Version 8.10 of the R4+ software includes the following enhancements:
Overjet IRIS – A.I. Imaging Software IntegrationOverjet IRIS – A.I. Imaging Software Integration
We have implemented a Patient Record integration between R4+ and Overjet IRIS, an AI-native imaging solution, in preparation to support future incorporation of Overjet IRIS functionality. Please note that to use the Overjet feature requires a separate commercial agreement with Overjet prior to activation.
After activation with Overjet, in R4+ navigate to Clinical Chart > Tools > Options > X-Ray Programs on each Machine to enable the Integration.
After enabling, under Clinical Chart > Tools > Options > X-Ray Programs, click the Config button to Map the active R4+ Clinic(s) Location to the expected IRIS Clinic ID(s) for Patient Registration. A New Icon is then presented on the Imaging Toolbar within the Clinical Chart.
Note: This is only required once or any time the Clinic alignment needs to be updated between the two products. This relationship allows for both 1:1 and 1:n mapping, dependent on how users wish to align Patient Records between both systems.
Click the New Icon on the Imaging Toolbar within the Clinical Chart to allow launching into IRIS to Create or Access the Loaded Patient in IRIS and access their associated Images.
Note: You will be required to login using your IRIS credentials at first launch.
After activation, R4+ supports the Transfer of the following Patient Information* to Overjet IRIS:
-- Patient's External Reference
-- Patient's Forename and Surname, Date of Birth, and Gender
-- Patient's Registered Clinic (based on the specified Clinic Mapping in point 3)
* If a Patient has not opted in to “Allow A.I. Services” on their Patient Record, the IRIS Launch Button and Menu option will remain disabled when they are accessed in the Clinical Chart. Please note that this option is an Opt-In rather than an Opt-Out, so it remains the Patient’s choice to share their Patient Record PII with Overjet IRIS.
IMPORTANT NOTES:
There are some caveats to be aware of with this Integration.
When setting up with Overjet IRIS:
If you are moving between an existing Imaging Product to Overjet IRIS and have been using a Custom Patient Reference, IRIS only supports a Numeric Reference whereas R4+ allows Custom Alphanumeric References. If the Existing Reference is not compatible, IRIS will flag this against the Patient Key in the displayed Create Patient Screen. To avoid Patient Fragmentation in these cases, it will be required to Renumerate Patients in your Database and any corresponding existing local image repository before continuing to use IRIS which may require assistance from the Carestream Support Desk.
If you have an existing Local Image Repository when moving to IRIS you will need to use the “Overjet Extension” application found under your user profile menu in IRIS to batch ingest images directly into IRIS, existing images can also be uploaded or dragged into IRIS for analysis during use on a per patient basis instead.
If New Clinics are added to a Site already using Overjet IRIS Integration, the user will be warned in Clinical Chart if no Mapping between the new Clinic and an IRIS Clinic ID exists when launching. The user can choose to continue, but the Patient’s Registered Clinic in IRIS will assume its default so this will result in Patient Fragmentation between systems or Cancel the launch and correct the Configuration (per the preceding step 3) to continue without being warned.
On a Patient's launch into IRIS:
If an IRIS Clinic ID has been entered against the Patient’s clinic that is unknown by the IRIS User Account, IRIS will default to its own 1st registered Clinic at Patient Creation, which may not align with a Patients Registered Clinic in R4+. You can choose to continue Patient Creation in such cases, manually correct or cancel and correct the R4+ Clinic Mapping per the preceding step 3 to avoid patient fragmentation.
If a Patients Forename, Surname, Gender, Date of Birth or Registered Clinic changes over time in R4+ after initial registration in IRIS, these changes are not automatically updated in Overjet when launched. In these cases, you will need to make the appropriate updates to the Patient in IRIS manually to keep up to date.
Patient Record – New Allow A.I. Services OptionPatient Record – New Allow A.I. Services Option
A New Opt-In setting has been added to the Patient Record Screen. This option is designed to provide sharing control with future AI-based products and services on a per patient basis so the sharing of Patient Record PII data remains the Patient’s choice.
When this option is Enabled or Disabled, an Audit Record and a Clinical Note is generated to record when and by which R4+ user this setting was set or changed for auditing purposes.
Currently, this option will only affect Sites who use the Overjet IRIS Integration.
You can now change the Comms Method that is automatically set when creating a new patient record. There is a new Create Skeleton Patient Default Method option available under Main Settings > System 1 Tab > Patients Comms Method which provides the ability to set the Default Communication Method for a skeleton patient to Letter, SMS, or Email.
You can also set a communication method priority order (by availability) for Recalls, Cancellations and Did Not Attends using the new Use Priority Order for Recalls/Cancellations/DNA option. This option can be enabled under Main Settings > System 1 Tab > Patients Comms Method. When enabled, this setting provides the ability to specify the Comms Method Order that is used when attempting to send Batch Communications to Patients for Recalls, Appointment Cancellations, Late Cancellations or Postponement, DNA or WNB Letters, instead of only attempting to use the patient's Preferred Communication Type.
See Settings - System 1 and 8.10.0 for more information.
Multi-Clinic Closures and Holidays EnhancementMulti-Clinic Closures and Holidays Enhancement
Two Quality of Life Improvements have been added to the Planner > View > Closures and Holidays Screen:
If the User is either a System Administrator or has Clinic Additional Access Rights and has an opening hour pattern split between locations, they will now be prompted to apply the selected pattern closure across all available clinics for the given date. If the User chooses no, then the closure is only made to the logged-in location. If they choose yes, the same pattern is applied to each location automatically to save the user from repeating the chosen action more than once.
As a Clinic Closure can now affect more than the logged-in location, the Cancel Appointments sub-screen has also been adjusted to make it easier to Cancel affected Appointments. The screen will still default to the Logged-in Clinic, but if the User is a system administrator or has Clinic Additional rights access, the other Clinics allowed by those permission types will be available in a dropdown without having to log out or switch clinics.
See Using the Closures and Holidays Feature for more information.
New Stock System Queries for Exams and HygieneNew Stock System Queries for Exams and Hygiene
Five new Stock Queries have been added which can be used in User Search Filters or Custom Query Reports where needed:
EXAM – Manual Recalls
EXAM – No Recall Dates
EXAM – Suspended Recalls
EXAM – Unenabled Recalls
HYGIENE – Patients Who’ve Had a 1020/1030/1035 in the Last 2 Yrs
To Aid the new Exam and Hygiene Stock System Queries, a new Search Operator for “Includes” has been added to the Patients > Who have had a… > Treatment Code Criteria Query.
This allows the use of groups of Treatment Codes in the Criteria screen as a single query using Comma Separated Values. For example, if you wish to create a Query looking for Examinations and Fillings, you can now specify a value of 101,1401 instead of just the inclusion or exclusion of a singular Treatment Code.
What's New in R4+ Version 6.5.2