Enhancements to the Compulink-owned Ophthalmology Advantage EHR Screens in Version 11.0.5.3

Efficiency and Visual Cues: 1. Encounter Favorites (New). a. Complaint (PopUpComplaint) – Blur/Cataract and Conjunctivitis. b. Posterior tab – DME OD, OS and OU. 2. Encounter Favorite Stars were added to the following Tabs/Layouts. a. Biomicroscopy tab i. Adnexa PopUp (pencil) – PopUpAdnexa. ii. Conjunctiva PopUp (pencil) – PopUpConjunctiva. iii. Cornea PopUp (pencil) – PopUpCornea. b. CLDiag tab (Contact Lenses) - PopUpCLDiagnostic c. Complaint tab (Complaint History) - PopUpComplaint d. Testing Summary tab (Testing) – PopUpTest e. Botox tab (Botox / Fillers) – PopUpCosmetic f. Encounter Favorite Stars added to ASC tabs are be listed in the ASC Screen Changes section below. 3. New Label Hover History Feature. a. Hover or click on bold labels in the exam to display historical values for the associated data fields. b. Hover fields were added to the following Compulink-owned tabs. i. Hover History for Visual Acuity will display the Uncorrected and Corrected Distance Visual Acuity right and left. 1. CL Check tab. 2. Lasik Post Op tab. 3. Objective, Objective/Refraction, Objective/Test and Objective (Tablet) tabs. 4. Pediatrics tab. 5. Post Op tab. ii. Hover History for Dilation. 1. Anterior (Style 1), Anterior (Style 2), Anterior (Style 3), Anterior (Tablet), and Anterior/Posterior tabs. 2. Biomocroscopy tab. 3. Extended Ophthalmoscopy and Extended Ophthalmoscopy Pink tabs. 4. Gonioscopy tab. iii. Hover History for Size/Ratio, defining C/D size and IOP for right and left. 1. Extended Ophthalmoscopy and Extended Ophthalmoscopy Pink. 2. Posterior (Style 1), Posterior (Style 2), and Posterior (Tablet) tabs. 4. Visual Documentation Engine (VDE). a. The following diagnoses were connected to the bitmap for "Demarcation Line". i. ICD-9 362.23 ii. ICD-10 H35.121 Retinopathy of prematurity stage 1, right eye iii. H35.122 Retinopathy of prematurity stage 1, left eye iv. H35.123 Retinopathy of prematurity stage 1, bilateral v. H35.129 Retinopathy of prematurity stage 1, unspecified eye

New Layouts: 1. Vision Exam layout with the following tabs: Summary, Complaint, ROS, Health History, Medication, Refraction, Anterior, Posterior, Plan and PQR 2015. 2. Glaucoma (Style 2) layout with the following tabs: Glaucoma Summary (Style 2), Complaint, ROS, Health History, Medication, Obj/Test, Anterior, Posterior, Plan and PQR 2015.

Tab-specific Enhancements: 1. Anophthalmic Tab. a. Buttons were added for Encounter Favorites, Normals, and Forwarding from previous visits. 2. Contact Lens tabs.

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a. Added “stick pin” to PopUpCLDiagnostic, CL Diagnostic , CL Eval, and CL (Tablet) tabs. b. Smart Function attached will add a ToDo for Department CLS (Contact Lens) to “Order Contact Lenses.” c. ToDo will have a blank ID, Dept = CLS (Contact Lens), Frequency = 0, and EHR = True. d. Smart Function Editor. i. Name CLTODO begin SF.ADDTODO (' ' ,'Order Contact Lenses ',0, true, 'CLS'); End; 3. Extended Ophthalmoscopy and Extended Ophthalmoscopy Pink tabs. a. Buttons were added for Encounter Favorites, Normals, and Forwarding from previous visits. 4. Eye Exam tab. a. Added Hover History to Visual Acuity and Optic Nerve Size/Ratio. 5. Face/Lids tab. a. All fields under the Lid Measurement/Movement and Exophthalmometry section have been updated to be 4 character numerical fields, with 2 places after the decimal. 6. Health History tab. a. You can now hover your mouse over the * in the grid and a will display the notes entered on that record. b. In the Ocular History grid, the entries for Blindness were simplified to “Blind left eye”, “Blind right eye”, and “Blindness – both eyes.” 7. Health History (Style 2) tab. a. This is a new tab that includes Surgical History. b. It was added to the layouts Complete (Style 2), Complete (Style 4), and Vision Exam. c. You can hover your mouse over the * in the grid and a window will display the notes entered on that record. 8. Medications tab. a. Filter can now be used to display only Over the Counter (OTC) medications. 9. Objective tab. a. When forwarding an IOP record, the time will default to the current time, and not the time from the forwarded record. b. Dilation was added to the following tabs to make it more convenient for the technician to fill out the information: Objective, Objective/Refraction, Objective Pediatric and Objective/Test. 10. Obj/Refr tab. a. The Stereo Acuity fields for Near were changed to multi-select fields on the following tabs: Obj/Refr, Objective Pediatric and Binoc VT. 11. Plan tab. a. Next Appointments grid - Added Notes column to display, so the provider can see what Notes were put in on previous entries. 12. Review of Systems (Style 2) tab. a. This is a new tab that does not include the Surgical History or Vital Signs. b. It was added to the layouts Complete (Style 2), Complete (Style 4), and Vision Exam. 13. Treatment tab. a. A new Consent Signed check box was added to the Treatments PopUp. 14. Vision Complaint tab. a. This is a new tab used in the Vision Exam to include CC and most of the Objective information on the single tab. 15. Vision Summary. a. This is a new tab used in the Vision Exam. b. It is condensed to show just pertinent information. 16. Vision Summary- In Vision Exam condensed to show just pertinent information 17. Vitals tab. a. When forwarding a record, the time will default to the current time, and not the time from the forwarded record.

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ASC Tab Enhancements:

Please note that there are new fields that must be imported into your Exam database table to support these screens. This operation should be performed by your System Administrator with no other users in the software, and only following backup of all files in your Advantage product folder:

1. Go to UTILITY>CUSTOMIZE SCREENS/TABLE STRUCTURES/RULES>MODIFY DATABASE TABLES. 2. Select EXAM and then choose MAIN. 3. Click IMPORT and you will be prompted to Select Field Definition File from a drop-down list. 4. Select ASCEXAM.FLD, then click OK. This file is delivered with the Version Build for 11.0.5.3. 5. The fields within the "FLD" file will be appended to your Exam database table. 6. Be sure to click on UPDATE to complete the process. For details, please see online Help.

1. ASC Admissions tab. a. The legacy Admissions tab was removed from the ASC Phaco Procedure and ASC Procedure layouts and replaced with a new ASC Admissions tab. b. A new PopUp for Admission Info was added with the Arrival Time, Driver, and Person staying with patient. c. An Encounter Favorite Star was added to the PopUps for the Admission Assessment and Admission sections. 2. ASC Anesthesia tab. a. The legacy Anesthesia tab was removed from the ASC Phaco Procedure and ASC Procedure layouts and replaced with a new ASC Anesthesia tab. b. A new PopUp for Anesthesia Time was added with the Anesthesia Start and End Times, and Type. This window also includes the ASA Class as well. c. An Encounter Favorite Star was added to the PopUps for the Pre/Post Assessment and Equipment and Verification sections. 3. ASC Circulator tab. a. The legacy Circulator tab was removed from the ASC Phaco Procedure and ASC Procedure layouts and replaced with a new ASC Circulator tab. b. A new PopUp for Surgery Times was added. i. Click the Pencil icon, or double click in the grid to edit. ii. Window contains fields for Surgery Arrival Time, OR Arrival Time, To Recovery Time and Post Op Arrival Time. iii. Surgery Arrival Time is underlined to indicate that this field must be filled out in order for the record to appear in the filtered SQL grid. c. An Encounter Favorite Star was added to the PopUp Count section. 4. ASC Discharge tab. a. The legacy Discharge tab was removed from the ASC Phaco Procedure and ASC Procedure layouts and replaced with a new ASC Discharge tab. b. A new PopUp for Surgery Times was added. c. Click the Pencil icon, or double click in the grid to edit. d. Window contains fields for Surgery Arrival Time, OR Arrival Time, To Recovery Time and Post Op Arrival Time. e. The PopUp for Associated Staff now contains a Start and End time. This information was also added to the grid on the Circulator and Procedure tabs. 5. ASC PQR tab. a. A new grid was added for the Safe Surgery Checklist Use. b. Green + opens the PopUp to document that the Checklist was performed on Admissions, Intraop and Discharge. c. A new printer icon was added to bring up the Open Office document with the Safe Surgery Checklist information. 6. Laser (Style 2) tab. a. This is a new tab and it was added to the ASC Laser layout. 7. Retina Objective and Retina Posterior tabs. a. These are new tabs, and they were added to the Retinal Evaluation layout.

Compulink Business Systems, Inc | 1100 Business Center Circle | Thousand Oaks, CA 91320 | 800.888.8075 3 [email protected] | www.compulinkadvantage.com