Changes have been made in the application and at the servers to update the code signing certificates.

This release updates the Anesthetic Quick Drug Calculator to include methadone.

The Calendar opens in a separate window to allow easy access to the Calendar when adding other medical records. It can be scrolled down for 6 months into the future for easy appointment scheduling.

The alternate phone number for the Client is added to the Patient Medical History Patient tile and when an appointment is added or opened in the Calendar.

Future dating can be created for Consultations, Rechecks, and Hospital Flowsheets. This permits setting up Consultations and Rechecks in advance of the appointments so they can be prepared by adding medical history notes. For the Hospital Flowsheet, this permits setting monitoring and treatment protocols for Patients overnight into the following day or days.

There have been major enhancements to the Client and Patient databases that are now copied to the local drive to allow for much faster  AJAX searches. Also, a Patient can be searched in Patient Medical History or in Quick Search by starting to enter the Client Last Name. Alternatively, this can be done by starting to enter the Patient Name, or by entry of the entire Patient ID to make this search function much more intuitive.

The enterprise class server apps have been updated as has the ADC app to provide secure and fast access to Practice databases with no interruptions.

This release makes further updates to the Body Weight to provide a quick and easy method to review the Body Weight history for a Patient by opening the Patient Medical History or Body Weight menu options. An option has been added to permit customization of the Anesthetic Quick Drug Calculator for each Practice under Practice Settings. An ADC Notice has been added that will be sent to the Practice e-mail address whenever a Referring Vet uploads medical history to Patient Medical History, providing both the Referring Vet Practice name and Patient name.

As part of our ongoing support for the Research version of ADC, we have also made improvements to the user interface and order of data entry to help make it more user friendly to enter both research and clinical data.

This release updates the server operating system, server database system, and the software development framework. This release also updates the ADC application. Application changes include tax table definition updates for invoicing through PayPal, improvements in the Search for Clients, Patients, and Referring Vets, automatic temperature conversion between °C and °F for the Anesthetic Monitoring Chart, an added DTC/R Procedure abbreviation,  an added Body Weight in Patient tiles, a fix for an Excel export issue, an addition of the Patient name to the header of the second page of the Anesthetic Monitoring Chart, and improvements in Calendar appointments. The Body Weight will be updated to the current weight entered in a Consultation or Recheck.

The "Forgot Password" feature is fixed.

Import Data updated

This now provides additional flexibility for Impromed.

Referring Vet updated

The e-mail address is now optional if the Referring Vet does not wish to have medical records e-mailed or does not wish to use the Practice Portal to view or download medical records for his or her own Patients.

Dental Chart updated

When the Diagnosis Excisional Biopsy (B/E) is selected, the Duplicate Dental Chart shows the updated Diagnosis that the tooth is missing (T/M).

Hospital Flowsheet updated

This now allows a future date and indicates°C or °F based on Practice Settings preference.

This also allows 5 characters to be entered for temperature.

Case Summary updated

The generated PDF is improved to better display oddly sized images.

These are available to view when a new version of ADC is available by selecting View Release Notes and they are always available to view by selecting a new icon on the bottom taskbar.

Insert Date/Time button added

This can be selected where Notes can be added to allow the user to indicate the date and time an entry is being made.

User Name added to Digital Signature

When a pdf is automatically generated on saving any Medical Record, the ADC user’s name is added to the Digital Signature as having created the record. If any edits are made to the Medical Record, a new pdf is generated with the Digital Signature that shows the ADC user name who last edited the record.

Alert added for Client AND Patient

These can be added to any Patient entry AND Client entry. The text is displayed in Patient Medical History, Consultation, and Recheck.  An exclamation mark icon is displayed in the Patient tile, and the text is displayed when the user mouses over the icon. Any user can add or turn off Alert display under Client AND Patient.

Single File Export added to Patient Medical History

The option is added of exporting a single scrollable, merged pdf for Patient Medical History.

Technician Appointment added to Calendar

A Technician Appointment can be added to Calendar under Type of appointment.

Anesthetic Monitoring Chart updated

An updated version of the Anesthetic Drug Quick Calculator  has been  added that was reviewed by an outstanding Diplomate of the American College of Veterinary Anesthesia and Analgesia.

Five drugs can be added to Premedication with separate times (additional drugs can be added to Preanesthetic Notes) and a PO route is added.

IV Catheter blood vessel naming added and IV Catheter 2 added if an arterial line is also used. Preanesthetic Notes is added to bottom of page 1 to record any observations prior to induction.

Preanesthetic Notes is copied onto pdf output chart to appear before the Anesthetic Notes.

View Graph button is added at top of page 2 to view trending of parameters.

Dental Chart updated

The Patient name is added at top of Patient/Notes and all quadrant views. PI (Plaque Index) and CI (Calculus Index) Diagnosis abbreviations can be added for individual teeth.  B/E (excisional biopsy) is added to Procedure to indicate teeth removed with an enbloc excisional biopsy.

Hospital Flowsheet and Notes added

A Hospital Flowsheet is added for in-hospital patients. A HiLite button can be used to add a yellow highlight to any fields indicating times for entries to be made.

Duplication of Dental Chart updated

This is available for unlocked and locked Dental Charts. If DT/P (persistent deciduous tooth) is selected for a tooth and an extraction is done, the Duplicate Dental Chart will show the permanent tooth counterpart is still present. If T/SN (supernumerary) is selected for a tooth and an extraction is done, the Duplicate Dental Chart will show the normal tooth is still present.

Import Data updated

Updates are done for Import Data for both Impromed and Avimark application databases.

Data Analysis added

This is added for the Dental Chart and the Bone and Soft Tissue Chart. This can be used to filter Patients with a single Diagnosis or Procedure or combinations of Diagnoses and Procedures based on multiple search criteria. Search criteria include species, breed, sex, age, and date range. This is ideal for dental residency programs and also for tracking practice growth.

Surface Pro Hibernation Mode issue fixed

A fix has been done to prevent freezing of ADC in the default hibernation mode for Surface Pros.

New:  When a Case Summary, Consultation, Master Problem List, Progress Notes or Recheck is changed, you are now prompted to Save if you unintentionally exit.

New:  An "Images" feature was added to Case Summary.  You can add as many images as desired, 2 per row, 6 per page, with each image supporting a text description. Images can be manually selected from your PC, or they can be dragged and dropped from an images folder using Windows Explorer.

New:  Case Summary images may be quickly viewed using the "Images" icon displayed on Case Summary tiles.  When viewing a Patient's records using QuickView, Case Summary records also provide the Images icon.

New:  Case Summary audit logs records also detail images added.

Various other minor changes are included in this release.

All 16 different Dental Chart Quadrant images are now higher resolution (quality improved) and two times larger.  A new technology was implemented to mask out changes enabling images to be automatically colored (and edits retained) even when color changes are applied after the quadrant was edited using the double size image.

All Bone and Soft Tissue images are now higher resolution (quality improved) and two times larger.  Both #1 and #2 items improve the overall editing experience, allowing finer details to be captured and reported.

All medical records now appear in the Patient Medical History listing for a patient.  Previously, Home Care and Client Education records did not appear in the Patient Medical History list.

The Patient Medical History List now displays records ordered by date of medical record AND server date/time in descending order.  For example, if 5 records were added on the same day, they will appear in order they were added.

The Referring Vet Portal and the Client Portal now lists medical records in the same order as the Patient Medical History listing (record date, server date/time descending).

A major feature was added which provides a patient medical history audit log report:When any type of medical record is added or changed or deleted, an entry is made into the Patient’s “Audit Log”.

Each audit log record is accompanied by a PDF report of the medical recordEach PDF report is digitally signed by the server, using the SSL certificate of the server.

This feature ensures that the reports are verified as being accurate and changes to them have not been made as edits will invalidate the digital signature.

Records listed in the audit log are in the same order as the Patient History listing (but will include changes and deletes).

Even if a dental chart or any other medical record is deleted, previous add or change actions, including the PDF reporting will be documented in the audit log.  This allows records to be viewed at the state they were when saved, and also allow deleted records to be viewed. In essence, all activity is captured and the signing ensures that records cannot be altered.

Practice Settings now allows the Practice Director to define access to the different roles that may use this feature.  If access is assigned, when the role (ADC user) views a Patient’s Medical History, a button will appear to “Retrieve” the audit log for the patient.  A PDF will then be launched detailing all medical record additions, changes and deletes.

Since the audit log is a new feature, digitally signed PDF records and audit log entries will be created for ALL medical records that were defined prior to this release for each practice.  This ensures a fresh starting point for the audit log, noting that changes and deletes prior to this release cannot be generated as such was not previously tracked.

All PDF reports now provide utilize a common “Header” for reporting consistency.  Three different types of headers are utilized (1 landscape for the Dental Chart, 1 for general items such as note type records, and 1 where the teeth type is required (Permanent or Deciduous).

Practice Settings: A View button was added which opens a web page to http://animaldentalchart.com/periodontal-measurements.

When a Client or Referring Vet is added, if there is an e-mail in-use conflict, a notice is now displayed detailing the name of the conflicting client or referring vet that is using the same e-mail address.   This helps the user to determine what and where definition changes as required.

When a Referring Vet is added or changed, the option to use a shared e-mail address is now provided.  Previously, the sharing option was provided only when adding a Referring Vet.  This option provides more versatility when Referring Vet practices use a common e-mail address.

When a Client or Referring Vet welcome e-mail is sent, a label was added to state the date when the welcome e-mail was last sent.  For example, after sending an invitation e-mail, a label will appear that states “Welcome e-mail last sent mm/dd/yyyy” (formatted as per practice settings date preference).  Note the “Send Initiation” checkbox is an ACTION, whereas the label states when the last invite was sent (informational).  As such, by default, when changing a client or Referring Vet, the option to Send Invitation is not checked by default (it is an action, not a status).  Also, e-mail invites reset the recipient password so we must not check this option by default.

Dental Chart records may now be duplicated.  When tiles are displayed, a new icon is present “Duplicate as New Chart” which duplicates an existing record as a new record using today’s A prompt appears to confirm the process.  Upon duplicate success (a notice is displayed), the user would then edit the duplicated record to add or document progress changes.  This feature assists to add new dental charting progress information while retaining previously charted information.

Bone and Soft Tissue records may now be duplicated.  This feature is the same as the Dental Chart “Duplicate as New Chart” feature but is related to Bone and Soft Tissue Charts rather than Dental Charts.

When changing a Dental Chart, when tabbing through PAL and PPD measurements, the application now selects the previously entered value.  This allows a new value to by typed in (overwriting the previous value).  Previously, the new value entered would append to the previous value.  This feature allows for faster editing.

When changing an Anesthetic Monitor Chart (page 2) values, tabbing from field to field now selects the previously entered value.  This allows a new value to by typed in (overwriting the previous value).  Previously, the new value entered would append to the existing value.  This feature allows for faster editing.

A few Abbreviations were updated.

The registration portal requested a link to the Practice’s Licensing Body.  The link field length was expanded to support longer URLs.

For practices that edited dental chart quadrant images prior to this release, the editing process will automatically revert to the previous version (as the new editing process is incompatible with the previous version).  Therefore, all dental records which have a server date/time change date prior to release date, when changed, will revert to the previous “code and images” version (the system is simultaneously supporting 2 release versions).

For practices that edited bone and soft tissue images prior to this release, the editing process will automatically revert to the previous version (similar to #30) as image edits cannot be migrated due to the 2x size change.