The development tickets associated with the 1.16 OSCAR Pro Build are listed below.

NOTE: Some development tickets have been excluded from the list as they may include features not fully activated, technical terminology that does not offer substantial insight to users, or sensitive technical information.

Ring Central Fax Outbox

Clinics that have Ring Central set up as their EMR fax integration have access to an Fax Outbox to see sent faxes, see the delivered status of fax in real time, and re-send failed faxes.

For more information on Ring Central, see Ring Central eFax Frequently Asked Questions (FAQ)

The Fax Outbox can be accessed via Administration > Electronic Faxing > Fax Outbox. The following improvements are included in the latest release:

Accessing Fax Outbox automatically searches and presents fax items from the last 3 days, eliminating the need to select dates and manually click Search to see results.

The action buttons have been redesigned, and two additional functions are added:

The "View" button has been replaced with a standardized eye icon.
Ability to "Archive" desired items. When the Archive button is clicked, users can select an Archiving Reason to denote why this item was archived.
Ability to "Resend" a failed fax to the same number. The Resend icon is only available for faxes that have failed "Error" status. Usually used when the receiving fax line is busy.

Image displaying the three icons; View, Archive and Resend

Archiving faxes allows clinics to get rid of faxes with "Error" status once they have been resent or dealt with accordingly. The Archive Reason allows users to specify why the associated fax item was removed, and what action was done to ensure the fax makes its way to the proper destination.

Archived items can be viewed by clicking the Archived Filter in the Fax Outbox

Clicking Unarchive on an item displays the reason it was archived and gives the user the ability to "bring it back" (if it was archived by mistake).

Clicking Demographic Number opens the Master Record of the patient, for easier patient access.

Attachment Manager Improvements

The Attachment Manager can be accessed by clicking the following icon at the bottom of the eChart:

The Categories have been re-ordered to display the most common used ones at the top. Such as eForms, Labs, HRM's and Documents. This results in less scrolling or category minimization for users that send a lot of individual items per day.

Users can revert to the "Alphabetical" order by clicking the Settings icon at the top right and selecting "Order Categories Alphabetically". This setting applies only to the current user and will not change the order for other users in the EMR.

Users can now select eDocs when using "Save for Ocean". Allowing to share general handouts, contact information, or other generic eDocs when sending an Ocean message from OSCAR Pro.

The toast message showing categories compatible with "Save for Ocean" has been updated to provide a list of supported items:

eForms in Attachment Manager now include the subject of the eForm making it easier for users to distinguish between various eForms (as long as the subject has been added to eForm when it was saved)

Users can now select Smart Encounter Form Letters in Attachment Manager and attach them to Ocean Messages via the "Save for Ocean" functionality.

A new category called "Smart Encounter" has been created to display these for selection:

Document file names in the Ocean Message now reflect their exact name in OSCAR. This makes it easier for users to see if they attached the desired document at a glance, without always having to go into the document to see the content.

The titles in Ocean display the Document Name in OSCAR, followed by the date associated with the document.

The Attachment Names in Ocean reflect the proper Document name in OSCAR

When attempting to export a very large set of data, the Attachment Manager presents a warning to the user suggesting to break down the items into more manageable chunks:

1.16.2 Tickets

1.16.3 Tickets

1.16.4 Tickets

1.16.5 Tickets

1.16.7 Tickets

1.16.1 Tickets

Improvements

OSCARPRO-6465 – Implement failure tickler for Encounter Notes POST

When an Encounter Nate fails to send to the Primary Clinic via the Link Integration, a tickler is automatically created to alert the sending user.

So that they know that something has failed and have a chance to send the information using another method of desired.

OSCARPRO-6467 – Implement failure tickler for Medications POST

When an Medication entry fails to send to the Primary Clinic via the Link Integration, a tickler is automatically created to alert the sending user.

So that they know that something has failed and have a chance to send the information using another method of desired.

OSCARPRO-7091 – Ability for Support to Undo/Reverse OHIP Claim File

Support Users now have the ability to "undo" generated OHIP Claim Files via a button. Note that this is not available to end users at this time.

After further testing, consideration will be made to make this available to end users in future updates.

OSCARPRO-7092 – eDoc item can be used in Save for Ocean

Users can now select eDoc as attachments when using the "Save for Ocean" functionality in Attachment Manager.

OSCARPRO-7093 – Add Smart Encounter Form to Attachment Manager

The Smart Encounter Form (Smart Letter) are now available for selection in the Attachment Manager.

A new category called "Smart Encounter" has been created to display these for selection:

OSCARPRO-7098 – Smart Encounter Form can be used in Save for Ocean

Smart Encounter items selected in Attachment Manager can be utilize with the "Save for Ocean" functionality, allowing users to include these as attachments in Ocean Messages.

OSCARPRO-7130 – Link the demographic number in Outbox so that you can open the Master Record

The demographic number in the Ring Central outbox is now linked. Users can click the number to open the Master Record of the associated patient as a way to quickly access their record.

OSCARPRO-7132 – Add Eye Icon to view fax instead of “View” in Admin Fax Outbox

The "View" button in the Ring Central Fax Outbox is replaced by a standardized eye icon to preview items.

OSCARPRO-7136 – Set clear defaults at the top of the Fax outbox

When opening the Ring Central Fax Outbox, results are automatically displayed on the screen. This helps avoid the need to select dates and clicking the "Search" button to see results.

By default, opening the Fax Outbox displays all sent faxes from the last three days:

OSCARPRO-7138 – Rename Admin: Fax Sent/Received Outbox

The title for the Ring Central outbox has been renamed to "Fax Outbox"

OSCARPRO-7140 – Ability to archive faxes with a reason drop-down [Frontend]

Users can click an Archive button to remove faxes from the list.

Clicking the Archive button gives users the ability to select a reason for archiving the associated fax item

Users can archive "Failed" faxes that they no longer want to appear in the list and include a reason.

When an item is archived, it can still be viewed by clicking the "Archived" filter at the top

Clicking the Unarchive button for archived items displays the reason it was archived (e.g. resent using another method)

Clicking Confirm will restore the item back to "Unarchived" state.

OSCARPRO-7144 – PRO | Create new HPV ontario prevention report or have a combined PAP/HPV report with very basic guideline

A new "Cervical Screening" option is introduced in the Ontario Prevention Report to facilitate new PAP/HPV Guidelines.

Patients due for cervical screening will first receive the HPV test and only follow up with the PAP test if HPV is positive.
- If no PAP and no HPV test then show ‘no info’.
- If has PAP in past 3 years and no HPV, show ‘due’ for HPV at 3 years from last pap.
- If has PAP in last 3 years and no HPV, show ‘coming due’ withing 6 months of the 3 year point.
- If has PAP in last 3 years and no HPV, show ‘over due’ after the 3 year point.
- If has HPV, show ‘due’ at the 5 year point.
- If has HPV, show ‘coming due’ withing 6 months of the 5 year point.
- If has HPV, show ‘over due’ after the 5 year point.
- Ensure the new age guidelines are updated for PAP/HPV recall. Ages 25 - 70 will be included in the recall.
- Other logic will not change. Eg. When ‘Set Next Date’ is set or when ‘Inelligible’ is set.
- If ‘immunocompromised’ logic already exists in the PAP test, include it in the HPV.

OSCARPRO-7146 – Login Error Page Contains Incorrect Hyperlink to OSCAR Pro Support Email where provider.status = 0 (inactive)

Adjusts the email address link presented to the user when an inactive provider logins in successfully. The error message includes the correct email to contact support.

OSCARPRO-7155 – Update Ring Central Outbox to latest design standards

Updates the Ring Central outbox UI to match the updated OSCAR Pro UI design.

OSCARPRO-7199 – Login Failed: Wording Improvements to OSCAR Pro Login Page to reduce support calls

When failing to login using correct username or password, an improved message appears providing user better direction on how to login and access helpful Support Documentation

OSCARPRO-7212 – Billing - Show/Hide 'Your Recently Billed' service codes on the right of the bill via accordion

You may now click an icon to show or hide the "Your Recently Used" Service Codes in the updated Pro UI Ontario Invoice.

Your selection is remembered for next time. So that if you minimize it once it will continue to remain closed across all future invoices.

OSCARPRO-7279 – Add Resend button/icon to Fax Outbox

The updated Ring Central Fax Outbox allows users to click the Resend button for failed faxes. Doing so triggers another sending attempt to the same phone number.

This is generally used when fax lines are busy or temporarily failed to receive a fax.

Note that if the phone number is not valid, resending will never be successful. Users are encouraged to archive these failed taxes with an appropriate reason and find another method to resend these faxes.

The re-send button is only available for items that have failed to send.

OSCARPRO-7280 – Minor Issues with PrescribeIT UI Changes

Includes minor improvements to the PrescribeIT Renewal Request styling, like fixing the chevron icon spacing and adding hover over tooltip.

OSCARPRO-7365 – Add Harmony button/integration for Eyeform3

Add the Harmony integration for Ophthalmology usage.

OSCARPRO-7179 – Ocean Toolbar and REST is available in Eyeform3

The Ocean toolbar is now available for clinics using the specialized Eyeform eChart.

The Ocean toolbar in eyeform3 can be enabled under Administration > Integration > Ocean

Note: You must have a valid Ocean account and the Ocean integration must be completed for the Toolbar to work effectively: https://support.cognisantmd.com/hc/en-us/sections/360010006531-OSCAR-Pro-WELL-Health-Integration-Set-Up

OSCARPRO-7259 – Set Mammogram age to 40 (instead of 50) when Using Provider Search in Prevention

The Mammogram query in the Ontario Prevention Report's has been adjusted to reflect patients 40 and older, based on updated clinical guidelines.

OSCARPRO-7319 – Display Custom Vaccine Name in Prevention PDF output

Custom immunization names entered into the Prevention record, now successfully display when printing a PDF copy of the prevention report for the patient.

In the example below, the custom name entered on the left, is appearing when printing the preventions on the right.

OSCARPRO-7362 – Improve Save for Ocean Prompt Text for Better Readability

The toast telling users which items are compatible with the Save for Ocean functionality has been updated to make it more readable:

OSCARPRO-7363 – Display friendly file name in Save for Ocean Attachments

When using the Save for Ocean functionality to attach items to Ocean Messages, the file names have been updated to show most correct names.

The names no longer reflect system file names and display a Document name and Date that is recognizable to the user.

OSCARPRO-7401 – Show subject for eForms in Attachment Manager

When viewing eForms in Attachment Manager, the subject of the eForm is now successfully appearing. Users have an easier time identifying the eForms in the list (when it contains a sub name or subject).

OSCARPRO-7417 – Reorder AM Categories to "frequently used" instead of alphabetical

By default, the Attachment Manager categories have been re-ordered so that most frequently used categories are at the top.

This helps makes every day items easier to access and limit the number of scrolling.

Users can revert back to the Alphabetical Order by clicking the Setting icon at the top right of Attachment Manager, and selecting "Order Categories Alphabetically"

The new order is predefined based on the sections used by most users informed by internal data statistics and user interviews.

Performance

OSCARPRO-6655 – Disable Spring RedisAutoConfiguration and RedisRepositoriesAutoConfiguration to prevent unneeded annotation scanning

Fixes an internal issue that was cluttering the system with unnecessary log messages. This cleanup helps us better focus on real problems and keep things running smoothly.

OSCARPRO-6707 / OSCARPRO-6708 – Standardize log formatting across modules in Oscar

This work represents the culmination of multiple tickets aimed at standardizing error logging across the EMR. While not visible to end users, it will provide tremendous value "in the back end" going forward.

By unifying log format throughout the EMR, we can more effectively track and troubleshoot issues that occur with regular system use.

This enhances the ability of technicians to analyse trends, make data driven decisions. and significantly improves the capacity of our Support and Development teams to diagnose, repair, and test reported issues.

OSCARPRO-7315 – Fix issues in RosterTermReasonProperties class impacting Master Demographic page

Resolves an issue that causes a memory leak that can potentially lead to build up of server resources and eventual server timeout.

OSCARPRO-6507 – Performance: Echart Preventions page loads slowly (more than 8 seconds)

Optimizes the query used to get preventions from the database. Results in a signifncatly improved loading time of the Prevention section via eChart, especially when there are a lot of entries.

OSCARPRO-6868 – OSCAR Classic Implement caching for SecuserroleDao findByProperty query

Implement caching for one of the most frequently used methods in the software. This results in less use of resources, increasing loading speed across the EMR.

This functionality is being deployed in a disabled state by default, so its benefits will not be immediately visible to users. It will be enabled following further testing and validation.

OSCARPRO-6957 – oscarEncounter/displayEForms.do queries for 100 eforms despite only displaying 6 on load

Helps speed up the loading of the eChart. Reduces the number of eForms loading in the background when opening eChart. By default, users can only see 6 eForm items in the eChar, but can click a button to expand the number of entries.

OSCARPRO-6906 – Oscar Classic Implement caching for common SystemPreference and Property DAO queries

Implements caching for one of the most frequently used methods in the software. This results in less use of resources, increasing loading speed across the EMR.

This functionality is being deployed in a disabled state by default, so its benefits will not be immediately visible to users. It will be enabled following further testing and validation.

OSCARPRO-6919 – Record client side performance metrics in [performance tool] using OSCAR Pro

Improves ways to measure how long it takes for pages to load in the system. This will help us understand current performance, see how updates impact speed, and identify areas for improvement.

Data will be collected and reviewed over time to track performance trends by system.

The feature can be turned on or off as needed and will first be rolled out to key modules, and expanded later.

OSCARPRO-7006 – Clear the Cache from the Administration panel

Introduces a button available to Support users to clear database related cache. Useful in troubleshooting and investigations.

OSCARPRO-7024 – Validate FHIR API requests locally before making a request for [Authentication]

Optimizes the code to limit the number of authentication requests that happen outside of the system. Helps reduce system resource usage for those that are heavily reliant on FHIR API calls.

This improves performance for users of third party applications when those applications are having issues.

OSCARPRO-6718 – BIOtest causes performance degradation in large batches

A large number of Biotest automated lab uploads no longer causes systems to slow down.

OSCARPRO-6988 – Oscar Classic oscar.oscarLab.ca.all.parsers.GDMLHandler#init frequently logs class cast exceptions

Minimizes a common log message related to Dynacare lab uploads. Reducing errors helps ensure that there is less noise and more important errors are easier to distinguish.

Bugs

OSCARPRO-6556 – CaseManagementNote Query Causes System to Freeze and Crash

Resolves a rare edge case causing system to freeze when loading vast majority of duplicate UUID lines within the eChart.

OSCARPRO-6634 – Resolve non-behavior altering oscar startup log lines

Removes non essential log warnings during startup to improve system startup time.

OSCARPRO-6723 – eChart - Remove broken search pages from eChart search widget and remember last used search if possible

Removes the "OSCAR Search" and "Trip Database" options from the Search dropdown. These were outdated and non-functional selections.

OSCARPRO-6741 – Referring Physician Label on Smart Encounter adds the Fax number twice

Saving a template with the Referring Physician Label in Smart Encounter Letter, no longer adds a duplicate fax recipient to the list.

OSCARPRO-6774 – OSCAR Classic throws 500 error on redirect to error page due to attempted update of invalidated session

Eliminates a common 500 error that occur within systems.

OSCARPRO-6793 – Link Gateway GetAuthorizedLinkResolver#resolveArgument method logs runtime exception and return 500 error when encountering invalid arguments

Corrects an error with 500 code to 400 and reduces the number of repeated instances.

OSCARPRO-6804 – Classic REST services logs stacktrace when responding to 415 Unsupported Media Type response

Eliminates a non existing REST service to reduce the number of errors in the system. Systems trying to access the nonexistent REST endpoint now receive a proper 415 error response.

OSCARPRO-6809 – Oscar Pro DSTU2 endpoints throw 500 error and log stacktrace when validating request parameters

Converts incorrect 500 errors to a proper 400. This cleanup helps us better focus on real problems and keep things running smoothly.

OSCARPRO-6907 – Master Record Fails to Open in New Window from Invoice Report

Clicking the Patient Name in Billing Correction when opened via the Invoice Report, now opens the Master Record in new window (instead of existing window, which navigates user away from their previous page).

OSCARPRO-7044 – Sites Showing When Creating Pro/New Invoices For Multisite System Despite Site Not Selected In Provider Record

When using the updated ON invoicing, only billing physicians associated with a specific location will display for selection. If a provider is not assigned to a location, they will not display. Specific to Multisite configurations.

OSCARPRO-7062 – Large number of items in eForm Attachment Manager widget leads to missing items and failed PDF

Resolves an issue that was causing the PDF not to generate for an eForm that has a large number of attachments.

OSCARPRO-7064 – Attachment Manager Times Out on Large Requests

When content in Attachment Manager is too big to be exported to PDF, a message is displayed to the user to provide guide for breaking it down to multiple chunks.

OSCARPRO-7099 – Pro Billing - Dx code doesn't work if not selected (click mouse away)

The Dx code in the updated ON Create Invoice UI is retained after being typed, even if user clicks away (without explicitly selecting it).

OSCARPRO-7125 – Patient-independent eForms causes long running query on page load

Adds a database index to significantly speed up loading of eForms accessed via the "Patient Independent eForm" setting.

OSCARPRO-7151 – 500 error opening historical Consultation record after Attachment Manager is enabled

Consultations created in the past load OK even after enabling Attachment Widget in Consutlations.

OSCARPRO-7161 – Invoice Encounter Note Line - Date Field - is sometimes Invisible (white on white, on two rows due to wrapping)

Encounter Date in the encounter roll within eChart is no longer invisible. The text is back to displayed as expected.

OSCARPRO-7163 – Removing "admin" Role Deletes provider_no Entry in program_provider Table

Resolves an issue causing patient chart access, when the 'admin' role is removed without updating the secondary role to primary. Removing 'admin' role no longer causes potential loss of EMR access.

OSCARPRO-7173 – New Billing - MRP Not Loading As Billing Provider when booking from appointment where provider lacks a billing

The updated invoice UI now loads the MRP correctly if appointment provider does not have a billing number.

OSCARPRO-7210 – Link - 'Disable Automatic Closing after Sign Preference' does not POST encounter note to Primary

The encounter note is now successfully sent to the Primary clinic via Link Integration when the patients eChart does not close automatically upon Sign and Save.

Based on the setting in Preferences > Configure Sign & Save Button in eChart > Disable automatic closing of eChart after Sign & Save.

OSCARPRO-7237 – FHIR API - GET /Procedure endpoint retrieves incorrect Date Performed in the response.

Ensures that the procedure date presented via the FHIR API matches appropriate date.

OSCARPRO-7292 – Abnormal hl7 results fail to show red in eChart

Fixes a rare issue that caused lab status not to show Red abnormal font colour in eChart preview.

OSCARPRO-7293 – Fax button functions in classic Rx despite lack of signature

If a Classic Prescription does not have a signature, the buttons to action Fax or Fax and Paste no longer clickable. This restores previous functionality that helps prevent users from faxing a prescription that doe snot have a signature.

OSCARPRO-7333 – New Billing page freezes if we open from appointment's Echart

Resolves an issue that caused the Create Invoice to freeze after selecting Sign Save and Bill in eChart. Issue discovered during development, before being deployed to end users.

OSCARPRO-7392 – Template search in eChart search restricted

Users no longer have to type exact value for the eChart Template Search to show results. Users can once more type partial values and see appropriate results.

Security

This release introduces numerous security improvements and fixes based on ongoing penetration testing and security assessments conducted by 3rd party agencies.

In order to prevent the spread and exposure of potential vulnerabilities, the titles and descriptions have been omitted for security reasons.

OSCARPRO-6764 – [Redacted]

OSCARPRO-7262 – [Redacted]

OSCARPRO-7112 – [Redacted]

OSCARPRO-7040 – [Redacted]

1.16.2 Tickets

OSCARPRO-7507 – Linked Item icon appears in an unexpected location in Encounter Roll

Addresses an issue causing the Chainlink icon (associated with the Link Integration) to not display in the correct place.

1.16.3 Tickets

OSCARPRO-7562 – Pro Inbox alternating colour has changed to darker gray

Restores the colour of alternating inbox items to its correct code.

OSCARPRO-7600 – Casemanagement note crash fix causes performance degradation: Revert changes

Addresses eChart slow downs for larger systems.

OSCARPRO-7601 – Unable to Check BC HC Eligibility in 1.16.2

Restores the ability to utilize the Health Card validation in the BC build.

1.16.4 Tickets

OSCARPRO-7337 – eForms saved in Covering Clinic are not appearing in Primary Clinic Demographic

Ensures that eForms saved in Covering Clinic within the Link integration correctly appear in the Primary Clinic's patient eChart.

OSCARPRO-7599 – Wrong drug quantity on prescription printout in edge case when re-prescribing

Classic Rx drugs that use a non numeric in Qty/Mitte field, can now be re-prescribed with correct information when done in Pro Rx Module.

OSCARPRO-7603 – Images are not included as attachments when using Save for Ocean

Selecting Image Documents with the "Save for Ocean" functionality now correctly includes them as attachments in the Ocean Email Message.

OSCARPRO-7626 – New [redacted] table causes parsing failed errors when uploaded labs have measurements with too large identifiers

Resolves an issue causing specific labs not to upload correctly, when their measurements identifiers are too large.

OSCARPRO-7631 – Unable to select site in Pro billing views using Multisite

Clinics with Multisite configuration can now successfully select the Location when creating invoices in Pro UI.

OSCARPRO-7633 – Link eForms do not dedupe in the covering clinic's eChart causing duplicates

Resolves issue causing duplicate eForm entries to appear in the Covering Clinic when the Link Integration is enabled.

1.16.5 Tickets

OSCARPRO-7655 – TokenStore error is thrown on app startup

Fixes an issue causing the login integration to use unnecessary resources during application start.

OSCARPRO-7656 – Kaiemr app intermittently fails to load. Bouncycastle error on deployment

Addresses a rare case where API related libraries are causing the application not to load properly.

1.16.7 Tickets

OSCARPRO-7605 – eChart note roll RHS links misaligned when using large font setting

Resolves an issue causing Encounter Roll links to be misaligned when the option to use Large Font is enabled.

OSCARPRO-7614 – Excelleris Ontario lab parser marks labs complete when OBR rows exist with incomplete status

Addresses an issue causing an Ontario Excelleris (LifeLabs) to be marked as completed, despite the raw HL7 data.

OSCARPRO-7717 – Update Undo Claim File Logic to Use 180-Day Limit Instead of 6 Months in order to fix Test Failure in JdbcBillingPageUtilTest Due to Date Arithmetic

Changes the logic associated with claim file reversal timeframe, to ensure that to resolve internal failing unit tests. Note that the claim file reversal is only available for Support Representatives at this time.