MEDS 3.

9 Release Notes
April 9, 2012
Overview
This release notes document supports the MEDS 3.9 software release. For detailed caregiver information about this product, see the MEDS User Guide. These release notes cover the following topics: Changes and New Features Changes in Release 3.9 New features in Release 3.9 Fixes in Release 3.9 Technical Notes Technical Support

Changes and New Features

MEDS 3.9 is the successor release to MEDS 3.8.

Changes in Release 3.9

The following changes are included in this release.
Reference Number Change

1417
April 9, 2012

New business rule to require the following multi-select fields for all transported patients: Patient Medical History, Patient Medications, and Patient Allergies.
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1423 1436

Ability to customized logo on printed PCR. For additional information, go to Technical Notes.
Added a rotation button to EKG screen to allow caregivers to rotate and view strips.

1448 1452

Add a PCR verification progress bar that indicates a PCR is being verified. The PCR being created will remain highlighted in the grid until the caregiver selects another PCR or creates a different PCR. Modify Google Mileage functionality. For more information, go to New features in Release 3.9. Add date and time fields to Received by Signature. This field is automatically populated when the Received By signature is entered. Rename defibrillator device report to LIFEPAK Report. Add EKG strip time stamp to report.

1454

1490

1639

1640

In touch and keyboard modes, the main menu, menu categories, and field captions are now bold. The grid list is displayed in a larger font. Move the trip reconciliation report button from the Reports Menu to the Incidents Menu.

1641

1643

The following changes are included in Incident Menu:

Selection of the incident tab or MEDS launches with an active Incident menu, MEDS will automatically download the incident for the logged in unit without the selecting Show Calls for Last 2 Days. Selecting Show Last 2 Calls will display only the two latest calls. Selecting Show Calls for Last 2 Days will download from the CAD and display all calls in the last 48 hours. MEDS will delete CAD calls that are two and more days old. MEDS will update CAD time fields and the time fields in the related PCRs.
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April 9, 2012

1644

The following changes are included for drop-down menus: Larger drop-down menus to display more items in the menu Allow in drop-down menus to reconcile the letters entered in the data field Use the Tab key to add the selected items

1645

Add Quick Search bar to the following screens: Patient Medications Cause of Injury Physical Exam Treatment and Response

1646

The ability to reorder Treatment & Response procedures in the Treatments grid is available. The drag & drop icon indicates procedures that can be moved in the grid. Caregivers may use the drag & drop feature to reorder procedures to the order they are performed. Reordered procedures in the Treatment grid do not reorder procedures in the PCR Report. The PCR Report continues to display performed treatment in chronological order.

1648 1745

Add Narrative to the Plan screen menu categories. The following change was made to the medication dose field: Allow three decimal places to the right of the decimal. If only one digit is entered to the right of the decimal, enter remaining places with zeros (i.e. if 3.5 is entered, 3.500 will be displayed. Four digits are allowed to the left of the decimal. All patient transports must have a minimum of two vital signs and Glasgow coma scale readings. Allow Transmitting Status box to wrap text to display Status message.

1768 1772

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New features in Release 3.9

The following new features are included in this release: New Time Control for Procedures Time control buttons for all Treatment & Response screens are included in this release. When the caregiver enters Incident times for On Scene, At Patient Side, and Transporting to Hospital,

Automatically Save Attachments The ability to scan multiple pages without selecting the save button for each page is available in this release. Additionally, scanned pages are saved automatically when caregivers exit the Attachments menu. Google Maps Functionality The Google Maps functionality during transmission of the PCR is enhanced to do the following: Confirm the address Calculate the mileage Reject the mileage calculation Enter a rejection reason

1. The Google Maps functionality verifies the mileage based on the beginning and ending mileage entered by the caregiver. Upon transmission, MEDS prompts the caregiver to accept or decline the Google address.

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2. Click Yes, to accept the address. MEDS will display the following mileage calculation message:

3. Click Yes, use Googles mileage to accept the calculation. Click No, do not use Googles mileage to reject the calculation. If the caregiver clicks No, do not use Googles mileage, the caregiver must select a reason for rejecting the calculation. MEDS displays the following screen:

4. Select the reason for rejecting the Google mileage calculation. Click OK to transmit the PCR. 5. If the caregiver selects No on the Address Confirmation screen or Cancel on the Google Mileage Calculation screen, MEDS will not transmit the PCR. The caregiver must edit the PCR mileage. Updated Defibrillator Device Functionality The following defibrillator functionality is now available for EKG strips: Preview Rotate Delete Next Time stamp

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Caregivers can now preview the imported defibrillation data prior to saving the data to the PCR. 1. Once the defibrillation data is attached to the PCR, select Preview to view the imported EKG strip.

2. The EKG strip displays in the imported state. To view the EKG strip more easily, select rotate. MEDS will save the rotated strip in the rotated position.

Imported EKG strip

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Rotated EKG strip

3. Click Delete 4. Click Next New Business Rules

to remove an EKG strip. to move to the next EKG strip.

A business rules with an asterisk (*) indicates an existing business rule that is modified in this release. A business rules with a dagger () indicates a business rule that is specific to an operational site. The following business rules have been added in this release.
Business Rule Required Narrative Chief Complaint Destination Decision* Time at Hospital* Time to Hospital* Two Sets of Glasgow Coma Scale Two Sets of Vitals Trauma Triage Physiology Criteria
April 9, 2012

Definition of Rule A Narrative is required for all calls. Chief complaint is required for all patient contact calls. Destination Decision is required if Disposition is in the list. See the Disposition Transport List Sheet. Time at Hospital is required if Disposition is in the list. See the Disposition Transport List Sheet. Time to Hospital is required if Disposition is in the list. See the Disposition Transport List Sheet. Two sets of GCS are required if Disposition is in the list. See the Disposition Transport List Sheet. Two sets of Vital Signs are required if Disposition is in the list. See the Disposition Transport List Sheet. If the Primary Impression or Secondary Impression is in the Trauma Triage Impression list, then Physiologic
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Criteria is required. Trauma Triage Anatomic Criteria Trauma Triage Mechanism Criteria Trauma Triage Co-Morbid Criteria If the Primary Impression or Secondary Impression is in the Trauma Triage Impression list, then Anatomic Criteria is required. If the Primary Impression or Secondary Impression is in the Trauma Triage Impression list, then Mechanism Criteria is required. If the Primary Impression or Secondary Impression is in the Trauma Triage Impression list, then Discretionary Criteria is required.

Fixes in Release 3.9

Table 1 lists software fixes in Release 3.9.
Table 1 Software Fixes

Reference Number 1435

Issue Error on validation screen for chief complaint

Resolution This issue is resolved in this release by adding a business rule that requires chief complaint for all patient contact calls. Use the Delete and Backspace keys to modify time field for the witness signature.

1444

In keyboard mode, the time field for the witness signature does not allow entry correction. Cannot use Delete or Backspace keys. Must use the Insert key. Error when viewing transmitted PCRs using the View PCR button on the Attachments menu. MEDS does not automatically save signatures.

1651

This issue is resolved in this release. The View PCR button displays the selected PCR. The automatically save signatures feature saves signatures when caregivers leave the signatures screen. This issue is resolved in this release. The Reason Patient Cannot Sign field accepts text in keyboard mode.

1710

1759

In keyboard mode, the Assignment of Benefits report does not save free text in the Reason Patient Cannot Sign field.

Technical Notes
This section of the Release Notes includes tips that can assist caregivers when using MEDS:

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Issue Ability to customized logo on printed PCR.

Tip Customizing the printed PCR logo allows operational sites with different logos to brand PCRs with their site logo. Currently, this functionality is limited and can be used for approved logos only. When entering caregiver shift times in MEDS that must display on the Trip Reconciliation report, a colon must be used in the Shift Start Time and Shift End Time data fields. For example, when entering Start Shift Time, enter 08:00, not 0800. When configuring MEDS using the Configuration Manager, MEDS administrators must be aware of all business rules and the effect of hiding mandatory fields will have on the business rules. If a business rule is broken due to a hidden data field, the PCR will not transmit.

Entering Shift Times

Business Rules

Technical Support
For Technical Support: Contact your local CES or IT representative. Call the EMSC Help Desk at (866) 267-9111.

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