Release Notes


03.04.2024

Admin

You will be able to self-serve and activate Federated Single sign-on (SSO) using SAML. This means that your organization can use SSO to authenticate externally and log into the ESO suite. This is the second release for Federated SSO with Azure Active Directory being the first release.

  • Federated SSO settings for your agency/ organization need to be configured using SAML as your external identity provider.
  • To enable SAML SSO specifically for the ESO suite, an admin user can access and configure self-serve settings within the Admin application.
  • Once SSO is activated, then ESO login credentials are no longer applicable, and all users will access the ESO suite application using their SSO credentials. Any agencies that activate SSO will have their own unique login URL.
  • If your organization uses multiple agencies/ organizations, then each one needs to be set up for SSO.

Exceptions

  • Organizations that use the following modules are currently excluded and will not be able to view the menu option in Admin:
    • EHR
    • EHR mobile
    • Inventory

Enhancements

  • Go to Admin> Security>Login Policies to review your login settings. There is a new ‘Configure and activate single sign-on’ panel.
  • Click on the ‘Configure SSO’ button and then click on ‘SAML’.
  • Download and read step-by-step guide: A link is provided to a more detailed document which should be reviewed by your IT team before activating SSO. This will step you through the self-serve wizard to activate SAML for your agency/ organization.
  • Flag the confirmation and acknowledgement checkbox: This action confirms that you have read and understood the implications of activating SSO.
  • Data Input: You are guided through data input via the on-line wizard steps. Refer to the linked step-by-step guide above.

Reasons for Request

With SSO, users only need to remember a single password for all their applications and are more likely to use secure passphrases. They are also less likely to reuse passwords or write them down, which reduces the risk of theft. In addition, IT administrators can create new users centrally and disable user accounts when they leave.

02.07.2024

Admin

You will be able to self-serve and activate Federated Single sign-on (SSO) using Azure Active Directory. This means that your organization can use SSO to authenticate externally and log into the ESO suite. This is the first release for Federated SSO with more options to follow.

  • Federated SSO settings for your agency/ organization need to be configured using Azure Active Directory as your external identity provider.
  • To enable Azure Active Directory SSO specifically for the ESO suite, an admin user can access and configure self-serve settings within the admin application.
  • Once SSO is activated, then ESO login credentials are no longer applicable, and all users will access the ESO suite application using their Azure Active Directory SSO credentials. Any agencies that activate SSO will have their own unique login URL.
  • If your organization uses multiple agencies/ organizations, then each one needs to be set up for SSO.

Exceptions

  • This release of Azure Active directory excludes other regions such as azure.us Government, this will be available in a further release which covers SAML 2.0. More information to follow.
  • Organizations that use the following modules are currently excluded and will not be able to view the menu option in Admin:
    • EHR
    • EHR mobile
    • Inventory

Enhancements

  • Go to Admin > Login Policies to review your login settings. There is a new Configure and activate single sign-on panel.
  • Click on the 'Configure SSO' button and then click on 'Azure Active Directory'.
  • Download and read step-by-step guide: A link is provided to a more detailed document which should be reviewed by your IT team before activating SSO. This will step you through the self-serve wizard to activate Azure Active Directory for your agency/ organization.

01.10.2024

Insights

01.09.2024

PM

Bug Fix

  • The training class and session times in the Training section now match. The training class date and time was not reflecting the time zone and the session times were, which was causing other functionality within training not to work properly.
  • Editing and deleting Individual classes in the person record > Classes tab is now working as expected. Users were experiencing generic save error messages when trying to update or delete an Individual class.

12.20.2023

PM

Bug Fixes

  • In Award Programs, some fire incidents were being filtered out of incident percentage calculations in incident criteria if the incident type value in the Incident Type list in Admin was saved, even if nothing changed. All fire incidents with the same code as the ones selected in the criteria will now be included in the total number of incidents for the denominator of the percentage calculation. This was identified by our customers.
  • In Award Programs, some of the fire incident types were displayed as not selected in the Incident criteria for existing records. Now all of the fire incident types originally selected in the criteria are displaying as being selected and are being used in calculations.
  • In Award Programs, Incident criteria using the Percentage Range calculation, the total used to calculate the percentage is now including all of the expected incidents. After the previous PM release, not all of the incidents were included in the total, causing the percentage to be higher than it should have been.
  • If a person is added through New Person and they have the same employee number as an existing employee, the message will now tell them that. Previously there was a generic "could not save" error which did not give the user any idea of what the problem was. This was identified by customers and our onboarding team.

12.13.2023

EHR

EHR Mobile Version 5.56.1918

This release introduces some new enhancements and an escalated support issue fix.

Enhancements

  • Added a configurable field to document how the patient was moved to the stretcher and an associated configurable validation rule to make this field required for transport dispositions
  • Added a new configurable rule that allows Destination fields to be required for all transports in N3.5

Bug Fixes

  • The Depart Scene Time is now available for all scene dispositions in N3.5
  • When a CAD record is reimported, the Unit Capability and the Unit Level of Care fields do not clear any longer

New Features

  • Force sync will allow an EHR Manager (by default) or anyone with the "Force Sync" permission to change the status of an EHR record in the EHR web incident list from mobile (view only) to an editable record on the web.

 

12.13.2023

Insights

11.29.2023

Insights

11.28.2023

EHR

EHR Mobile Version 5.55.1917

This release introduces some new enhancements and an escalated support issue fix.

Enhancements

  • Added an ability to document whether or not the patient's weight is an estimate
  • Authorization Signature now displays for controlled substance medications when the Medical Control field equals Protocol (Standing Order). The configurable validation rule was also adjusted to include this scenario
  • Mobile to mobile for the Physician Phone Number field was added
  • Added two new flowcharts under the Other category: Food and Oral Fluids

Bug Fixes

  • Adjusted a configurable validation rule to require Arrival at Landing Area Date/Time when the EMS Provider (Air) option is selected from the Transferred To field in NEMSIS 3.5

 

11.09.2023

EHR

EHR Mobile Version 5.54.1914

This release introduces a new feature to document BARS.

New Features

  • Added an ability to document BARS in vitals.

Enhancements

  • New fields have been added to EHR: Physician Phone Number, Physician Type, Number of Vehicles, and Exterior Damage
  • There is now an ability to set UTO on Race

 

11.01.2023

PM

Incidents are now showing the correct values for EHR Run Types or Fire Incident Types in the person record calculation detail in the Award Program tab.

Bug Fixes

  • In the person record in the calculation detail in the Award Programs tab, there were fire incident types or a message “Unknown or disabled incident type” instead of the expected EHR run type for EHR incidents and Fire Incidents had the message “Unknown or disabled incident type” instead of the expected Fire Incident Type. Now the appropriate value is displayed for the record. This was raised during a meeting with a customer.

10.24.2023

EHR

EHR Mobile Version 5.53.1912

This release introduces multiple support escalated issues that were fixed.

Enhancements

  • Added new location type called Shelter

Bug Fixes

  • Configurable validation rules that trigger the Witness to Waste form are not triggered when a Controlled Substance was marked as Not Performed
  • Height of Fall field now progressively discloses when the option of “Other slipping, tripping and stumbling and falls” is selected from the Additional Injuries field
  • At Destination Time field value is now cleared from the database when N3.5 Disposition combinations are updated to hide the At Destination Time
  • Mobile issue was fixed where CAD import was crashing mobile for certain agencies
  • Mobile issue was fixed where modifying Unit Capability field was crashing mobile

 

10.18.2023

Admin

You can now configure the re-authentication frequency for Multi-factor authentication, (MFA). Previously, this setting was defaulted to every 7-days and could not be updated.

How does it work?

  • Re-authentication frequency determines how often users will be challenged to login using MFA.
  • When MFA is activated, there is a default re-authentication frequency of every 7 days. Meaning that the user will be challenged to re-authenticate using an MFA method; authenticator app, (TOTP), email, or text message (SMS), every 7 days.
  • The re-authentication frequency setting applies when the user logins on the same device. Logging in using a different device will always trigger a request to re-authenticate for MFA.
  • The new re-authentication frequency options are:
    • Every 3-days
    • Every 5-days
    • Every 7-days (default)

Enhancements

Go to Admin > Security > MFA Configuration to review your settings.

  • Re-authentication frequency:
    • Default Setting: The default setting for organizations enabling MFA is every 7-days.
    • Organizations that adopted MFA prior to May 2023: may have another custom re-authentication frequency that differs from every 7-days, (e.g., every 10-days). NOTE: You may keep this setting. But, if you choose one of the standard options; 3-days, 5-days, or 7-days, then you cannot revert to your custom setting, (in this example 10-days).
  • Update re-authentication frequency: Click on the ‘Edit’ button in the panel and select another configuration option.

10.17.2023

Insights

  • On 11/1/2023, ESO will be releasing breaking changes to the Fire Incidents data schema for Insights. “Breaking changes” are updates to a data model which, if in use by a Customer in Insights, will cause that item to stop working.
  • Click here for more details.

10.10.2023

EHR

EHR Mobile Version 5.53.1911

This release introduces new Patient Medications and Patient Allergies list items.

Enhancements

  • Added Patient Medication and Patient Allergy list insert items
  • Added behind the scenes functionality to lay the foundation for an upcoming Pulsara integration. This integration is not yet visible in EHR.

 

10.06.2023

PM

  • The Personnel spreadsheet import has been updated to include additional information that can now be imported, including Payroll ID, EMS Primary Role, and a number of hospital focused identification numbers. The new additions to the Suffix list are also available on the import.
  • The Certification and Credential spreadsheet import has been updated to include Hospital as a category for certifications and credentials as records and lists.
  • The New Person workflow has been updated to include EMS Primary Role, Hospital Role, Fire Usual Assignment, and hospital focused identification numbers. The Hospital focused additions are only displayed in New Person if Hospital has been enabled in PM > Settings > Enable Add-ons.
  • Individual classes that were entered as Fail in the Person > Classes tab can now be deleted without errors.
  • EMS Certifications with certifications numbers that duplicate another person's inactive EMS certification of the same jurisdiction (State or National) now show the person who is duplicated instead of a generic error.

Bug Fixes

  • EMS Certifications with certifications numbers that duplicate another person's inactive EMS certification of the same jurisdiction (State or National) now show correct error message with the person who has the duplicate certification number instead of a generic cannot save error. We fixed this based on support feedback customers shared with our teams.
  • Individual classes that were entered as Failed in the Person > Classes tab can now be deleted without errors. We fixed this based on support feedback customers shared with our teams.

Enhancements

  • The Personnel spreadsheet import located in PM > Settings > Imports now has the additional following fields available to import. There is an updated spreadsheet import template available to download from within the application. More information about what is expected in each column is available by clicking on the header of the column after enabling editing on the spreadsheet.
    • The Suffix list has additional values to select from
    • Payroll ID
    • EMS Primary Role
    • EMS Primary Role Effective Date
    • The following are available on the spreadsheet and are intended to be used by Hospital customers. These fields are only available in the PM application if Hospital has been enabled in PM > Settings > Enable Add-ons.
      • Hospital Primary Role
      • Hospital Secondary Role
      • Hospital Role Effective Date
      • NPI Number
      • DEA Number
      • EHR Unique Identifier (Please note that this is referring to a hospital's electronic health record system, not ESO EHR )
      • NCSBN ID
      • Three sets of State Identification Numbers
        • State Identification Number State
        • State Identification Number
      • Three sets of Region Identification Numbers
        • Region State Region - this is the state and the region name in that state
        • Region Number
  • The Certification and Credential spreadsheet import located in PM > Settings > Imports now has the Hospital Certification and License list and Hospital credential categories available and are intended to be used by Hospital customers. The Hospital Certification and License list and the Hospital category for Credentials are only available in the PM application if Hospital has been enabled in PM > Settings > Enable Add-ons.
    • There is an updated spreadsheet import template available to download from within the application.
    • More information about what is expected in each column is available by clicking on the header of the column after enabling editing on the spreadsheet.
    • There is a new tab on the template for the Hospital Certification and License list.
    • There is a Hospital category in the Certifications and Credentials tab.
    • There is a Hospital category in the Credentials list tab.
  • Additions to the New Person workflow
    • The Roles section has been added. This includes EMS Primary and Secondary Roles, Fire Usual Assignment, and, if Hospital has been enabled in PM > Settings > Enable Add-ons, Hospital Primary and Secondary Roles.
    • If Hospital has been enabled in PM > Settings > Enable Add-ons, then the New Person workflow enables entry of the following information.
      • NPI Number
      • DEA Number
      • EHR Unique Identifier (Please note that this is referring to a hospital's electronic health record system, not ESO EHR )
      • NCSBN ID
      • State Identification Section where multiple States and State Identification Numbers can be entered
      • Region Identification Section where multiple Region and Region Identification Numbers can be entered.
        • The Regions list is configured in PM > Settings > Work Lists.

 

10.05.2023

Repository

Summary

  • New Customer Facing Enhancements to EMS Repository product

New Features

  • New Data Quality Chart added to system landing page
    • Allows State and Agency users to monitor their PCR data quality and compare it to the average value across all agencies in their State
  • New PCR Submission Log Screen: NEMSIS 3.5 now provides a robust way to determine if PCR file submissions definitively relate to the same care record
    • This screen opens up that detail to the user allowing them for the first time to see how many submission attempts have been made for each PCR (and the timings and status values of each)
    • This is aligned to our vision of the EMS Repo being a useful analytical tool for state and agency data managers

 

09.28.2023

Fire Properties

  • OVAP Risk Assessment Scoring is set up and ready for users to begin scoring their Buildings and Occupants.
    • This release created all the pages, backend scoring metrics, and updates to data flow between the OVAP pages and Building/Occupants pages.

New Features

  • OVAP
    • Scoring Page
      • This page houses all Building and Occupants found under a property
      • Users will have the ability to see all their Buildings/Occupants from a tree
      • Users will have the ability to export out their OVAP data from this page into a CSV
      • Users will see the scores of a Building or Occupant from this Page
    • Summary Page
      • Users will select the Building or Occupant to begin the Ovap Scoring
      • All fields are bilateral in communication meaning the user will only have to update once from this page or from the Building/Occupant Page
      • Change log has been added so that users may see what fields were changed and by whom/when

Enhancements

  • Bilateral Communication between OVAP Scores and Building/Occupant Pages.
  • OVAP Tags have been added to OVAP related Fields.

09.25.2023

PM

  • If a user de-registers their own Multi-factor Authentication (MFA) method, they are logged out of ESO and must log back in, as requested by the ESO Security team.
  • The jurisdiction on Fire, Hospital, and Other Certifications list values has been made optional.
  • Some small issues were fixed around seating positions, absence reasons, and the certifications and credentials spreadsheet import. Please see the Bug Fixes section for details.

Bug Fixes

  • The Seating Positions section in the Work tab on the person record is only displayed if seating positions is enabled in the PM > Settings > Enable Add-ons section.
  • The order of the seating positions as set in the list in PM > Settings > Work Lists > Seating Positions now remains as the user set it. We fixed this based on support feedback customers shared with our teams.
  • The jurisdiction on Fire, Hospital, and Other Certifications is now optional in both the PM > Settings > Certifications lists and the Certifications and Credentials spreadsheet import. Jurisdiction values are National, State, and Local.
  • The Absence Reason in the Manage Attendees in the Training classes are now displaying when they are set. We fixed this based on support feedback customers shared with our teams.
  • The certifications and credentials spreadsheet import now shows an error message in the error detail saying that the credential has a duplicate credential name if that is the error instead of the import having an unexpected error.

Enhancements

  • When a user deregisters one of their own Multi-factor Authentication (MFA) methods in the person record in the Account tab, they are given a message warning that they will be logged out and then are logged out if they confirm.ESO

09.22.2023

EHR

EHR Mobile Version 5.52.1905

This release introduces a new mobile version to correct an issue in 5.52.1903 that caused an error in Patient Lookup.

09.20.2023

EHR

EHR Mobile Version 5.52.1904

This release introduces a new field to document Patient Height.

Bug Fixes

  • Updated the BSA calculation on the Burn Form
  • Corrected an issue on mobile where the On-Screen Keyboard would disappear after one letter was typed
  • Updated the mobile to include the background updates in the login process.

Enhancements

  • Added the field Patient Height to the Patient Tab. The Height can be documented in feet and inches or in centimeters. The total inches will be calculated and displayed.
  • This field must be enabled in Admin >> EHR >> Patient >> Configurable Fields to use.
  • This field is included in Insights filters for new reports.
  • In N3.4: Added a validation rule that will make Last Known Well required for Transported patients
  • In N3.5 version: Added a validation rule that will make Last Known Well required for Trauma patients.
  • In all NEMSIS Versions: Added a validation rule that will make GCS without an Unable to Obtain (UTO) value required for any patient contact.

09.14.2023

Insights

ESO has released a hotfix to resolve a bug with the Data Exporter. This bug was resulting in exports that were being truncated (limited) to no more than 500 rows, even if there were more than 500 rows of data available; the Exporter would give a notification that the export was "truncated at 3,000,000 rows", which was also incorrect. Functionality has been restored to normal.

Note: exports that are already in a "completed" state will remain in a truncated state of 500 rows; so if an export is a scheduled/recurring job, then the next scheduled instance of that job will export normally. However, if you had a one-time export that erroneously truncated to 500 rows, you will need to use the "Copy As" functionality to duplicate the original export and re-run it with the same filters and column selections.

09.06.2023

Insights

Insights customers have been experiencing errors when using OR logic to combine filter clauses in certain Insights Dashboards. This was due to a bug with the Analytical Engine which powers the Insights Dashboarding platform.

This morning, ESO released a bugfix which resolves this problem and all Dashboards for all customers using OR filtering are now functional.

If you are unfamiliar with this feature in Insights, check out this this video in our training showcase to learn more.

08.30.2023

Insights

08.30.2023

PM

Bug Fixes

  • Lists in PM > Settings were being case sensitive during duplicate name checks. Now if the user tries to add a list value with the same name but different capitalization, they will get a message that it is a duplicate.
    • If there is a deactivated value with the same name, the user should activate it instead of trying to add another one.
    • The following lists have been fixed
      • Certifications
      • Absence Reasons
      • Credits
      • Physical Types
      • Physical Restrictions
      • Hospital Roles
      • Credentials
  • The Classes tab was not displaying the Pass or Fail status correctly based on what was set in the Training class session. The class will now show Pass in the Pass/Fail column on the Classes tab if the person had been set to Pass in the Training class session.

08.16.2023

EHR

EHR Mobile Version 5.51.19

This release introduces enhancements for mobile to mobile and the CAD Import.

Enhancements

  • Assessments added to Mobile to Mobile 
  • Narrative data (Last Known Well and Onset Time/Date) added to Mobile to Mobile
  • Station and Shift added to the CAD import.
  • Configurable validation rule added for Station

08.22.2023

PM

Bug Fixes

  • Training Classes with attachments in sessions can now be deleted as expected.
  • The Employee Number is now displayed in the participant list and the print in Award Programs as expected. This also corrected an issue where the print was blank.
  • Deleted incidents are no longer being brought into Award Programs. For customers with existing deleted incidents in their Award Program records, these deleted incidents have been removed. This should correct instances were there were more Fire incidents showing in the Award Program that there are displaying in Fire Incidents.

08.16.2023

EHR

EHR Mobile Version 5.51.19

This release introduces enhancements for mobile to mobile and the CAD Import.

Enhancements

  • Assessments added to Mobile to Mobile 
  • Narrative data (Last Known Well and Onset Time/Date) added to Mobile to Mobile
  • Station and Shift added to the CAD import.
  • Configurable validation rule added for Station

08.15.2023

Fire Incidents

  • A bug that was causing timeouts for certain incidents searches was addressed.
  • Sticky Filters are now available in Fire Incidents!
  • Insights pipeline updates were made to support upcoming new calculated columns.

New Features

  • Fire Incidents now has sticky filters! Now when a user makes a search in Fire Incidents, those search terms and filters are saved for next time. Users can navigate between applications, log out and back in, or switch browsers and devices, and the same filters will remain when they return to the incidents grid.

Bug Fixes

  • An issue that caused some incident searches to timeout was addressed by forcing the search to check date ranges first before limiting the results by other search terms.

08.14.2023

Insights

Enhancements

New Features

08.10.2023

Fire Incidents

  • A bug that was affecting the Apparatus Use field was corrected.
  • The new UI for Fire Incidents filters was released!

New Features

  • Incidents Filters has four new options: Personnel, Report Writer, Officer In Charge, and Quality Control.
  • Incidents Filters in the "Assignment" section have an "Unassigned" option that can be used to find incidents where the selected value is incomplete.

Bug Fixes

  • An issue affecting the Apparatus Use field was corrected so the populated value saves as expected instead of sometimes failing to save properly.

Enhancements

  • Incidents Filters has a new UI!
    • The modal has been updated to a shelf with static filters - it is no longer necessary to add filter options from a list, all available filters will always be shown.
    • The new shelf is organized into sections, and each section can be cleared independently when different searches need to be made.
    • Large dropdown lists in the filter shelf contain a search option to easily find the correct values.
    • The multi-select blue chips in the search fields allow for ease of use when viewing/clearing filter options and matches the design on the Incidents Grid so the current filters can be seen and adjusted quickly.

08.10.2023

PM

  • The Credential list has been added into PM > Settings.
  • There are additional values in the Suffix list.
  • Classes added from the Classes tab in the person record will now save and delete properly.
  • Employee Numbers are now correctly populated in the API, the personnel lists, and Ad Hoc.

Bug Fixes

  • Classes added from the Classes tab on the person record were giving an error when saving, saved anyway, and then could not be deleted. Classes are now saving and deleting as expected from the Classes tab.
  • Employee Numbers for newly added personnel or changes to personnel numbers were not sent to Scheduling through the integration with PM and also did not appear on the lists in the Personnel section. Employee Numbers are now correctly reflected in all of the Personnel lists which have employee numbers displayed and are sent to Scheduling. Employee Numbers will be reflected correctly in Ad Hoc as well.
  • The export on the Classes tab on the person record was not including all of the class information. All information entered for the class is now included in the export.

Enhancements

  • The Credential list is now available in PM > Settings.
    • It will be removed from Admin in an upcoming release.
    • Any values that had been entered through Admin previously are available in the list in PM.
    • Users with the Credentials Lists security permission can edit, reorder, and export the Credential list. This is the same permission required to edit the list when it was in Admin.
  • There are new values added to the Suffix list to allow accurate documentation of personnel names, especially those with medical designations.

08.03.2023

EHR

EHR Mobile Version 5.50.1899

This release introduces High Flow Nasal Canula to the Airway section on Flowchart

Bug Fixes

  • Fixed an issue on Mobile where the Unit Capability field could not be edited for additional patients in a multi-patient scenario.
  • Fixed an issue on Web and Mobile where the Unit Capability field was not auto-populating the value from the first patient in a multi-patient scenario.

Enhancements

  • Added High Flow Nasal Canula as a new option in the Airway section of Flowchart. This Flowchart item includes new options to document if the air is heated and/or humidified. This Flowchart item must be enabled in Admin >> EHR >> Flowchart >> Airway.
  • Updated the default time sequence validation rule to require the Last Known Well time (on the Narrative Tab or a Stroke Form) to be before either the Transfer of EMS Care or the Transfer of Patient Care date time field.
  • Updated the default time sequence validation rule to require the Symptom Onset time (on the Narrative Tab or a Stroke Form) to be before either the Transfer of EMS Care or the Transfer of Patient Care date time field
  • Updated the ‘Secondary Impression Required’ rule to not trigger when the Primary Impression is No Complaints of Illness/Injury

07.31.2023

Insights

Enhancements

07.27.2023

PM

Bug Fixes

  • If a user tried to add a class name, the uniqueness check was not being limited to the agency. If any other agency had the same class name, the user would get a message saying that the class name needed to be unique even if their agency didn't have that class name. This was preventing customers from adding class names to the list. This has been fixed.
  • If the user tried to add a person from the New Person button on the Personnel section and had at least one application list set, they would get an error message that it could not save. New person records will now save with the application lists.

07.26.2023

PM

  • The Application List page in the person record has been redesigned to allow for additional application lists to be added while improving the usability as the number of application lists increase.
  • There are changes included for the new Patient Registry application. These changes will only be visible if the Hospital setting is enabled in the Enable Add-ons section of PM. Any information added in PM will be available in the new Patient Registry application. It will not be available in legacy Patient Registry applications.
  • A skill added to a completed class is now propagated to the attendee records.
  • The process for providing certification information to Scheduling has been updated to correctly supply information about deleted and inactivated certifications.

Bug Fixes

  • A skill added to a completed class is now propagated to the attendee records. Previously, the skill was not included in the person record if it was added after the class was completed.
  • For customers with PM and Scheduling integration, deleted and inactivated certifications are now provided properly to Scheduling.

Enhancements

  • The Application List page in the person record has been redesigned to display each application as a separate section. This will allow easier management of future application lists.
  • If a person is set to Available in Fire Applications in the Application Lists, then the NFIRS Employee Number now shows as being required. Previously, the user may not have realized that the NFIRS Employee Number was required and the generic error message when saving the application lists was not helpful.
  • In Enable Add-ons in PM > Settings, there is now an option for Hospitals. This is intended for Patient Registry customers but is available to all customers. If the Hospital setting is enabled:
    • There is a new Patient Registry section in the Application List page in the person record.
      • There are two Patient Registry lists that can be enabled for a person - Trauma Abstractor and Trauma Performance Improvement.
      • These new lists are for the new Patient Registry application and will have no impact on any other ESO applications or legacy Patient Registry applications.
    • There are new hospital-centric employee numbers displayed.
      • NPI Number (optional) - Numeric, 10 digits - unique in agency
        • A National Provider Identifier is a unique 10-digit identification number issued to health care providers.
      • DEA Number (optional) - 2 letters, 6 numbers, and 1 check digit - unique in agency
        • A DEA Number is an identifier assigned to a health care provider allowing them to write prescriptions for controlled substances.
      • Hospital EHR Unique Identifier (optional) - text, 100 characters max - unique in agency
        • The Hospital EHR Unique Identifier refers to the Hospital system EHR/EMR identifier and is also known as the Hospital Electronic Medical Record Unique Individual Identifier.
      • NCSBN ID (optional) - numeric, 8 digits - unique in agency
        • Unique eight-digit number assigned to every nurse upon their first licensure with a board of nursing.

07.20.2023

EHR

EHR Mobile Version 5.49.1897

This release fixes an issue introduced in the 5.49.1896 mobile from the 7/18/2023 release.

Bug Fixes

  • Fixed an issue that caused an EHR mobile record to unexpectedly close when the Transferred Unit field was filled out in a NEMSIS 3.3.4 or NEMSIS 3.4 record. This issue impacts mobile versions 5.49.1896 and 5.48.1895

 

07.19.2023

Insights

07.18.2023

EHR

EHR Mobile Version 5.49.189606/14/2023

This release introduces improvements to the usability of the Signs/Symtoms field on the EHR Narrative Tab.

Bug Fixes

  • Updated the list available in Leg and Foot Assessment to not include values specific to the upper extremities.
  • Updated the logic in the NEMSIS 3.5 DEM file creation to not include zero as the value for Number of Dispatches and Number of Patient Contacts in the EMS Annual Statistics group.

Enhancements

  • Introducing a new workflow with the Signs/Symptoms field on the EHR Narrative Tab.
    • You can now use the Sign/Symptom Search feature to search across all Sign/Symptom categories or you can continue to navigate through each category to find a value.
    • You can now select multiple Sign/Symptom values from one shelf.
    • You can now mark a value as the Primary Sign/Symptom.
    • N3.5 version only: You can mark a secondary Sign/Symptom as not present.
    • A guide will be visible in EHR Narrative Tab on the Web to help walk providers through the new features for Signs/Symptoms field.
  • Removed the label ‘Quadrant’ from the Lung Assessment sections.

07.17.2023

PM

  • In order to improve performance, we changed the method that PM uses to get information from Fire Incidents for Award Programs.
  • Fire Incidents can now be selected by Unit instead of by Incident Type for the Incident Award Program criteria.
  • Groups of personnel can now be deactivated at once using the Deactivate Personnel group action. This is more efficient allowing agencies to deactivate large groups of personnel versus going into each person record individually.
  • Renewing a credential now keeps the credential active.
  • Selecting a row in the Current Primary Assignment list now opens the Work tab of the person record where Assignment is located.
  • The Physicals Due list and the Missing State EMS Certifications list will now behave properly when the lists are filtered so that they don’t return any personnel.

New Features

  • In Group Actions, there is now a Deactivate Personnel action that is available to full PM and PM Basic customers.
    • This group action can be used to deactivate multiple personnel at a time.
    • There is an option to remove the security roles from the personnel as part of deactivating them.
    • Only users with permissions to deactivate personnel in the Account tab in the person record will see the Deactivate Personnel group action.
    • As with all group actions, the action is taken on all selected personnel when the action is saved.
  • In the Incident criteria in Award Programs, Fire Incidents may be selected by either Unit or Incident Type.
    • Selecting incidents based on unit is needed by some agencies that need to differentiate between Fire and EMS calls and the most accurate way for them to do so is based on the unit the person is on. For example, ambulance units can now be selected for EMS calls for fire incident calculations.
    • Fire Incidents can only be selected by the Unit or the Incident Type but not both.

Bug Fixes

  • The Current Primary Assignment list now navigates to the Work tab on the person record when a row is selected.
  • Renewing a credential was automatically incorrectly setting the credential to be inactive. The credential now remains active when it is renewed.
  • Searching for a person who did not appear on a list in the Physicals Due list or the Missing State EMS Certifications list was causing an error and would affect all of the other lists in the Personnel section until the browser was refreshed. Now the Physicals Due list or the Missing State EMS Certifications list will behave like the rest of the lists and show a ”no results found” message.

Enhancements

  • The way that Fire Incident information is retrieved for Award Programs has been changed. This is expected to improve performance on the Participants list in Award Programs and on the Award Programs tab in the person record.
    • Enabling the Award Program module in PM > Settings > Enable Add-ons will trigger the Fire Incident information to populate if the agency has the Fire Incident module. The information may take some time to populate depending on how many incidents need to be brought in.
    • Note that only Fire Incidents displayed in the Fire Incident module will be brought in. Imported incidents available only in the reporting systems and the Fire Incident Tracker will not be included.
    • Customers who already have Award Programs enabled had the information populated as part of the release. The incidents were brought in based on the earliest Award Program participation period start date or January 1, 2022, whichever was earlier.

07.10.2023

EHR

EHR Mobile Version 5.48.1895

This release has some changes in the N3.5 version to allow Destination information to be documented when the patient was transported by another EMS Unit.

Enhancements

  • Updated the logic that discloses the Destination information in NEMSIS 3.5 versions. This update makes it possible to document Destination information for any of the five Transport Dispositions [Transport by this EMS Unit (both options), Transport by Another EMS Unit (both options), Non-Patient Transport.
  • Updated the CAD service to release the link between a CAD record and an EHR incident when the EHR incident is deleted, and to move the CAD record back to the list of available CAD records for import.

06.22.2023

Admin

We are updating the ESO suite multi-factor authentication settings (Admin > Security > MFA Configuration) to provide you with the option of authenticator apps as an authentication method for your organization. Authenticator app verification uses a time-based one-time passcode (TOTP).

In addition to text message (SMS) and email, the three verification methods offer your organization more flexibility and choice to when it comes to enabling multi-factor authentication for your users.

Enhancements

If MFA is enabled for your organization, there are three authentication methods that you can now select for your organization:

  • Approved MFA Methods On/ Off setting: Admins can now select up to three authentication methods for their organization. Note: at least one authentication method needs to be enabled:
    • Authenticator apps: Download/ open on a mobile device that you have access to when logging into the ESO suite. Examples include Google Authenticator (Android, iOS), Microsoft Authenticator, and Okta Verify. Input the verification code displayed in the authenticator app into the ESO suite to validate your login using multi-factor authentication.
    • Text message (SMS): Receive a unique one-time passcode (OTP) to a mobile number that can be used for MFA login. The user may add a new mobile phone number when they are registering. This mobile phone number will be updated to their personnel record in PM.
    • Email: Receive a unique OTP to the email address that is associated with your personnel record in PM.
  • Authenticator apps will display as a deactivated method in the MFA configuration settings page, as admin, you must activate authenticator apps to add it as a verification method (MFA must be enabled on for the organization as a whole).
  • If your organization already has MFA enabled and authenticator apps is activated, users will be asked to self-register for authenticator apps at their next login, (unless they are excluded if added as a member of an exempt user role or exempt individual user).
  • If MFA is enabled for your organization, and more than one of the above methods has been activated then at the next login users will be required to self-register for MFA, and they should register for all approved methods that they intend to use, (unless they are exempt).
  • You have 60 seconds to input the verification code in your authenticator app into the ESO suite MFA verification page. Authenticator apps update their codes every 30 seconds and the ESO suite shall accept the current code, (displayed for 30 seconds) and the previous code, (displayed for 30 seconds) when authenticating the code.

06.21.2023

Insights

Enhancements

06.14.2023

EHR

EHR Mobile Version 5.48.1893

This release has some performance enhancements for Incident Search, and includes some changes in the N3.5 version to allow Destination information to be documented when the patient was transported by another EMS Unit.

Enhancements

  • Updated the logic that discloses the Destination information in NEMSIS 3.5 versions. This update makes it possible to document Destination when the Crew Disposition is ‘Initiated and Continued Primary Care, and Transport Disposition is one of the Transported by Another EMS Unit options.

Bug Fixes

  • Optimized the Incident Search queries, to reduce timeout errors when searching for records by patient name.

 

06.14.2023

PM

  • This release included small bug fixes to to improve the experience with Personnel Management.

Bug Fixes

  • Fixed the duplicate employee number message so that the employee name is displayed in the error message even if the employee was deactivated. This helps to resolve duplicate employee numbers.
    • If a person has left and the employee number is intended to be reused, deactivate the employee and enter a new employee number record for them with no value in the employee number.
  • Fixed the lists in the Personnel section to no longer display duplicates if the person had multiple employee number records.
  • Removed "list" from the title of the Current Primary Assignment list.
  • Fixed the Change Assignments Group Action so that it works properly when only setting a battalion for the assignment.
    • Please note that this is not expected to be a common usage as the assignment record would only have the battalion and effective date with no other values.
  • Fixed the Lock functionality so that it now works for a person who just had an account and username added.

Assets

Bug Fixes

  • Fixed an issue in Assets where vehicle records could not be saved, resulting in a 500 response.

Checklists

Bug Fixes

  • Fixed issue in Checklists where dates/times were not respecting agency time zone settings.
  • Removed an incomplete feature from Checklists, Due/Expiration item type. It will be released again once complete functionality is available.

New Features

  • Added ability to archive or unarchive an item on a checklist. Previously a checklist item could only be deleted, and only if the item had yet to be used in a Checklist.
    • Checklist items can be archived and unarchived from the "Item actions" for that checklist item top right in the checklist editor.
    • Archived checklist items are moved to the bottom of the list of checklist items in the checklist editor.
    • If a checklist item is archived, it will no longer appear on a checklist when a user starts a check.
    • If a checklist item is unarchived, it will show on the checklist for future checks.

Enhancements

  • Added a Twice Monthly (specific dates) scheduling option to Checklist Items.
    • There is an option to have the check occur on specific days or specific dates.
    • The months for the checks to happen can also be selected. At least one month must be selected.

06.07.2023

CAD Insights

Bug Fixes

    Implemented a performance scaling CAD Insights pipeline replay (data refresh)

      This addressed specific customer reports of CAD data needing repopulation for Insights CAD Reconciliation reporting

06.07.2023

Insights

Enhancements

06.06.2023

Health Data Exchange

Summary

  1. This release formats our Outcome Report in both Patient Tracker and Outcome Portal so all narratives received from a hospital are displayed in the report.

🐜 Bug Fixes

  1. Updated the Outcome Report so that all narratives sent from the hospital are visible in the Narratives section in the report.
  2. Updated the outcome creation process so that messages received without the patient's Medical Record Number will still create an outcome report.

Enhancements

  1. Added the flexibility to include the patient's middle name in an outbound FTP Index file.

06.01.2023

EHR

EHR Mobile Version - no new mobile version

Bug Fixes

  • Fixed an issue that prevented mobile versions 5.43.1878 and older from completing the validation routine. This fix does not require a new mobile version, any mobile that is still experiencing this issue, should do a System Update on the login page to correct the issue.
  • Fixed an issue where dropdown lists were not functioning properly when using Chrome or Edge.

06.01.2023

Dashboard

Enhancements

  • In an effort to modernize our platform and streamline the visual look of ESO, we are updating the colors of the icons on ESO dashboard to align with our evolving brand.

05.31.2023

PM

  • Library is now available for full PM customers. This provides a document store that is available to everyone in the agency. There is a security permission to determine who can manage the folders and documents in the Library.
  • Group actions to change the assignment or add seating positions for groups of people have been added. This is in support of Roster.
  • There is a new Current Primary Assignment list available to both PM and PM Basic customers.
  • If Battalion is enabled in PM, battalion will display in the person header and is available as a filter option for personnel.

New Features

  • Library is storage for a department's documents, such as policies and procedures, that is accessible by all agency personnel.
    • Library is available for full PM customers only. It is not available in PM Basic.
    • To enable Library, an agency Personnel Management Admin needs to go to PM > Settings > Enable Add-ons and toggle on the Library option.
    • The Library icon is displayed on the left navigation bar.
    • There is a security permission called Manage Library which is required to be included in a security role for someone to be able to add, edit, or delete Library folders and documents. The Personnel Management Admin security role has this security permission by default.
    • The Manage Library security permission is NOT required to view documents. All documents and folders in the Library are available to all personnel in the department, including users who only access their own personnel record from the View my Personnel Profile link on the ESO Dashboard.
    • Search will find files and folders in the level they are in and below. For example, if there is a “SOPs” folder and that is the folder you are in when you do the search, the search will look in any folders and sub-folders within “SOPs”. To search the entire library, you should be at the main Library level.
    • The contents of a folder can be sorted by Folder/File Name, File Size, Created By, Date Modified, Contents (this is the number of items in the folder), and Version (this is applicable to files).>
    • If you go into a folder, the breadcrumb path at the top shows where you are and allows you to navigate to any level in the breadcrumb. The breadcrumb is only displayed when you are inside a folder.
    • The Upload Document button will upload the document to the folder you are currently in.
    • The Add Folder button will create a new folder in the folder you are currently in.
    • The Actions button on a folder allows you to view, delete, move, and rename the folder.
    • The Actions button on a document allows you to view, delete, move, and edit the description of the file.
    • Clicking on a folder or file will also open it to view.
    • PDFs and images can be viewed in the attachment viewer like any other attachment in PM. All other file types will need to be downloaded to be viewed.
    • Folders with the same name are not allowed at the same level. They are allowed at different levels.
    • If you delete a folder, it will delete all the contents of the folder including any files and subfolders.
    • Deletes of folders and files are permanent.
    • The file size limitation is the same as any other attachment in PM. If the agency has purchased a larger file size, for example for EHR, then that size applies to Library files as well.
    • The order of folders or files can be rearranged by dragging and dropping them, similar to the list values in lists in PM > Settings. Note that if there are folders and files within a folder, the folders will always be on the top and the files will be at the bottom. They can be sorted within themselves.

Enhancements

  • The Current Primary Assignment list in the Personnel section displays the assignment information for the record marked as the primary assignment.
    • It shows Person, Employee Number, Rank, Division, Battalion, Station, Shift, and Unit and can be sorted by any of those columns.
    • It can be filtered using the common filters in the Personnel section.
    • The list can be exported as a CSV file by clicking the Export button. The export will respect any filters set for the list.
  • If Battalion has been enabled in PM > Settings > Enable Add-ons, then battalion is available as a filter option in all of the personnel selection windows. Battalion is also displayed in the person header if a battalion value has been set for the person. Note that Battalion values are set in Admin > General > Battalion.
  • In Group Actions, assignments can be changed for a group of people by selecting the “Change Assignment” option.
    • At least one Division, Battalion, Station, Shift or Unit must be set.
    • Battalion is only available if Battalions is enabled.
    • If this is a new primary assignment, then select the Primary Assignment indicator. If there was another assignment that was previously primary, it will no longer be set as the primary assignment.
  • In Group Actions, seating position records can be added for a group of people by selecting the “Add Seating Position” option. Seating position list values are set in PM > Settings > Work Lists > Seating Positions. The list and group action are only available if Seating Positions has been enabled in PM > Settings > Enable Add-ons.

05.31.2023

EHR

EHR Mobile Version 5.47.1890

This release introduces the Richmond Agitation Sedation Scale (RASS). The RASS is a validated and reliable method to assess patients that are receiving sedative medications and/or demonstrate fluctuating levels of consciousness.

New Features

  • Richmond Agitation Sedation Scale is available in the Vitals Scoring section. No action is necessary to enable this feature. RASS data can be added to any Insights dashboards that you want to include that information. The RASS data will not be available in AdHoc.

Enhancements

  • Enhanced the Clinical Opioid Withdrawal Scale (COWS) form to include each individual element and to auto-calculate the COWS score. This form can be enabled in Admin >> EHR >> Forms >> Clinical Opioid Withdrawal Scale.
  • Updated the 'Overdose Syndromic Surveillance Required' validation rule to include the new Impression 'Overdose - Fentanyl'. This rule requires the Syndromic Surveillance - Overdose form to be filled out when one of the 'Overdose' impressions are documented in Primary or Secondary Impression.  
  • Updated the validation in the Fire Incidents section to ensure proper data entry for the Action Taken fields – ex: Action 2 can’t have a value if Action 1 does not yet have a value.
  • All NEMSIS versions: 37 values added to Patient Medications
  • All NEMSIS versions; 37 values added to Patient Allergies

Bug Fixes

  • Corrected a validation issue that allowed certain Flowcharts to be documented without a Provider documented.

 

05.31.2023

Fire Incidents Insights

  • The Fire Property Loss dashboard was fixed to show values for Property and Contents loss and value in the Fire Loss Details widget.

Bug Fixes

  • The Fire Property Loss dashboard now correctly shows the dollar amounts for Property Loss, Property Value, Contents Loss, and Contents Value in the Fire Loss Details widget. The totals for Property Loss now match the totals from the Estimated Property Loss by Month widget.
  • Loss and Value amounts show a dollar sign in the Fire Loss Details widget to more accurately reflect the data being displayed.

05.25.2023

QM

This release introduces a Message Notification feature that will send a message to an ESO user's work email when new QM activity needs their attention.

 

New Features

  • Message Notification can be set up to send an email when a QM Message has been sent to an ESO User and/or a QM Review has been assigned to them.
    • The message sent is a generic email advising the person of the new message or review. No details associated with the EHR record are included.
    • For this feature to work it must be enabled in Admin >> QM >> Notification Settings and potential message recipients must have a valid email address identified in the Work Email field in their profile in Personnel Management (PM).

 

05.12.2023

Insights

05.11.2023

Activities

  • Users can now edit Community Events.
  • Minor updates to the UI.
  • Bug fixes for recurring tasks.

New Features

  • Users with the Edit Community Events security permission can edit a Community Event regardless of status.
    • By default, this permission is added to the Activities User and Activities Administrator roles.

Bug Fixes

  • New Recurring tasks created on the Activities > Settings > Activities > Recurring Tasks page were not displaying at the top of the Recurring Task list without refresh. This has been fixed.
  • The Logbook page the quick filter card ‘Tasks this week’ count has been updated to include additional occurrences of the Recurring Task.
  • The “Scheduled” label on the Activities, Events and Tasks tabs was inconsistently padded. This has been adjusted.

05.11.2023

Fire Inspections

  • Bug fixes and enhancements for Multiviolation Work.
  • Signature Page on Inspections has been updated with a new drop down and UI.

Bugs

  • When multiple photos were attached to a Violation, a violation would be created for each photo on the print page.

New Features

  • New Drop Down added that allows the user to select multiple reasons for a Signature not to be collected.
    • Unable to find contact after inspection.
    • Contact refused.
    • Wireless connection issues.
    • Virtual inspection.
    • Contact left before inspection complete.
    • N/A.
  • The Print page for Inspections reflects the changes added to the drop down.
  • A new 10 day quick select button for a reinspection is now available on the Signature page.

05.09.2023

Health Data Exchange

Summary

  1. EMS customers are now able to send NEMSIS 3.5 files to HDE.

🔨 Enhancements

  1. Enable NEMSIS 3.5 for HDE customers who do not use EHR

05.09.2023

PM

  • Multiple Assignments can be recorded.
  • Battalion can be enabled to display in the Assignment.
  • Users can add Seating Position records in the Work section.

New Features

  • Battalions
    • There is a Battalion list available in Admin > General.
      • Any users who have permissions to that section can manage the list.
    • To enable display of Battalions in PM, users with the Personnel Admin security permission in one of their roles can enable battalions from PM > Settings > Enable Add-ons > Battalions.
    • Once Battalions is enabled, the battalions field will be displayed as part of the Assignment section.
  • Multiple Assignments and history can now be recorded.
    • The Work > Assignment section now allows you to enter multiple permanent assignments.
    • The primary assignment indicates the assignment that is the main assignment for the person.
      • The primary assignment is also the one which is used in other ESO applications.
    • Any existing assignment records were defaulted to be the primary assignment.
    • All active assignments are displayed in the Assignment section on the Work section, with the primary assignment labeled and listed first.
  • The Seating Positions can be added in the Work section.
    • Seating Positions set in PM will be available in the Scheduling and Roster applications in the future.
    • If Seating Positions was enabled in PM > Settings > Enable Add-ons, then the Seating Position list is available in PM > Settings > Work Lists
    • The Seating Position section is available in the person record in the Work section if the user has security permissions to the Work section.
    • Seating Position is available to both PM and PM Basic customers.

05.08.2023

Insights

  • This week, the Insights Team made Computer-Aided Dispatch (CAD) data available to Insights users, through the release of two new Data Sources and Global Dashboards.
  • Click here for more details.

05.04.2023

Health Data Exchange

Summary

  1. This release resolves an issue where Outcome were not getting created in a timely manner.

🐜Bug Fixes

  1. Outcomes are processing normally.

05.03.2023

EHR

EHR Mobile Version 5.45.1888

This release introduces the new American College of Surgeons Trauma Triage Guidelines, this form provides the ability to document the trauma criteria that the patient matches when performing the trauma triage to get the Trauma Triage Score (Red/Yellow/No Criteria Met)

Enhancements

  • The 2021 Trauma Triage Guidelines can be enabled in Admin >> EHR >> Forms. The new trauma triage guidelines from the American College of Surgeons will report to the state repository in a NEMSIS 3 file, and are available in Adhoc, and Insights. We will be sunsetting the Trauma Triage Criteria and the CDC 2011 Trauma forms at the end of 2023.
  • All NEMSIS versions: Flowchart Medications - These values must be enabled in Admin >> EHR >> Flowchart >> Medications
    • Overdose - Fentanyl

Bug Fixes

  • Update to the EHR mobile to resolve a condition that was making the mobile unresponsive.

05.02.2023

Incidents

  • These releases contained numerous backend updates to our system tests and other code, including some changes which will help the incidents front-end modernization efforts.
  • Several bugs were corrected, including issues with times formatting, null characters in CAD notes, a clear filter issue on the Archived Fire Incidents Search page, and a problem with certain Auto-CAD/Auto-EHR incidents not being sent to Logbook.
  • A new enhancement was released related to recording fire product exposures and decontamination in Unit Reports.

Bug Fixes

  • Agency incidents with null characters in their CAD notes could not be correctly processed into downstream reporting areas. This was corrected by creating a process to check for and then strip those characters from CAD notes before they are saved into the incident.
  • The format of the times “reminder” panel on Unit Reports was adjusted so PSAP Received, Dispatch Notified, and Alarm show in the correct order.
  • The “Clear” button was fixed on the Archived Fire Incidents Search page so that it will correctly remove the selected incident type categories. Previously, those categories had to be unchecked manually.
  • Incidents that have been imported via Auto-CAD or Auto-EHR and not yet edited by the agency will now send to Logbook as expected, making the count of draft records more accurate.

Enhancements

  • Now when adding personnel exposures and decontamination, it is possible to record fire PPE and other information even if the Fire Products Exposed To is set to None. Before, if Fire Products Exposed To was set to None, then the other fields in the Exposure and Decontamination section were not available for use.

04.26.2023

EHR

EHR Mobile Version 5.44.1886

This release includes a fix for the EHR Mobile version to reduce mobile freezes and new lists items in Flowchart Medications, Patient Medications, and Patient Allergy values

Enhancements

  • All NEMSIS versions: Flowchart Medications - These values must be enabled in Admin >> EHR >> Flowchart >> Medications
    • Oxycodone
    • Cefotan
    • Kcentra
    • Penicillin G
    • Penicillin V
    • K-Lyte
    • Hydrocodone/APAP
  • All NEMSIS versions: 24 values added to Patient Medications
  • All NEMSIS versions: 27 values added to Patient Allergies

Bug Fixes

  • Update to the EHR mobile to resolve a condition that was making the mobile unresponsive.

04.26.2023

PM

  • The navigation in PM has been updated to use an additional left navigation bar instead of tabs across the top.
  • Multi-factor Authentication management has been added in the person record.
  • The Seating Positions list has been added in preparation for a seating positions section in the person record.

New Features

  • New navigation in PM
    • All areas that had tabs now have an inner left navigation bar. This includes
      • Person
      • Award Programs
      • The class within Training
    • Person Settings, which was on the main left navigation bar, is replaced by individual selections for Application Lists and Account on Person record left navigation bar.
    • The dark blue left navigation bar can be expanded and collapsed using the new arrow widget.
  • Multi-factor Authentication (MFA)
    • Note that MFA is enabled in Admin by the customer. There are customer communications being sent out with more information about MFA and how to enable it. Also see the Admin documentation.
    • If a phone number or email address is registered for MFA, there will be an MFA label next to it on the Person > Phone or Person > Email sections.
    • If MFA is enabled for the agency and there is a problem retrieving MFA information, then the phone numbers and email addresses cannot be edited or deleted.
    • If a phone number or email address is registered for MFA, then phone numbers and email addresses cannot be edited or deleted until they are de-registered.
      • De-registration forces the user to register the MFA method again at log in. Any time an email or phone number changes, it will need to be de-registered first so that the user will register the changed email or phone number.
      • If the user has the Reset Password and MFA security permission as part of one of their security roles, then there will be a link to remove registration next to the email or phone number.
      • If the user does not haves the Reset Password and MFA security permissions but does have edit permissions for the phone number and email sections, then there will be a message informing them that they cannot edit or delete the phone number or email address until it had been de-registered.
    • There is a new Multi-factor Authentication (MFA) section in the Account section, which is now available from the inner navigation bar in the person record.
      • The user can see what MFA methods have been registered and if the person has been excluded from being required to use MFA.
      • The MFA methods may also be de-registered from that section.
    • PM users can access their own MFA settings through the "View my Personnel Profile" link on the ESO Dashboard and navigating to the Account section.
    • Users in PM Basic agencies will see a "Change my Multi-factor Authentication settings" link on the ESO Dashboard, which will take them to their own MFA section in the Account section.
      • Note: That link currently is displayed for everyone. In a subsequent release it will only be displayed for agencies who have enabled MFA.
    • A user can be assigned the "Reset Password and MFA" security permission as part of one of their security roles to allow the user to get to the Password and MFA sections in the Person > Account section.
      • This will allow the user to reset passwords and de-register MFA for other users but will not give them access to change the person's security roles.
      • This security permission was added to the Personnel Management Admin security role by default.
  • Seating Positions are a way to designate which position in the crew that the person is capable of performing.
    • There is a Seating Positions section in PM > Settings > Enable Add-ons.
    • If Seating Positions is enabled, then the Seating Positions list in PM > Settings > Work Lists will be displayed.
    • The Seating Positions list can be used to add, edit, view, and export the list. It is available to users with the Work Lists security permission.
    • Note: A Seating Positions section to record seating positions for a person will be available in the person record Work section in the following release.

Enhancements

  • There is a Battalions section in PM > Settings > Enable Add-ons. This will be used to enable battalion functionality in PM in a future release.

Admin

  • Multi-factor authentication (MFA) is now configurable for Admins within the ESO suite. Authentication via text (SMS) using a one-time passcode has been added as an authentication method in addition to the existing email authentication method using one-time passcodes (OTP). There is the ability to exclude user roles and individual users from MFA.
  • Organizations that currently have MFA enabled for email authentication can access the new MFA settings from Wednesday, 26th April.
  • Organizations that currently do not use MFA can access the new MFA settings from Tuesday, 2nd May.

Enhancements

  • MFA settings can be accessed by Admins by navigating to Admin > Security > MFA Configuration
  • MFA Turn On/ Off setting: Admins can enable MFA for their organization. ESO Support must be contacted to 'turn off' MFA
  • Approved MFA Methods On/ Off setting: Admins can select one or both methods of authentication for their organization. Note: at least one authentication method needs to be enabled
    • Email (already enabled if your organization currently uses MFA)
    • Text (SMS)
  • Exempt User Roles and Exempt Individual Users: Admins can exclude users from MFA as individual users or as a member of a security role that is exempt.
    • If you are an organization that currently has MFA enabled: current 'enabled' or 'included' roles/users that determine eligibility for MFA, will be temporarily displayed in the MFA configuration section for the first 30 days so that you can easily review both your included and exempt group settings and make the necessary changes. This view will be removed in 30 days after release, so any changes are to be completed within the timeframe.
  • A new MFA registration process is triggered for applicable users at their next login. Users will be given on-line guidance to easily complete the registration process.
  • Login via MFA process is triggered for applicable users after they have registered for their preferred authentication method(s). There will be on-line guidance to easily complete the login with MFA process.
  • Applicable users will be challenged to login with MFA every 7-days if they login using the same device.
  • In-line with security advice, a temporary lock-out will trigger if users input the incorrect verification code 3 times. Users will be able to login with MFA after the 15 minutes has elapsed.

04.24.2023

Fire Inspections

Summary

  • Checklists Tab
    • Checklists now live on one screen and no longer take the user to a submenu.
    • All checklists can now be expanded or collapsed.
    • Added a column filters
      • Code now allows the user to sort codes A-Z and Z-A.
      • Location field shows the location of the violation (based on what the user inputs into the locations box in the fail shelf).
    • The NA option is now available as a quick select instead of the submenu option.
    • The hamburger menu now allows the user to duplicate the code and code status, creating a new compliance for the code in addition to the original code compliance.
    • Failed compliances now have a Locations box in the fail shelf submenu to list where the code failed.
    • Back to top button takes the user back to the top of the screen without needing to scroll.
    • Check boxes are added that allow the user to pass all checked code or clear all check codes.
  • Codes
    • Codes now have an Info button that shows the user how many codes are passed, failed, and NA for that code compliance.
    • The NA option is now available as a quick select instead of the menu option.
    • Location field shows the location of the violation (based on what the user inputs into the locations box in the fail shelf).
    • A quick add feature: when the user selects a compliance from the search all codes, it will automatically duplicate with the copied code right below the original searched for code.
    • On the Passed, Failed, and NA tabs the user may duplicate codes from this screen using the hamburger menu.
  • Violations
    • This view now shows the user the list of violations listed under the checklist that the violation was found.
    • If codes were added by the user using the Codes menu, it now shows in a sub checklist on the Violations tab under “Additional Violations”.
    • The user may duplicate codes from this screen using the hamburger menu.

Bug Fixes

  • There was an error when trying to delete contacts, this is now fixed.
  • Attachments in inspections notes were corrupting upon upload, this is now fixed.

04.24.2023

Tracker and Outcomes

Summary

In order to provide a better reading experience for our Health Data Exchange users, the outcome report in both Tracker and Outcomes has been updated.

We've added a table of contents for the Test Results and Narratives sections. Since these sections can be quite lengthy, the table of contents allows you to jump to a particular section.

We've also added a hyperlink that will allow you to jump back to the table of contents.

Since the Test Results and Narratives sections can contain a lot of data, we've moved the patient’s billing information towards the top of the report. This allows you to quickly access the patient’s insurance information without having to scroll through the Test Results and Narratives sections.

Bug Fixes

  • The Print Report icon is available in Outcomes.

Enhancements

  • The report header now includes the patient’s Encounter Number.
  • The Insurance section now appears before the patient’s Test Results and Narrative Results.
  • The Test Results and Narrative Results sections now include a table of contents and a hyperlink to go back to the top.
  • The Narratives Results section was updated to provide a more readable experience.

04.20.2023

EHR

EHR Mobile Version - No new mobile version for this release

This release adds some optimizations to the Incident list toimprove performance

 

Enhancements

  • Improvements were made to how quickly the Incident List page loads and to search with the filter options.
  • All NEMSIS versions: 17 values added to the Patient Allergy lists

04.17.2023

EHR

EHR Mobile Version: 5.44.1884

This release includes a new claim, some updates to the EMSA Stroke Scale, and several fixes to defects.

Enhancements

  • Added a new claim - 'Draft Records Only' to be available for EHR Roles. If this claim is added to a user role, the user will only be able to access draft records where they are on the crew list. If the user also has the 'Edit All Claim' that gives them Admin access to records they will see records in both draft and locked status.
  • Added the field 'Do you suspect an acute (new onset) stroke/CVA occurred?' to the Incident tab. This field and associated validation rule have been added to support Alabama customers with the EMSA Stroke Protocol.
  • The EMSA Stroke scale has been updated to display the score calculation instead of the Stroke Criteria Met/Not Met value.

Bug Fixes

  • A fix has been made to the Additional Agencies so that only agencies marked as 'Available in EHR' will appear in the EHR Additional Agencies list. To double check how your Additional Agencies are set up check Admin >> General >> Other Agencies 
  • The Estimated Age field has been moved slightly so that the full value is visible when the Driver's License Scan option is enabled.
  • We fixed an issue where clinical times could be documented after patient care had been transferred.

04.05.2023

PM

  • Class records for a person can now be exported as a CSV file. This allows reporting of a single row for a class including the instructors, which was something that was not possible to do in Ad Hoc if there was more than one instructor.
  • There were some small improvements and fixes for Award Programs, including an issue with incidents on the first day of the participation period not being counted.

Bug Fixes

  • In Award Programs, some incidents in the percentage range calculations were not being included in the calculation if they were on the first day of the participation period. This has been fixed.
  • In Award Programs, the agency level print was displaying a person twice if the person had multiple Employee Number records with the same effective date. While having more than one Employee Number record with the same effective date is not recommended, the print has been updated to select one so that the person is not showing multiple times in the print.
  • In the Award Program calculation details window when an incident criteria is expanded, the incidents are now listed in reverse chronological order with the newest incident displaying at the top.

Enhancements

  • The list of classes on the person record Classes tab can now be exported as a CSV file by clicking the Export button on the top right.
    • The filters set on the Classes tab are respected by the export.
    • The CSV file will be saved to the default browser location.
    • The following information is included in the export - Class Name, Class Description, Class Objective, Category, Educational Facility, Instructor Name(s), Session Name, Session Description, Session Date with start and end time, calculated length of session, Session Objective, Credits.
  • In the Award Programs incident percentage range calculation, the Max Percentage can now be set for over 100%.
  • The Reset Password and MFA security permission was added to the Personnel Management Admin security role in preparation for the new Multi-factor Authentication section in PM.
  • The spinning circles displayed on the delete class and complete class actions while they are working are now formatted consistently with the spinning circles in other areas.

04.03.2023

EHR Insights

Enhancements

  • New NEMSQA dashboards:
    • NEMSQA Pediatrics-03b Documentation of Estimated Weight in Kilograms - Percentage of EMS responses originating from a 911 request for patients less than 18 years of age who received medication and had a documented weight in kilograms or length-based weight estimate documented during the EMS response.
    • NEMSQA Hypoglycemia-01 Treatment Administered for Hypoglycemia - Percentage of EMS responses originating from a 911 request for patients with symptomatic hypoglycemia who received treatment to correct their hypoglycemia.
    • NEMSQA Asthma-01 Administration of Beta Agonist for Asthma - Percentage of EMS responses originating from a 911 request for patients with a diagnosis of asthma who had an aerosolized beta agonist administered.
    • NEMSQA Seizure-02 Patient Received Intervention for Status Epilepticus - Percentage of EMS responses originating from a 911 request for patients with status epilepticus who received benzodiazepine during the EMS response.
    • NEMSQA Safety-01/Safety-02 Use of Lights and Sirens During Response/Transport - Percentage of EMS responses originating from a 911 request in which lights and sirens were not used during response. Percentage of EMS transports originating from a 911 request during which lights and sirens were not used during patient transport.
    • NEMSQA Respiratory-01 Respiratory Assessment - Percentage of EMS responses originating from a 911 request for patients with the primary or secondary impression of respiratory distress who had a respiratory assessment.
    • NEMSQA Trauma-01 Injured Patients Assessed for Pain - Percentage of EMS transports originating from a 911 request for patients with an injury who were assessed for pain.
    • NEMSQA Trauma-03 Effectiveness of Pain Management for Injured Patients - Percentage of EMS transports originating from a 911 request for patients whose pain score was lowered during the EMS encounter.
    • NEMSQA Trauma-04 Trauma Patients Transferred to Trauma Center - Percentage of EMS transports originating from a 911 request for patients who meet CDC criteria for trauma and are transported to a trauma center.
    • NEMSQA Stroke-01 Suspected Stroke Patient Receiving Prehospital Stroke Assessment - Percentage of EMS responses originating from a 911 request for patients suffering from a suspected stroke who had a stroke assessment performed during the EMS response.

03.31.2023

Insights

  • The following ESO Global Dashboards for Fire Incidents were updated and released:
    • AFG -Fire Incidents
    • Fire Resources -Personnel and Units (Call Volume)
    • Fire Index
    • Fire Incident Count
    • NFPA -Turnout Compliance
  • Click here for more details.

03.30.2023

EHR

EHR Mobile Version 5.43.183

Mobile update to fix an issue that could cause EHR Mobile to become unresponsive

Bug Fixes

  • Additional support that improves handling when there is a CAD error

03.24.2023

Incidents

  • This release contained a new data filter for the Archived Fire Incidents Search page.
  • Many updates to the incidents backend code occurred, including adjustments to affect the performance of internal processes.
  • Updates for NFIRS extracts were made to improve processing and to stop including deleted incidents.
  • A new replay process was implemented for Fire Incidents Insights to improve how records are handled in the case of non-standard data points.

Bug Fixes

  • The NFIRS Extracts process was updated to stop including Deleted incidents.
    • Previously if an incident was both Locked and Deleted, it was being picked up for extract since the only status checked was “Locked.” Now, an incident is checked to verify if it is Locked and not in a deleted state before extracting.

Enhancements

  • The Archived Fire Incident Search page was updated to include a filter for “Incident Type Category.”

03.23.2023

EHR

EHR Mobile Version - No new mobile version for this release

This release includes two new Flowchart Medications options.

Enhancements

  • All NEMSIS versions: Flowchart Medications - Added Suboxone This value must be enabled in Admin >> EHR >> Flowchart >> Medications
  • All NEMSIS versions: Flowchart Medications - Added Trazadone This value must be enabled in Admin >> EHR >> Flowchart >> Medications

03.23.2023

PM

  • There is a new list, Current Certifications, which shows the latest certifications for each person. This will be helpful in troubleshooting EMS state submission issues.
  • The Skills record now has a link back to the Training Class where it was created.
  • The Edit Award Programs permission has been added to the Personnel Management Admin security role.
  • Adding an employee number from New Person now reflects properly in other ESO applications.
  • The Physical Types list is now correctly saving changes.
  • PM Basic customers now have access to Rank & Title.

Bug Fixes

  • The Physical Types list in Settings > Medical Lists was not correctly saving changes to the values. The list values will now save changes to existing values, add new values, and reflect deactivation and activation.
  • The Employee Number was not available in Fire Incidents when it was added as part of the New Person functionality. Changes to the Employee Number are now reflected in other ESO modules regardless of how it was added or changed.
  • The Award Program section was displaying in the navigation pane even if the person didn't have security for it, though it did not allow the person to get into Award Programs. Now, if the person does not have security, the Award Program section is not displayed in the navigation pane.
  • The spacing for the buttons in the Print Header edit window in the Settings > Print Setup > Print Headers section has been corrected.

Enhancements

  • The Current Certification list is now available on the Personnel section.
    • Available to PM Basic and PM customers.
    • Shows a list of the most current certifications for each person based on effective date.
    • Active and expired certifications are displayed in the list.
    • Inactivated certifications are not displayed on the list.
    • If the list is exported, all the certification information for EMS certifications, such as licensure level, is included in the export. It also includes the category, type, number, initial issue date, issue date, expiration date, certification or license indicator, jurisdiction, and state (if applicable).
  • Skill records created as part of a class in Training now have a link back to the class.
    • The Skill History page available from the History link on the Skills section in the person record in the Certifications & Credentials tab, now has a “View in Training” link for skill records that were created by a Training class.
    • The link is only visible if the user has permissions to view or edit classes in the Training module.
    • If the user clicks the link, the class opens in the Training module.
  • The Edit Award Programs permission has been added to the Personnel Management Admin security role for all Personnel Management customers. If the permission was already included in the security role, no change was made.
  • PM Basic customers now have access to the Rank & Title section in the Work tab on the person record.

03.22.2023

EHR Insights

Enhancements

Treatment Success Rate (template) – A dashboard to visualize the performance of any or all flowchart treatments (medications and procedures). This dashboard template can be modified for any flowchart treatment by selecting one or many flowchart treatments using the "Treatment Name" filter that can be found on the filter panel on the right side of the dashboard. EMS Patient Refusals – This dashboard allows you to visualize system and individual trends around patient refusals. Includes total refusal rate, individual crew member refusal rate, refusals over time, and top primary impressions. Updated dashboard name of “Transport by Destination” to “Transports by Destination and Turnaround Time”

03.22.2023

Insights State Repo

Defects Fixed

Resolved an issue in State Repository NEMSIS 3.4 Insights to provide appropriate descriptors to appear in the eMedications.03 field

  • Below are the RxNorm code scenarios for descriptors to show up in the eMedications.03 field
    • When an appropriate RxNORM code is populated the associated descriptor populates in the eMedications.03 field
    • When a RxNORM code does not exist in the database - “Not supported by RxNORM” populates in the eMedications.03 field
    • When there is no RxNORM code then NULL values populates in the eMedications.03 field

    3.16.2023

    EHR

    EHR Mobile Version - 5.43.1878

    Enhancements

    • Phase 1 of the Clinical Opiate Withdrawal Scale (COWS) Form: The first phase of the COWS provides the ablity to document the COWS scale number and the time performed. The second phase will include the ability to document each component of the COWS scale.

    03.16.2023

    Incidents

    • This release contained several backend changes to the Fire Incidents code base.
    • A database change was implemented to decrease the processing time for NFIRS Extracts.

    Bug Fixes

    • A database change was made to address frequent NFIRS Extracts timeouts that were causing “Contact ESO Support” errors for certain agencies.

    03.14.2023

    Incidents

    • This release contained several backend updates to the Fire Incidents code base, including fixing code warnings, cleaning up system tests, upgrading projects, and adjusting our internal API.
    • The Archived Fire Incident Search page was updated with new search and filter options.

    Enhancements

    • The Archived Fire Incident Search page was updated to have different searches on the columns for incident number and address, and a new filter for date range was added to the page. This allows for greater ease of searchability and makes it simpler and more efficient to narrow down results.
    • Now on the incidents grid, it is possible to right-click and open an incident in a new tab. This simple change helps with the incidents workflow in advance of implementing sticky filters on the grid. Instead of re-doing the search, now users can open their search results in new tabs to retain the original search results list.

    03.09.2023

    Incidents

    • These releases contained backend changes to print and the auto-EHR functionality which improved performance and added to our internal logging.
    • Bugs that affected extracts, our internal API, and the EHR Import feature were corrected.
    • The Archived Fire Incident Search page was updated to show paginated results on a new grid.

    Bug Fixes

    • An issue was resolved that was causing duplicate incidents to appear in the same NFIRS Extract file
    • The EHR Import window “Unit” filter now correctly displays a list of units and filters the available EHR records as expected
    • An issue with formatting our internal API results was resolved, this simultaneously fixed a print issue caused by certain escaped characters in narratives

    Enhancements

    • The Archived Fire Incident Search page was updated so that initial results load on a paginated grid when the page is accessed. This improves the previous workflow, which didn’t display any results until a search term was entered.

    03.02.2023

    EHR

    EHR Mobile Version 5.41.1876

    The Glasgow Coma Scale (GCS) Unable to Obtain (UTO) options have been updated to allow each component of the Glasgow Coma Scale to be documented separately. This enables the ability to document only a Motor score in GCS in accordance with the new American College of Surgeons Trauma Triage Guidelines. Only complete GCS scores are included in Insights reports or state submissions.

    Enhancements

    • The UTO option for GCS has the ability to document Eyes, Verbal, and Motor.
    • Addition of ET3 disposition values in Crew Disposition field for NEMSIS 3.5 versions.
    • New validation rule that makes every component of the EMSA Stroke Scale required called EMSA Stroke Scale All Fields Required. Must be enabled in Admin >> EHR >> Forms >> Configurable Validation
    • New validation rule that makes the Reason for Refusal or Release field in the NEMSIS 3.5 version called Reason for Refusal or Release Required required when the Patient Evaluation or Transport Disposition fields indicate a patient refusal or release without transport. Must be enabled in Admin >> EHR >> Incident>> Configurable Validation

    Bug Fixes

    • Update to the EHR Incident List to show the Lead Provider name to users that can only view records that they are a crew member on, instead of showing their name as the provider.
    • Improvements to EHR Incident List Name Search to reduce time out errors.
    • Update to the Data Quality rule that requires CPR Type to include Compressions when a CPR Flowchart item is marked as not performed.

    03.01.2023

    Insights

    Hotfix
    • ESO released a hotfix for the Insights EMS Pipeline. This resolved a bug in Insights EMS data with latitude and longitude values being displayed correctly. The following columns in the EMS data model were affected and have now been corrected:
      • Incident Scene table:
        • Scene Latitude
        • Scene Longitude
      • Incident Destination table:
        • Destination Latitude
        • Destination Longitude

    03.01.2023

    PM

    • The Cross Validation criteria for Award Programs was added.
    • There is now a group action for Qualifications.
    • Personnel imports have been fixed so they no longer set imported personnel to be available in EHR.
    • The Expiring Qualifications list has been fixed so that it shows the correct records.
    • The workflow for editing Employee Numbers has been improved to make it less likely that multiple employee number sets will be added instead of editing a record.
    • A number of small improvements and fixes were made. Please see the details below.

    Bug Fixes

    • Login times on the User list in the Personnel section now display in the time zone of the agency.
    • The New Person page now trims the leading and trailing spaces, as well as any Unicode null values from the Username before it is saved.
    • The Expiring Qualifications list in the Personnel section now displays only the latest Qualification and only if it is expired.
    • The Personnel spreadsheet import and the PM ETL process no longer set the imported personnel to be Available in EHR.

    Enhancements

    • The new Group Action for Qualifications allows the user to enter a qualification for a group of people.
    • There is a new criteria for Award Programs called Cross Validation.
      • In the Criteria detail window, there are four fields used to set up the calculation: Limiting Criteria, Maximum, Limited Criteria, and Conditional Maximum.
      • These four fields work together to prevent over-awarding points and/or hours by establishing a criteria that, once its maximum is reached, enforces a different maximum for a second criteria.
      • The Calculation Detail and all of the Award Program prints have also been updated to reflect the new criteria.
      • Similar to the Combined Maximum criteria, any criteria selected as contributing criteria for the Cross Validation criteria will be displayed as part of the Cross Validation criteria instead of independently.
      • See more details in the Help for a thorough explanation and examples of how to set up and use the Cross Validation criteria.
    • The Employee Numbers workflow has been improved.
      • If there are no employee numbers set, then there is an Add button in the Employee Numbers section of the Work tab on the person record.
      • Once there is at least one employee number set, then the View History button appears.
      • Clicking on View History opens the History page where the user sees all employee number records.
      • Edit an individual record to correct errors.
      • Click "Add new set of employee numbers" to add a new set of numbers for the person and maintain history.
      • Note that older employee number records may not have an effective date set. It is important to set the effective date so the employee number is displayed as expected in the lists in the Personnel section and for it to populate into Ad Hoc. Select Edit and add the appropriate effective date.
    • The Expiring Immunizations list in the Personnel section can now be exported as a CSV file by clicking the Export button at the top right of the list. It will download to the default location set for the browser.
    • The Absence Reason list in Settings can now be exported as a CSV file by clicking the Export button at the top right of the list. It will download to the default location set for the browser.

    02.28.2023

    Insights

    Hotfix
    • ESO released a hotfix for the Insights NEMSIS_3_4 data model. This resolved a bug in the Data Exporter Tool which was causing an HTTP 500 error when previewing and/or trying to save a new export in the NEMSIS_3_4 data source.

    02.27.2023

    Fire Incidents Insights

    • Release of new Global dashboards for Fire Incidents Insights

    Enhancements

    • Fire Service Casualties- This report provides information about fire service casualties during department calls. The report gives counts and percentages with a breakdown by casualty severity and casualty cause of injury.
    • Fire Safety - Working Fire- This dashboard breaks down incidents with working fires and the associated personnel exposures. Working fire incident aggregations including types of exposures by incident type and the recorded decontamination procedures by department personnel.
    • Fire Resources - Personnel and Units (call volume)- This dashboard shows incident response statistics for department personnel and units. Breaks down personnel percentage and count of calls attended, as well as a count of calls and time on scene per unit.
    • Fire Incident Report Performance (unlocked incidents)- This dashboard highlights the performance of the organization at completing Fire Incident reports. Displays counts of locked and unlocked incidents and the individuals and shifts accountable.
    • False Alarms and Calls- This dashboard breaks down false alarm calls for an agency, including count and percentages of calls in the NFIRS Incident Type 700 series (False Alarm and False Call).
    • Fire Critical Incidents- Types of critical incident responses; includes a breakdown of incidents by type and by critical incident circumstance, and shows basic incident details including actions taken.
    • Fire Civilian Casualties- This report provides information about civilian casualties during department calls. The report gives counts and percentages with a breakdown by casualty severity and casualty cause of injury.
    • Fire Aid Given or Received- This report provides a breakdown of aid given and received responses for the department. The report shows percentages of aid responses and gives total counts of incidents where an aiding or aided agency was involved.
    • Fire Addresses and Location- This report helps departments identify calls by incident location to determine the geographic frequency of department responses. Includes metrics for responses by District and Station.
    • Fire Property loss- This report highlights the frequency of fire responses which include recorded property and contents information. Displays incidents with value/loss breakdowns and calculates the percentage of value saved.

    02.24.2023

    Incidents

    • These releases combine a lot of important updates for the Fire Incidents print page and culminated in the launch of the new print page for all accounts!
    • The Archived Fire Incident Search feature was modified from a modal into a standalone page in preparation for continued updates coming soon.
    • Auto-EHR retries were implemented to try and reduce the failure rate of imports, and the logging around that process was increased to help us catch and, coming soon, reduce the frequent causes of errors.

    New Features

    • The rewrite of the Incidents print page is live for all accounts
      • Includes updated formatting for all pages, new print options, additional fields covered by redacted print, and more
      • Integrates with the new Print Setup page which allows agencies to configure a specific logo and header for printing

    Enhancements

    • Auto-EHR retries have been implemented to help address import failures due to timeouts and temporary connectivity issues. Additional logging has also been added to that functionality.
    • The Archived Incident Search feature is a dedicated page now, which lays the groundwork for additional improvements to workflow and functionality.

    02.23.2023

    EHR

    EHR Mobile Version 5.40.1873

    EHR has a set of new fields and a new rule to document information important for controlled substance tracking during the administration of a controlled substance to a patient. These new fields will be part of a new Controlled Substance Tracking section in the Flowchart. This new section will only appear for medications configured for Controlled Substance Tracking.

    A medication can be marked as a Controlled Substance in Admin >> EHR >> Flowchart >> Medications >> Specific Medication. If you previously provided a list of Controlled Substances to ESO for the Witness to Waste Administration those medications will automatically be marked yes for Controlled Substance Tracking.

    New Features

    • Medications can be configured as a Controlled Substance in Admin >> EHR >> Flowchart Medications >> Specific Medication
    • Controlled Substances can have any of the five Controlled Substance Tracking fields configured. To use, these fields must be enabled in Admin >> EHR >> Flowchart >> Configurable Fields
      • Controlled Substance Box Number
      • Controlled Substance ID
      • Seal ID After Use
      • Seal ID Before Use
      • Waste Envelope Seal ID
    • The validation rule 'Controlled Substance Related Fields Required' must be enabled in Admin >> EHR >> Flowchart >> Configurable Validation, This rule will require any Controlled Substance related field that is enabled to be documented when a Controlled Substance is administered.

    02.23.2023

    Insights

    Hotfix
    • Resolved a bug where the Insights NEMSIS_3_4 data model was inaccurately displaying “First State Submission Date Time”. This was also affecting the KPIs “Dispatch to First State Submission Time” and “Destination to First State Submission Time”

    02.16.2023

    EHR

    EHR Mobile Version: No new mobile version for this release

    Updates to Patient History lists in EHR

    Enhancements

    • All NEMSIS versions: Patient Allergy - Added ten medications
    • All NEMSIS versions: Patient Medications - Added ten medications
    • All NEMSIS versions: Patient History - Added ten history items

    02.16.2023

    PM

    • A Combined Maximum criteria was added to Award Programs to allow for a combination of criteria to be calculated as if it were one criteria. This will allow, for example, Rank and Title criteria or Operational Tasks and Community events criteria to be combined into one total and apply a minimum or maximum to it. See more information about Award Programs in the Help documentation.
    • There is now a label to indicate Archived award programs.
    • Updates to the Physicals Due list and other “Expiring” lists provide more date filters.

    Bug Fixes

    • Special characters in security roles are now displaying properly in the Users list and export. Previously, security roles like “Fire-P&I Supervisor” were displaying with additional characters.
    • The Certification and Credential spreadsheet import now checks for the category as well as the name of a credential during the import. Credentials with the same name and different categories should no longer cause an unexpected error.

    Enhancements

    • A Combined Maximum criteria was added to Award Programs to allow for a combination of criteria to be calculated as if it were a single criteria.
      • There is a new criteria type in the Award Programs Criteria called Combined Maximum.
      • When selected, the user can select multiple criteria from any of the existing criteria they have already defined.
        • A combined maximum criteria cannot be selected as a contribution to a combined maximum criteria.
      • The calculation will sum the totals for all selected criteria.
      • If there is a maximum set for the individual criteria, then that individual maximum is the most that will be contributed to the Combined Maximum calculation for that criteria. Individual criteria minimums are ignored.
      • There is an option to set a minimum for the Combined Maximum criteria which applies to the total of the selected criteria.
      • There is an option to set a maximum for the Combined Maximum criteria which applies to the total of the selected criteria.
      • In the Calculation Detail, the Combined Maximum criteria will display details for the individual criteria selected as part of it. The contributing criteria will not be displayed separately in the Calculation Detail.
      • For the Calculation Detail print accessed from Print button on the Calculation Detail page, the Combined Maximum criteria information is displayed with the contributing criteria totals beneath it. The contributing criteria will not be displayed separately in the Calculation Detail print.
      • If a user prints the Award Program Agency Detail (accessed from the Print button on the Award Programs > Participants tab) with the “Include criteria details” checkbox selected, the Combined Maximum criteria information is displayed with the contributing criteria totals beneath it. The contributing criteria will not be displayed separately in the Agency Detail print.
    • In Award Programs, an Archived label has been added to archived award program definitions so that they can be easily identified. By default, the Award Programs list displays active award programs. Use the filter to change the status to see archived records.
    • The Physicals Due list has date filters that can be changed to a longer time period. The default is “Due in 30 Days.” There was also an issue where the Physicals Due list was displaying physical records as being due even if there was a new exam scheduled, which has been fixed.
    • For all “Expiring” lists and the Physicals Due list, there are a new date filters for “Expiring in 180 Days”, “Expiring in 365 Days”, “Due in 180 Days”, and “Due in 365 Days”.
      • If the date filter is set for one list, it is maintained when navigating to another list.
      • The date filter settings also apply to the exports of those lists.

    Admin

    Most of the Users functionality has been removed from Admin. Customers were emailed on February 15, 2023 about the change, with different emails going to PM customers and PM Basic customers.

    Enhancements

    The Users section has been updated to only display the ESO Tech Support user in order to guarantee all person creation and management is performed in one place. ESO will be able to provide a better experience and more improvements once the complexity of the same records being managed from two places in ESO is eliminated.

    • All existing users are available in Personnel Management (PM).
    • There is no migration of your data, we are simply consolidating user management in PM instead of maintaining it in Admin and PM.
    • Functionality that was available in Admin > Users is available in PM.
    • The header has a link to navigate to PM as well as a link to a document that describes where to find the equivalent functionality in PM.
    • See the PM Help documentation for more detailed information about how to use PM. It is available from the (?) icon on the bottom of the left navigation bar in PM.
    • All new people or users need to be added using the New Person button in the PM > Personnel section or using the Personnel spreadsheet import in PM > Settings > imports.
    • For PM Basic customers, any users who had security for the Users section in Admin have access to PM Basic. Those users have a PM icon on the ESO Dashboard.
    • For paid PM customers, users will need appropriate PM security roles and permissions to perform the functionality in PM. Additional guidance about security is available here.

    02.15.2023

    Incidents

    Bug Fixes:
    • Apparatus ID in the Unit table was fixed to display the expected 5-character string value.
    Enhancements
    • Added the table 'Civilian Casualty Transported to Emergency Care’ for reporting availability.
    • Unhide the data field “IncidentID” - this can be used to find the unique count of records.

    Activities

    Bug Fixes
    • The Recurring Tasks list in Activities > Settings was failing to load for users using Firefox or Safari. This has been resolved.
    Enhancements
    • Users can now attach images and some other file types to Community Events.
      • The list of allowed file types includes image types, pdfs, spreadsheets, slide presentations, and other document/text file types.
      • The maximum file size for an individual attachment is based on your configurable agency limit or 25 MB, whichever is larger.
      • Once attached, users can view images and pdfs in a file viewer in the application. All other file types are not able to be previewed and must be downloaded to be viewed.
      • Users have the option to delete individual attachments from an event. If a user deletes an event with attachments, the attachments are also deleted.
        • Please note: In both cases, attachments are unable to be retrieved once they are deleted.

    02.08.2023

    PM

    Summary

    • Updates and renewals of Qualifications and Skills will now be reflected in the reminders on the ESO Dashboard.
    • Award Programs has additional functionality and fixes.
    • A number of small changes improve the workflow around user management.

    Bug Fixes

    • The notifications about expirations on the ESO Dashboard for Qualifications and Skills were showing even if the expired item in question had been renewed. Now when a qualification or skill is renewed, the expiration notification for the appropriate record is displayed.
      • Note: For existing records with the incorrect reminder on the ESO Dashboard, something needs to be changed and saved in the skill or qualification record to trigger the reminder to get updated.
    • The filter for the Security Role list used in the Person Settings > Account > Security Roles section now actually filters the roles.
    • In Award Programs,
      • The Class Credit calculations are now including credits that were added through the Classes tab on the person record and through imports.
      • There was an error being caused by time zone processing which resulted in the Participant list not loading. The Participant list will now load regardless of the time zone.
      • Incidents on the first and last day of the participation period were not being included in the calculation. This has been fixed.
      • For Incident criteria calculation types Points per Incident, Points per Hour, and Percentage Points, the “Number of Points” field is now correctly saving when the field is updated.

    Enhancements

    • When adding a New Person from the Personnel section, the Account section has been moved closer to the top of the page to improve the workflow for adding people who do not need additional demographic information.
    • When setting a Temporary Password from New Person or the person record in Person Settings > Account, a temporary password is now generated.
      • That password will be displayed in a message box, can be copied using the Copy Password button, and then pasted into an email or other messaging to give to the user whose password is being reset.
      • If the message box is closed, then a new temporary password is generated when the link is clicked again.
      • When using temporary password from New Person, the message box will open after saving the person.
      • After the user enters the temporary password on login, they will be required to set a new password.
      • This both increases security by not allowing the same temporary password to be used multiple times and fixes the errors in PM with the temporary password functionality.
    • Award Programs
      • The Incident Percentage Range and Percentage Points calculations now display the actual percentage of participation in the Calculation Detail available from the Award Program > Participants list from the Detail option in the Actions menu and the History page and from the person record in the Award Program tab.
      • There is also a new message explaining that percentage calculations are not final until after the end of the participation period.
    • The Residential Address and Mailing Address formats in the person record in the Person tab have been updated to appear as multiple lines broken out between the address pieces instead of a single line.

    02.07.2023

    Incidents

    Summary

    An updated error message is now shown when CAD imports fail because a duplicate incident already exists in the system.

    Enhancements

    • Now if a manual CAD import is attempted from the incidents grid, the error messaging will correctly alert the user if the import fails because a duplicate incident record (matching incident number and date) already exists.

    02.01.2023

    EHR

    EHR Mobile Version - No new mobile version for this release

    Updates to select lists in EHR

    Enhancements

    • NEMSIS 3.5 version: Final Patient Acuity - added Dead with Resuscitation Efforts (Black)
    • All NEMSIS versions: Injury Details - moved Car/pickup truck/van to the Pedestrian category
    • All NEMSIS versions: Flowchart Medications - Added Caffeine This value must be enabled in Admin >> EHR >> Flowchart >> Medications
    • All NEMSIS versions: Patient Allergy - Added ten medications
    • All NEMSIS versions: Patient Medications - Added ten medications
    • All NEMSIS versions: Patient History - Added ten history items

    02.14.2023

    EHR

    EHR Mobile Version 5.39.1871

    CAD error handling support

    Bug Fixes

    • Additional support that improves handling when there is a CAD error

    02.01.2023

    Insights

    • On 2/1/23, ESO released an update to the Insights EMS data source to add some new stroke-related columns. This update has the potential to cause errors in customer Insights Dashboards that use this data source.
    • Click here for more details.

    02.01.2023

    Activities

    Enhancements
    • Users with the appropriate security claim can now delete Task Types from the Task Types list in Activities > Settings
      • User must have the “Activities Settings Access” claim to view the Delete Option
      • The Delete option appears in red below the Disable option for each list item in the Task Types list
      • If user clicks Delete, ALL Operational Tasks and Recurring Tasks with that Task Type will be deleted. Delete should only be used to clear data that was entered in error since this action cannot be undone.

    Health Data Exchange, Patient Tracker and Outcome Portal

    Summary

    We updated the outcome report that is displayed in Patient Tracker and Outcome Portal. There were instances when the outcome report would not display the Test Results or Narratives sections properly.

    We also made changes to the HDE FTP Credentials page in Patient Tracker and we updated the Nemsis file that is sent to the Memorial Hermann hospital system.

    Enhancements

    • Removed the FTPS protocol from the HDE FTP Credentials page in Patient Tracker. Only SFTP will be supported at this time.
    • Updated the Nemsis file sent to ImageTrend's Hospital Hub for the Memorial Hermann hospital system.

    Bug Fixes

    • Updated Outcome report in both Patient Tracker and Outcome Portal
        Removed duplicate values inside the Disposition and CMS Disposition fields
        Adjusted the timestamp shown for Test Results and Narrative results to be in local time, not UTC time
        Addressed inconsistancies with the Test Results and Narrative sections

    01.30.2023

    Incidents

    Summary

    The latest incidents releases contained changes for the ongoing print page rewrite, including the addition of a new print setup page in Admin which will be used for incidents print headers, additional logging for CAD imports, and technical changes to support the delivery of data between Incidents and other applications.

    New Features

    • A new “Print Setup” page is available in Admin > Fire > Incidents. This page allows departments to configure an agency-specific print header which will be used on the new print page. Coming soon – the ability to upload a logo to use for the print header. New print page release date is forthcoming.

    Bug Fixes

    • A minor issue affecting the NFIRS validation for Fire > Human Factors Contributing to Ignition was resolved, so that Age/Gender are no longer available unless “Age was a factor” is selected. This change helps us meet NFIRS requirements.

    01.19.2023

    Insights

    • A bug related to trendlines in graphing widgets has been resolved. This bug was producing a non-specific error on the widget and was blocking trendlines from displaying properly.
    • The widget formula editor has been enhanced to display more meaningful and user-friendly error messages while creating and editing formulas in the widget designer.

    01.18.2023

    Activities

    Bug Fixes
    • Default Point values now populate in the Completed By section if the task or event is in Scheduled status. (ACT-1797)
    Enhancements
    • Personnel selection lists in Activities now display the Employee Number after the person’s name. Users can also search for personnel by the employee number within the personnel selection lists. These lists include:
      • Assigned Personnel on Activities Filters
      • Completed by Personnel on Activities Filters
      • Assigned Personnel on Operational Task
      • Completed by Personnel on Operational Tasks
      • Completed by Personnel on Community Events
      • New Assignment Personnel on Recurring Tasks

    01.12.2023

    PM

    Summary

    • The Class Names list, Session Names list, and Immunizations list management features have been updated so that they are consistent with other newer lists in PM > Settings.
    • The Class Names list now is displayed in the order set in PM > Settings.
    • Changing the Username in PM now updates Scheduling if the PM/Scheduling integration is enabled.
    • New detail print and management functionality is included in Award Programs, as well as fixes to some issues raised by beta testers.
    • There is a new Ad Hoc report called PM Instructor Hours by Session that provides more accurate information about how many hours an instructor has taught.
    • Enable Add-ons no longer requires a browser refresh to see the change triggered by turning an add-on off or on.
    • A bug around deleting a rank record has been fixed.

    Bug Fixes

    • The Class Names list is now displayed in the order of the values in PM > Settings > Class Lists > Class Names.
    • The Rank section was giving an error if the user tried to delete the rank record if there was only one. This has been fixed.
    • Award Program- incident percentage calculations were getting all Fire Incident Types included in the total, as well as EHR Run types, when an incident criteria for just EHR Run Types was created. Now if no Fire Incident Types are selected, Fire Incidents are no longer retrieved as part of the total for the denominator of the Percentage Range or Percentage Points incident calculation types.
    • Award Program - When user in an agency which purchased PM navigated to PM using the View My Personnel Profile link on the ESO Dashboard and that user had no additional PM permissions, the print from the person record > Award Program > Calculation Detail would route the user to the Personnel section instead of printing. The user can now print from their own record.
    • If the PM/Scheduling integration is enabled, changing a person's username in PM now notifies Scheduling of the change so that Scheduling is updated appropriately.

    Enhancements

    • Award Programs
      • There is now a detail print for the agency level of Award Programs.
        • The print includes under each person
          • a list of the criteria
          • the minimum and maximum for the criteria, if applicable
          • the total for each criteria, as well as the totals for the award program.
        • The detail print is generated if the "Include criteria details" box is checked on the print dialog box in Award Programs > Participants > Print.
      • Users can delete Award Program definitions by selecting Delete from the Award Programs > Award Programs list from the Actions menu next to the award program they want to delete.
        • Award Programs that are deleted cannot be recovered.
        • Award Programs that need to be used for historical purposes should be Archived, which is also an option on the Actions menu, not deleted.
        • Deleting an award program definition does not impact any of the underlying records (Activities, Incidents, Class Credits, Rank, or Title) used in the calculations for the award program. Only the award program details, criteria, and participants/participation periods are deleted.
      • The Award Program Detail edit window no longer refers to points in the Minimum and Maximum labels.
      • In the Calculation Detail window, incidents are now listed in reverse chronological order. The most recent incident is at the top.
    • There is a new report called PM Instructor Hours by Session in Ad Hoc > Global > PM that provides more accurate information about how many hours an instructor has taught.
    • The Class Names list in PM > Settings > Class Lists now has
      • drag and drop functionality to order the list values
      • a Sort Alphabetically button to put list values back into alphabetical order
      • an Export button which triggers an export of the Class Names list as a CSV file
    • The Session Names list in PM > Settings > Class Lists now has an Export button which triggers an export of the Session Names list as a CSV file.
    • The Immunizations list in PM > Settings > Medical Lists now has a Sort Alphabetically button to put list values back into alphabetical order.
    • When a user makes a change in the PM > Settings > Enable Add-ons section, the section in PM will be added or removed as appropriate without the user needing to refresh the browser.

    01.10.2023

    Incidents

    Summary

    In this release, the Fire Incidents team completed numerous bug fixes for the Incidents application and resolved an issue with personnel and apparatus sequencing in the NFIRS Extract. We updated background error logging to provide better information. Additional backend changes were made to support the ongoing print page rewrite.

    Bug Fixes

    • An issue with NFIRS Extracts was resolved so the apparatus and personnel transaction records will submit the correct sequence as expected for NFIRS validation.
    • The Casualty and EMS pages now show a scroll bar when the number of records exceeds the available page size.
    • The Authorization section correctly updates pre-populated values when the Report Writer or Officer-In-Charge is changed from one personnel to another.
    • A minor error that occurred in the Authorization when navigating back to the Incidents grid was resolved.

    Enhancements

    • The Temporary Resident field was adjusted to have a more compatible data type and moved slightly so it doesn’t interrupt the workflow of the Critical Incident fields.

    Insights

    If you used either "Out-of-hospital Cardiac Arrests with ROSC" or "Out-of-hospital Cardiac Arrests with ROSC At the ED" in a Dashboard that you created before 1/4/23, please see this page for more details.

    01.09.2023

    Health Data Exchange, Patient Tracker and Outcome Portal

    Summary

    This release contains an update to the Coverdell Stroke Submissions database for the state of Virginia. These improvements enhance Virginia’s ability to work with this stroke data.

    We also spent time updating our Outcome report in both Patient Tracker and Outcome Portal. The updates made to the outcome report gives a better view of the patient’s hospital test results (labs and vitals). These test results will also be sent to Insights in the future so we can create dashboards for specific lab results.

    Enhancements

    • Coverdell Stroke Submissions databse update
    • Updated Outcome report in both Patient Tracker and Outcome Portal
        New section for Test Results
        New section for Narrative Results

    12.14.2022

    Incidents

    Summary

    This release contained backend changes to support the ongoing incidents print page rewrite, new work that will help connect Incidents data to the Logbook feature (under development), and bug fixes for critical API and NFIRS Extract issues.

    Bug Fixes

    • An issue was resolved that caused certain NFIRS Extracts to fail with a generic “Contact ESO Support” message. It is now possible to attempt to regenerate the extracts that previously failed.
    • A problem that caused the data output from the external Fire Data API to be always JSON, instead of optionally JSON or XML, has been corrected.

    Enhancements

    • The “Initial Dispatch Code” field is now available in the external Fire Data API.

    PM

    Award Programs is available for all PM and PM Basic customers to enable themselves and start using. Award Programs is a flexible feature which allows agencies set up a calculations that can track participation for programs such as LOSAP or tax abatement programs, replacing a time-consuming combination of reports and spreadsheets used in other applications. Each personnel can view their own up-to-date calculations without administrative intervention. There will be on-going additions to Award Programs functionality to address scenarios not yet covered.

    There is now a message displaying in the Users section in Admin that informs Admin users that the Users section will be removed from Admin in January. To support the removal of the Users section from Admin, there were two (2) enhancements to the functionality in PM pertaining to the Users list in the Personnel section and the availability of the deactivation of a person without needing to have a user account.

    A bug blocking PM Basic users from viewing or editing the Immunization lists in PM > Settings has been fixed. Immunization and Immunization Manufacturer list values were also populated for all agencies.

    There was a fix for the PM/Scheduling integration so that deactivated personnel in PM are properly reflected in Scheduling as being deactivated.

    A set of related changes were made to the EMS Certifications and Licenses Licensure Level lists to add new values for NEMSIS 3.5, filter to display the appropriate values in the PM application, provide a way to upgrade these from NEMSIS 3.3.4/3.4.0 to NEMSIS 3.5, add NEMSIS codes for all values, and backfill the NEMSIS codes into the person's certification record. This should reduce EHR's state submission errors for current customers and make ESO ready for NEMSIS 3.5 reporting.

    Ad hoc has been updated to link the Instructor to the Session so that it can be used to properly calculate instructor hours.

    New Features

    Award Programs can now be used by PM and PM Basic agencies.

    • Award Programs can be used for any type of program where users need to calculate participation in EHR and/or Fire Incidents, Operational Tasks and/or Community Events from Activities, and Rank, Title, and Class Credits from Personnel Management. For more details about how to use Award Programs, click here.
    • There is a new Enable Add-ons section in PM > Settings that will allow users in the agency with the appropriate security permissions to turn on Award Programs.
    • Note that you will need to refresh your browser window after you enable Award Programs to see the new section.
    • Once Award Programs is enabled:
      • PM Basic users and PM users who have the Edit Award Programs or View Award Programs security permission in one of their security roles will be able to see the new Award Programs section.
        • These permissions are included in the Personnel Management Admin security role.
        • These permissions will need to be added to any other security roles the agency wants to grant permission to Award Programs.
        • Users with View Award Programs can only view the Award Program information.
        • Users with Edit Award Programs can view AND make changes to the Award Program information.
        • Only one or the other is needed in a security role.
      • There is a section displayed in the person record called Award Programs. This section will be visible to any users who can view their own record.

    Bug Fixes

    • In Ad Hoc, the instructor was not associated with a session. A new column, Session ID, was added to 13-06 Class Instructors so reports can show accurate data for how much an instructor has taught.
    • The Print Header will now behave as expected; it will no longer give an error message when saving.
    • Deactivating a person in PM was not passing that change on to Scheduling when the PM/Scheduling integration was enabled. This has been fixed.

    Enhancements

    • There is a notification at the top of the Users section in Admin. It alerts users that the Users section will be removed in January 2023 and provides links to documentation for where the functionality is in PM as well as a link to navigate directly to PM.
    • EMS Certifications and Licenses Licensure Level has been updated to allow EHR to more accurately report these values to the states for NEMSIS and accommodate the NEMSIS 3.5 changes.
      • There is now a list of NEMSIS 3.5 Licensure Level values.
      • All NEMSIS 3.3.4/3.4.0 and NEMSIS 3.5 Licensure Level values have the correct NEMSIS code added to them.
      • Based on the agency's NEMSIS version, the appropriate list of Licensure Levels is displayed in PM > Settings > EMS Certifications and Licenses when adding or updating a value.
    • The User list in the Personnel section has been updated to include all personnel in the agency, even if they do not have a user account. Personnel without user accounts appear with no User Name. This will allow administrators to more easily determine which personnel do not have accounts. The export for that Users list now has separate columns for the first name and last name of the personnel.
    • In Person Settings > Account, the Deactivate Account was renamed to Deactivate Person to better reflect the action. When a person is deactivated, they no longer appear in application lists like EHR Crew lists, and Fire Incident personnel. This functionality should be used if a person leaves the agency.
      • The ESO System Access section is now always available even if there is no account set up.
      • Users can now deactivate imported personnel who are wanted for historical documentation without requiring a username to be created for them first.
      • The Lock Account function is only visible if there is an account set up.
      • The Deactivate Person function will not ask about removing security roles if there is no account set up.
    • In PM > Settings > Print Setup > Print Headings, Print Headings can now be deleted from the Action button next to the heading entry in the list by selecting the Delete option. If a heading is deleted, it will also be removed from any print configurations it was used in. Note that print headings in this section are currently only used for Award Program printing.

    12.13.2022

    Activities

    Summary

    This release includes enhancements to Task and Event points and assignment lists in Activities.

    Enhancements

    • If an agency has set the sort order for the Shifts, Units, Stations, Districts and Divisions lists in General > Admin, that order is now reflected in Activities.
      • These lists will appear sorted in the following locations in Activities:
        • Activities Tab:
          • Operational Tasks
          • Community Events
          • Daily Log Notes
          • Filters
    • Users with Settings access can now enter a default point value for Task Types and Event Types in Activities Settings.
      • Users can enter point values with up to two (2) decimal places.
      • Users have the option to make the default point values in the task or event editable or not. This can be set for an individual task or event type by clicking the checkbox in the task/event type shelf in Settings.
        • The checkbox is labeled “Allow all users to edit the point value when creating or editing community events/operational tasks”.
        • The checkbox is checked by default.
      • If no default point value is set, the current system behavior will not change.
      • If a default point value is set for a task or event type, that value will default for any personnel added in the Completed By section of a task or event created with that task or event type.
        • PLEASE NOTE: Currently, users must add the completed by personnel PRIOR to setting the status in order for point values to default. As a result, default points are NOT currently populating for recurring tasks. This behavior is not correct and will be fixed in the next release.

    12.12.2022

    Inspections

    Summary

    This release contains two (2) enhancements and a bug fix for Inspections.

    Enhancements

    • If a violation occurs on an inspection, the violation will now carry over to the reinspection and will be marked as failed.
      • This change applies to reinspections created after the enhancement release date (12.12.2022).
      • Users will see the carried over failed violation when the reinspection is started.
    • If a user adds notes and/or images to a violation that occurs on an inspection, those notes and images will now carry over to the reinspection.
      • This change applies to reinspections created after the enhancement release date (12.12.2022).
      • Users will see the carried over notes and images when the reinspection is created.

    Bug Fixes

    • Clicking on “View Email Log” from the hamburger menu on an inspection was causing an error. This has been fixed.

    EHR

    EHR Mobile Version 5.38.1867.0

    Enhancements

    • To improve performance and stability of EHR Mobile, we have made significant updates to the underlying components of the application. NOTE: A reboot is required after installing and before launching this version of EHR Mobile.

    12.06.2022

    Incidents

    Summary

    This release contained an enhancement for a new field in Incidents, as well as behind-the-scenes updates to the ongoing print page rewrite and a change to a process that caused background data delays for certain accounts.

    Enhancements

    • New – “Temporary Resident Involvement” field on the Basic page of incidents. This field is a multi-pick with a small subset of values and has been requested by numerous agencies who have a need to track this data point.

    11.22.2022

    Insights

    Hotfix
    • ESO released a hotfix to the Insights BI platform resolving a problem in which date aggregations were displaying incorrectly. We apologize for the inconvenience.
    • Click here for more details.

    11.21.2022

    PM

    Bug Fixes

    • The import job and import detail now display the User's name again.
    • Classes that had a credential included were getting an error when the user tried to complete the class. This is now fixed.

    Enhancements

    • There is now a scroll bar that appears in PM > Settings when the left navigation is expanded so that all of the values are accessible.

    11.16.2022

    EHR

    EHR Mobile Version 5.38.1863.0

    New Features

    • Barcode Scanning with a Device Camera allows users to scan a barcode for the Chart Number field and input patient demographics using a driver’s license barcode. This feature may be enabled in Admin > EHR > Optional Features > Barcode Scanning with Device Camera. For more information, please see the Enabling Barcode Scanning quick reference guide on the EHR Training Materials page.

    11.15.2022

    Incidents

    Summary

    This release contained a handful of changes to support backend work for the upcoming Fire Incidents Insights. We released behind-the-scenes additions for the ongoing print page rewrite and made other important technical updates. Incident lock behavior was updated to respect pending autosaves. The new Vehicle Involvement feature was released and is available for all accounts using Fire Incidents.

    New Features

    • The new Vehicle Involvement feature is available for all accounts with Fire Incidents. Recorded vehicle data can be extracted through the external data API, and early next year will be available in Fire Incidents Insights and the new Incidents print page.
      • Record data for any number of involved vehicles
      • No restrictions based on incident type
      • Capture additional information for persons involved, insurance, law enforcement, occupant counts, supplies used, and general notes
      • Populate relevant details into Fire > Mobile Property where applicable

    Bug Fixes

    • Personnel data was updated for specific agencies’ incidents following a brief time period where new or changed employee IDs were not correctly reflected in incident bundles.

    Enhancements

    • Now before locking an incident, the system verifies that any pending autosaves are complete. This reduces the chance of receiving unexpected “save” errors.

    11.03.2022

    Incidents

    Summary

    This release contained backend changes to support ongoing database maintenance and technical upgrades in Fire Incidents. A field label on Basic was updated to be more consistent with the data being displayed. An issue with the Census Tract field that caused print errors was resolved. We’ve re-applied updates to the Properties and Incidents integration so that certain pieces of the incident address can be updated when a PBO record is linked to an incident.

    Bug Fixes

    • The Census Tract field on Basic > Location was modified so it correctly sets back to “null” when data is removed. This previously caused an error on the incidents print page.

    Enhancements

    • The Employee Number field label on Basic > Authorization was updated to “NFIRS Number”, which is a more accurate representation of the data that is displayed.
    • The Properties and Incidents integration was updated so that when a PBO record is linked to an incident, the Cross Street, USNG, or Directions field can be edited and in certain circumstances, the Apt/Suite/Room field can be edited.

    Health Data Exchange

    Summary

    This release introduces a new field in our HL7 discrete message. The State Wristband Number was added to EHR on 10.26.2022. If this field is enabled by the EMS agency and a value is put in this field, it will appear in the discrete HL7 that is sent to HDE hospitals.

    Enhancements

    • State Wristband Number added to discrete HL7 message
    • Technical documentation for our HL7 discrete message can be found in Product Training

    11.02.2022

    PM

    There is now a Help icon so that the PM user documentation is more easily accessible.

    Enhancements

    • The user documentation link was moved to the question mark Help icon on the left navigation from the Help link in the Menu menu so that the user documentation is more easily found.

    10.26.2022

    EHR

    EHR Mobile Version 5.37.1861.0

    Summary

    This release introduces a new field for agencies in states with patient wristband programs and NEMSIS 3.5 national schematron validation rules.

    Bug Fixes

    • Corrected an issue where EHR Mobile would crash when utilzing certain search functions.

    Enhancements

    • Added a new optional field State Wristband Number to the Incident Tab. This field may be enabled in Admin > EHR > Incident Tab > Optional Fields > State Wristband Number. The State Wristband Number field will appear on printed reports and is available for reporting in Insights. This field will be available for reporting in Ad-Hoc in early November 2022. For more information, please see the Enabling State Wristband Reporting quick start guide on the EHR Training Materals page.
    • Added an optional validation rule that requires State Wristband Number be completed when the disposition indicates a patient transport. This rule may be enabled in Admin > EHR > Incident Tab > Configurable Validation > State Wristband Number Required for Patient Transports. The Wheelchair Transport disposition is excluded from this rule.
    • Added a new validiation rule in the NEMSIS 3.5 version of EHR to require Local Protocol Provided Care Level to be completed on patient treated dispositions. This rule may be enabled in Admin > EHR > Narrative Tab > Configurable Validation > Local Protocol Provided Care Level.
    • Added a new validiation rule in the NEMSIS 3.5 version of EHR to require the Interfacility Transfer or Medical Transport Reason field to be completed when Run type is a Transfer or Interfacility Transfer. This rule may be enabled in Admin > EHR > Incident Tab > Configurable Validation > Interfacility Transfer or Medical Transport Reason Required.

    10.20.2022

    PM

    Users can now inactivate a credential so that if a person has a credential that is no longer relevant it will not display as expired. For example, a person had a Driver/Operator credential but was promoted to a position where they no longer need to keep up the credential, that Driver/Operator credential can now be inactivated so that it will be included in the person’s record for historical purposes but will not be listed as expired.

    Enhancements

    • Credentials can now be inactivated.
      • Inactivated credentials will not be displayed in the Expiring Credentials list in the Personnel section.
      • Credentials can be inactivated and activated from the person’s record from a link on the Credentials list as well as from a link on the Credentials History.
      • Inactive credentials have an “Inactive” label.
      • The edit window has explanatory text to let users know it is inactive.
      • All credentials of that type are active or inactive based on the setting. This will include any new records added through group actions, imports, renew, or add.
      • The Ad Hoc “12-02 Personnel Credentials” table will show the Is Active column as Yes if it is active and No if it is inactive so that inactive records can be eliminated from reports.

    10.18.2022

    Incidents

    Summary

    This release contained some backend changes to support ongoing feature work, as well as updates to various logos in the Incidents module. We completed critical bug fixes for an issue affecting unit data in the Scheduling integration and an issue with Apparatus Type in the NFIRS Extracts.

    Bug Fixes

    • A bug was resolved that blocked unit data from coming over via the Scheduling integration for cases where the unit names didn’t exactly match.
    • We made changes to the NFIRS Extract to fix an ongoing issue where certain units do not submit an Apparatus Type even when it has been properly recorded.

    Enhancements

    • “Arson Info” on the Investigation tab has been updated to “Investigation Info” to reflect the spirit of the data being collected.
    • New icons were added for the Investigation > Investigation Info, Basic > Aid, and Fire > On-Site Materials sections.

    10.13.2022

    Incidents

    Summary

    This release contained a lot of changes for some behind-the-scenes incidents features that are in progress, a fix for a print defect, new styling for status icons on the incidents grid, several extracts updates, and other technical backend changes.

    Bug Fixes

    • A defect with a recent fix to the FDID and Station printing on print pages was resolved.
    • We changed the file generation process for NFIRS Extracts to mitigate extract failures for certain departments.
    • The NFIRS Extract was adjusted to submit “Y” (Yes) for the Resource Form Used flag in the 1005 transaction when there are unit reports being submitted for an incident.
    • We enhanced logging and fixed an issue that was blocking the SafetyPAD import for certain departments.

    Enhancements

    • The status icons on the incidents grid and elsewhere within incidents have a new style to match our updated UI standards.
    • “Vehicle” on the HazMat page was updated to “Mobile Property” to accurately reflect NFIRS standards.

    10.12.2022

    Admin

    This release introduces the ability for agencies to Map Districts coming from CAD to District values in ESO Fire

    New Features

    • Added a new tab inside of Admin module called CAD. This tab will allow you to enable feature as well as configure CAD mappings.
    • Added the ability to map a CAD Call Nature Code to an EMD Complaint. This can be mapped in Admin >> CAD >> Mappings >> EHR >> EMD Complaint. When CAD data containing a CAD Call Nature Code is imported into EHR, the EMD Complaint will be selected based on the mapping in Admin.
    • Added the ability to map a CAD Call Nature Code to a Fire incident type. This can be mapped in Admin >> CAD >> Mappings >> Fire >> Incident type. When CAD data containing a CAD Call Nature Code is imported into Fire, the Incident type will be selected based on the mapping in Admin.
    • Added the ability to map a Stations from a CAD value to a ESO Fire Station entity. This can be mapped in Admin >> CAD >> Mappings >> Fire >> Stations.
    • Added the ability to map a Shifts from a CAD value to a ESO Fire Shifts entity. This can be mapped in Admin >> CAD >> Mappings >> Fire >> Shifts.
    • Added the ability to map a District from a CAD value to a ESO Fire District entity. This can be mapped in Admin >> CAD >> Mappings >> Fire >> Districts.

    10.10.2022

    Insights

    An update to the EHR data model was released today. This update is consolidating the Incident Times and Operational Measures tables into the Incident Response Table.

    This means that:

    • The columns that were previously located in Incident Times can be found in the Incident Response table.
    • The columns that were previously located in Operational Measures can be found in the Incident Response table.
    • Both Incident Times and Operational Measures no longer exist in the EHR data model as standalone tables.

    In order to accommodate these data model changes:

    • The default filters that are added to new (blank) Dashboards have been updated to reflect these changes.
    • The ESO Global Dashboards have also been updated to reflect these changes.
    • However, any custom dashboards that you have created using these tables will need to be identified and updated. This documentation page and this video will help you to do this.

    09.29.2022

    Incidents

    Summary

    We fixed a print page bug that caused the personnel “Signature” (name) to be missing from the Incidents print page. A bug fix was released to make a dispatch time required when calling the Scheduling API from Incidents.

    Bug Fixes

    • An Incidents print bug was fixed so the Signature (name) field in the Authorization section of the Basic form always prints.
    • A bug was corrected to make Dispatch Time a required field when calling the Scheduling API from Incidents. Previously, in certain circumstances the Scheduling API was contacted for information without providing a valid Dispatch time, leading to incorrect personnel being added to incidents.

    09.28.2022

    PM

    • Users can now inactivate a certification or license so that if a person has a certification or license that is no longer relevant it will not display as expired. For example, if someone has an EMT-Advanced certification then gets a higher level Paramedic certification, that lower level certification no longer will be displayed as expired if it is inactivated.
    • There was a fix to the Personnel import so that it now properly imports the NFIRS Employee Number and Alternate ID again.
    • There was a fix to the Class import template to properly label a heading that was causing an error on the import.
    • A Physicals Due list has been added to the Personnel section to allow tracking of upcoming personnel physicals so that they can be scheduled.

    Bug Fixes

    • The Personnel Import was not importing the NFIRS Employee Number and Alternate ID, causing other parts of the import to not work properly. This has been fixed.
    • The Class import template had duplicate headers for Credit Type 38, which was causing both the manual import and the Firehouse generated spreadsheet to fail import unless the spreadsheet was manually corrected. This has been fixed.

    Enhancements

    • Certifications and Licenses can now be inactivated.
      • Inactivated certifications and licenses will not be displayed in the Expiring Certifications list in the Personnel section.
      • Certifications and licenses can be inactivated and activated from a link on the Certifications list as well as from a link on the Certifications History.
      • Inactive certifications and licenses have an “Inactive” label.
      • The edit window has explanatory text to let users know it is inactive.
      • This will include any new records added through group actions, imports, renew, or add.
      • The Ad Hoc “12-04 Personnel Certifications and Licenses” table will show the IsActive column as Yes if it is active and No if it is inactive so that inactive records can be eliminated from reports.
    • A Physicals Due list is now available in the Personnel section.
      • Users must have the View Physicals or Edit Physicals security permissions in one of their security roles in order to see the Physicals Due list.
      • As with the other lists in the Personnel section, the filters for the Personnel section will limit the personnel who appear on the list.
      • The list can be sorted by Person, Employee Number, and Due Date by clicking on the column headers.
      • The list may also be exported as a CSV file by clicking the Export button at the top right corner of the page.

    09.27.2022

    Inspections

    This release includes the ability to Unlock a currently locked inspection, and view changes in the new Change Log.

    Enhancements

    • Created the ability for Property Inspections to be unlocked and relocked.
    • Created a new User Interface called Change Log
      • This tracks all changes made in the unlocked inspection
      • Users will see old to new value changes as well as
        • Who unlocked the inspection
        • Who made the changes to the inspection
        • When the changes were made
    • New Admin Roles
      • Unlock Inspections Role
        • Allows those with the Claims to unlock an inspection
      • View Change Log Role
        • Allows users with these Claims to see the change log

    09.27.2022

    EHR

    EHR Mobile Version 5.36.1858.0

    Summary

    This release introduces the ability for agencies to import CAD call nature codes and descriptive text into a field in EHR along with mapping the CAD call nature code to an EMD complaint value. When enabled, the CAD call nature code also appears in the Incident List grid and when selecting CAD data for import.

    New Features

    • Added a new optional field Call Nature to the Incident Tab. This field may be enabled in Admin >> EHR >> Incident Tab >> Optional Fields >> CAD Call Nature. This field is populated with the CAD Call Nature Code and CAD Call Nature Description when data is imported through CAD Import.
      When this field is enabled:
      • The CAD Import screen for EHR Web and EHR Mobile (CAD Import – Select an Incident) will display a Call Nature column populated with the CAD Call Nature Code
      • The Incident List grid will display a column that contains the CAD Call Nature code
      The Incident List grid search filter has been updated to allow filtering by Call Nature. The Call Nature field will appear on printed reports and is available for reporting in Ad-Hoc.
    • Added the ability to map a CAD Call Nature Code to an EMD Complaint. This can be mapped in Admin >> CAD >> Mappings >> EHR >> EMD Complaint. When CAD data containing a CAD Call Nature Code is imported into EHR, the EMD Complaint will be selected based on the mapping in Admin
    • Added an optional validation rule that requires a patient phone number for patient contact dispositions. This rule may be enabled in Admin >> EHR >> Patient Tab >> Configurable Validation >> Patient Phone Number Required.

    Bug Fixes

    • Corrected an issue where Flowchart >> Other >> BLS Assessment was not being reported as successful (eProcedures.06) in state submissions.
    • Corrected an issue where an XSD error was occurring when a phone number type was blank, affecting state submissions.

    Enhancements

    • Added eScooter accident to the Injury Details list on the Narrative Tab. When the Primary Injury is Motorized Vehicle Accident, eScooter accident is available in Injury Details.

    09.20.2022

    Hydrants

    Overhauled the filtering capability across Hydrants and Tasks with additional filter options, changes to date filtering and giving ability to filter by ‘Unassigned’ records.

    New Features

    • Enhanced filters for Hydrants; users can now also filter by the following fields:
      • Private Hydrants
      • Water District
      • Color
      • Manufacturer
      • Water Main
    • Enhanced filters for Tasks; users can now also filter by the following fields:
      • Hydrant Water District
      • Hydrant Inspection District
      • Hydrant Color
      • Hydrant Manufacturer
      • Hydrant Water Main
      • Private Hydrants
      • Hydrant Fire District
      • Hydrant Status
      • Hydrant Tags
      • Task Repair Type
    • Able to filter by “Unassigned” records in drop down fields – users can now search for ‘null’ values.
    • Users can now filter using date ranges’ on Task “Due Date” and “Completed Date”
      • Filtering with dates in “From” and “To” returns tasks within date range
      • Filtering with date in “From” returns tasks starting with the “From” date and beyond
      • Filtering with a date in “To” returns tasks up to the “To” date

    Bug Fixes

    • Resolved issue with count of records not showing on Hydrants/Tasks grid
    • Implemented stripping of leading/trailing spaces in Hydrant ID

    09.14.2022

    PM

    The Physicals section has some new information that it can now track to support NFPA 1580 annual physical exams, as well as a group action to be able to add physicals for a group of personnel. There were a few bug fixes in the Credits and Physical Types lists, as well as correction of a validation error for blank Employee Numbers.

    Bug Fixes

    • Blank employee numbers are no longer included in the duplicate check, allowing the user to save a blank employee number.
    • In PM > Settings > Class Lists > Credits, existing credit list values can now be changed and saved, even if there is no value in the code field.
    • In PM > Settings > Medical > Physical Types, the selected Duration value now displays properly.

    Enhancements

    • Physicals
      • There is a Physical Restrictions list in PM > Settings > Medical, which allows the agency to define any restrictions that they want to be able to select from if a person has a physical exam result of “May work with restriction”.
        • The Physical Lists security permission needs to be included in one of the user's security roles in order to manage that list.
      • In the person record in Medical > Physicals in the add or edit page
        • There is a section called Restrictions that will be displayed if the physical exam result is “May work with restriction”.
          • Multiple restrictions may be selected.
        • There is an optional Physical Performance section which allows you to record if the person Meets, Area of Improvement, or N/A for the following areas which conform to the NFPA 1580 standard
          • Aerobic Capacity
          • Cardiorespiratory Endurance
          • Body Composition
          • Grip Strength
          • Leg Strength
          • Arm Strength
          • Muscular Endurance
          • Flexibility
        • There is an optional Medical Exam section which allows you to record if the exam had Completed, Not Completed, Not Required the following tests which conform to the NFPA 1580 standard
          • Blood Analysis
          • Urinalysis
          • Pulmonary Function Test
          • Chest X-Ray (Due Every 5 Years)
          • EKG
          • Infectious Disease Screening
          • Cancer Screening
          • Audiometric Exam
          • Vision Testing
      • Files can now be attached to physicals records in the same way that attachments can be done in other parts of PM.
      • There is a Group Action for Add Physical, which allows you to add Physicals records to a group of people.
        • This allows adding a basic physicals record including recording results and notes for individuals but not the new Physical Performance or Medical Exam sections.

    09.13.2022

    EHR

    EHR Mobile Version 5.35.1855.0

    Bug Fixes

    • Resolved an issue where in certain conditions records on EHR Mobile would fail to sync to EHR Web and would appear to be “stuck.”

    09.08.2022

    Incidents

    Summary

    Validation for Incidents has been updated to prevent some uncommon NFIRS Extract errors. For the Properties & Incidents Integration, now when a Property, Building, or Occupant is deleted, any associated incidents are unlinked and will no longer display in the Incident History grid.

    Bug Fixes

    • UI validation was updated for the Fire Spread fields on the Fire tab of incidents.
    • UI validation was updated for Controlled Time on certain incident types when Wildland data is included.
    • Deleting a Property, Building, or Occupant unlinks any associated incidents and no longer displays those records in Incident History.

    09.08.2022

    EHR

    EHR Mobile Version 5.35.1855.0

    Bug Fixes

    • Updated the sort order for the General value in the Primary Injury List.

    Enhancements

    • Protocols Used has been updated to allow multiple protocols to be documented.
    • Added S-LAMS Stroke Scale. This can be enabled in Admin >> EHR >> Forms Tab >> Forms >> SLAMS. This stroke scale requires EHR Mobile version 5.35.1855.0 or higher.
    • Added the field 'Is Onset Time an Estimate' to document when the Symptom Onset Time is estimated. No configuration change is needed to begin using this field. However, this field requires EHR Mobile 5.35.1855.0 or higher.
    • Added new values to Patient History and Patient Allergies.
    • Updates to the N3.5 version of EHR.

    09.07.2022

    Insights

    We are introducing default filters for new Dashboards built by Insights Designers. These default filters will significantly improve query performance when building new Dashboards, and will help steer Dashboard Designers towards relevant datasets.

    This means that:

    • New dashboards will automatically be filtered to the Last 30 Days of Records, that are Active(i.e., not deleted) and are Locked
    • These default filters can be freely deleted or modified
    • Note: existing Dashboards will not be affected by this enhancement

    08.31.2022

    Incidents

    Summary

    We corrected the Incidents print page to print all recorded Person data for an incident, and updated the Supplemental form to print Person and Narrative independently. Extracts bug fixes for the Report Writer and Officer-in-Charge Authorization Date as well as for Civilian Casualty (and other) age calculations were deployed. We made numerous backend changes to Incidents data pipelines, and corrected an issue with the Shift data in Analytics.

    • Bug Fixes
      1. The Incidents print page now print person records and narratives independently, and will print all person records as expected.
      2. Corrected a date offset issue that was affecting the Report Writer and Officer-in-Charge Authorization Date in certain NFIRS extracts.
      3. Corrected the age calculations for Civilian Casualty and other fields in the NFIRS extracts.
      4. Updated Analytics to show expected data for Shifts.

    08.31.2022

    Insights

    This release includes logic updates to the Insights EHR Data Model so that users can continue to utilize old lights and sirens fields on the existing dashboards. The legacy lights and siren fields are available in the model so that users can make a smooth transition between the old fields and the new descriptor fields on the dashboards and not have to experience any disruption in the data flow.

    Enhancements

    Legacy descriptor fields Response Mode Descriptor and Transport Mode Descriptor have not been deprecated yet in the EHR Insights Data Model. Crosswalk mapping has been done between the old and the new descriptor fields to continue to populate data in the existing dashboards built using the old descriptor fields. Users can eventually transition to the new descriptor fields on the dashboards.

    Below are the new Response Mode Descriptor fields available under Incident Response Table

    • Response Mode Intersection Navigation
    • Response Mode Lights and Sirens Use
    • Response Mode Scheduled
    • Response Mode Speed

    Below are the new Transport Mode Descriptor fields available under Incident Disposition Table

    • Transport Mode Lights and Sirens Use
    • Transport Mode Scheduled
    • Transport Mode Speed

    08.31.2022

    PM

    Summary

    • A basic Physicals record is available to add, view, and edit in the Medical tab. Additional functionality will be available in subsequent PM releases.
    • Some extra links on the Immunization record have been removed to make it consistent with similar record navigation in PM.

    Enhancements

    • Physicals are now available in the Medical tab of the person record. This is only available for Personnel Management (PM) customers.
      • A user with the View Physicals or Edit Physicals security permission as part of one of their security roles can see the Physicals section in the Medical tab of the person record in PM.
      • The Personnel Management Admin security role was given the Edit Physicals and Physicals Lists security permissions.
      • Any other security roles must have the appropriate permissions added to them in Admin > Security > Roles.
      • Users can view Physicals in their own record by clicking on the “View my personnel profile” link on the ESO Dashboard.
      • The Physicals section displays a list of the most recent exam for each Physical Type with the Physical type, Exam Date, Next Due Date (if entered), Result (if entered), and first line of notes (similar to the contacts in the Person tab).
      • The information for the same fields can be added. The results of the exam can be one of the following - May work without restriction, May work with restriction, or May not work until final medical clearance. A list of restrictions will be in an upcoming release.
      • An Exam Date is required. All other information is optional.
      • If a duration for a Physical Type is set on the Physical Types list in PM > Settings > Medical, then the Next Due Date will be populated by default based on the duration and the Exam Date.
      • If a reminder period for a Physical Type is set on the Physical Types list in PM > Settings > Medical, the reminder will appear on the ESO Dashboard if the physical had a Next Due Date set.
    • The Immunizations section in the Medical tab of the person record has had the Edit and Delete links removed to make Immunizations consistent with all other records of that type in PM. Both Edit and Delete are still available in the History window.

    08.30.2022

    Activities

    This release includes additions to the Equipment List for Community Events and a bug fix.

    Enhancements

    • The following new values were added to the equipment list in Community Events and the list was alphabetized. This list is available in both the Equipment and Interactions sections of Community Events.
      • Bicycle Helmets
      • Carbon Monoxide Detectors
      • Elbow/Knee Pads
      • Fire Prevention Coloring Books
      • Fire Prevention Fire Helmets
      • Fire Prevention Handout Materials
      • Fire Prevention Stickers
      • Handrails
      • NARCAN Rescue Kit
      • Weather Alert Materials
      • Wheelchair Ramps

    Bug Fixes

    • On the Event Types page in Activities > Settings users could not disable an event type that was recently created without refreshing the page. This has been fixed.

    08.25.2022

    Analytics

    This release contains a bug fix to address data delay in the Analytics Audit Log Report.

    Bug Fixes

    • Users can see data populating in the Audit Log Report. Filters are working on the report and can be used as per the user requirement. The report can be found under root module - EHR Reports>Operational Reports>System Monitoring>Audit Log

    08.25.2022

    State Repository Insights

    A bug was fixed for the NEMSIS 3.4 State Repo Insights Data Model. Users can see the list of values in the 'eResponse.24 - Additional Response Mode Descriptors field'. The values are available now to make a selection and report upon.

    Bug Fixes

    • Users can see the available list of values in the 'eResponse.24 - Additional Response Mode Descriptors' field and query upon those values.

    08.24.2022

    EHR

    EHR Mobile Version 5.34.1854.0

    Summary

    This release contains a new version of EHR Mobile that enables the Lights and Sirens Use changes introduced on 07.27.2022.

    Deployment Notes

    • Customers upgrading from EHR Mobile version 5.34.1845.0 must first remove EHR Mobile through Add/Remove Programs before installing this version.

    08/24/2022

    Hydrants

    Bug Fixes

    • Bug relating to lat/long coordinates breaking search functionality for certain agencies resolved.
    • Bug with the hydrant/task list being out of sync with the filter/search functionality resolved.

    Enhancements

    • Users can now delete Hydrant images.
    • Logic for filtering “Tags” now uses “Or” instead of “And”

    08.23.2022

    NEMSIS State Repository Insights

    This release contains enhancements and a bug fix to the NEMSIS State Repository Insights Data Model.

    Enhancements

    • Added PCR PDF Columns to the NEMSIS 3.4 Sisense Data Model. Users can find these fields in the 'Incident Response' Table as:
      • PCR PDF Link
      • PCR PDF URL
    • NEMSIS 3.4 Reporting views have been updated to show NTZ Time values in the 'Times' fields.
    • Added a field named 'State Office Region' to the NEMSIS 3.4 Sisense Data Model. Users can find this in the 'State Submission' table.
    • Repository Name Column has been removed from the NEMSIS 3.4 Sisense Data Model.

    Bug Fixes

    • Fixed a defect to correct the calculation measure for - Dispatch To First Record Submission Time. Users can find this measure in the State Submission Measures table.

    08.23.2022

    PM

    Summary

    • Credit Codes have been added to Ad Hoc and added to lists in PM.
    • The Credits list has been removed from Admin.
    • Physical Types list has been adding to PM > Settings.
    • The Import job status table now has date filtering.

    Enhancements

    • Credits
      • The Credit Code, which was added in the previous release, is now visible as part of the list value in the Training > Sessions > Credits edit window and in person > Classes > edit individual classes window. The code can be searched in the credit lists.
      • The Credits list, which was added to the PM > Settings > Class Lists section in the last release, has been removed from Admin > PM > Class Lists.
      • The Credit Code is now available in Ad Hoc in both 12-05 Personnel Credit Hours and 13-05 Class Credit Hours.
      • There is an import spreadsheet available for Cal-JAC here. Additional spreadsheets for Kentucky, New York, and New Jersey will be added as they are approved. There will be a customer communication targeted to PM customers in those states with directions on how to import and report on the codes. We are also working on Ad Hoc reports for customers in these states to use for submitting to the state. If you are aware of any other states that require reporting using state provided training codes, please let me know.
    • Physicals
      • In preparation for the addition of the Physicals section in the Medical tab of the person record in the next release, some security permissions for Physicals have been added.
        • View Physical will allow view only access to the new physicals section.
        • Edit Physical will allow view, add, edit, and delete access to the new physicals section.
        • Physicals List will allow management of all lists pertaining to the Physicals section in PM > Settings > Medical.
        • The Edit Physical and Physicals List permissions have been added to the Personnel Management Admin security role.
      • The Physical Types list has been added to PM > Settings in a new Medical section.
        • It is pre-filled with some common values but users with the Physicals Lists security permission can add values and manage the list.
        • The Immunizations and Immunization Manufacturers lists have also been moved to the Medical section.
    • The PM > Settings > Imports section now defaults the dates to the imports in the past month.
      • If set, all of the filters in the Imports section are now displayed at the top of the section and may be removed by clicking the X.

    08.19.2022

    EHR

    EHR Mobile Version 5.33.1837.0

    Bug Fixes

    • Resolved an issue where under certain conditions, upon import of a Philips Tempus cardiac monitor case, attachments would be duplicated multiple times.

    Enhancements

    • For customers in Arkansas, adjusted the configurable validation rule Admin >> EHR >> Incident Tab >> Configurable Validation >> Arkansas Trauma Registry Number Format to allow the value in the Incident >> Trauma Registry field to begin with the letter C or D, in addition to A or B.

    08.18.2022

    PM

    A bug on the information displayed on a Completed Class was fixed.

    The message received when there is a duplicate employee number now displays the other employee’s name.

    Bug Fixes

    • Users with the Edit Class security permission but not the Edit Completed Class security permission were only able to see one attendee on the completed class in the Training section. Users with the Edit Class permission are now able to see all of the attendees on a completed class.

    Enhancements

    • In the Work > Employee Numbers section, there is an error message displayed when a user tries to set the employee number to the same number that is active on another person. That error message now displays the name of the person who already has that active employee number, so that it is easy to resolve the conflict.

    08.17.2022

    EHR

    EHR Mobile Version 5.33.1837.0

    Enhancements

    • Added Risperidone to Flowchart >> Medications. This can be enabled in Admin >> EHR >> Flowchart Tab >> Medications.
    • Added Peace and Health Officer Hold to Flowchart >> Other. This can be enabled in Admin >> EHR >> Flowchart Tab >> Other.

    08.16.2022

    Insights

    The URL being used for the embedded Sisense BI tool has been updated to match the ESO suite domain (sisense.esosuite.net).

    This means that:

    • Incognito mode with the Chrome browser now works properly
    • The Safari browser on Mac OS works properly
    • Fewer security-related problems for end users due to cross-domain URLs and browser cookies

    08.15.2022

    Incidents

    Summary

    Several changes were made to the incidents module, including print page updates and a new CAD related field.

    New Features

    • A new field, "Initial Dispatch Code," is available in Incidents. It is displayed on the Import CAD grid and on the Incidents > Basic page under Incident Type. The field will help departments capture data about how they were dispatched to an incident and compare that value to their final call type.

    Bug Fixes

    • Two print issues were resolved, one of which was affecting a narrative timestamp (which was removed) and another causing the FDID and Station values to not print (this has been fixed).
    • A personnel import issue was corrected so personnel counts are no longer duplicated on the incident report.

    08/11/2022

    Hydrants

    Bug Fixes

    • Blank list shown in the Properties application when searching for a hydrant now populating correctly.
    • Selecting “Upload Photo” or “Upload attachment” no longer triggers previously opened task shelves.
    • Hydrant images now clear correctly when navigating to a different image.
    • Improvements to stability of the spreadsheet import functionality

    08.10.2022

    PM

    The Credit list has been added to the Personnel Settings section and enhanced. This will allow customers in states like California, New York, Kentucky, and New Jersey to import their state training reporting codes and then be able to report them to their states.

    Enhancements
    • The Credit list is now available in PM > Settings > Class Lists. Please note that the functionality below is only available in PM, not in Admin. The section in Admin will be removed.
      • There is a new field called Code on the Credit list. This field can be used for state reporting of training such as Cal-JAC, and reporting for New York and New Jersey. Availability of the code in Ad Hoc will be in the next release.
      • The category of the Credit (EMS, Fire, Other) can be changed after the credit is created.
    • The Class spreadsheet import has been updated to include the Code in the Credit tab so that the Code can be imported with the Credit.
      • Note - the import only brings in new records. It does not update existing records.
      • There will be a Cal-JAC spreadsheet available for import. We are trying to get the New York, Kentucky, and New Jersey training code sets to make them available for import as well. If there are any other state-wide training code sets, please let us know.

    08.09.2022

    EHR

    EHR Mobile Version 5.33.1837.0

    Enhancements

    • Added Monkeypox as an Impression. This can be enabled in Admin >> EHR >> Narrative Tab >> Configurable Lists >> Impressions

    07.25.2023

    EHR

    No new mobile version

    This release has some changes in the N3.5 version to allow better documentation of an intercept scenario.

    Bug Fixes

    • Updated the NEMSIS 3.5 validation to allow a Transport Disposition of 'Transport by this EMS Unit' and 'Transport by This EMS Unit, with a Member of Another Crew' when the Crew Disposition indicates the patient care was transferred.

     

    08.02.2022

    Hydrants

    • Sorting enabled on Hydrants and Tasks grids.
    • Pagination controls added.
    • Bugs related to searching within the system resolved.

    Enhancements

    • Sorting enabled on Hydrants grid - default sort is ascending by Hydrant ID.
    • Sorting enabled on Tasks grid - default sort is descending based on Due Date (most recent first).
    • Pagination controls enabled on Hydrant and Task grids - you can now select how many Hydrants and Tasks are displayed on the grid, up to 250 per page. Default set to 50.

    Bug Fixes

    • Users can now search for exact string values by using double quotation marks – e.g. previously searching for HYD00500 would return other similar values. Searching for “HYD00500” will now only return 1 result correctly.
    • Improvement to stability and performance of “Import” functionality for larger files.

    07.29.2022

    Incidents

    Summary

    The team modified the current Incidents print page to always print narrative information for the main incident narrative (and unit narratives) on the Supplemental form instead of the Basic form. Also new with this release, the Properties and Incidents Integration is now available! This feature allows departments to link a Property, Building, or Occupant record to an Incident.

    New Features

    • Properties and Incidents Integration
      • There is a new "ESO Properties Record" lookup field in the Basic > Location section of an incident.
      • Use that field to search for a Property, Building, or Occupant by address (the search can also auto-fill existing addresses in the incident)
        • When a record is selected, it links the Properties record to the incident and auto-populates relevant details
        • If the call is a Structure Fire, and the linked Properties record is a Building or Occupant, it's possible to populate basic structure details into the Structure section of the Fire tab/li>
      • Once the incident is locked, users can see a record of that incident on the Properties > History > Incident History grid
        • New-All three Properties record types (Property, Building, and Occupant) have a grid that shows the linked incidents

    Bug Fixes

    • Incident narratives now always print on the Supplemental form-this was done to mitigate reported issues of data not splitting between the Basic and the Supplemental form correctly when an incident was printed.

    07.27.2022

    EHR

    EHR Mobile Version 5.33.1837.0

    Summary

    • To support the national initiative to study and reduce lights and sirens use, we have updated documentation options for lights and sirens use for both response and transport modes.
    • To continue preparing for NEMSIS 3.5 we have made some updates to the NEMSIS 3.5 transform.

    New Features

    • Four new fields are available to document the unit's response mode to scene:
      • Lights and Sirens Use
      • Intersection Navigation
      • Scheduled
      • Speed
      NOTE: The new Lights and Sirens Use field will be automatically enabled for your agency. The other fields will need to be enabled in Admin > EHR > Incident Tab > Configurable Fields.
    • The field Response Mode Descriptors has been deprecated; the data collected in that field in the past will continue to be available for reporting.
    • Three new fields are available to document the unit's transport mode to destination:
      • Transport Mode Lights and Sirens Use
      • Transport Mode Intersection Navigation
      • Transport Mode Speed
      NOTE: The new Transport Mode Lights and Sirens Use field will automatically be turned on for your agency. The other fields will need to be enabled in Admin > EHR > Incident Tab > Configurable Fields.
    • The EHR Web and EHR Mobile applications will automatically update the Transport Mode Lights and Sirens Use field with the value from Disposition, when the Disposition indicates Lights and Sirens use (Example: Transported, Lights/Siren).
    • The field Transport Mode Descriptors has been deprecated; the data collected in that field in the past will continue to be available for reporting.

    Enhancements

    • Added a field to document FiO2 in the CPAP Flowchart item
    • Added ET Tube, BiPAP/VPAP, and CPAP to the Devices list for the Oxygen Flowchart item
    • Added NYS EMT Critical Care to the list of available values for Incident Tab > Unit's Level of Care. This value may be enabled in Admin > EHR > Incident Tab > Configurable Lists > Unit's Level of Care.

    07.19.2022

    Analytics

    Users with access to ESO Insights will no longer see the "Analytics" app badge on the ESO Suite Dashboard. For these users, Analytics is now a feature within the Insights application.To access Analytics, these users will now need to launch Insights, then use the "Analytics" tab on the left side of the Insights homepage. All Analytics reports and folders are present in this location.Users in your agency without Insights access will continue to see the Analytics icon and will be unaffected by this change.NOTE: if you have bookmarks in your web browser directly to the Analytics app or specific reports, these bookmarks will continue to work.

    Hydrants

    Import functionality expanded to allow users to bulk update records through spreadsheet imports.

    New Features

    • Users can bulk edit data using the ‘Import’ function. You can now edit existing data for Hydrants, Tasks and Lookup lists by uploading a template spreadsheet which has matching values for key fields such as Hydrant IDs.

    07.13.2022

    Activities

    This release contains bug fixes related to the Task Name field and deleted personnel.

    Bug Fixes

    • Late last year the Task Name field was changed to be optional, but a bug was reported later where the Task Name was still being required on the backend. This bug has been fixed.
    • If personnel added to the Completed by section of an activity were deleted in PM, opening the activity would cause an error and the activity shelf would not load. This has been fixed.

    07.12.2022

    EHR

    This release contains updates to the Philips Tempus ALS Monitor/Defibrillator Integration.

    Bug fixes

    • Resolved a condition where when during a patient encounter a Philips Tempus monitor lost connectivity to Philips IntelliSpace Corsium, incomplete case data was made available to import into EHR.

    07.13.2022

    PM

    There is a new option on the Application List called “Enabled for Learning Academy”.

    • This option is available in the Person record > Person Settings > Application Lists section and in the Add Application List group action.
    • It is only available if the agency has purchased integration with Lexipol’s EMS1 Academy or FireRescue1 Academy.
    • Existing customers do not need to do anything with the list at this time.
    • In the future, users will be able to add personnel and class access in Lexipol based on adding the person to the application list in ESO.

    06.29.2022

    Activities

    This release contains updates to Community Events, new additions to the Logbook tab and a bug fix related to migrated event types.

    Bug fixes

    • 1. A bug existed where users were able to select Migrated Event type categories from the Event Type list if a community event type had been migrated. This has been fixed.

    Enhancements

    • A new Equipment section is available on the Community Event shelf below the Completed By section.
      • This collection allows users to add multiple types of equipment to a single Community Event.
      • When added, equipment will display in a list format in the Equipment section on the main Community Event shelf.
    • The following fields are no longer required for Community Events to be completed:
      • Station
      • Shift
      • Event Location
      • City
      • State
      • Zip
    • For migrated community events, there will be a visible flag on the Community Event shelf that indicates to the user that the community event was migrated from their legacy system.

    06.28.2022

    Hydrants

    Expanded the filter functionality by introducing an added filterable field.

    Enhancements

    • New filter added allows you to filter by “Inspection District” in the Hydrant List view and on the Hydrant Map view. This allows you to combine the filter with other filter options to improve searchability of hydrants within the application.

    06.23.2022

    Hydrants

    Bug fix and enhancement to the “Location Description” field displayed on the Hydrant Task view. These changes are visible when a user navigates to “List View” > “Tasks” > Select a task.

    Bug Fixes

    • Fixed a bug where a long text entry for “Location Description” would overflow and cut off the text.

    Enhancements

    • “Location Description” will now display on all Hydrants Tasks below “Address” to make it easier to identify instances where there are multiple hydrants on the same street address – previously this only displayed where address was absent.

    06.09.2022

    Incidents

    Summary

    A bug fix went out that adjusted the current Incidents print page so very long narratives will print in their entirety.

    Bug Fixes

    • Incidents with very long narratives now print the entire narrative without cutting off any text.

    06.07.2022

    PM

    Summary

    • The Employee Number section in the Work tab has been changed to a historical collection and uniqueness of the employee number is enforced for active records within an agency.
    • The Classes tab on the person record now has paging and additional filtering.
    • The Personnel Photo thumbnail will no longer display rotated on new photo uploads.
    • The search within the person record is now working properly again.

    Bug Fixes

    • The Personnel Photo thumbnail was displayed sideways in some cases. The photo now displays properly regardless of the original camera orientation on new photo uploads. Existing photo thumbnails will not change direction.
      • For existing photos that are sideways
        • Download the photo (if you no longer have it)
        • Delete the photo from the Person record
        • Upload it again
    • The search in the Person record is now working properly again.

    Enhancements

    • The Employee Number section in the Work tab was changed to a historical collection -
      • The latest set of employee numbers is displayed in the Work tab.
      • There is a new Payroll ID field to allow capture of an external Payroll ID and may be used to populate ESO Scheduling in the future.
      • An effective date was added. All values in the set of Employee Numbers (Employee Number, NFIRS Employee Number, Payroll ID, and Alternate ID) are active as of the effective date.
      • Active Employee Numbers must be unique within the agency.
      • If there are no employee numbers, then use the Add button to enter the employee numbers.
      • The history of the employee numbers is available from the View History button in the Employee Number section.
      • If there are existing employee numbers and any of the employee numbers changed then use the Update button in the Employee Number section or the Update link in Employee Number History.
      • If there is an error in an existing number, use the Edit link in the history window to update that record.
      • Employee number sets are deleted using the Delete link in Employee Number History.
      • If the person is set as Available in Fire in the Application Lists section in the Person Settings, then the NFIRS Employee Number is required.
      • The NFIRS Employee Number may be added through the Application List section in Settings or the Add Application List in Group Actions if there was no number already entered. If there already was a value in the NFIRS Employee Number, then the field is view only in the Settings and Group Actions.
      • The Payroll ID was added to Ad Hoc and Ad Hoc will be populated with the active set of employee numbers.
    • The Classes tab in the Person record now has paging when there are more than 50 records. There is a navigation control at the bottom to allow going forward and backward through the pages.
    • The Classes tab in the Person record now has a filter for records “Completed in Past Four Years”. The default when the Classes tab opens is “Completed in Past Year”.

    05.24.2022

    EHR

    ESO EHR Mobile Version: 5.33.1837

    New Features

    • Incremental updates to the NEMSIS 3.5 version including additional N3.5 list values and fields.
    • Initial release of the NEMSIS 3.5 XML processes to build NEMSIS 3.5 files.
    • Updates to the State Reporting system to support the new Certification levels added by the state of Pennsylvania.

    Bug Fixes

    • Resolved an issue in EHR Mobile, that would allow a duplicate entry in the database for a phone number or Immunization. Records in this state would fail to sync.

    Enhancements

    • Added Blood Product to Flowchart >> Medications

    05.05.2022

    Activities

    This release includes a new field on Community Event records and a bug fix.

    Bug Fixes

    • Users were receiving an error message when attempting to edit hours previously entered in the Completed By section of Operational Tasks. This has been fixed.

    Enhancements

    • A new field is added to the Reporting section of Community Events called “Total Attendees.”
      • This field is read-only and will display the total number of attendees reported in the Interaction Age Group Counts shelf.
      • In a community event record that is imported from a third-party system, if the Interaction Age Group Counts cannot be mapped to specific age ranges (ER and FH are examples), the total will be imported into the Total Attendees field.
    • For customers that migrate Community Events types from a legacy system, a new Event Category called “Migrated” will be added to the Event Categories list in Settings > Event Types. This category cannot be selected by users, but will be visible whenever Community Events are migrated.

    05.04.2022

    PM

    We fixed the Class Name list so that the class description now appears on the list right after it is added or changed. We also fixed Effective Date on the Assignment section which was not saving properly. A restriction to attachment file types was added for security reasons.

    Bug Fixes

    • The Effective Date in the Assignment section is now saving correctly.
    • The Class Description now displays properly in the Class Name list in Settings after it is updated.

    Enhancements

    • For security reasons, Attachments in all parts of PM no longer allow SVG, ZIP, 7Z, or RAR file types to be uploaded. Zip files are explicitly allowed for Certification and Credential Attachments Import upload in Settings > Imports.

    EHR

    ESO EHR Mobile Version: 5.32.1836.0

    Enhancements

    • Added the ability to document when the provider is Unable to Obtain (UTO) patient history information because the patient is Unresponsive in the Patient History, Patient Allergy and Patient Medications.
    • Added the following new items to Flowchart >> Other. These new flowchart items must be enabled in Admin >>EHR >> Flowchart >> Other
      • Wound Dressing
      • Pain Management
      • Patient Monitoring
      • Pediatric Continuous Assessment
    • Added the following new values in Patient History
      • Bronchitis
      • Asthma – mile, persistent
    • Added Remdesivir to Patient Medications
    • NEMSIS file mapping updates
      • Support for COVID custom elements
      • eOther.19 – added for Provider signatures

    04.29.2022

    Incidents

    All department personnel lists in Incidents have been updated to include a Middle Initial and the Employee Number as set up in PM. A minor bug with the new personnel filters has been corrected. Additionally, security updates to .NET and additional performance improvements were completed.

    New Features

    • Department personnel lists in Incidents (Report Writer, Officer-In-Charge, Quality Control, personnel on Units, and Fire Service Casualty) now include the employee middle initial and employee number. The format is: [Last Name], [First Name] [Middle Initial] – [Employee Number].

    Bug Fixes

    • An issue with the personnel on units list was corrected so the list respects the selected filter or search criteria when showing results.

    04.27.2022

    Incidents

    Numerous backend changes were made to support the Incidents module. Along with cleanup tasks from the recent Incidents Database Lift, backend validation was added for Incident Date and some minor corrections to the Incident Print Page were made.

    Bug Fixes

    • The incident print page was updated to correctly show Shift along with Aid Given/Received FDID, State, Incident Number. Additional fixes will be planned in future tickets.
    • Along with the change to not allow an empty Incident Date, incidents that had been saved without a date had the Incident Date set as the Created Date. Those incidents are once again discoverable via the incidents grid.

    04.26.2022

    Hydrants

    This release includes the addition of a new user-importable template for Hydrant Tasks. This feature builds on existing functionality for importing Hydrant records and attachments.

    New Features

    • 1. Users can now use a spreadsheet to bulk upload Hydrant Task records. The Imports section is located in the Settings section of Hydrants, which is accessible from the left side navigation bar. The new Hydrant Task import template is available when users click on the blue “import template” link at the top of the Imports tab.
      • The “Import Hydrant Tasks” security claim is required to be added to a role assigned to the user in order to see the Hydrant Task import template selection.

    04.20.2022

    EHR

    This release contains improvements to and bug fixes for the Philips Tempus cardiac monitor integration in EHR. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.32.1835.0

    Bug Fixes

    • Resolved an issue where non-invasive blood pressure (NIBP) readings were being recorded in EHR a minute sooner than expected.
    • Resolved an issue where the last set of imported vital signs were reported with the wrong time.

    Enhancements

    • When a Philips Tempus cardiac monitor case is imported into EHR, all recorded vital signs will be imported. Prior to this release when vitals were imported into EHR, they appeared in the Vitals tab trended at 10-minute intervals.
    • Added logic into the case retrieval process to download cases for an agency based on the serial number of cardiac monitors configured and enabled in Admin. This will route Philips Tempus cardiac monitor cases to the correct agency when multiple agencies exist within the same Philips Corsium account.
    • Added support for new Flowchart Medication routes: BVM, CPAP, Umbilical Artery Catheter, Umbilical Venous Catheter.

    04.13.2022

    Incidents

    Additional changes were made to clean up fire tables and stored procedures post the Incidents DB Lift. A bug fix was developed to prevent “null” incident dates from being saved, which was causing incidents to be unsearchable on the incidents grid. New filters for personnel on units have been added to allow users to search their personnel list by Division, Shift, Station, and/or Unit.

    New Features

    • Personnel filters have been added to the Units tab of incidents. Now when adding specific personnel to any Unit, users can filter the personnel list by Division, Shift, Station, and Unit. The filters are updated based on current settings in the Admin lists as well as from the PM > Work > Assignment details for personnel.

    Bug Fixes

    • Incident dates no longer save a “null” value. Users are prompted to enter a valid date if the field is cleared.

    Quality Management

    QM messaging was enhanced with group messaging functionality

    New Features

    • QM Group Messaging allows for multiple participants to be selected for a group message and for the participants to see the full message history including replies from other message participants in one view.

    Known Defect

    • Mobile will only show the messages not the participants.

    04.05.2022

    Activities

    This release includes an enhancement to Operational Tasks.

    Enhancements

    • When a user adds personnel to the Assigned Personnel field on Operational Tasks, those same personnel will now be populated in the Completed By section.
      • Removing a personnel from the completed by section does not remove them from the Assigned Personnel field.
      • Removing a personnel from the Assigned Personnel field will remove them from the Completed By section.

    03.30.2022

    PM

    Some of the colors and icons in PM were changed in order to provide accessibility for users with color blindness. We have fixed some issues around copying classes and sessions, changed the class time to 24-hour format, and provided the employee number as part of the person selection lists.

    Bug Fixes

    • A skill on a copied session could not be edited. This has been fixed.

    Enhancements

    • The person selection lists in the Group Actions module and the Manage Attendees in the Session section of the Training module now display the Employee Number after the person’s name. This value can be used in the search also. There is also a Clear All feature in both of those areas to allow you to unselect all selected people.
    • The Training Class list now shows the time in 24-hour format.
    • PM Basic customers no longer see the Work Lists section in the Settings section.
    • The class copy in the Training module will now show the spinner if it is working and will display an error message if there is an error.
    • The icons on the left navigation pane were all changed to be green.
    • The spinner, underlines, and various other components that used to be green are now blue.
    • Certification and Credential Attachments was added as an import option. This is primarily for use by implementation.

    Hydrants

    This release includes functionality to import attachments for hydrants and a bug fix.

    New Features

    • An import user can now import attachments for hydrants via the hydrants import.
      • In Hydrants > Settings > Imports a user can now import attachments for hydrants.

    Bug Fixes

    • Previous import validation messages did not contain enough detail about an encountered import issue.
      • More detailed messages will now be presented to the user.

    03.29.2022

    Activities

    This release includes UI enhancements and a bug fix

    Bug Fixes

    • The Event Category system list in Activities Settings now appears in alphabetical order

    Enhancements

    • The Daily Log Notes text box will now maintain paragraph returns and any pasted formatting entered by the user.
    • Users now have the ability to expand and collapse the left-side navigation in Activities.

    03.23.2022

    Admin

    This releases includes functionality to capture contact details for your integrated vendors.

    Features

    • New screens to capture information relating to your vendors for CARES, CAD and Billing. This allows you to keep the agency and vendor contact details for these up to date which will aid and speed up our internal specialists during onboarding or when resolving your support issues.

    03.16.2022

    EHR

    This release introduces the C-STAT stroke scale, new predefined location types, and additional Flowchart items. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.32.1835.0

    New Features

    • New Form: C-STAT Stroke Scale. This form may be enabled in Admin > EHR > Forms Tab > C-STAT Stroke Scale. The configurable validation rule Admin > EHR > Forms Tab > Configurable Validation > Specialty Patient Requires Stroke Scale will require that the C-STAT Stroke Scale be completed, if enabled, and if the Primary or Secondary Impression is Stroke or TIA, and no other stroke scale form ahs been completed. Data entered on this form appear on a printed Patient Care Report and Billing Report. Fields in this form are available for reporting in Ad-Hoc.

    Enhancements

    • Added three new predefined location types to Admin > General > Locations
      • Diagnostics Services
      • Other Recurring Care Center
      • Skilled Nursing Facility
    • Adjusted the EtCO2 field on the Vitals Tab to allow a maximum value of 200.
    • Added the following items to Flowchart > Airway: EtCO2 Monitoring, Ventilator Care/Adjustment. These can be enabled in Admin > EHR > Flowchart Tab > Airway.
    • Added the following items to Flowchart > Medications: Albumin, Cryoprecipitate, Fresh frozen plasma (FFP), Platelets, Packed red blood cells (RBC), Whole blood. These can be enabled in Admin > EHR > Flowchart Tab > Medications.
    • Added the following items to Flowchart > Other: Patient Positioning, Wound Care. These can be enabled in Admin > EHR > Flowchart Tab > Other.
    • Added the following Flowchart medication routes: Auto Injector, BVM, CPAP, IV Pump, Umbilical Artery Catheter, Umbilical Venous Catheter. These routes may be configured for a medication in Admin > EHR > Flowchart Tab > Medications. For details see the Flowchart Tab section in the Admin Module Online Help.
    • Added the following IV therapy sites: Wrist-Left, Wrist-Right. These sites may be configured for IV therapies in Admin > EHR > Flowchart Tab > IV Therapy. For details see the Flowchart Tab section in the Admin Module Online Help.

    Bug Fixes

    • Corrected an issue with EHR Mobile where certain device cameras would show in use when attempting to use Photo Capture.

    03.09.2022

    PM

    • The settings section at the person level is now labeled Person Settings so that you can tell which settings you are in.
    • New Person in the Personnel section now allows you to set account information with the username and password settings, as well as security roles, when you add a person.
    • Users' passwords can now be reset in PM from either the Person Settings > Account> Password for an individual or in the Group Actions > Password Reset for a group of users.
      • A temporary password or email to reset the password can also be set in New Person when adding a person.
    • A person may now be deactivated or activated, and the user can be locked, from the Person Settings > Account section.
    • There is now an option to Unselect All Roles in the select list for Security Roles in the Person Settings > Account> Security Roles for an individual or in the Group Actions > Add Security Roles for a group of users so that it is easier to start the selection over.
    • In Admin, the security permission that was called “Unlock Class” is now called “Edit Completed Class” to better reflect what it is used for. Any existing security roles that use that permission will still have the permission with the new label.
    • Missing State EMS Certifications list is now available in the Personnel section.
      • This list shows all personnel who are set as “Available in EHR” in the Application Lists and who either do not have any state jurisdiction EMS certifications or licenses at all or who only have ones that are expired.
      • This is meant to be helpful for ensuring that all EMS crew members have an active EMS state certification or licenses to aid in state submissions, but will not guarantee that the certification or license types required for a particular state are one of the active certifications or licenses for a crew member.
      • This list can be exported as a csv file by clicking the Export button.
      • Filtering in the Personnel section is applied to all lists and exports displayed there.

    02.10.2022

    EHR

    This release introduces capabilities for using the device camera to take photos, one new Flowchart treatment, and new list values in Impressions, Signs/Symptoms, and Injuries. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.31.1829.0

    New Feature: Photo Capture

    • Use the device camera to take photos and attach them to the EHR record
    • Photos are saved as attachments directly in EHR and not to the device’s storage or photo app.
    • Ability to annotate a photo to call attention to specific part of the image.
    • Must be enabled in Admin >> EHR >> Optional Features >> Photo Capture
    • Available web and mobile
    • A demonstration video is available here

    Enhancements

    • Added ETCO2 Digital Capnography to Flowchart Tab > Airway.
    • NEMSIS 3.5 preparations > Initial release to prepare for general availability summer 2022
    • Updated Admin >> EHR >> Narrative Tab >> Configurable Lists >> Impressions:
      • Alcohol intoxication
      • Other Cardiovascular disorder
      • Depression
      • Homicidal ideation
      • Other personality disorder
      • General Symptoms
      • Illness, unspecified
      • Early complication of trauma
      • Altered mental status, transient
      • Muscle Weakness
      • Seizure
      • Adult general exam, no finding
      • Child general exam, no finding
      • Encounter for aftercare
      • Encounter, feared condition not observed
      • General exam
      • Exam/observation for other suspected conditions ruled out
      • General psychiatric exam, requested by authority
      • Abuse/Neglect, suspected
      • Limb/hand/foot/fingers/toes pain
      • Lower back pain
      • Pain, acute due to trauma
      • Pain, chronic
    • Added the following values to Narrative Tab > Primary Injury/Additional Injuries
      • Abuse/Neglect NOS, suspected
      • Contact with dog
      • Assault
      • Other slipping, tripping and stumbling and falls
      • Slip, trip, stumble – same level
      • Slip, trip, stumble without fall
      • Exposure to uncontrolled fire in building or structure
      • All-terrain/off-road vehicle accident, nontraffic
      • Auto nontraffic accident
      • Auto occupant injured in transport accident
      • Auto/truck/van traffic accident
      • Collision with car/truck/van car occupant injury
      • Collision with unspecified motor vehicles
      • Crashing of motor vehicle
      • Motorcycle accident, nontraffic
      • Other motor-vehicle accident, nontraffic
      • Vehicle accident
      • Injury, unspecified
      • Legal intervention
      • Other injury of unspecified body region
      • Other specified effects of external causes
      • Pedal cyclist injured in traffic accident
      • Traffic accident, unknown mode of transport
      • Hit/kick/bite/scratch by another person (accidental)
      • Asphyxiation
      • Trapped in bed linens as cause of asphyxiation
    • Added the following values to Narrative Tab > Supporting Signs/Symptoms
      • Alcohol/Drug Exposure Category
        • Alcohol use
        • Poisoning by unspecified drugs/substance
        • Toxic effect of unspecified inorganic substance
      • Behavior/Emotional State Category > Worries
      • Cardiovascular > Myocardial infarction
      • Cognitive Function and Awareness >> Altered Mental Status, transient
      • Generalized Symptoms
        • Illness, unspecified
        • Inorganic substance use
        • Other general symptoms
      • Genitourinary > Chronic kidney disease
      • Injuries > Injury, unspecified
      • Metabolic > Diabetic Complications
      • Neuro-Musculoskeletal
        • Other nervous/musculoskeletal symptoms, unspecified
        • Stroke
      • No Patient Complaint
        • Adult encounter, no finding
        • Child encounter, no finding
        • Abuse or neglect suspected, unspecified
        • Feared condition not observed
      • Obvious Death
        • Undefined/unknown cause of mortality

    Inspections

    • A Fee tab has been added to Inspections.
      • If enabled, you will see a Fee tab within a scheduled inspection.
      • Fields include Invoice Date, Inspection Fee, Date Paid, Amount Paid, Invoice Number, Check Number and Transaction Number.
      • If a default fee has been set within Admin for an Inspection Type, that default fee will appear in both the Details tab and Fee tab.
      • Fee information will print on the Inspection report.
      • Fee information is available for Ad Hoc reporting within the Inspections table and following fields:
        • InvoiceDate, DatePaid, AmountPaid, InvoiceNumber, CheckNumber, TransactionNumber
    • Inspection Fee can be turn on within Admin.
      • Enable the Inspection Fee tab within Admin > Fire > Inspections > Inspection Module Configuration.
        • By default, the Fee tab is disabled.
      • Set a Default Inspection Fee for an Inspection Type within Admin > Fire > Inspections > Inspection Types.
    • Printing an Inspection report of a property now shows the property name in the report header.

    02.09.2022

    Personnel

    • Security Roles can now be added to personnel from within PM in the Security Roles section in person Settings > Account.
      • Note that security roles themselves are still set up in Admin>Security>Roles.
      • The Security Roles section is only available to users with the User Management security permission in one of their security roles. 
    • There is an Add Security Roles group action which allows multiple security roles to be added to multiple personnel.
      • The Add Security Roles group action is only available to users with the User Management security permission in one of their security roles. 
    • The new User list in the Personnel section provides a list of personnel with their user names, employee number, last login, work email, and the security roles assigned to them.
      • This list can be exported into a CSV file by clicking the Export button.
    • In Ad Hoc, there is a new column on the 13-07 Class Sessions table called “Session Length in Hours”. That has the decimal value in hours for the session length which can be used in calculations.

    01.26.2022

    Inventory

    • Previously, there was no option to save a stock check to return to and finish up later. Users can now save and resume a stock check. When resuming, a list of what has yet to be checked appears by default with the option to view what has already been checked.
    • If a call comes into the stock check timeline, and includes items that have already been checked in a "paused" stock check, the items reappear when resuming a stock check with a flag indicating they should be reviewed again.
    • Previously, no warning message displayed when navigating away from an unsaved stock check. Now, a modal appears warning the user that any unsaved progress will be lost. If attempting to close the browser, a similar warning appears (built-in browser function - "are you sure you want to leave this page?)".

    01.20.2022

    Analytics

    • Improved performance query times
    • Higher accuracy surrounding data time variables and statistical calculations (GEMS)
    • All EHR, Fire, QM reports in the past, user-created instances of ESO Analytics reports have not received the same updates as baseload ESO reports. This infrastructure upgrade, however, will improve all Analytics reports and update user-created reports to match their baseload counterparts.
    • Per above, the following report components may be impacted if the user instance does not match the current baseload:
      • Gems
        • the number of gems
        • which gems
        • the calculations that define the gem (including, the numerator or denominator criteria)
        • gem labels and/or descriptions
        • gem format or precision (percentage, decimal, times, etc.)
      • Charts (Main or Contextual)
        • the x axis range or labels
        • the y axis range or labels
        • additional/helper values (ie. counts)
        • value labels
        • value precision, or format
        • benchmark availability
      • Pivot/Breakdown Tables
        • x-axis bucket labels/ranges/values
        • y-axis bucket labels/ranges/values
        • exception row existence
      • Tabular Reports and Detail Reports
        • columns, column order, column names
        • row granularity/duplication
        • cell value, cell value format or cell value precision

    01.11.2022

    PM

    • The list of Immunization Manufacturers now has all current immunization manufacturers recognized by the FDA.
    • The Rank and Title now display correctly in all areas of PM and end dated Ranks or Titles no longer show the Expired label.

    01.10.2022

    Inspections

    • Inspection types in a scheduled inspection can now be changed.
    • Inspection filters now save until you clear them.
      • These filters will save until you either clear them or clear your browser cache.

    Properties

    • In a Property, Building and Occupant an inspection type can now be changed in a scheduled inspection.

    12.15.2021

    EHR

    This release introduces a new control for recording phone numbers within EHR. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.30.1823.0

    Enhancements

    • The following phone fields within EHR have been changed to a new control to allow for multiple phone types and numbers to be recorded:
      • Patient Tab > Contact > Phone Numbers
      • Billing Tab > Payment > Primary Insurance Company Phone Numbers
      • Billing Tab > Payment > Secondary Insurance Company Phone Numbers
      • Billing Tab > Work Related > Phone Numbers
      • Billing Tab > Next of Kin > Phone Numbers
    • Printed reports have been updated to display phone numbers recorded with this new control.
    • Added a deferred validation rule that requires Forms Tab > Motor Vehicle Collision > Vehicle > Airbag Deployment Location be completed when Airbag Deployment equals Airbag(s) Deployed.
    • Added Additional National Provider Identifier (NPI) to the Demographics details for Admin > General > Locations.
    • Moved Admin > General > Agency Info > Service Area > Service Area Size to Admin > General > Agency Info > EMS Annual Statistics > Service Area Size.

    Defects Fixed

    • Resolved an issue where the value entered in Narrative Tab > Patient Complaint > Last Known Well Time could be before the Transfer of Patient or Call Closed time.
    • Resolved an issue where the value entered in Narrative Tab > Patient Complaint > Onset Time could be before the Transfer of Patient or Call Closed time.

    12.14.2021

    Properties

    • In a Property, Building and Occupant an inspection type can now be changed in a scheduled inspection.
    • Properties filters now save until you clear them.
      • These filters will persist until you either clear them or clear your browser cache.
    • Previously, users were getting an error when a contact role was deactivated in the roles list found in Admin > Fire > Properties > Contacts > Roles and an existing or migrated contact had the deactivated role. This has been fixed.
      • Please note: If a role has been deactivated, it will not display on any contact. If, at any time, a deactivated role is reactivated, it will appear on any contact that was assigned that role at the time it was deactivated.

    12.08.2021

    PM

    • There is a new security privilege, Complete Training Class, which allows the user to see the Complete button for classes in the Training module.
      • This will allow customers to let some users manage class information but give only certain people the ability to complete the class.
      • The security privilege has been added by default to the Personnel Management Admin, PM Training Manager, and PM Training Supervisor security roles.
      • If the user does not have the Complete Training Class security claim as part of one of their security roles then the Complete Class functionality is not available.
      • This is managed in Admin > Security > Roles.
    • Class Name values can now be added to the Class Name list from the Add Class window by clicking on the “Add Class Name” link.
      • The ability to add the class name value is only available if the user’s security role has the Class Lists security privilege.
      • The Class Name, Class Description, and Class Objective can be added to the list.
      • The newly added Class Name value will automatically be selected for the Class Name field and the Class Description and Class Objective will also be populated if they were entered.
      • Any values added to list are available in the Settings > Class Lists > Class Names list and can be managed there.
    • The Expiring Certifications list now can be exported as a CSV file by clicking on Export button.
    • The Expiring Qualifications list now can be exported as a CSV file by clicking on Export button.  
    • There is a new list called HR Information.
      • This list is only available to users who have the View HR Info or Edit HR Info security privilege in one of their security roles.
      • This list shows the personnel’s name, employee number, date of birth, social security number, gender, and race.
        • Too-long values are truncated, but the complete values can be viewed by hovering.
      • The list can be sorted by the name, employee number, date of birth, or social security number.
      • The list can be exported as a CSV file by clicking on Export button.
      • This allows customers access to this information while providing more granular security than ad hoc.
    • The User Name for the personnel can now be added, viewed, and edited in PM in the person > Settings > Account section.
      • The Account section is available to users with the Manage Users security privilege.
      • Any existing user names will be displayed in PM.

    11.29.2021

    PM

    • The Rank list and the Title list have been moved into PM > Settings in the Work Lists section.
      • Rank list values can be added, edited, deactivated, and activated.
      • The values can be ordered by dragging and dropping them or put back into alphabetical order by clicking the “Sort Alphabetically” button.
      • The order in the list is the order the values will appear in the edit window in the person > Work > Rank and Title section.
      • The list values can be exported into a CSV file.
      • A new Points field on both lists captures the value assigned to that Rank or Title for LOSAP calculations.
      • Any values that were entered in Admin for these lists will be displayed in PM > Settings.  
    • Rank and Title Points are available in Ad Hoc in the Rank and Title History table.
    • In Group Actions, there is now a Status filter for the personnel.
      • It is defaulted to Active personnel.
      • It can be set to show Deactivated personnel, Active personnel, or both.
      • Deactivated personnel have a label next to their name to indicate that they are deactivated.
    • Personnel Import was updated to include the end date for Rank and Title.
      • To import Rank history or Title history, a row for the person with just the first and last names, email address, and the rank or title name, effective date, and end date (if desired), can be added to the Personnel import spreadsheet and imported. Ranks or Titles with identical information to what is in ESO already will not be imported again.

    11.18.2021

    Permits

    • Permit numbers can now be autogenerated.
      • Set up the Permit Number generation by going to Permits > Setting > Permit Number. This is available to users with the Permits Settings Access security privilege.
      • Users can customize their permit numbers to auto-generate in numeric or alpha-numeric format
        • For Numeric format
          • Select a number length that is between 6 and 16 characters.
            • This is the starting maximum size of your number. However, if you select a number length of 6 and use up all of the available values, the system will begin generating permit numbers that are 7 characters in length.
              For example, if your Number Length is 6 and the Starting Value entered is 1, once permit number 999999 is used, the next permit will generate as 1000000.
          • Enter a starting value for the first Permit created after auto-generation is enabled.
            • Note:  If the Starting Value you entered already exists, the next available value will be used.
          • Include left-padded zeros, if desired.
            • For example, if your Number Length = 6 and the Starting Value entered is 123 (fewer than 6 characters), if you choose yes to Include Left-Padded Zeroes, then Permit auto-generation starts at 000123. If you select no, then Permit number generation starts at 123.
        • For Alpha-Numeric format
          • Select a number length between 6 and 16 characters.
            • This is the starting maximum size of your number. However, if you select a number length of 6 and use up all of the available values, the system will begin generating permit numbers that are 7 characters in length.
              For example, if your Number Length is 6 and the Starting Value entered is 1, once permit number 999999 is used, the next permit will generate as 1000000.
          • Enter a starting value for the first Permit created after auto-generation is enabled.
            • Note:  If the Starting Value you entered already exists, the next available value will be used.
          • Include left-padded zeros, if desired.
            • For example, if your Number Length is 6 and the Starting Value entered is 123 (fewer than 6 characters), if you choose yes to Include Left-Padded Zeroes, then Permit auto-generation starts at 000123. If you select no, then Permit number generation starts at 123.
          • Enter an alpha-numeric prefix. The maximum character length is 4 characters.
            • The length of this field does not count against your Number Length. So, if you if your Number Length is 6, the Starting Value entered is 222222, and your prefix is ESO, your starting permit value will be ESO-222222.
      • At the bottom of the Customize Permit Number shelf, the preview field will display a preview of your permit number. The value will update dynamically as you make your selections within the shelf.
        If you save the customization, permit number auto-generation is enabled and you will no longer be required to manually enter a permit number.
      • If auto-generation is enabled, users will see an Actions button on the Permit Number tab. From the Actions button, users can do the following:
        • Edit the permit number auto-generation customization
          • Editing the auto-generation will NOT affect permits that have already been created.
        • Disable the permit number auto-generation customization
          • If the permit number auto-generation customization is disabled, new permits will revert to require users to manually enter a permit number.
    • When renewing a permit, you now have option to renew with the same permit number or with a new permit number
      • If auto-generation is enabled
        • If you select Renew With New Permit Number, the system will generate the renewed permit with the next available permit number.
        • If you select Renew With Same Permit Number, the system will generate the renewed permit with the current permit number.
      • If auto-generation is NOT enabled
        • If you select Renew With New Permit Number, the permit number field will be available so that you can enter your desired permit number.
        • If you select Renew With Same Permit Number, the system will populate the current permit number in the permit number field for you.

    Inspections

    • When creating a permit from Inspections
      • If auto-generation is enabled, you will no longer see the Permit Number field
      • If auto-generation is NOT enabled, the Permit Number field will be manual and required

    11.17.2021

    EHR

    This release introduces an Immunizations field on the Patient Tab, pertinent negatives for patient demographics, phone number collection enhancements in Admin, and resolves defects in EHR Mobile. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.29.1819.0

    New Features

    • Added Immunizations to the Patient Tab. The Immunizations field may be enabled in Admin > EHR > Patient Tab > Configurable Fields > Immunizations. The immunization list and the immunization manufacturer list are configured in the Personnel Management module or by accessing the User Management Workflow module. Immunizations are available in Patient Import and will appear on printed the Patient Care Report, Billing Report, Quick Summary Report, and Care Summary Report.
      NOTE: Patient Immunizations are not available for Mobile-to-Mobile records transfer.
    • Added Unable to Obtain (UTO) for Patient Demographics. Users may indicate Patient Refused or Other Reason for First Name, Middle Name, Last Name, Social Security Number, Weight, or Pediatric Color Coding. Pertinent negative values are available in Patient Lookup and during a Mobile-to-Mobile transfer using EHR Mobile version 5.29.1918.0 or greater.
    • New Optional Validation Rule: Requires Signatures Tab > Physician Certification Statement be completed for patient transport dispositions when Incident > Run Type is equal to Medical Transport. This rule may be enabled in Admin > EHR > Signatures Tab > Configurable Validation > Physician Certification Statement Required for Medical Transport.
    • New Optional Validation Rule: Requires Signatures > Physician Certification Statement be completed for patient transport dispositions when Incident > Run Type is equal to Non-Emergency Interfacility Transfer. This rule may be enabled in Admin > EHR > Signatures Tab > Configurable Validation > Physician Certification Statement Required for Non-Emergency Interfacility Transfer.

    Enhancements

    • Added Atenolol to Flowchart Tab > Medication.
    • Updated Admin > General > Agency Info > Primary Contact, Secondary Contact, and Medical Director to record three phone numbers and phone number type.
    • Updated the Demographics details for Admin > General > Locations to record two phone numbers and phone number type. Fax numbers should be recorded in the Fax Number field.
    • Updated Admin > General > Stations to record two phone numbers and phone number type.
    • Updated the label of disposition Patient Treated, Transferred Care to Another EMS Professional to read Patient Treated, Transferred Care to Another EMS Professional/Unit.

    Defects Fixed

    • Resolved an issue where Mobile-to-Mobile transfers fail when the Billing Tab > OSHA PPE Used configurable field was disabled in Admin.
    • Resolved an issue with Forms Tab > Burns in EHR Mobile where the highlight for the selected option extends over the anatomical figure.

    11.10.2021

    PM

    • The Rank and Title section in the Work tab is now updated to allow historical records.
      • The most recent Rank and Title are displayed on the Work tab.
      • Add ranks or titles using the Update link found under the rank or title record or in the History.
      • View all historical ranks or titles by clicking on the History link. From there, entries can be edited or deleted.
      • Note: End dates for previous ranks or titles are not automatically filled in. Review the History and make sure that old rank or title entries have end dates.
    • Ad hoc has been updated for Rank and Title history
      • The 12-09 Personnel Work History table in Ad Hoc has the Shift and Title populated with the current Shift and Title
      • There is a new table 12-12 Personnel Rank and Title History with columns
        • Rank or Title (this will say Rank or Title)
        • Rank or Title Name (the name of the rank or title selected in the application)
        • Effective Date
        • End Date
    • The Session Description field in the Training module is no longer required in order to save a session.

    10.11.2021

    PM

    • The Classes Tab on the person record now has additional filters, sorting, and by default displays the classes for the last year.
      • There is an option on the top right above the Classes list to change it to Completed in Past 2 Years, Completed in Past 3 Years, and All records.
      • Filter by Class Name, Category, and/or Method. Filters are additive, so for records to show on the list they must have values in each type of filter selected.
      • Class records can be sorted by clicking on the arrow next to the column header for Class Name, Session Name, Start Date & Time, Pass/Fail, and Credited.
    • Classes in Training may now be copied.
      • There are options to copy various parts of the class and its sessions so that as much or as little of the class is duplicated as desired.
      • If attendees are selected to be copied, their attendance information is not copied.
      • If a completed class is copied, the copy will be in open status.
    • As part of our accessibility updates, a number of buttons, links, and other elements in PM have been changed from green to blue.
    • Imports now have spreadsheet-level and sheet-level validation errors displayed in the Error Detail for the import job in Settings > Imports.
    • Contacts deleted in PM will no longer show up in Ad Hoc.

    10.06.2021

    Activities

    • A new "Points" field is now available in Activities so that users can track points for individuals who complete tasks or participate in community events.
      • The Points field will appear next to the Hours field in the Completed by section of a task or event when personnel are added in that section.
      • The Points field is not editable when an activity is in Scheduled status.
    • The Points field in Activities is available on the following tables in Ad Hoc
      • Activities Event Agency Person
      • Activities Task Completed By Agency Person

    Properties

    • User-definable "ID" fields are now available in Properties so that users can track enter a unique identifier for each property, building, and occupant in their Properties application. These new user-defined ID values will allow easier identification of records for selection and linking. For example, when importing Permits they can be associated with a property, building, or occupancy if the IDs have been entered in ESO.
      • For Properties, users will see a "Property ID" field below the Property Name field on an individual Property record.
        • The existing Property Identity field that appears below Latitude and Longitude on property records has been renamed Property Description. No data in that field has been removed or changed.
      • For Buildings, users will see a "Building ID" field below the Building Name/Number field on an individual Building record.
      • For Occupants, users will see an "Occupant ID" field below the Occupant Name field on an individual Occupant record.
    • The values for these fields must be unique across record types for an individual agency. For example, an individual agency may not assign the same Property ID to two different properties belonging to their agency.
      • If a user deactivates a record, the ID value cannot be reused by another record of the same type.
      • If a deletes a record, the ID value may be reused by another record of the same type.
    • These new fields are optional and may also be assigned when a user creates a new record of any type in Properties.
    • Agencies whose Properties records were imported will have their Occupancy IDs populated for them. Property IDs will be populated for agencies whose property information was imported since the end of 2020.
    • The new fields are available in Ad Hoc
      • The new Property ID field is available on the Properties table.
      • The Property Identification field on the Properties table was renamed Property Description.
      • The new Building ID field is available on the Building table.
      • The new Occupant ID field is available on the Occupant table.

    09.30.2021

    EHR

    This release introduces a new stroke scale, new fields, additional pertinent negatives for vital signs, various enhancements, and defect fixes. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.28.1816.0

    New Features

    • New Form: Emergency Medical Stroke Assessment (EMSA). This form may be enabled in Admin > EHR > Forms Tab > Forms > Emergency Medical Stroke Assessment (EMSA). If enabled, the configurable validation rule Admin > EHR > Forms Tab > Configurable Validation > Specialty Patient Requires Stroke Scale will require that the EMSA Stroke Scale be completed if the Primary or Secondary Impression is Stroke or TIA, and no other stroke scale has been completed. Data entered on this form appears on the printed Patient Care Report and Billing Report. Fields in this form are available for reporting in Ad-Hoc.
      NOTE: This form has been enabled for all Alabama customers. We recommend Alabama customers disable all other stroke scales not in use.
    • New field: Incident Tab > Scene > Location Type Detail. This field may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Location Type Detail. When enabled, this field is disclosed for certain location types and allows users to document additional detailed location types for the location category specified.
      Known Limitation: There is a known issue with EHR Mobile where for Location Type Details is persisted after changing the Location Type. This will be corrected in a future release.
    • New field: Incident Tab > Scene > Additional Address. This field is available for both predefined addresses (for locations created in Admin) and manual addresses.
    • Added value Exam Finding Not Present to Vitals Tab > Unable to Obtain (UTO) for Blood Pressure, Pulse, Respiration, and SpO2. Updated associated validation rules to recognize the pertinent negative value. Updated the printed reports to reflect the pertinent negative value when selected.
    • Added Glasgow Coma Scale (GCS) to Vitals Tab > Unable to Obtain (UTO). Updated associated validation rules to recognize the pertinent negative value. Updated the printed reports to reflect the pertinent negative value when selected.
    • Added Organizational Type to Admin > General > Agency Info > EMS.
    • Added EMS Station Code to Admin > General > Stations to track the ID of each station.
    • Added Census Tract to the address pages for Admin > General > Locations.
    Enhancements
    • Updated Vitals Tab > CO to accept a value with one decimal place. This field accepts a minimum value of 0 and maximum value of 100. Ad-Hoc has been updated to handle CO values with decimals.
    • Updated Scene and Destination Latitude and Longitude fields to handle the precision of all digits without dropping trailing zeros. Ad-Hoc has been updated with the fields Scene Latitude Decimal, Scene Longitude Decimal, Destination Latitude Decimal, and Destination Longitude Decimal, to handle the precision of these fields.
    Defects Fixed
    • Resolved an issue when using the Multi-Role Crew feature, a maximum of 3 crew members are reported on the billing extract PDF.

    09.29.2021

    PM

    • The Expiring Skills list in the Personnel section now can be exported as a CSV file by clicking the Export button at the top right.
    • The following lists moved to PM > Settings and values can be added and edited from there
      • Other Certification or License
      • Driver’s License
      • Driver’s License Endorsements
      • Driver’s License Restrictions
    • Image attachments and sign-in sheet signatures that have a transparent background now display with a white background for better visibility. This does not change the image itself.
     

    09.13.2021

    PM

    • There is a new Attachment Present indicator in the 12-07 Personnel Immunizations table in Ad Hoc.
      • This indicator is set to “Yes” if there is one or more attachments for the immunization record for a person.
    • The Fire Certifications and Licenses list is now available in the PM > Settings > Certifications and Licenses section to add and edit list values. The list can also be exported to a csv file.
    • There is a new group in Settings called Class List which now has the Class Names, Session Names, and Absence Reasons lists in it.
    • A Credential or Skill can now be added for the same date as the session for a completed class.
    • Imports
      • There is a new Import status called In Queue.
      • An import job will have a status of In Queue if the job is waiting to be processed.
      • A Failed Validation status indicates that there were errors overall in the spreadsheet that was being validated. Go to the error details window to see what the errors were.

    Admin

    • The security permission for the PM application that was called Quick Credit Tab Access is now named Group Actions Access.
      • When added to a security role, it allows the user to see the Group Actions section in PM. The user can see a particular group action if they have the Group Actions Access in conjunction with the appropriate Edit security permission. For example, Group Actions Access and Edit Immunization Details are required to see the Immunization group action.
      • Any roles already using this permission will now show it with the new name.

    09.10.2021

    Fire Incidents

    • Multiple Fire tab fields were showing as required for mutual aid calls causing validation errors and preventing the incident from being locked. This is now fixed.

    09.01.2021

    PM

    • The EMS Certifications and Licenses list is now available in the PM > Settings > Certifications section to add and edit list values. The list can also be exported to a csv file.
    • Imports
      • Larger import files may now be uploaded without timing out.
      • On the Class import, the Origin column is now only required if there is a value in the Source ID column. The Class import template has been updated with new header information explaining the new Origin and Source ID requirements.

    08.31.2021

    Inspections

    • Inspection reports with a large number of photos will now print. Please be advised that if there are many photos attached to an inspection report, it may take a few minutes to generate.

    08.30.2021

    EHR

    This release includes new a Flowchart medication. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.27.1813.0

    New Features

    • Added REGEN-COV (Casirivimab, Imdevimab) to Flowchart > Medications

    08.18.2021

    EHR

    This release introduced new fields, various enhancements, and defect fixes. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.27.1813.0

    New Features

    • New field: Incident Tab > Response > Unit Capability. This field may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Unit Capability. Values for this field may be set in Admin > EHR > Incident Tab > Configurable Lists > Unit Capability. If only one value is enabled, EHR will default to that value. Unit Capability appears on the shift widget on EHR Mobile. This field is available for reporting in Ad-Hoc.
    • New validation rule: Admin > EHR > Incident Tab > Configurable Validation > Unit Capability Required when enabled requires Unit Capability be completed.
    • New field: Incident Tab > Additional > First Agency to Provide Patient Care.
    • Added a deferred validation rule that requires the selection in Incident Tab > Additional > First Agency to Provide Patient Care to equal one of the values selected in Additional Agencies.
    • New field: Patient Tab > Contact > Patient Resides in Service Area. This field may be enabled in Admin > EHR > Patient Tab > Configurable Fields > Patient Resides in Service Area. This field appears on printed reports and is available for reporting in Ad-Hoc.
    • New validation rule: Admin > EHR > Patient Tab > Configurable Validation > Patient Resides in Service Area Required when enable requires Patient Resides in Service Area be completed.
    • New field: Patient Tab > Contact > Temporary Residence Type. This field may be enabled in Admin > EHR > Patient Tab > Configurable Fields > Temporary Residence Type. This field appears on printed reports and is available for reporting in Ad-Hoc.
    • Added Route to Patient Tab > Medications. Users can add route by clicking Add Details after selecting the medication. This field may be enabled in Admin > EHR > Patient Tab > Configurable Fields > Current Medication Route. This field appears on printed reports.
    • Added Frequency to Patient Tab > Medications. Users can add frequency by clicking Add Details after selecting the medication. This field may be enabled in Admin > EHR > Patient Tab > Configurable Fields > Current Medication Frequency. This field appears on printed reports.
    • New field: Billing Tab > Transport > Interfacility Transfer or Medical Transport Reason. This field may be enabled in Admin > EHR > Billing Tab > Interfacility Transfer or Medical Transport Reason. This field appears on printed reports.

    Enhancements

    • Added the following values to Patient > History
      • Addison's Disease
      • Cushing's Disease
      • Muscular Dystrophy (MD)
      • Narcolepsy
      • Pulmonary Embolism
      • Vertigo
    • Added the following procedures to Flowchart > Other
      • Leave Behind Narcan Kit
    • Added the following values to Incident > Times > Scene Delays
      • Ground Unit Not Available
    • Added Medical Control for all Flowchart items to printed reports
      • Added Dispatch Priority to Ad-Hoc table Incident Details 01-0

    Defects Fixed

    • Resolved an issue where when the Multi-Role Crew Configuration option is enabled, provider roles do not appear correctly on printed reports.
    • Resolved logic related to the Lead provider when the Multi-Role Crew Configuration option is enabled.
    • Resolved an issue where when the Multi-Role Crew Configuration option is enabled, provider signatures do not appear correctly on billing extracts.
    • Resolved an issue where when the Multi-Role Crew Configuration option is enabled, non-crew members were duplicated on the printed report.

    Inspections

    • Previously, the Inspection Number filter was not returning results when users entered an inspection number. This has been fixed.
      • Users will no long see the INSP- prefix and will not be required to enter it.
    • The Violation Code description is now available for selection in Ad Hoc from the Inspection Violation table.

    PM

    • There is an updated Class import template with improved heading descriptions and additional validation in the cells.
    • The Class Names list and Session Names list will no longer allow duplicate names.
    • In the Training module
      • All classes now show the Sessions tab.
      • Sessions are easily added and managed from the Sessions tab.
      • All sessions are now displayed in the Sessions tab, whether there is one session or many sessions.
      • Select a session from the All sessions list to view the session details, including credits, credentials, skills, attachments, and comments.
      • The Sign-in Sheet and Copy Sign-in Sheet features are now available from the Actions list next to the session information on the list of sessions on the Sessions tab.
      • As before, a session must be added before adding attendees.
      • The Manage Attendees functionality is now available from the Manage Attendees button on the Session detail window and in the Actions list next to the session information in the All sessions list on the Sessions tab.
      • Manage Attendees has been moved into its own window. This allows more attendees to be viewed at a time and simplifies saving the attendees and their attendance information.
      • When completing a class with no attendees set to attended, the link in the message in the confirmation window now opens the session detail.

    08.02.2021

    Incidents

    • The following updates were made to more effectively enforce the NFIRS requirements as some users were receiving extract errors in some scenarios:
      • Users will now see on the Fire Tab in the Structure section, that Fire Spread is required on Structure Fires if they do not indicate that the fire was confined to item on the Item First Ignited field.
      • When users enter None in the Human Factors Contributing to Ignition field on the Fire Tab in the Ignition section, they can no longer enter Age or Gender of the person involved.
      • Users were previously allowed to select None from the Storage Use ID field on the Fire Tab in the Materials section. None has been removed from the list as it is not a valid NFIRS value for that field.
    • Users can now require the Estimated Property Value and Estimated Content Value fields - on the Basic Tab in the Losses section - as part of the Fire Incidents report writing workflow using a configurable validation setting in Admin.

    07.28.2021

    EHR

    We are introducing significant improvements to the workflow for documenting Assessments in EHR including:

    • A redesigned user interface with more than 70 new medical and injury findings and finding locations
    • The ability to document an unlimited number of assessments with speed
    • New nomenclature of “present” and “absent” for documenting findings

    A user guide and video are available on the EHR Training Portal. To use this new workflow, a new version of ESO EHR Mobile is required.

    ESO EHR Mobile Version: 5.26.12.0

    07.21.2021

    PM

    • The classes tab in the person record now displays by session, if applicable, and includes format changes to better see the class name and class description. The session name, session description, and credited indicator were added. The Pass/Fail column now includes “N/A” for training classes where the Pass/Fail is not set.
    • Improved performance when deleting a class in Training.

    Hydrants

    • All column headers in the Hydrant Import spreadsheet are now validated to match the template.

    07.12.2021

    Hydrants

    • For hydrant imports, the Excel document that is uploaded is now checked to make sure
      • it is the correct import template type
      • the headings for required rows match the Hydrant import template
      • the rows with data have all required columns filled in
    • Note: a Hydrant record can only be imported once. Importing a second time does not update the record. If the spreadsheet was missing information that you now want to import, you will need to delete the hydrant record and import it again. This is only recommended for initial setup of the hydrant record before it is used.

    07.08.2021

    PM

    • The session length is now available in the Sessions list and in the session detail section.
    • There is a Comments section added to the session.
    • There is a Links section added to the session which allows links to websites to be included for the session.
    • There is an Attachments section added to the session with the ability to add, delete, edit the description, print, and download the attachments. PDF and image attachments may also be previewed.
    • The Actions menu replaced the Add, Edit, and Delete buttons for the Session on the About this class tab.
    • A session may now be copied to be able to reduce setup time.
      • Copy existing session is available as an option in the Add another session button in the All Sessions section.
      • Copy is available in the Actions menu for a session in the All Sessions section on the Sessions tab.
      • If it is a single session class and a session has been added, Copy this session is available in the Actions menu for the Session section.
      • All copied sessions will get a copy of the basic session information available in the session Details section.
      • In the Copy Session window
        • The Session date and times need to be set for the newly copied session.
        • Additionally, there are options to also copy
          • Attendees
          • Credits, credentials, and skills
          • Attachments and Links
        • These options may be used in any combination. For example, if the class is being given for each shift, then the first shift can be set up in a session and that session can be copied including credits, credentials, skills, attachments, and links but without attendees since the same person would not be expected to go to the same class for multiple shifts. If the class has sessions that cover different subject matter, then the first session can be added for the first subject with the group of attendees who would be expected to attend every session and that session could be copied including the attendees but without the including credits, credentials, skills, attachments, and links. Once the session is copied, then the new session can be modified as if it were created manually.
    • Session information is now available in Ad Hoc in the 13-07 Class Sessions table with the following columns
      • Session ID
      • Session Name
      • Session Description
      • Session Objective
      • Required
      • Date
      • Start Time
      • End Time
      • Training Location
      • Street Address 1
      • Street Address 2
      • City
      • State
      • County
      • Zip
      • EducationalEventID
      • Comments
      • Session Length
    • The following tables in Ad Hoc have had the Session ID added
      • 13-03 Class Credit Credentials
      • 13-04 Class Credit Skills
      • 13-05 Class Credit Hours
    • The following columns in the 13-02 Class Attendees table have been added to Ad Hoc
      • Session ID
      • Attended (yes/no)
      • Credit Granted (yes/no)
      • Signature (yes/no)

    Fire Incidents

    • A new field called Working Fire is added to the Basic Tab in Fire Incidents. The Working Fire field appears below the Incident Type field. It is not set by default and can be set to Yes or No. Users can enable the configurable validation in Admin to require the Working Fire field.
      • The Working Fire field has been added to the Fire-Incidents Data API.
      • The Working Fire field is available for reporting in the 15-01 Fire Incident Basic Module table in Ad Hoc.

    Admin

    • In Admin, agency administrators will now can enable a validation rule that requires the Working Fire field on Fire Incident records by turning on the “Working Fire Required” rule in Admin > Fire > Incidents > Configurable Validation > Basic Tab.
    • The Enable Arson option in Admin > Fire > Incidents > NFIRS Module Configuration is now called Enable Investigation.

    06.23.2021

    PM

    • The Training module has been updated with a new look and lots of new functionality. Here is a document that provides more information about the changes.
      • New lists
        • To manage these lists, users need to have the “Class List” security claim set in Admin as part of one of their user roles. This is an existing security claim and is used for access to the other lists needed for training such as Class Names.
          • Session Names, which includes Session Name, Session Description, Required, and Session Objective.
          • Absence Reasons
      • Training Class and Session changes
        • There is a new header which clearly shows the status of the class.
        • The ellipsis menus have been changed to Actions menus but provide the same functionality.
        • For a single session class everything can now be accessed from the Class Detail tab.
        • For multi-session classes, there is a new Sessions tab to manage the sessions and open the session detail section.
        • Session Name
          • The previous Session Name values are now displayed in the Session Description field.
          • The Session Name is required and now allows you to select a value from the list.
          • Existing records will require a Session Name if any changes are made and saved.
          • If there is a Session Description, Required, or Session Objective set in the Session Name list, those will be populated when you select a value.
          • All of the default values except the Session Name itself may be updated for the individual session.
        • The number of attendees is displayed per session.
      • Credit changes
        • Credits are now associated with a Session. If there is only one session for a class, then the credits, credentials, and skills are conveniently located in the “About this class” tab. 
        • For classes with multiple sessions, the credits, credentials, and skills are on the Session detail. 
    • Manage Attendees changes
      • There is a Manage Attendees link in the left navigation pane for the Class or the Session as well as an option in the Session Actions menu. This will open the area to add and remove attendees, and record attendance, pass/fail, grades, and absence reason. 
        • At least one session must be added in order to add attendees. 
        • Note: For existing open classes, attendees are still there and can be managed as soon as a session is added. 
          • The view only Attendee tab is available for only the existing open classes without a session.  
          • For existing completed classes, the attendees have been added to all sessions. 
            • Users with appropriate security may update the attendees on the sessions if this does not accurately reflect the attendance at the class. 
            • Sessions themselves cannot be added or deleted from a completed class, though most session details, including attendees, can be changed. 
        • Attendees are associated with a session instead of the class as a whole. In this way partial credit can be given for a class or an attendee can be recorded as only present for part of the class. This can also be used to have a session per shift and only assign the appropriate people in that shift for the session that they actually attended. 
        • There is a new Attended field which is required. 
        • Pass/Fail is available but is no longer required, and there is now an N/A option. 
        • There is a new Credit indicator, which makes it easy to know if the person will be granted the associated credits, credentials, and skills when the class is set to Completed. 
          • If a person has Attended and Pass/Fail is NA or Pass, then the person will be granted the credits. 
          • If a person has Attended and Pass/Fail is Fail, then the person will NOT be granted the credits. 
          • If a person has not Attended, then the person will NOT be granted the credits. 
          • Note: For existing completed classes all attendees have been set to Attended. 
        • All attendees for the session can be set to Attended and to Pass using the options in the Session Actions menu. 
        • If the person is set to No for attended, then there is an Absence Reason field now available to record why the person was absent. That list is available in Personnel > Settings > Absence Reasons. 
        • If the person has signed in using the digital sign in sheet, then there is a “View signature” link, which will open the attachment view to display the signature. The name of the signature file is the attendee’s name with the date and time when they signed. 
    • Digital Sign in Sheet
      • There is now a sign in sheet that is intended to be used with a tablet or phone to allow an attendee to sign indicating that they attended the session.
      • The sign in sheet is only available on Open classes.
      • Access to the sign in sheet is dependent on a new security permission called “Sign in Sheet Access”. This permission has been added to the PM Training Manager, PM Training Supervisor, and Personnel Management Admin roles
      • There is an “Open sign in sheet” button in the Class header. If there are multiple sessions the session must be selected first to enable the button.
      • There is a “Copy sign in sheet” button in the Class header. This will copy the link to the sign in sheet to your clipboard so that you can email it to instructors to use on a tablet or phone.  The instructor will need an ESO login and the “Sign in Sheet Access” security permission in order to access the sign in sheet.
      • The sign in sheet provides information about that class and session.
      • The list of attendees for the session is dynamically provided in the sign in sheet.  If you need to add someone to the session after you have started sign in, simply add the person as an attendee to the class in PM and their name will appear on the sign in sheet.
      • Once the instructor logs in, the device may be passed around to have the individual find themselves on the list and sign in.
      • Once a person has signed, there will be a checkmark indicator next to their name in the sign in sheet list. In PM in the Manage Attendee section, that person will be set to Attended and their signature will be available to view from the link there.
      • The image of the person’s signature is captured with the name of the attendee and the date and time when they signed.
      • If the instructor finds that someone has signed in for the wrong person, the instructor can undo the sign in.
      • Once the class is set to Completed in PM, the sign in sheet will no longer be available and no changes can be made to any signatures.
      • The signatures can be viewed on completed classes.

    06.17.2021

    EHR

    ESO EHR Mobile Version: 5.25.1807.0

    • Improved filter search function on EHR Web. Response Zone filter now filters based on the Responding From zone field.

    06.10.2021

    EHR

    This release includes enhancements for California customers participating in the +EMS SAFR Project and introduces a Last Known Well field on the Narrative tab.

    ESO EHR Mobile Version: 5.25.1807.0

    New Features

    • Adds Health Information Exchange (HIE) patient search. This feature is available for California customers participating in the +EMS SAFR Project.
    • New Configurable Field: Narrative Tab > Patient Complaint > Last Known Well Time. This field may be enabled in Admin > EHR > Narrative Tab > Configurable Fields > Last Known Well. This field appears on printed reports and is available for reporting in Ad-Hoc.
    • New Optional Validation Rule: Requires Narrative Tab > Patient Complaint > Last Known Well Time be completed on all patient contact dispositions. This rule may be enabled in Admin > EHR > Narrative Tab > Configurable Validation > Last Known Well Required.

    05.19.2021

    EHR

    This release includes enhancements to support billing operations for ET3 Model participants, new optional validation rules, and updates to existing validation rules. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.24.1805.0

    Enhancements to Support ET3 Model Participants

    • Added the Alternative Disposition Offered field to printed EHR Billing Report in the Destination Details column
    • New Optional Validation Rule: Requires that Section I6 or Section II of the Signatures Tab > Billing Authorization be complete when the incident disposition is either Patient Treated, Transferred Care to a Non-EMS Provider on Scene or Patient Treated, Transferred Care to a Telehealth Provider. This rule may be enabled in Admin > EHR > Signatures Tab > Configurable Validation > Require Billing Authorization: Treatment in Place.
      NOTE: Because the intent is to obtain a billing authorization signature for a treatment in place disposition, completion of Section III does not satisfy this validation rule.
    New Features
    • New Optional Validation Rule: Requires Forms Tab > Motor Vehicle Collision > Vehicle > Damage Location to be completed when the Motor Vehicle Collision form is required. This rule may be enabled in Admin > EHR > Forms Tab > Configurable Validation > MVC Damage Location Required.
    • New Optional Validation Rule: Requires that at least one STEMI Alert flowchart item be present on the record when a 12-Lead ECG flowchart item with success = yes is present.
      NOTE: This rule will trigger when a 12-Lead ECG is reported as being performed prior to arrival. This rule may be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > STEMI Alert Required for 12-Leads.
    • New Optional Validation Rule: Requires that Narrative Tab > Factors Affecting Care > Pregnancy? be completed with the disposition involves patient contact, the patient is female, and is between the ages of 12 and 55 years old. This rule may be enabled in Admin > EHR > Configurable Validation > Narrative Tab > Pregnancy required for female patients.
    Enhancements
    • Updated the validation rule Specialty Patient Require ACS to trigger when the following primary/secondary impressions are used: ST elevation (STEMI) myocardial infarction of anterior wall, ST elevation (STEMI) myocardial infarction of inferior wall, ST elevation (STEMI) myocardial infarction of other sites, ST elevation myocardial infarction (STEMI), Non-ST elevation myocardial infarction (NSTEMI).
    • Added the Size field to the IV Bolus Flowchart Treatment
    • Added a validation rule that requires values entered in the Medicare and Medicaid fields on the Billing Tab to be between 2 and 30 characters
    • Updated an existing validation rule so that Initial Rhythm on the CPR – Cardiopulmonary Resuscitation form is not required when the incident disposition is Patient Dead on Scene, No Resuscitation/No Transport.

    05.12.2021

    PM

    • The Training class list has a new look, to make the displayed information easier to read.
    • The selected filters for the Training class list are now displayed at the top of the page, and a selected filter can be removed by clicking the X next to the filter.
    • The Class Name has been added as a filter for the Training class list. 
    • Performance for the Training class list has been improved, to make the page load faster.

    05.05.2021

    Admin

    • In Admin, agency administrators will now have the ability to enable validation rules that require the following fields on Fire Incident records:
      • Unit Narrative
      • Quality Control Reviewer
      • Quality Control Completed Date
    • A new role and claim are available for selection in Admin by agencies that use Fire Incidents:
      • Role – Fire-Incidents Investigator
      • Claim – Fire-Incidents Investigation Tab Access
        • Users must have a role with this claim in order to view or print data on the Investigations tab in Fire Incidents.

    Fire Incidents

    • When users view validation errors from Unit Reports, the error message will also indicate the name of the unit it applies to so that incomplete Unit Reports can be more easily identified.
    • The Unit Narrative field is now available for reporting in Ad Hoc.
    • The PPE Worn During Exposure List now includes the following PPE items:
      • Structure Firefighting Helmet
      • Wildland Helmet
    • The Arson tab has been renamed the Investigation tab. The following updates have been made to accommodate all types of fire investigations in the incidents application:
      • The tab is available on all records to users with a role that includes the “Fire-Incidents Investigation Tab Access” security claim.
        • Users can add this claim to their own custom or existing roles.  The new “Fire-Incidents Investigator” role already contains this security claim.
        • Note that since only users with the proper security access can edit Investigations data, validation errors on the Investigation tab can only be addressed by users with the appropriate permissions.
        • This security claim is also required to print Arson data.
      • Information entered on the new Investigation tab will no longer be deleted automatically if the user changes the incident type or cause of ignition.
      • Arson data will only be populated in the NFIRS extract based on values in the Incident Type, Cause of Ignition, and/or Wildland Fire Cause fields according to the guidelines described in the NFIRS spec.

    04.28.2021

    EHR

    This release introduces enhancements to the CDC 2011 Trauma Criteria form. To ensure proper state reporting, customers should use the CDC 2011 Trauma Criteria form. The less-detailed Trauma Criteria form will be removed in the future. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.24.1805.0

    Enhancements

    • To aid users and downstream consumers of CDC 2011 Trauma Criteria data, the values for the Vital Signs and Consciousness, Anatomy of Injury, Mechanism of Injury, and Special Patient or System Considerations fields now match the NEMSIS 3.4 values for eInjury.03 and eInjury.04 verbatim. Users will see these values displayed in the application and on printed reports.
    • Some Ad-Hoc columns for the CDC 2011 Trauma Criteria form have been relabeled to match the values more closely. Users may need to modify existing reports by removing and re-adding the columns.
    • Added Angina impressions (Angina pectoris; Angina, unstable) to the validation rule Aspirin Required for STEMI or Chest Pain Impressions
    • Removed the Reports icon from the Dashboard and app selection tool. Users should use Analytics and Ad-Hoc for reporting.

    Defects Corrected

    • Corrected a defect where the validation rule Specialty Patient Require Trauma Criteria did not trigger when the Trauma Criteria form was enabled. Note: To ensure proper state reporting, customers should use the CDC 2011 Trauma Criteria form. The less-detailed Trauma Criteria form will be removed in the future.
    • Corrected a defect where the Lead provider showed as dashed lines when the Multi-Role Crew Configuration option is used

    04.28.2021

    PM

    • There is now a group action “Add Application List” which sets an application list for a group of personnel, making them available in crew or personnel selection lists in the EHR and Fire applications. More lists will be added here in the future. See the help documentation here.
      • The user no longer needs to go into each individual’s record to set their application lists.
      • Only the selected list(s) in the group action will be added to the personnel.
      • No changes are made to lists that are not selected. For example, if the person already has “Available in EHR Personnel List” set and then “Available in Fire Apps Personnel List” is selected in the group action, their “Available in EHR Personnel List” setting remains unchanged.
      • The user must have the “Quick Credit Tab Access” and “Edit Application Lists” security permissions as part of a security role assigned to them in Admin in order to access this group action.

    Admin

    • There is now a group action “Add Application List” which sets an application list for a group of personnel, making them available in crew or personnel selection lists in the EHR and Fire applications. More lists will be added here in the future. See the help documentation here.
      • To navigate to this group action, select a user in Admin > Users. Click the link to view/edit the person’s other information. Select the Group Actions section in the left navigation.
      • Select the group of personnel to add the application lists to and then select Add Application Lists.
      • The user no longer needs to go into each individual’s record to set their application lists.
      • Only the selected list(s) in the group action will be added to the personnel.
      • No changes are made to lists that are not selected. For example, if the person already has “Available in EHR Personnel List” set and then “Available in Fire Apps Personnel List” is selected in the group action, their “Available in EHR Personnel List” setting remains unchanged.
      • The user must have the “User Management” security permissions as part of a security role assigned to them in order to access this group action.

    04.15.2021

    EHR

    This release adds new features for Georgia EMS agencies approved to operate with alternate staffing under the COVID-19 EMS Emergency Rule. These enhancements require EHR Mobile version 5.24.1805.0 or later.

    ESO EHR Mobile Version: 5.24.1805.0

    • New Optional Field: BLS Transport Authorized by COVID-19 Emergency Rule. This field may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Georgia: BLS Transport Authorized by COVID-19 Emergency Rule. This field is displayed when Disposition is Transported No Lights/Sirens, Transported Lights/Sirens, Transported No Lights/Sirens, Upgraded, Transported Lights/Sirens, Downgraded, or Wheelchair Transport. This field is available for reporting in Ad-Hoc.
    • New Optional Validation Rule: Requires the field BLS Transport Authorized by COVID-19 Emergency Rule to be completed when Disposition is Transported No Lights/Sirens, Transported Lights/Sirens, Transported No Lights/Sirens, Upgraded, Transported Lights/Sirens, Downgraded, or Wheelchair Transport. This rule may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Georgia BLS Transport Authorized by COVID-19 Emergency Rule Required.
    • New Optional Validation Rule: When BLS Transport Authorized by COVID-19 Emergency Rule equals Yes, requires that Incident > Run Type equal Medical Transport and that Incident > Unit’s Level of Care equal BLS-Basic /EMT. This rule may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Georgia BLS Transport Authorized by COVID-19 Emergency Rule Data Quality.

    PM

    • The import details now include Import Notes, Processing Start Date and Time, and a unique Import Job ID. 
    • The Security section has been renamed “Application Lists”.  The security claims in Admin > Security > Roles have been similarly renamed to “Edit Application Lists” and “View Application Lists”. 
    • Users can now use spreadsheets to import Personnel records. View the Help documentation here. 
      • To migrate legacy Firehouse data, we recommend that customers continue to work with Implementation to use the existing Firehouse data import process.
      • It is extremely important that the data being imported is thoroughly reviewed before importing.
      • Unlike other imports, the Personnel import can add information to personnel records. 
        • Only fields that are blank in PM before the import will have information added to them. For example, if Rank is not populated in a person’s record in PM, that field can be populated using the spreadsheet import.  No existing information in PM will be updated by the import. 
        • The Employee Number is used to match the import to the correct person. Make sure that the correct employee number is in both the record in PM and in the spreadsheet.  If the spreadsheet contains an Employee Number that does not belong to any record currently in PM, a new personnel record will be created.
      • The Imports section is located in the Settings (indicated by the wrench icon in the left navigation section) at the main PM level.
        • The user must have a role that contains the “Add Person” security claim in order to see the Imports section and information for this import type. This is given to the pre-populated “Personnel Management Admin” security role by default.
        • From the Imports section users can download the import template from the “Import Template” link at the top of the page. The Personnel Import template has a description for each column, and displays available values in drop lists where appropriate to clarify what is expected in each column.
        • The Import button allows the user to select a spreadsheet to upload. Select “Personnel” for the Personnel import. Once the file is uploaded, the import will appear in the status section.
      • For each Import listed, the Status section displays the status of import jobs.
        • “Completed” means that the import completed successfully and no records had errors.
        • “Completed w/ Errors” means that the import completed successfully but some records had errors, and those records were not imported.
        • To see details about the import, select the “View Details” option in the ellipsis menu for the record in the status table.
        • To see details about the errors, select the “View” link next to the Error count on the Import Details page. Error Details will show the row in the spreadsheet that had the error and what the error is. To download a CSV file with the errors, select the “Export” link.
        • If the user still wants to import a record that had errors, they can add the records to a new template spreadsheet OR download the original spreadsheet from the Download link option in the ellipsis menu for the record in the status table, update the record to resolve the errors, then upload the updated spreadsheet for processing.  The Employee Number matching described above will ensure that no previously-created records will be duplicated.

    Admin

    • In Admin > Security > Roles, the PM security claims called “View Security Details” and “Edit Security Details” are now named “View Application Lists” and “Edit Application Lists”.
    • Users with User Management permissions can now use spreadsheets to import Personnel records and Certification and License records. 
      • To migrate legacy Firehouse data, we recommend that customers continue to work with Implementation to use the existing Firehouse data import process.
      • Please note that any list values that are imported cannot be deleted, only made inactive. It is extremely important that the data being imported is thoroughly reviewed before importing.
      • To get to the Imports feature:
        • Navigate to manage personnel by selecting a user and clicking on the link for viewing and editing their information. 
        • Select the Personnel section on the left navigation. 
        • From the employee list, the Imports section is located in the Settings (indicated by the wrench icon in the left navigation section).
          • From the Imports section users can download the import template from the “Import Template” link at the top of the page. The template has a description for each column, and displays available values in drop lists where appropriate to clarify what is expected in each column. 
          • The Import button allows the user to select a spreadsheet to upload. Select the Import Category to specify whether personnel or certifications are being uploaded.  Once the file is uploaded, the import will appear in the status section.
      • Unlike other imports, the Personnel import can add information to personnel records. 
        • Only fields that are blank in the application before the import will have information added to them. No existing information in the application is updated.
        • The Employee Number is used to match the import to the correct person. Make sure that the correct employee number is in both the record in PM and in the spreadsheet.  If the spreadsheet contains an Employee Number that does not belong to any current personnel record, a new personnel record will be created.
      • For each Import listed, the Status section displays the status of import jobs.
        • “Completed” means that the import completed successfully and no records had errors.
        • “Completed w/ Errors” means that the import completed successfully but some records had errors, and those records were not imported.
        • To see details about the import, select the “View Details” option in the ellipsis menu for the record in the status table.
        • To see details about the errors, select the “View” link next to the Error count on the Import Details page. Error Details will show the row in the spreadsheet that had the error and what the error is.
        • If the user still wants to import a record that had errors, they can add the records to a new template spreadsheet OR download the original spreadsheet from the Download link option in the ellipsis menu for the record in the status table, update the record to resolve the errors, then upload the spreadsheet for processing.  The Employee Number matching described above will ensure that no previously-created records will be duplicated.
      • Non-PM customers can only see certifications, and must import only certification record types using the Certification and Credential Import spreadsheet. 

    03.31.2021

    EHR

    This release enables Philips Tempus ALS cardiac monitor/defibrillator integration. For more details, review this user guide. Philips Tempus ALS integration requires EHR Mobile version 5.24.1804.0 or later.

    ESO EHR Mobile Version: 5.24.1804.0

    PM

    • In the Import detail in the Settings > Import section, there is now a “Download” link which will download a CSV file of all of the error messages.  If there are many errors, downloading the file and opening it as a spreadsheet may be more convenient than opening the errors in the application.
    • Attachments can now be added, viewed, edited, and deleted from Skills records, with the appropriate security.  
    • Attachments can now be added, viewed, edited, and deleted from Qualifications records, with the appropriate security.  

    Properties

    • Users can now search and filter all properties, buildings, and occupants. Previously, searching by some list values returned incorrect results. This has been fixed.

    03.22.2021

    EHR

    This release introduces a new optional crew reporting configuration, additional injuries field, validation rules, and corrects defects. There is a new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.23.1796.0

    New Optional Feature: Multi-Role Crew Configuration

    • When enabled, this feature will allow users to document personnel roles with more granularity. Users will be provided options to document caregiver and driver roles for response, on scene, and during transport.
    • This option may be enabled in Admin > EHR > Optional Features > Multi-Role Crew Configuration.
    • NOTE: Crew roles will be reported in Ad-Hoc as Lead, Driver, and Other.
    • For more details, click here.

    New Features

    • New multi-select field: Narrative Tab > Injuries > Additional Injuries. The field will appear when Injury Details is completed. This field appears on printed reports and is available for reporting in Ad-Hoc.
    • New field: Billing Tab > Medical Necessity > Billing Number.
    • New Optional Validation Rule: Requires Trauma Activation Date/Time field be complete when Trauma Activation = Yes on the CDC 2011 Trauma Criteria form or Trauma Criteria form. This rule may be enabled in Admin > EHR > Forms Tab > Configurable Validation > Trauma Activation Date/Time Required.

    Enhancements

    • Added Low Back Pain to Pain category of Narrative Tab > Supporting Signs/Symptoms
    • Added Abnormal breathing to Respiratory category of Narrative Tab > Supporting Signs/Symptoms
    • Added Multiple Injuries to Narrative Tab > Primary/Secondary Impression
    • Added Delayed Sequence Intubation (DSI) to Flowchart > Airway

    Defects Corrected

    • Corrected a defect where the Transport Method field was required to be completed if the optional validation rule Transport Method Required was enabled and the disposition was Patient Treated, Transferred Care Another EMS Professional.
    • Corrected a defect with the VAN Stoke Assessment form where a rule prevented the values Forced Gaze and Ignoring One Side in the Neglect field to both be selected.
    • Corrected a defect with CAD data imports where personnel name and role were not imported into EHR.

    03.17.21

    PM

    • In the Training class list, the Class Name and Class Description now have hover text that display the whole value so that it is no longer necessary to open the class record to see the whole name or description of the class.

    03.03.21

    PM

    • The “Expiring Qualifications” report is now available in the Personnel section.
    • Users can now export the “Expiring Credentials” report in the Personnel section as a CSV file. 
    • The Class Objective is now available in ad hoc in the 13-01 Classes table.

    02.17.21

    PM

    • Users can add, edit, and delete attachments on an Immunization record on the person’s Medical tab.
    • Users can add, edit, and delete attachments on a Credential on the person’s Certifications & Credentials tab.
    • The Class Objective field has been added to Training classes.
    • Class Description and Class Objective have been added to the Class Name list in Settings > Class Names.
      • If Class Description and Class Objective have been set in the Class Name list, they will be populated into the fields in the Training class when the Class Name is selected.
    • The “Expiring Skills” report is now available in the Personnel section.

    02.03.21

    Hydrants

    • On the Imports tab, users can find a specific import or group of imports by sorting each column on the import status table or filtering the list of imports by the following fields:
      • Type
      • Status
      • Uploaded Start Date
      • Uploaded End Date

    Activities

    • The following fields in Activities are now available for reporting in Ad Hoc:
      • Activities Daily Log
        • Log Date
        • Note
        • Applicable Division
        • Applicable District
        • Applicable Station
        • Applicable Unit
        • Written By User ID
        • Last Modified At

    Properties

    • The following fields in Properties are now available for reporting in Ad Hoc:
      • Property:
        • Latitude
        • Longitude
      • Building:
        • Total Fire Flow Needed
        • Available Flow
        • Exposure/Communication Factor
        • Automatic Extinguishment System Presence
        • System
        • Extinguisher Service Date
        • Extinguisher Inspection Date
        • Side A Exits
        • Side B Exits
        • Side C Exits
        • Side D Exits
        • Total Exits
        • Rescue Points
      • Occupant:
        • Business Permit Number
        • Total Fire Flow Needed
        • Available Flow
        • Exposure/Communication Factor
        • Automatic Extinguishment System Presence
        • System
        • Extinguisher Service Date
        • Extinguisher Inspection Date
        • Extinguishing Systems
        • Side A Exits
        • Side B Exits
        • Side C Exits
        • Side D Exits
        • Total Exits
        • Rescue Points
        • Local Occupancy Class

    02.02.21

    EHR

    This release introduces capabilities for reporting personnel assault and threats and adds enhancements to assist with reporting during the COVID-19 pandemic. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.22.1792.0

    New Feature: Personnel Assault Reporting

    • Personnel can now report assaults or threats in EHR. We have added Assaulted (Injury), Assaulted (No Injury), and Threatened to EHR > Incident Tab > Personnel > Injury, Exposure or Death.
    • To help agencies identify incidents where providers have reported an assault or threat, we have published a new report in Ad-Hoc > Global Reports > EHR > Personnel Assaulted or Threatened.
    • For agencies who use ESO Personnel Management, all reported assaults and threats for an individual are tracked in their Personnel Management record under Medical > Injuries & Exposures.

    Enhancements

    • New location type Alternate Care Site added to Admin > General > Locations. Alternate Care Site is also available for selection in EHR > Incident Tab > Destination > Destination Type.
    • New method No Touch – (IR, etc) added to EHR > Vitals Tab > Temp/Glucose > Temperature Method.
    • Michigan: Added the following Medical Control Authorities (MCAs): Keweenaw/Houghton MCA, North Central Michigan MCA, Saginaw-Tuscola MCA. Removed the following MCAs: Charlevoix County MCA, Iron County MCA, Keweenaw MCA, Lakola MCA, Mecosta County MCA, Saginaw Valley MCA. Administrators may configure the agency MCA list in Admin > EHR > Incident Tab > Configurable Lists > Michigan Medical Control Authority (MCA).

    01.28.21

    Analytics

    Analytics released new 8 Outcome filters to utilize on EMS, Hospital, and HDE reports. The filters provide filtering capabilities only. The disposition filter values are mapped to standard CMS disposition values.

    Below filters will have a defined list of values to select filter values. These filters in Analytics would not bring back any results prior to 2021.

    • Outcome Hospital Disposition
    • Outcome ED Disposition
    • Outcome Hospital Diagnosis
    • Outcome ED Diagnosis

    Below filters are available as a ‘String’ search in Analytics. The filter operators are available to choose from to select and utilize these filters.

    • Outcome Primary Insurance Company ID>
    • Outcome Primary Insurance Company Name
    • Outcome Additional Insurance Company ID
    • Outcome Additional Insurance Company Name

    01.26.21

    Activities

    • A new “Reason Not Completed” field has been added to both Community Events and Operational Tasks. This field is only viewable and editable when Events or Tasks are closed with a “Not Completed” status.
      • This field uses an agency-defined list. The values can be added and maintained in the Settings tab of the Activities application.
      • This field is available for reporting in Ad Hoc.
    • For Community Events, personnel hours default to the duration of the task, based on On-Site Start Date/Time and On-Site End Date/Time. Users can uncheck the “Use event duration” box to manually edit personnel hours instead.

    01.20.21

    PM

    • The Phone Type is now populated in Ad Hoc in the “12-10 Personnel Phone Numbers” table.
    • Users can now use spreadsheets to import Certification and License or Credential records.
      • To migrate legacy Firehouse data, we recommend that customers continue to work with Implementation to use the existing Firehouse data import process.
      • Please note that any list values that are imported cannot be deleted, only made inactive. It is extremely important that the data being imported is thoroughly reviewed before importing.
      • The Imports section is located in the Settings (indicated by the wrench icon in the left navigation section) at the main PM level.
        • The “Import Certification and Credentials” security claim is required to be in a role assigned to the user in order to see the Imports section. This is given to the Personnel Management Admin security role by default.
        • From the Imports section users can download the import template from the “import template” link at the top of the page. The Certification and Credential Import template has a description for each column and also displays available values in drop lists where appropriate to guide the user as to what is expected in each column.
        • The Import button allows the user to select a spreadsheet to upload. Select Certifications for the Certification and Credential import. Once the file is uploaded, the import job will appear in the status section.
      • For each Import listed, the Status section displays the status of import jobs.
        • “Completed” means that the import completed successfully and no records had errors.
        • “Completed w/ Errors” means that the import completed successfully but some records had errors, and those records were not imported.
        • To see details about the import, select the “View Details” option in the ellipsis menu for the record in the status table.
        • To see details about the errors, select the “View” link next to the Error count on the Import Details page. Error Details will show the row in the spreadsheet that had the error and what the error is.
        • If the user still wants to import a record that had errors, they can add the records to a new template spreadsheet OR download the original spreadsheet from the Download link option in the ellipsis menu for the record in the status table, update the record to resolve the errors, then upload the spreadsheet for processing.
      • Click here for Help documentation

    01.13.21

    PM

    • Immunization Manufacturer is now available for reporting in Ad Hoc, in the “12-07 Personnel Immunizations” table.
    • The Immunizations list in Settings > Immunizations can now be exported as a .csv file by clicking the Export button.
      • The File includes Immunization, Immunization Base Type, Manufacturer, Duration, Duration Units, Reminder, and Status (Active, Deactivated).
    • Import jobs in Settings > Imports now can be filtered by Status, Import Type, and time period. They can also be sorted by Status, File name, and Uploaded date.

    Admin

    • The Immunizations list in Admin > PM has been removed. Please use the Immunizations list in PM > Settings > Immunizations.

    01.06.21

    Activities

    • Users can now view scheduled recurring tasks for all dates. This applies to both future date ranges on the Tasks tab, and future dates on the Activities tab.
      • The only instance of a recurring task that can be edited is the earliest scheduled record. Any tasks that are on the calendar for a later date are view-only.
    • A new Task Type single-select field is available on both operational and recurring Tasks. This field will allow for consistent categorization and reporting across an agency’s task records. Please note that this field is not required, but in a future release it will be made mandatory and Task Name will become optional, consistent with the behavior on Community Events.
      • Task Type list items can be added and edited in the Settings page.
      • Users can filter by Task Type in the Activities and Operational Tasks pages.
      • Task Type is available for reporting in Ad Hoc.
    • A new Tags multi-select field is available on all Events and Tasks, including recurring Tasks.
      • Tags list items can be added and edited in the Settings page.
      • Tags are available for reporting in Ad Hoc.

    12.16.20

    PM

    • New Covid Immunization functionality for personnel members
      • Lists – this functionality is only available in PM > Settings, not in Admin. 
        • There is a new Immunization Manufacturer List in PM > Settings. Users can make the values inactive if they do not want to use them but the values cannot be otherwise modified.
        • The Immunization list in PM > Settings now has a base value option for Covid.
        • An Immunization Manufacturer can be added to the Immunization List values.
        • A set of Covid immunization values have been added to everyone’s immunization lists. There is one for each manufacturer. The reminder value can be set per your agency’s preference.
      • Adding Covid Immunization Records
        • To add the first dose, enter the immunization record from either Group Actions, for a group of personnel at once, or from the Person record in the Immunization section on the Medical tab, for a single person. Set the expiration date for the appropriate time period for when the second dose should be administered. For example, if the first dose of Pfizer Covid vaccine is given on 1/1/2021, then the expiration should be set to 1/22/2021 because the second Pfizer dose is supposed to be 21 days after the first. Set it appropriately for the selected manufacturer. This will make the record show up on the Expiring Immunizations list in PM. It will also trigger the reminder if you have set one for the list value.
        • For the second dose, it may also be recorded through Group Actions or from the person’s record.  This one should not have an expiration date set since it has not been determined how long the vaccine provides immunity and if there will need to be a booster or additional dose. If there is no expiration set then the immunization will not be displayed in the Expiring Immunizations list in PM.
    • On the Import Status section in the PM > Settings section, the import details now open if the import row itself is clicked. The option to open the import details is also still available in the ellipsis menu for that import.
    • In Ad Hoc, the Job Roles have been added in “12-11 Personnel Roles” with the following columns in addition to those used to identify the person and agency
      • Role Type - Value is EMS or Fire.
      • EMS Primary Job or NFIRS Usual Assignment - shows the description of whichever one is entered.
      • EMS Other Responsibilities – always blank if Role Type is Fire and is comma delimited if there are multiple values
      • Effective Date
      • End Date

    12.14.20

    Analytics

    EMS

    • A New GEM was added on the below reports as - Other Dispositions (To account for the dispositions which do not fall into the category of either transports or Non-Transports)
      • Total Volume By Day of Week
      • Total Volume By Month Of Year
      • Total Volume By Hour Of Day
      • Total Volume By Hour Of Day (Hospital)
      • Total Record Volume By Disposition
    • Migrated an MDX report to Kudu with the updates of ET3 dispositions. So, agencies participating in ET3 would be able to see documented ET3 destinations with this report.
      • Patient Care Transfer Breakdown
    • Updated Transport Percentage of Medic Report to explicitly exclude new ET3 dispositions.
      • Transport Percentage By Medic

    FIRE

    • Updated turnout time calculations in Average First Apparatus Turnout Time Report to calculate from dispatch time in the place of alarm time.
      • Average First Apparatus Turnout Time

    Defects:

    • Addressed a Fire issue for the Total Volume By Incident Fire report where a few locked incidents were not showing up in the report.
    • Addressed an issue for the Total Call Time Report where all incidents were falling under Exceptions. Updated call time calculations for the agencies who do not have PSAP call time to calculate total call time from Call Received.

    12.09.20

    Properties

    • Users can now create multiple inspections at one time. To support this new functionality, there are several changes to the Properties search page:
      • Advanced filtering options for properties, buildings and occupants are now available to help batch schedule inspections by criteria such as Inspection District and Building Use.
      • Users can toggle to a new list view of properties, buildings and occupants managed by their agency.
      • New filters on the landing page, like Recently Viewed or Recently Created, can be used to quickly apply relevant filters with a single click.
      • Selecting one of the search/filter results using the new checkboxes provided or the “Select All on Page” text will open a small window at the top of the screen, which displays the count of selected records and allows the user to select all active records on a page that match the selected filters. (Please note: The system does not allow inspections to be created for Deactivated properties, so they do not have checkboxes.)
        • After navigating through as many pages as needed to select records that require an inspection to be scheduled, clicking on the green “Schedule Inspection” button opens the form to batch schedule inspections. The form also lists all records that were selected, and users can remove any that were selected in error. Records removed in this way will not have inspections created for them, but will remain selected in the search results afterwards.
    • New fields can now be specified when scheduling an inspection:
      • Inspection District
      • Division

    Inspections

    • “Inspection District” and “Division” are now available for editing on the Inspection Details tab. They can also be selected to filter records, and are available for reporting in Ad Hoc.

    Activities

    • When users select future dates on the calendar, they are no longer limited to viewing only the next scheduled instance of a recurring task. The record list will now display all instances of recurring tasks that will be scheduled across the selected date range.

    12.07.20

    PM

    • The “Edit Security Details” security permission has been added to the Personnel Management Admin security role, enabling all users with that role to get to the Application List section in the Settings section on the main level of the PM application.
    • Start Time can now be entered for a class record created from the Classes tab on the person record.
    • The set phone number fields for Work, Home, Work Pager, etc. have been removed. Users can now specify the Phone Type from a list, and the same value can be used multiple times. The Phone Number value for each selected Phone Type is still entered separately.
      • Data from the old phone fields have been migrated to the new collection.
      • Ad Hoc has a new table added called 12-10 Personnel Phone Numbers with the following columns:
        • AgencyId
        • AgencyLoginId
        • AgencyPersonId
        • Phone Type
        • Phone Number
        • Is International
      • The following Phone Number columns have been removed from the 12-01 Personnel table:
        • Home Phone Number
        • Home Phone Number is International
        • Work Phone Number
        • Work Phone Number is International
        • Other Phone Number
        • Other Phone Number is International
        • Home Mobile Number
        • Home Mobile Number is International
        • Work Pager Number
        • Work Pager Number is International
        • Work Mobile Number
        • Work Mobile Number is International
    • For NEMSIS 3 agencies, the Person > HR Info section Race field now allows multiple values to be selected. For example, a person’s race can be set to “White”, “Black”, and “Hispanic or Latino” to represent a multiracial person with a Latino ethnicity.
      • If this value was set to “Other, Multiracial” in NEMSIS 2 or Silverlight PM, then that person’s race will need to be entered again.
      • If the person had “Hispanic or Latino” set in old PM in the Ethnicity field, that value was added to the races selected for that person.
      • Race is still in 12-01 Personnel in Ad Hoc but will be comma-delimited if there are multiple values.

    Admin

    • Phone number has been removed from the User page and the Add User wizard in Admin to accommodate the new phone number style. Phone number is available in the new User Management Workflow, which is accessed by clicking the link on the User page.
    • The set phone number fields for Work, Home, Work Pager, etc. have been removed.  Users can now specify the Phone Type from a list, and the same value can be used multiple times.  The Phone Number value for each selected Phone Type is still entered separately.
      • Data from the old phone fields have been migrated to the new collection.
      • Ad Hoc has a new table added called 12-10 Personnel Phone Numbers with the following columns:
        • AgencyId
        • AgencyLoginId
        • AgencyPersonId
        • Phone Type
        • Phone Number
        • Is International
      • The following Phone Number columns have been removed from the 12-01 Personnel table:
        • Home Phone Number
        • Home Phone Number is International
        • Work Phone Number
        • Work Phone Number is International
        • Other Phone Number
        • Other Phone Number is International
        • Home Mobile Number
        • Home Mobile Number is International
        • Work Pager Number
        • Work Pager Number is International
        • Work Mobile Number
        • Work Mobile Number is International
    • For NEMSIS 3 agencies, the Person > HR Info section Race field now allows multiple values to be selected. For example, a person’s race can be set to “White”, “Black”, and “Hispanic or Latino” to represent a multiracial person with a Latino ethnicity.
      • If this value was set to “Other, Multiracial” in NEMSIS 2 or Silverlight PM, then that person’s race will need to be entered again.
      • If the person had “Hispanic or Latino” set in old PM in the Ethnicity field, that value was added to the races selected for that person.
      • Race is still in 12-01 Personnel in Ad Hoc but will be comma-delimited if there are multiple values.

    EHR

    This release includes new features, enhancements, including features for the CMS ET3 Model, and defect fixes for ESO EHR web and mobile applications. The latest version of ESO EHR Mobile can be downloaded from Admin > EHR > Mobile Version.

    ESO EHR Mobile Version: 5.22.1792.0

    Important Compatibility Notes

    • Customers must be running EHR Mobile version 5.20.1786.0 or greater. Mobile versions older than 5.20.1786.0 will no longer initialize or receive download updates.
    • Customers wishing to use the product features for ET3 must be running EHR Mobile version 5.22.1792.0 or greater.
    • EHR Mobile is no longer supported on the Windows 7 operating system. Customers must be running Windows 8.1 or Windows 10.
    • EHR Mobile 5.20.1786.0 or greater requires .NET Framework 4.8. The installer will check for .NET Framework 4.8 and install it if it is not found.

    New Features

    • New Optional Field: Incident Tab > Scene > Country. This field may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Scene Country. This field appears on printed reports and is available for reporting in Ad-Hoc.
    • New Optional Field: Incident Tab > Destination > Country. This field may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Destination Country. This field appears on printed reports and is available for reporting in Ad-Hoc.
    • Added a Country field to predefined locations in Admin > General > Locations.

    Enhancements to Support CMS ET3 Model
    Note: These features require EHR Mobile version 5.22.1792.0 or greater.

    • Added two new dispositions:
        • Patient Treated, Transferred Care to a Non-EMS Provider on Scene
          Patient Treated, Transferred Care to a Telehealth Provider
      • These dispositions may be enabled in Admin > EHR > Incident Tab > Configurable Lists > Disposition.
      • When the disposition Patient Treated, Transferred Care to a Non-EMS Provider on Scene is selected, the Transferred To field is defaulted to Healthcare Practitioner and the Transferred Unit field displays the list found in Admin > General > Locations > Healthcare Practitioners.
      • When the disposition Patient Treated, Transferred Care to a Telehealth Provider is selected the Transferred To field is defaulted to Telehealth Provider and the Transferred Unit field displays the list found in Admin > General > Locations > Telehealth Providers.
    • Added the following to Incident > Destination > Destination Type:
      • Drug and/or Alcohol Rehabilitation Facility
        Federally Qualified Health Centers
        Healthcare Practitioners
        Mental Health Facilities
        Qualified Health Care Partners
        Rural Health Clinics
        Telehealth Providers
    • Added the following location types to Admin > General > Locations:
      • Drug and/or Alcohol Rehabilitation Facilities
        Federally Qualified Health Centers
        Healthcare Practitioners
        Mental Health Facilities
        Qualified Health Care Partners
        Rural Health Clinics
        Telehealth Providers
      Customers should use these location types to create predefined locations to support their participation in the ET3 Model.
    • New Field: Incident > Disposition > Alternative Disposition Offered? This field may be enabled in Admin > EHR > Incident Tab > Configurable Fields > Alternative Disposition Offered. This field is available for reporting in Ad-Hoc.
    • New Optional Validation Rule: Requires documentation of Alternative Disposition offer for all patient contact dispositions. This rule may be enabled in Admin > EHR > Incident Tab > Configurable Validation > Was Alternative Disposition Offered Required.

    Enhancements

    • Enhanced the BiPAP/VPAP Flowchart treatment: Removed Pressure field. Added IPAP, EPAP, and FiO2 fields to the treatment. Adjusted printed reports. IPAP and EPAP are available for reporting in Ad-Hoc.
    • Enhanced the Spinal Motion Restriction and Spinal Motion Restriction Removal Flowchart treatments: Added Ambulance Cot, Scoop Stretcher, and Vacuum Splint to the Device list. Clinical reference.
    • New Optional Validation Rule: Requires a standby purpose when Run Type is Standby. This rule may be enabled in Admin > EHR > Incident Tab > Configurable Validation > Standby Purpose Required.
    • Added Law Enforcement and Nurse to Incident Tab > Personnel > Non-Crew > Affiliation.

    Defects Corrected

    • Resolved an issue where the Pacing Discontinued event was not being imported correctly for Zoll cardiac monitor imports.
    • Resolved an issue where EHR Mobile-to-Mobile records were being linked even if the user entered an incorrect transfer code.

    11.18.20

    Analytics

    EMS:
    The following reports are available in the new folder as North Carolina NCCEP PI Standards under Repository Reports. The reports can be found under - Root -> Repository Reports -> North Carolina NCCEP PI Standards

    Airway

    • Overall Procedure Success Rate by Attempt - Intubation
    • Overall Procedure Success Rate by Attempt – Needle/Surgical Airway
    • Overall Procedure Success Rate by Attempt - Supraglottic
    • Procedure Success Rate - NPA
    • Procedure Success Rate – OPA

    Cardiac

    • Overall Procedure Success Rate by Attempt - Cardioversion
    • Overall Procedure Success Rate by Attempt – Manual Defibrillation
    • Overall Procedure Success Rate by Attempt – Mechanical CPR
    • Overall Procedure Success Rate by Attempt - Pacing

    Trauma

    • Overall Procedure Success Rate by Attempt – Spinal Motion Restriction
    • Overall Procedure Success Rate by Attempt - Tourniquet

    Vascular

    • Central Line Success Rate
    • Intraosseous Success Rate

    11.11.20

    PM

    • Users can now use spreadsheets to bulk upload Class records.
      • To migrate legacy Firehouse data, we recommend that customers continue to work with Implementation to use the existing Firehouse data import process.
      • Please note that any list values that are imported cannot be deleted, only made inactive. Class records that are imported are only put on the individual’s Person record in the Classes tab, not in the Training module. It is extremely important that the data being imported is thoroughly reviewed before importing.
      • The Imports section is located in the Settings (indicated by the wrench icon in the left navigation section) at the main PM level.
        • The “Import Classes” security claim is required to be in a role assigned to the user in order to see the Imports section.
        • From the Imports section users can download the import template from the “import template” link at the top of the page. The Classes Import template has a description for each column and also displays available values in drop lists where appropriate to guide the user as to what is expected in each column.
        • The Import button allows the user to select a spreadsheet to upload. Currently the only option for import type is Classes. More options will be displayed as other imports for PM are added. Once the file is uploaded then the import job will appear in the status section.
      • For each Import listed, the Status section displays the status of import jobs.
        • “Completed” means that the import completed successfully and no records had errors.
        • “Completed w/ Errors” means that the import completed successfully but some records had errors, and those records were not imported.
        • To see details about the import, select the “View Details” option in the ellipsis menu for the record in the status table.
        • To see details about the errors, select the “View” link next to the Error count on the Import Details page. Error Details will show the row in the spreadsheet that had the error and what the error is.
        • If the user still wants to import a record that had errors, they can add the records to a new template spreadsheet OR download the original spreadsheet from the Download link option in the ellipsis menu for the record in the status table, update the record to resolve the errors, then upload the spreadsheet for processing.
      • Imported classes show with an Origin of “Imported” in the Classes tab and are treated like any other class that was added from the Classes tab.

    Activities

    • Users viewing Activities data in Adhoc can select use the date/calendar control to select dates when defining a filter on a report.
    • Users will no longer see instances of recurring tasks that have been deleted from the Recurring Task list in Settings. Errors were being displayed when attempting to complete these deleted records.

    Hydrants

    • The Fire Districts list values found on a hydrant record are now coming from the Districts list maintained in Admin under “General”.
    • Users can now use spreadsheets to bulk upload Hydrant records.
      • To migrate legacy Firehouse data, we recommend that customers continue to work with Implementation to use the existing Firehouse data import process.
      • Please note that any list values that are imported cannot be deleted, only made inactive. It is extremely important that the data being imported is thoroughly reviewed before importing.
      • The Imports section is located in the Settings (indicated by the wrench icon in the left navigation section) in Hydrants.
        • The “Import Hydrants” security claim is required to be in a role assigned to the user in order to see the Imports section.
        • From the Imports section users can download the import template from the “import template” link at the top of the page. The Hydrants Import template has a description for each column and also displays available values in drop lists where appropriate to guide the user as to what is expected in each column.
        • The Import button allows the user to select a spreadsheet to upload. Currently the only option for import type is Hydrants. More options will be displayed as other imports for Hydrants are added. Once the file is uploaded then the import job will appear in the status section.
      • For each Import listed, the Status section displays the status of import jobs.
        • “Completed” means that the import completed successfully and no records had errors.
        • “Completed w/ Errors” means that the import completed successfully but some records had errors, and those records were not imported.
        • To see details about the import, select the “View Details” option in the ellipsis menu for the record in the status table.
        • To see details about the errors, select the “View” link next to the Error count on the Import Details page. Error Details will show the row in the spreadsheet that had the error and what the error is.
        • If the user still wants to import a record that had errors, they can add the records to a new template spreadsheet OR download the original spreadsheet from the Download link option in the ellipsis menu for the record in the status table, update the record to resolve the errors, then upload the spreadsheet for processing.

    11.05.20


    EMS:

    Analytics has updated below Aspirin Administration reports for users to see reasons for not performing the procedure on patients:

    • Chest Pain - Aspirin Administration
    • Cardiac - ASA Administration
    • (NHTSA 8.0) Chest Pain - Aspirin Administration
    • 5.1 ACS - Aspirin Administration
    • ESO EMS Index Aspirin Administration

    Below California measure has been updated as per California Core Measures 2019 Criteria, and the numerator criteria exclude pertinent negatives from the report.
    • (ACS-1) Aspirin Administration for STEMI or Suspected Cardiac Chest Pain

    Below are the New Filters available in Analytics:
    1. Medication Reason Not Performed
    2. Medication Reason Not Performed – Contraindication Noted
    3. Medication Reason Not Performed – Denied By Order
    4. Medication Reason Not Performed – Medication Allergy
    5. Medication Reason Not Performed – Medication Already Taken
    6. Medication Reason Not Performed – Patient Refused
    7. Medication Reason Not Performed – Unable to Complete
    8. Procedure Reason Not Performed
    9. Procedure Reason Not Performed – Contraindication Noted
    10. Procedure Reason Not Performed – Denied By Order
    11. Procedure Reason Not Performed – Patient Refused
    12. Procedure Reason Not Performed – Unable to Complete

    With the inclusion of Pertinent Negatives in the flowchart procedure, the treatment filter names in Analytics have been updated with this release to reflect the filter names accurately:

    New Filter Names

    • Treatments Documented (per Patient)
    • Treatment Documented (per Intervention)

    Default filters have been updated to explicitly exclude the inclusion of pertinent negatives in the below reports. Users can utilize available pertinent negative filters to query and run the reports:
    • Procedure Frequency Versed
    • Procedure Success Rate by Medic - Orotracheal Intubation
    • Overall Procedure Success Rate by Attempt - Advanced Airway
    • 8.2 Overall Airway Success - ET
    • 8.3 Supraglottic Airway Success
    • 8.4 Overall ET and Supraglottic Success
    • CPR Intervention
    • (NHTSA 6.1, 6.2, 6.3) Pain Intervention Assessment
    • (NHTSA 6.4) Pain Intervention
    • CHF Patients with NTG Administered
    • (2.2) Suspected Heart Failure Patients Receiving Nitroglycerin
    • Asthma - Bronchodilator Administration
    • 3.1 Asthma and Beta Agonist Usage
    • Pediatrics-02 Administration of Beta-Agonist for Pediatric Asthma
    • CHF Patients with CPAP or BiPAP/VPAP Administered
    • (2.1) Suspected Heart Failure Patients Receiving CPAP Treatment
    • Seizure - Benzodiazepine Administration
    • 4.2 Status Seizures - Benzodiazepines Usage
    • Seizure 02: Patient Received Intervention
    • Cardiac - Time to STEMI Alert
    • 5.5 ACS - STEMI Alert Performance
    • Cardiac - Time to STEMI Alert (Hospital)
    • Pediatrics-03-Documentation of Estimated Weight in Kilograms
    • Medication Breakdown
    • Hypoglycemia-01 Treatment Administered for Hypoglycemia
    • (HYP-1) Treatment Administered for Hypoglycemia
    • (ACS-4) - Advanced Hospital Notification for STEMI Patients
    • Chest Pain - At Patient Time to 12-Lead ECG
    • Cardiac - At Patient Time to 12-Lead ECG
    • Chest Pain - On Scene Time to 12-Lead ECG
    • 5.3 ACS - On Scene Time to 12-Lead ECG
    • Cardiac- On Scene Time to 12-Lead ECG

    “Agency Name” Filter is updated in Analytics with the below use case.
    • Relevant child agencies would show up in the umbrella account.
    • Child agencies would see their name only when logged in.
    • Hospital accounts would show transported agencies to the facility.

    Defects Fixed:

    Data Quality Reports - Resolved an issue with the “NEMSIS Submission Status” Report.
    FIRE Reports – Resolved an issue for the District filter. The filter now shows an accurate list of values.

    10.29.20


    EHR

    This release includes new features, enhancements, and defect fixes for ESO EHR web and mobile applications. The latest version of ESO EHR Mobile can be downloaded from Admin > EHR > Mobile Version.

    ESO EHR Mobile Version: 5.21.1787.0

    Important Compatability Notes

    • EHR Mobile is no longer supported on the Windows 7 operating system. Customers must be running Windows 8.1 or Windows 10.
    • Customers must be running EHR Mobile version 5.16 or greater. Mobile versions older than 5.16 will no longer initialize or receive download updates.
    • EHR Mobile 5.20.1786.0 or greater requires .NET Framework 4.8. The installer will check for .NET Framework 4.8 and install it if it is not found.
    New Features
    • Added 5 new fields:
      • Patient Tab> Contact > Physician Middle Name
      • Narrative Tab > Complaint > Onset Time
      • Narrative Tab > Injuries > Mechanism of Injury
      • Billing Tab > Payment > Primary Insurance Group Name
      • Billing Tab > Payment > Secondary Insurance Group Name
      These fields appear on printed reports and are available for reporting in Ad-Hoc.
      Exceptions: Physician Middle Name does not appear in Ad-Hoc.
    • Added 8 new optional fields. Administrators may enable these fields in Admin > EHR > [tab noted below] > Configurable Fields.
      • Incident Tab > Times > Staged
      • Incident Tab > Scene > Disaster Tag (displayed when Mass Casualty = Yes)
      • Patient Tab > History > Last Oral Intake
      • Billing Tab > Details > Specialty Care Transport Provider
      • Billing Tab > Transport > Mileage to Closest Hospital
      • Billing Tab > Transport > Prior Authorization Code Payer
      • Billing Tab > Transport > Transport Assessment
      • Billing Tab > Work Related > OSHA PPE Used
      These fields appear on printed reports and are available for reporting in Ad-Hoc.
      Exceptions: Disaster Tag and OSHA PPE Used do not appear on printed reports.
    • Flowchart > Procedures. Added functionality to document that a procedure in Airway, Critical Care, Defib/Cardio, IV Therapy, and Other sections was not performed. At the heading of each procedure shelf added a button labeled Not Performed. When clicked, the procedure details are hidden and a field to document the Reason Not Performed is disclosed. The Not Performed selection and the reason appear on printed reports and are available for reporting in Ad-Hoc.
    Enhancements
    • Added a deferred validation rule that requires Respiration Rate when Quality is documented
    • Added a deferred validation rule that requires Temperature when Temperature Method is documented
    • Updated Validation Rule: Admin > EHR > Forms Tab > Specialty Patient Require Spinal Immobilization to include the following impressions: Brain Injury, Injury of Head, Injury of Lower Back, Injury of Neck, Injury of Thorax, Concussion, Concussion without loss of consciousness, Concussion with loss of consciousness
    • To improve data quality, changed label on Incident Tab > Response > Priority to Response Mode to Scene. Label has been changed on printed reports to Response Mode. Column label has been changed to Response Mode to Scene in Ad-Hoc reporting.
    • Added Incident Tab > Response > Dispatch Priority field to printed report.
    Defects Corrected
    • Resolved an issue with Ortivus file reporting the value for Billing Tab > Work Related > Was the incident work related?
    • Resolved an issue where changes to Admin > General > Stations would not appear in EHR.
    • Resolved an issue where Admin > EHR > Incident Tab > Trauma Registry was not configurable.

    10.28.20


    Admin

    • User management workflow update.
      • This workflow update provides access to the same information as the Admin > Users section along with a number of new features.
      • No security changes needed. Access is still governed by the User Management security privilege in a security role assigned to a user.
      • A link on the User record in the Admin > User section provides entry to the new workflow.
      • Once in the new workflow, the search functionality in the Person record or the Personnel List can be used to navigate to other person records without having to go back to the Admin > User section.
      • Account and Roles are still managed in the Admin > User section.
      • New people added through the New Person button on the Personnel list
        • Appear on the Admin > User list.
        • Do not have a username, password, or security roles set.
        • If the person needs to be able to log into the ESO system, then account information and security roles will need to be set up in those sections in the Admin > User record.
      • New Features
        • Upload personnel photos by selecting the camera icon on the Person tab.
        • More easily record and renew Certifications and Licenses and view a history of each user’s Certification and License records in the Certifications section on the Certifications & Credentials tab.
        • Record hire date, end of service date, and adjusted hire date in the Employment Dates section on the Work tab.
        • Add a mailing address in the Address section on the Person tab.
        • Record marital status in the HR Info section on the Person tab.
        • Document hair color, eye color, height, weight, contact lens use, and blood type in the Miscellaneous section on the Person tab.
        • Record driver’s license restrictions and endorsements when adding a Driver’s License in the Certifications section on the Certifications & Credentials tab.
        • Add prefixes and suffixes to a personnel name in the Name section on the Person tab.
        • Document an alternate personnel ID number in the Employee #’s section on the Work tab.
        • Add values for EMS Job Role and EMS Other Job Responsibilities to be reported in the demographic file for state submission compliance in the Roles section in the Work tab. It also allows the user to enter a value for the NFIRS Usual Assignment.
          • View role history
          • Update roles
          • Edit roles
          • Delete roles

    PM

    • The Immunization list is now available in the Settings section.
      • There is a new Base Value option that is required to be entered in order to have the provider immunizations reported in the demographic file for state submission compliance.
      • The user must have the Immunizations security claim in one of their security roles to have access to the list in PM.
      • The order of the values can be rearranged by dragging and dropping them within the list. This order is used in the Immunization type list in the Medical > Immunizations section.
    • The Class Name and Class Description are now displayed in the Class list in the Person record in the Classes tab.
    • New Roles section in the Work tab which allows the user to enter values for the EMS Job Role and EMS Other Job Responsibilities to be reported in the demographic file for state submission compliance. It also allows the user to enter a value for the NFIRS Usual Assignment.
      • View role history
      • Update roles
      • Edit roles
      • Delete roles

    Hydrants

    • Users can update the hydrant profile image to display a picture of their hydrant on the summary view.

    Incidents

    • All NFIRS validation rules are now current.
    • Users can record other agencies' units on calls where aid was provided and still generate a valid NFIRS extract.
    • Users are now required to enter one Action Taken on an incident in order to comply with NFIRS validation.

    Activities

    • Users can delete recurring tasks from the Recurring Task list in the Settings section if they have the Activities Settings Access security claim as part of a security role assigned to them.
    • Users can add multiple assignments to a recurring task when creating it in the Recurring Task list in the Settings section.

    10.14.20


    Admin

    • For PM customers only, the Employment section in the Admin > User is no longer visible. All changes to information from the Employment section now need to be done in PM.
    • To make changes to the Application Lists to allow a person to be on the list to select from in EHR or the Fire suite
      • The user needs the Edit Security Details privilege as part of a role assigned to them. The security privilege can be added to a role in Admin in Roles under the Security section.
      • After opening the person’s record, the Application Lists are available in the Settings section, indicated by a wrench icon on the lower left side. Note that the icon will not appear if the user does not have the security privilege added.
      • The Application Lists may also be set when adding a new person in PM or adding a new user in Admin.

    Hydrants

    • The following fields have been added to Hydrant Task Flow Test records:
      • Reference Hydrant 1
      • Reference Hydrant 2
    • Users can delete tasks if they have a role with the Delete Hydrant Task security privilege.
    • Users can add attachments to Hydrant records in the Attachments section.
    • Users can filter Hydrants by Fire District on the Hydrants List.
    • The Hydrants map now
      • Zooms in on the selected hydrant if the user clicks on the summary or on the icon.
      • Zooms out to contain all the search results on search.

    Properties

    • Users can associate Hydrants from the new Hydrants application to a property in the Water tab in Properties.
    • Preplans are now populated with hydrants from the Hydrants application, as well as hydrants from the Legacy Hydrants section in Properties.

    Permits

    • Users can view who a permit was e-mailed to by clicking the Email Log link on the Permit.
    • In Ad Hoc, users can filter on Permit date fields.

    Inspections

    • The Selected Contact in an Inspection is now available in Ad Hoc in the Inspection Contact table.

    09.30.20


    Analytics

    EMS:
    California Core Measures folder have been updated in Analytics to comply with 2019 measures. The reports can be found under - Root -> EHR Reports -> California Core Measures:
    • (ACS-4) – Advanced Hospital Notification for STEMI Patients
    • (TRA-2) – Transport of Trauma Patients to a Trauma Center
    • (STR-1) – Prehospital Screening for Suspected Stroke Patients
    • (STR-4) – Advance Hospital Notification for Stroke Patients
    FIRE:
    Turnout time calculation has been updated in the below Analytics Report to calculate turnout time from dispatch to enroute and the report shows selected apparatus only when filtered with specific apparatus instead of showing all in the report.
    • Average Turnout Time By Apparatus
    HDE:
    Transports and Non-Transports dispositions have been accurately categorized in the below HDE report:
    • HDE-Hospital Identification Capture Rate BY EMS Provider
    Below are the New Filters available in Analytics:
    • Software Vendor
    • Software Version
    • Software Name
    • Destination Hospital Designation
    • Stroke Scale Score
    • Stroke Care Refusal

    PM

    • The Class Name single select field has been added and the original text field has been renamed to Class Description throughout the application. This will allow better reporting for classes by providing consistent naming. All existing information in the original field is maintained. The list for Class Name is in Settings in PM and is available to users who have a role with the Class Lists security privilege.
    • Ad Hoc has also been updated with the new Class Name column and the old column relabeled as Class Description in the 13-01 Classes section.

    Hydrants

    • The following fields have been added to hydrant task records:
      • Color
      • Color Coded?
      • Valve Location
      • Valve Size
      • Flow
      • Notes
    • Users can filter task records.
    • Users can associate one or more Properties records with a hydrant record. Buildings and Occupants cannot be linked, only Properties. Associated hydrants will be viewable on the Water tab after the next Fire release on 10/14.
    • Users can calculate flow test results.

    Permits

    • If a Permits record is associated with a Properties or Inspections record, it can be linked to that record in a single report in Ad Hoc.
    • Issued Permits can be emailed by selecting the option from the ellipsis menu on the Permit List or from the blue link on the Permit record.
      • Users can select email addresses associated with the permit record or manually type in email addresses. This behavior is the same as e-mailing an Inspection Report.
      • The permit is attached to the email as a PDF.
    • Permit Types can now have a Duration and Duration Unit set.
      • Permit Types are edited in the Settings section.
      • Setting a duration will allow the Expiration Date to be automatically populated based on the Effective Date and the Duration.
      • The Expiration Date can still be edited in the permit record after it was automatically populated. Note that any edit to the Effective Date will re-calculate the Expiration Date.

    Activities

    • When a user clicks the stopwatch icon, both the time and date fields are now populated.
    • The following fields are now available in Ad Hoc for Community Events:
      • Stations
      • Shifts
      • Assigned Districts
      • Assigned Divisions
    • The following fields are now available in Ad Hoc for Community Events and Interactions on those events:
      • Location Name
      • Number or Milepost
      • Street Prefix
      • Street or Highway Name
      • Street Type
      • Street Suffix
      • Apt/Suite/Room
      • City
      • State
      • Zip
      • Country
    • The following fields are now available in Ad Hoc for Operational Tasks:
      • Assigned Districts
      • Assigned Divisions
      • Assigned Shifts
      • Assigned Personnel
      • Assigned Stations

    Inspections

    • A new Permits tab has been added to Inspections.
      • This tab can only be viewed if the user has a security role with the Permits Module Access security permission set in Admin.
      • Permits can be created as part of an inspection, if the user has a security role with the Create & Edit Permits security set in Admin. All permits created during an inspection are displayed in the Permits From This Inspection section on that inspection record.
      • The permit location information is populated based on the property, building, or occupancy that the inspection is connected to.
    • Permits in an Issued status can be printed and downloaded from the menu in an inspection.
    • An inspection cannot be locked if there are draft permits on it.

    09.16.20


    PM

    • There is a new look for PM!
      • Navigation between Personnel, Training, and Group Actions is now on the left side of the screen. This layout matches the navigation UI in Activities, Permits, and Hydrants.
      • Help and Logout can be found in the Menu section next to your photo or initials at the bottom left.
      • To switch applications, use the Apps icon.
    • The Security tab has now moved to Settings, identified by the wrench icon, within the person record. This is where the Application Lists, which determine which personnel are available to select in EHR or Fire applications, are set.
    • There is a new Class Name list, which lets users standardize class name values for consistent reporting.
      • Add values to the Class Name list from Settings, identified by the wrench icon, at the PM application level.
      • Users with the Class List security privilege in one of their roles in Admin can see Settings and enter values.
      • Class Names can be entered into the list now, to be used in the new required Class Name single select field that will be introduced in the next release.
        • Note: with that release the current Class Name text field will be relabeled Class Description. All current information will remain in that field.
    • The NFIRS Employee Number and Alternate ID fields are available for reporting in Ad Hoc, in the 12-01 Personnel section.

    Properties:

    • Users can view current and historical permits associated with a property, building, or occupant (PBO) on the Permits tab of the individual PBO record.

    Permits:

    • Users can delete a permit.
    • Users can renew a permit.
    • Users can add attachments to a permit.

    Activities:

    • The following fields in the following sections are available for reporting Events data in Ad Hoc:
      • Event:
        • Units
    • The following fields in the following sections are available for reporting Tasks data in Ad Hoc:
      • Assignment:
        • Assigned Units
    • The following field labels were updated in Event records:
      • “Report Writer” was changed to “Event Report Writer”.
      • “Actual Start Date” and “Actual Start Time” were changed to “On-Site Start Date” and “On-Site Start Time”.

    09.16.20


    Outcome Portal

    In order to create a better user experience and offer additional insight, Outcome Portal has been redesigned to show more information on the Outcome Card.
    • The Outcome Card now contains two sections
      • ED Summary
      • Hospital Summary
    • These sections are designed to give you a better understanding of the patient’s diagnosis during their stay. Within each section there are three diagnosis types listed on the card
      • Working
      • Admitting
      • Final
    • The outcome card displays the primary diagnosis for each of these types on the Outcome Card.
    • If no diagnosis type is available, you will see a set of dashes.
    • A complete list of diagnosis sent from the hospital can be found
      • by clicking on the stethoscope icon on the Outcome Card. This icon shows up when you have the View Outcome Details permission enabled for your role.
      • by clicking on the View Outcome button. The View Outcome button will show up when you have the Print Outcome permission enabled for your role.

    Patient Tracker

    In order to create a better user experience and offer additional insight, Patient Tracker has been updated to show more diagnosis information in the Outcome Report.
    • The list of diagnosis in the report now contains a column for the diagnosis type
    • If no diagnosis type is available, you will see a set of dashes in this column

    09.02.20


    PM:

    • Skills and Credentials on Completed Training classes may now be edited if the user has the “Unlock Class” security privilege as part of their security role in Admin. Note that any changes to the Skills or Credentials on the Completed class are applied to all attendees on that class that are marked “Pass” and will be changed on the attendee’s individual records.

    Permits:

    • In a Permits record, users can search their Properties records and associate a property, building, or occupant with the permit. This search works the same way the Properties application search does.
    • When a Permit is associated with a Properties record, the following occurs:
      • All address fields in Permit Location are copied from the Properties record, and cannot be edited. Latitude and Longitude are also copied in, but remain editable. Location Description and Cross Street also remain editable.
      • Contacts from the associated Properties record can be imported into the permit. They are copied in, and not linked; edits to the Properties contact do not update the Permits contact, and vice-versa.
      • If the property, building, or occupant has a value in its Name field, that value is copied into the “Applicant Name” field on the permit. The field remains editable.
      • An “X” button appears that allows users to unlink the Properties record from the permit. Unlinking the record will clear the Applicant Name and Permit Location fields.

    Activities:

    • The following fields in the following sections are available for reporting in Ad Hoc:
      • Event:
        • Status
        • Event Name
        • Event Report Writer
        • Event Type
        • Event Type Category
          • Note that this value is based on the Event Types list configuration in the Settings page.
      • Reporting:
        • Class Type
        • Risk Reduction Categories
        • Accreditation Types
        • Accreditation Categories
      • Interactions:
        • Equipment Type
        • Model

    08.28.2020


    EHR

    • This release includes new features, enhancements, and defect fixes for ESO EHR web and mobile applications. The latest version of ESO EHR Mobile can be downloaded from Admin > EHR > Mobile Version.

    • ESO EHR Mobile Version: 5.20.1786.0

    • Important Compatibility Notes
      • EHR Mobile is no longer supported on Windows 7 operating system. Customers must be running Windows 8.1 or Windows 10.
      • Customers must be running EHR Mobile version 5.16 or greater. Mobile versions older than 5.16 will no longer initialize or receive updates.
      • EHR Mobile 5.20.1786.0 or greater requires .NET Framework 4.8. The installer will check for .NET Framework 4.8 and install it if it is not found.
      • Customers using driver’s license scanning on EHR Mobile should update to version 5.20.1786.0 to avoid loss of functionality.
    • New Features
      • Added a Physician Certification Statement form to Signatures tab. This form may be enabled in Admin > EHR > Optional Features > Physician Certification Statement (PCS). Additional details may be found in the Physician Certification Statement User Guide in the Product Training area.
      • New Field: EHR > Incident > Station. This field is populated with data configured in Admin > General > Stations.
      • New Optional Validation Rule: Two sets of vital signs are required when the incident disposition has a patient contact. This rule may be abled in Admin > EHR > Vital Signs > Require Two Vitals Sets.
      • Updated Optional Validation Rule: Admin > EHR > Billing > Configurable Validation > Billing Must Enter Consumable on Transport. Updated to reflect rule is specific to transport dispositions.
      • New Optional Validation Rule: Consumable required on patient contact non-transport dispositions. This rule may be enabled in Admin > EHR > Billing > Configurable Validation > Billing Must Enter Consumables on Patient Treated.
      • New Optional Validation Rule: Documentation of aspirin administration required for chest pain or STEMI impressions. This rule may be enabled in Admin > EHR > Flowchart > Validation Rules > Aspirin Required for STEMI and Chest Pain Impressions.
      • New Optional Field: Is Patient a Veteran? This field may be enabled in Admin > EHR > Patient Tab > Configurable Fields > Is Patient a Veteran. This field is available for reporting in Ad-Hoc
      • To improve data quality, the following 14 fields were converted from single-select to multi-select controls:
        • Incident > Scene > Suspected Disaster
        • Incident > Disposition > Transport Due To
        • Patient > Race
        • Vitals > Scoring > Glasgow Coma > Qualifiers
        • Vitals > ECG > Method of ECG Interpretation
        • Flowchart > General > Complications
        • Narrative > Factors Affecting Care > Barriers to Care
        • Narrative > Factors Affecting Care > Alcohol/Drugs
        • Narrative > Patient Transport > How Patient was Moved To Ambulance
        • Narrative > Patient Transport > Patient Position During Transport
        • Forms > CPR - Cardiopulmonary Resuscitation > Arrest > Arrest Witnessed by
        • Forms > CPR - Cardiopulmonary Resuscitation > EMS > Rhythm at Destination
        • Forms > CPR - Cardiopulmonary Resuscitation > Arrest > ROSC
        • Billing > Details > Code Modifiers
      • To improve data quality, the following 3 fields were converted from Yes/No to single-select controls:
        • Narrative > Possible Patient Injury
        • Narrative > Factors Affecting Care > Pregnancy
        • Billing > Work Related > Was the Incident Work Related

        As a result of these 17 fields being converted to new controls, the printed reports have been updated. Additionally, new fields have been created in Ad-Hoc and customers should update reports to reflect the new fields. Customers should refer to this document for details.

    • Enhancements
      • Updated EHR Mobile login page
      • Added Novel Coronavirus (COVID-19) to Patient > History
      • Added Flowchart > General > Complications to printed reports
      • Added Flowchart > Airway Complications to printed reports
      • Added a deferred validation rule that requires units when Estimated Age is entered
      • Updated driver’s license scanning support files
    • Defects Corrected
      • Corrected an issue where County lookup index on EHR Mobile would be marked as corrupt requiring reinstall of EHR Mobile.
      • Corrected an issue where the Resident Status field placement was different between EHR web and EHR Mobile.

    08.27.20


    Analytics:

    Analytics updated below reports to comply with NEMSIS 3.4 change and accept multi-select values for Return of Spontaneous Circle (ROSC) and Complications fields.

    • Multi selected Complications can be seen in the below-mentioned reports.
      • Procedure Frequency – Versed
      • Medication Breakdown
    • Multi selected Return of Spontaneous Circulation (ROSC) values can be seen in the below-mentioned reports.
      • AED Applied Prior to EMS Arrival
      • Out of Hospital Cardiac Arrest - Bystander CPR
      • Out-of-hospital Cardiac Arrests with ROSC
      • (Utstein) ROSC - Unwitnessed Arrest
      • (Utstein) ROSC - Witnessed Arrest Bystander
      • (Utstein) ROSC - Witnessed by 911 Responder
    • Below are the New Filters available in Analytics:
      • Patient Race
      • Transport Method
      • Transport Due To

    08.19.20


    PM:

    • “Available in EHR Personnel List” and “Available in Fire Apps Personnel List” settings are now available in the Application Lists section, in a new Security tab in the person record. These settings govern if the person is shown on the personnel lists in the various applications.
      • These can also be set in the New Person workflow.
    • The new PM “Edit Security Details” and “View Security Details” security permissions need to be added to users’ security roles in Admin in order to allow users to access the Security tab.

    Permits:

    • Users can now mark checklist items on a permit as Pass, Fail, or N/A. Checklists are configured and added to Permit Types in the Settings page.
    • Issued Date, Issuer First Name, and Issuer Last Name are now reportable in Ad Hoc.

    08.13.20


    Activities:

    • For Operational Tasks, personnel hours default to the duration of the task, based on Start Date/Time and Completed Date/Time. Users can uncheck the “Use task duration” box to manually edit personnel hours instead.
    • The following fields in the following sections are available for reporting in Ad Hoc:
      • Community Events:
        • Event Name
        • Status
        • Scheduled Start Date
        • Scheduled Start Time
        • Scheduled End Date
        • Scheduled End Time
        • On-Site Start Date
        • On-Site Start Time
        • On-Site End Date
        • On-Site End Time
        • Scheduling Contact Name
        • Scheduling Contact Phone
        • On-Site Contact Name
        • On-Site Contact Phone
        • Location Name
        • Number or Milepost
        • Street Name
        • Apt/Suite/Room
        • City
        • Zip
        • County
        • Interactions Under 5 Years Old
        • Interactions 5 to 9 Years Old
        • Interactions 10 to 14 Years Old
        • Interactions 15 to 19 Years Old
        • Interactions 20 to 24 Years Old
        • Interactions 25 to 29 Years Old
        • Interactions 30 to 34 Years Old
        • Interactions 35 to 39 Years Old
        • Interactions 40 to 44 Years Old
        • Interactions 45 to 49 Years Old
        • Interactions 50 to 54 Years Old
        • Interactions 55 to 59 Years Old
        • Interactions 60 to 64 Years Old
        • Interactions 65 to 69 Years Old
        • Interactions 70 to 74 Years Old
        • Interactions 75 to 79 Years Old
        • Interactions 80 to 84 Years Old
        • Interactions 85 Years Old or Greater
        • Notes
      • Community Event Personnel
        • Hours Present
      • Community Event Interactions
        • Contact Name
        • Contact Phone
        • Contact Email
        • Equipment Brand
        • Equipment Year of Manufacture
        • Equipment Model
        • Equipment Serial Number
        • Location Name
        • Number Or Milepost
        • Street Name
        • Apt/Suite/Room
        • City
        • Zip
        • County
        • Notes
      • Community Event Types
        • Name
      • Operational Tasks
        • Task Name
        • Task Status
        • Instructions
        • Due Date
        • Start Date
        • Start Time
        • Completed Date
        • Completed Time
        • Notes
      • Operational Tasks Personnel
        • Number of Hours Present

    08.05.20


    Activities:

    • Users can edit their personal assignment in the Station, Shift, Unit, and District fields on the dashboard. Those values are used as default filters when the user navigates into Activities.
    • In the Settings page, users can duplicate Recurring Tasks so they can quickly re-use task definitions with similar task names, assignments, recurrences, etc.
    • Users can use Districts and Divisions to define the assignment for a Recurring Task.

    08.04.20


    PM:

    • The labels used in the printed Personnel History report have been updated to match the application and the print section selection window:
      • “Credentials” has been changed to “Certifications and Licenses”.
      • “Certifications” has been changed to “Credentials”.
      • “Competencies” has been changed to “Skills”.
    • Class Origin is now available for reporting in Ad Hoc.
    • There is a new security permission called “Personnel Profile: Update My Certifications and Licenses” for the PM module in Admin. When added to a role it allows a user to add and edit their own certifications and licenses, but not anyone else’s.

    07.22.20


    Fire Incidents:

    • In the Authorization section of the Basic tab, there are now fields for Quality Control Reviewer and Quality Control Completed Date. These fields are also available for reporting in Ad Hoc.
    • The “Counts Include Mutual Aid” button has been renamed “Counts Include Aid Received”, to match the NFIRS specification.
    • If “Counts Include Aid Received” is set to true, then Aid Given/Received must be set to a value with NFIRS code 1 or 2.

    PM:

    • On all classes, there is now an Internal/External class indicator. For previous Silverlight PM users, please note that classes entered as Quick Credit CE Hours are set to External by default. All classes entered through Training were defaulted to Internal.
    • There are now filters for the Training Class list for Internal and External classes, Open and Completed classes, Category, and Method.
    • The Degree of Study field in Person > HR Info is now a multi-select field.
    • Clicking on the attachment icon or the view link for the Certification or License attachment now allows you to view, download, or print the attachment.
    • Clicking on the Edit Description link for the Certification or License attachment allows you to change the description without opening the attachment viewer.

    07.21.20


    Analytics:

    Two Audit reports from Microsoft Silverlight have been migrated to the ESO Analytics Platform. The reports can be found under the below-mentioned root folder.

    • PCR Open/Print Audit Report
    • User Login Audit Report
      • Root → EHR Reports → Operational Reports → System Monitoring

    07.20.20


    Patient Tracker:

    • Patient Tracker released a new “Has HDE” filter that gives the ability to filter results based on the tenant’s HDE subscription. Hospital tenants can filter out EMS agencies that do or do not subscribe to HDE. EMS tenants can filter out hospitals who do or do not subscribe to HDE. This filter works well with the “Has Outcome” filter in Patient Tracker. When these two filters are used together, users will be able to find HDE subscribers (Has HDE = yes) where the record does not have an outcome (Has Outcome = No).

    07.8.20


    PM:

    • Attachments on Certifications and License records can now be viewed from the Certification and Licenses list and an individual record’s History section, by clicking on the attachment icon or thumbnail displayed before the certification or license record. If there is no attachment, then clicking on the add attachment icon displayed will open a window to allow users to add attachments to the record.
    • Attachments on Certifications and License records can now be deleted from the attachment preview window using the Delete menu option, or from the Edit Certification window in the Attachments section using the Delete link below the attachment.
    • There is a new Group Action for Certifications and Licenses to allow certification or license records to be added to a group of people at once. The certification or license number and initial issue date will be prepopulated from the previous record, if one exists, for that person for that certification or license type.

    Properties:

    • Deleted Properties, Buildings, and Occupants no longer appear in Ad Hoc.
    • The following fields, from the Demographics section of each record type, are now available for reporting in Ad Hoc:
      • Property – Demographics:
        • Township
        • Division
        • Fire District/Battalion
        • Inspection District
        • Station
        • Fire Management Zone
        • FIPS Code
        • Census Tract
        • Planning Zone
        • Zone Type
        • Parcel
        • Tax Map Number
        • Property Value
      • Building – Demographics:
        • Division
        • Fire District/Battalion
        • Inspection District
        • Station
      • Occupant – Demographics:
        • Division
        • Fire District/Battalion
        • Inspection District
        • Station

    07.09.20


    Analytics:

    Analytics updated Disposition filter values in the below-mentioned Analytics reports to accurately categorize Transports and Non-Transports dispositions and to show historical disposition values for the reporting purpose per NEMSIS 2 standard.

    • Average Scene Time For Stroke Patients
    • 5.4 ACS - Percent Scene Time < 20 Minutes
    • Scene Time - Trauma (Set Default At 20 Min)
    • HDE - Hospital Identification Capture Rate By Facility

    06.30.2020


    EHR

    • This release includes new Flowchart items and resolves one defect. There is no new ESO EHR Mobile version associated with this release.

    • ESO EHR Mobile Version: 5.19.1780.0

    • New Features
      • Added the following procedures to Flowchart > Other Involuntary Psychiatric Hold
      • Added the following procedures to Flowchart > Telemedicine Consultation
    • Defects Fixed
      • Corrected an issue where inactive certifications (credentials) were appearing on billing extract PDFs.

    06.24.20


    PM:

    • If your agency used Quick Credit CE Hours in Silverlight PM, we have made them easier to manage in new PM:
      • Quick Credit CE Hours are now listed in the Training Class list and can be edited and deleted like any other Completed class.
      • Quick Credit CE Hours show in the individual’s Classes tab with an Origin of “Quick Credit” and are linked back to Training for editing.
    • Attachments can now be added to specific Certification and License records.
    • The following changes were made to labels in Ad Hoc:
      • “12-06 Personnel Emergency Contacts” is now “12-06 Personnel Contacts”.
      • “13-04 Class Credit Competencies” is now “13-04 Class Credit Skills
    • The following fields were added to Ad Hoc:
      • Personnel - Contact Lenses
      • Personnel Contact - Emergency Contact Indicator
      • Personnel Credentials - Type and Reminder
      • Certifications and Licenses - Certification or License Indicator, Jurisdiction (National, State, Local), State, Driver’s License Endorsements, Driver’s License Restrictions
      • Personnel Qualifications - Expiration Date, Duration, Duration Unit, Reminder
      • Personnel Work History - Rank Effective Date

    06.18.20


    Analytics:

    Analytics released new California Core Measures reports and updated the “California Core Measures” folder to meet the requirements of the California EMS System Core Quality Measures.

    The new reports can be found under EHR Reports/California Core Measures:

    • (RST-4) 911 Requests for Services that Include a Lights and/or Siren Response
    • (RST-5) Lights and/or Siren Transport Rate

    Following Trauma Measures have been updated in Analytics as new reports to meet the requirements of the California EMS System Core Quality Measures.

    • (TRA-1) Trauma - Scene Time For Trauma Patients Transported to a Trauma Center
    • (TRA-2) Trauma - Transport of Suspected Trauma Patients to a Trauma Center

    Default Filters and Report Descriptions have been updated in the following existing Analytics reports under California Core Measures.

    • (STR-2) CVA/TIA - Blood Glucose Check Performance
    • (ACS-1) Chest Pain - Aspirin Administration
    • (ACS-4) - Advanced Hospital Notification for Suspected ACS

    Below are the new filters available in Analytics:

    • Mechanism Of Injury
    • Anatomy Of Injury
    • CDC 2011 Mechanism Of Injury
    • Vital Signs and Consciousness
    • Transport Mode Descriptors
    • Response Mode Descriptors

    06.10.20


    Fire Incidents:

    • For users of ESO Scheduling, an integration is now available to populate unit report data based on the crew schedule for that day. The data will be populated automatically on CAD import, and can also be pulled manually from the Unit Reports tab.
    • Personnel are pulled from ESO Scheduling based on the personnel assigned to a unit at the time it was dispatched.
      • If the “Unit” name in Admin does not match a “Vehicle” name in ESO Scheduling, no data is pulled.
      • If a crew member has not used the single sign-on (SSO) integration to get to ESO Scheduling before, they will NOT be pulled into the unit report.

    PM:

    • There is a New Personnel report on the PM Personnel landing page which retrieves a list of personnel who were added to the system within a time period, defaulted to the last 30 days.
    • The following information can now be entered in the Add Person form:
      • Employment
        • Hire Date
        • Affiliation
        • Affiliation Date
        • Work Status
        • Work Status Date
      • HR Info
        • Date of Birth
        • Social Security Number
        • Citizenship
        • Gender
        • Race
        • Ethnicity
        • Marital Status
      • Title & Rank
        • Title
        • Rank
        • Rank Effective Date
      • Assignment
        • Division
        • Shift
        • Station
        • Unit
        • Assignment Effective Date
    • Some updates were made to PM record printing:
      • The Personnel Print now respects the Class Information selection – class information will only display in the report if the section is selected.
      • Only sections that the user has permissions to view in the application are available in the Print selection window.
      • The Print option will not appear on the menu if the user does not have security permissions for any of the sections.
    • Driver’s Licenses in the Certification and Credentials > Certs & Licenses section are now labeled with “Driver’s License”.
    • There is now a Group Action for Immunizations to allow immunization records to be added to a group of people at once.

    05.28.20


    EHR


    This release includes new Flowchart items and resolves two defects. There is a new ESO EHR Mobile version associated with this release that resolves a defect with city lookup for addresses but includes no new functionality.

    ESO EHR Mobile Version: 5.19.1780.0

    New Features
    • Added the following procedures to Flowchart > Airway
      • Endotracheal Tube Monitoring
    • Added the following procedures to Flowchart > Other
      • Shoulder Reduction
      • REBOA
    • Added the following medications to Flowchart > Medications
      • Andexanet Alfa
      • Bivalirudin
      • Cangrelor
      • Phenylephrine Infusion
      • Prothrombin Complex Concentrate
      • Dexmedetomidine
      • Olanzapine
      • Diltiazem Infusion
      • Fentanyl Infusion
      • Lorazepam Infusion
      • Methylprednisolone Infusion
      • Midazolam Infusion
      • Potassium Chloride Infusion
    Defects Fixed
    • Corrected an issue with city lookup on EHR Mobile
    • Corrected an issue with blood pressure instant validation where a systolic or diastolic blood pressure was not required

    05.27.20


    Analytics


    Newly Upgraded Reports

    The following FIRE reports have been released and upgraded to Kudu (new query technology). The reports can be found under the root folders mentioned below with the yellow “NEW” icon next to the report name.

    • Station Report
    • Total Record Volume By Incident Type
      • Root -> Fire Reports - > Fire Operational Reports
    • Average First Apparatus Travel Time
    • Average First Apparatus Turnout Time
    • Average Turnout Time By Apparatus
      • Root -> Fire Reports - > Fire Operational Reports -> Fire Times

    Two new incident level PPE Filters available now to filter and run FIRE Kudu Analytics reports.

      • Per Incident Medical PPE Worn
      • Per Incident PPE Worn
    • All FIRE Kudu Reports show data using Alarm Date Time on the Detail reports as known as Drill-Through except the Station Report.
    • Pre-2019 data will not be completely available in these reports for a certain period.

    Analytics updated Disposition filter values in the below-mentioned Analytics reports to accurately categorize Transports and Non-Transports dispositions and show historical disposition values in the reports per NEMSIS 2 standard.

    • (TRA-1) Scene Time for Trauma Patients.
    • Average Scene Time For Trauma Patients

    04.30.20


    EHR


      This release includes new features, usability enhancements, and defect fixes for ESO EHR web and mobile applications. The latest version of ESO EHR Mobile can be downloaded from Admin > EHR > Mobile Version.

      ESO EHR Mobile Version: 5.19.1779.0

    New Features
    • To improve the speed and accuracy of vital signs documentation, we have enhanced the usability of the workflow for deleting a row of data in the grid on the Vitals tab. We have added a delete button to the right side of the row that allows a user to delete the row in a single click. A restore feature has also been added to allow users to restore a row that was mistakenly deleted before the record is locked. Once the record is locked, deleted rows cannot be restored. For additional information, please see this Vitals Delete Quick Reference.
    • New Form: BEFAST Stroke Scale. This form may be enabled in Admin > EHR > Forms Tab > Forms > BEFAST Stroke Scale. The configurable validation rule Admin > EHR > Forms Tab > Configurable Validation > Specialty Patient Requires Stoke Scale will require that the BEFAST Stroke Scale be completed, if enabled, and if the Primary or Secondary Impression is Stroke or TIA, and no other stroke scale form has been completed. Data entered on this form appear on a printed Patient Care Report and Billing Report. Fields in this form are available for reporting in Ad-Hoc.
    • New Form: FAST-ED Stroke Scale. This form may be enabled in Admin > EHR > Forms Tab > Forms > FAST-ED Stroke Scale. The configurable validation rule Admin > EHR > Forms Tab > Configurable Validation > Specialty Patient Requires Stoke Scale will require that the FAST-ED Stroke Scale be completed, if enabled, and if the Primary or Secondary Impression is Stroke or TIA, and no other stroke scale form has been completed. Data entered on this form appear on a printed Patient Care Report and Billing Report. Fields in this form are available for reporting in Ad-Hoc.
    • New Form: Florida Trauma Scorecard. This form may be enabled in Admin > EHR > Forms Tab > Forms > Florida Trauma Scorecard. Data entered on this form appear on a printed Patient Care Report and Billing Report. Fields in this form are available for reporting in Ad-Hoc.
    • Flowchart > Medications. Added functionality to document that a medication was not administered. At the heading of each medication entry added a button labeled “Not Performed.” When clicked, the medication administration details are hidden and a field to document Reason Not Performed is disclosed. The “Not Performed” selection and the reason appear on printed reports and are available for reporting in Ad-Hoc.
    • Flowchart > Medications. Added an optional field for an authorization signature for the specific administration of a medication on the flowchart. The signature field may be enabled in Admin > EHR > Flowchart Tab > Configurable Fields > Medication Authorization Signature. When this field is enabled, in Flowchart > Medications when Medical Control is field is set to “On-Line (Remote Verbal Order)” or “On-Scene” an Authorization Signature field is disclosed. The configurable validation rule Admin > EHR > Flowchart Tab > Configurable Validation > Medication Authorization Signature Required will require that the signature field be completed if the aforementioned Medical Control choices are selected. The signature and details about the medication administration appear in printed reports. The Authorization Signature field is available for reporting in Ad-Hoc. For additional details, please see the Medication Authorization Signature guide in the ESO Product Training portal.
    • Personal Protective Equipment is now a configurable list in Admin > EHR > Incident Tab > Configurable Lists > Personal Protective Equipment. Administrators may enable or disable items, view and change the order the items appear within the application, and export a list of items. NOTE: Administrators who choose to adjust the list should initially enable all desired values before making changes to the list. Administrators should not disable the “None” option as it is necessary for validation rules.
    • Added the following items to Incident > Personnel > PPE: Mask-N100, Mask-N100 (Reuse), Mask-P100, Mask-P100 (Reuse)
    • Added the following items to Patient > Allergies and Medications: Abciximab, Activase, Alteplase, Anastrozole, Antivenom, Antizol, Atracurium Besylate, Benzoin resin, Bisacodyl, Bretylium Tosylate, Candesartan, Celecoxib, Corvert, CroFab, Cryoprecipitate, Cyanokit, Dabigatran, Dantrolene, Desmopressin (DDAVP), Digifab, Felodipine, Fomepizole, Hydroxychloroquine, Ibutilide Fumarate, Kcentra, Olanzapine, Protamine Sulfate, Quetiapine, ReoPro, Restoril, Sodium ferric gluconate, Tamoxifen, Temazepam, Theophylline, Tirofiban, Toujeo, Tresiba, Trulicity, Victoza.
    • Added the following items to Patient > Allergies: Lead, Thimerosal

    Usability Enhancements
    • To improve data quality EHR > Patient > Advance Directives has been converted to a multi-select control.
    • The section Incident > NFIRS has been renamed Fire Incidents to reflect correct name of the ESO Fire Incidents software.
    • In Incident > Fire Incidents several field labels have been updated to reflect the correct name of the field in ESO
    • Fire Incidents:
      • Aid has been updated to Aid Given/Received
      • Primary Action has been updated to Action Taken 1
      • Additional Action fields have been updated to Action Taken 2 and Action Taken 3
      • Host Agency has been updated to Aided Agency
      • Host Incident Number has been updated to Their Incident #.
    • In Incident > Fire Incidents removed the seven fields related to apparatus and personnel count.
    • Updated the Flowchart > Import selection button for TrackEMS to reflect new branding as ESO Alerting.

    Defects Fixed
    • Ad-Hoc: Corrected an issue where CAD Reconciliation reports in Ad-Hoc would not reflect the correct ePCR status

    04.29.20


    PM:

    • For certifications and licenses, users may now enter an issue date in the future.
    • “Other” is now a value in the contact relationship list.
    • The validation message for duplicate EMS certification or license numbers now has a link to the person with the same number, to make it easier to determine which record to correct.
    • You can now add a photo when creating a record in Add Person.

    04.23.20


    Admin:

    • A Pre-Shift COVID-19 Screen is available to survey responders on their potential exposure prior to going to work; full details can be found here.

    Analytics:

    • New reports have been released in the Analytics. The reports can be found under below-mentioned root folders:
      • Root -> EHR Reports -> Operational Reports -> Times
        • Report Title - Average Total Call Time - Dispatched to Call Closed
      • Root -> Survey Reports
        • Report Title – Pre-Shift COVID-19 Screen
    • Analytics updated Disposition filter values in the below mentioned Analytics reports for the agencies who still follow the NEMSIS V2 standard.
      • Average Scene Time
      • Average Scene Time For Suspected Myocardial Infarction and STEMI Patients.
    • Analytics updated default filters in the ‘Average Scene Time For Suspected Myocardial Infarction and STEMI Patients’ report.
      • The default filter 'Priority' has been updated to show "Emergent" in place of "Lights and Siren” filter value.
      • The default filters Primary Impression and Secondary Impression have been updated to show "Non-ST elevation myocardial infarction (NSTEMI)", "ST elevation myocardial infarction (STEMI) " instead of "MI-Other", "MI-STEMI" filter values.

    04.15.20


    Fire Incidents:

    • On CAD imports, the Census Tract field on the Basic tab is populated with the value from the CAD record.

    NFIRS

    • Critical Incident Circumstances fields were added to the Basic Tab, and those fields are configurable in Admin.

    Properties:

    • For Properties, Buildings, and Occupants, all Contact fields from the Address, Email, Info, Notes, and Phone sections are now available for reporting in Ad Hoc.

    PM:

    • Users with the "Delete Locked Class" security claim can now delete completed classes.
    • Users with the "Unlock Class" security claim can make changes to completed classes. These changes are immediately reflected on the PM records of all attendees. The following sections can be edited:
      • Class Info
      • Attendees
      • Credits
      • Sessions
        • Sessions cannot be added or deleted, only edited.
        • All fields can be edited except for the Session’s date.
    • If your agency does not have EHR, there was an error message in the Injuries & Exposures section on the Medical tab. This has been fixed.

    04.09.20


    Analytics:

    • Analytics released a new report which would help in monitoring the minimum number of documented Personal Protective Equipment (PPE) items in Electronic Health Record (EHR) utilized by providers.

      The report can be found under: Root -> EHR Reports
      • Documented Use of PPE Articles - Template (Eye Protection)
    • A new filter has been added at a crew member level for Personal Protective Equipment items.
      • Per Crew Member PPE (Personal Protective Equipment) Used
    • Filter Name for existing filter ‘Crew Member Personal Protective Equipment Used’ has been updated to reflect filter at the Incident level.
      • Per Incident PPE (Personal Protective Equipment) Used
    • Analytics has updated the categorization of dispositions in the Analytics reports for ‘Transports’ and ‘Non-Transports’ dispositions.
    • The GEMS for Transports’ and ‘Non-Transports’ dispositions are no longer going to add up as 100% for below mentioned operational reports.
    • A third GEM will be added on such reports for dispositions that do not fall into the category of ‘Transports’ or Non-Transports’ and GEMS will add up to 100%.
      • Total Volume By Day of Week
      • Total Volume By Month of Year
      • Total Volume By Hour of Day
      • Total Volume By Hour of Day (Hospital)

    04.01.20


    Fire Incidents:

    • When a unit specifies a 611 incident type in the EHR NFIRS widget, after EHR import that unit is marked as Cancelled Prior To Arrival.

    Inspections:

    • Users can now add multiple attachments to violations. All attachments are displayed with their parent violation in both the Inspection Report and the inspection’s summary in Properties.

    PM:

    • For agencies that use PM, every user at the agency now has access to view their own profile via a link on the landing page that says, “View your Personnel Profile”.
      • The profile is available to all users for their own record, and read-only by default.
      • Administrators can add new security claims to roles to allow users to edit sections of their own record.
        • The new security claims all begin with “Personnel Profile: Update My”.
        • None of the edit security claims are granted by default.
    • The Training class list can now be sorted by class name and start date & time.
    • The Training class list can now be searched by class name.
    • Training classes still in draft status can now be deleted by clicking the red X next to the class in the class list.
    • Users can print sections from an individual’s PM record, filtered by date range, by selecting Print from the menu on the top right. The following sections can be selected for printing:
      • Work Info and Qualifications
      • Classes
      • Credentials
      • Certifications and Licenses
      • Skills
      • Immunizations

    03.30.20


    Fire Incidents:

    • The field “COVID-19 was a factor in this incident” has been added to the Basic tab. This field tracks the special study information requested by USFA on 3/26. It is available for reporting in Ad Hoc, and will be included in the March NFIRS extracts.
    • The following list items have been added to the “Medical PPE Used” field in the Personnel form on Unit Reports, and are available for reporting in Ad Hoc:
      • Face Shield
      • Face Shield (Reuse)
      • Gown (Reuse)
      • Mask-N95 (Reuse)
      • Mask-Surgical (Reuse, Non-Fitted)
      • Isolation Coveralls
      • Isolation Coveralls (Reuse)

    03.27.2020


    EHR

    This release contains enhancements for documentation of COVID-19 cases. There is no new ESO EHR Mobile version associated with this release. For more information on using ESO software during the COVID-19 outbreak, visit the COVID-19 resource center.

    ESO EHR Mobile Version: 5.18.1773.0

    New Features

    • To assist with accurate calculation of utilization rate for PPE for those responders who may be reusing equipment, we have added additional PPE items and marked some with “(Reuse).” For more information including the CDC definition of reuse, please review this product bulletin.
      • Added “Face Shield,” “Face Shield (Reuse),” “Gown (Reuse),” “Isolation Coveralls,” “Isolation Coveralls (Reuse),” “Mask-N95 (Reuse),” “Mask-Surgical (Reuse, Non-Fitted),” and “None” to the list of PPE available in Incident > Personnel > PPE
    • Added the following to Flowchart > Other
      • Mask on Patient
      • Specimen Swab (Nasal)
      • Specimen Swab (Oral)
      • Infectious Patient Alert

      To use new Flowchart items, administrators must enable them in Admin > EHR > Flowchart Tab > Other.

    • New Optional Validation Rule: Infectious Patient Alert must be present on the EHR flowchart (or with a reason not performed) if the primary/secondary impression is a COVID-19 related and labeled impression, or the impression is Infectious Disease. This rule may be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > Infectious Patient Alert Required

    Defects Fixed

    • Corrected an issue with the optional validation rule “Custom – Personal Protective Equipment Used (PPE)” where PPE documented on a single personnel entry on the record would pass validation. The rule now requires all personnel to have PPE documented.

    03.25.20


    Analytics:

    • New reports have been added in Analytics to evaluate cases with COVID-19 and Influenza-Like Illness impressions. The reports can be found under below-mentioned root folders:
      • Root -> EHR Reports
        • COVID-19 and Influenza-Like Illness (ILI) Impressions
      • Root -> Hospital Reports
        • Total Transport - ILI Primary or Secondary Impression - Current Year
        • Total Transport - COVID19 Primary or Secondary Impression - Last 30 Days

    03.20.20


    Fire Incidents:

    • The following fields have been added to the new Medical PPE section, in the Unit Personnel form of Unit Reports. They are also available for reporting in Ad Hoc:
      • Patient Contact
      • Medical PPE Worn

    03.19.20


    Analytics:

    Analytics released a new report to help analyze COVID-19 cases. Agencies can utilize this report to find out the usage of Personnel Protective Equipment (PPE) during patient encounters by EMS providers with possible COVID-19 infections.

    The report can be found under Root -> EHR Reports

    • Total Record Volume with PPE Usage By EMS Providers

    03.18.20


    Fire Incidents:

    • Fire records created from the EHR import now have the incident narrative set to "For narrative, see EHR incident number <incident number>."
    • When a CAD record has a street type of “PKWY”, it is now imported into Fire Incidents as the NFIRS standard value “PKY”.
    • Third-party imports now populate Ad Hoc and the Fire Incident Tracker PDF with Station, Shift, District, and Aided Agency. Those fields are populated by matching the ID in the extract to your agency’s current Admin configuration.

    PM:

    • When a Person is added to multiple Fire Incident Exposures with Cancer Exposures data or multiple Fire Incident Exposures with Fire Service Casualty data, each Incident/Exposure is now displayed as a separate record rather than as one record.
    • There is a new Group Actions section.
      • This provides the user a way to add a record to multiple people all at once.
      • The group can be filtered and searched. After creating a record, the selected group remains in place so it can be used to create more records.
      • External Personnel are not on the list of available people to select for group actions.
      • Skills and Credentials can be added for a group.
    • You can now filter and search for attendees in the Training Class in Add Attendees, and bulk select all filtered results with one click.
    • The filters on the Personnel List and Training Class are now in the same order.
    • If a training class has multiple sessions, all of the sessions are now displayed in the individual personnel member’s class record in the Classes tab.

    ESO Landing Page:

    • There is now a section with a greeting and the current date.

    03.13.20


    EHR

    This release contains a new form and associated validation rules for outbreak screening. To utilize the new form on devices running ESO EHR Mobile, customers must upgrade mobile software. For more information on using ESO software during the COVID-19 outbreak, visit our blog posting.

    ESO EHR Mobile Version: 5.18.1773.0

    New Features

    • New Form: Outbreak Screening has been added to screen for symptoms and related history during an infectious disease outbreak. A user guide is avaialble for this form.
      • Before enabling the form, administrators should enable the COVID-19 outbreak name in Admin > EHR > Forms Tab > Configurable Lists > Outbreak Name
      • A pre-populated and enabled list of COVID-19 symptoms can be found in Admin > EHR > Forms Tab > Configurable Lists > Outbreak Symptoms. Administrators may add, edit, and enable/disable symptoms. NOTE: Administrators should not disable or edit the “None” value. This value is in place to allow form utilization when validation rules are enabled.
      • Administrators may enable the Outbreak Screening form in Admin > EHR > Forms Tab > Forms
    • New Validation Rule: the Outbreak Screening form must be completed on all patient contacts. If the symptom “None” is selected, an onset date and time are not required to be completed. This rule may be enabled in Admin > EHR > Forms Tab > Configurable Validation > Outbreak Screening Required
    • New Validation Rule: the Outbreak Screening form must be completed on all patient contacts for COVID-19 related and labeled primary and secondary impressions. The completed form must indicate that COVID-19 is the outbreak being screened. If the symptom “None” is selected, an onset date and time are not required to be complete. This rule may be enabled in Admin > EHR > Forms Tab > Configurable Validation > COVID-19 Screening Required

    03.09.20


    Analytics

    Analytics added below reports to help analyze COVID-19 cases. Reports can be found under Root -> EHR Reports

    • COVID-19 By Destination Name
    • Temp > = 100.4 with Locked Records

    03.09.20


    Analytics

    Analytics added below reports to help analyze COVID-19 cases. Reports can be found under Root -> EHR Reports

    • COVID-19 By Destination Name
    • Temp > = 100.4 with Locked Records

    03.06.20


    EHR

    This release contains enhancements for documentation of COVID-19 cases. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.18.1769.0

    New Features:

    • Added “Gown” to the list of PPE available in Incident > Personnel > PPE
    • Added the following Impressions to Narrative > Primary/Secondary Impression
      • COVID-19 - Concern for exposure
      • COVID-19 - Confirmed by testing
      • COVID-19 - Exposure to confirmed patient

    03.04.20


    Admin:

    • Users can mark a unit available in Fire as belonging to a different agency, selected from the “Other Agencies” list.

    Fire Incidents:

    • Latitude and Longitude values are now populated on CAD imports.
    • Users can add units from Aiding Agencies. These units automatically update the resource counts on the Basic tab, and are available for reporting in Ad Hoc, but are not included in NFIRS extracts.
    • If no Unit Reports were created, or there are Unit Reports for your agency’s units, an NFIRS extract is still generated as normal. If the only units selected on an incident are Aiding Agency units, no NFIRS extract is generated for that record
    • No fields on Aiding Agency units are required.
    • The Personnel Count field is always available for Aiding Agency units, and defaults to the Default Personnel Count configured for that unit in Admin.
    • If any Aiding Agency units are selected, “Aid Given/Received” cannot be None and “Counts Include Mutual Aid” must be set to true.
    • Aiding Agency Unit (yes/no) and Aiding Agency Name are now available for reporting in Ad Hoc.

    Properties:

    • Notes are now displayed in Inspection Summaries.
    • Attachments are now displayed next to their parent violation or note in Inspection Summaries.

    Personnel Management:

    • The Training tab is available in this release. On the Personnel Management landing page, if you have security permissions for training you will see a section at the top with tabs for Personnel and Training. The Training tab allows you to:
      • View a list of classes
      • Add a new class, including the following information:
        • Class information such as Class Identification, Category, Session dates and times, Instructors, Contact, Location, Links, and Attachments
        • Credits, Credentials, and Skills granted with completion of the class
        • Attendees, including grades and pass/fail status for each attendee. Attendees marked as failing will not be granted any Credits, Credentials, or Skills.
      • Complete a class, which grants any awarded Credits, Credentials, and/or Skills to the attendees.
    • Completed classes created in the Training tab will be reflected on each attendee’s record in the Classes tab, regardless of pass/fail status.
    • Classes, Credits, Credentials, and Skills created in the Training tab cannot be edited from an individual’s record.
    • Once a class is Completed in the Training tab, the class cannot be edited or deleted. That functionality will be added in a future release.
    • Note for users of the Silverlight PM version: Quick Credit CE Hours in Silverlight PM have been replaced by the streamlined Training section in new PM.

    02.20.2020

    Analytics

    • EMS Compass Measures have been updated in Analytics and following new reports are available in the folder named as EMS COMPASS 2.0
      • Hypoglycemia-01 Treatment Administered for Hypoglycemia
      • Pediatrics-01 Pediatric Respiratory Assessment
      • Pediatrics-02 Administration of Beta-Agonist for Pediatric Asthma
      • Pediatrics-03-Documentation of Estimated Weight in Kilograms
      • Safety-01-Use of Lights and Sirens During Response to Scene
      • Safety-02-Use of Lights and Sirens During Transport
      • Seizure-02 Patient Received Intervention
      • Stroke-01 Suspected Stroke Receiving Prehospital Stroke Assessment
      • Trauma-01-Injured Patients Assessed for Pain
      • Trauma-03 Effectiveness of Pain Management for Injured Patients
      • Trauma-04 Trauma Patients Transported to Destination Type

    02.19.20

    Properties:

    • The Community Risk Reduction Score field is now available for Properties, Buildings, and Occupants. Users can select scores of 1-5 to document the Occupancy Vulnerability Assessment Profile (OVAP) score for that location. This field is also available for reporting in Ad Hoc.
    • The Building Use and Occupant Use fields now use the list of NFIRS values for Specific Property Use. All existing values have been migrated.
    • The following fields from the Occupant – Info section are now available in Ad Hoc:
      • Occupant Name
      • Suite/Unit/Location
      • Status
      • Start Date
      • End Date
      • Type
      • Occupant Use
      • Mixed Use
      • Content Value
      • Security Type
      • Security Carry Keys

    02.04.20

    Fire Incidents:

    • The following Cancer Exposure fields have been added to the Exposure and Decontamination section, in the Unit Personnel form of Unit Reports. They are also available for reporting in Ad Hoc:
      • Types of Fire Products Exposed To
      • PPE Worn During Exposure
      • PPE Malfunction
      • Barrier Breach
      • Black Soot Around Nose
      • Black Soot Around Mouth
      • Decontamination Procedures Completed

    Properties:

    • The following fields for Occupants are now available for reporting in Ad Hoc. They are listed below, divided by tab and section:
      • Construction – Construction:
        • Structure Type
        • Construction Type
        • ISO Construction Code
        • Heating Systems
        • Air Conditioning
        • Roof Construction Type
        • Roof Material
        • Main Floor Construction Type
        • Upper Floor Construction Type
        • Below Grade Construction Type
        • Interior Walls Type
        • Interior Doors Type
        • Fire Walls
        • Fire Walls Location
        • Fire Doors Type
        • Fire Load
        • Stock
        • Basement Use
        • Attic Use
      • Construction – Dimensions:
        • Length
        • Width
        • Base Square Footage
        • Height
        • Total Square Footage
        • Stories Above Grade
        • Stories Below Grade
        • Number of Rooms or Units
      • Fire Protection – Alarms:
        • Type
        • Panel Location
        • Annunciator Location
        • Area Protected
        • Certification
        • Certification Date
      • Fire Protection – Detectors:
        • Detector Presence
        • Detector Type
        • How Many
        • Area Protected
        • Make
        • Model
        • Serial Number
        • Manufacturer
        • Power Supply
      • Fire Protection – Sprinklers:
        • Type
        • Design
        • Number of Sprinklers
        • Area or Compartment Covered
        • Make
        • Model
        • Serial Number
        • Manufacturer
        • Sprinkler Install Date
        • Flow Rate
        • PSI
        • Flow Date
        • Flow Rate Inspector
        • Main Size
        • Main Location
        • Last Internal Pipe Inspection Date

    Admin:

    • There is a new security claim for the PM application called ”View Injuries and Exposures” which will enable a role to view the new Injuries and Exposures section in the Medical tab of PM.

    PM:

    • The Injuries and Exposures section has been added to the Medical Tab. This section displays the following information if you use the specified ESO application:
      • Exposures from EHR
      • Cancer Exposures from Fire Incidents
      • Fire Service Casualties from Fire Incidents
      • The incident record can be opened in EHR or Fire Incidents from the record in PM if the user has appropriate permissions for those records in EHR or Fire Incidents.
      • If a user role included View Immunization Details, then the security role has been granted ”View Injuries and Exposures” and will be able to see the new section.
        • If you do not want a role to have ”View Injuries and Exposures”, please ask your ESO administrator to remove the “View Injuries and Exposures” permission from that role.
        • If you would like a security role which did not have Immunization permissions to be able to see this new section, please ask your ESO administrator to add the “View Injuries and Exposures” permission to that role.

    01.30.2020


    Newly Upgraded Analytics Reports

    • The following reports have been released and upgraded to Kudu (new query technology) in the sixth round of upgraded ESO Analytics reports.
      • Procedure Frequency – Versed
        • Root -> EHR Reports → Clinical Reports → Medical
        • Previous Report Title: Treatment Administration – Versed
      • CPR Interventions
        • Root / EHR Reports / Clinical Reports / Cardiac
      • Procedure Success Rate - Orotracheal Intubation
        • Root → EHR Reports → Clinical Reports → Airway
        • Previous Report Title: Orotracheal Intubation Success Rate
      • Procedure Success Rate - IV Therapy
        • Root → EHR Reports → Clinical Reports → Medical
        • Previous Report Title: IV Success Rates
      • Procedure Success Rate - Pleural Decompression
        • Root → EHR Reports → Clinical Reports → Medical
        • Previous Report Title: Pleural Decompression Report
      • (PAI-1) Pain Intervention
        • Root → EHR Reports → California Core Measures
      • (NHTSA 6.1, 6.2, 6.3) Pain Intervention Assessment
        • Root -> EHR Reports → NHTSA EMS Measures
      • Out-of-hospital Cardiac Arrests with ROSC
        • Root -> EHR Reports → Clinical Reports → Cardiac
      • (CAR-2) Out-of-hospital Cardiac Arrests with ROSC
        • Root -> EHR Reports → California Core Measures
      • (Utstein) ROSC - Unwitnessed Arrest
        • Root -> EHR Reports → Utstein
      • (Utstein) ROSC - Witnessed Arrest Bystander
        • Root -> EHR Reports → Utstein
      • (Utstein) ROSC - Witnessed by 911 Responder
        • Root -> EHR Reports → Utstein
      • AED Applied Prior to EMS Arrival
        • Root → EHR Reports → Clinical Reports → Cardiac
      • (CAR-1) AED Prior to EMS Arrival
        • Root → EHR Reports → California Core Measures
      • (SKL-2) END-TIDAL CO2 PERFORMED ON ANY ENDOTRACHEAL INTUBATION
        • Root→ EHR Reports ->California Core Measures
      • 8.5 Advanced Airway with ETCO2 Monitoring
        • Root→ EHR Reports → Washington Core Measures
      • ESO EMS Index EtCO2 with Advanced Airway
        • Root→ EHR Reports → ESO EMS Index
      • Transport Percentage By Medic
        • Root → EHR Reports → Operational Reports → System Monitoring
      • Average Response Time - Call Received to On Scene
        • Root → EHR Reports → Operational Reports → Times
      • (NHTSA 10.5, 10.6) Transport Time Interval
        • Root → EHR Reports → NHTSA EMS Measures
      • (APOT-1, APOT-2) Ambulance Patient Offload Times by Destination
        • Root -> → EHR Reports → Operational Reports → System Monitoring
      • Average Total Call Time
        • Root → EHR Reports → Operational Reports → Times
      • Average Transport Time
        • Root → EHR Reports → Operational Reports → Times
      • Average Turnaround Time By Destination Name
        • Root -> EHR Reports → Operational Reports → Times
      • Procedure Success Rate by Medic - Orotracheal Intubation
        • Root-> EHR Reports → Clinical Reports → Airway
        • Previous Report Title: Orotracheal Intubation Success Rate by Medic
      • Medication Breakdown
        • Root → EHR Reports → Clinical Reports → Medical

    01.22.2020


    Properties:

    • Users can now delete a deactivated property, building, or occupant.
    • The following fields for Occupants are now available for reporting in Ad Hoc. They are listed below, divided by tab and section:
      • Occupant – Occupancy:
        • Occupancy Classification
        • Standard Industrial Classification
        • Load Rated
        • Residential Occupants
        • Number Of Resident Occupants
        • Special Needs Occupants
        • Number Of Occupants With Special Needs
        • Occupancy Load 08:00 to 17:00
        • Occupancy Load 17:00 to 23:00
        • Occupancy Load 23:00 to 08:00
        • Restrained Occupants
        • Mobility Impaired Occupants
        • Self-Inspected
      • Chemicals - On–Site Chemicals:
        • Chemical Name
        • DOT Hazard Classification
        • UN or NA Number
        • CHRIS Code
        • CAS Number
        • NOAA#
        • Emergency Response Guide Number
        • LEL
        • UEL
        • Start Date
        • STCC Code
        • Max Units Stored
        • Max Daily Amount
        • Unit Type
        • Average Stored
        • Actual Stored
        • Chemical Location
        • Storage Type
        • Container
        • Number Of Containers
        • Physical State
        • Pressure
        • Temperature
        • Storage Pressure
        • Annual Usage
        • Exempt
        • Trade Secret
        • Site Specific Considerations
        • Fee
        • Extremely Hazardous Substance
        • Fire Hazard
        • Pressure Hazard
        • Reactive Hazard
        • Acute Hazard
        • Chronic Hazard
        • MSDS on Site
      • Chemicals - On–Site Materials/Products
        • Description
        • Usage
      • Chemicals – Tanks
        • Description
        • Product Contained
        • Container Number
        • Type
        • Status
        • Last Update
        • Dimensions
        • Material State
        • Location
        • Manufacturer
        • Manufacturer Number
        • Model Number
        • Serial Number
        • Material
        • Gauge
        • Exterior Coating
        • UL Number
        • Fill Opening Size
        • Capacity
        • Capacity Units
        • Tank Interior Lining
        • Return Size
        • Special Container Features
        • Installed By
        • Date Installed
        • Removed By
        • Date Removed
        • Covering Type
        • Covering Depth
        • Base
        • Position
        • Overflow Protection Present
        • Overfill Installed Date
        • Spill Protection Present
        • Spill Protection Installed
        • Vapor Recovery System
        • Monitor Type
        • Monitoring Walls
        • Pumping Device
        • Pumping Type
        • Leak Detection Device
        • Leak Detection Type
        • Vented
        • Vent Location
        • Vent Size
        • Corrosion Protection
        • Compatible with Other Products
        • Pipe Type
        • Pipe Protection
        • Pipe Leak Detection
        • Storage Tank Approval
        • Storage Tank Usage
        • Application Filed
        • Application Received
        • Application Completed
        • Application Approved

    Inspections:

    • Inspection Type and Inspection Number are now available for reporting in Ad Hoc.
    • The following fields for Contacts are now available for reporting in Ad Hoc:
      • Primary
      • Emergency
      • Billing
      • Title
      • Name
      • Role Ids
      • Phone Number
      • Phone Type
      • Email Address
      • Address 1
      • Address 2
      • Address 3
      • City
      • State
      • ZIP
      • County
      • Notes
    • Users can now add up to 10,000 characters to Notes.

    New PM:

    • A link to Personnel Management Help was added to the top-right menu, under Logout.
    • After adding a new person, you are now returned to the list and will get a window with a link to open the record if you would like. This will make it easier to add people quickly in a series.
    • EMS Certification or Licenses numbers must now be unique to a person within an agency for a particular jurisdiction (State or National) so that two people in an agency are not mistakenly recorded as having the same certification or license number.
      • Unless the EMS Certification/Licensure Level is “Other” or “Other Non-Healthcare Professional”, no two personnel at your agency can have the same certification or license number:
        • For the National certificate/license jurisdiction
        • For the same certificate/license State, if the jurisdiction is State
      • The certification or license number is required for EMS type certifications or licenses unless the EMS Certification/Licensure Level is “Other”.
      • The EMS Certification/Licensure Level can be found for the certification or license on the EMS Certifications and Licenses list in Admin.
    • Once a credit type has been used in a class, that credit type value will no longer appear on the list to help prevent entry of duplicate credit types on one class.

    Admin:

    • The field name in the Skill list has been changed to Skills on the Add Skill and Edit Skill windows. Note: in legacy PM, this is the list that was called Competencies.
    • The field name in the Credits list has been relabeled to Credit in the Add Credit and Edit Credit windows. Note: in legacy PM, this is the list that was called CEU Category.
    • The security permissions for View Competency Details and Edit Competency Details have been relabeled to View Skill Details and Edit Skill Details. Any references to Competencies in the security claim descriptions were also updated to Skill. The Competency security permission to update the list has been relabeled as Skill List.
    • The security permissions for the CEU Categories list has been relabeled Credits List and the description was updated to refer to credits instead of CEU Categories.

    01.17.2020


    EHR Kudu Release 5 Reports

    As announced at Wave 2019, we're making ESO Analytics reports better and faster by upgrading them to a new query technology. We recently released the fifth round of upgraded reports and are excited to tell you about them.

    First, you can identify these upgraded reports by a yellow "NEW" icon next to the report name (like this ). When you use these upgraded reports, you'll experience:

    • More Flexible Filters: Enhancements to filters that allow far more flexibility in report customization.
      • Apply an unlimited number of filters on groups, within a single filter, or within a block of filters, and easily reuse individual filters.
      • Determine if a field is populated logically with the new “Is Empty” and “Is Not Empty” filter operators.
      • Have access to filter values for new drugs, treatments, units, and other list items before you use them in the field.
    • Improved workflow and usability: You now have near real-time data availability for the EHR reports listed below. Overnight data processing is no longer required.
    • Speedy reporting: Faster application interaction ensures you’ll have reports that run anywhere between 10 to 100 times faster.
    • Now, what you've been waiting for... drum roll, please!

    Newly Upgraded Reports

    • Overall Procedure Success Rate by Attempt - Advanced Airway
      • Root -> EHR Reports -> Clinical Reports -> Airway
      • Previous Report Title - Advanced Airway - Success Percentages by Attempt
    • 8.2 Overall Airway Success – ET
    • Root-> EHR Reports-> Washington Core Measures
    • 8.3 Supraglottic Airway Success
    • Root-> EHR Reports-> Washington Core Measures
    • 8.4 Overall ET and Supraglottic Success
    • Root-> EHR Reports-> Washington Core Measures
    • Procedure First Pass Success Rate - Advanced Airway
      • Previous Report Title - Advanced Airway - First Pass Success Rate
    • 8.1 First Pass Success – ET
    • Root-> EHR Reports-> Washington Core Measures
    • Transports By Destination Name
    • Root →EHR Reports → Operational Reports - Destinations
    • Transports By Destination Type
    • Root →EHR Reports → Operational Reports - Destinations
    • Transports By Destination Type (Bar)
    • Root →EHR Reports → Operational Reports - Destinations
    • Average Response Time
    • Root → EHR Reports → Operational Reports → Times
    • Average Turn Around Time
    • Root →EHR Reports → Operational Reports → Times
    • Average EMS Turn Around Time
    • Root-> Hospital Reports
    • Average Turn Around Time By Hour of Day
    • Root →EHR Reports → Operational Reports → Times
    • Average Turn Around Time By Unit
    • Root →EHR Reports → Operational Reports → Times
    • Average Response Time By Hour of Day
    • Root → EHR Reports → Operational Reports → Times
    • Average Response Time By Unit
    • Root → EHR Reports → Operational Reports → Times
    • Average Scene Time By Unit
    • Root → EHR Reports → Operational Reports → Times
    • Average Turn Around Time By Agency
    • Root → EHR Reports → Operational Reports → Times
    • Average Scene Time By Hour of Day
    • Root → EHR Reports → Operational Reports → Times
    • Average Chute Time By Unit
    • Root → EHR Reports → Operational Reports → Times
    • Medical History Breakdown
    • Root →EHR Reports → Clinical Reports → Medical
    • Primary Impression Breakdown
    • Root → EHR Reports → Clinical Reports → Medical
      • Previous Report Title – Clinical Impression Breakdown
    • HDE - Hospital Identification Capture Rate By Agency

    01.09.2020


    EHR

    Admin

    • A new “Edit Chart Number” permission has been added to allow a user to add or edit the hospital chart number from Patient Tracker.
    • A new “Unlink Hospital Encounter Record” permission has been added to allow a user to disassociate a hospital outcome record from an EMS record.

    Patient Tracker

    • A new “Has Outcome” yes/no filter has been added
    • A new “Has Chart Number” yes/no filter has been added
    • A new edit chart number feature has been added; click here to learn more.
    • A new unlink outcome feature has been added; click here to learn more.
    • Outcomes are available for first responder records that have an EHR mobile-to-mobile link to the transporting unit’s record. The first response agency is required to have HDE services enabled to view outcomes.

    12.17.2019


    Analytics

    • The following reports have been released and upgraded to Kudu (new query technology) in the fouth round of upgraded ESO Analytics reports.
      • EMS Response Times to Hospitals For Transfers
        • Root → EHR Reports → Operational Reports → Times
        • Previous Report Title - Average Hospital Response Time
      • Outcome Reconciliation By Agency
        • Root → Hospital Reports
        • Previous Report Title - EMS Outcome Rate by Agency
      • Average Chute Time
        • Root → EHR Reports → Operational Reports → Times
      • Average Chute Time By Hour Of Day
        • Root → EHR Reports → Operational Reports → Times
      • Average Time to Locked Status - Transport Complete to Lock
        • Root → EHR Reports → Operational Reports → System Monitoring
      • Average Time to Locked Status By EMS Provider - Transport Complete to Lock
        • Root → EHR Reports → Operational Reports → System Monitoring
        • Previous Report Title - Average Time to Locked Status by Medic - Transport Complete To Lock
      • Average Time to Locked Status
        • Root → EHR Reports → Operational Reports → System Monitoring
      • Average Time from Dispatch to Lock Status - By EMS Provider
        • Root → EHR Reports → Operational Reports → System Monitoring
        • Previous Report Title – Average Time To Locked Status By Medic
      • Total Transport Volume By Agency
        • Root → Hospital Reports
      • HDE - Hospital Identification Capture Rate by Facility
        • Root → HDE Reports → Operational Reports
        • Previous Report Title - HDE -Scan Rate by Facility
      • HDE - Hospital Identification Capture Rate By EMS Provider
        • Root → HDE Reports → Operational Reports
        • Previous Report Title - HDE - Scan Rate by Medic
      • Hospital Identification Capture Rate By Agency
        • Root → Hospital Reports
        • Previous Report Title - EMS Scan Rate by Agency
      • Transports by Destination Name (Bar)
        • Root → EHR Reports → Operational Reports → Destinations
      • STR-5 CVA/TIA Transports By Destination Name
        • Root → EHR Reports → California Core Measures
      • CVA/TIA Transports By Destination Name
        • Root → EHR Reports → Clinical Reports → Stroke
      • Suspected STEMI Transports By Destination Name
        • Root → EHR Reports → Clinical Reports → Cardiac
      • (TRA-2) Trauma - Transports By Destination Name
        • Root → EHR Reports → California Core Measures
      • Trauma - Transports By Destination Name
        • Root → EHR Reports → Clinical Reports → Trauma
      • Average Rolling Response Time
        • Root → EHR Reports → Operational Reports → Times
      • (RST-1) : Rolling Response Time (Emergency)
        • Root → EHR Reports → California Core Measures
      • (RST-2) : Rolling Response Time (Non-Emergency)
        • Root → EHR Reports → California Core Measures

    12.11.2019


    EHR

    This release includes new conditions for patient history, validation rule changes for NFIRS fields, and resolves defects with QM. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.18.1769.0

    New Features

    • Added the following conditions to Patient > History
      • Cardiomyopathy
      • Hypertension (HTN)
      • Shoulder Replacement
      • Spina Bifida
      • Ventricular Tachycardia
    • Relaxed Admin > EHR > Incident Tab > Configurable Validation > NFIRS Fields validation rule to allow blank values in the count fields (Suppression Apparatus Count, Suppression Personnel Count, EMS Apparatus Count, EMS Personnel Count, Other Apparatus Count, Other Personnel Count).

    Defects Fixed

    • Corrected an issue with QM where the secondary impression was not displayed on the summary tab
    • Corrected an issue with QM where under certain conditions QM messages would not be available in Ad-Hoc reports

    12.04.2019


    Properties

    • The following fields for Buildings are now available for reporting in Ad Hoc. They are listed below, divided by tab and section:
      • Building - Info:
        • Building Name/Number
        • Building Status
        • Building Start Date
        • Building End Date
        • Deactivation Reason
        • Building Use
        • Building Value
        • Unique or Special Features
      • Construction - Construction:
        • Structure Type
        • Construction Type
        • ISO Construction Code
        • Heating Systems
        • Air Conditioning
        • Roof Construction Type
        • Roof Material
        • Main Floor Construction Type
        • Upper Floor Construction Type
        • Below Grade Construction Type
        • Interior Walls Type
        • Exterior Walls Type
        • Interior Doors Type
        • Exterior Doors Type
        • Fire Walls
        • Fire Walls Location
        • Fire Doors Type
        • Fire Load
        • Stock
        • Basement Use
        • Attic Use
      • Construction - Dimensions:
        • Length
        • Width
        • Base Square Footage
        • Height
        • Total Square Footage
        • Stories Above Grade
        • Stories Below Grade
        • Number of Rooms or Units
      • Fire Protection - Alarms:
        • Type
        • Panel Location
        • Annunciator Location
        • Area Protected
        • Alarm Certification
        • Certification Date
      • Fire Protection - Detectors:
        • Detector Presence
        • Detector Type
        • How Many
        • Area Protected
        • Make
        • Model
        • Serial Number
        • Manufacturer
        • Power Supply
      • Fire Protection - Sprinklers:
        • Type
        • Design
        • Number of Sprinklers
        • Area or Compartment Covered
        • Make
        • Model
        • Serial Number
        • Manufacturer
        • Sprinkler Install Date
        • Flow Rate
        • PSI
        • Flow Date
        • Flow Rate Inspector
        • Main Size
        • Main Location
        • Last Internal Pipe Inspection Date
    • The following fields for Properties are now available for reporting in Ad Hoc. They are listed below, divided by tab and section:
      • Property - Special Hazards:
        • Special Hazard Type
        • Quantity
        • Unit Type
        • Location
        • Priority
        • Category
        • Start Date
        • End Date

    Admin:

    • The label for the list for PM > Competencies has been changed to Skills.
    • The label for the list for PM > CEU Categories has been changed to Credits.
    • For users of the new Personnel Management (PM) application, the Contact, Certifications and Licenses, and Demographics portions of the Admin > Users section are hidden. PM users should manage this information in PM. If the user has security permissions for PM, clicking the link to the record in PM opens new browser tab with the record populated in PM.

    We recently discovered an inconsistency in the use of “certification/license” and “credential” in our ESO products. There is a name change from “Credentials” to “Certifications and Licenses” to ensure a comprehensive, unified approach for our customers. Ultimately, we believe this will remove confusion and provide greater clarity for our customers in alignment with current public safety and healthcare practices.

    • For the Admin list management section, you will still have the EMS, Driver’s License, Fire, and Other lists that exist for your organization today.
    • For the Admin User section, the records entered are still the ones used for state reporting submissions and the PCR print.
    • In Security, the names of the claims have been switched. For example, if a role had a Credential claim, now it will show as having a Certifications and Licenses claim.
    • In AdHoc, the below items are simply a label change and do not affect the underlying data elements. Your reports will not be impacted.
      • The labels for Competencies have been changed to Skills.
      • The labels for Credentials have been changed to Certifications and Licenses.
      • The labels for Certifications have been changed to Credentials.

    12.03.2019


    EHR

    This release includes new Impressions, Flowchart items, and defect fixes. To use new Impressions, administrators must enable them in Admin > EHR > Narrative Tab > Configurable Lists > Impressions. To use new Flowchart items, administrators must enable them in Admin > EHR > Flowchart Tab. There is no new ESO EHR Mobile version associated with this release.

    ESO EHR Mobile Version: 5.18.1769.0

    • New Features
      • Added the following Impressions to Narrative > Primary/Secondary Impression
        • Acute Coronary Syndrome
        • Bedridden
        • Bell’s Palsy
        • Ectopic Pregnancy
        • Failure to Thrive (Adult)
        • Failure to Thrive (Child)
        • Hemiplegia
        • Obesity
        • Paralysis
        • Paraplegia
        • Quadriplegia
        • Reduced Mobility
      • Added Time of Death to Flowchart > Other
      • Added the following to Flowchart > Medications
        • Push Dose Epi
    • Defects Fixed
      • Corrected an issue with validation rules where a disposition of Patient Refused Evaluation/Care (With Transport) did not require destination information be documented.
      • Corrected an issue where in certain conditions treatments would not appear or appear as UNKNOWN as filter options in Analytics.

    11.21.2019


    Analytics

    • The following reports have been released and upgraded to Kudu (new query technology) in the third round of upgraded ESO Analytics reports.
      • Total Volume By Hour Of Day
        • Root → Hospital Reports
      • Cardiac - At Patient Time to 12-Lead ECG
        • Root → Hospital Reports → Cardiac
      • Cardiac- On Scene Time to 12-Lead ECG
        • Root → Hospital Reports → Cardiac
      • Cardiac - Time to STEMI Alert
        • Root → Hospital Reports → Cardiac
      • Hospital - Scene Time - Trauma (Set Default At 20 Min)
        • Root → Hospital Reports → Trauma
      • Hospital - Scene Time - Suspected Stroke
        • Root → Hospital Reports → Stroke
      • Hospital - Scene Time - Suspected MI
        • Root → Hospital Reports → Cardiac
      • Cardiac - 12-Lead ECG Performance
        • Root → Hospital Reports → Cardiac
      • Cardiac - ASA Administration
        • Root → Hospital Reports → Cardiac
      • Stroke - Alert Performance
        • Root → Hospital Reports → Stroke
      • Stroke - Exam Performance
        • Root → Hospital Reports → Stroke
      • Stroke - Blood Glucose Check Performance
        • Root → Hospital Reports → Stroke
      • EMS Outcome Reconciliation Report
        • Root → HDE Reports → Operational Reports
        • Previous Report Title - EMS Outcome Rate With Scan Rate
      • Out of Hospital Cardiac Arrest - Bystander CPR
        • Root -> EHR Reports -> Clinical Reports -> Cardiac
      • (PUB-1) OOH Cardiac Arrest Receiving Bystander CPR
        • Root -> EHR Reports -> California Core Measure
      • Outcomes - EMS/Hospital Diagnosis Comparison
      • Outcomes - EMS/Hospital Diagnosis Comparison – CHF
      • Outcomes - EMS/Hospital Diagnosis Comparison – Sepsis
      • Outcomes - EMS/Hospital Diagnosis Comparison – STEMI
      • Outcomes - EMS/Hospital Diagnosis Comparison - Stroke
        • Root → Hospital Reports → Outcomes
      • HDE - Diagnosis Comparison
      • HDE - Diagnosis Comparison – CHF
      • HDE - Diagnosis Comparison – Sepsis
      • HDE - Diagnosis Comparison – STEMI
      • HDE - Diagnosis Comparison – Stroke
        • Root → HDE Reports

    11.18.2019


    FIRE

    • Properties
      • Latitude and Longitude fields have now been added to Buildings and Occupants. The fields are editable independent of the address.
    • Inspections
      • The fields from the Details, Violations, Notes, and Signatures tabs are now available for reporting in Ad Hoc. They are listed below:
        • Details
          • Received Date
          • Scheduled Date
          • Complaint Reason
          • Lead Inspector
          • Other Inspectors
          • Station
          • Shift
          • Unit
          • Fee
        • Violations
          • Codeset Name
          • Code Number
          • Code Title
          • Comments/Location
          • Created At
          • Updated At
        • Notes
          • Note
        • Signatures
          • Schedule Reinspection
          • Reinspection Date
          • Did you verify the contact's ID?
          • Lead Inspector
          • Contact Refused Signature
          • Refusal Reason
          • Contact Signed At
          • Inspector Signed At
          • Reason
      • Admin
        • Reminder field added for Qualifications list in AdminThe information under the list values in Credentials has been updated to reflect the changes in the last release for the information collected.
      • New PM
      • There is a new version of Personnel Management that new agencies are starting to use with this November 18 release. The updates below refer to this new PM module. There are no changes to the existing PM module. Agencies with the current PM module will be communicated with about transitioning to the new PM as additional functionality is completed.

        • Certifications and Licenses section was added to allow viewing, adding, and editing of certification and licenses information. Driver’s license records have endorsement and restriction fields.
        • Credential section was added to allow viewing, adding, and editing of credential information.
        • Reminders and alerts were added for expiring immunization, certifications and licenses, credentials, qualifications, and skills. These are generated based on the reminder value set in the associated list in Admin. Reminders and alerts appear on the ESO landing page.
        • Credits can now be added to and managed in class records for an individual.

    11.13.2019


    EHR

    This release includes new Flowchart items and billing file defect fixes. To use new Flowchart items, administrators must enable them in Admin > EHR > Flowchart Tab. There is no new ESO EHR Mobile version associated with this release

    ESO EHR Mobile Version: 5.18.1769.0

    • New Features
      • Added ECG Transmitted to Flowchart > Other
      • Added Head/Torso Up CPR to Flowchart > Defib/Cardio/Pace
      • Added the following to Flowchart > Medications:
        • Alteplase
        • Cefotaxime
        • Cryoprecipitate
        • Epinephrine 0.01 mg/mL
        • Epinephrine 0.1 mg/mL
        • Epinephrine 1 mg/mL
        • Ertapenem
        • Erythromycin Eye Ointment
        • Hepatitis B Vaccine
        • Hydromorphone
        • Inapsine
        • Levalbuterol
        • Platelets
        • Surfactant
        • Sweetease
        • Triple Dye
    • Defects Fixed
      • Corrected an issue with time stamps for vital signs, procedures, and medications in Ortivus billing extract files.
      • Corrected an issue with Patient Rank for multiple patients in Ortivus billing extract files.

    10.31.2019


    FIRE

    • Incidents
      • Critical Incident, Critical Incident Team Mobilized, and Critical Incident Circumstances are now populated when an Incident is created from an EHR import.
      • The following fields have been added to both Fire Incidents and to Ad Hoc:
        • Basic tab
          • Latitude
          • Longitude
          • Water on Fire Date/Time
          • Loss Stop Date/Time
        • Fire tab
          • Hydrant Identifier
          • Estimated Water Usage
    • Admin
      • Certifications now have a type (Fire, EMS, Other) available for the user to set. All existing records are defaulted to the Other type.
      • Credentials fields have been rearranged and updated. Here are the changes for each Credential type:
        • EMS
          • The "Certification or License" field was added, for classification in PM v5.
          • The user will be required to explicitly choose National or State. If the user chooses State, then the State picklist will be available.
          • The “EMS Credential” field is renamed to be “EMS Certification/Licensure Level”. The values in this list will be filtered based on State or National so the user can only select an appropriate value.
          • The combination of the name, certification or license indicator, state or national selection, state (if applicable) and EMS Certification/Licensure Level must be unique in that agency.
        • Driver's License
          • Driver’s License will now be limited to the State picklist and name, duration and reminder information.
          • The combination of State and Name must be unique for that agency.
          • State is required.
        • Fire
          • The "Certification or License" field was added, for classification in PM v5.
          • The user will be able to explicitly choose National or State or Local. If the user chooses State, then the State picklist will be available.
          • The “Fire Credential” field has been removed.
          • The combination of the name, certification or license indicator, jurisdiction selection (local, state, national), and state (if applicable) must be unique in that agency.
        • Other
          • The "Certification or License" field was added, for classification in PM v5.
          • The user will be able to explicitly choose National or State or Local. If the user chooses State, then the State picklist will be available.
          • The “Other Credential” field has been removed.
          • The combination of the name, certification or license indicator, jurisdiction selection (local, state, national), and state (if applicable) must be unique in that agency.

    10.30.2019


    Analytics

    • The following reports have been released and upgraded to Kudu (new query technology) in the second round of upgraded EHR Analytics Reports.
      • Chest Pain - 12-Lead ECG Performance
        • Root -> EHR Reports → Clinical Reports → Cardiac
      • (NHTSA 7.0) - 12-Lead ECG Performance
        • Root → EHR → NHTSA EMS Measures
      • (ACS-2) - 12-Lead ECG Performance
        • Root → EHR → California Core Measures
      • 5.2 ACS - 12-Lead ECG Acquisition
        • Root → EHR → Washington Core Measures
      • Chest Pain - Aspirin Administration
        • Root → EHR → Clinical → Cardiac
      • (NHTSA 8.0) Chest Pain - Aspirin Administration
        • Root → EHR Reports → NHTSA EMS Measures
      • 5.1 ACS - Aspirin Administration
        • Root → EHR Reports → Washington Core Measures
      • (ACS-1) Chest Pain - Aspirin Administration
        • Root → EHR Reports → California Core Measures
      • CVA/TIA Stroke Alert Performance
        • Root -> EHR Reports → Clinical Reports → Stroke
      • 6.3 CVA/TIA Stroke Alert Performance
        • Root -> EHR Reports → Washington Core Measures
      • CHF Patients with CPAP or BiPAP/VPAP Administered
        • Root → EHR Reports → Clinical Reports → Cardiac
      • (2.1) Suspected Heart Failure Patients Receiving CPAP Treatment
        • EHR Reports → Washington Core Measures
      • Seizure - Benzodiazepine Administration
        • Root → EHR Reports -> Clinical Reports → Medical
      • 4.2 Status Seizures - Benzodiazepines Usage
        • Root → EHR Reports → Washington Core Measures
      • CVA/TIA - Blood Glucose Check Performance
        • Root → EHR Reports → Clinical Reports → Stroke
      • (STR-2) CVA/TIA - Blood Glucose Check Performance
        • Root → EHR Reports → California Core Measures
      • 6.2 CVA/TIA - Blood Glucose Check Performance
        • Root → EHR Reports → Washington Core Measures
      • Cardiac - Time to STEMI Alert
        • Root → EHR Reports → Clinical Reports → Cardiac
      • 5.5 ACS - STEMI Alert Performance
        • Root → EHR Reports → Washington Core Measures
      • (ACS-4) - Advanced Hospital Notification for Suspected ACS
        • Root → EHR Reports → California Core Measures
      • EMS Record List
        • Root → EHR Reports → Operational Reports
        • Previous Report Title - Record List
      • sthma - Bronchodilator Administration
        • Root → EHR Reports → Clinical Reports → Medical
      • (PED-1): Pediatric - Asthma Bronchodilator Administration
        • Root → EHR Reports → California Core Measures
      • (RES-2): Adult - Asthma Bronchodilator Administration
        • Root → EHR Reports → California Core Measures
      • 3.1 Asthma and Beta Agonist Usage
        • Root → EHR Reports → Washington Core Measures
      • CVA/TIA Stroke Exam Performance
        • Root → EHR Reports → Clinical Reports → Stroke
      • 6.1 CVA/TIA Stroke Exam Performance
        • Root → EHR Reports → Washington Core Measures
      • Seizure - Blood Glucose Check Performance
        • Root → EHR Reports → Clinical Reports → Medical
      • 4.1 Status Seizures - Blood Glucose Check
        • EHR Reports → Washington Core Measures
      • CHF Patients with NTG Administered
        • Root -> EHR Reports → Clinical Reports → Cardiac
      • (2.2) Suspected Heart Failure Patients Receiving Nitroglycerin
        • EHR Reports → Washington Core Measures

    10.23.2019


    EHR

    This release includes new features, usability enhancements, and defect fixes for ESO EHR web and mobile applications. The latest version of ESO EHR Mobile can be downloaded from Admin > EHR > Mobile Version.

    ESO EHR Mobile Version: 5.18.1769.0

    • New Features
      • To help agencies identify incidents which may cause responder stress and be emotionally impactful, we are introducing Critical Incidents fields to EHR. Administrators must enable these fields in Admin > EHR > Incident Tab > Configurable Fields > Critical Incident, Critical Incident Circumstances, Critical Incident Team Mobilized. These three fields appear in on the Incident tab under the Scene heading. The Critical Incident fields are available for reporting in Ad-Hoc. For users of ESO Fire Incidents, values entered in the Critical Incident fields in EHR will import into the same fields in Fire Incidents, if enabled. Click here to learn more about Critical Incidents.
      • To increase end user efficiency and improve data quality, when Run Type, Level of Service, and Unit’s Level of Care are configured with a single allowed value, this value will be selected by default when an EHR record is created. To enable this feature, administrators must configure Admin > EHR > Incident Tab > Configurable Lists > Run Type, Level of Service, and/or Unit’s Level of Care with a single enabled value.
      • To further improve reporting efficiency, Unit’s Level of Care has been added to the EHR Mobile shift setup widget. When this value is set on the widget, subsequent EHR records created with EHR Mobile will have the Unit’s Level of Care filled.
      • New Form: Patient Travel allows for tracking patient travel outside the community and the United States. This form may be enabled in Admin > EHR > Forms Tab > Forms > Patient Travel. A validation rule for this form is available in Admin > EHR > Forms Tab > Configurable Validation > Patient Travel Form Required. Data entered on this form appear on a printed Patient Care Report and Billing Report. Fields in this form are available for reporting in Ad-Hoc.
      • New Field: Ejection Path added to Forms > Motor Vehicle Collision > Vehicle. This field appears when Collision Indicator equals Ejection. A validation rule for this field is available in Admin > EHR > Forms Tab > Configurable Validation > MVC: Ejection Path Required. This field is available for reporting in Ad-Hoc.
      • New Field: Stop Time added to Flowchart > IV Therapy > IV Bolus, IV Monitoring, and IV Therapy treatments.
      • New Validation Rule: When the Primary or Secondary Impression is Stroke or Transient Cerebral Ischemic Attack (TIA), the flowchart item Stroke Alert is required. This validation rule can be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > Stroke Alert Required.
      • New Validation Rule: When the Primary or Secondary Impression is a trauma impression or the Trauma Activation field on the CDC 2011 Trauma Criteria form equals Yes, the flowchart item Trauma Alert is required. This validation rule can be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > Trauma Alert Required.
      • New Validation Rule: When the Primary or Secondary Impression is a STEMI impression, the flowchart item STEMI Alert is required. This validation rule can be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > STEMI Alert Required.
      • New Validation Rule: When the Primary or Secondary Impression is a cardiac impression, the flowchart item Cardiac Alert is required. This validation rule can be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > Cardiac Alert Required.
      • New Validation Rule: When the Primary or Secondary Impression is Sepsis/Septicemia, the flowchart item Sepsis Alert is required. This validation rule can be enabled in Admin > EHR > Flowchart Tab > Configurable Validation > Sepsis Alert Required.
      • New Flowchart Treatment: Simple Thoracostomy. This flowchart treatment may be enabled in Admin > EHR > Flowchart Tab > Airway > Simple Thoracostomy.
      • West Virginia: Added the state protocol list to Narrative > Clinical Impression > Protocol Used for customers in West Virginia.
    • Usability Enhancements
      • To improve end user identification of cases, added a column entitled Author to the Handtevy case import list.
      • TrackEMS users can now import documented procedures performed and medications administered into EHR.
      • Added a validation rule that verifies that Forms > CPR > Time of 1st CPR date and time are before Resuscitation Discontinued date and time.
      • To improve data quality, added additional injury impressions to trigger the Narrative Patient Injured configurable validation rule. This rule requires the field Narrative > Complaint > Was the Patient Injured? to be completed if an injury is selected in the Primary or Secondary Impression.
      • To improve data quality, adjusted the label on Incident > Response > First Unit On Scene to read First EMS Unit on Scene.
      • To improve reporting, added the Patient Refusal Form fields to Ad-Hoc.
      • Improved the text alignment of Medication/Allergies/History section of printed Patient Care Report and Billing Report.
      • Enhanced audit logging to indicate when an EHR record has been faxed or emailed. Previously the log indicated a print event, rather than a fax or email event.
      • Increased the allowed number of characters for Billing > Billing Details > Dispatch Nature to 255 characters.
      • Increased the allowed number of characters for Forms > CPR > In Field Pronouncement > Physician to 50 characters.
    • Defects Fixed
      • EHR Mobile: Corrected an issue where the assessment start time was not populated.
      • EHR Mobile: Added Resident Status field to patient import.
      • EHR Mobile: Corrected an issue where in certain conditions the search function would not find values that matched the search pattern.
      • Corrected an issue where in certain conditions use of the Motor Vehicle Collision form would activate and populate the Trauma Criteria form.
      • Corrected the button labels for Facial Palsy, Arm Motor Function, and Leg Motor Function for Forms > RACE Stroke Scale.
      • Corrected an issue where RACE Stroke Scale score was incorrectly calculated.
      • Corrected an issue where a record could be locked with the Transfer of Patient time out of sequence.
      • Corrected an issue where in certain conditions the configurable validation rule Specialty Patient Require CPR was not enforced.
      • Corrected an issue where in certain conditions the configurable validation rules for billing signatures were improperly enforced.
      • Corrected an issue where in certain conditions last login time was not being reflected correctly in the user list export in the Admin tool.
      • Corrected an issue where in certain conditions patient history, medication, and allergies lists could be incorrectly sorted.
      • Corrected an issue where in a rarely used multi-patient workflow, a narrative of a patient record could be overwritten.
      • Corrected an issue where in certain conditions a lead provider’s signature would not appear on the Billing Report.
      • Corrected an issue where a record could not be printed from an Apple iPad.
      • Corrected an issue where the clinical guidelines would not open in Chrome, Firefox, or Safari browsers.
      • Corrected an issue where when using the Microsoft Edge browser, the green highlight bar does not move as jump links are clicked.

    10.16.2019


    FIRE

    • Incidents
      • Dispatch Notified Date no longer needs to be equal to Incident Date.
    • Properties
      • Latitude and Longitude are now editable fields on a Property. They are initially set based on the Property address, but further address changes do NOT update Latitude or Longitude. The “View On Map” link always shows the current Latitude and Longitude values.

    10.03.2019


    Analytics

    • The following reports have been released and upgraded to Kudu (new query technology) in the first round of upgraded EHR Analytics Reports.
      • Total Volume By Month of Year
        • Root → EHR Reports → Operational Reports
      • Total Volume By Hour of Day
        • Root → EHR Reports → Operational Reports
      • Total Record Volume By Disposition
        • Root → EHR Reports → Operational Reports
        • Previous Report Title - Total Call Volume by Disposition
      • Chest Pain - At Patient Time to 12-Lead ECG
        • Root → EHR Reports → Clinical Reports → Cardiac
      • Chest Pain - On Scene Time to 12-Lead ECG
        • Root → EHR Reports → Clinical Reports → Cardiac
      • 5.3 ACS - On Scene Time to 12-Lead ECG
        • Root → EHR Reports → Washington Core Measures
      • Average Scene Time
        • Root → EHR Reports → Operational Reports → Times
      • Average Scene Time For Suspected Myocardial Infarction and STEMI Patients
        • Root → EHR Reports → Clinical Reports → Cardiac
      • Average Scene Time For Stroke Patient
        • Root → EHR Reports → Clinical Reports → Stroke
      • Average Scene Time For Trauma Patients
        • Root → EHR Reports → Clinical Reports → Trauma
      • (TRA-1) Scene Time for Trauma Patients
        • Root → EHR Reports → California Core Measures
      • 5.4 ACS - Percent Scene Time < 20 Minutes
        • Root → EHR Reports → Washington Core Measures
      • (STR-3) Scene Time For Stroke Patients
        • Root → EHR Reports → California Core Measures

    09.17.2019


    FIRE

    • Incidents
      • All fields on the Hazmat tab are available for reporting in Ad Hoc.
      • All fields on the Wildland tab are available for reporting in Ad Hoc.
      • All Arson fields, except for Juvenile Firesetter fields, are available for reporting in Ad Hoc.
    • Properties
      • Property Name, Property Address, Building Name, and Occupant Name are available for reporting in Ad Hoc.

    09.04.2019


    FIRE

    • Inspections
      • Users can now choose to display pictures of violations in the inspection report.
      • A log of which e-mail addresses have previously received the inspection report is now available, in the top right-hand hamburger menu.
      • Inspection reports for buildings and occupants now display the building's or occupant's address, if that address is different from the parent property address.

    08.20.2019


    FIRE

    • Incidents
      • Auto-EHR import now only brings over records when all EHR records with that incident number and date have been locked or deleted.
      • The Dispatch Notified time is now above the Alarm time field in the UI, and the validation rules do not enforce an order those times must be in.
      • When Location Type is either Directions or U.S. National Grid, Street Or Highway Name is now optionally available to enter values into for the address.
      • The “Add Exposure” button now says “Add Fire Exposure”.
    • Admin
      • The "Enable Canceled Calls Action" setting is no longer listed in the Fire > Incidents > Field Defaults Configuration page in Admin. For 611 calls, the first Action Taken field on the Basic tab is always set to 93.

    08.06.2019


    FIRE

    • Properties
      • When a locked or historical inspection is clicked from the Summary tab, a quick summary view is displayed so information about the inspection can be viewed without needing to navigate to the Inspections application.
    • Inspections
      • When no violations are found on an inspection, the Inspection Report now displays a "No Violations" message.

    07.23.2019


    EHR

    Action Needed: Enable these values in the Admin console, to use in EHR

    • Impressions
      • Pregnancy Complication
    • Flowchart Other
      • Flowchart Other

    Action Needed: Enable these values in the Admin console, to use in EHR

    • Patient Medications
      • Altace
      • Prinivil
      • Ramipril
    • Patient Allergies
      • Altace
      • Prinivil
      • Ramipril
    • Signs and Symptoms
      • Pain
        • Extremity Pain
        • Lower Abdomen Pain
        • Upper Abdomen Pain
    • Injury Details
      • Assault
        • Assault by Other Means
      • Electrocution
        • Other
      • Environmental
        • Other
      • Explosives
        • Other
      • Firearms
        • Discharge of unspecified firearms (Undetermined intent)
      • Machinery Accidents
        • Other accident
      • Physical Exertion
        • Other accident
      • Sharp Objects
        • Cut/Laceration

    FIRE

    • Incidents
      • On Fire Casualties, crew members can now be specified from a list. When a crew member is selected, the relevant fields are auto-populated with the data entered into Admin or PM.
      • When the "Enable Cancelled Calls Action" setting in Admin is turned on, setting the incident type to 611 will now auto-fill the first Action Taken field to 93, and disable all Action Taken fields on the Basic tab.

    07.17.2019


    FIRE

    • Incidents
      • The Critical Incident, Critical Incident Team Mobilized, and Critical Incident Circumstances fields can now be selected for reporting in Ad Hoc.

    06.25.2019


    FIRE

    • Incidents
      • If an Incident is created from CAD, the Shift Name in the Incident is now populated with the value from that CAD record.
      • Updates to extract re-submission process.

    06.11.2019


    FIRE

    • Properties
      • Chemicals that are currently located on the Property are now referred to as "On-Site Chemicals" in the application and the pre-plan.
      • Chemicals that have been removed from the property no longer appear in the pre-plan; the total chemical count calculation has been updated accordingly.
    • Inspections
      • Violation descriptions now display the name of the codeset they belong to.

    05.29.2019


    FIRE

    • NFIRS
      • When a unit is marked as Cancelled Prior To Arrival, that unit's first action is set to "93 - Cancelled En Route". A validation rule has also been added to ensure that this value is always set correctly.
      • Unit actions now always appear in the unit report.
      • On the Basic tab, if a user enters a value of NN or UU in the Factor Contributing To Ignition-1 field, no value can be entered in Factor Contributing To Ignition-2.
    • Inspections
      • The Fee field now appears on the printed inspection report.
      • Dates and times in the printed inspection report are now calculated based on an agency's timezone configuration.
    • Admin
      • Unit action fields can no longer be configured to be hidden in NFIRS. The unit action validation rules can still be configured as before.

    05.15.19


    Validation Rules:

    • Update to the time sequence validation on Vitals and Flowchart times to include seconds in the validation routine.
    • Flow Chart Complication rule has been updated to not require [Complications] when the documented Flow Chart Item is one of the following Ignored Flow Chart items.
    • Flow Chart Patient Response rule has been updated to not require [Patient Response] when the documented Flow Chart Item is one of the following Ignored Flow Chart items.
    • Flow Chart Medical Control, rule has been updated to not require [Medical Control] when the documented Flow Chart Item is one of the following Ignored Flow Chart items.
    • Flow Chart Physician rule has been updated to not require [Physician] when the documented Flow Chart Item is one of the following Ignored Flow Chart items.

    • Ignored Flow Chart Items:

      • 12-Lead ECG (Other)
      • 15-Lead ECG (Other)
      • 3-Lead ECG (Other)
      • Anti-Coagulant Alert (Other)
      • Cardiac Alert (Other)
      • Consult Attempted but not made (Other)
      • Contact Not Attempted (Other)
      • Contact not Required (Other)
      • General Comments (Other)
      • Sepsis Notification (Other)
      • STEMI Alert (Other)
      • Stroke Alert (Other)
      • Transport Alert (Other)
      • Trauma Alert (Other)
      • Trauma Notification - Full (Other)
      • Trauma Notification - Limited (Other)
      • ETI Verification (Airway)
      • ALS Assessment (Critical Care)
      • Lab Values (Critical Care)
      • IV Monitoring (IV Therapy)
      • BLS Assessment (Other)
      • Extrication (Other)
      • Helmet Removal (Other)

    04.10.19


    FIRE

    • Properties
      • Users can now add an address for Buildings and Occupants that is different from the parent Property address.
      • Buildings and Occupants now appear in all searches, by address and by name.

    03.26.2019


    Admin Reports

    The following reports are now available with the export feature in the Admin Console. The report is no longer accessible from Canned Reports, and you will be redirected to the corresponding page in Admin where that export feature is available.

    • Stations Report
      • Admin >> General >>Stations
    • Locations Report
      • Admin >> General >> Individual Location Types
    • Protocols List Report
      • Admin >> EHR >> Narrative Tab >> Configurable Lists >> Protocols
    • Personnel Credentials Report
      • Admin >> Users
    • Vehicles Report
      • Admin >> General >> Vehicles
    • Consumables Report
      • Admin >> EHR >> Billing Tab >> Configurable Lists
    • Units Report
      • Admin >> General >> Units
    • Personnel Status Report
      • Admin >> Users

    Analytics Reports

    The following reports are now available in Analytics. The report is no longer accessible from Canned Reports, and you will be redirected to the corresponding Analytics report.

    • Missing Medic Signature Report
      • Analytics >> EHR Reports >> Operational Reports >> System Monitoring
    • Average Total Call Time Report
      • Analytics >> EHR Reports >> Operational Reports >> Times
    • CPR Interventions Report
      • Analytics >> EHR Reports >> Clinical Reports >> Cardiac
    • Clinical Impression Breakdown Report
      • Analytics >> EHR Reports >> Clinical Reports >> Medical
    • Medical History Breakdown Report
      • Analytics >> EHR Reports >> Clinical Reports >> Medical
    • Primary Injury Breakdown Report
      • Analytics >> EHR Reports >> Clinical Reports >> Medical
    • Medication Breakdown Report
      • Analytics >> EHR Reports >> Clinical Reports >> Medical
    • Hospital Response Time Analysis
      • Analytics >> EHR Reports >> Operational Reports >> Times
    • Total Volume by Hour of Day Report
      • Analytics >> EHR Reports >> Operational Reports
    • Total Volume by Month of Year Report
      • Analytics >> EHR Reports >> Operational Reports
    • Total Volume by Day of Week Report
      • Analytics >> EHR Reports >> Operational Reports
    • Billing PCR Report
      • Analytics >> EHR Reports >> Operational Reports >> Record List >> Down arrow for print options
    • Billing PCR without PHI
      • Analytics >> EHR Reports >> Operational Reports >> Record List >> Down arrow for print options
    • Daily Billing Reconciliation
      • Analytics >> EHR Reports >> Operational Reports >> Record List
    • Audit Log
      • Analytics >> EHR Reports >> Operational Reports >> System Monitoring
    • Cardiac Monitor Case Reconciliation Report
      • Analytics >> EHR Reports >> Operational Reports >> System Monitoring
    • Patient Care Transfer Breakdown Report
      • Analytics >> EHR Reports >> Operational Reports >> Destinations

    03.14.2019


    FIRE

    • NFIRS
      • Arrival Date/Time and Actions Taken are now required for 571 incidents.
      • Validation updates were made for Action Taken fields with 73X and 74X incident types.
      • Arrival Date/Time is now required for mutual aid calls, as long as they were not cancelled.
      • The following fields have been added, and each is configurable in Admin:
        • Basic Tab: Critical Incident, Critical Incident Team Mobilized
        • Owner: Insurance Company, Total Insurance Amount
        • Fire Tab: Car Stolen
        • Hazmat Tab: Tier Levels, Number of Entries, Suit/PPE Level
    • Properties
      • The "Fire Flow At X% Involvement" fields now accept up to 6 digits.
      • The NFPA diamond now displays values on buildings and occupants, as well as their respective preplans.

    03.06.2019


    EHR

    • Updated the existing validation rule, Secondary Impression Required, so that an entry in [Secondary Impression] is not required when the [Primary Impression] is Obvious Death.
    • Updated the time sequence validation for the Cincinnati, MEND and VAN stroke scales to require that the Time Performed, Last Known Well, and Symptom Onset times are before Call Closed.

    Action Needed: Enable these values in the Admin console, to use in EHR

    • Flowchart Medications
      • Calcium Carbonate
      • Clevidipine
      • Fexofenadine
      • Loperamide
      • Neosporin
      • Never Frozen Plasma (Liquid Plasma)
      • Sublimaze

    02.25.19


    Fire

    • NFIRS
      • On CAD import, the incident date is always set to the Alarm Date of the primary exposure.
      • PSAP Received Date no longer needs to be equal to the Alarm Date.
    • Properties
      • Users can now enter the base square footage directly, instead of needing to enter length and width.
      • Users can now enter a base area of over 1 million square feet.
      • Users can now add any file type as an attachment, as long as it is not executable.
    • Inspections
      • When e-mailing an inspection report, users can now select e-mail addresses from the contact list without manually entering them.

    02.07.19


    QM

    • Restricting the loading of image attachments to increase performance of generating the patient care report on the PCR tab. However, image attachments will still be available for review from the Files tab and Pop out PCR.
    • After assigning a review from the search page, the user is brought back to where they last left off in the list.
    • Feedback, notes and messages will be available in Ad Hoc.

    01.22.19


    Fire

    • NFIRS
      • Users can now filter searches by station.
    • Properties
      • Deactivated properties are now displayed in the search results.
      • UI improvements.

    12.13.18


    Fire

    • NFIRS
      • Controlled Time is now required anytime the Wildland Module is used.
      • At Patient Time can now be tracked in the Basic tab. It is not required, but any entered value must be before Last Unit Cleared Time and after Arrival Time.
    • Properties
      • Contacts can no longer be deactivated; they can only be deleted.
    • Inspections
      • Deactivating a property, building, or occupant cancels future scheduled inspections associated with it.
      • Deleting a property, building, or occupant cancels future scheduled inspections associated with it.
      • In Admin, Inspection codes can now have duplicate titles; code values must all still be unique.
      • A Fee can now be added in the Details tab.
      • A Complaint Reason can now be added in the Details tab.

    01.16.2019


    EHR

    • Addressed an issue where the driver's license scan feature would stopped working and show a license expiration message. A new mobile install is required (version 5.16.1764).
    • Resolved an issue where ZOLL Lead III and avF snapshot images were not importing into the record. A new mobile install is required (version 5.16.1764).
    • The "update available" red bar message now installs the most up-to-date version. A new mobile install is not required to fix this, only a system update action on the mobile login screen.

    01.14.2019


    EHR

    Action Needed: Enable these values in the Admin console, to use in EHR

    • Admin Locations and Scene Location Types
      • Religious Institutions
    • Flowchart Airway
      • PEEP
      • Back Blows
      • Chest Thrusts

    No action needed to use these values in EHR

    • Patient Allergies List
      • Albuterol
      • Naproxen
      • Nitroglycerin

    12.18.2018


    QM 5.0

    • Messages can be sent to multiple recipients. Any replies to these messages will only be received by the sender (i.e. reviewer).
    • Addressed an issue where mobile healthcare records were available for review in QM without being completely synced; causing finalized reviews to not be processed for billing.
    • Addressed an issue where the patient care report tab may load the report from the previous review.

    11.14.2018


    EHR

    • New Patient Refusal Form! User Guide can be found here
    • CAD Import list shows up to 500 entries over the last 60 days for a selected Unit; up from 3 days for all Units.
    • CAD Import logic includes latitude and longitude values in its scene and destination matching to pre-defined locations configured in the Admin Module; improving the Transports by Destination Name report in Analytics. To take advantage of this feature, your CAD vendor must support transmission of latitude and longitude values and the locations configured in the Admin Module must have latitude and longitude values defined up to 4 decimal degrees.
    • CAD Import will no longer select the first county value if more than one county is found.
    • Automatic system update checks will now occur after login and every 10 minutes afterwards; down from strictly 30 minutes after login. Any system updates found will continue to be applied on the next login.
    • Driver’s license scanning updated to support the Real ID format
    • Mobile support for ZOLL RescueNET SDK version 6.43.8. To continue using the WiFi workflow, update to the latest SDK version here
    • ZOLL Cardiac Monitor imports include capnography images appended to the 3-lead snapshot images.
    • ZOLL Cardiac Monitor imports includes all snapshot types (including defibrillation and pacing)
    • “Select data to import” list for ZOLL Cardiac Monitor imports displays the correct duration
    • Physio Cardiac Monitor import no longer includes the continuous complete report; which has caused the import to fail.
    • Cardiac Monitor case files imported from the Cloud service will no longer be downloaded to the EHR Mobile. Case files will remain available as an attachment when the record is synced to EHR Web. This alleviates import and sync failures of large case files over sub-optimal internet connectivity.
    • Added a configurable validation rule that requires the “Transfer of EMS Care” datetime when the disposition is “Patient Treated, Transferred Care to Another EMS Professional”. This validation rule can be enabled on the Admin > EHR > Incident Tab > Configurable Validations page.
    • Medicare field extended to 20 characters
    • Configurable “Glucose Required” validation rule now includes stroke, TIA and syncope/fainting impressions.
    • Configurable “Witness to Waste” validation rule updated to require documentation of Medication, Amount, Personnel Witness Name or Witness Name, Witness Title when visible, and Signature.
    • Configurable “Paperwork Acknowledged” validation rule to no longer require a signature when the disposition is “Patient Refused Evaluation/Care (Without Transport)”.
    • Incident datetime fields that are progressively disclosed are covered by sequencing validation rules.
    • Billing Authorization Section I title updated to "Section I - Patient / Parent of Minor Authorization Signature”.
    • Parent Full Name field added to Billing Authorization Section I.
    • Billing Authorization Witness Title added to the printed report.
    • Condition Code field on the Billing Details section of the Billing tab is now a text field for agencies on NEMSIS 3.
    • Trauma Registry ID is configurable on the Admin > EHR > Incident Tab > Configurable Fields page.
    • STEMI Registry ID field added to the Destination section of the Incident tab. This field can be enabled on the Admin > EHR > Incident Tab > Configurable Fields page.
    • Stroke Registry ID field added to the Destination section of the Incident tab. This field can be enabled on the Admin > EHR > Incident Tab > Configurable Fields page.
    • State Reporting Configuration for Arkansas updated to require the STEMI Registry ID to begin with the letter h/H and the Stroke Registry ID to start begin with the letter s/S.
    • Removed incorrect city, state, zip and county combinations for the address look up feature.
    • CDC 2011 Trauma Criteria corrected to state “Adult > 65”
    • The search box for any list is automatically focused to allow a user to start typing right away.
    • Updating the patient name will no longer append the edit to the end of the name.
    • Navigation of the EHR section within the Admin module has been reorganized by tab to make it easier to find all configurable options within a category.
    • Transport Mode Descriptors values show the full text instead of being shortened with ellipses.
    • Calendar control properly displays the Saturday label when using a Microsoft Edge browser.

    11.1.2018


    EHR

    Action Needed: Enable these values in the Admin console, to use in EHR

    • Impressions
      • Suicidal Ideation
      • Acute pain
      • Extremity pain
    • Flowchart Meds
      • Ascorbic Acid
      • Buprenorphine
    • Flowchart Treatments
      • Anti-Coagulant Alert (Other)
      • Arterial Line Care (Critical Care)
      • Balloon Pump Care (Critical Care)
      • Blood Culture (Other)
      • ECMO (Critical Care)
      • Ice Pack (Other)
      • ResQPump (Defib, Cardio, Pace)
      • Ventricular Assist Device Care (Critical Care)
    • Intraosseous/IV Montitor/IV Bolus Fluid
      • D10

    No action needed to use these values in EHR

    • iGel Sizes
      • 3.5
      • 4.5
    • Injuries
      • Injury to knee
      • Fall/Thrown from horse
    • Pt Meds
      • Chlorthalidone
      • Cholecalciferol
      • Cyanocobalamin Co57
      • Flecainide
      • Memantine
      • Minocycline
      • Subutex
      • Suboxone
      • Tambocor
      • Tocopherol
    • Pt Allergies
      • Citalopram
      • Celexa
      • Cholecalciferol
      • Chlorthaliadone
      • Clopidogrel
      • Cyanocobalamin Co57
      • Flecainide
      • Fluoxetine
      • Memantine
      • Minocycline
      • Plavix
      • Prazosin
      • Subutex
      • Suboxone
      • Tambocor
      • Tocopherol
    • Pt History
      • Amyotrphic lateral sclerosis (ALS)
      • Appendectomy
      • Coronary Artery Disease (CAD) – NEMSIS 3 only
      • Methicillin resistant staphylococcus aureus (MRSA)
      • Myocardial Infarction (MI)
      • Spinal Cord Infection
      • Splenectomy
      • Tonsillectomy
      • Vasectomy
    • Station Type
      • Fire Station
    • Stroke Alert Reason Not Performed
      • Symptom Onset Outside of treatment window
    • Vehicle Type list on the MVC form
      • Motorized Scooter
      • Tractor-Trailer
    • Ventilator Mode
      • ASV
    • Signs/Symptoms
      • Swelling

    Q4 2018


    QM 5.0

    ESO's Quality Management module is getting an update. Read below for all of the upcoming improvements:

    • Cross-platform capability: Conduct document, clinical and billing reviews from browsers such as Google Chrome, Mozilla Firefox, Apple Safari, Microsoft Edge and Internet Explorer
    • New user interface that provides familiarity with other ESO products such as EHR
      • Improved support for single and dual monitor display; patient care report and review actions are always visible
    • New summary screen to quickly assess the type of review that will need to be conducted
    • New cardiac monitor snapshot viewer to easily scroll through all of the 12-lead and 3-lead images
      • Visible full name and descriptions of attachment files
    • New threaded messages functionality to view full conversations between message recipients
      • Messages, such as kudos, are available to be read after a review is finalized
      • No longer need to reply to a message to remove it from the inbox
    • Metrics by review type have been incorporated into the review list page; allowing users to easily switch between “my”, “all” and “completed” review types.
    • Removed default restriction of only seeing the last 7-days of reviews
    • EHR now opens in a new tab instead of navigating the user away from the QM review
    • Starting a QM review from Analytics now opens in a new tab instead of covering the Analytics screen
    • Medical necessity and medical appropriate fields have been deprecated

    07.31.2018


    Analytics

    • CAD Reconciliation Reports – Fire & EMS
      • All Fire, EMS, and exceptions reports will now load on a counts page that summarizes the counts of incidents per day based on the Unit Notified by Dispatch date.
      • The drill through on the date selected will show the details report.

    06.26.2018


    Admin

    • New “State Reporting Configuration” feature that will set your agency’s configurable fields, configurable validation rules, forms and list values to adhere to state reporting requirements. This feature can be enabled from the Admin > EHR > Optional Features page.

    05.30.2018


    We have lots of exciting new features to announce for the ESO Data platform! Below are the applications with respectives updates.

    Fire

    • NFIRS Archive Search
      • Release of NFIRS Archive Search inside the fire app!
      • Legacy NFIRS files are now searchable by incident and address inside Fire when the archive search is configured
      • Reporting will be addressed in the future for the archive data

    Ad-Hoc

    • Starting 6/1, Ad-Hoc reporting will be available from esosuite.net homepage! Users will be able to access Ad-Hoc reporting in any browser with no need for Silverlight
    • Ad-Hoc Data is now available for the Ebola specialty form going forward
    • Bug Fixes
      • Onset time and assessment time performed reversed in Ad Hoc
      • MIH visit now populates Ad-Hoc if any field is used

    Analytics

    • New Reports
      • Properties and Inspection reports released! We now have reports available for Inspection Summary and Building Stock Profile
    • Bug Fixes
      • Report search now shows ordered search results based on name 
      • Fixed issue where deleted records in EHR were showing in Analytics for some agencies

    Patient Tracker

    • Add the following fields to the Outcome Report in Patient Tracker (also available in Outcome Portal)
      • Insurance Plan ID
      • Insurance Plan Name
      • Insurance Plan Type
      • Insurance Plan Priority
      • Insurance Plan Effective Date
      • Insurance Plan Expiration Date
      • Insurance Company ID
      • Insurance Company Name
      • Insurance Company Address
      • Insurance Company Phone Number
      • Insurance Group
      • Insurance Group Name
      • Insurance Group Employer
      • Insured ID Number

    Outcome Portal

    • Bug Fixes
      • Fixed issue where 3pac agencies were not seeing any data under the "All transports"

    05.09.2018


    EHR

    • In continuation of overdose and provider safety surveillance, the following enhancements have been made to the “Syndromic Surveillance – Overdose” form
      • New “Naloxone/Narcan Kit left with Patient/Family Member/Associate?”Yes/No Field
      • New “Name of individual who received the “Naloxone/Narcan Kit" Text Field to track who a provider gave a “Naloxone/Narcan Kit to
      • New “Name of Illicit Substance” Text Field that tracks a substance’s street name
      • New “Name of Legal Substance” List Field that indicates a substance from the medication list
      • New “Personnel Injury, Exposure or Death Required” Configurable Validation Rule.  This rule can be enabled from the Admin > EHR > Configurable Validations > Incident Tab Page to ensure documentation of any personnel injury, exposure or death is documented for analytical purposes.
    • Google Mileage Calculation now supports latitude and longitude inputs for increased accuracy.
    • New “Trauma Referral Center Destination Recommendation” List Field. To document the hospital destination recommended by the trauma center, this field is available when the “Trauma Referral Center Notified” Yes/No Field is enabled from Admin > EHR > Configurable Fields > Forms Tab. This field must be documented for agencies operating in Arkansas and submit data to the State Registry.
    • New “Pulse Present at ER?” Yes/No Field. On the CPR Form, when documenting that ROSC is sustained for 20 consecutive minutes, this question is asked.
    • New “Pulse Present at ER Required” Configurable Validation Rule. This rule can be enabled from the Admin > EHR > Configurable Validation > Forms Tab Page. This field must be documented for agencies operating in Arizona and submit data to the State Registry.
    • New “Defibrillated By Required” Configurable Validation Rule. This rule can be enabled from the Admin > EHR > Configurable Validation > Forms Tab Page to ensure documentation of who defibrillated. This field must be documented for agencies operating in Arizona and submit data to the State Registry.
    • New “CPAP/BiPAP/VPAP Flow Rate Required” Configurable Validation Rule. This rule can be disabled from the Admin > EHR > Configurable Validations > Flow Chart Tab Page for those that do not use a flow meter connection with their equipment.
    • Draft records will automatically be updated when an administrator removes a validation rule, adds a value to a list, enables a field, or adds a credential to a user. Administrators will no longer need to contact ESO Support to get a record updated in these cases.
    • Improved association between ZOLL 3-lead snapshots and vital entries.
    • Corrected a validation rule that required a diastolic reading when the Doppler method was used.

    04.17.2018


    Our Outcome Portal application will display Insurance Detail information for providers on the Outcome Details print out. We also fixed a bug for Outcome Details reports. The reports are now available to all 3-pac providers listed on the record. For Analytics, Fire CAD reconciliation reports will make a distinction between locked records and draft records. We also updated the Y axis on several reports to reflect HH:MM:SS instead of showing only seconds. The full list of changes is below.

    Outcome Portal

    • Add the following fields to Outcomes Insurance Details
      • Insurance Plan Id
      • Insurance Plan Name
      • Insurance Plan Type
      • Insurance Plan Priority
      • Insurance Plan Effective Date
      • Insurance Plan Expiration Date
      • Insurance Company ID
      • Insurance Company Name
      • Insurance Company Address
      • Insurance Company Phone Number
      • Insurance Group
      • Insurance Group Name
      • Insurance Group Employer
      • Insured Id Number
    • Fixed issue with secondary providers unable to see outcome details

    Analytics

    • Added visibility to draft records on the Fire CAD reconciliation Reports
    • Fixed Y axis on reports to show HH:MM:SS times instead of seconds
      • Affected reports: 
      • Average Scene Time For Trauma Patients
      • Chest Pain - At Patient Time to 12-Lead ECG
      • Chest Pain - Scene Time to 12-Lead ECG
      • (TRA-1) Scene Time For Trauma Patients
      • (NHTSA 10.5, 10.6) Transport Time Interval
      • Cardiac - Time To STEMI Alert
      • Average Transport Time
      • Average First Apparatus Travel Time
      • Average First Apparatus Turnout Time
      • Average Response Time - Call Received to On Scene
      • Total Volume By Hour Of Day
      • Average EMS Turn Around Time
      • Scene Time - Trauma (Set Default At 20 Min)
      • Cardiac - Time To STEMI Alert
      • Cardiac - At Patient Time to 12-Lead ECG
      • Cardiac - Scene Time to 12-Lead ECG
      • 5.3 ACS - Scene Time to 12-Lead ECG
      • Average Time To Locked Status
      • Average Time To Locked Status - Transport Complete To Lock

    03.15.2018


    EHR

    • New Trauma Referral Center Destination Recommendation Field. When the trauma referral center has been notified on the Trauma Criteria Form, the provider can also document the recommended destination for analyzing routing improvements. This field is required to be documented by the State of Arkansas.
    • Updated validation so that a diastolic value is not required when the doppler method is used.
    Flowchart >> Defibrillation/Cardioversion/Pacing
    • Added the following treatment options:
      • ResqGard
    Flowchart >> Other
    • Added the following treatment options:
      • Sling/Swathe
      • Spit Sock
    Narrative >> Impressions
    • Added the following impression options:
      • Injury of Ankle
      • Injury of Ear
      • Injury of Elbow
      • Injury of External Genitals
      • Injury of Face
      • Injury of Foot
      • Injury of Forearm
      • Injury of Hip
      • Injury of Lower Leg
      • Injury of Neck
      • Injury of Nose
      • Injury of Shoulder or Upper Arm
      • Injury of Thigh (Upper Leg)
      • Injury of Wrist, Hand, or Fingers
      • Overdose - Acetaminophen
      • Sunburn

    01.25.2018


    EHR

    • New Surveillance Form for Overdose. This Specialty Patient Form is designed to serve as a template for future surveillance activities, including traditional infectious disease trends, emerging/novel infectious agents, and more. Enable this new form from the Admin > EHR > Forms page and enforce it when the impression is one of the overdose or substance abuse values by enabling the required validation rule from the Admin > HER > Configurable Validation > Forms Tab page.
    • New Additional Responder Injury, Exposure or Death Field. Along with the new surveillance form for overdose, we are particularly concerned about responder safety, and thus have included this new field and corresponding configurable validation rule to gather information about any potential injury and/or exposure associated with the response. This couples with the existing PPE and injury fields and configurable validation rules for crew members.
    • New Revised Trauma Score (RTS) required configurable validation rule when the impression is an injury or traumatic value.
    • New Receiving Physician required configurable validation rule for patient transport dispositions to a hospital, freestanding ER, urgent care or medical office/clinic.
    • Driver’s License Scanner feature updated to support State of Colorado changes.
    • Improved 12-lead ECG image mapping to vital entries for Philips Cardiac Monitor Imports.
    • City/State/Zip/County Lookup feature now supports city names longer than 30 characters.
    • “Initial Responder on Scene” time can now be after the “On Scene” time.
    • Final Patient Acuity field now available to NEMSIS 3.3.4 agencies.
    • Requirement for documenting Refusal Reason added to “Patient Refused Evaluation/Care (Without Transport)” and “Patient Refused Evaluation/Care (With Transport)” dispositions and removed from the “Patient Treated, Released (per Protocol)” disposition.
    • Patient Evaluated, No Treatment/Transport Required, "Patient Refused Evaluation/Care with Transport" and "Patient Refused Evaluation/Care without Transport" dispositions added to the following configurable validation rule requirements: Triage Classification, Last Name, First Name, Date of Birth, Gender, Resident Status, AVPU, GCS, Initial Assessment, Primary Impression, Anatomic Position, Initial Patient Acuity, Protocol Used, Protocol Age Category, Chief Complaint, Chief Complaint System, Medical/Trauma, Signs/Symptoms, Was the Patient Injured, Barriers to Care and Alcohol/Drugs
    • Dose field now supports up to 9 total digits (3 fractional digits); 10,000 Units can now be entered for Heparin Bolus.
    • Diastolic value no longer present when the method is “Doppler”.
    • Positive Identification requirement no longer applies to records created prior to turning on the feature.
    • Secondary impression validation rule is no longer required when the primary impression is “No injury or illness noted”.
    • Milliliter indicator added to Total Fluid in IV Therapy.
    • Resolved occurrences of double-click actions causing the action to occur more than once; resulting in a web application error.
    Vitals >> ECG Type
    • The ECG Type list was updated for the NEMSIS 3 versions to include the following value. Agencies will need to enable this new ECG Type value in Admin >> EHR >> Configurable Lists >> Vitals >> ECG Type
      • Multi-use pads
    Billing >> Medical Necessity
    • The Medical Necessity list was updated to include the following values for both NEMSIS 2 and NEMSIS 3 versions. Agencies will need to enable these new values in Admin >> EHR >> Configurable Lists >> Billing >> Medical Necessity
      • Reduced Mobility
      • History of Falls
    Specialty Patient Forms >> MIH Referral Form >> Patient Referred To
    • The Patient Referred To list on the MIH Referral Form was updated to include the following value for both NEMSIS 2 and NEMSIS 3 version.
      • Community Medicine Team
    Flowchart >> Medication >> Route
    • The Medication Route list was updated to include the following value for both the NEMSIS 2 and NEMSIS 3 versions. Agencies will need to enable this new value in Admin >> EHR >> Flowchart Configuration >> Medications >> any medications that it is relevant
      • Intravenous Pump
    Flowchart >> Medication >> Measures
    • The Medication Measures list was updated to include the following values for both the NEMSIS 2 and NEMSIS 3 versions. Agencies will need to enable these new values in Admin >> EHR >> Flowchart Configuration >> Medications >> any medications that it is relevant
    • Nemsis 3 Version
      • Milliequivalent per Kilogram (mEq/kg)
      • Milliequivalent per Kilogram per hour (mEq/kg/hr)
      • Milliequivalent per Kilogram per minute (mEq/kg/min)
      • Milliliters per Kilogram (ml/kg)
      • Grams per hour (gms/hr)
    • Nemsis 2 Version
      • mEq/kg
      • mEq/kg/hr
      • mEq/kg/min
      • ml/kg
      • gm/hr
    Flowchart >> PTA Treatment By List
    • The Treatment By list for treatments prior to arrival has been updated for both the NEMSIS 2 and the NEMSIS 3 versions.
      • Fire Department
    Incident >>Mutual Aid
    • The Mutual Aid list has been updated for both the NEMSIS 2 and the NEMSIS 3 versions.
      • Automatic Aid Given
      • Mutual Aid Given
      • Automatic Aid Received
      • Mutual Aid Received

    12.05.2017


    EHR

    • New VAN Stroke Assessment used for triaging large vessel occlusion strokes. This form can be enabled from the Specialty Patient section in the Admin Module and enforced through validation for stroke impressions.
    • New Medical Control Authority (MCA) field that is required to be documented by all Michigan agencies.
    • Medical Necessity list is now configurable. “Medical Necessity Not Met” value has been added to the list and is disabled by default
    • Additional Quick Picks:
      • "Ambulance", "Rotor Craft", and "Bariatric" set for Transport Method.
      • "Manual Cuff" and "Palpated" set for Blood Pressure Method.
    • Validation Rules:
      • Heart sounds are no longer enforced to be assessed by the "Require Entry in All Assessment Categories" rule.
      • Documenting assessment times after call closed will trigger an "Out of Sequence" rule.
      • "Physician/Ref #" validation is no longer required when Medical Control equals "Protocol".
    • ZOLL snapshot treatment events are included in the import of vitals.
    • Large ECG images have been compressed to improve the performance of print and fax services of the patient care report.

    And one more item of interest, The United States has experienced a rapid rise in drug overdoses, and unfortunately, the trend is not improving.

    We are currently beta testing our latest Specialty Patient form with agencies across the nation so we can ensure the best possible user experience. This form will help providers gather timely data to identify areas of need so communities will be able to develop key prevention strategies. We are not releasing it to all users at this time but wanted to let you know we’ve got a new form in the works – stay tuned.

    Narrative >> Impressions
    • The Impressions list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable these new Impressions in Admin >> EHR >> Narrative >> Impressions
      • Acute abdomen
      • Amputation of limb
      • Amputation of other parts of head (face, ears, etc.)
      • Angina, Unstable
      • Anxiety reaction/Emotional upset
      • Carbon Monoxide poisoning
      • Concussion with loss of consciousness
      • Concussion without loss of consciousness
      • Congenital Deformity
      • Drowning
      • Dystonic reaction
      • Ear problem
      • Intracranial hemorrhage
      • Laceration/Abrasion/Hematoma (Minor surface trauma)
      • Metabolic Disorder
      • Need for continuous medical supervision
      • Overdose - unspecified
      • Palpitations
      • Patient assist only
      • Respiratory disorder, unspecified
      • Rhabdomyolysis
      • Shortness of breath
      • Skin infection
      • ST elevation (STEMI) myocardial infarction of anterior wall
      • ST elevation (STEMI) myocardial infarction of inferior wall
      • ST elevation (STEMI) myocardial infarction of other sites
      • Tracheostomy problem/complication
      • Urinary System disorder
    Narrative >> Injury Details
    • The Injury Details list was updated to include the following values.
      • Falls, Unspecified (NEMSIS 2 and NEMSIS 3)
      • Snowboard Accident (NEMSIS 3)
      • Snow skiing Accident (NEMSIS 3)
    Narrative >> Signs and Symptoms
    • The Signs and Symptoms list was updated to include the following values for the NEMSIS 3 version.
      • Contracture
      • Injury to chest
      • Injury to lower back
      • Injury to upper back
      • Lack of coordination, unspecified
      • Other lack of coordination
      • Pressure ulcer - back
      • Pressure ulcer - buttocks
      • Pressure ulcer – hip
    Patient >> Medications
    • The Patient Medications list was updated to include the following values for both the NEMSIS 2 and NEMSIS 3 versions.
      • Amaryl
      • Clotrimazole
      • Cosopt
      • Droperidol
      • Mirapex
      • Nicorette
      • Pramipexole
      • Restasis
      • Ropinirole
      Patient >> Allergies
    • The Patient Allergies list was updated to include the following values for both the NEMSIS 2 and NEMSIS 3 versions.
      • Actos
      • Amaryl
      • Atorvastatin
      • Caduet
      • Celebrex
      • Chantix
      • Clotrimazole
      • Compazine
      • Cosopt
      • Droperidol
      • Furosemide
      • Glimepiride
      • Lipitor
      • Meloxicam
      • Metformin
      • Metoclopramide
      • Midazolam
      • Mirapex
      • Mobic
      • Nicorette
      • Pioglitazone
      • Pramipexole
      • Pramipexole
      • Restasis
      • Ropinirole
      • Sertraline
      • Simvastatin
      • Travatan Z
      • Varenicline
      • Versed
      • Zocor
      Patient >> History
    • The Patient History list was updated to include the following values for both the NEMSIS 2 and NEMSIS 3 versions.
      • Anoxic Brain Injury
      • Enlarged prostate
      • Graves' disease
      • G-Tube
      • Hydrocephalus
      • Hyperglycemia
      • Hypoglycemia
      • Idiopathic pulmonary fibrosis (IPF)
      • Mild cognitive impairment
      • Myasthenia gravis
      • Nonrheumatic aortic stenosis
      • Respiratory Failure
      • Seborrheic keratosis
      • Senility
      • Tricuspid valve regurgitation
      • Ventilator dependent

      11.21.2017


      EHR

      • Resolved a mobile sync issue when flowchart items had been deleted from the record.
      • Resolved a print issue with records that have large attachments.

      11.01.2017


      EHR

      • New Positive Identification Feature that improves medication administration and disposal accountability by requiring provider verification through a security credential and questionnaire process. Learn more.
      • Unable to Obtain feature has been added to the following specialty patient forms:
        • Acute Coronary Syndrome (ACS)
        • Cincinnati Stroke Scale, Ebola Screening,
        • FAST Stroke Scale
        • Influenza Screening
        • LAMS Stroke Scale
        • LA Prehospital Stroke Screen (LAPSS)
        • MEND Stroke Exam, Obstetrical
        • Rapid Arterial Occlusion Evaluation (RACE) Stroke Scale
        • Psychiatric Assessment (SAD)
        • Sepsis Screening
      • Philips cardiac monitor import of vitals has been revised to reduce the number of entries that indicate no change. The import process will now capture blood pressure, pulse rate, respiration rate, SPO2, ETCO2, CO, and temperature information in 5 minute intervals and around each event that denotes a flowchart treatment.
      • “Notice of Privacy Practices Provided” field added to all three billing authorization signature sections. Following Page Wolfberg & Wirth’s Authorization Form, this field denotes whether the signer acknowledges that a copy of the agencies’ privacy practices was provided to the patient or other party with instructions to provide the Notice to the patient.
      • Sending a Destination Alert will now create a corresponding Flowchart Alert entry for Cardiac, Sepsis, STEMI, Stroke, Transport, or Trauma.
      • Comment field has been added to all Flowchart Interventions.
      • Successful field has been added to CPAP, NPA, OPA, Oxygen, Suction, Needle Cricothyroidotomy, Heimlich Maneuver, Flutter Valve, SALT Airway, QuickTrach (Adult), QuickTrach (Child), Pertrach, Perocardiocentesis, AED Defibrillation, CPR, Manual Defibrillation, Cardioversion, Pacing, ResQPOD, Vagal Maneuvers, Mechanical CPR, Bleeding Control, Burn/Care, MAST/PASG, Spinal Immobilization, Splint Fx/Disloc, Traction Splint, Trendelenburg, Bandaging, Cooling, Warming, Irrigation, Patient Restraint, Tourniquet, OB-Delivery, 12-Lead ECG, 15-Lead ECG, 3-Lead ECG Flowchart Interventions
      • Patient Care Report changes:
        • Added a “Patient Transport Details” Section that provides information documented under narrative transport
        • Added “Medic Vehicle” to the incident details section
        • Added timestamps of when signatures were captured
        • Added “Pregnancy” to the clinical impression section
        • ECG images will no longer print one per page
        • Simplified the mobile report viewer to provide easy access to export to PDF or send to printer actions
        • Reduced loading time to generate reports
      • "Pending" and "Reviewed" billing status codes have been added to the quality management workflow
      • "0" option added to the King Airway size list for pediatrics
      • "None" option added to Airway Complications to support validation requirements

      08.29.2017


      Analytics

      • Improvements
        • Added 12-Lead Transmission to Analytics
        • Added STEMI criteria recognition algorithm to Analytics filters from ACS Specialty Patient 12 lead data
        • Added LAMS score to Analytics filters, also Completed, Criteria Met, Criteria Not Met
        • Updated stroke reports inclusion criteria to include FAST and LAMS
        • Update protocol adherence reports to include pertinent negatives (patient refusal). Crew members get credit for completion if a value is present or if the it is documented that the patient refused the assessment.
        • Added filter to Analytics for EMD Card Number
      • Additional Updates
        • Fixed issue where Analytics filters used Dispatch Notified Date instead of Dispatched Date. This fix will resolve problems impacting the display of report filters.
        • Fixed issue in the intervention data structures to eliminate count discrepancy in intervention based reports and to improve execution performance

      07.18.2017


      EHR

      • Added a configurable field, Trauma Referral Center Notified, to the Trauma Criteria and CDC 2011 Trauma Criteria Forms
      • Trauma Level is now displayed above the Trauma Activation field and no longer progressively disclosed when only an activation occurs
      • New configurable validation rules:
        • Whether the Trauma Referral Center was notified must be answered when a patient is injured (enabled from Admin > EHR > Configurable Validation > Specialty Patient Tab)
        • Trauma Level required when a patient is injured (enabled from Admin > EHR > Configurable Validation > Specialty Patient Tab)
        • Trauma Registry ID required when a patient is injured (enabled from Admin > EHR > Configurable Validation > Incident Tab)
      • Driver’s license scan feature support for updated state licenses
      • Google map added to mileage section
      • Destination Type will be cleared when a transport disposition is changed to a non-transport disposition
      • Resolved an iPad issue where the Import button in Flowchart is only partially visible

      07.13.2017


      Analytics

      Important Reminder: Deprecation of Canned Reports began on March 1, 2017. When navigating to a deprecated Canned Report, the user will be redirected to the appropriate Analytics/AdHoc report. New Analytics/AdHoc reports will be added to replace the remaining canned reports as they become available.

      On July 13, the next round of Canned Reports will redirect to AdHoc. They include:

      CANNED/ADHOC REPORT NAME FOLDER LOCATION
      Consumables Breakdown Global Reports > EHR
      Daily Activity Report Global Reports > EHR
      Incident Zip Code Breakdown Global Reports > EHR
      Incident Zone Breakdown Global Reports > EHR
      Location Type Breakdown Global Reports > EHR
      Medication Breakdown Global Reports > EHR > Clinical
      Medication PTA Breakdown Global Reports > EHR > Personnel Statistics
      Patient Age Breakdown Global Reports > EHR
      Response Priority Breakdown Global Reports > EHR

      • Additional Updates
        • 5.3 ACS - Scene Time to 12-Lead ECG Report Error
        • ADA: Inaccuracies in Fire CAD Reconciliation-ePCR Report
        • Non-ESO N3 3PAC Support for Outcome Portal
        • Add Trauma Referral Center and Trauma Referral Center Notified to Specialty Patient Trauma Criteria to AdHoc and Analytics
        • Optimize Medication PTA report
        • Optimize CAD Reports for better performance
        • Optimize Record List Report
        • Analytics filter queries updated to use Dispatch Notified Date for filter content verification
        • Handle concurrent reads/writes in topology
        • Conversion failed when converting a 3PAC PCRid from a character string to unique identifier in HDE
        • AdHoc: Fix mapping issue where only the date was displaying for Transfer of Patient Care Time
        • AdHoc: MIH-Referral Form fix for displaying all referrals made for a given call
        • AdHoc: Update Blank Sequence Number Value and Update Time Format to Military Time
        • AdHoc: Add Other Responder affiliation
        • AdHoc: Modify Billed Closed Date to be mapped to Created Date when the updated date is Null
        • AdHoc: Add Appended Narrative
        • AdHoc: Add Last Change Detected date
        • AdHoc 12-Lead Inferior & Lateral need updating in ETL
        • AdHoc: Modify Apparatus Narrative plain text update
        • AdHoc: Add Stroke Symptoms Resolved field
        • AdHoc: Add Transport Mode field
        • AdHoc: Add PPE/Exposure information
        • AdHoc: Add billing and facility signatures captured date/time
        • AdHoc: Modify Flowchart Comment Max Constraint from 255 to 4,000 characters
        • AdHoc: Add Destination Department and Designation values
        • AdHoc: Add Relationship to field
        • AdHoc: Add First Unit On Scene field

      06.29.2017


      EHR

      Flowchart >> Medications
      • The Medications list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable these new medications in Admin >> EHR>> Flowchart Configuration >> Medications
        • Alprostadil
        • Atorvastatin
        • Cefazolin
        • Cetirizine
        • Diazepam
        • Enalaprilat
        • Esomeprazole
        • Famotidine
        • Intralipid
        • Lipitor
        • Methylene blue
        • Milrinone
        • Nicardipine
        • Nitrous Oxide
        • Oxymetazoline
        • Phenylephrine
        • Potassium phosphate
        • Prednisolone
        • Promethazine
        • Proparacaine
        • SNOCAT Study
        • Sodium phosphate
      • The Flowchart Medication ‘Other’ has been updated to ‘Other – Medication’
      • The Flowchart Airway list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable these new medications in Admin >> EHR>> Flowchart Configuration >> Airway
        • BiPAP/VPAP
      • The Flowchart Other list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable these new medications in Admin >> EHR>> Flowchart Configuration >> Other
        • Taser Barb Removal
        • Total Parenteral Nutrition
        • Ultrasound
      • The Impressions list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable these new medications in Admin >> EHR>> Narrative >> Impressions
        • Dizziness

      06.29.2017


      Analytics

      • Improvements
        • Add Time to Fire CAD Recon/Fire CAD Recon Incident Report
        • Various performance enhancements to data queries. These enhancements also include changes to the order that data queries run (all chart and gem queries will run concurrently). UI enhancements allow report components to load as the individual queries complete
        • The visualizations for the Gems has been updated to start rendering as the query runs
      • Additional Updates
        • Fixed bug where sort ascending/descending for % column would not work
        • Fixed issue in HDE - Diagnosis Comparison where the incorrect PCR would display in the drill-through
        • Fixed bug where timeout screen would show a continuous loading symbol when the report was run again even after the report would time out
        • Fixed issue where the mouse-over for long lists would not show the whole list
        • Fixed issue where a saved report would remain in the “Favorited” list even after the folder containing the report was deleted
        • Drill-through bottom drag pagination control doesn't update
        • Fixed issue where saved reports using any Weeks (Current Week, Previous Week, etc.) date range filter would fail to render the main chart

      06.22.2017


      EHR

      • New configurable validation rules
        • Full assessment required on patient contact
        • Primary and secondary impressions required on patient contact
        • Minimum 2 signs/symptoms documented on patient contact
        • Pedi color code is required on patient contact and the patient is 15 years old or younger
        • Indication of presence of emergency form required on patient contact
      • New configurable validation rules (NEMSIS 3 only)
        • Systolic and diastolic blood pressure reading required on patient contact
        • Respiration rate required on patient contact
        • Respiration quality required when respiration rate is recorded
        • Pulse rate required on patient contact
        • SpO2 required on patient contact
        • EtCO2 required on patient contact
        • Temperature required on patient contact
        • Temperature method required when temperature is recorded
        • Pain scale required on patient contact
        • Glucose required on patient contact and the impression is 'Altered Level of Consciousness', 'Seizures', ‘Febrile Seizures', 'Seizure with status epilepticus', 'Seizure without status epilepticus', 'Diabetic Hyperglycemia', 'Diabetic Hypoglycemia', 'Hyperglycemia (Not Diabetic)', 'Alcohol Use', 'Alcohol Dependence with withdrawal', 'Generalized Weakness', 'Confusion/Delirium', 'Poisoning/Drug Ingestion', 'Substance/Drug Abuse', 'Cocaine Related Disorders', 'Hallucinogen Related Disorders', 'Inhalant Related Disorders', 'Opioid Related Disorders', or 'Other stimulant related disorders'

      06.12.2017


      EHR

      • Pertinent Negative feature added to Vitals (NEMSIS 3 Only)
        • Blood pressure, pulse, respiration, SpO2, EtCO2, CO, temperature, glucose and pain scale can be documented as “Unable to Obtain” due to “Patient Refused”, “Not Indicated” or “Other Reason”
        • On printed reports, the UTO acronym will be displayed for any vital that is documented as unable to obtain
        • Vitals pertinent negative information is transferable through the mobile-to-mobile feature for receiving mobile versions 5.9 and up
      • CAD integration updated to no longer default location type to “Other Specified Place” when a location is not found in the predefined list. Location type will be left blank and required during validation in order to improve accuracy of reporting.
      • New configurable “Presence of Emergency Form” yes/no field added to the Patient Tab under Advanced Directives
      • New configurable validation rules:
        • Reason for Failed Intubation must be noted when an unsuccessful advanced airway treatment is performed
        • Resuscitation Discontinued date and time must be noted when a discontinue reason is given
        • Trauma Activation must be indicated when the patient is injured or a trauma impression is documented
        • MIH Referral form required on all patient encounters
        • EMD Complaint must match Run Type for transfer incidents
        • Advanced Directives must be documented on all patient encounters
        • Middle Name required on all patient encounters for identification purposes
      • Updated validation rules:
        • EMD Card Number is no longer required when EMD is not performed
        • (NEMSIS 3 Only) Scene Delay and Turn Around Delay requirement now encompasses “Cancelled on Scene/No Patient Found”, “Cancelled (No Patient Contact)”, “Assist Agency”, “Assist, Public”, “Assist, Unit”, “Standby - Public Safety, Fire, or EMS Operational Support Provided”, “Standby - No Services Provided” dispositions
      • Overdose specifics added to primary impression
      • LIDOI added to cardiac monitor event mappings for Lidocaine Infusion
      • Destination County added to printed reports
      • Scene Location Type added to printed reports
      • Mileage Calculation feature replaced Google Distance Matrix API with Google Maps API; mileage results will mirror maps.google.com and match the shortest distance returned by all routes
      • Enhanced Update System Data processing to prevent user login or system list discrepancies
      • Resolved a web print issue were RTS score was not displaying on vital entries originating from mobile cardiac monitor imports
      • Apt/Suite/Room field for patient address no longer requires a minimum of 2 characters when documented
      • “Template Version and Data Version identifiers have been added to the footer of the Patient Care Report and Billing Report; these identifiers are used for tracking changes.”

      04.23.2017


      Analytics


      Added Filters
      • ICD-10 Diagnosis Group filters:
      • These groups are made up of a list of ICD-10 codes for the named condition. They are designed to make it easy for the HDE agency or facility to search for records in Analytics that have a diagnosis for that condition

        • Congestive Heart Failure
        • Sepsis
        • STEMI
        • Stroke/Cerebral Vascular Disease
      • Additional filters:
        • Patient Acuity: Initial/Final
        • Glasgow Coma Scale: Gathered, Eyes, Verbal, and Motor (First, Last, Highest, Lowest)
      Added Reports

      These groups are made up of a list of ICD-10 codes for the named condition. They are designed to make it easy for the HDE agency or facility to search for records in Analytics that have a diagnosis for that condition.

      • New Agency Outcome Diagnosis Reports – Available for HDE Agency Accounts
        • HDE Reports >> HDE Diagnosis Comparison - CHF
        • HDE Reports >> HDE Diagnosis Comparison - Sepsis
        • HDE Reports >> HDE Diagnosis Comparison - STEMI
        • HDE Reports >> HDE Diagnosis Comparison - Stroke
      • New Hospital Outcome Diagnosis Reports – Available to HDE Facility Accounts
        • Hospital Reports >> Outcomes >> EMS/Hospital Diagnosis Comparison - CHF
        • Hospital Reports >> Outcomes >> EMS/Hospital Diagnosis Comparison - Sepsis
        • Hospital Reports >> Outcomes >> EMS/Hospital Diagnosis Comparison - STEMI
        • Hospital Reports >> Outcomes >> EMS/Hospital Diagnosis Comparison - Stroke
      Additional Updates
      • Fixed an issue where drill-through table columns with long strings would not wrap properly, causing the data in other fields to be obscured
      • Fire Apparatus Name filter for Average Turnout Time By Apparatus
      • Remove second instance of Average Turn Around Time By Destination Name in Analytics
      • Actions on filtered data no longer incorrectly reference pre-filtered rows
      • Fixed an issue for CAD Reconciliation - Incidents (Exceptions) where the date filter returned incorrect results
      • Fixed the Apparatus Name filter in Analytics
      • New custom date range selector
      • Minor UI improvements
      • Chart panning now updates date range/data correctly
      • Date range remains consistent when exiting drill-through
      • Chart settings now correctly respected throughout the entire app
      • Can no longer open multiple instance of the filters on top of each other
      • Filters now disabled in drill-through to prevent data inconsistencies
      • Minor chart style cleanup

      04.11.2017


      EHR

      • Unit Level of Care list values are now configurable
      • New Configurable Validation Rules:
        • An ongoing assessment is required for patient contact dispositions
        • A minimum of 30 characters is required for patient contact dispositions and 10 characters for all other dispositions
      • New Non-Configurable Validation Rules:
        • EMD Complaint must equal “Transfer/Interfacility/Palliative Care” when Run Type is either “Emergency Interfacility Transfer” or “Non-Emergency Interfacility Transfer”
        • CPR Form question “Was there a cardiac arrest?” must be either “Yes, Prior to EMS Arrival” or “Yes, After EMS Arrival” when a cardiac arrest procedure is documented
        • CPR Form question “Resuscitation Attempted?” must have “Initiated Chest Compressions” selected when a chest compression procedure is documented
        • Narrative question “Was the Patient Injured?” must be “Yes” when the following flowchart procedures are documented:
          • Spinal Immobilization (Cervical)
          • Spinal Immobilization
          • Splint Fx/Dislocation
          • Traction Splint
          • MAST/PASG
          • Burn Care
          • Bleeding Control
          • Chest Seal
          • Tourniquet
        • Gender cannot be “Male” or “Unknown (Unable to Determine)” when an OB delivery procedure is documented
        • Gender cannot be “Male” or “Unknown (Unable to Determine)” when a female related impression is documented

      03.09.2017


      EHR

      • New Handtevy Integration; improving efficiency and data quality for agencies by importing information from records documented with the Handtevy Pediatric Resuscitation System. Learn More.
      • New FAST Stroke Scale form can be enabled from the admin module.
      • New LAMS Stroke Scale form can be enabled from the admin module.
      • Unable to obtain (UTO) feature added to the patient address.
      • New configurable validation rules that can be enabled from the admin module:
        • Cincinnati Stroke Scale required when documenting stroke impressions or protocols
        • RACE form required if positive screening of the Cincinnati Stroke Scale
        • FAST Stroke Scale required when documenting stroke impressions or protocols
        • LAMS form required if positive screening of the FAST Stroke Scale
        • Patient contact address required
      • Flowchart dosage field extended to 3 decimal places.
      • Broadened support to PDF417 Scanners (i.e. Driver’s License Scanners) that leverage the operating system’s clipboard to send information.
      • Support for the Getac Pen Device
      • All Alcohol/Drug list values added as quick pick options
      • All EMD Performed list values added as quick pick options
      • Patient history, allergies and medication comments are now included in the Patient Lookup import.
      • Transport provider information now appears on the Web Patient Care Report and Billing Report.
      • Height of Fall value added to the Injury section of the Patient Care Report and Billing Report.
      • Reduced the number of cardiac monitor images on the Billing Report. Only the first 3-lead, last 3-lead and any event marker images are included (i.e. 12-lead).
      • D10 added as an event marker for cardiac monitor import
      • Cardiac monitor attachments in the EHR directory will be automatically removed when records sync.
      • XML files will no longer be attached to a record when importing cardiac monitor files from Physio Cloud.
      • Corrected mapping of Metoprolol when importing cardiac monitor files from Physio Cloud; formerly mapped to ‘other’ medication.
      • Resolved a sync issue with the witness signature in section 1 of the patient authorization form.
      • Resolved a validation rule regarding patient gender and NEMSIS 3 chief compliant system values.
      • Corrected a validation rule to require the transported unit when the patient is treated and care transferred to another EMS professional.

      03.01.2017


      Analytics

      Important Reminder: As of March 1, we will begin deprecation of Canned Reports. When navigating to a deprecated Canned Report, the user will be redirected to the appropriate Analytics report. New Analytics reports will be added to replace the remaining canned reports as they become available.

      EHR Reports >> Operational Reports >> System Monitoring
      • Transport Percentage by Medic
      • New report that displays the percentage of transports and no transports per medic
      • Gives total patient encounters by medic as well
      EHR Reports >> Washington Core Measures
      • Added 18 of the 27 Washington Core Measures reports
      • Future releases will include more of the report collection
      Hospital Reports >> Cardiac
      • Cardiac – ASA Administration
      • Cardiac – At Patient Time to 12-Lead ECG
      • Cardiac – Scene Time to 12-Lead ECG
      • Scene Time – Suspected MI
      • Scene Time – Suspected Stroke
        • Adds the balance of the Hospital Service Line reports for the ACS patient population
      Additional Updates
      • Fixed a bug that prevented a user from accessing the QM Module from an Analytics report
      • Fixed a bug in the Fire CAD Reconciliation reports that would produce duplicate and incorrect data in the list
      • Changed the default time slice to 180 for most reports. This will improve initial render time
      • Improved Analytics report Average Turn Around Time by Destination Name by limiting destination types to Hospital and Freestanding ED
      • Fixed a bug that prevented Average Turn Around Time by Agency chart from updating correctly when a filter was applied by the user
      • Added a filter to Analytics for the RACE Stroke Scale
      • Added a filter to Analytics for the Sepsis Screen

      02.14.2017


      EHR

      Flowchart >> Medications

      The Medications list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable these new medications in Admin >> EHR >> Flowchart Configuration >> Medications

      • Diltiazem
      • Furosemide
      • Lorazepam
      • Naloxone
      • Nitroglycerin
      • Norepinephrine
      Narrative >> Place of Injury

      The Place of Injury list was updated for NEMSIS 2 and NEMSIS 3 to include all the scene locations types. The following values were added to complete the list:

      • Airport
      • Amusement park
      • Beach
      • Bus station
      • Cinema/Theater
      • Farm
      • Freestanding ER
      • Hospital
      • Industrial place
      • Lake, river, ocean
      • Military base
      • Mine/Quarry
      • Morgue
      • Place of business
      • Place of recreation/sport
      • Police/Jail
      • Public building
      • Recreation area
      • Residential institution
      • School
      • Train station
      • Urgent Care
      • Wilderness Area
      Flowchart >> Oxygen Devices

      The Devices list in the Oxygen Flowchart treatment was updated for the NEMSIS 2 and NEMSIS 3 versions with the following values:

      • OxyMask
      • Trach mask

      01.30.2017


      EHR

      • Flowchart >> Medications
        The Medications list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following value. Agencies will need to enable this new medication in Admin >> EHR >> Flowchart Configuration >> Medications
          • Hetastarch
      • Flowchart >> Medication Measure
        The Medications Measure list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following values. Agencies will need to enable this new measure in Admin >> EHR >> Flowchart Configuration >> Medications >> specific medication
          • Milligrams per hour (mg/hour)
          • Micrograms per kilogram per hour (mcg/kg/hour)
      • Narrative >> Impressions
        The Impressions list was updated for both the NEMSIS 2 and NEMSIS 3 versions to include the following value. Agencies will need to enable this new value in Admin >> EHR >> Configurable Lists >> Incident >> Impressions
          • Hypoglycemia (Not Diabetic)
      • Patient >> History
        The Patient History list was updated on NEMSIS 2 and NEMSIS 3 with the following values:
          • Amblyopia
          • Crohn’s Disease
          • Chronic Respiratory Failure
          • Extrapyramidal Movement Disorder
          • Hereditary Angioedema
          • Intellectual Disabilities
          • Neuromyelitis Optica (NMO)
          • Supraventricular Tachycardia (SVT)
      • Patient >> Medications
        The Patient Medications list was updated NEMSIS 2 and NEMSIS 3 with the following values:
          • Alfuzosin
          • Pentasa
          • Zostrix
      • Patient >> Allergies
        The Patient Allergies list was updated on NEMSIS 2 and NEMSIS 3 with the following values:
          • Alfuzosin
          • Gabapentin
          • Zostrix
      • Narrative >> Injuries
        The injury list on NEMSIS 2 and NEMSIS 3 has been updated to include the following values under the category “Physical
          • Lifting Injury
          • Sports Injury
        The injury list on NEMSIS 3 has been updated to include the following value under the category “Non-Motorized Vehicle’
          • Pedal cyclist injured in non-traffic accident

      01.24.2017


      Analytics

      • Improved performance of CAD reconciliation reports
      • Resolved an issue where a null value in a folder name would prevent all report folders from displaying properly
      • Addition of Analytics reports to to begin the replacement of Canned Reports.*

        CANNED REPORT NAME NEW REPORT FOLDER LOCATION
        Airway Percentage Report Advanced Airway - Success Percentages by Attempt EHR Reports > Clinical Reports > Airway
        ETI Overall Success Orotracheal Intubation Success Rate EHR Reports > Clinical Reports > Airway
        Cardiac Patients with ASA Chest Pain - Aspirin Administration EHR Reports > Clinical Reports > Cardiac
        Clinical Impresssion Breakdown Clinical Impression Breakdown EHR Reports > Clinical Reports > Medical
        IV Success Rate IV Success Rate EHR Reports > Clinical Reports > Medical
        Medication PTA Medication PTA EHR Reports > Clinical Reports > Medical
        Pleural Decompression Report Pleural Decompression Success EHR Reports > Clinical Reports > Medical
        CVA Breakdown CVA/TIA Transports by Destination Name EHR Reports > Clinical Reports > Stroke
        Disposition Type Breakdown Total Record Volume by Disposition EHR Reports > Operational Reports
        Daily Call Log Record List EHR Reports > Operational Reports
        Destination Location Breakdown Transports by Destination Name EHR Reports > Operational Reports > Destinations
        Destination Type Breakdown Transports by Destination Type EHR Reports > Operational Reports > Destinations
        CAD Reconciliation Exceptions CAD Reconciliation - Incidents (Exceptions) EHR Reports > Operational Reports > System Monitoring
        CAD Reconciliation Summary CAD Reconciliation - Incidents EHR Reports > Operational Reports > System Monitoring
        Refusal Reason Breakdown Refusal Reason Breakdown EHR Reports > Operational Reports > System Monitoring
        No Transport by Time of Day No Transports by Time of Day EHR Reports > Operational Reports > System Monitoring
        Chute Time Average Chute Time EHR Reports > Operational Reports > Times
        Response Time Average Response Time EHR Reports > Operational Reports > Times
        Scene Time Average Scene Time EHR Reports > Operational Reports > Times
        Transport Time Average Transport Time EHR Reports > Operational Reports > Times
        Turnaround Time Average Turn Around Time EHR Reports > Operational Reports > Times
        Incident Type Summary Total Record Volume by Incident Type Fire > Fire Operational Reports
        Call Volume Total Record Volume by Incident Type Fire > Fire Operational Reports
        Turnout Time Average First Apparatus Turnout Time/Average Turn out Time by  Apparatus Fire > Fire Operational Reports > Fire Times
        Initial Unit Travel Time Average First Apparatus Travel Time Fire > Fire Operational Reports > Fire Times
        CAD Reconciliation Report Several options available Fire > System Monitoring > (Multiple Options)

        *Canned Reports will be deprecated and will be removed in a later release. New Analytics reports will be added to replace the remaining canned reports as they become available

      • Added Hospital Service Line reports
        • Hospital Reports > Total Volume by Hour of Day
        • Hospital Reports > Stroke > Outcomes - CVA Recognition
        • Hospital Reports > Stroke > Stroke - Alert Performance
        • Hospital Reports > Stroke > Stroke - Blood Glucose Performance
        • Hospital Reports > Stroke > Stroke - Exam Performance
        • Hospital Reports > Trauma > Scene Time - Trauma (set default at 20 min)
        • Hospital Reports > Cardiac > Cardiac - 12 Lead ECG Performance
        • Hospital Reports > Cardiac > Cardiac - Time to STEMI Alert
        • Hospital Reports > Outcomes > Outcomes - EMS/Hospital Diagnosis Comparison

      • 12.06.2016


        EHR

        • New Sepsis Form with SIRS and qSOFA screening criteria (enabled in Admin > EHR > Specialty Patients)
        • "Sepsis" and "Transport" Types added to Hospital/Agency Alerts
        • New Rapid Arterial oCclusion Evaluation (RACE) Form for identifying stroke severity (enabled in Admin > EHR > Specialty Patients)
        • New Assisting Device data element added to documenting flowchart intubations; can now identify whether or not a bougie, stylet, or video laryngoscope was used
        • Added a Witness Signature to the Billing Authorization Section I - Patient Authorization Signature Section
        • Time and date when facility and billing signatures are captured is now stored and available in AdHoc Reports
        • Fax and Email Services will now use the latest information configured in the Admin Module for a given hospital or its department
        • The cardiac monitor device can now be set in the Mobile Shift Section to automatically filter the Physio and ZOLL Cloud case list
        • Close confirmation prompt added to the mobile application to protect against miss-clicks
        • Validation Rules:
            • New configurable Witness to Waste requirement for administered medications marked as a controlled substance to have a witness to waste signature
            • EMD Card Number requirement is no longer dependent on whether EMD Performed is set to Yes or not
            • Removed minimum character requirement for the Scene Apt / Suite / Room data element
            • Resolved an issue where a facility signature was required on return transports from the hospital to home
        • Resolved a user interface issue where scrolling large consumable list will only show 5 to 10 values at a time
        • Long agency names listed on the Quick Summary Report will now show clearly
        • Resolved an issue where forms were overlapping on the Patient Care Report and Billing Report


        11.17.2016


        Analytics 1.0.9

        •  Refreshed UI to mirror the look and feel of ESO EHR
        •  Updated font color palette to ensure easier reading while using a projector or when printed
        • Filter functionality revised to match Patient Tracker and EHR
        • Filter Additions
          • Added NEMSIS 3 values for the Assessment Tab. Grouped as Pertinent Positives and Pertinent Negatives
        • Added “Edit” notification as a visual indicator that a report had been modified from the original definition. With any changes to the filters, dates, etc, EDITED is displayed on the top bar. (Click on EDITED to get to the Save feature.)
        • New Reports
          • Compass Report
            • Hypoglycemia 1: Hypoglycemia Treatment Performance
          • New Aspirin Report (added 12.5.2016)
            • Located in the Cardiac folder under Clinical Reports, this report gives credit to the medic for not giving Aspirin if an allergy to Aspirin is documented.


        11.05.2016


        EHR

        • All new values were added to both the NEMSIS 2 and NEMSIS 3 versions of EHR and are enabled for all agencies unless indicated. EHR mobiles will display the new values after a System Update Data.
        • Flowchart >> Medications
          These new medications will need to be enabled in Admin >> EHR >> Flowchart Configuration >> Medications
            • Saline
            • Combivent
            • Packed Red Blood Cells (PRBC)
            • Fresh Frozen Plasma (FFP)
        • Flowchart >> Defib / Cardio / Pace
          These treatments will need to be enabled in Admin >> EHR >> Flowchart Configuration >> Defib / Cardio / Pace
            • Dual Sequence Defibrillation (DSD)
            • AICD/Pacer Deactivation Magnet
            • Vagal Maneuvers >> added the value REVERT to the Method list
        • Flowchart >> Other
          These Flowchart items will need to be enabled in Admin >> EHR >> Flowchart Configuration >> Other
            • Chest Seal
            • Stairchair
            • Extrication
        • Incident Tab >> EMD Complaint
            • Assist Invalid
        • Incident Tab >> EMD Complaint - N2 Only
            • Fire
            • Healthcare Professional Admission
            • Medical Alarm
            • Standby
            • Well Person Check
        • Incident Tab >> Response Mode Descriptors - N3 only
            • No Lights and Sirens
        • Patient History – N3 only
            • None Reported
        • Patient Medications – N3 only
            • None Reported
        • Billing >> Medical Necessity
            • Oxygen
            • Special Care
            • Oxygen/Special Care was removed

        10.21.2016


        FIRE

        •  When EHR transfers to ESO Fire, CAD is checked to make sure all units assigned are added to the incident
        •  Fixed issues with the address fields to correctly parse apartment numbers
        • Address descriptions/common places now display in cross street/or directions field

          Click here to view release notes with screenshots included


        10.20.2016


        EHR

        • Flowchart >> PTA Treatment By
            • Hospital
            • Hospital ER
            • Hospital ICU
        • Flowchart Medications Measure
          Will need to be enabled in Admin >> EHR >> Flowchart Configuration >> Medication >> Medication Configuration
            • Milligrams per kilogram per hour (mg/kg/hour)
        • Narrative >> Primary Impressions
          These values will need to be enabled in Admin >> EHR >> Configurable Lists >> Narrative
            • Nausea
            • Vomiting
            • Hyponasality
        • Narrative >> Signs and Symptoms
            • Suicidal Ideations
        • Narrative >> Signs and Symptoms – N3 only
            • Drowsiness
            • Excessive Urine
            • Paralysis of lower limb
            • Paralysis of upper limb
            • Eating disorder
        • Flowchart >> Medications
          These values will need to be enabled in Admin >> EHR >> Flowchart Configuration >> Medications
            • Pancuronium
            • Potassium Chloride
        • Vitals >> Glascow Coma Scale Qualifier – N3 only
            • Normal for Patient
        • Flowchart >> Orogastric Tube Size
            • 6 fr
            • 10 fr
            • 12 fr
            • 14 fr
            • 20 fr
            • 22 fr
        • Flowchart >> Nasogastric Tube Size
            • 6 fr
            • 8 fr
            • 20 fr
            • 22 fr
            • 24 fr
            • 26 fr
            • 28 fr
            • 30 fr
            • 32 fr

        10.18.2016


        EHR

        •  ZOLL Cloud integration - a cable free method of transferring information from your cardiac monitor to EHR
        •  Simplified data entry in the following areas:
            • Incident times redesign to support tab and type
            • Auto-date update feature for incident times and clinical dates to support over-midnight calls and next-day documentation
            • First data element in each vitals section will default focus for easy data entry
            • Introduced a calendar control to all date data elements excluding date of birth and default dates like incident times
        •  The CAD update feature will now search the last 180 days for a CAD entry matching the incident number and unit. If no CAD entry is found, the last 500 entries in the last 3 days are shown.
        •  Resolved an issue where records were not being sent to the updated fax numbers or email addresses defined for the location in the Admin Module
        •  Added more specificity to the following data elements:
            • Decimal precision to Pressure value in Flowchart
            • Decimal precision to Flow Rate value in Flowchart
            • Flow Rate max value extended to 60.0
            • MVC Speed min value set to 0
            • Added "Compromised" and "Obstructed" options to the Neck / Airway Assessment
            • Patient Last Name max length extended to 50 characters
            • Address City max length extended to 50 characters
            • Medicaid max length extended to 20 characters
        •  Vitals and flowchart entries will now sort from oldest to newest
        •  CAD entries will now sort from newest to oldest
        •  "On Scene" time is now available for the "Cancelled (No Patient Contact)" disposition
        •  Addressed an issue with Ad-Hoc reports reporting a higher number of stroke assessments that met screening criteria
        •  Serial import option with ZOLL E-Series monitors will await the allotted time-frame to discover cases
        •  Corrected association of the "Print ePCR (Mobile)" claim to the print option on mobile
        •  Addressed an issue in Internet Explorer where a browser refresh was required to edit text fields after sending a record to the printer
        •  File & Directory import options for cardiac monitor integration will retain the latest file path location
        •  Assessment date and time will now show in military format on the printed record
        •  Corrected "Physician/Nurse" signature label to "Receiving" on the printed record to match what is shown onscreen
        •  Addressed an issue where certain monitor resolutions would not render buttons in the mobile application
        •  Enlarged cardiac monitor lead images on the printed record for faxing

        Click here to view release notes with screenshots included



        09.16.2016


        Analytics 1.0.8

        •  Filter Additions
          • ETCO2 (First Last, Highest, Lowest, Gathered)
          • Temperature F (First Last, Highest, Lowest, Gathered)
          • Glucose (First Last, Highest, Lowest, Gathered)
        •  Added Features
          • Hospital Security model, allows hospitals to see the hospital folder, reports and content
        • New Reports
          • Hospital:
            • Total Transport Volume by Agency
            • Average EMS Turn Around Time
            • Average Turn Around Time by Agency
            • EMS Scan Rate by Agency
          • EMS:
            • Average Time to Lock Status – Transport Complete to Lock
            • Time to Locked Status by Medic – Transport Complete to Lock
            • Average Response Time – Call Received to On Scene
            • Total Volume by Hour of Day
        • Fixes
          • CPAP Report showing no data with default filters
          • Patient Gender field size updated to EHR max size
          • Station Report (Fire) turnout times will now display with appropriate
          • Fire filters will no longer be allowed to be added to the following reports:
            • Chest Pain - At Patient Time to 12 Lead
            • Average scene Time for Trauma Patients

        9.1.2016


        EHR

        (Mobile Version: 5.5.1521.0)
        •  Physio-Control Cloud integration on EHR Mobile
        •  Retain provider, unit, vehicle, and shift information on re-login while the application is running
        •  Documenting Personal Protective Equipment used is now tied to a specific individual within Personnel:Incident Tab > Personnel  (click here for more details)
        •  Documenting Exposure is now tied to a specific individual within Personnel: Incident Tab > Personnel  (click here for more details)
        •  Introduced Not Performed pertinent negatives for flowchart items: Stroke Alerts, STEMI Alerts, Trauma Alerts  (click here for more details)
        •  New Mobile Integrated Health (MIH) Referral form. Document the program the patient was referred to, reason for referral, any specific concerns, and comments
        •  Height of Fall can accept a "0" value for ground level
        •  Patient Weight will allow decimal values
        •  Additional cardiac monitor event mappings available: "IO" maps to Intraosseous, "ET" maps to Orotracheal Intubation, "NARC" maps to Narcan
        •  Improved ease of documenting Role under Incident Tab > Personnel Section
        •  Printing the patient care report and billing report will now include the patient header and footer on all pages
        •  Improved performance of the Vitals Tab to handle large cardiac monitor imports
        •  Introduced an alert when Google could not find an exact match to the scene or destination address for calculating mileage
        •  Incident Triage Priority validation rule no longer requires Mass Casualty to be present
        •  Documenting EMD Card Number no longer requires EMD Performed to be filled out first
        •  Physio cloud case import list will show from oldest to newest order
        •  Resolved a CAD integration issue where Call Received date was not importing correctly when the incident spans multiple days
        •  Resolved a CAD integration issue where State and Zone were not initially imported
        •  Resolved an intermittent issue where the assessment could not be edited in EHR for a record created in ePCR
        •  Resolved an intermittent user interface issue where the Consumables list will only be partially viewable in IE 11 and Firefox
        •  NEMSIS 3 only updates:
          •  Multiple ECG types can now be documented for vitals. List values include:
            • 3-Lead
            • 4-Lead
            • 5-Lead
            • 12-Lead (Left Sided / Normal)
            • 12-Lead (Right Sided)
            • 15-Lead
            • 18-Lead
            • Other (AED, Not Listed)
          •  12-Lead Ischemia is now documented under Rhythm
          •  The 12-Lead free text field has been replaced by a Notes field when the 12-Lead Type is selected
          •  New Method of ECG Interpretation field can be used to document computer interpretation, manual interpretation, transmission with no interpretation, and transmission with remote interpretation
          •  Introduced Unable to Complete pertinent negatives for sections: Patient History, Patient Allergies, Patient Medications  (click here for more details)
          •  New Florida Stroke Assessment form
          •  New MIH Visit form to track costs
          •  New configurable validation rules to improve data quality
            • Rhythm required when Type is selected
            • Method of Interpretation required when Type is selected
            • Current patient medications required
            • Current patient allergies required
            • Current patient medical history required
            • Indication of Dispatch Delays required
            • Indication of Response Delays required
            • Indication of Scene Delays required
            • Indication of Turn Around Delays required
            • Indication of Transport Delays required
            • Indication of a work related incident required
            • Indication of who applied an AED when given
            • Rhythm at Destination required when a cardiac arrest patient was transported
            • Reason Resuscitation Discontinued required when attempted
            • End of Event required when a dead on scene disposition is selected
            • Blood pressure Method required
            • Injury details required when trauma is indicated on any trauma form or the Motor Vehicle Collision (MVC) Form
          •  New configurable State Tracking Number field available to identify patient handoff between law enforcement, EMS, and hospitals
          •  Freestanding ER's list of destinations will no longer include destinations from the hospital list
          •  Diverted From field can be documented when the disposition is "Patient Refused Evaluation with Transport" and the transport is due to a diversion
          •  Resolved an intermittent issue where agencies upgrading to NEMSIS 3 encountered destination requirements when the Disposition was no transport


        08.31.2016


        EHR

        •  Narrative >> Barriers to Care
          • Cultural, Custom, Religious
          • Physical Barrier (Unable to Access Patient)
          • Psychologically Impaired
          • Sight Impaired
          • Uncooperative
        • The Barriers to Care list was updated with the following values:
        •  Patient >> History
          • Mastectomy
          • Sarcoidosis
          • Leukemia
          • Subdural hematoma
        • The Patient History list was updated with the following values:
        •  Patient >> Medications
          • Acarbose
          • Atomoxetine
          • Brilinta
          • Dexilant
          • Invokana
          • Lactulose
          • Magnesium Oxide
          • Precose
          • Ranexa
          • Ranolazine
          • Ticragrelor
          • Tizanidine
          • Zanaflex
          • Ziac
        • The Patient Medications list was updated with the following values:
        •  Patient >> Allergies
          • Acarbose
          • Ambien
          • Atomoxetine
          • Brilinta
          • Dexilant
          • Diazepam
          • Invokana
          • Lactulose
          • Magnesium Oxide
          • Precose
          • Ranexa
          • Ranolazine
          • Strattera
          • Ticragrelor
          • Tizanidine
          • Valium
          • Zanaflex
          • Ziac
          • Zoldipem
        • The Patient Allergies list was updated with the following values:
        •  Patient >> Gender
          • The value Unknown (Unable to Determine) has been added to Gender for NEMSIS 2 versions.
        •  Incident >> Requested By
          • The value Home Health Care Provider has been added to the Requested By list.
        •  Incident >> Run Type
          • The value 911 Response (Emergency) in the Run Type list on the Incident tab has been updated to 911 Response. Records created before the change will always display the 911 Response (Emergency) label.
        •  Admin >> Security >> Login Policies >> Password Expiration
          • The value 180 days has been added to the Password Expiration options.
        •  Incident >> Level of Service
          • The Level of Service list on the Incident Tab has been updated with Pediatric Advanced Life Support. This value will need to be enabled by the agency in Admin >> EHR >> Configurable Lists >> Incident Tab >> Level of Service
        •  Flowchart >> IV Therapy >> Fluids List
          • The IV Therapy Fluid list has been updated to include HeparinPlasma-Lyte A; and Plasma-Lyte R. Agencies will need to enable these new values for each IV Therapy Flowchart item in Admin >> EHR >> Flowchart Configuration >> IV Therapy.
        •  Patient >> Allergies
          • The NEMSIS 2 Patient Allergies list was updated to include the NEMSIS 3 values that were added earlier in the year. Agencies will receive the list updates automatically, EHR mobiles will see the updates to the History list when they do an ‘update system data.’
        •  Patient >> Medications
          • The NEMSIS 2 Patient Medications list was updated to include the NEMSIS 3 values that were added earlier in the year. Agencies will receive the list updates automatically, EHR mobiles will see the updates to the History list when they do an ‘update system data.’


        7.14.2016


        ANALYTICS

        •  Additional Reports:
        •  EMS Compass
        • Compass – Seizure 1: Blood Glucose Evaluation
        • Compass – Seizure 2: Benzodiazepine Administration
        • Compass – Stroke 1: Stroke Assessment Performance
        • Compass – Stroke 8: CVA Recognition
        •  Fire
        • Station Report
        • Average Turn Out Time by Apparatus
        •  New Filter Grouping
        •  NEMSIS 3 Values Available
        • Primary Impression
        • Secondary Impression
        • Support Primary Sign Symptom
        • EMD Complaint
        • Priority
        • Run Type
        • Disposition
        • Vehicle Type
        • Location Type
        •  User Interface Change

        Click here to see further details about the Analytics Release


        7.12.2016


        EHR

        • Added a new Stop Time and Date field to the following Flowchart Airway Treatments. This new field can be documented easily with the QuickTreats feature -  Learn More
        • Combitube
        • EasyTube Airway
        • Laryngeal Mask Airway
        • iGEL
        • Nasotracheal Intubation
        • King Airway
        • Orotracheal Intubation
        • Rapid Sequence Intubation (RSI)
        • Retrograde Intubation
        • Sedation Assist Intubation (SAI)
        •  Updated the Physio Cloud Cardiac Monitor import window to display the adjusted case start time as it is displayed in the PCO file.
        •  Updated the printed report to not display times from the CAD updates in the Responder on Scene Time field when that field is not enabled for that agency.
        •  Resolved issue with Patient Lookup not updating on mobile when the ‘Update System Data’ was not used upon login.
        •  Resolved issue that prevented Safari/iPad users from closing cardiac monitor images and other images in the attachment window.
        •  Resolved issue where ZOLL X series monitors were not discoverable with the WIFI import option.
        •  Updated the Philips cardiac monitor import workflow to include the ‘Download as CSV’ file option in EHR.
        •  Resolved an issue that prevented the syncing of records from ePCR mobile to EHR web, when the ePCR record had latitude and longitude imported from CAD in an incorrect format.
        •  The Destination fields will now be available for data entry when the disposition is ‘Transport Organs, not Patient.
        •  Added ZIP code 29486

        6.21.2016


        Patient Tracker (Archive Search)

        •  New location on ESO navigational portal/landing page
        •  Full compatibility with all modern browsers
        •  New user interface
        •  New filter functionality
        •  New search and print workflow for all ESO administrators and users

        Read more about these changes and more in our  Transition and Training Guide.

        Patient Tracker (Agency Linkup) 

        • New user interface  
        • New search and print workflow for all ESO administrators and users  
        • Quick access to Patient Tracker via new button on landing page (Administrators only) 

        Read more about these changes and more in our  Transition and Training Guide.

        Patient Tracker (Hospital Linkup)

        •  New user interface
        •  New search and print workflow for all ESO administrators and users
        •  Quick access to Patient Tracker via new button on landing page (Administrators only)

        Read more about these changes and more in our  Transition and Training Guide.


        5.19.2016


        EHR

        •  Resolved an issue where the patient and/or billing tabs will sometimes become inaccessible after importing data using the patient lookup feature.
        •  Performing a CAD Import of a predefined location will also import the address line 2 field.
        •  The CAD Import List will automatically filter to only show the incidents that belong to the Unit defined in the Shift Section of the Home Page.
        •  Patient authorization number max length extended to 30 characters.

        5.11.2016


        ePCR

        Billing Authorization text updates

        •  Section II updated to " I am signing on behalf of the patient to authorize the submission of a claim for payment to Medicare, Medicaid, or any other payer for any services provided to the patient by the transporting ambulance service now or in the past or in the future. By signing below, I acknowledge that I am one of the authorized signers listed below. My signature is not an acceptance of financial responsibility for the services rendered.”
        •  Section III EMS Personnel updated to “My signature below indicates that, at the time of service, the patient was physically or mentally incapable of signing, and that none of the authorized representatives listed in Section II of this form were available or willing to sign on the patient's behalf. My signature is not an acceptance of financial responsibility for the services rendered.”
        •  Section III Facility Representative updated to “The patient named on this form was received by this facility on the date and at the time indicated and this facility furnished care, services or assistance to the patient. My signature is not an acceptance of financial responsibility for the services rendered.”

        Mileage calculation updated to support a use-case where Google only returns a city, state, and/or zip code

        In a multi-patient situation, users can no longer edit web record that are still editable on mobile devices


        EHR

        NEMSIS 3.4 dataset upgrade now available

        •  New configurable Stroke Symptoms Resolved field added to Cincinnati Stroke Scale, LA Prehospital Stroke Screen and MEND Stroke Exam Forms
        •  New Free Standing ER Location Type
        •  New configurable Transport Mode field added to the Incident Disposition Section
        •  New configurable Final Patient Acuity field added to the Narrative Complaint Section
        •  New deferred validation rule making Transport Mode required for Transports
        • New deferred validation rule making GCS Qualifier required when there is a GCS Score

        Billing Authorization text updates

        •  Section II updated to " I am signing on behalf of the patient to authorize the submission of a claim for payment to Medicare, Medicaid, or any other payer for any services provided to the patient by the transporting ambulance service now or in the past or in the future. By signing below, I acknowledge that I am one of the authorized signers listed below. My signature is not an acceptance of financial responsibility for the services rendered.”
        •  Section III EMS Personnel updated to “My signature below indicates that, at the time of service, the patient was physically or mentally incapable of signing, and that none of the authorized representatives listed in Section II of this form were available or willing to sign on the patient's behalf. My signature is not an acceptance of financial responsibility for the services rendered.”
        •  Section III Facility Representative updated to “The patient named on this form was received by this facility on the date and at the time indicated and this facility furnished care, services or assistance to the patient. My signature is not an acceptance of financial responsibility for the services rendered.”

        Added ZOLL “INTUB” event mapping for Orotracheal Intubation

        Added Philips “VIDEO TUBE” event mapping for Video Laryngoscopy

        Philips import file path will persist for re-imports

        Resolved an instance where admin configuration updates were not auto-syncing to mobile

        Resolved failed sync issue with assessment date and time

        CAD times correctly displays in military time in the import window

        Scroll bar appears for long CAD unit list

        Unit Level of Care correctly enabled when a record created from CAD

        ROSC Time editable when ROSC is “Yes, At Arrival at the ED”

        Mobile-to-Mobile will properly clear the estimated age if DoB is transferred

        Home and end keyboard navigation for text fields work

        New medication, allergy, and therapy fluid additions (click here for full details).


        4.7.2016


        ANALYTICS

        Additional Report:

        •  HDE – Diagnosis Comparison

        Added Filters:

        •  Scene Location Name
        •  New Selector: "Contains"
        •  Outcome Diagnosis
        •  Trauma Activation

        New UI Features:

        •  Multi-select Filters
        •  Predictive Typing
        •  Hover Over Feature on Drill-Through Columns
        •  Progress Indicator
        •  Chart Display
        •  GEMS Font Size
        •  Changes to the "Back" Button
        •  Report Description Capability
        •  Earlier Data Available Time
        •  Delete a Saved Report
        •  Update an Already Saved Report

        Click here to see further details about the Analytics Release.


        4.6.2016


        EHR

        Mobile-to-Mobile Configurable Feature

        •  Securely share patient, vitals, flowchart, and billing documentation with additional responders who use ESO EHR
        •  Differences from ESO ePCR:
          •  Transferred vitals and flowchart interventions are editable
          •  Transferred vitals and flowchart times are no longer displayed as PTA; but do remain exceptions to time-sequencing validation rules
          •  Cardiac monitor 3-lead and 12-lead images transfer from source record to destination record
          •  User defined list values transfer from source record to destination record within an agency
          •  File transfer method removed

        3.31.2016


        FIRE

        •  Added columns on landing page: incident type, shift, and units responded
        •  Removal of columns on landing page: number of units and attachments
        •  Color-coding of icon on landing page: complete/incomplete reports
        •  Configurable validation rule for Mutual Aid field
        •  New configurable fields and validations in Basic 2 for Apparatus:
          •  Priority
          •  Reason for Delay
          •  Responding From

        Click here to see further details about the Fire Release.

        ESO PM

        •  Support for descriptive class titles; field character limit extended from 30 to 255


        3.7.2016


        EHR

        Web/Mobile:

        •  Resolved an issue where “Call Closed” time was imported into “Initial Responder on Scene” time through CAD, resulting in a validation error

        Web:

        •  Edits to CMS Condition Code will correctly override the previous selection

        Mobile:

        • Event logging will include operating system version, dataset version, record identifiers, and data sync status data
        • Physio LP15 cases with a “Snapshot” event is now supported
        • Philips cases with capnography data now supported
        • Special characters in text fields are now supported

        02.17.2016


        EHR

        Web/Mobile:

        •  Patient lookup will search across dataset versions (NEMSIS 2.2.1, NEMSIS 3.x)
        •  CAD records that previously had no match on Unit will now show in the CAD import list
        • EMD Card Number will import into the record when updating from CAD
        •  Zone information will be displayed when a predefined location is selected
        •  Validation rule for payment will click through to the payment section of the billing tab

        1.27.2016


        EHR

        Web:

        •  Dialog can be re-opened after cancelling
        •  Keyboard tabbing and selecting functions in a multi-select control
        • Flowchart physician field keeps focus when typing
        •  Assessment "Absent" for left upper lung sound no longer documents as "Clear"

        mobile:

        • records will no longer duplicate providers; preventing sync
        • switching between validation and timeline views will not lock the application
        • vitals patient position correctly synced from mobile to web

        Data:

        • "No Complaints or Illness/Injury Noted" added to the NEMSIS 3.3.4 impressions list
        • "Wound" category deprecated from the NEMSIS 3.3.4 signs and symptoms list

        Validation:

        • "Email Missing" validation does not appear when the email field is not enabled
        • "CPR Initiated By Missing" validation does not appear when no resuscitation was attempted

        Admin:

        • IV Therapy Treatment configuration changes will save