Check out the latest features and fixes for Canvas. This page covers releases beginning in December of 2023. Prior releases can be found in our legacy knowledge center.
The Canvas Note API now fully supports actions for checking in and locking notes.
Check-In Action: Transition a note from BKD (Booked), NSW (No-showed), or RVT (Reverted) to CVD (Converted), mirroring the note check-in process in the UI.
Lock Action: When transitioning a note to LKD (Locked) all associated actions related to the encounter and claim now behave as they do when locking a note through the UI
api
Add Comment/Note via Immunization FHIR Endpoints
This update introduces the ability to create and read comments/notes through the Immunization endpoint in our FHIR API.
api
Inactivate Task Labels
You can now mark task labels as inactive. Doing so will prevent users from adding the label to newly created tasks. Existing tasks will still show the inactive labels and you will still be able to filter based on inactive labels, if they are present.
configui
Filter Populations by Care Team
We have updated the populations module to allow users to filter patients based on care team membership. We’ve also moved Campaigns to a standalone page. Please reach out to support if you would like the populations module enabled in your environment.
ui
Add Annotations to Conditions in Claims
We’ve added a new event CLAIM__CONDITIONS and a new effect ANNOTATE_CLAIM_CONDITION_RESULTS. This combination can be used to add tags to conditions within the claim.
betapluginssdk
Set Note Status to No Show Using the Note API
You can now indicate mark that a note was a no show by setting the stateChange to NSW. Read More.
api
Hides Inactive ICD-10 codes in SDK Diagnose Command
The SDK diagnose command was updated to exclude inactive codes based on the date of service of the note.
betabugfixsdk
Adds BMI to SDK Vitals Command
The calculated BMI will now appear in the SDK vitals command within the note, after commit.
betasdk
SDK Educational Material Command Available for Beta Testing
The SDK Educational Material is now available for beta testing. Read more.
betasdk
Supports Inserting the Reference Command into Any Note
The reference command (used to add lab results from the diagnostic theater to the note) will now follow the same command insertion logic as other commands. This will allow users to better specify which note the results should be added to.
ui
Adds Subscription to Timeline to Reflect Updates via Note API
Updates made via the Note API can now be reflected in the timeline without refreshing the page. Users will see newly added notes appear if they are within their view and note state change events will result in the note collapsing (ULK” → “LKD) or expanding (LKD” → “ULK). Please reach out to product@canvasmedical.com if you would like to enable this feature.
apibeta
Add Annotations to Conditions in Patient Summary
We’ve added a new event PATIENT_CHART__CONDITIONS and a new effect ANNOTATE_PATIENT_CHART_CONDITION_RESULTS. This combination can be used to add tags to conditions within the patient summary.
betapluginssdk
Performance Improvements for Vitals and Questionnaire Commands
This release includes performance improvements for the Vitals and Questionnaire commands. Saving individual vital signs now takes about a third of the time it used to. Originating questionnaires when many exist within the system is faster, as is saving responses for very large questionnaires.
betaui
Updates Automations to Use Either Diagnose or Assess
We’ve created logic within automations to update commands based on patient details. If an automation that includes diagnose is used on a patient who has been previously diagnosed with the same condition, it will automatically update to assess instead. Please reach out to product@canvasmedical.com if you are interested in testing this new automation logic.
We’ve fixed a bug that caused some users to see the following error when processing documents classified as Patient Administrative Intake: “Some values might be missing or incomplete”.
bugfixui
Prevents Duplicate Reason For Visit Commands when Scheduling Follow Ups
After scheduling appointments via the follow up command workflow, the reason for visit would be duplicated in the note. We now only add two commands if the note is updated in the scheduling workflow.
bugfixui
Adds Pasted Text in a Command
We’ve created a new command called the clipboard command. If enabled, pasting text within the note body will automatically generate a command to house the pasted text. This will enable plugins to respond to the creation of the command and ultimately use the content to trigger various effects. Please reach out to support to enable this command in your instances.
betauisdk
View Detailed Audit History and Revert to Previous Versions
The audit modal associated with migrated commands will now show all edits. Users can also revert to previous versions of the commmand prior to being committed. Each line item in the history can be expanded to view the edits made in the saved version and selecting revert will update the command to that previous version. The view of questionnaire edits is currently limited to the user and timestamp. Future work will ensure details are present for all commands.
ui
Automatically Create Claims When Creating Appointments Via FHIR
Our FHIR Appointment Create interaction will now trigger the creation of the associated claim when an appointment is added. Previously the claim would generate at check-in.
apibugfix
Improves Admin experience
The Claim page in admin has been updated for improved usability.
config
Capture Private Notes
We have created a new command to capture private notes. The contents of this command are only visible to the creator of the command. It is an internal command and therefore not represented in our print templates. Please reach out to product@canvasmedical.com if you are interested in enabling the command in your instance.
betaui
Creates Internal Designation for Commands
Commands are currently classified and color coded based on their placmenent within a SOAP note (subjective, objective, assessment, plan, procedures, history). We have added a new category for internal commands. These commands are red and will not be visible in printed notes.
ui
Choose Which Commands are Available for Charting
There is a new admin section: Command type settings that allows admins and super users to enable or disable commands in order to contol which commands are available to users when charting. Permissions must be assigned in order to access this setting. Please reach out to support to have the permission added to the appropriate users or role in your instance.
config
Adds Scoring Logic to Questionnaires
We have added scoring logic with recommendations for the following questionnaires:
Geriatric Depression Scale
Columbia Suicide Severity Risk Screener
Short IQCODE
Reach out to Canvas support if you’d like to utilize these questionnaires with scoring in your EMR.
ui
Collect Payment Prior to Services Being Rendered
We have added an extension to the FHIR PaymentNotice endpoint that references the claim to which the payment is or should be applied. When using this reference in the create interaction, you can now bring a balance below zero, supporting prepayment workflows such as copays and coinsurance. Without a reference to a specific claim, the paymentnotice amount cannot exceed the patient’s account balance. Read more.
api
Add CPTs with Modifiers using Commands
Procedure codes and charges can be linked to the following commands:
Modifiers included in the fee schedule or linked to the CPT in the questionnaire loader will now be added to the billing footer and associated claim. Use the following format to ensure the modifier is recognized:99215-25
ui
Set Default Location or Provider for Eligibility Requests.
Eligibility requests currently use your organization’s details (name and npi); however, eligibility and benefits may be tied to regional or provider specific enrollment data. You can now set patient defaults that will be used for eligibility purposes from both the patient profile or using the API. Read more.
Eligibility requests will use the organization’s information by default
If a default location is set, the request will use the location’s information
Some payers require the provider’s NPI be sent. You can now update the insurer in admin to use the default provider’s information. If the insurer has this setting enabled, and a default provider is not set, you will receive an error when trying to run the eligibility request.
apiconfigui
Send Default Supervising Provider in New Prescription Messages
Surescripts messages for new prescriptions (NEWRX) now include the default supervising provider, if specified in the prescriber’s staff profile.
ui
Sort Tasks In Chart
Tasks within a patient chart are, by default, sorted by due date in ascending order. To help users navigate both open and closed tasks more easily, we have added the ability to change the sorting order and sort by either the creation date or the last modified date. The ‘last modified’ option currently applies only to updates made to the task model, which does not reflect changes to task comments.
ui
Adds Timestamp to Signature in Note Print Template
The timestamp of the last lock event is now included with the date on the note print template.
Prevents Conflicts in the Commands API
We’ve added insertion logic to prevent conflicts when adding commands through the API.
apibetabugfix
Add Commands to Appointment Notes
You can now add commands to appointment notes using the Commands API.
apibeta
Write Immunizations using FHIR Immunization Create
You can now write historical vaccines to patient charts using the FHIR immunization create interaction. Vaccines can be added by CPT or CVX code and will appear in the record as an immunization statement. Read more.
api
Updates FHIR DocumentReference Create
The following updates have been made to the FHIR DocumentReference Create interaction:
Added support for the Uncategorized Clinical Document type (34109-9).
Added logic to default the priority extenstion to false, if not explicitly set.
Fixed a bug that caused the review workflow to not be triggered in Canvas when review mode was set to review required (rr).
SDK Close Goal and Change Diagnosis Commands Available for Beta Testing
The SDK Close Goal and Change Diagnosis commands are now available for beta testing. Read more.
betasdk
Sorts Assessments by Date Regardless of Diagnosis
The condition modal previously grouped assessments by diagnosis. If the change diagnosis command was used to update a condition, the assessments associated with the new code would fall to the bottom of the timeline. We have made an update to sort all assessments by date (newest to oldest) in order to better track the progression of the problem.
bugfixui
Alters ProtocolSetting.value to a TextField
ProtocolSetting.value previously had a character limit of 1,000. We have updated this field to a TextField to support more characters.
sdk
Adds Pharmacy Details to FHIR Patient Read/Search
We have added pharmacyName, pharmacyAddress, pharmacyPhoneNumber, and pharmacyFaxNumber to the preferred-pharmacy extension on the patient resource.
api
Updates Default Country on Patient Create/Update
When writing or updating patients via FHIR, we were previously setting a patient’s country to United States, which did not map to the dropdown in the patient’s registration. We have changed the behavior to default to US to match our UI.
api
Add Commands to All Unlocked Notes
When using the Commands API, there is validation to ensure that commands are only added to unlocked notes. We fixed a bug that caused the incorrect state to be returned when multiple note state change events had occured (locking & unlocking).
betabugfix
SDK Task, Refill, and Vitals Commands Available for Beta Testing
The SDK Task, Refill, and Vitals commands are now available for beta testing. Read more.
betasdk
Hides Command Tooltip When Scrolling
We recently introduced a tooltip that displays the full content of command fields that are truncated. We fixed a bug that caused the tooltip to stay present as users scolled through a note.
uibugfix
Reverts Apryse Update
The recent update to the Apryse webveiwer (used for annotating documents) resulted in intermittent errors that prevented users from leveraging the feature. We have reverted this update.
bugfix
Manually Sync Google Calendars
Historically, our integration with gCal required us to pull from Google,loading availability every time the page loaded. To improve reliablity and load times, we are transitioning to storing availability from Google directly in Canvas. The Google API does expect some failures with their notifications, resulting in events in Google not being represented in Canvas. When this occurs, Canvas Support can now manually sync calendars in admin to capture any missed events.
betaconfig
SDK Medical History and Surgical History Commands Available for Beta Testing
The SDK Medical History and Surgical History commands are now available for beta testing. Read more.
betasdk
Delays Displaying Content on Hover
We recently introduced a tooltip that displays the full content of command fields that are truncated. We have added a slight delay on the hover interaction to prevent it from populating as users navigate through the note.
uibugfix
Write Documents using FHIR DocumentReference Create
You can now write PDF documents to Canvas using the FHIR DocumentReference create endpoint. The endpoint supports writing clinical and administrative documents. Developers can select from a list of supported document types (mapped to unique LOINC codes) and set whether the document needs review. Once added, documents can also be reclassified within Canvas if necessary. Read more.
api
Differentiates Updates Added Via FHIR Claim Update
The author of activity log line items on claims will now show as Canvas Bot when updated using the FHIR API. We were previously displaying the creator of the claim.
apibugfix
Restrict Free Text in Notes
We have added a constance config that allows admin to restrict free text within notes, forcing all documentation to exist within commands. Users will be able to search for commands and automations and must select from them. Please reach out to our Customer Experience team if you would like to enable this restriction.
configui
Background Pulls Forward in the Assess Command
This release fixes a bug that caused background not to pull forward within the assess command.
bugfix
Updates Apryse WebViewer Version
We leverage the Apryse library for document annnotations. This work updates the Apryse WebViewer to 10.10.1.
Prompts Users to Add Commands or Automations
There is a now a prompt in notes to make adding commands and automations more intuitive. Start typing or press / for commands space for automations. Pressing / or space will pull up the full library of commands or automations for users to browse through and select from.
ui
Optimizes Claim Scrubber
When viewing claims for patients with many coverage eligibility responses, the user may experience a delay. We have optimized the claim scrubber to load faster for patients with many coverage eligibility responses.
ui
Fixes SDK Lab Order Command
The ordering provider dropdown is now searchable
The compendium will not load until a lab is selected
betasdk
Updates Character Limits
Autocomplete fields within command headers of SDK commands (instruct, immunization statement, etc.) now have a character limit of 1000. The limit is enforced when adding free text without causing an error.
Comment within the instruct command now has a character limit of 4000 characters.
Medication and Sig within medication statement has been limited to 255 characters to prevent downstream errors in refills.
uisdkbugfix
Capture Default Supervising Provider
Administrators can now set a default supervising provider on the staff page. These providers will only be members that have a prescribing role.
config
Fixes Truncation on Questionnaire Single Select Questions
Responses to single select questions are no longer truncated.
uibugfix
Updates Questionnaire Scoring Results Codings
Any observations created from a custom questionnaire score will have a coding associated with it to meet required FHIR standards.
api
Improves Admin experience
The Note page in admin has been updated for improved usability.
config
Add Physical Exams, Structured Assessments and/or Review of Systems using FHIR QuestionnaireResponse Create
When using the QuestionnaireResponse Create endpoint, the command will be inserted into the Patient’s note based on what the use case in charting of the questionnaire is: Questionnaire, Physical Exam, Structured Assessments, Review of Systems
When inserting a command into a billable encounter, if the questionnaire responses include the selection of an answer that has a cpt code included in the Fee schedule, the code will appear in the Note’s billing footer
api
Fixes Date on Task Comments
We addressed a bug where the task card in the patient chart incorrectly displayed the last comment date.
bugfixui
Search FHIR Provenance by Patient or Agent
We’ve update the FHIR Provenance resounce to allow for the ability to search provenance records by the patient associated to the record and the agent who made the provenance record.
api
Fixes Suffix and Prefix on FHIR Patient Create/Update
We addressed an issue to allow a prefix or suffix to be added the the FHIR Patient.name attribute.
apibugfix
Bill for Conditions Added via FHIR Condition Create
If an active condition is created via FHIR Condition Create endpoint, an assessment will be associated to the condition. If the diagnosis command is inserted into a billable note, the ICD-10 codes will appear in the note’s billing footer.
api
Orders Diagnoses Based on Entry
We updated how diagnoses are ordered on the claim and note footer to ensure the claim matches the order the commands are entered into the associated note.
ui
Updates to Goal and Update Goal
The goal command now requires a start date.
The previously recorded dates and priority pull forward in the update goal command.
sdkuibugfix
SDK Allergy, Remove Allergy, and Family History Commands Available for Beta Testing
The SDK Allergy, Remove Allergy, and Family History commands are now available for beta testing. Read more.
betasdk
Protocol Card Insertion Error Related to Questionnaires
Resolves error when a protocol card inserts a command on a questionnaire that is not enabled.
uibugfix
FHIR DocumentReference Search Date
FHIR DocumentReference search by date accepts a datetime format.
apibugfix
Provider Credentials in Electronic Signature
Includes provider credentials after signature when printing a note.
uibugfix
Resolve Close Goal Priority Issue
Resolves error on Goal Priority, now when a Goal is closed the priority will remain the same from initial input.
uibugfix
Enhancement to Assignee Details on Clinical Review Documents
Includes the date of when a user was Assigned to a clinical review document.
ui
SDK Lab Order Command Available for Beta Testing
The SDK Lab Order Command is now available for beta testing. Read more.
betasdk
Implements FHIR API Breaking Changes
This release implements the following changes outlined here and previously communicated via email:
For DiagnosticReport read/search, the FHIR API previously returned entered_in_error for status. Per the FHIR spec, we now return entered-in-error.
The FHIR API previously returned the string null in the response body for successful create and update interactions. Create and update endpoints now return empty response bodies on successful interactions.
The FHIR API previously included the version number in the location header of create interaction responses. The version number should only be included by servers that support versioning, which our API does not.The location header now only includes the base URL, the resource type, and the identifier, i.e. [base]/[type]/[id]. The /_history/[vid] suffix on the location header value is no longer included.
api
Ability to Update Clinical Review Document Attributes
Allows users to update Clinical Review Document(s) attributes such as report name, link order, requires signature, date, comment, and priority. These attributes can be updated on lab, imaging, consult, and uncategorized clinical reports from each specific panel view or on patient chart.
ui
Improvement to Team Responsibility Admin Configuration
Prevents admin users from adding same responsibilities to more than one team within settings.
configbugfix
Improvement to Letter Template Arrow Date Formatting
Resolves issue to correctly display letter template variable .
configuibugfix
Improvement to Admin Configuration Pages
Improves Admin experience on the following pages: Patient Consent Codings, Patient Consent Rejecting Codings, Groups, Teams, Patient Groups, Patient Group Members, and Patient Group Member Exclusions.
config
Fix to Display of Staff Members in FHIR
Fixes display issue in FHIR when updating team staff members in Settings.
configbugfix
Standardize Appointment Note Title for No-Shows
Updates Appointment note title to standardize indication of no-show in note header.
ui
Split and Modify Documents
Enhances PDF Annotation functionality by allowing users to delete or split specific pages to multiple document types within Data Integration intake workflow.
ui
Write Letters API
The Letter API endpoint allows customers to post letters to the patient timeline. You can stage the letter to the timeline, setting the provider, location and content. HTML and CSS are supported within the body of the letter. Read more.
api
Sorts DiagnosticReport on Date
The default search results order for FHIR DiagnosticReport is now based on date.
api
SDK Commands Enabled for All Customers
The SDK medication statement, stop medication, instruct, and perform commands have been released to all customers (GA). Current status of commands can be found here.
sdk
Updates Mapping of In-Network Indicator
An in-network indicator of n within a 271 response will now correctly map to out of network in our FHIR EligibilityResponse endpoint.
apibugfix
Diagnose Command Added to Commands Module
The diagnose command has been migrated and is available for beta testing.
sdkbeta
Billing Footer Updates Without Save or Refresh
The billing footer now updates as soon as an SDK command (e.g. assess) is committed. There was previously a dependency on saving the note.
The audit modal will now show the correct information when the patient is added as the author of a questionnaire through the FHIR API.
apibugfixui
Updates POS to Reflect Note Type Configuration
Ensures all billing line items have the appropriate POS based on the configuration set within appointment and note types.
bugfix
Prevents Duplication of Category when Saving Diagnostic Reports
CategoryCoding objects for diagnostic reports were being created on every save, causing duplication apparent within the FHIR DiagnosticReport search interaction. This has been fixed.
bugfixapi
Admin Improvements
The following admin pages were updated for improved usability:
Organizations
Roles
Care Team Memberships
config
New Commands Added to Commands Module
The instruct and perform commands are migrated and available for beta testing.
sdkbeta
Print the Task Command
This work fixes a bug that prevents individual task commands from being printed.
bugfix
Optimizes Use of Internal Endpoints
Requests within the chart related to Conditions, Interviews, Diagnostic Views, and PatientDocuments have been optimized. Usage of these endpoints should now be faster.
ui
Ensures Associated DocumentReference is Created for Lab Reports
This work addresses an issue that delayed and/or sporadically prevented the creation of a documentreference resource when adding lab reports via Data Integration beginning in April. We will backfill the missing documents over the next week to ensure all lab reports are available via the FHIR API.
bugfixapi
Adds a Saving Indicator to SDK Commands
Our saving indicator, currently shown in the note header, no longer updates when content within SDK commands is updated. To address this, we include a saving indicator within the migrated SDK commands to notify users that their changes are saved.
sdkui
Undo Action Enhancement in Data Integration
Resolves error that prevented users from exiting or cancelling Undo action within Data Integration when editing a submitted a document.
uibugfix
Admin Improvements
The following admin pages were updated for improved usability:
Vaccine
Fee Schedule
Insurer
Payor Specific Charges
config
Performance Enhancements for Lab Results and Note Loading
We’ve made some performance enhancements to the way lab results and notes load within the application. These changes will speed up the initial load time for lab results and notes, allowing users to review labs and start charting faster.
ui
Updates How Commands Load within Notes & Timeline
We’ve update how commands load within notes on the timeline. Rather than preloading commands for all open and visible notes, we now load them as the user scrolls through the timeline. This speeds up initial chart load and allows users to start charting much faster. Malformed commands will also now show an error in the note body, whereas they previously were presented as loading gray boxes.
ui
Manage Staff with the FHIR Practitioner Create & Update Endpoints
You can now manage staff profiles using the FHIR Practitioner Create and Update endpoints. You can also fully automate account creation using the send-reset-password-email operation. Read more.
api
ICD-10 Codes Rank on Claims
Resolves bug that incorrectly ranked ICD-10 codes on claims. ICD-10 codes are now ranked on claim based on time of insertion within a note or claim, newer codes will be ranked below previously placed codes to reflect the correct order for accurate billing.
bugfix
Send Messages for Lab Results via the Patient App
This release fixes a bug that caused patient messages to fail to send via text or email when initiating them through the lab review modal and using Canvas’ messaging capabilities.
bugfix
Updates Password Reset Email
Updates user Password Reset Email subject and content.
config
Adds FHIR MedicationRequest Search Parameter for Requester
Adds status parameter to FHIR Coverage Search for filtering by active or cancelled coverages.
api
Enhancement to Claim.MD Integration
Enhances our Claim.MD integration allowing for more frequent payer list updates to instances.
config
SDK Prescribe Command Available for Beta Testing
The SDK Prescribe Command is now available for beta testing. Read more.
betasdk
Flags Required Fields within SDK Commands
Required fields within SDK commands will now be red on command origination, ensuring that users know which fields need to be completed before recording the command.
ui
Resolve 500 Error on PDF Generation
Resolves 500 Error on PDF generation within patient chart when attempting to print, preview, or fax documents.
bugfixui
Fix to Practitioner Search Param Typo
Fixes FHIR Practitioner Search param typo to be include-non-schedulable-practitioners.
apibugfix
Enhancements to CareTeam FHIR Resource
Enables ability to Read and Update CareTeam Lead through an extension, and allows for switching CareTeam member roles via API.
api
Fixes Date Search Parameter for DocumentReference
You can now search for FHIR DocumentReference by date.
apibugfix
Adds Temporary Extensions to all FHIR Attachments
We have added a temporary extension to the Attachment attributes for the following resources: Consent, DocumentReference, DiagnosticReport, Media, Patient, and Practitioner. The url attribute on Attachments will require bearer authentication in the near future. The temporary extension is meant to support the transition. We encourage you to update your workflow to use the temporary extension as soon as possible. We will then release the change to the existing attribute and give a window of time to move off of the temporary extension. Read more
api
Enhancement to Review Documents View on Patient Chart
The PDF view functionality on a patient’s chart has been reinstated, for which a new tab opens for viewing labs, imaging, specialist consult, and uncategorized clinical documents. The Review and View buttons have been added for seamless review of these documents as a pop-up on the patient chart.
uibugfix
Surfaces Co-Visit Related Appointments in API
Appointments will now reference co-scheduled appointment IDs via API, to easily identify which appointments were scheduled together.
api
Ensures Command Content is Visible After Commit
This work fixes a bug that caused certain fields to not show in the collapsed view of committed SDK commands.
betabugfixui
Adds Audit Modal to SDK Commands
You can now see access an audit history of SDK commands in the command triple dot menu. We have chosen to move away from the existing tooltip (available on hover) for SDK commands in order to have more space to display additional data. We have added timestamps for some actions now and have plans to continue to expand on the level of detail within the audit trail in the future.
uisdk
Sets Default Appointment Note Type on Scheduling Modal
The default appointment note type set in admin now automatically populates the scheduling modal.
ui
Updates Note Type Admin Page
Administrators now have visibility as to which Note Type is the default Appointment Type within each Note Type configuration page. We’ve also added validation to prevent users from setting a none schedulable Note Type as the default Appointment Type.
config
Requires Patient References in FHIR MedicationRequest Search/Read
FHIR Medication Request Search/Read will now exclude prescription records without a patient. These are created via Surecripts as refill requests for patients who are not registered.
apibugfix
Updates FHIR Observation
We’ve made the following changes to the FHIR Observation resource.
Observations are now created for all questionnaire responses that have been coded with LOINC or SNOMED as the code system. This includes all responses across all questionnaire types (questionnaires, ROS, PE, structured assessments) We previoulsy only created observations if Use in Social Determinants was set to true for responses of questionnaires.
Derived-from was added as a search param.
Additional display names were added to various attributes.
All vitals signs are now supported in FHIR V2. Read More.
apibugfix
Resolves Default Reason for Visit (RFV) and Note Type Issue on the FHIR Update Payload
We have resolved an issue in our logic that would update appointmentType and RFV to the associated instance’s default values if these values were omitted from the FHIR update payload. Now, if appointmentType or RFV is omitted from the FHIR Update payload, they are ignored in the message consumer to keep the appointment values as is.
apibugfix
Resolves CCDA Import Display Error
An issue has been resolved that displayed incorrect error of CCD - Patient not matched despite a patient match.
configbugfix
Saved Annotations Persist for Forward by Fax
Within Data Integration, users can now Forward by Fax documents that have been annotated and saved.
ui
Ensures Most Recent Questionnaire Version is Used in Automations
Fixes a bug that caused automations to load with old questionnaire versions due to caching.
sdkuibugfix
Removes Carry Forward Option from SDK HPI Command
Our carry forward logic pulls in the most recent committed response. Since the HPI command is never committed, carry forward cannot be used. We removed the option from the triple dot menu.
sdkui
Improves Performance Loading Charts and Inserting/Deleting Notes
We’ve optimized our notes query by splitting it into two separate queries: one for retrieving static command schema data and another for dynamic commands. This enhancement allows us to cache the static data, resulting in faster load times.
ui
Removes Extra Whitespace When Inserting Commands via API
Resolved issue that added 15 blank text lines above API inserted commands.
uiapibeta
Truncates Internal Comment on Tasks
The internal comment on tasks will automatically be truncated, users can expand internal comments to view the full text.
ui
Fixes Display Issue on Staff Admin Contact Point
The Staff Admin Contact Point data now matches the corresponding information within the associated input fields.
bugfixconfig
Enables SDK Reason for Visit, Assess, Goal, and Update Goal Commands for All Customers
The SDK reason for visit, assess, goal, and update goal commands have been released to all customers (GA). Current status of commands can be found here.
sdk
Enabled Scrolling within Calendar Configuration
Users can now scroll on the providers list within calendar configuration modal.
uibugfix
Fixes Automated Task Creation from Lab Errors
We have resolved an issue that prevented certain automated tasks from being created when there was a lab error from Health Gorilla. Lab error responses from Health Gorilla will now create a task with further information on the error.
uibugfix
Fixes to SDK Commands
We have made updates to several SDK commands to address various bugs. The fixes include:
Questionnaire
The most recent version of the questionnaire will now be used in automations.
Keyboard navigation improvements.
Values entered in the questionnaire loader are now accurately represented in the command upon origination.
Blank free text responses will no longer print with the question name (i.e ~TXT~).
The click target on multiline single select and free text responses has been expanded.
Automations created before the carry forward setting is enabled now respect the setting after its enabled.
Reason for Visit
The SDK Reason for Visit Command is now compatible with FHIR Appointment Create/Update.
Assess
The background field will carry forward as it should when originating the assess command within a note.
bugfixuisdkbeta
FHIR DocumentReference Now Includes Title & Comments
Document titles can now be accessed through the FHIR DocumentReference endpoint under the ‘description’ attribute. Additionally, document comments are accessible via an extension.
api
Reviewing and Annotating Documents from Patient’s Chart
Users can now access review documents from a patient’s chart as a pop-up modal with the associated review command. Review documents can also be annotated by users within this modal and placed directly on a patient’s chart. These documents include Lab, Imaging, Specialist Consult, and any Uncategorized Clinical Document Reports. To learn more about enabling PDF Annotation functionality, please email product@canvasmedical.com.
ui
Due Date Task Filtering
Users can now filter tasks from a patient’s chart or the task panel based on task due date.
ui
Patient Search Improvements
We have made changes to make searching for patients and loading charts faster, especially for patients with many appointments and encounters.
ui
Load More Tasks Functionality
Resolved Load More issue on task lists from patient chart and task panel.
uibugfix
Business Line Permissions Error
Resolved Business Line error that prevented users, based on permissions, from accessing feature from admin settings.
configbugfix
Note Filter Includes Inactive Staff
Users can filter a patient’s timeline by Inactive staff.
ui
Improvement to Faxing Contact Search
We have improved performance for contact search within the faxing modal.
uibugfix
Updates to Coverage Eligibility Response Workflows
We have added an extension (active-health-benefit-plan-coverage-description) to FHIR CoverageEligibilityResponse that pulls the plan name from the parsed X12 response.
The status of eligibility checks that have failed in ClaimMD with a 400+ error will now be accurately reflected in the UI and API. The outcome in the FHIR CoverageEligibilityRepsponse endpoint will now return error.
We have implemented improved handling when processing eligibility responses from ClaimMD that contain empty quantity fields.
apiuibugfix
Task Filtering Improvement
An issue has been fixed on tasks where selecting or unselecting filtering checkboxes did not result in the expected behavior. Now users should expect task filtering actions to display appropriate results.
uibugfix
Select All Option on Task Label Filter
Users can now utilize the Select All option on the task labels filter dropdown.
ui
Select All Option on Schedule View Configuration
Users can now utilize the Clinicians checkbox option on the schedule view configuration modal to select or unselect all listed providers at once.
ui
Fixed Duplicative Patient Conditions based on Claim CREATE via API
We have resolved an issue that resulted in duplicative conditions on a patient’s summary when a claim was created with an associated ICD-10 code via API. Now, we will only include the ICD-10 code in the patient’s condition list if the code is not already listed within the condition list as “active”.
uiapibugfix
FHIR Patient Performance Improvements
We’ve made changes to make the FHIR Patient read and search endpoints faster.
api
Fixes QR Code in MFA Authenticator App Setup
Fixes a bug that blocked users from configuring an authenticator app for Multi-Factor Authentication (MFA).
bugfix
New Endpoint to Surface Schema fields in the Commands API
The fields endpoint surfaces the specific schema fields associated with each command, including autocomplete fields that are necessary to know what values are valid (e.g. active conditions that can be assessed).
apibeta
Fixes FHIR Appointment Endpoint Compatibility with SDK RFV Command
This release fixes a bug that prevented scheduling appointments via the FHIR API when the new reason for visit command was enabled.
apibugfixbeta
SDK HPI and Questionnaire Commands Enabled for All Customers
The SDK HPI and questionnaire commands have been released to all customers (GA). Current status of commands can be found here.
sdk
Update Claims With No Coverage
This work fixes a bug that prevented developers from updating claims that had no coverage associated.
api
Updates to Carry Forward Logic
SDK commands have the option to carry forward past responses using the triple dot menu. Questionnaires can also be set to carry forward responses automatically using the carry forward all encounters setting. We are deprecating the carry forward same encounter functionality. The setting will no longer be honored.
ui
Write Labs Via the API
We have added the ability to add lab reports and associated values via our FHIR DiagnosticReport endpoint. This functionality is being beta tested. Documentation will be updated soon.
apibeta
Update to FHIR Practitioner
We have added create and update interactions, support for new search filters, and new attributes to read and search for FHIR Practitioner. This new functionality is currently being beta tested. Documentation will be updated soon.
apibeta
Improved Performance for FHIR Task Search
We have made changes to FHIR Task Search to improve performance
api
Goals Updated in Patient Summary
We fixed a bug that prevented the patient summary from updating in real time when adding goal and update goal commands to a note.
bugfixui
New Commands Added to Commands Module
Medication statement, goal, and update goal have been migrated and are availble for beta testing.
betauisdk
Fix to Unassigned Document Review Reports
An issue has been resolved that was impacted Unassigned review reports (lab, imaging, special consult, and uncategorized clinical documents) when attempting to access through the Unassigned filter functionality. This issue was impacting reports that became unassigned when an assigned staff member was marked as inactive.
uibugfix
Bulk Updating a Staff’s Status in Admin Reflects on the User Page
Resolved issue when activating or inactivating a Staff in the Action dropdown in Admin to ensure the Canvas User’s status is also synced.
configbugfix
SDK Protocol ImagingRecommendation Allows Priority to be Set
The ImagingRecommendation Type in SDK protocols now allows the context object to pass a priority that can be set to either Routine or Urgent. This value will be autofilled on the Image Command in the patient’s chart. Read more.
sdkbugfix
Medication History Enhancements
We have improved the usabilty of the medication history functionality within admin settings.
config
Fixes SDK Questionnaire Command Wrapping
The SDK questionnaire command is currently in beta. We fixed an issue with this command where free-text responses in the questionnaire were not being wrapped.
betasdkuibugfix
Fixes Collapsed View for Plan Command
A previous update inadvertently caused the plan command only to display the first line of text when it was committed and in collapsed form. Now users will always be able to see the entire narrative of the plan command.
sdkuibugfix
Update to Cache Google Calendar Events
We have made an update to the cache_google_calendar_events by clearing cache keys before re-fetching google calendars, so that calendar events can update within Canvas scheduling.
uibugfixconfig
Remove Requires Signature Label Once a Document has been Reviewed
When ENABLE_REQUIRES_SIGNATURE constance configuration is enabled, the Requires Signature label will automatically be removed once a document (lab, imaging, consult report, and uncategorized report) have been marked as signed through the corresponding command.
ui
Update to Reload Health Gorilla Compendia
We have made an performance enhancement to the reload_compendium when it reaches out to Health Gorilla (HG) for an updated Lab’s compendium. We have also reduced the job to run on a weekly basis as compared to a daily basis due to HG’s compendium update cadency. Canvas Support will still have the ability to run this sync manually if HG updates the compendium more often.
bugfix
Enhancements to Note Search Results in Patient Chart
Users can filter note search commands, within the patient chart, based on the status of the command (committed or uncommitted). There is also the ability to view both committed and uncommitted commands within the note search, which includes a label on the status of the command. Additionally, the command results will now have permalink navigation to the corresponding note or command.
ui
Fixes Link to Diagnostic Theater
We fixed a bug that was causing the link to the diagnostic theater to be off screen when navigating to a patient’s chart from their lab results.
uibugfix
Improves Performance of Indication Search in Refer Command
The search now waits for a pause rather than searching on each keypress. This reduces the randomness in the search responses as they load.
ui
Adds Display for Labs in FHIR Observation
Observation read & search will now surface lab names in the display attribute.
api
Adds Monitoring
We added additional tags to our web worker metrics to give us visibility into uneven usage caused by (for example) session stickiness at the load balancer level.
We added additional metadata to error reports when individual commands or notes crash to improve our ability to stay on top of those errors.
We improved release notation within our internal systems, allowing support staff and engineers to better see if regressions are caused by a release in the time immediately following that release.
We increased the accuracy of our request/response durations by accounting for time spent doing request logging.
We added the ability to track the request backlog for all web workers, allowing us to track the size of the request queue over time.
ui
Show All Report Names in DiagnosticReport
The text attribute of DiagnosticReport will now reflect the report name for all lab reports.
api
Filtering of Note Type in Revenue Queue Table
Users can now filter claims on any of the revenue queue tables through note type selection(s).
ui
Fix Patient Chart URL to Allow for Adding CPT Codes to Notes
Fixed issue that prevented user from adding CPT codes to certain note types based on patient chart URL.
uibugfix
Expanded Click Point on SDK Commands
Fixed issue that limited where users could click within migrated commands.
uibugfix
Leverage the Provider Directory when Faxing
The fax modal, used when faxing notes, letters, and lab orders, now includes a dropdown to pull in the contact details from directory listings. Users can still update the To and Fax number fields manually as needed.
ui
Fax Lab Orders
Users can now fax lab requisitions after they have been saved or sent electronically via Health. Selecting Fax lab requisition from the triple dot menu on the command will bring up our faxing modal, which allows users to specify where the order should be sent and complete the cover sheet fields if covers sheets are enabled in your instance. The status of the outbound fax can be tracked in your Sfax portal.
ui
Updates to Plan Command
Migrated commands now support the following:
Carry forward the last committed response. This option will pull in the latest record from the database across all users. This functionality is compatible moving forward. You may not be able to pull in responses from our legacy commands.
Add partially completed commands to automations.
Committed commands may be truncated to preserve space in the note. Click on the command header to expand the full content.
Users can access these workflows using the triple dot menu associated with the command, which is now present before clicking record. Currently, the only command available GA is plan. These enhancements will be available for the newly released commands moving forward (when appropriate).
ui
Interact with Commands via the API
The Commands API allows you to read, search, create, and update (including the ability to commit or enter in error) commands via the API. This will only be possible for the commands that have been migrated to the commands module of the SDK. Read more.
betaapi
Fixes Chart Over Scroll
We’ve updated how the timeline loads to address a bug that was causing the top of the timeline to get cut off by the header.
bugfixui
New Commands Added to Commands Module
Additional commands have been migrated and are availble for beta testing.
betauisdk
API Payload Sent from Stripe Card Payments Updated
Stripe added a new attribute to their Card Payment API response payload. We updated our data validation to account for the new attribute.
bugfix
Updated Place of Service Logic within Claims
The Place of Service (POS) logic for the add charge tab within claims has been updated to default manually added charges on a claim to the POS that is set at note type admin or practice location level.
uibugfix
Remove Assigned Individuals and Teams from Tasks
You can now change team and individual assignment of tasks to unassigned.
uibugfix
Filter Note API by Provider
We haved added filtering on provider_key to the Note search.
betaapi
Reference Note Objects in our FHIR API
Some of our endpoints allow you to insert commands into notes by including an encounter reference; however, some of our note types do not create encounters (e.g. data import). A note object reference, surfaced by the new Note API, has been added to those same endpoints to facilitate adding the commands to additional note types. The reference has also been added to support capturing the associated note ID for encounters, appointments, documents associated with notes, and resources that have been added to a note.
betaapi
Filter Snooze Protocol Command Dropdown to Active Protocols
The Snooze Protocol command dropdown will only show active protocols. After a protocol has been snoozed, the Snooze Protocol command dropdown will no longer display those protocols that are snoozed.
uibugfix
Adjustment to Chart Timeline Headers and Tasks Display Times
In order to remove user confusion when reviewing displayed time on the patient chart and within tasks, we have adjusted how time is displayed for user.
On letters, messages, and note headers: Users will now see the following format Day of week, MM/DD/YY HH:MM AM user-time-zone. This should provide clarity on when a letter, message, and note were created on a patient chart.
On task created header and task activities: Users will now see the following format Day of week, MM/DD/YY HH:MM AM user-time-zone. This should provide clarity on when tasks were created and when activities took place within a task. The same will be true on the task panel .
On task due dates: Users will now see the following format Day of week, MM/DD/YY. This should provide clarity on what day a task is due.
uibugfix
Associated Patient and Provider Data Updated on Claims
When the push charges button is utilized on a billable note, the associated patient and provider data to that claim will be automatically updated so that the latest version of an unlocked note will have the updated information for the patient and provider. This information includes patient demographics, coverage data, and provider admin staff page values. Additionally, if users want a locked note to reflect updated patient and provider information, a user needs to unlock and re-lock the note to automatically update this information on the claim. Claims associated to a locked note will not have patient and provider information automatically update, to prevent unwanted changes to these claims.
uiconfigbugfix
Update to Print Templates
Corresponding provider and appointment details have been updated on after visit summary printouts to display correct information.
Internal comments added within the Review Note automated task have been removed from note printouts.
ui
Ability to View and Delete Patient Photos
Admin will now have the ability to view and delete a patient’s profile and chart photo through Patient admin settings.
uiconfigbugfix
Ability to Inactivate Practice Locations
Users will be able to inactivate practice locations through admin settings. Once a practice location has been marked as inactive it will be removed from UI selection drop downs such as note headers, letter templates, message templates, appointment scheduling, and schedule view. If an inactive practice location had been used in past notes, appointments letter, and messages, it will be displayed with an (inactive) label after the practice location name. Practice locations cannot be saved as inactive if there are any future appointments for those locations, appointments must first be updated or removed.
uiconfig
Removed Add Service Provider Button and Modal from Data Integration Page
The Add Service Provider button and modal have been removed from the Data Integration page.
uibugfix
Changing provider and practice location values through appointment header ellipsis have been disabled
In order for a provider or practice location value to be updated on appointments, users need to follow the rescheduling workflow to ensure that the provider has appropriate availability and the practice location is active for the associated provider.
ui
Fix Desynchronization Issues Affecting the Plan Command
Our recent work to migrate the plan command introduced an issue where the models relating to the command were out of sync. To end users, this looked like a gray loading box in the note that never rendered. We have included a fix we expect to prevent these issues going forward.
bugfixui
Improved API Permalinks navigation to correct URL via SSO
When searching for a task via API, the response includes the permalink to that resource. If a user is logged out, the API permalink will now navigate into the right page in Canvas through the login process, including SSO.
bugfixapiui
Add and Reference External IDs on Appointments
Many customers use the Canvas API to integrate the Canvas scheduling model with other systems. We have added the ability to tag Canvas appointments with external IDs in order to support these 2nd and 3rd party workflows (similar to how we have long supported external IDs for patients). External IDs will not appear in the UI. Read more.
api
Sort Conditions by Last Assessed Date
This work fixes a bug that was affecting the order in which conditions are displayed in the patient summary. Now, by default, conditions will be sorted by last assessed to first assessed. This way users can quickly identify which conditions may be stale or need to be addressed (those at the bottom). Users can temporarily change the sort to be alphabetical using the slider icon.
uibugfix
Fix for FHIR Coverage Search
We fixed a bug in the FHIR Coverage Search when trying to display coverages with a Subscriber relationship of parent or common.
apibugfix
Update to FHIR Communication Search
Added a search parameter for status on communications. Developers can now search for messages, filtering to those that are sent or drafts.
api
Improvements to Admin Settings Pages
We have updated the following admin pages to improve the experience, add functionality, and allow more flexibility when managing your instance settings.
The FHIR Appointment endpoint now uses a reference from the Location Read/Search endpoint for the Location in supportingInformation. We will continue to support using the integer value when creating or updating appointment for a set period before the current functionality is deprecated. Updates on the end of life for the existing functionality can be tracked here.
api
Updates to FHIR Claim Endpoint
Our FHIR Claim endpoint now supports read, search, and update interactions. The update endpoint is limited to updating the queue of the claim. This allows third-party RCM vendors to keep claims in Canvas in sync with their operations. Read more.
api
Fix issue preventing note locking due to uncommitted commands that are not in the note body
Canvas offers a config RESTRICT_SIGNING_NOTE_WITH_UNCOMMITTED_COMMANDS, which will prevent users from locking notes with uncommitted commands. We have fixed a bug that blocked users from locking notes with the message “To lock this note please commit all uncommitted commands”, in the absence of any visible uncommitted commands in the note. This was caused by a recent update to the logic checking for uncommitted commands in the note. That update is now being rolled back.
bugfix
Display all appointments in schedule view
There was previously a limit on the number of appointments that could be displayed on the daily schedule view. This release ensures that there is no limit so that all appointments are displayed.
bugfix
Enhancements to Note API
The Note API now includes improved performance, pagination, additional error handling, updated logic for displaying the note title, and the ability to update the note from CVD to LKD.
betaapi
Update the protocol badge count to reflect the count of all active protocol cards
In the patient chart, there is a chart tab that can be accessed from the top right which shows active protocols. There is a badge on that chart tab which shows the number of active protocols. Previously, this badge count only counted the number of active protocols with recommendations. Now it will show the count of all active protocols with a protocol card, even if there is no recommendation. This is more intuitive - the user should expect the number displayed to be equal to the number of protocol cards they see when they click on the tab.
ui
Letters added to DocumentReference endpoint
Letters created in the patient timeline are now included in DocumentReference read and search.
api
Create patient groups
We fixed a bug that prevented patient group creation via the API.
apibugfix
Export EHI for a single patient or a population of patients
You can now export EHI for a single patient in your admin settings. EHI is exported as standard FHIR R4 resources in Newline Delimited JSON format, as outlined by the FHIR Bulk Data Access pattern. To export data for a population in the same format, please contact support. Read more.
oncapi
Update to chart summary print template
Updated the chart summary pdf template to display conditions in order of clinical status and in alphabetical order for a more structured display.
ui
Zip-code validation within admin settings
Validation for US postal codes has been incorporated into the Organization, Practice Location, and Staff address forms when the country is set to US. This validation ensures that the entered US Postal code follows the correct format: either 12345 or 12345-1234. If the user specifies any country other than the United States, the validation process will be bypassed.
uiconfig
Hide Push Charges button from billing footer
We have added a new HIDE_PUSH_CHARGES_BUTTON constance configuration within settings. When the configuration is enabled, the Push Charges button in the footer of all notes will be removed. Signing or locking a note will automatically push charges to the associated claim.
uiconfig
Improvements to note body load time
This work improves the speed at which the note body loads when a note is added to a chart. Previously, the header would load first and the body would be slightly delayed. Now the user will see the body load with the header, so that they can begin documenting asap.
ui
DiagnosticReport now contains the associated PDF
Previously, for lab reports and imaging reports, there was a DocumentReference resource which contained the PDF, and separately a DiagnosticReport resource which contained other information including codings. There was no way to link the two together. This made it difficult for developers to identify what a given DocumentReference PDF contained. Now, we have added the PDF for the report to the DiagnosticReport in the presentedForm attribute. The PDF will also continue to be surfaced as a DocumentReference per FHIR guidance. Read more.
api
Copy permalinks to notes from the user interface
Earlier this year, Canvas deployed permalinks. These are direct links to Canvas objects (notes, commands, PDFs and more) that can be added to tasks. We received feedback from users that these links were useful, and that it would be helpful to be able to get a permalink outside of the context of a task. One use case is to share a link to a specific note with a colleague, via Canvas chat or another chat application like Slack. As a result we have added an option “copy link” to the kebab (triple dot) menu of the note. This option will add a permalink to the note to the user’s clipboard.
ui
NDCs now correctly reflect brand vs. generic medications
Canvas has a mapping from prescribed medications like “Amoxicillin 500mg tablet” to an NDC code. This NDC code is sent to the pharmacy with prescriptions. In some cases, the NDC code was not respecting brand vs generic distinctions. Now the mapping has been updated so that, wherever, possible, the NDC will correctly reflect whether the selected medication was brand or generic. Note that in some cases this is not possible, for example if a the generic medication name is selected but the medication is still on patent and there is no generic NDC yet.
bugfix
More PDF documents available through DocumentReference
Customers have expressed a need to access more PDFs from Canvas via API, in order to share these with external parties or in patient-facing experience. As a result we have significantly expanded the scope of DocumentReference, to include the following documents:
All PDFs added via Data Integration that have been parsed (“parsed” means they have been attached to a patient and tagged with required metadata like document type). Some examples of these PDFs include “Uncategorized clinical documents”, “Consult report, “Advanced directive” and more.
PDFs of chart notes. A version of the note PDF is saved every time a note is locked, and all versions are available via the API.