This is a minor release of Anesthesia Touch that is immediately available. This release address an issue with the IntraOp’s Comments macro. Prior comments become inaccessible due to a scrolling issue. This release addresses this issue, and is recommended for all users. This release includes the previous release, and all associated changes, including: - Missing signature alerts at first login (optional): To better alert users when a document is missing a signature, Anesthesia Touch can now be configured to alert a user at the day's first login if there are any missing document signatures on their cases. - Additional medication categories in the Pharmacy Usage Report: To see more granular categories of medications, the Pharmacy Usage Report can now show additional categories in addition to the default Narcotics, Antibiotics, and Tracked medication categories. (Requires configuration.) - Landscape support for custom Documents: Custom Documents can now be viewed when the iPad is in landscape orientation, similar to the IntraOp View. - User interface refinements: This release includes user interface refinements to better support the latest versions of iPadOS, along with general fixes and improvements.

This is a minor release focused on enhancements in charting and reporting. This includes a new (optional) alert for documents missing signatures, improvements to the Pharmacy Usage report, and support for viewing custom Documents when the iPad is in a landscape orientation as well as other user interface refinements. - To better alert users to documents missing signatures, Anesthesia Touch can now be configured to show a user at first login every day if there are any pending document signatures on for their cases - To see more granular categories of medications in the Pharmacy Usage Report, the report can now show additional categories to the default Narcotics, Antibiotics, and Tracked medication categories (requires configuration) - New support for the landscape display of custom Documents, similar to the IntraOp View. Custom documents can now be viewed when the iPad is in landscape orientation. - User interface refinements to better support the latest versions of iPadOS - Fixes and improvements

- To make vitals easier to read in the vitals graph when an Arterial pressure and Non-Invasive pressure are being received, Anesthesia Touch will show the labels (numeric value) for the Arterial pressure in the grid and hide the Non-Invasive labels (all values are recorded in the text grid below) - To provide more information when available, if document printouts are configured to show "Electronically signed by…" and the provider's title is entered in WebAdmin in Anesthesia Touch, the title will now be included with the provider name - Fixes and Improvements

This release provides a minor update to the single-sign on authentication flow to improve performance.

• Support for ADFS/SAML for SSO and to support MFA (no VPN required). Contact Support for information on setting up ADFS/SAML. • PreOp Clinic features will now be role restricted, so only PreOp Clinic users will be able to initiate and interact with PreOp Clinic. • To make the census tagging for a case (e.g., OB Service) more visible, tags will appear in the Patient List. • To support access to the Pharmacy Usage Report (in WebAdmin), the CSV can now be delivered as a scheduled file drop. Contact Support for information on the new outbound interface capability.

4.5.200 is a minor update that addresses an issue with the new PreOp Clinic Patient List workflow and existing interface based workflows. After this update, appointments marked as PreOp Clinics by the interface will appear in the updated "PreOp Clinic" Patient List filter (integrating the previous functionality into the new feature). This minor update includes all the following updates of the 4.5.199 February 20th, 2024 update: • To allow creating PreOp Clinic Documents exclusively for documenting PreOp Clinic findings at an appointment before the DOS, clinicians can now select an Appointment in the - Patient List and mark it as a PreOp Clinic. The PreOp Clinic can be signed and saved; AT will prompt clinicians to import the Clinic findings when starting a PreOp on the DOS (this is based on the Patient’s MRN) • In order to support more pharmacy formularies and management systems, this release adds support for additional formulary configurations for Pharmacy Connect • To improve the usability of the “Attachments” feature for Visits in the Patient List, the “Attachment” button will now be always accessible in the Patient List toolbar • Minor UI Improvements and Other Fixes

• To allow creating PreOp Clinic Documents exclusively for documenting PreOp Clinic findings at an appointment before the DOS, clinicians can now select an Appointment in the Patient List and mark it as a PreOp Clinic. The PreOp Clinic can be signed and saved; AT will prompt clinicians to import the Clinic findings when starting a PreOp on the DOS (this is based on the Patient’s MRN) • In order to support more pharmacy formularies and management systems, this release adds support for additional formulary configurations for Pharmacy Connect • To improve the usability of the “Attachments” feature for Visits in the Patient List, the “Attachment” button will now be always accessible in the Patient List toolbar • Minor UI Improvements and Other Fixes

* This version of Anesthesia Touch fixes an issue with handling special characters in MRN and Account Numbers. * To remind clinicians about fluid balance documentation, this version of Anesthesia Touch provides validation support for fluid balances in the Anesthesia Record.

- To allow for the addition of reference files to a case in Anesthesia Touch, providers can now attach and name a PDF to a case from the Patient List - To make it easier to understand the Patient List's case status highlights (e.g., Pending), clinicians can now see Pending Status of documents in the case row’s documents menu and then select "View Documents" to see more information for all documents - To make it easier to see the Patient List by Case Status, the filter in the Patient List now has a "Case Status" group to filter the list by case status (e.g., just showing "Pending" or "In IntraOp" cases) - To allow for editing patient information when the IntraOp Anesthesia Record is not used for a case (such as a block), clinicians can now update Patient Information if needed from the Document Header - To print an Anesthesia Record before all validations have been cleared, clinicians can now open the Preview for the Anesthesia Record and select to print. Anesthesia Touch will show a warning if not all validations are complete, but clinicians can now elect to continue to print - To require the fetal heart tone after the placement of a spinal, AT can now be configured to provide a conditional validation for this reminder

• To better view the status of cases "at a glance," the Patient List has a new card style listing with configurable color coded statuses for cases in PreOp, IntraOp, and PostOp. • To improve legibility in the application, PreOp has a new higher contrast user interface. There are similar, but smaller, updates in IntraOp. • To support validations for PreOp diagnosis based on the procedure information, new configuration validations are available (e.g., “if the PreOp Procedure is colonoscopy, require a PreOp Diagnosis.”). • To support more recent iPad models, the Blood Product Barcode scanning workflow no longer prompts for confirmation of errors or scans. • To remove documents that were incorrectly started, clinicians can now remove an unsigned document via the "Remove" button in the toolbar. • To make checking on current case statuses from the web easier, WebAdmin's Docs Review page has several improvements to load more quickly. • To support reporting on medications by class, Touch Analytics can now generate reports of administrations by medication type with the new function “AdministeredMedByType.” • To see the user interface changes and for more information, see the release notes.

- Addresses an issue in which, when using Pharmacy Connect, selecting a route for a dispensed medication would cause AT to hide the default fluid rows in the IntraOp Summary interface This minor updates includes all the following updates of 4.5.194 April 20th, 2023 Release: - To better manage the schedule in Patient List, the Case Info dialog has a new design with improved controls  - To more quickly add yourself to a scheduled case in the Patient List, the Case Info dialog has a new "Add Myself" button (note, once you have signed the anesthesia record you cannot remove yourself from a Case) - To more easily document case cancellations from the Patient List, the Case Info dialog has a new "Cancel Case" button creating the same documentation as "Cancel Case" in IntraOp - To quickly access the case cancellation documentation from IntraOp, the IntraOp validations now show a "Cancelled" status (tap to review or clear the cancellation documentation) - To see when major iPadOS releases will be coming to the AppStore, after this release, iPadOS and all platform applications will have a banner alert for upcoming releases. On iPadOS, this banner will be on the login screen and will be a closeable message in the Patient List (this is not visible for this release) - To optionally alert clinicians to prior findings for a returned patient, practices can now request configured show alerts for specific charted findings, such as Malignant Hypothermia (appearing in the same way as the optional Difficult Airway alert) - To make it easier for clinicians to use images taken in prior PreOps again, clinicians can select individual images from past PreOps in the PreOp Import (rather than only importing all or nothing) - To better track the validation progress of cases from WebAdmin, display of PreOp and IntraOp validations in WebAdmin now better reflect the way validations appear on the iPad clients - To support importing Pharmacy Usage data for analysis in other systems, the Pharmacy Usage Report download now has unique columns for user names, user IDs, and medication IDs - To better support reporting on validation alerts in the iPadOS app, users can now download the Validation Report from WebAdmin for analysis  - Other fixes and improvements

- To better manage the schedule in Patient List, the Case Info dialog has a new design with improved controls  - To more quickly add yourself to a scheduled case in the Patient List, the Case Info dialog has a new "Add Myself" button (note, once you have signed the anesthesia record you cannot remove yourself from a Case) - To more easily document case cancellations from the Patient List, the Case Info dialog has a new "Cancel Case" button creating the same documentation as "Cancel Case" in IntraOp - To quickly access the case cancellation documentation from IntraOp, the IntraOp validations now show a "Cancelled" status (tap to review or clear the cancellation documentation) - To see when major iPadOS releases will be coming to the AppStore, after this release, iPadOS and all platform applications will have a banner alert for upcoming releases. On iPadOS, this banner will be on the login screen and will be a closeable message in the Patient List (this is not visible for this release) - To optionally alert clinicians to prior findings for a returned patient, practices can now request configured show alerts for specific charted findings, such as Malignant Hypothermia (appearing in the same way as the optional Difficult Airway alert) - To make it easier for clinicians to use images taken in prior PreOps again, clinicians can select individual images from past PreOps in the PreOp Import (rather than only importing all or nothing) - To better track the validation progress of cases from WebAdmin, display of PreOp and IntraOp validations in WebAdmin now better reflect the way validations appear on the iPad clients - To support importing Pharmacy Usage data for analysis in other systems, the Pharmacy Usage Report download now has unique columns for user names, user IDs, and medication IDs - To better support reporting on validation alerts in the iPadOS app, users can now download the Validation Report from WebAdmin for analysis  - Other fixes and improvements

* To allow better control of image content when capturing pictures for the patient record, Image Capture in PreOp and IntraOp now supports cropping pictures after they are taken (use two fingers to zoom and place the image) * To make it easier to find cases in the Patient List (the schedule) that are currently in IntraOp, Anesthesia Touch will mark cases with an Anesthesia Start time that have not yet had an Anesthesia End time charted with a "Case in IntraOp" label. "Cases in IntraOp" is also now a filter in the Patient List * To make it easier to find cases in the Patient List (the schedule), clinicians can now sort the list by Location in addition to Time and Name * To better identify cases that are "incomplete" (do not have all the expected signed documents), a new configuration option is available for a filter in the Patient List (and WebAdmin) to show configured "Incomplete Cases" * To allow for patient sex to be required when creating "New Patients" from the Patient List (requires configuration), Anesthesia Touch now explicitly shows "Other/Unknown" as an option when documenting sex * To make it easier to update schedule information, clinicians can now use the Case Info dialog in the Patient List (the schedule) to add the IntraOp Location to a case * To make it easier to amend or add to existing comments, selecting a comment field with previously entered text no longer automatically highlights that text to delete it * To make it easier to document the review of patient labs in PreOp that were reviewed in the Hospital EMR, default text is available in the PreOp's Labs dialog now: "Available Lab/Radiology/Testing results reviewed in the EMR" * To make switching templates easier in the IntraOp Summary view, Anesthesia Touch's Template dropdown will dynamically expand to show more templates when available * To improve documentation for multiple medication administrations in documents (e.g., Nerve Blocks), medication Link Buttons can now be used to document multiple instances of a medication * Fixes and Improvements

* To chart any med administration from inside a document (e.g. a Nerve Block), documents can now have a configured "Any Med" Link Button to choose from the medication library for administrations ("Any Med" buttons appear like regular medication Link Buttons in the UI and printout) * To make available more detailed administration information from document Link Buttons, document printouts will now include boluses charted times (matching how Link Button infusions are printed) * To make it easier to document the anesthesia team members on a case, clinicians can now add MDs from the IntraOp's "Others" menu (as in the Patient List) * To make sure unscheduled patients' account numbers are in the required format, Anesthesia Touch can now be configured to raise a validation alert in IntraOp if an account number is incorrectly formatted (e.g. no leading letter) * To  better support case status tracking from the Patient List, Anesthesia Touch can now be configured to show any discharged Anesthesia Record with a blue tick regardless of signed statements

* To chart any med administration from inside a document (e.g. a Nerve Block), documents can now have a configured "Any Med" Link Button to choose from the medication library for administrations ("Any Med" buttons appear like regular medication Link Buttons in the UI and printout) * To make available more detailed administration information from document Link Buttons, document printouts will now include boluses charted times (matching how Link Button infusions are printed) * To make it easier to document the anesthesia team members on a case, clinicians can now add MDs from the IntraOp's "Others" menu (as in the Patient List) * To make sure unscheduled patients' account numbers are in the required format, Anesthesia Touch can now be configured to raise a validation alert in IntraOp if an account number is incorrectly formatted (e.g. no leading letter)

* To make it easier for clinicians to fix an improperly closed Anesthesia Record, clinicians can now unlock a case (as in WebAdmin) when viewing the Anesthesia Record Printout from the Patient List. Clinicians can still use Addendum for locked records as before. * To better handle medication reconciliation with calculated infusions, administrations can optionally configure an "Accepted Discrepancy" margin so fractional discrepancies between systems can still be reconciled. * Fixes and Improvements.

* To better organize documents in pop-up menus, AT now has a configuration option to create headers for groups of documents in the Patient List and IntraOp document menu. * To make it easier to find unsigned (and incomplete) documents, the Patient List has a new filter to show cases with documents that are started but not yet signed ("Unsigned Documents"). * To add more pen styles for image annotations in documents, users can now select the pen size and color when drawing on an embedded image. * To make entry of data with a physical keyboard accessory easier (rather than using the on-screen keyboard), AT now accepts input from a keyboard whenever the on-screen numpad is visible. * Fixes and Improvements.