​ConnectingOntario ClinicalViewer Release 10.7C now deployed

Ontario Health (Digital Excellence in Health) is pleased to report the successful implementation of ConnectingOntario ClinicalViewer Release 10.7C into the Production environment. This release contains technology platform upgrades, enhancements and resolution of the defects listed below. The enhancements result in a minor impact on training materials for this release: screen shots / recordings of the Medications portlet have been updated to reflect a revision to the existing information message that displays at the top of the portlet (see Enhancements below). The following revised training materials are available on the ConnectingOntario support page:

1. eLearning Module 2: Medications Portlet
2. Student and Trainer Guides
3. Training Notes
4. Tips on Using the Medications Portlet in ConnectingOntario ClinicalViewer

Enhancements

The following enhancements to the ConnectingOntario ClinicalViewer are included in this release:

Updates to COVID-19 messaging in the Medications portlet

1.  The standard blue information message in the Medications portlet has been updated to include COVID-19

 Previous Message                                                                          New Message

Note: The absence of vaccination data in a patient’s Medications record does not mean that the patient is not immunized. If a patient does not consent to disclosing their COVID-19 vaccination status, a record of their vaccination will not be available in COVaxON and therefore will also not display in the ClinicalViewer

2.  COVID-19 information available in COVaxON will not display in the Medications portlet in the following situations:

• COVaxON query was unsuccessful due to the time-out of the COVaxON response

OR

• COVaxON API error/failure

  • In these situations, the Medications portlet displays the following error message:

Note: If the error is due to a time-out, another query attempt (e.g., refresh) could result in the successful display of information

Update to the grouping of eGFR codes in the Lab and Pathology Portlet

3.  This change addresses an issue in which one of the eGFR LOINC codes is grouped incorrectly and poses a significant clinical risk. With this change, LOINC 50210-4 (eGFR – Cystatin-based) is decoupled from the other eGFR LOINC codes (eGFR – Creatinine-based) and displays separately in both flowsheet and graph views:

Previous Display                                                                 Updated Display

List/Individual Portlet Views

Flowsheet View

Graph View

Note:  Previously saved graphs of eGFR values have been converted to display Creatinine and Cystatin-based eGFR values on two separate, appropriately labeled graphs.

Browser support

4.  ConnectingOntario ClinicalViewer no longer supports Internet Explorer 11 as Microsoft has discontinued support for this web browser (June 2022)

5.  Microsoft Edge can be used when accessing ConnectingOntario ClinicalViewer by organizations that have already installed it. MS Edge will be fully supported in an upcoming release

6.  The ConnectingOntario ClinicalViewer Local Configuration Requirements document, updated to reflect these changes, is available on the ConnectingOntario support page, Client Support section

New fav icon

7.  A new favicon.ico has been implemented to display in shortcuts and on browser pages and tabs:

Defects Addressed

1. My Workspace

The vertical scroll bar was missing at certain resolutions.

• The vertical scrollbar is now available on My Workspace at lower resolutions and from zoom levels 75 - 125% when the browser window is sufficiently small to warrant it

2. Diagnostic Imaging (DI) Portlet

Empty date fields in a DI report resulted in the Document Viewer being unable to display the report

• Empty date fields in a DI report are now accepted. The Document Viewer can now display those reports and, when dates are missing, the corresponding fields are blank

3. Documents and Notes Portlet

Documents submitted to the data repository without a date stamp resulted in the failure of all records to display in the portlet. Instead, the message “There was an error accessing the component service” displayed.

• Incomplete date/time information in submitted documents now results in the Admit Date/Time column being empty for the associated document and in the portlet populating with all records for the selected date range

4. Medications Portlet

The DHDR link in the Dispensed Medications tab did not work because the http protocol was used rather than the https protocol

• The DHDR link was updated from http to https in the following locations:

  • Medications Portlet, Prescribed Medications information message:
    • 
  • DHDR Consent Form available from the Header Menu and from within the Override Consent form
• Additionally, the following links were proactively updated to https:
  • Header Menu link for eHealth Ontario
  • Header Menu link for MOHLTC

5. Incorrect Patient in Context: Hospital Single Sign On (SSO) Users

If a hospital user has a patient’s record open in the ClinicalViewer and then goes back to their Health Information System (HIS) and relaunches the ClinicalViewer with a new patient (called “patient in context”), in rare instances, the previous patient’s information displays because that information has been cached.  This represents a patient safety risk as the user may not realize that the previous patient’s record is still displayed

• This behavior has been addressed by displaying the following warning message prior to showing clinical data:

Reminder: After each use of ConnectingOntario ClinicalViewer, hospital SSO users must logout of the ClinicalViewer by selecting the Log Out button prior to returning to their HIS. Logging out of the ClinicalViewer properly clears the cache and prevents this issue from occurring.

6. French Language Characters in Patients’ Names

Patients with names containing accented characters such as è, é, à cannot be put into context from the Patient Search Results window or from My Workspace, nor did these patient names display correctly in the document viewer.

• This behavior has been addressed and French language characters in patients’ names now display correctly

7. Intermittent Inability to Load Reports in the Document Viewer

Occasionally, the Document Viewer is unable to load reports when a user opens many reports in succession for a single patient.

• This behavior has been addressed and reports now load reliably in the Document Viewer