Release Notes

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New Features

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Ambient & Notes

• View clinical data while writing a note. Selecting View Clinical data while a note is in progress now opens the Clinical Data screen, so a patient’s clinical information is available without leaving the note. Copying selected clinical items into the note is not yet available in the new NoteWriter.
• Template-based carry forward for Ambient notes. Carry forward is driven by template configuration, with selection controls at both the note level and the individual note-field level.
• Scribe notes create documentation tasks in Meditech Expanse. A completed scribe transcription can generate a document-creation task in Meditech Expanse when task creation is enabled for the facility, and a note with no linked backend identifier moves into a ready state instead of waiting on EHR sync. Enablement is an institution-level preference, available only where the Meditech backend supports it and scribe on backend is enabled, and preference changes are recorded in the audit log. Contact Commure to enable it for your environment.

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Improvements

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Ambient & Notes

• Enable AI Summaries preference limited to level 0 and 1 users. The Enable AI Summaries preference on the per-user General Settings screen is now shown and editable only for access level 0 and 1 users; level 2 and level 3 users no longer see it. The System Defaults screen is unchanged and continues to show the preference for administrators setting institution-wide defaults.
• Discharge Summary notes match Expanse documents from the full previous day. When an ambient Discharge Summary has no matching document from the same day, Commure Pro now searches the entire previous calendar day and links the note to the most recent Expanse Discharge Summary document, rather than only a short window before the note was scribed. The link is made whether the Expanse document already exists when the note is scribed or is created afterward. This applies to all Discharge Summary specialty templates; document matching for every other note type is unchanged.

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Charge Capture

• Edits column shows code edit and code held details. When results are filtered by Code Edits or Code Held, the Edits column now displays the matching detail text for each row, so you can see why a record was flagged without opening it. Applies to the Holding Bin and Search screens.
• Holding Bin and Search grids keep your place after an action. Marking a patient for review or sending them to the outbox now keeps every record you had already loaded, with the patient you acted on still selected, so you can keep working down a long list instead of scrolling back to find where you left off.
• Database index added for charge-related records. A new database index supports faster lookups against charge-related records. The change is confined to the data layer; existing workflows and screens are unchanged.
• Charge capture performance work. Charge capture usage patterns and performance characteristics were reviewed to identify the areas most sensitive to responsiveness and to plan the resulting optimization work. No new settings or controls are introduced.
• Charge Desktop layout caching and optional joins. The Charge Desktop screen now declares optional joins and uses a cached layout analysis. This is an internal data-access and layout-resolution change; no new settings or controls are introduced.

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Clinical Data & Orders

• Faster lab-results loading in clinical notes. Lab results now populate more quickly on the Data tab when a provider is writing a clinical note, returning load times to the expected few-seconds range. Patients with an unusually large lab history may still take additional time to load.

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Platform & Administration

• Self test panels load in parallel and report results reliably. Each diagnostic panel on the self test page now loads independently instead of blocking the rest of the page, so results appear as they finish rather than after the slowest check. The Active Directory panel keeps its configured default domain across re-runs, multi-factor results no longer show a stale value, and Re-run all includes panels that are still running. A panel that cannot complete reports the reason, and an expired session shows a session error instead of what looked like a passing test. The page is available to administrators under Administrative Options → System Management.

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Bug Fixes

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Ambient & Notes

• Cancel closes the sign and submit prompt during multi-sign. When you multi-sign notes from the inbox and one of the selected notes cannot be signed because its author was deleted, selecting Cancel now closes the sign and submit prompt instead of leaving it open. You can exit the prompt and continue signing the remaining notes, including attest and addendum flows.
• Special characters in notes save and display correctly. Notes now preserve special characters — dashes, accented letters, curly quotes, and symbols — instead of substituting inverted question marks where a dash separator belongs, including in AI-generated content carried forward from a previous note. Correct display applies to the note detail view, the note editor, the note view from Charge Capture, the Inbox, and Note Search, on both the portal and iOS. Print Preview and printed output are not covered by this change; special characters still do not render there.
• Re-scribe no longer errors on notes pending EHR sync. Re-scribing a note that is still in Pending EHR Sync status previously returned Error 100 and stopped the re-scribe. With the underlying institution-level Scribe configuration corrected, re-scribe now runs as expected from the Pending tab in the iOS app.
• Scribe uploads no longer blocked by a note with no usable transcript. When a scribe recording produced no usable transcript, the note could stay in Note Ready status and reject later audio, reporting error 100 and blocking every further scribe upload for the rest of the session. This release resolves it, so a recording that yields no usable transcript no longer leaves the note stuck and subsequent scribe uploads are no longer blocked.

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Charge Capture

• Conditional Quality Metrics questions follow the parent answer again. Dependent questions in Quality Metrics enable and disable correctly from the parent question’s Yes or No response. Answering Yes to the emergent-case question keeps the follow-up question about time between decision and incision on screen long enough to enter a response, and answering No to a multiple-birth delivery hides the Apgar score fields for the second and third infant. The behavior applies to both standard and custom quality measures on the charge entry screen.
• Query results flag when the Limit Result filter truncates them. When a query matches more records than the Limit Result filter allows, the results again display an informational message stating that some results were not shown due to the maximum specified. You can tell a capped result set from a complete one and raise the limit when you need the full list. Applies to search and Holding Bin queries.
• Print includes every row from the Holding Bin and Search screens. Printing from the Holding Bin or a search result now produces the full set of data shown on screen instead of stopping after the first page, so the printed output matches the on-screen list.
• Filtered Search and Holding Bin results keep loading as you scroll. Filtering the Search or Holding Bin screen by a specific code edit, such as duplicate charge, no longer stops results from loading. Scrolling to the bottom of the grid brings in the next batch of filtered records, so you can work through the full result set instead of stopping at the first page.
• Reviewing Provider and Reviewed Date/Time columns restored. The Reviewing Provider and Reviewed Date/Time columns, which were missing from the new flow, appear again in that view.
• Charge search results return as expected. A defect in charge search has been corrected, so searching for charges returns the expected results.

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Clinical Data & Orders

• Brief medication-data outages no longer disable order entry and Med Rec. Commure Pro now retries the medication-data download at startup, up to three attempts, so a momentary connection failure or timeout no longer takes order entry (CPOE) and Medication Reconciliation offline. Those capabilities are disabled only when every startup attempt fails, and the recurring medication cache refresh retries and logs failures without disabling either one. Retry activity is recorded in the server logs by exception type only, with no patient data included.
• Print preview works again for clinical results. Print preview once again opens successfully when printing lab, micro, blood bank, and test results, resolving a regression that prevented the preview from loading in these clinical modules.

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Platform & Administration

• Emulated sessions open maximized again. Emulating another user now opens the application window maximized instead of a small restored window, and the same sizing correction applies to SAML sign-in. Standard login behavior is unchanged.
• Login page stays usable when a session already exists. Opening a second Mobilizer instance while a session is already active now shows a usable login page — a “Login successful.” message with a working Logout button — instead of a blank screen, so you can log out and sign in normally from there. Standard username and password sign-in is unchanged and still goes straight into the app, as do the emulate-user and embedded login paths.
• Device log submission no longer fails. Submitting device logs from Settings now completes successfully and shows a confirmation when the upload finishes. Previously the submission could fail before the log package reached the server; that failure is resolved.
• Mobilizer upgrade installs no longer stop on harmless database warnings. The upgrade step of the Mobilizer installer now finishes when the database reports that a temporary work table it needs already exists, instead of treating that harmless warning as a failed install. The underlying database events do not affect data or schema. Setup can still fail intermittently and completes on a second run.

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New Features

• Redesigned NoteWriter editor across note workflows. The note-authoring experience is rebuilt as a cloud-hosted NoteWriter editor and wired into the portal’s create, edit, and addendum entry points, so every note opens in the same redesigned workspace. Resume Scribe, Rate Scribe, re-evaluation, citations, diff view, change template, and clinical data views are all available directly inside the editor.
• In-app feature announcements for providers and managers. Providers and managers now see short in-app announcements about new capabilities after they log in. Content is managed centrally, so a message reaches everyone without an app update, and dismissing one brings the next into view. Announcements are held back during documentation work, so they never interrupt note writing, recording, or charge entry. Available on iOS and Android; contact Commure to enable it for your environment.
• Meditech authentication is saved separately for each HCIS. Each HCIS keeps its own Meditech user authentication, so completing sign-in for one no longer overwrites another, and the backend resolves the HCIS from the selected facility before validating it. When authentication is missing or expired, the user is asked to sign in for that facility rather than falling back to another HCIS. Server-side support ships in this release; the matching iOS and Android recovery action follows later.
• Create or update department patient lists from Department Settings. Users with Department Settings Access can create or update a department patient list directly from Department Settings. The Create / Update Department List button opens the Patient List wizard with the department name pre-filled and favorites the list for everyone in the department; selecting it again updates the existing list instead of creating a duplicate.
• RADIUS second-factor authentication for the Portal. After signing in with the usual directory credentials, Portal users are prompted for a verification code that is checked against the site’s RADIUS server before login completes. Codes can arrive by SMS or come from Okta Verify or Google Authenticator. This applies to the Portal only; iOS and Android continue to authenticate through Okta. The second factor is off by default and is configured by an administrator.
• Validate Code Edit date headers against the Date of Service. On the Headers tab of the Code Edit Add/Update screen, a date-type header can be evaluated against the Date of Service instead of a fixed calendar date. Choose a Before, On, or After condition — up to two — plus an optional offset in days, weeks, months, or years. At charge submit the configured error message fires, including a hard stop when enabled. The comparison is opt-in per criterion, so existing header rules are unchanged.
• Bulk provider import from a spreadsheet. A new Bulk Import Provider option under Admin → User accepts a spreadsheet of providers and creates each one, copying preferences and departments from a referenced existing user and merging in the department named in the file. Columns whose header contains a colon are imported as user aliases. Progress updates as each provider is created, and a failure on one row no longer stops the rest of the file. Only .xlsx files are supported.
• Charge capture flags charges missing a billing-provider NPI. Charges whose billing provider has no NPI now raise a code edit, so the gap is caught during charge capture rather than later in billing. A new Missing NPI Charges dashboard gives teams a single place to find and work those charges. The code edit is controlled by the Enable Missing NPI Code Edit preference under Institute → Charge Capture, and the dashboard is reached from Tracking/Reporting → Admin Reports.

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Improvements

• AI Scribe access can be turned off and back on from Commure Pro. Setting a provider’s Can AI Scribe preference to No now deactivates that provider’s scribe account in the Commure backend before the preference is saved, and setting it back to Yes reactivates the same account. The same behavior applies to Bulk User Edit, to user creation and cloning, and to deleting a provider who has AI Scribe enabled; if the backend update fails, the preference is not saved and an error is shown.
• Choose whether Charge-Note Reconciliation auto-refreshes on open. A new user-level preference controls whether the Charge-Note Reconciliation report re-runs the last search automatically when the screen opens. The default preserves the current auto-refresh behavior; set it so the report waits for a manual refresh instead. Configurable per user and in bulk through Bulk User Edit.
• Choose which favorites transfer when copying user preferences. Administrators copying preferences to another user now see a selection screen before the copy runs, with checkboxes to include or exclude Charge, CPOE, and Diagnoses favorites. All are selected by default; clearing one leaves that favorite type out of the copy while every other preference type transfers as before.
• Biometric login always available on iOS and Android. Biometric login is now always allowed on both mobile platforms, and the Portal option that previously gated it has been removed, so the experience is consistent across devices.
• Right-click to copy text from the app. You can now select text — such as note content or a lab result value — and right-click to bring up the browser menu and copy it. Right-click previously worked only with Developer Mode turned on; that dependency is removed, and no per-customer switch or configuration is required. Right-click is not yet available on Patient and Visit Details, Diagnoses, or Charges within Charge Capture.
• Submission Record Details shows which hold conditions are blocking a submission. When a submission is delayed, Submission Record Details now lists every hold condition and marks the ones currently holding it, so it is clear exactly what is keeping a submission from completing.
• Fluoroscopy images viewable without an attached report. Fluoroscopy studies finalized in the PACS RIS now surface their image links in the chart even when no report has been filed, so providers can view the images as soon as radiology marks the study Finalized. Previously the image link appeared only once a report was present.
• In-app Help now opens the Commure Pro documentation. Help icons in the web portal now open the current Commure Pro documentation instead of the older Help pages, and a preference’s Help icon navigates to that preference’s section. Applies to the administrative web portal.
• Set Resume Scribe as a Patient List swipe option from the portal. Resume Scribe can now be configured as a Patient List swipe action from the portal, matching the option already available on iOS and Android. Administrators can enable it for an individual user under Preferences or apply it to many users at once through Bulk User Edit.
• Expanded charge transaction history capture. Charge transaction history now records additional detail for each transaction, along with separate history for diagnoses and charge headers. A configuration option, off by default, controls whether draft charges are included, and history capture is turned on through the ChargeKeeper preferences in the Configure Editor. Header history is not captured for actions taken outside the charge transaction edit screen.
• Faster logout and a redesigned login screen. Logging out now returns you straight to the login screen, with no interim session-ended page along the way. The login and additional-information screens are restyled to the Commure Pro design, with plainer wording for incorrect-password and lockout warnings and a multi-line Reason for Login field that reports a missing Name and Role together on submit. Emulated-session logout, SAML, and RADIUS sign-in are unchanged.
• Patient Search and Note Search tabs open right away. Both tabs now render immediately instead of stalling while background data loads. On Patient Search, the patient list dropdown loads separately and enables once it populates, and order-related lookups on both tabs run when you search rather than when the tab opens.
• Existing sessions carry over to new browser tabs. Opening the application in a second tab of the same browser window now recognizes the active session and goes straight to the patient list and dashboard instead of presenting the login screen. Because the session is recognized, the same user can no longer sign in a second time in the same window.
• Draft-note count lookups no longer scan the full note table. The draft-note count check now uses an index instead of scanning the entire note-results table, removing the full-table scan behind draft-note counts.
• Resolved critical static-analysis security findings in the Charges pane framework. Multiple critical security findings flagged by static code analysis in the Charges module’s pane-layout framework have been remediated, hardening error handling across the Charges Holding Bin and Search views. No change to clinician-facing workflows.

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Bug Fixes

• Patient header names now display in title case instead of all caps. Patient names stored in all capital letters now display in title case in the patient header, while names already in mixed case are left unchanged. The same formatting is applied to the handheld patient list for consistency.
• Restore a minimized Clinical Rounding Report. After you minimize the Clinical Rounding Report, its restore control is visible again in the top navigation, so the report is no longer lost once minimized and you can reopen it in place.
• Medication comments no longer overwrite each other. Comments added to individual medications while composing a Progress note now save independently, so a comment is no longer erased or attached to the wrong medication. The same correction applies to comments on other repeating clinical data, such as labs and test results.
• Auto Link selections persist in Order Set configuration. Auto Link/Auto Select settings configured for an order within an Order Set are retained after saving and reapplied automatically when the Order Set is launched.
• Manage Sections editor popup opens and closes reliably. The section editor popup in Charge Capture Manage Sections opens with its full layout and dismisses cleanly when the close icon is used.
• Department filter works reliably on Charge-Note Reconciliation. Filtering the Charge-Note Reconciliation list by department now completes even when the selected department includes providers whose clinical notes are not linked to a visit, instead of failing with a system error.
• Progress Note system visibility respects portal settings on mobile. Review of Systems and Physical Exam systems hidden in a provider’s portal settings no longer appear in Progress Notes on iOS or Android after the device syncs.
• Cosigning is blocked when a note’s author has been removed. When a note is pending cosign and its authoring provider has been removed, the cosigner sees a clear warning and no cosigner submission is recorded.
• Order signing works reliably on Android. Signing and submitting an order with a Meditech PIN on an Android phone now succeeds, matching desktop and iOS, across both medication and non-medication order types.
• Canceling a draft note no longer errors out a second open session. When the same user is signed in to two sessions and one cancels a draft note the other has open, the Note detail screen shows a friendly No Clinical Note Selected message instead of a blocking system error, with no manual refresh needed.
• Scrollbar restored on the medication order details pane in Chrome. The medication order details pane shows a scrollbar in Chrome when the order detail has more rows than fit, so clinicians can scroll the full MAR data.
• Charge Capture defaults no longer overwrite an existing user’s empty date preferences. System Default AC Start and End dates now apply only to new users, so a user who leaves these blank keeps them blank after saving.
• Diagnosis search on the Assessment and Plan tab opens without a blank screen. Incomplete saved diagnosis picker entries are now filtered out instead of interrupting the A/P tab in NoteWriter, so selecting Diagnosis Search opens the search and existing diagnoses display for the patient. The problem appeared sporadically and only for individual users whose saved diagnosis pickers were missing details.
• Confidential visit restrictions honor each visit’s originating facility source. Patient-access restrictions are scoped to the domain and facility source a visit originated from, so users can reach patients whose visits are unrestricted at one source while restricted visits at another remain protected.
• Patient demographic details populate correctly again. Ethnicity, smoking status, and advance directive display on the Patient Details screen when those values are stored only as dynamic properties, instead of appearing blank or unknown. A value already set on the patient is never overwritten, and restoring these fields also lets scribe workflows pull details such as smoking status into the note.
• Print headers show the branding logo at its intended size. The branding image in print headers is bounded to a maximum width and height while preserving its aspect ratio, so the logo renders correctly even when the underlying asset ships at a higher resolution. Print generation also supports SVG branding assets, and existing raster logo files continue to work.
• Portal Messaging stays online after upgrade. Messaging connects reliably when logging in through a reverse-proxy URL that differs from the messaging server URL, so the window shows ONLINE again.
• Charge Capture Preferences load without the form type error. The Charge Capture Preferences screen loads reliably in Chrome without the unknown form type error that previously appeared on each load.
• Rate this Scribe keeps your feedback text as you rate. Feedback typed into the Rate this Scribe popup stays exactly as you entered it. Tapping thumbs up or thumbs down, or clearing the Other checkbox, no longer erases what you wrote, so your comments survive until you submit them.
• Assignment list correctly adds and drops patients after an upgrade. Discharged patients drop from the list, and child facilities added under an already-selected parent inherit that selection in both the Patient List and Department views.
• Problem List respects role exclusions in the charge-capture workflow. Adding a diagnosis from the Assessment/Plan tab of a History and Physical note and submitting with charges now honors the role-based add-exclusion configuration, matching the Charge tab path.
• Dictionary-template edits flow through to linked templates in Print Preview. Changes to a shared dictionary template propagate to all related and linked templates and appear immediately in Print Preview, without a manual re-save.
• Facility scribe-on-backend settings stay saved in NoteWriter. Facility selections for Enable Scribe On Backend For Facilities persist in NoteWriter institution settings and are no longer reverted by a later save.
• Charges Search no longer blanks out when filtering by All Locations. Running a Charges Search with All selected under Filter Locations returns results reliably, without needing to close and reopen the portal.
• Adding a facility to Patient List and Location works again. Administrators can add a new or existing facility to Patient List and Location settings from the Facility and Unit Management tab, and it saves and displays as expected.
• Adding a facility to Patient List and Location works from the dispatcher. Administrators can add a facility to Patient List and Location from the dispatcher, and it appears immediately in the Patient List and Patient Search.
• Patient home address no longer appears twice on the Patient Detail Screen. Home and alternative addresses each display a single time, so the address section reads cleanly during chart review.
• Broadcast message popup buttons display again. The OK, I Agree, and Cancel buttons on the broadcast message popup display reliably at login.
• HDL runs complete without failing later stages. Processing an HDL file no longer errors out and leaves the RXM and remaining stages failing after an HDL intervention starts. Stages that run after the HDL step now complete as expected, and the data repull finishes successfully.
• Rebranded login page rendering and navigation fixes. Text on the additional-information page renders aligned and readable, the emulate-user login uses the rebranded interface and keeps password errors on the same page, and the Commure Pro icon opens the Commure website again.
• Backend scribe facility preference stores unique location IDs. The Enable scribe on backend for facility preference saves each location by its unique identifier, so facilities sharing an abbreviation resolve to the correct location.
• Commure logo now renders correctly. A regression that displayed a distorted image in place of the Commure logo is resolved, so the logo renders correctly across the app.
• Orders process for patients with an alias in the name. Signed e-signature orders process through the outbound bridge without failing when a patient’s name contains an alias in double quotation marks.
• TIFF-routed document submissions complete reliably. Document submissions routed to TIFF-based file-system destinations no longer exhaust their retries and end in processing failure, and any future conversion problem surfaces as a clear, actionable error.
• HDL administration console loads again. The HDL administration web console loads correctly instead of returning a server error, so operators can monitor and manage HDL data loading.
• AI Scribe transcription no longer stalls on backend read timeouts. A backend fix reliably releases the connection after a token-request timeout, so intermittent read timeouts no longer leave transcription processing stuck.
• Stuck scribe upload retry state addressed. An issue where a scribe recording upload could become stuck in a retry state and block later recordings in the same provider session is addressed in this release.
• Non-Charge-Capture manual sync no longer blocks other users’ syncs. A manual sync by a user without the Charge Capture module no longer blocks other users’ syncs from completing.
• Intermittent login failures resolved. Signing in completes reliably instead of intermittently failing and requiring a retry.
• Charge-Note Reconciliation performance and accuracy improvements. Charge-Note Reconciliation loads reliably for large departments over multi-week ranges, and the record count shown on the screen now reflects the actual records.
• Scanned documents load correctly on the device. Scanned clinical-note documents that previously failed to load or appeared blank now display correctly, and when a scanned image is genuinely unavailable the app shows a clear message instead of a blank page.
• Meditech CS facility configuration corrected. A missing configuration entry that caused config loading to fail on Meditech CS facilities is corrected, so affected CS sites load their configuration.
• Charge capture sections save without error. Administrators can create and edit charge capture sections — including E&M, List, Critical Care, and Infusion types — and save them successfully, without the save failure that previously blocked the screen. Saved sections work as expected on the Add Charge screen, where charges can be added, edited, copied, and deleted. Available under Admin → Charge Capture → Manage Sections.
• Patient list settings open promptly when editing a user. Patient list settings now open promptly when an administrator edits a user, replacing the long wait reported previously. The delay appeared when selecting Patient List from the dropdown while editing a user in Admin.
• Patient Details renders on the first open. The Patient Details screen no longer comes up blank when a patient is opened, so clinicians see the patient’s information right away instead of reopening the screen. This corrects a regression that appeared intermittently in environments running the scribe workflow.
• NoteWriter opens reliably from the plus button. Tapping the plus button opens the NoteWriter dashboard as expected, whether you start from the NoteWriter module or from the Actions dropdown after selecting a patient. The app stays responsive instead of locking up, and the same intermittent block no longer stops other screens that open from the plus button, such as Forms and Sign-Out. Applies to the non-cloud NoteWriter setup, where Use Cloud NoteWriter is set to No.
• Patient Search facility dropdown groups facilities under the right parent. The facility dropdown in Patient Search lists each facility under its own parent, even when two top-level facility names share the same opening characters. Facilities that previously appeared grouped under a similarly named neighbor now appear where they belong, so staff pick the correct facility the first time. The underlying facility records were already correct; only the dropdown’s grouping was affected.
• Department selections made through search now save during user setup. Administrators setting up a user — including a user created from a provider record — can filter the department list by search, check the departments they need, and save them. The selected departments are applied to the user profile and appear in the user’s assigned departments, matching the result of choosing from the unfiltered list.
• Emulation confirmation returns to the window that started it. When you emulate a user, the emulated session opens in its own window and the window you started from returns to a confirmation screen with the branding logo, a Login successful message, and a working Logout. Standard single-window login is unchanged.
• Order screen action buttons render centered again. The Sign/Submit, Save as draft, and Cancel buttons at the bottom of the Order screen render centered within the form again, correcting a regression that left them aligned to the left of the container.
• Provider Report shows only active billing areas. The Provider Report applies an active-status check to billing areas, so billing areas that are no longer active are left out and the report output reflects only the billing areas currently in use.
• Page loader matches the installed build after an environment upgrade. The page loading indicator shown during screen transitions matches the installed build when moving through modules such as the problem list, sign-out, and holding bin. Previously, a browser session that also had an older environment open in another tab could show that older environment’s loader.
• Installs no longer report a false upgradedata failure. During a Mobilizer install or upgrade, the upgradedata step could intermittently be reported as failed even though re-running the commands succeeded. Harmless database log entries no longer trip that false failure, so the step is no longer re-run for that reason, and genuine build failures are still reported.
• Charge Desktop synchronization restored on newer platform builds. On newer platform builds, sites running with SDF integration enabled no longer lose Charge Desktop synchronization at startup: patient and charge updates flow through as expected, and code edits revalidate automatically once a patient is verified. The change applies only to deployments with SDF integration turned on.
• Charge generation completes in the OSA provider flow. Charges generate in the OSA provider flow even when the tech-billing section data the flow depends on is slow to return. Previously the flow ended in an error before that data finished loading.
• Holding Bin and Charge Search performance improvements. Holding Bin and Charge Search return the same charges as before, now backed by optimized charge-capture queries. The change applies only to the Holding Bin and Search screens; Partial Refresh screens retain their existing workflow.
• Table borders render in standard gray on Chrome 151. Administrative and maintenance screens show their table borders in standard light gray again on Chrome 151, which changed the default border color browsers apply to tables and left those borders picking up a green tint. The change is presentation-only, and tables that already carry an explicitly styled border are unaffected.
• Additional performance, logging, and stability improvements across patient-list load, Meditech admit and census refresh, database connection pooling and query timeouts, note submission under slow cache loads, sync-session and null debug logging volume, build and dependency updates, the Trigger Status Dashboard, an AI-services self-test page, and visual polish on the Charge Capture, patient list, patient-list criteria, and Messaging screens.

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New Features

• Per-facility Meditech sign-in with failed-note recovery. Meditech sign-in now applies separately to each facility a clinician works in, so signing in for one facility no longer overwrites the saved sign-in for another and every note is validated against the correct facility’s credentials. When a note can’t be sent to Meditech because sign-in has expired or is missing, Pending EHR Sync shows the note’s authentication-failure status and offers a recovery action to re-authenticate for the right facility. Sign-in events are also audited in more detail to make issues easier to diagnose.

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Improvements

• Collect diagnostic logs from Android devices in System Settings. The portal’s System Settings now includes a Collect logs setting that gathers diagnostic logs from Android devices for troubleshooting.

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New Features

• Facility and Unit Management. Adds facility- and unit-level management capability to the application.
• Filter Charge Note Reconciliation by note category, type, and status. CNR now includes filters for note category and note type — showing only the categories and types enabled for CNR in institutional settings — plus a multi-select Note Status filter to narrow the report to specific statuses (e.g., Signed, Draft).
• Exclude selected roles from adding problems during Charge Capture. A new configuration controls which user roles contribute problems to the patient problem list during Charge Capture; leaving it empty preserves prior behavior (all roles allowed).

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Improvements

• Patient list and navigation visual refresh. The patient list and main navigation now follow the Pro design system — updated typography, sentence-case patient names, refined list dividers, and centered navigation controls. No behavior change.
• Patient names now legible in Dark Mode. Patient names on the Patient List use a color scheme that stays readable in Dark Mode.
• Online-status indicator reflects presence. The green online-status icon now reliably shows when another user is online, in user search results and recent conversations.
• Scribe note status sequence. When a Scribe session starts, the portal now shows “Requires Upload” first and displays “Draft” only once the note enters the generating state.
• Separate auto-delete control for AI draft notes. NoteWriter institution settings now include a dedicated control, with its own retention-days threshold, for automatically deleting AI draft notes — independent of the regular-draft auto-delete setting.
• Collect Logs for Android devices from System Settings. Administrators can now control log collection for Android devices from the portal’s System Settings.
• Reassign patient list ownership from the portal. A patient list can now be handed off directly from the portal when the original owner is no longer available.
• Remove blank rows from reference lists. Admins can delete or hide empty rows from an existing reference list directly in the portal, without rebuilding the list or opening a support request.
• Security hardening across bundled vulnerabilities. Resolved a set of bundled security vulnerabilities as part of SOC 2 control remediation.

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Bug Fixes

• Charges tab loads for large provider histories. The Charges tab in the patient spine now loads reliably for patients with unusually large schedule or billing-provider histories; the prior crash on large datasets is resolved.
• Patient views include every source-list patient. Views built on patient lists no longer drop patients when the combined source lists contain more than 999 unique visits.
• Charge-Note Reconciliation uses date of service for Meditech notes. CNR now matches Meditech-sourced notes by date of service rather than report start date, and recognizes studies finalized after a patient’s discharge.
• Draft Notes link opens the Inbox reliably. Clicking Draft Notes in the portal header now routes providers to the Inbox and shows their drafts regardless of user-preference config.
• Special characters preserved in Expanse exports. Notes routed through the Expanse API now preserve special characters and embedded formatting end-to-end.
• Mobile login restored on JDK 25 environments. Signing in to the mobile app against JDK 25 environments now succeeds.
• iOS login persists device tokens reliably. Signing in on iOS reliably records the device token across first-time, repeat, near-simultaneous, and second-device logins.
• Provider merge candidate report loads without error. The report now displays its full set of columns instead of returning an Error 500.
• Messaging stays online after opening. Messaging now maintains its connection when opened rather than dropping to offline.
• Author column shows provider name again. Charge Entry → Notes once again displays the provider’s name instead of an internal Author ID.
• Demographic updates flow to the surviving patient during cross-backend migrations. Opt-in via ADT VMD configuration.
• Rate this scribe shows reliably on signed notes. The Rate this scribe option now appears consistently for signed scribe notes.
• Environment session isolation. A .42 environment no longer renders .39 content when both are open in the same browser; users see only the environment they are actively viewing.
• Scanned documents load when Meditech stores the path as an alias. Scanned documents now load correctly when Meditech stores the document pointer as an alias rather than a direct file path.
• Backend notes no longer duplicate NoteWriter notes on the chart. Notes created and signed in NoteWriter no longer trigger a duplicate backend note to be pulled back into the chart; the configuration suppressing backend pull-back is now honored.
• Cloning preferences from an existing user no longer fails. Administrators can create a new user by cloning an existing user’s preferences from Admin → Users without hitting an error mid-flow.
• Submit works on draft notes signed from the inbox. Including notes whose fields contain numeric or boolean values.
• Cosigner list loads in large user-base environments. Prior 502/hang resolved.
• Assignment list reliably adds patients and keeps them visible across display-setting changes.
• Additional stability fixes across copy-to-note, charge entry favorites, visit editing, order favorites, top-navigation scrolling, submission hold conditions, REV report date pickers, AI Scribe polling, order start dates, user search, iOS clinical-note open-after-scribe, transfer order reconciliation, global task logs, ER Admit, note-tracking special characters, add-order-string loading, pharmacy submission, HL7 retry, AI Summary networking, scanned-document upload, Admit Stage, and AI-scribed note save/submit.

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New Features

• AI Scribe template validator. A new admin tool validates AI Scribe templates against the backend — confirming the template can be accessed, checking each AI-enabled field, and highlighting any mismatches so administrators can spot configuration issues without working through them field-by-field.
• Admin tool to inspect and reset scheduled-job triggers. A new admin tool reports the state of the scheduler’s internal trigger tables and lets administrators reset a stuck or blocked trigger without restarting the application, speeding recovery when a background task is stalled.

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Improvements

• Token-based authentication for AI Studio. AI Studio sign-in now uses the same token-based authentication flow that ships in the next release line, backported so users can sign in to AI Studio on this patch.
• Improved Dark Mode contrast for patient names. Patient names on the Patient List tab now use a color treatment that stays clearly legible in Dark Mode.

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Bug Fixes

• AI Scribe note formatting preserved in Note Writer. Formatting on AI Scribe notes is restored when a note is opened for editing in Note Writer; section structure, line breaks, and emphasis now carry through from the generated note into the editor.
• Author name restored on Charge Entry Notes. The Author column on the Charge Entry Notes screen again shows the provider name rather than an internal Author ID, and the extra charge-transaction-key column is hidden for non-autonomous workflows.
• Modern admin screens render reliably. Legacy admin screens no longer reappear intermittently under Admin > Users and Admin > Edit User > Charge Capture settings; the modern screens now render consistently across sessions without clearing the browser cache.
• Patients add and stay visible on the Assignment list. Patients can again be added to the Assignment list from the Assignment tab, and the patient list continues to render after display-setting changes instead of hiding patients.
• Submit on Draft Notes from the inbox is reliable. Note-field validation has been broadened so the Submit action completes reliably for Draft Notes whose fields contain numeric or boolean values.
• Merge Visits from Patient Search completes cleanly. Resolved an unhandled exception when merging visits for a patient from the Patient Search tab; the operation now completes end-to-end.
• iOS login restored. Resolved an iOS login failure observed on this build so affected users can sign in successfully.
• Admit Stage errored-state condition cleared. A patch clears an errored-state condition that affected a number of Admit Stages after the upgrade so the affected stages resume normal processing.
• Provider merge performance restored in the physician portal. Provider merge operations now complete within a reasonable time window for large provider directories.
• Users admin screen no longer surfaces an internal error. The Users admin screen now renders cleanly even when its cached user list contains a placeholder entry.
• Scanned document images load reliably. Resolved a scanned-document image-loading failure that prevented pages from rendering in the viewer; scanned pages now display reliably.
• Provider Merge Candidate report runs end-to-end. Resolved a database error that prevented the Provider Merge Candidate admin report from loading; the report now runs end-to-end and returns merge candidates.

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New Features

• AI Template Validator. A new tool validates AI template configurations by cross-referencing NoteWriter template setup with the backend AI template definition — checking the scribe template ID, verifying connectivity to the template service, and highlighting field-mapping mismatches for quick identification.
• Scribe Usage Report. A new admin report gives implementation teams real-time visibility into scribe submission data — filterable by facility, user, patient, scribe status, and template — without manual database queries. Available in the Admin Reports section.

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Improvements

• Pending EHR Sync for Ambient notes. Notes that can’t immediately link to a backend EHR document now enter a Pending EHR Sync state instead of failing. A background task automatically links the note once the document becomes available, and providers can switch templates while waiting.

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Bug Fixes

• CPOE and Site Admin access restored after the .41 upgrade. Resolved gateway timeout errors caused by the CPOE MDS cache failing to load; cache initialization is corrected.
• Order and note submissions process reliably. Fixed scheduler issues that caused submissions to stop appearing in Tracking and Reporting (previously requiring daily restarts), and corrected trigger timing that had drifted to the next even hour after a scheduler upgrade.
• Special characters preserved in Expanse notes. Characters such as greater-than signs are no longer converted to HTML escape sequences when notes are sent to the EHR via the Expanse API.
• Global Task Log display restored. The Server Logs tab within Global Tasks under Tracking/Reporting now populates correctly.

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New Features

• AI Studio. Personalize how Ambient notes are generated, directly from the Pro portal. AI Studio brings together Custom Formatting (note-level structure and section rules per template), Personal and Site Dictionaries (term and name accuracy, with site entries overriding personal ones), Macros (reusable static or dynamic content for any note section), and Dot Phrases (spoken or typed shortcuts that expand into full text). Controlled by a Commure-managed feature flag. (PKMOB)
• Collaborative scribing. Multiple users — MAs, APPs, and providers — can now contribute to the same patient note for the same date of service and note type, with each re-scribe carrying forward the current note content. Disabled by default, controlled by a NoteWriter preference.
• Responsible AI training for clinicians. Added in-app support (portal and mobile) for Responsible AI for Clinicians training and attestation, with completion tracked across platforms and reported via a new Responsible AI Attestation report. Admins can trigger or re-trigger training individually or in bulk. (PKMOB)
• MT Expanse user authentication. Pro now supports secure user-level authentication for providers against MT Expanse, triggered automatically after login for eligible users. Disabled by default (Admin → Institution → Authentication → Enforce MT User Auth). (PKMOB)
• Autonomous Coding enablement controls and reporting. Level 0/1 admins can enable or disable Autonomous Coding per provider or in bulk, schedule activation dates, define optional end dates, and export status reports — with audit logging of preference changes and a new AC Status column in User Settings Reports.

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Improvements

• PatientKeeper is now Commure Pro. PatientKeeper has been rebranded to Commure Pro, with refreshed branding, logos, and references throughout the web portal. The portal now launches in the same tab instead of a new one. No changes to existing features, workflows, or configurations, and no action required from customers or providers.
• Improved “Rate this Scribe” feedback. The Ambient feedback flow is modernized across Web and Mobile: thumbs up/down replaces the star rating, feedback is available from more note states (Note Ready, In EHR, Final) and the Note Detail pane, supports free-text comments up to 3,000 characters and speech-to-text, and ratings are reflected consistently across the AI Feedback Admin views.
• Co-signers can no longer change a note’s visit. Once a note is submitted and linked to a visit, the visit field is read-only on the Co-Sign screen.
• Person Lookup returns expected partial-name results. Provider searches in Schedule and other screens now return expected results for partial names (e.g., “SMITH” returns “SMITH, ELIZABETH”) across Schedule, Charge Transaction Entry, Charge Search, Holding Bin, Worklist, Missing Charges, CNR, and Create User from Provider.

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Bug Fixes

• Correct note body on the Note Details screen. Resolved an issue where the Note Body could show cross-patient content; affects Pro NoteWriter notes only (Expanse unaffected).
• Correct note dates in NoteWriter notes. Notes with a missing date no longer display an incorrect 1904-01-01 date.
• Discharge Summary parsing and allergy filtering. Fixed repeated fields in Discharge Instructions when values were missing, and refined allergy auto-selection to exclude HIE-sourced allergies and prevent duplicate “No Known Allergies.”
• Co-signer actions on reopened draft notes. Restored co-signer permissions to submit, save, and print on reopened draft notes, including reliable signing in pop-out mode for Addendums.
• Stale-cache fixes for users and diagnosis codes. The user cache now refreshes immediately on edit (fixing stale usernames and duplicate-username errors), and ICD-10 remaps no longer send outdated DX codes to billing.
• Charge routing and visit selection reliability. Visit selection now requires a valid backend ID before routing (preventing intermittent OBR.32 failures), and an invalid control character no longer blocks charge-routing submission.
• CPOE freeze on transfer order changes resolved. Fixed an application freeze and “undefined” error when changing certain transfer orders.
• Additional fixes across “Why Patient Is on This List” content, duplicate I/O entries after facility transfer, facility-access preference enforcement, user-role XML updates, date-of-death handling, Charge-Note Reconciliation behavior, note visit-selection consistency, and blank-popup-during-DMR.

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New Features

• Autonomous coding administration capabilities. Three autonomous-coding administration capabilities are now available on this version: administrators can grant individual users access to autonomous coding, export a report tracking which users have access, and read users’ autonomous-coding preferences through an API.
• Extended Charge Transaction History capture. Charge Transaction History capture can optionally include draft-status transactions in addition to posted ones, captures additional context (sync, authorization, billing area, billing provider, and authorizing user), and adds a diagnosis-history table that links charge-level diagnoses to their packed diagnosis identifiers for downstream audit and reporting.

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Bug Fixes

• Charge-Note Reconciliation handles admit-date changes correctly. Accounts that have both a charge and a note for the date of service no longer appear on the Notes without Charges list after an admit-date change (for example, a stay reclassified from Observation to Inpatient). The report now reconciles charge-and-note presence against the current date of service rather than the prior admit context.
• ICD-10 diagnosis codes without an ICD-9 mapping save on Code Edits. Adding certain ICD-10 diagnosis codes that have no ICD-9 counterpart (such as R10.21, R10.22, and R10.23) no longer fails to save on a Code Edit; ICD-10-only diagnoses are now accepted and used downstream.

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New Features

• In-EHR note status tracking. Notes routed to the EHR now show an “In EHR” status in the inbox (instead of “Unsigned”), stay visible under the AI Router section, and become read-only once signed in the EHR.
• Background scribe notification when the app is killed. If the OS terminates the app during an active Ambient session, the server now sends a foreground notification so the recording isn’t lost.
• Provider Provisioning API. A new REST API automates provider-account creation and configuration via CSV-imported preference templates, supports bulk preference updates, and validates that provisioned preferences match the database.
• Device emulation for users without a device entry. Administrators can now emulate users who have no device entry by provisioning to their own device.

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Improvements

• Specialty-aware carry forward. For specialties that share templates across subspecialties (e.g. Cardiology), carry forward now filters to the provider’s specific subspecialty, and the discovery window extends beyond 24 hours to find prior notes for providers who see patients on alternating days.
• Feedback tab unread count. The Feedback tab now shows a badge counting feedback items with updates the reporter hasn’t yet viewed.
• Alphabetical medication sorting in NoteWriter. Medications are now sorted alphabetically within each status group across all note types.
• Single-selection charge status icons and No Charge Reason filters. Selecting one of the three charge status icons now hides the others, and notes marked “No Charge Needed” are treated as complete for missing-charge filters.
• Hidden orders can no longer be added to Favorites.

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Bug Fixes

• Co-sign note re-scribe no longer leaves notes unsignable. Re-scribing on a signed co-sign note is now correctly prevented.
• Midnight scribe-to-note linking. Recordings created just before midnight now correctly link to EHR documents created shortly after midnight.
• Cardiology specialty-rules configuration. Scribing cardiology notes no longer fails when cardiologySpecialtyRules is absent from the parser config.
• Scribe audio submission for Progress, Consult, ER, and Discharge notes. Resolved a database error in the audio processing pipeline.
• Editing a scribed Progress Note. Resolved a database type-mismatch that could block editing.
• Calendar Report loads on the 9X screen.
• Co-signer addendum signing with the Combined Visit preference. The discharge visit now appears correctly in visit selection.
• Sign-out task APIs restored for iOS users. GET, UPDATE, and DELETE no longer fail.
• Charge Report data accuracy. Resolved stale/incorrect data caused by duplicate records in the report table.
• eRx stability. Resolved intermittent HTTP and service-communication errors in electronic prescribing.
• Additional fixes across order modification from the inbox, Mail Order pharmacy selection, patient-list default-view popup, Summary/Revenue report displays, patient-list location names, and the home-medication DMR workflow.

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Improvements

• Allergy source filtering during note creation. Auto-selection now prefers allergies from the visit’s source system (e.g. Meditech) and excludes HIE-sourced “[EXTERNAL]” allergies, preventing duplicate or conflicting entries such as multiple “No Known Allergies.”
• Provider merge completeness. Provider merges now reassign all clinical notes authored or co-signed by the non-surviving provider — not just charges — consistently across Commure Pro UI and backend systems.

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Bug Fixes

• Correct note shown from the note list. Selecting a consultation note no longer occasionally displays a different historical note (Magic sites only; Expanse unaffected).
• Incorrect 1904-01-01 note date. NoteWriter notes with a missing date no longer display the invalid default date.
• Duplicate Discharge Instructions content. Admission orders and allergies no longer appear duplicated after scribing, re-scribing, or switching templates.
• Expired ICD-10 codes sent to billing. Diagnosis-code resolution no longer falls back to an expired code in rare stale-cache scenarios.
• Blank error popup during Discharge Medication Reconciliation. Resolved for patients with very large visit histories.
• Provider role updates. Removing an existing user role no longer returns an XML error when saving Provider Info.
• Note routing submission reliability. Resolved “A required field was not populated: OBR.32 – Author” errors.

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New Features

• Ambient Discharge Summary now includes Procedures Performed. Discharge summaries automatically pull in the procedure names and dates from relevant procedure notes in the encounter, reducing manual editing.
• Move Ambient audio between patients. Scribe audio can now be reassigned from one patient to another without losing recorded content, across both Expanse and non-Expanse workflows.
• F1 score calculation for Expanse Ambient notes. F1 scores are now generated for notes completed in Expanse, closing the gap where they were previously only generated for notes signed in PK.
• No AC Charge in CNR. A new “No AC Charge” action removes a charge-less note from the coding queue (reversible via Undo), with a filter to review notes previously marked No AC Charge.
• Hide units in the CNR Location filter. A new user-level preference displays locations without listing individual units in Charge-Note Reconciliation.
• “Show Not On Shift” filter in CNR. Generates a report of records containing at least one note marked Not on Shift.
• Exclude Provider filter in CNR. Providers can exclude one or more authors or billing providers from their report.
• ADT Visit Type filtering by source. A source-based filter shows only the ADT visit types for the selected source and stays sticky across refreshes.
• Restrict Basic Auth account creation. When PKPasswordMgmt is true, the Basic Authentication checkbox is disabled for Level 0/1 users during user creation.

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Improvements

• Ambient migrated to workflow-based endpoints. Commure Pro Ambient now runs on Commure’s workflow engine for template changes, note generation, regeneration, and carry forward — improving stability and enabling section-level carry forward, Macros, and other upcoming capabilities. No user-experience change.
• Routed Ambient notes excluded from the Expanse inbox count. AI-routed notes that need no provider action no longer inflate the Commure Pro inbox task count.
• Date of Service on a charge takes precedence over note date. The correct date of service is now extracted from the note rather than relying on the EHR’s HL7 note date, with CNR logic updated accordingly.
• Add Charge populates details on first click. Charge details and diagnoses now populate correctly the first time Add Charge is opened from a clinical note.
• Draft charge expiration extended to 365 days. The Extension Period before Draft Expires setting now allows up to 365 days, with a new sticky “Draft Charges” filter in CNR.

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Bug Fixes

• Note details stay in sync between Commure Pro and Expanse. Details now reliably match after regenerating or changing a document.
• Blank NoteWriter screen on iOS after save/submit. The NoteWriter wizard now closes and returns to the Inbox.
• Duplicate facility abbreviations in user preferences. Facilities are now uniquely identified by abbreviation plus location ID.
• ICD-10 R10.2 false edit. Charges dated before the code’s effective date no longer trigger an incorrect “not within Effective/Expiration Dates” edit.
• Charge Search no longer forces a department/billing-area selection.
• Create User Pane footer restored when PKPasswordMgmt is configured.

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New Features

• New Expanse scribe note-routing statuses. Scribe notes in AI Scribe + Expanse facilities now follow a clear status sequence: Requires Upload → Note Generating → Note Ready → In EHR → Signed, with re-scribing returning a note to Note Ready before re-uploading.
• Auto-import of Blood Bank, Echo, and Pathology results. Micro result synopses, Echo findings/impressions, and Pathology impressions are now automatically pulled into AI Scribe notes, respecting template filters.
• Auto-pull clinical data when editing a Note Ready note. Clinical widgets (Labs, Vitals, I/Os, Allergies) auto-refresh when a provider begins editing a Note Ready Ambient note, reducing the risk of signing without recently resulted data.
• Provider Merge Candidate Report. A new report helps admins clean up duplicate providers after Expanse migration, viewable as a table or CSV export. Accessed from the center spine of Portal Mobilizer.

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Improvements

• Specialty- and type-aware carry forward. Prior notes now carry forward filtered by the provider’s specialty (even when the backend report omits it) and by relevant note types only (e.g. Progress Notes look back at H&Ps and Progress Notes, excluding unrelated types).
• Correct prior-note selection for Discharge Summaries. The Plan from the most relevant prior note (Progress Note, or H&P if none) now seeds the Hospital Course.
• Improved Feedback tab navigation. Adds a Provider column, per-column filters, a default “Received” status, and a dedicated admin (Level 0/1) view.

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Bug Fixes

• Editing AI Scribe notes in Cardiology. Importing Assessment & Plan content from a prior note no longer corrupts the note or forces deletion.
• Scribe notes protected before processing. Edit and delete are now disabled while a mobile-created scribe note is uploading or generating, preventing accidental loss of in-progress recordings.
• Progress-bar text legibility when saving notes. “Saving Note” text no longer overlaps note content.
• Referring-physician pop-up on charge generation. The prompt to select a referring/requesting provider now appears when none is noted.