|
(status) |
Version 1.1 1994 |
|
DONE |
Tuning
Fork Exams
New
module under Exam that allows for documentation of tuning fork exams |
|
DONE |
Custom
Advice
Now
can place custom advice items on the list. The item labeled ADD/DELETE
CUSTOM will now bring up a special window that allows the end user to
easily place custom advice sentences. |
|
DONE |
Add
C&S to tests |
|
DONE |
Custom
Tests
Similar to the Custom Advice Feature |
|
DONE |
Capital letters for Allergy statement
To
make information on drug allergies standout. |
|
DONE |
history for sleep disorder, food allergy
additional items added |
|
DONE |
past
history to include FESS surgery
additional items added |
|
DONE |
add
transillumination of sinuses
added to exam |
|
DONE |
Tests:
sleep study 5 channel pneumogram |
|
DONE |
Tests:
FNA, SMAC 12, SMAC 24, VDRL, FTA-ABS |
|
DONE |
Tests:
nasal cytology |
|
DONE |
Exam:
TM perf - traumatic
new
category of perforation description |
|
DONE |
Customize most lists
A
major part of my recent efforts to allow increased customization of a
larger portion of the program. Several lists in the history and
impression modules now may have the end user add custom items. |
|
DONE |
Doctors greetings formal vs. informal
The
previous version of the program automatically assumed that you wanted to
address referring doctors by their first name. This is still the
default setting but now it is possible on a doctor by doctor basis to
specify whether that particular doctor will be addressed by first name,
last name, or other greeting. For example, Dr. William Smith can now be
greeted as either: Dear William, Dear Dr. Smith, or Dear Bill. |
|
DONE |
Add
Non ENT Drugs
The
100 most commonly prescribed drug list was used to create a new category
of drug types: Non ENT drugs. This will appear on both the history and
the past medical history modules to simplify documentation of drugs not
normally used by ENT doctors. |
|
|
version 2.2 1995 |
|
DONE |
Allow
age and sex to be stored with daily patient list
Previously, the age and sex of each patient could only be entered just
before the history was started for that patient. Now, if desired, the
ages and sexes of the patients may be entered when the complete list of
daily patient names is entered at the beginning of the day. |
|
DONE |
Prophylactic antibiotic question added to Recurrent Otitis Media form |
|
DONE |
Audio:
sound field testing for infants added to history form |
|
DONE |
Hearing Loss and Tinnitis: Other ear symptoms list enhanced
Now
it is possible to specify yes or no for each of the listed symptoms. |
|
DONE |
Save-Dictation feature enhanced
Previous version of the Save-Dictation feature allowed you to pull up a
partially completed record and finish it with the keyboard attached.
This was fine if there was only a sentence or two to add. However, if
there were several sections to complete, it was awkward because it was
difficult to enter the section headings. Also, if there was standard
text to enter, you could not enter the information with a pen.
The new version of the Save-Dictation feature has been renamed
Save-Partial. Now when you use this button to save a partially
completed record, the patient’s name will appear on the daily patient
list with an indication - (partially complete) that indicates
that some of the information has already been entered for this patient.
When you choose such a patient from the list, the information gathered
previously will be automatically loaded and you will be brought right
into the correct module (exam, impression, etc.) to finish entering the
information with the pen. This method is also useful for getting around
the previous limitation of only having 5 active patients at a time.
|
|
DONE |
Exam
Module Enhancements:
numerous small changes:
Oral
exam findings added: redundant soft palate, cleft palate, high arched
hard palate, tonsil fossa findings post tonsillectomy, tonsils touching
in midline, edentulous/dentures. Nose exam enhanced to document
presence or absence of hematoma. |
|
DONE |
Past
Medical History Module Enhancements:
numerous small changes:
Previous surgeries can now include ENT surgeries. (previously this had
to be included in the history portion). History of bleeding disorder
can now be documented. Also under review of symptoms, gyn. section, can
now state when last menstral period occured. |
|
|
version 2.21 |
|
DONE |
Enhanced Rigid Nasal Endoscopy
Now
a more detailed nasal endoscopy can be documented. |
|
DONE |
New
problem module: Preoperative visit |
|
DONE |
Backup
Module
Previously the end user is required to make up his own backup copies of
the data files using what ever software he or she wishes. This feature
allows backups to be done from within the program. |
|
|
version 2.25 1996 |
|
DONE |
Enhanced Facial Exam
easier documentation of facial paralysis, trauma or lesions, etc. These
areas are accessed by using the other button on the exam form. |
|
DONE |
Enhanced Neuro Exam
more
detailed neurological exam |
|
|
Version 4.00 1997 |
|
DONE |
New
Problem module: Facial lesions |
|
DONE |
New
Problem module: Cancer Followup |
|
DONE |
Network Mode
Current
program is designed to be a single user stand alone system. I have
received numerous requests for a version of the program that can be run
on a network. This would offer the major advantage that multiple people
could work on a single patient’s record. For example, a nurse or
receptionist could input the patient’s history on one PC, the doctor
could retrieve this partial record on his pen based PC and enter the
examination findings. He would then save the record back on the network
and for example, the audiologist could enter their information.
Finally, the doctor would retrieve the record one last time to input the
impression and plan before doing the final save of the patient record.
This approach has several advantages, especially for the extremely
busy physician or the physician in a group practice. It also has some
disadvantages. For one, a network of computers is more expensive than a
single computer. A network is also more complex and would have to be
set up either by the physician or a hired consultant. Stone Enterprises
Medical Software Inc. is not in a position to offer network installation
and support services. Even if there already is a computer network in
place in the physician’s office, there is the issue of connecting the
pen based computer to the network. Current options are a wireless
network (appx. $1200 per pen based computer) or a PCMCIA network adapter
that would have to be plugged in every time data was accessed (appx.
$300 per pen based computer plus the cost of running the cables where
they need to be). |
|
DONE |
Add
DOB and Patient Middle Initial, Record number
Needed by some practices for integration into existing medical record
systems |
|
DONE |
PMH
Information retrieved from previous visit
If a
previous visit included PMH information, you can now retrieve that
information to put into a chart for a subsequent visit. |
|
DONE |
Follow-up visit pull up summary info
Currently the follow-up visit module requires the physician to manually
enter when the patient was last seen, for what problem and the
medication given. This feature would automatically retrieve this
information from the records stored on the hard disk and automatically
generate the first few sentences of the follow-up visit report. |
|
|
Version 5.00 1998 |
|
DONE |
Misc
Improvements
Test
module enhanced with added lab tests and provisions for in office xrays.
Teething added to oral exam under teeth and gums. |
|
|
Version 5.02 |
|
|
Misc.
bug fixes |
|
|
Version 5.09 |
|
DONE |
E/M
code enhancements
Multiple changes in the program to conform to the new E/M coding rules:
Added under exam – vital signs, general appearance, ability to
communicate |
|
DONE |
E/M
coding module |
|
DONE |
Misc.
improvements: Keyboard only data entry on daily patient list for
account number, sex, age, visit status, Non MD referrals |
|
|
Version 5.30 |
|
DONE |
Misc.
improvement: Search by Account number for review records or print by
name |
|
|
Review
Module |
|
|
Better
Error Handling
Save
partial on the records when error occurs. |
|
|
Customize the modules |
|
|
Version 6.00, 6.02 1999 |
|
DONE |
Customizable Problem modules |
|
DONE |
Forward and backward navigation through the chart |
|
DONE |
Misc.
bug fixes |
|
|
Version 6.03 |
|
DONE |
Enhanced printing options
User
may now select font size to print records. Also, custom left margins
may now be set to allow for custom stationary that has printing running
down the left margin of the paper. |
|
DONE |
Enhanced Data base files
Diagnoses and drugs files enhanced in new units shipped out with this
version. All data files updated to new format. |
|
DONE |
Version 6.04 |
|
DONE |
Bug
fixes, better wireless network support |
|
|
Version 6.11 |
|
DONE |
Better
wireless network support
You
can now go off the wireless network (for example going to a satellite
office) and the program will automatically save the data to the local
hard drive. The next time you are in range of your wireless server, the
data from your portable hard drive will automatically be copied back
onto the server.
|
|
DONE |
Better
Referral Letters
Previous versions of the program were somewhat limited in that there was
only one version of the referral cover letter and this could not be
customized. Now there are 4 different versions of the referral cover
letter, each customizable. In addition to the standard referral cover
letter there are additional version for a followup visit, as well as
cover letters you send to a nonreferring MD or a doctor to whom you are
referring the patient for additional treatment. Also, it is possible
now to enter the referring doctors name at the beginning of the day when
the patient names are entered. If you try to save a record without
sending a letter to the specified referring doctor, you will be prompted
with a reminder when you hit the Save Record button. |
|
|
Version 6.12 |
|
DONE |
Corrected bugs in printing in various fonts, printing referral letters
in when using smaller fonts, corrected restore data bug when using
wireless networks |
|
|
Version 6.13 |
|
DONE |
Corrected bug in save partial when not specifying age, allowed the age
and sex to be entered when pulling up followup information |
|
|
Version 6.14 |
|
DONE |
Corrected bug in custom module where “no” would create “type mismatch
error” if no question existed for that button. |
|
|
Version 6.15 |
|
DONE |
Corrected bug the prevented saving records with multiple apostrophes |
|
DONE |
Corrected bug in referring MD with apostrophe in referral letter |
|
|
Version 6.16 |
|
DONE |
Corrected bug for sending a referral letter to a “Mr.” When referring to
the last name, the phrase Doctor was inserted instead of Mr. |
|
|
Version 6.17 |
|
DONE |
Corrected bug in PMH, retrieve previous PMH info, would crash if a
record contained a null history. Corrected bug when printing from name
list with custom stationary, all referral letters would be printed, not
just selected items on the list. |
|
DONE |
Miscellaneous changes: Default text for cover letter to referring
physician now uses “sending for consultation” rather than “referring” to
avoid a red flag for Medicare auditors.
|
|
DONE |
ROS
enhanced: Now included are a greater variety of symptoms rather than
just diseases. |
|
DONE |
Audio compared to last time |
|
DONE |
Customize bottom margin |
|
|
Version 6.20 |
|
DONE |
Support for SVGA (800x600) and XVGA (1024x768) screen resolutions
If
you are running the program on a computer with a higher screen
resolution, such as one of the newer handheld Fujitsu B142 computers,
you may take full advantage of the entire screen. For example, at XVGA
resolution, there is no longer a button for “full page” because the
entire full page of the patient’s record is always visible.
|
|
DONE |
Corrected bug in editing referring doctors. If two edits were preformed
sequentially without exiting the module, sometimes, the doctors names
would be doubled. Also corrected bug for keyboard button on computer
without a software keyboard.
|
|
DONE |
Ability to correct misspelled names in records that have already been
saved
This
feature allow the user to go back to a previously save record and change
the spelling of a name, to make it consistent with the other records in
the database |
|
DONE |
Review
Program with Automated Phone Messages
This
is a separate program designed to allow office staff to review and print
records. It also automates the process of phone messages, allowing them
to be tracked on the computer. |
|
DONE |
Fax
Capability
While in the review module of the main program, you now have the
capability of faxing records instead of printing them. |
|
DONE |
Easier
Update
Formerly, each doctor had a custom version of the program that had to be
compiled individually for each licensed doctor. Now there is only one
version of the program that uses individual software codes for each
doctor. Now you can download updated versions of the software from the
internet. You can also download updated drug databases.
|
|
|
Version 7.10 2000 |
|
DONE |
Voice
integration
Now
there is the ability to directly dictate sound files into the document
using the hand held computer itself. Clicking on a single button will
begin the dictation and expand the current record to full page view.
Once the dictation is complete, a single click on the document will
embed the sound file in the correct portion of the document. The
transcriptionist can use the program TRANSCRB.EXE (now supplied with the
program) to type in the sentences that were dictated. TRANSCRB.EXE will
automatically find the correct patient record and insert the text into
the appropriate place. This feature is designed to help those doctors
who don’t want to type in that extra 10% or so of custom information
that is not available directly from the ENT Medical Dictator.
|
|
|
Version 7.13 |
|
DONE |
Bug
fix:
Word
patient was misspelled as patinet in the default wording for the letter
to send to a doctor that you are sending your patient to. |
|
|
Version 7.14 |
|
DONE |
Bug
fix:
In
nasal congestion module, if you do “other URI symptoms”, then next do
“worse on one side”, you will get the URI symptoms screen a second time
rather than the screen to pick which side is worse. |
|
DONE |
Bug
fix:
In
printing multiple page reports, sometimes the second page would break in
the middle of the page and leave the bottom on the second page blank
before resuming printing on the third page. Also, the page numbering
would number the third page as page 2. |
|
DONE |
TMJ
Exam enhanced
New values for
more detailed TMJ exam |
|
|
|
|
|
|
|
|
Version 7.15
|
|
DONE |
Single
button change in duration of antibiotics
Previous versions had no easy way to change a standard 10 day course of
an antibiotic to a longer or shorter duration. This new feature makes
it possible to change to 7, 14, 21 or 30 days with a single click of a
button. |
|
DONE |
PMH –
Previous Hospitalizations
New
feature to include phrases like no previous hospitalizations except with
surgery or OB.
|
|
|
Version 7.16 |
|
DONE |
Secondary Office Addresses on Letterheads
Previous versions would allow only one office address per user. When a
physician had two or three offices, he or she could not put different
office addresses on the letterheads very easily. Now this option can be
set every time a print job is run |
|
DONE |
Printing All Not Printed Alphabetically
The
default behavior is to print out the records in the same order they were
created. If your office has been keeping a separate set of charts
waiting dictation to be printed out, you may be keeping these charts in
alphabetical order. If so, you may now print out the records in
alphabetical order to make it easier to file the dictation.
|
|
|
Version 7.17 |
|
DONE |
Bug
Fix- Incorrect extra medications listed
Occasionally, the program would insert an extra medication into the list
of medicines that the patient was taking such a “a nasal spray” or “an
antibiotic” before the list of medicines that the patient is actually
taken. This bug was corrected.
|
|
DONE |
Bug
Fix – Print by date does not mark the records as printed
Previous versions of the program would only mark records as printed yet
if you consistently used the “All not printed” button to print out the
records. If you printed out some records with the “Print by date”
button, these records would be printed out a second time when you hit
“All not printed yet”.
|
|
DONE |
Printing only Referral Letters
New
feature now allows user to print only the referral letters. Previous
versions of the program allowed you to only choose either visit notes
alone or visit notes plus referral letters. This feature was added for
those doctors who wish to print the visit notes as they go during the
day but wait until the end of the day to print out all of the referral
letters. |
|
|
|
|
|
Version 8.00 2001 |
|
DONE |
Problem modules much more customizable
The
problem modules have been made much easier to customize. Now almost all
of the problem modules will accommodate 30 questions and you may add a
new question while you are in the middle of a problem module. This new
question can either be permanently added to the form or added only for
that one patient. New problem modules have also been added.
|
|
DONE |
Various bug fixes and minor program enhancements |
|
DONE |
Support for multiple physicians using the same computer/network
Previous versions of the program were designed to only have a single
physician use a particular computer or network. Version 8.0 now allows
multiple doctors to use the same computers and networks at the same
time. |
|
DONE |
History Module more customizable
The
history module now has a button titled: “Custom” that allows you to
insert custom sentences or short paragraphs into the history. The user
may also create custom categories and subcategories to help organize the
new custom entries. Also the test feature of the custom button has been
made customizable. |
|
DONE |
Exam
Module more customizable
At
long last you can now enter custom entries into the various parts of the
exam. This was a very complicated feature to add but it was requested
by many users. |
|
DONE |
One
click changing of antibiotic durations
If
you are prescribing an antibiotic for a different duration than your
default, a single click will change the number of days and number of
pills to appropriate values instead of having to enter that information
manually.
|
|
DONE |
Number
of pending phone messages shows on main program screen
Previously, if you wanted to check if any phone messages have been
posted, you had to start the separate REVIEW.EXE program to see how many
pending phone messages there were. This information now appears on the
main program screen just below the patient count. |
|
DONE |
More
Robust Installation Program
New
installation program uses Windows Installer technology which makes the
installations more stable and easier to uninstall. |
|
|
Version 8.03 |
|
DONE |
Corrected bugs: when button on history does not work, E/M codes for
history not calculated correctly, misc. other fixes |
|
|
Version 8.04 |
|
DONE |
Corrected installation problem with old software code |
|
|
Version 8.05 |
|
DONE |
Corrected repair database bug in some cases |
|
DONE |
Added expsrv.dll to installation disk to avoid error with vbajet32.dll
failing to initialize |
|
DONE |
Changed data control reference in gen followup to access 2000 |
|
DONE |
Fixed bug: print record from Review module |
|
DONE |
Nov.
10 – fixed bug that would find most recent phone message rather than
most recent office visit when getting “Get Followup Info” button.
|
