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Release notes v2.2.3-1.0.0

· 4 min read
Elliott Gordon
Elliott Gordon
Product manager

✨ New in This Release​

Order writeback into the EP System

Touchdose can now transfer the dose recommendation built within the application directly into the EP System's pre-signature order form. Where supported by the integration and the launch context (typically an in-order launch, in which Touchdose is launched with a medication context already set), an Add order button is shown on the medication order screen. Once all decisions within Touchdose have been completed, clicking Add order populates the EP System's order form; Touchdose then closes and the order form opens for the clinician to review, complete any unpopulated fields, and sign.

The fields typically populated by order writeback include medication, indication, brand, dose quantity, dose unit, frequency, duration, duration unit, route of administration, formulation, special administration instructions, and PRN status. Not every order will contain values for all of these, and some values may not be transferable to the EP System and will be left blank.

The clinician retains full responsibility for the resulting order. Existing clinical decision support in the EP System — such as duplicate checks and interaction alerts — continues to operate as normal and is not bypassed by the use of Touchdose.

For full details, see Limitations relating to order writeback into the EP System and Adding the order to the EP System.

Additional Touchdose fields written back to the EP System

Three new fields are now written back to the EP System as do-not-display fields, intended for downstream comparison and traceability rather than for clinician review on the order form:

  • Touchdose dosing weight — the dosing weight used by Touchdose when generating the dose recommendation. If ideal body weight (IBW) was used, the value is appended with "IBW". A dosing weight is returned whenever Touchdose has a weight available, even if it was not used in a dose calculation.
  • Touchdose dose recommendation string — a textual representation of the dose recommendation that Touchdose presented. This allows the order ultimately placed in the EP System to be compared against what Touchdose originally recommended, surfacing any manual adjustments made by the clinician in the order form.
  • Touchdose SMART tracking number — a UUID identifying the Touchdose session.

Max Dose/Time now always included in administration information

Max Dose/Time information is now included in the administration information on the order form for all relevant orders. Previously this was only included when the order was marked as PRN.

Localisation and Datacomposition in the About panel

The localisation property has been added to the information resource and is now visible from the About panel. Datacomposition information is also now displayed in the same place.

🔧 Maintenance​

Performance improvements

A range of performance improvements have been made across the application.

Security improvements

A range of security improvements have been made across the application.

📘 Documentation​

The Instructions for Use document has been substantially updated to reflect the changes in this release. Highlights:

  • New section Adding the order to the EP System on the Medication order page describing the Add order button and the order writeback workflow.
  • New Limitations relating to order writeback into the EP System subsection covering availability, field coverage, and opt-in use.
  • Order writeback referenced in Intended use, Warnings, and Contraindications, with clinician responsibility for the resulting order called out at each touchpoint.
  • Technical overview restructured into Deployment configurations (Standalone vs Integrated) and Launch contexts (patient-context launch and in-order launch as examples).
  • New Observation writeback subsection in Patient inputs distinguishing the existing weight/height EHR-update behaviour from the new order writeback.
  • New glossary terms: In-order launch, Patient-context launch, Order writeback, Observation writeback, Standalone, EHR.
  • "Integrated workflow" renamed to In-order launch throughout, with breadcrumb behaviour clarified on the affected prescribing journey pages (the medication is fixed for the duration of the flow and the breadcrumbs do not allow navigation back to a medication selection step).
  • Patient header section moved earlier in the sidebar so it precedes the prescribing journey.
  • A range of clarity, terminology, link, and typo fixes across the document.