email will be sent to the end user site when the RA enables billing coverage.
  • A billing coverage banner will be displayed at the top of the license configuration pages at the end user site when enabled.
  • Bill items covered by the RA are not billed to the source site, and will instead display as $0 in a new section on the site's invoice.
  • RA sites will now receive a monthly invoice for any Patient Engagement licence fees accrued by sites that they are responsible for paying.

Fixed Bugs:

• Addressed bug so that users cannot be assigned as their own delegate.
• Addressed bug affecting the ‘Show All” button impacting various components in Patient Engagement products.

The Ocean Server upgrade scheduled for Feb 8th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• CMD Admins can now enable a Wait Time Management setting for approved Central Intake listings to have their wait time in the HealthMap displayed as "Managed by Central Intake".
• Patient Reminders appointment confirmations will now update the referral confirmation status.
• When referrals are marked as Save for Later, the corresponding note in all EMRs now include the referral's listing name and service description.
• When referrals are marked as Save for Later, the corresponding task in Med Access will now appear as an "Active" task rather than "Completed".
• Saved for Later referrals can now be accessed from the Ocean Patient Dashboard.

Fixed Bugs:

• Added a safety check to ensure Med Access and PSS charts are linked only when the patient's DOB matches, in addition to the usual health number linkage.

Patient Engagement

Improvements:

• The 'prevent patients from booking another appointment within "x" days' restriction has been revised. Now, patients can immediately view and book the next available appointment that will be available after the specified days have passed. Previously, patients were restricted from seeing any available appointment days until the specified days had passed.
• Improved OSCAR Pro Family Doctor matching based on patient demographics.

Fixed Bugs:

• Resolved bug so that a second address can be imported from Website Forms into Accuro for new patients.
• Resolved an issue where Licensed Providers were incorrectly listed in the Unlicensed category within the rule conditions for Patient Reminders.

Platform

Improvements:

• Providers no longer need to set a Primary Delegate to share their Patient Message License with. Instead, any Administrator, MOA/Secretary, Medical Students, Nurses, Residents, or Physician Assistants will automatically be enabled to send Patient Messages once a Provider License at the site is activated.
• Ocean Users can now easily add and manage Clinical Delegates for any Ocean site they belong to.

The Ocean Server upgrade scheduled for January 18th, 2024 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Early Access Program Users: Senders and Receivers in Accuro can now enable Referral documents to automatically be assigned.
• For OSCAR Pro, Ocean will now automatically convert heights with measuring instruction in inches to centimetres and weight in pounds to kilograms on eForms when coded to populate from @ptLatestVal.wt and @ptLatestVal.ht keywords. 
• SMART launching sites can now specify the MRN and HCN IDs they want Ocean to use from their Patient.read resource.

Fixed Bugs:

• Referral History icon will no longer appear for Referrals without a past history at the same site going forward. Ensured that only receivers will see the Referral History icon and it is not displayed for Sent referrals.
• Fixed a bug that would result in a referral to move prematurely out of the Needs Review or For Me folder when the referral is saved.
• Fixed issue with redirected referrals showing duplicate referral attachments when using an integrated EMR.
• Implemented a solution to enable confirmation alerts for Patient Booking Information to retrieve Legacy Emails.
• Resolved bug causing the SMART launch to fail to read the business/work phone from the Patient.read resource.
• Corrected support article link in the eReferral Attachment Selector.

Patient Engagement

Improvements:

• Enhanced the Tablet Use Log Report by adding columns for the Patient Ref and EMR ID to improve tracking.
• Added the ability for users to customize the Online Booking appointment list.

Fixed Bugs:

• Users can now add 'On Demand' EMR Attachments within the Send Patient Message UI without the need for a page refresh.
• Online Booking calendar will now maintain correct navigation when moving to the next month in the scenario where there are no appointment slots available.

Platform

Improvements:

• Ocean Users can now establish Single-Sign-On for more than one EMR concurrently.
• Updated spf validation requirements for sites using their own email address to email patients.

The Ocean Server upgrade scheduled for December 7th, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Residents are now identified when sending a referral on behalf of the supervising physician.
• Patients and providers will now receive email notifications when the Anticipated Time to Appointment is added or updated in the Referral Scheduling Pane.
• If a referral has been cancelled or declined, senders can now redirect a referral to a new listing with patient demographics and previous attachments included.
• Added validation to ensure that the Province field is entered correctly in Directory Listing settings and User settings.
• Added the Referral Sender Billing ID to the FHIR eReferral v10 and v11 payloads.

Fixed Bugs:

• Fixed a bug where referrals in the Referral History are not loaded when clicked.

Patient Engagement

Fixed Bugs:

• Resolved Online Booking calendar widget bug that wraps back to the starting month when going to the next month.

Platform

Improvements:

• The ‘Clinician Type’ and ‘Role’ fields under Ocean User Accounts have been combined into a single new dropdown field called 'User Role'.
• The ‘Clinical Contact Information’ for all users has been moved to a new page under Ocean User Accounts. Clinicians can now enter and store multiple addresses and contact information here for the different clinic locations they work at. This information can be easily applied to any eRequests they or their delegates send.

The Ocean Server upgrade scheduled for November 16th, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Minor usability improvements to the Healthmap Advanced Filter. 
• The Number of Clinicians can now be captured on Directory Listings applied to a Regional Authority.
  
  • Added a new 'Regional Authority' Section on Directory Listings that captures 'Number of Clinicians'.
  • Updated the Regional Authority Application Workflow.
  • Added a "Number of Clinicians" Column to the Regional Authority Approvals Table.
  • Updated the Regional Authority Export.
  • Updated the Ocean License Count Report.
• Updated the Referral Notification Status Sheet with the reason the referral was declined.
• HL7 FHIR v0.11.1 integrations now support for the eReferral sender to receive FHIR-based status updates, communications and appointments in their native EMR. 

Fixed Bugs:

• Resolved issues with the Referral History icon appearance being inaccurate in some cases (an icon appeared for patients with no past referrals or an icon did not appear for patients with past referrals).
• Fixed a bug where the initial recipient was able to cancel a revoked referral sent to another recipient by Central Intake.
• Fixed background errors that resulted when eConsults were marked as completed by receivers.

Patient Engagement

Improvements:

• In the Upload Patients from File feature, removed the PS Suite Patient Importer and PS Suite Patient Importer (Legacy) selections from the Importer drop-down, as these methods are no longer supported.

Fixed Bugs:

• Updated the copy of New Patient Creation notes for Online Bookings that are stamped into the EMR.

Platform

Improvements:

• Added checks to prevent updates from the Ontario Provincial Provider Registry (PPR) from overwriting existing data with empty values.
• Listings maintained by PPR can now display multiple languages.
• Improved the field format guidance and processing of the Ocean CSV uploader for listings.

Fixed Bugs:

• Fixed a bug that caused incorrect text styling for certain eForm notes when they were saved into Oscar Pro as PDF documents. 

The Ocean Server upgrade scheduled for October 26th, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Additional timeframe options 2-3 years; 3-4 years; 4-5 years; 5+ years have been added to the estimated wait times for referrals. Note that existing referrals set to 2+ years will be grandfathered in but it will no longer be a selectable option going forward.
• The Regional Authority Approvals table has been updated and a Health Region can now be specified for British Columbia.
• The RA Export now contains additional fields for Health Region (if applicable), Listing Type, Catchment Area, eReferral and eConsult enablement.
• A dedicated Advanced Filter button has been added in the Healthmap.
• Updated the copy in the sign-in screen Provincial Sign In section to indicate ONE ID is for Ontario users.
• Updated the message generated for when a Referral Form Summary is edited from "The referral note was edited" to "The referral form summary was edited" which is the updated terminology.
• Referrals for inactive sites will now also be automatically purged.

Fixed Bugs:

• Fixed a bug where the appointment date could not be manually cleared when saving a referral which affected both the patient notification email for updated referral appointments and the referral status.
• Fixed a bug regarding inconsistent date format that was coming through the payloads.
• Fixed a bug to ensure delegates can only initiate referrals for Providers on the site that the Provider belongs to.

Patient Engagement

Fixed Bugs:

• Resolved a bug where the Tablet Introduction and Completion message language did not distinguish between different regions of a locale.
• Fixed a bug that was causing the Online Booking Post Booking Form title to change to Booking Form.
• Resolved a bug that caused confusing time discrepancies to appear in secure messages when accessed in a different time zone.
• Fixed a bug that prevented patients with appointments booked in a Room instead of with a Provider in Med Access from confirming their appointments.
• Fixed a bug in OSCAR Pro's online booking that confused single-letter slot suggestions that differ only in uppercase or lowercase value.

The Ocean Server upgrade scheduled for October 5th, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Built logic related to HealthcareService API and V11 messages validation for eConsult Bidirectional integration.
• Ocean will now require the Professional ID for Physician Assistants, Nurses and Residents when sending an eReferral.
• Updated referral messaging provider picklist to indicate provider declined forwarded referral.
• Updated the referral record PDF to state "Source Referral Notes" instead of the old term "Master Referral Notes".

Patient Engagement

Improvements:

• Updated Site Data Removal Notice Emails to no longer include OAB submissions.
• The day sheet in the Patients view has been optimized to provide faster load times and to reduce system performance bottlenecks.

Fixed Bugs:

• Fixed bug allowing eForms associated with Studies to be added to templates.
• Fixed bug regarding Patient Messaging Notifications - Behaviour change that was causing unwanted notifications.
• Fixed a bug in OSCAR's online booking that confused single-letter slot suggestions that differ only in uppercase or lowercase value.
• Fixed bug where quotations in appointment types prevent online booking.
• Fixed bug where OAB booking fails upon using an alternate ID with a provider restriction.

Platform

Improvements:

• Implemented an automated process to regularly purge patient data from inactive sites and ensure that site data is removed.
• Improved clarity of error messages for SMART Launch DocumentReference processing.

Fixed Bugs:

• Fixed bug that prevented the "visible" keyword from being used in the eForm editor's "Create a note for this item:" field.

The Ocean Server upgrade scheduled for September 14th, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• For Med Access and PSS, if the Referring Provider is present in the EMR's Address Book, it will be set for Received Referrals.
  • An indication that the patient has been uploaded by Ocean will be present for both eReferrals and Online Booking in PSS under Patient comments and MA under Care Assignment notes.
• Providers are now protected from communicating with listings that have yet to complete their HINP's listing validation process.
• Added HL7 FHIR v0.11.1 (beta) as the default payload type on the Ocean eReferral Integrations page.
• SMART launch can now be used to launch into a specific referral within the Ocean Portal.
• eReferral PDF documents can now accommodate long MRN values without overlapping other text.

Fixed Bugs:

• Fixed a bug with the "Enable Review Mode" button disappearing when the referral is refreshed.
• Updated the Healthmap search results to rank Test Mode eReferral listings lower than live eReferral listings.
• Fixed bug causing multiple notification emails to be sent when an invalid email address is included in a referral listing.
• Fixed a bug preventing referral API updates from going out when the referrer has no address.

Patient Engagement

Improvements:

• An eForm associated with an Ocean Study (anonymous) can now be used as an Online Booking post-booking form, and count towards the study results.
• Added a font toolbar to provide limited formatting for the Online Booking Introductory Message text.
• Minor update to how the day of the week is displayed in the Online Booking confirmation email.
• Ocean will prevent patients from booking into the 11:55 pm - 12:00 am slot when the appointments are 5-minute duration and the time restriction is set to 11:59 PM.
• Patients with the status of 'Inactive' in Accuro will not be provided access to the Online Booking patient flow.

Fixed Bugs:

• Changes to Patient Messages and Reminders Licence and subsite in Site Admin provider page will now be visible upon saving.
• The "Real-time Ontario Health Card Validation" setting in the Tablet & Kiosk will remain in the enabled mode upon saving the credentials dialogue.
• Patients booked in an EMR schedule that is invisible to Cloud Connect can now be able to use the Ocean Kiosk to check-into the EMR's Walk-in schedule.

Platform

Fixed Bugs:

• Fixed a bug preventing the character '$' in the keyword values from being processed.

The Ocean Server upgrade scheduled for August 24th, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Senders now have the ability to filter and save on Referring Clinicians so only relevant referrals are shown.
• When importing a new referral and a net new patient chart is created in Accuro, the Referring Provider will now be populated into the “Referring Phys” field in the patient demographic, if the referring provider is in the address book. Re-authenticating Cloud Connect will be required to utilize this feature.
• Ocean now supports the GET HealthcareService API for eConsult Bidirectional integration.

Fixed Bugs:

• Remediated bug where FHIR update patient API messages required a birthdate when they shouldn't.

Patient Engagement

Improvements:

• User Activity Report will now log action to determine if a user enabled/disabled a Patient Messaging and Reminders license.

Fixed Bugs:

• Save button for Website Forms and Online Booking no longer behaves like "Save and Close".

Platform

Improvements:

• Externalized Ocean Attachments, and moved them out of MongoDB and into AWS S3.
• Now auditting site 'From' address email approvals.
• Set a call duration warning threshold for FHIR attachment downloads separately from other requests.

Fixed Bugs:

• Mitigate Bugs and Errors found in S3 Referral Attachment Migration Job.
• Manual payments of an invoice for multiple sites in Ocean will now correctly be recorded as processed, alongside capturing the payment.

The Ocean Server upgrade scheduled for August 3rd, 2023 at 9:30 PM EST contains the following improvements and fixes.

Provider Network

Improvements:

• Improved clarity in the User Activity Report when a user initiates the 'Export' action in the eReferrals & eConsults area.
• Improved support for back-dating of faxed referrals sent more than one year ago when creating them in Ocean.
• Ocean now supports the HL7 FHIR eReferral-eConsult Implementation Guide v0.11.1 outbound messages.
• Enabled Ocean to capture and send back the SMART launcher (POS system's) internal referral identifier as part of the FHIR payload.

Fixed Bugs:

• Remediated bug in processing catchment areas sent via the HealthcareService API.
• Updated the sample outbound bundle payloads in the FHIR API documention.

Patient Engagement

Improvements:

• Support for using Altenate IDs for Online Booking, Patient Authenticated Website Forms, and Patient Messaging.
  • Added a Privacy and Security Disclaimer when enabling Alternate IDs for each product.

Fixed Bugs:

• Fixed bug preventing Alternate IDs from populating in Med Access.
• Fixed bug impacting the use of the 'ob#days' individual patient-level restriction
• Fixed bug causing the Ocean Attachment Exporter to fail to read certain S3-based PSS attachments.

Platform

Improvements:

• Added mitigations to prevent users that no longer have access to a site from switching into it in the same session.
• Updated the shared encryption key (SEK) maintenance guidance in the Encryption page.
• Updated the Ocean Support email address and website URL in the EULA and Ontario Privacy Primer.

Fixed Bugs:

• Fixed an issue that prevented the attachment exporter from uploading some types of PSS attachments.