Version 5.6.4 (10/22/2008) CURRENT VERSION - View All Updates
You will be installing ALL prior releases that have been posted since your current program version. Therefore, use the View All Updates link to review ALL of the releases that may affect you.
Items are grouped by Enhancements, then Fixes, sorted by Functional Area.
Please let us know how you like the new format of the Release Notes.
The Enhancements include the following Functional Areas. Click on a link to jump to that area.
| Function | CSR # | Description | ||||||||
| Billing | 1681 | Send NPI and correct modifier for ANSI X12/837 The Utilities / Payers screen has been changed to have separate tabs for the following: 'E-Bill NCPDP', 'E-Bill X12', 'E-Bill NSF' These settings were previously all included in the single 'Electronic Billing' tab.  |
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| Billing | 2204 | For ANSI X12 - Add 'MediPass' Number field to Doctors and
Providers screens For Doctors, go to Utilities / Doctors, the MediPass # is located as shown below.  For Providers, go to Utilities / Providers, the MediPass Number is located as shown below.  |
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| Billing | 2506 | X12 Now Includes Fees in the TotalPrice | ||||||||
| Clinical | 2520 | Clinical Documents : Synagis Tracking Form - Added "Place of Service?"
with options for Home or
Office |
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| Clinical | 2509 | Ability to filter Drug-Food Interactions by Severity Level In Utilities / Options / First Databank Tab, you can now turn on or off Drug-Food Interactions by Severity Level.  To only report Most Significant Drug-Food Interactions, uncheck the others.  |
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| System | 2484 | Ability to filter Drug-Drug Interactions by Significance and Severity
Levels Similar to Drug-Food Interactions, you can now turn on or off Drug-Drug Interactions by Severity or Significance.  To only report Severe Interactions and Contraindicated Drug Combinations, uncheck the others.  |
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| SIG Codes | Info | SIG Codes: Discussion: The following two CSR's describe how to remove unwanted SIG Codes from your list, and instructions on how to remove an entire SIG Code list. If a SIG Code is defined with Daily Dose Schedule, or a Frequency, it is called a Scheduling SIG Code. Entering this type is SIG Code on an Inpatient order will both translate the code into your text description, and schedule the doses for the order. Examples of a Daily Dose Schedule may be "Daily" scheduled at 07:00, "BID" scheduled at 07:00 and 21:00, or a Frequency, such as "Q4H", or "Q8H". If a SIG Code is defined without a Daily Dose Schedule, it is called a non-Scheduling SIG Code. It's purpose is for translating common shortcuts into a longer description. For example, HA could translate to Headache. No doses get scheduled. It is possible to Delete SIG Codes from the Ascend database, by selecting the SIG Code and clicking the Delete button. It is also possible to Archive a SIG Code. Archive means the SIG Code still exists in the Ascend database, but will not be used by the program. You can Archive a SIG Code by selecting it, Editing it, and clicking the Archive checkbox. You may want to Delete or Archive one or more SIG Codes from your list. Each SIG Code is assigned to a SIG Code list. Typically, it is the Default SIG Code list. There may be more than one SIG Code list, especially if you are a multi-facility site. There may come a time where you decide you want to remove reference to one particular SIG Code list. Under Utilities / SIG Codes, you can see each SIG Code and which list it's associated with.  |
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| Codes | 2433 | This enhancement is to automatically
Archive a Scheduling SIG Code, if the code was used in an order, when
the Delete button is pressed. Go to Utilities / SIG Codes. Select the SIG Code you want to Delete. Click the Delete button. If the Scheduling SIG Code you just Deleted was ever used in an order, it will actually be archived. You will be able to view this SIG Code if you check the "Show Archived" checkbox. If you select a non-scheduling Code and press the Delete button, it will be removed from the Ascend database. If your intension is to Archive the SIG Code, please check the Archived checkbox.  To see all Sig Codes, including Archived ones, click the Show Archived Checkbox.  |
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| Codes | 2371 | Enable archiving the Sig Code List name. Application Note: If you want to archive an entire list and all the SIG Codes in the list, follow these steps:
In this discussion, the words "Delete" and "Archive" are used interchangeably and mean the same thing. Steps to complete before Deleting the SIG Code ListRemove references to the SIG Code List you want to Delete, check
the following: |
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| Inventory | 2382 | Inventory Control - Track user changes to Inventory Control Tab
fields: Shelf/Location,
Quantity on Hand, Quantity Minimum/Maximum. Please look for tracking changes for lot number quantities in a future Ascend release. |
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| Inventory | 2386 | When Deleting An Inventory Item, Check If Used In Common Order.
If it is, the following messages will appear.  This will replace the ingredient in your common order with the newly selected item. It does not change anything else in the common order. |
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| Inventory | 2309 | Inventory First Databank Billing (FDB) Units Calculator has some
new features. This feature is used by pharmacies that send the Inventory Retail price to their hospital billing system with the patient charges. If a drug comes from the manufacturer in a package size that will be given and charged to the patient in a different size, then the First Databank pricing and patient charge will need to be adjusted. Example: Keppra, Oral Solution, NDC 50474-0001-48, First Databank reports a strength of 100MG/ML and a package size of 473 ML. Our pharmacy actually creates doses of 5 ML from this package. The AWP price for 473 ML is $356.5474. Since we will be making and charging for each 5 ML dose, we need to -Change the First Databank AWP price to reflect a 5 ML charge rather than a 473 ML charge -Change the Strength and Dose to read 500MG/5ML -Recalculate the patient charge, which is the Retail field. Use the First Databank Billing Units Calculator to help with some of these changes. Click on the Button "..." next to the FDB Billing Units field to bring up the calculator. 
Click OK, the following prompt appears:  Click Yes, and the AWP price will automatically be updated to reflect the new price per dose. It will change the AWP price from $356.5474 to $3.769. This calculator does the math, so you don't have to say $356.5474 / 473 ML * 5 ML = $3.769 Please be sure to adjust your Strength and Per to reflect the amount the patient will be given per dose, in this case 500 ML / 5 ML. If you are entering a new Inventory record and use the calculator, and you have Pricing Rules defined, you will automatically update the Retail price when you Save the record. If you are editing an existing record and use the calculator, the AWP price will be adjusted, however, it is up to you to run the Pricing Rules to change the Retail value of this item. Note: If your hospital is transmitting the NDC number, NDC Quantity and NDC Units to the hospital billing system, then you will also have to edit the NDC Quantity field, located in the Billing Defaults section of the Inventory screen. Copy the field from the FDB Billing Units to the NDC Quantity field. In this case, we copy the 0.01057 from the FDB Billing Units to the NDC Quantity field.  |
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| Labels-Forms | 2478, 2479 | New Options for Inpatient IV Label: Patient Date of Birth Hospital Address/Phone To have Patient Date of Birth print on the label, go to the Utilities / Options / Admissions tab. Choose Date of Birth as 2nd Patient Identifier:  To have Hospital Address and/or Phone appear on the label, go to Utilities / Options / Printing tab. Choose the Label/Form Inpatient IV Label. Check the box next to Include Facility Phone and/or Include Facility Address. 
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| Display | 2543 | Added sorting ability to the Financial Notes on the
patient profile On the Financial Notes tab of the Patient Profile, you can now sort the list by clicking on any of the column headings. |
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| Display | 2185, 2508 | Orders View function to control display on Orders tab With this function you can: Choose the Status of the orders you want to display Choose the Order Type of the orders you want to display Save and choose a name for your view Choose from a list of views Choose what columns of data you want to display. Important Note: In prior versions, you could choose the columns and the order you wanted the columns to display. In this version, you will need to choose those columns again. using this tool. On the Orders Menu, choose Orders View. You can also put your mouse in the Orders section and Right Mouse Click to bring up the same menu, and choose Orders View.  The following screen appears. Note: Your screen will look different than this picture because it displays Order Status and Order Types, and they are User Definable.  First, notice the link at the bottom called Customize Columns. Click the link to Customize your Columns. The first time you enter this screen, the right hand side will be blank. Select the columns you want, in the order you want them displayed, from left to right, and click Add. When done, click OK.  That will change your columns and bring you back to the Orders View screen. You can decide what orders appear on the Orders tab. You can display orders by Status by clicking only the statuses you want to see. To only display Active orders, scroll to the top of the Orders View screen to display the Statuses. Click on the Active checkbox. Only Active orders will display. On this form, if no checkboxes are checked, everything will be displayed. If one or more checkboxes are checked, only those orders will be displayed. You can decide what Order Types display as well. Click the ones you want to see. If nothing is checked, all orders will be displayed. SavingYou can save your Orders View settings by clicking on the dropdown list at the top under Views: and selecting <Save Custom View>
Enter the name for this view. Since all users on all workstations can see and choose this view, to make it personal, you may want to use your name as the name for this view. In addition, any user can modify the choices of the view and save it. That is why personally naming your view may prevent accidental modifications of your view. Next time you click on the dropdown, your newly saved view will show up. You can then choose this view from any workstation.
You may also Delete a custom view by clicking on the link "Delete View". |
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| Menus | 2164 | Common Order tree is now un-expanded when entering Utilities / Common Orders Click the + to expand each group.  |
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| Order | 2177 | New Order View of "Billed Status" allows you
to display only Billed, or only Un-billed orders. Go to the new Order View screen (See CSR 2185 for details) Click on Billed Status = Yes, to see only Billed orders, No to display only un-billed orders.  There is also a new column under Customize Columns for Billed, so your orders view will display a Y or N in that column, if you choose to display it. |
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| Order | 2314, 2437 |
Enable selecting SIG Codes from a list during Order Entry During Order Entry, depending upon if you are entering an Outpatient order, or an Inpatient Order, put your cursor in the Physician's Order, or if Outpatient, in addition, in the Patient Instructions, and hit CTRL-S. The Order Entry screen displays the instructions : (CTRL-S to select SIG Codes).
Clicking CTRL-S will bring up the following screen. Since SIG Codes are user definable, the SIG codes in the screenshot below will be different from the ones at your site.  If you type the first letter of the SIG Code you are interested in, it will jump to that code. Type more than one letter, it will find it. You need to type fast, because if you pause, it thinks you are starting over. You can then use your keyboard up and down arrows to find the SIG Code of your choice, and use the Enter key to choose it. You may use your Mouse to select the SIG Code of your choice. This list has scrollbars, so, if using your mouse, you can slide the scrollbar up or down to find what you need.  Once the SIG Code you selected is selected, you can either use your keyboard and hit the Enter key, or, you can use your mouse and click OK to select the SIG Code.  This will place the SIG Code into the field where you originally hit CTRL-S. The SIG Code will be entered in the Physician's Instruction (or the Patient's Instruction, if that was where you started). To expand the SIG Code, you must tab to another field, or click in another field on the Order screen.
Please Note: Utilities / Options / Order Entry Tab is where you can control if the SIG Code will expand for Outpatient Orders, in either the Physician Orders, Patient Instructions, or both. Checking one or the other means the SIG Code will expand in those fields, when you leave the field (by either tabbing to another field, or clicking in another field)  For Inpatient Orders, the SIG Code is entered in the Physician's Orders field. The SIG Code will remain unexpanded in that field. It will always expand into it's translation in the Nurse Instructions field. Therefore, SIG Code expansion and translation differs whether you are entering Inpatient or Outpatient orders. |
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| Order | 2372 | Create/Edit Order: ALT-S is now hotkey for Order Start Date. From wherever your cursor is in an order, if you choose ALT-S, your cursor will move to the Start Date field. This is handy from going from the Physician's Instructions field directly to the Start Date using only your keyboard. |
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| Patient | 2476 | Store user specific Select a Patient settings in the database. On the Select a Patient screen, the system saves the screen layout and options that you used the last time you selected a patient. In this release, the settings are saved per user. The advantages to this are: Each user login on one computer has their own personal Select a Patient settings. A user will now have the same Select a Patient settings no matter what workstation they login at. The program automatically saves the settings. Please Note: Column width adjustments are not saved, just the selection of columns and the order in which they appear. |
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| Patient | 2477 | Ability to populate patient profile with Ship to Address from
Drop Down Table On the Edit Patient screen, on the Shipping Information tab, when adding a new address, you can now select from a list. The list comes from the Utilities / Options / Admission tab, under the List called Shipping Addresses. You can store commonly used Shipping Addresses. On the Edit Patient screen, you can pick the Shipping Address you want from the list. Below is a screenshot of the Utilities / Options / Admission tab, under the List called Shipping Addresses.  Known Issue with the Delivery Receipt Report: When using a Shipping Address for use in the Delivery Receipt Report, the Address1 must be the name of the facility you are shipping to. See above example. Address1 shows Childrens Clinic in Address1. Here is an example of the Delivery Receipt Report illustrating this issue.  Notice that the Description is not printing. Therefore, until the report is modified, please put the Description in Address1. To choose a Shipping Address, select Edit Patient. Go to the Shipping Information Tab. Add a new Shipping Address. Type in a new Address, or choose one from the list. Check the box if this address will be the default Shipping Address.  |
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| Patient | 2495 | Add Name Alert Warning when selecting patient. If a
patient has the same First and Last Name than another Active
patient, the following warning will appear when you select one: |
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| Reports | 2409 | MAR report : New Filter : MAR Section Allows you to print a MAR with one or more sections of your choice. Select the MAR Report. Select the Filters Tab. The filter is MAR Section. Since MAR Sections are user definable (in the Utilities / Options / MAR tab), your screen will look different than the example below. To choose only one MAR section to print, in this example, the Respiratory Therapy section,  You may save this version of the MAR by clicking the Save button. |
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| Reports | 1126 | Batch IV Report This report lists orders whose Order Type Category is Inpatient IV. Choose a date range, adjust your filter criteria. It lists the Patient information, Order information, and has room to initial for Prepared By, Checked By, and Notes.  |
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| Reports | 2531 |
Financial Notes Follow-Up - Added 'Document Entered By' filter option. This filter will allow you to print Financial Notes Follow-Ups per user. This was added so that the individual users can have one report for all their financial notes that they need to follow-up on.  |
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| Utilities | 2432 | Create additional Narcotics Data Export fields for the state of
LA At the top of the Narcotics Export Setup form, you can use the export format for the state of Louisiana. The export will now include the necessary additional fields that are required.  |
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| FIXES | ||||||||||
| The following issues have been fixed: | ||||||||||
| 2137 | Claims Transactions with no Payer - remove DOS logic; see CSR 2034 | |||||||||
| Billing | 2231 | NCPDP tab, Claims screen- DUR and other data not displaying after save | ||||||||
| Billing | 350 | When merging line items in a claim, merged lines do not map back to orders. | ||||||||
| Billing | 1470 | Same diagnosis code sent multiple times in NCPDP elec claim format | ||||||||
| Billing | 1593 | Claims View - no claim type selections on financials tab when right clicking | ||||||||
| Billing | 1672 | Data change in Claim screen not displayed properly after Save | ||||||||
| Billing | 2362 | Billing a DME item - Error 13 when billing DME item | ||||||||
| Billing | 2423 | ANSI X12 (X12N) module generates error in the development environment | ||||||||
| Billing | 2494 | Unhandled exception error message when Financials New Claim Open | ||||||||
| Billing | 2541 | Pricing Rules - Add New Outpatient Oral Prescription Category to Order Types | ||||||||
| Billing | 2501 | ANSI X12 batch fails to include legacy IDs regardless of default settings | ||||||||
| Billing | 2507 | Class Factory Error on Preview of NCPDP EBill | ||||||||
| Billing | 2504 | ANSI X12 includes G5 segment in 2310A loop when no pay to provider | ||||||||
| Billing | 2515 | Unbilled Orders Not Always Showing in Ready To Bill | ||||||||
| Clinical | 2532 | Grey out "Paste" in Clinical Documents and Financial Notes tabs
when document is locked
 You can Paste into a Clinical Document or Financial Notes when the document is not locked. |
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| Labels-Forms | 2499 | Batch IV function must pull doses only from current Admissions | ||||||||
| Inventory | 2464 | Inventory screen is now Read Only unless you are adding or editing a record. | ||||||||
| Inventory | 2465 | Inventory screen data no longer disappears from view after Cancel | ||||||||
| Options | 2533 | Options / FDB - Checkboxes don't save if main one isn't checked | ||||||||
| Order | 1486 | SIG Codes: ONCE does not TRANSLATE correctly | ||||||||
| Order | 2066 | Inpatient Order, Stop Date Wrong After Manually Changing Start Date, year 3935 | ||||||||
| Order | 2276 | OP Order Entry, typing date in fill stop field defaults next fill date yr 2002 | ||||||||
| Patient | 2535 | Save Patient record when weight entered > 999.99 lbs | ||||||||
| Patient | 2526 | Edit of the Patient Height - Inches generates an Error | ||||||||
| Reports | 2529 | Reports: Financial Notes Follow Up has Rich Text Format code issue | ||||||||
| Reports | 2422 | Charges report not using Inventory Precision fields | ||||||||
| Reports | 2183 | Reports - Drug Utilization does not display Rx Date | ||||||||
| Reports | 2202 | Reports - Inventory Counts - Inventory Counts w/lot missing filter for minimum | ||||||||
| Reports | 2380 | Reports: Patient Account Status Payer column - fix order of detail rows | ||||||||
| Unassigned | 618 | Order Verification Method missing from Options/Order Entry Screen | ||||||||
| Unassigned | 2493 | Update Sequence of Fields per Ansi X12 specs | ||||||||
| Unassigned | 2488 | Alternate Shipping Note screen error message | ||||||||
| Unassigned | 2536 | Financial Notes - New or Edit results in Error: 0 | ||||||||
| Unassigned | 2513 | Therapies Tab - Secondary Insurance not available from drop down for selection | ||||||||
| Unassigned | 2544 | Orders - Dose Info - When editing a dose, the dose date changes to current date |
