What changed, in the language of the department.

Orders that arrive by fax or email are now read as soon as they land, so a STAT or urgent order is flagged and moved to the top of New Orders before anyone opens it. An order that has not been read yet sorts above routine work, because until it is read nobody knows it isn't urgent. Re-running extraction now keeps the corrections you already made, New Orders can be searched by patient name or record number, and a tracker search that finds nothing points you to matching orders still waiting for validation. Mark as Duplicate now asks which order it duplicates, and the Upload page warns before you leave while files are still uploading.

An emailed order whose attachment is not a usable PDF, or that has no attachment, is now recorded in the Audit Log with each file and why, and supervisors are emailed the same day. If email or fax intake pauses because the go-live receipt lapsed, refusals are recorded, administrators are alerted once a day, and Settings shows a banner. The morning digest warns before the receipt expires, says when part of it could not be checked, and reaches dispatchers, who can now record someone off today from the Schedule. Value Dashboard links keep your period.

The export dialog now counts across your whole history, not only the months the tracker has loaded: All orders shows the full total, and Only the rows your filters show counts every matching order. My work, Received this shift and an Ask answer's orders now narrow the file as well as the screen, and the confirmation names the number of records you are exporting. If the matching orders change before you export, the export stops and asks you to try again rather than delivering a different number.

A workspace that does not track patient class no longer shows Class not set on every order, and an order with a blank patient class says so in its details on a phone. Start of Shift sends only administrators to add reading physicians; everyone else reads who to ask, and that step no longer counts as theirs to work. Opening an earlier month on a phone now takes you to it. The Audit Log names corrections made after a closeout was submitted and can show only those, automatic corrections are worded in plain language, and choosing dispatchers to run Start of Shift warns when nobody has the dispatch capability yet.

Select a box in the Overview's study flow and a panel lists exactly the studies that number counts, most urgent first, with type, room, technologist and the time that matters on your facility's clock. On the Department Board, selecting a technologist under Today's team opens the same panel for that person: what they are recording now (an overdue disconnect first), what is ordered for today, work carried over, studies waiting for them to send, and the devices they have out. Counts always match the box or card, each study opens its workspace, and a list that cannot be read says so.

Each order's workspace now has a Patient history section listing the same patient's other orders, newest first, with the date, study type, stage or outcome, whether it was read, and a link to open each one. Orders are matched only on the exact medical record number, never on a name or birth date, and only within your workspace. An order with no record number says so rather than guessing.

Each study's workspace now has a Closeout record: who completed the disconnect and when, and the checklist, charge fields, recording time, skin assessment, equipment returns and handoff note exactly as submitted, kept on the closeout receipt itself. When a value has changed since, the record keeps the original and shows the current value beside it with who changed it, when, and why. Once a closeout is submitted, changing a value that is already recorded needs a short reason; filling in a blank field does not. A study completed before these records were kept says so, rather than looking as if nothing was submitted.

Opening a device on the Equipment page now starts with where it was last used: the study and its type, the room, who set it up and who returned it, and when, on your facility clock, with one link to open the study. A device that is out reads In use now with its due-back. The Custody tab shows the same details for each recent use, including the other devices used on the same study. Patient names and record numbers are never shown, and a history that cannot be read says so rather than looking unused.

An admin can now choose who the Start of Shift checklist is addressed to: supervisors, supervisors and dispatchers, or your dispatchers, such as a lead or EMU technologist. Whoever runs it sees the links, the count still to work, and the checklist opened when there is work in it; everyone else sees it read-only. Supervisors and admins can always act. The choice never changes who may do a step: one a dispatcher cannot carry out says to ask a supervisor. Default: supervisors and dispatchers, so nothing changes until an admin chooses.

Help now opens with Common questions: how to correct a study after Complete Disconnect, fix a pause logged by mistake, take over a claimed order, acknowledge a handoff for a colleague, release a cart from the cleaning queue, who can mark a study billed, and more. Each answer says where to go, who can do it, what the app will ask for, and where the change is recorded, with a note for your own role. The same answers appear when you search with Ctrl+K, and the Workspace, Billing Readiness, Equipment, and the disconnect dialog link straight to them.

The Intake Tracker now opens on this month's finished orders plus every open order, whatever its age, so it loads faster in a busy department. Earlier months sit below the table, collapsed, with how many orders each holds; open a month and only that month loads. Searches and filters also look through earlier months and show what they find in those months. A link to an order from My Day, the board, the schedule or a workspace now always opens that order, highlighted with its details open, even when a search would hide it.

Staff dispatchers can open the Coverage Outlook and see the coverage card and Start of Shift; a step they cannot act on says who to ask instead of linking to a page they cannot open. Leading the Overview with numbers now only reorders it, so what needs attention never disappears. Ask Axiom and Reports count the same live issues as every other screen. A schedule waiting to be applied opens the Availability panel directly. Open Issues is in the menu for supervisors, and members can be filtered and changed in bulk by scheduling and dispatch. A source that cannot be read now says so instead of reading as clear.

A technologist can now record the time a hookup or disconnect actually happened, not just when they reached a screen: never in the future, never before the study started, and with a short reason when it is more than five minutes from now. Recording time and billing follow the time recorded. A teammate can acknowledge a handoff on behalf of the person it was addressed to, with a reason. An unpublished handoff draft survives a page reload, the daily check fits a phone screen, a stale order claim can be taken over from the order itself, and disabled buttons now say why on screen.

A staff dispatcher now sees Open Issues and the attention list, so they can work the cases they may resolve. When a dashboard source fails to load, the summary lines and the Command Center exceptions tile say the check could not be completed instead of showing an all-clear. A capability such as billing or dispatch is removed when someone becomes a supervisor or administrator, so it cannot quietly return later. Implementation Readiness accepts an administrator's confirmation that the starter template already matches the paper log, and says where its roster counts come from.

The technologist who logged a recording pause, or the study's assigned technologist, can now void it or correct when the patient came back on the recorder from My Day, with a short reason that is kept in the audit log; gap time and total recording time update automatically. A technologist named as the setup or disconnect tech can still correct their own setup documentation after a colleague takes the study over. My Day also checks for new work about once a minute while it is on screen, keeps a study that is still running past midnight on today's list, offers one-tap reasons for an early start, and keeps the Start button in view on a phone.

An administrator can now give a staff member “Can dispatch the department” under Settings → Members, for the seat that runs a shift (often the EMU technologist). They can assign and schedule work for anyone, send any technologist's completed study to its reader, resolve and reassign Open Issues, release an inspection hold, add a device, and see every technologist's day, without supervisor access. Corrections, retiring devices, billing and settings stay with supervisors and administrators, and every change is recorded in the audit log.

A new Refund and Cancellation Policy page states how canceling, refunds, pilots, and billing corrections work, and that every fee is written into your order form before you sign. The Privacy Policy now explains how to ask for a copy, a correction, or deletion of your information, says the service is not for children, and lists Google for the optional Sheets connection. Every email now ends with who sent it and how to stop it.

When you ask how many studies someone did, hooked up, or completed, Ask Axiom counts the steps recorded in the audit trail. If no step has ever been recorded for that person, it no longer answers zero as if that were the work done: it reads the tracker's Setup Tech and Disconnect Tech columns instead, says so in the answer, and lists the studies behind the number. Once steps are recorded in the app, the recorded steps are used again.

The Operational Overview now opens with three numbers (patient safety, time-critical, administrative) before the list, and each open exception is one line: the order, what is wrong, who owns it, how long it has waited, and one action. Selecting a tile shows only that group; selecting a line shows the full explanation, the deadline, what happens if nothing is done, and the claim and reassign actions. Nothing is removed; it is said once, when asked for.

When you ask which reader is slowest, Ask Axiom compares averages as they are shown. If two readers average the same turnaround, it says they are tied and names both, and if every reader averages the same it says no single reader is slowest. Previously it named one of them depending on the order of the list.

Department supervisors can now add a technologist to People & Skills and record or expire their competencies and credentials without waiting for an administrator. Anything a supervisor records is shown as entered by them and awaiting verification, and it counts for nothing until an administrator or another supervisor verifies it. Nobody verifies their own entry. Reading privileges, merging duplicate people, and offboarding stay with administrators, and every step is recorded in the audit log with who entered and who verified it.

When Axiom Shift sends the morning's schedule, a night shift that is still running now goes with it, so the technologist on duty no longer drops out of coverage for the last hour of their shift. An older schedule that arrives late is refused and changes nothing, and Axiom Shift is told it was refused. On the validation screen, the order-created date and time are kept as one record however they are edited, the required date cannot be cleared, and an order whose on-screen date does not match its recorded date cannot be validated until it is set again.

The keys that let other systems send orders in or read your data (email and fax intake, the live spreadsheet feed, the roster feed, the HL7 and FHIR interface, and the Axiom Shift link) are now checked against a one-way fingerprint, so a copy of the database cannot be used to connect. Each key is shown once, when it is created or replaced. New email intake addresses use a longer key. Administrators can now choose what the Axiom Shift link may do, such as publishing schedules or reading coverage, under Settings, and every change is recorded in the audit log. Existing links keep every permission until an administrator changes them.

Names sent from Axiom Shift now match the People & Skills roster when typed a little differently: accents, apostrophes, hyphens and spacing no longer matter, so "LeeAnn Park" finds "Lee Ann Park". Two people who share a name are never guessed. Names that still do not match are listed with an Add alias action, a schedule waiting to be applied says when it arrived, and the newest draft always replaces an older one. Administrators can rename a person, and the old name keeps working. A study whose equipment is recorded as not required no longer shows as undecided.

When an admin removes a member, nothing they held is left waiting on a person who has gone. Studies they finished but never sent to a reader, orders they claimed in New Orders, open issues they owned, and handoffs addressed to them by name all return to the team's queues in the same step, with their history kept. Their Clinical Roster entry is retired too, so coverage stops offering them, unless the admin chooses to keep them on the roster without a login. Before confirming, the removal dialog lists exactly what will move, by order number, and afterwards it confirms what did.

Log Check, Hook Up and Complete Disconnect now send everything you entered in a single request, and the server finishes it even if you close the page or walk away. The dialog stays open until the server answers, lists what saved, and offers Retry for anything that did not; a retry never records the same check, start or device twice. A patient appears as recording only once the study has actually started. If a long-term charge line needs a price list entry, the technologist is told it has been saved for billing review, and the study still completes.

Administrators can now add a department in one step from People & Skills. Paste your staff list or upload a CSV and you see, line by line, who is new, who is already on the roster, who is already a member, and what needs fixing before anything is saved. Adding the list creates each person's roster entry, records their credentials and competencies, and sends each one a personal invitation (or gives you the codes to share when email is not set up). Running the same list again only fills in what is missing. Inviting someone a second time now replaces their earlier code instead of leaving two working, and the Members list in Settings gains search, filters, and changes for several people at once.

Departments with a dedicated scheduler no longer have to make that person a supervisor. An administrator can give a staff member "Can schedule & assign studies" under Settings, Members. They can then schedule and reschedule studies, assign or reassign studies that have not started to anyone on the team, release an assignment, set today's readers and unit coverage, hand review orders to reviewers, and use the tracker's bulk bar. Billing, settings, reports, the audit export and status corrections stay with supervisors. Changing the person to a viewer removes it, and it is not restored if they are promoted again.

End shift / Hand off on My Day now hands off only your own work: your studies, the devices out for them and the orders you claimed. Each person publishes their own record, and the department view shows the supervisor who has handed off against who is recorded on shift. The receiver list leaves you out, puts the next shift first when availability is recorded, lists people last name first with role and credentials, and can be searched. A browser print of the live page is marked as a live view on every page, and My Day reminds you once near the end of your shift if you still hold work.

The Operational Overview now ranks patient safety first, then time-critical work, then administrative work, so a recorder still on a patient is never pushed off the list by orders waiting on review. A wearable past its disconnect time is one line, and one decision on it is recorded on both its disconnect and its device return. Routine orders past their review time become one line that opens New Orders, and every one is still counted. Paperwork on finished studies is counted on its own, and the Board, the Overview and Open Issues each say what their number counts. The Shift Handoff and Ask Axiom name each such patient once.

If two people check out the same cart, claim the same study, or open the same order at once, one still wins, and the other now sees who has it and what to do next. A taken cart names the order and the person and points to a free cart of the same kind. A study someone else just claimed offers Take over, with a reason kept in its history. A supervisor can take over an order a technologist is reviewing and validate it in one step. On My Day, a study that cannot be claimed yet says what is missing, with a link to fix it.

Send to Reader on My Day now opens the send dialog right where you are, instead of taking you to Department Operations to find the study and press Send again. The dialog is the same one Department Operations uses: the reader of the day is filled in, a pediatric patient is offered pediatric readers, and the same rules and checks apply. A link that names a completed study, such as the next step on a study's workspace, opens the same dialog for that study.

The Intake Tracker now opens on your working set: every open order, every order held on intake, every study waiting on billing with activity in the last 12 months, and the last 90 days. The header shows how many of your orders are loaded and offers Load all history. Billing items idle for more than 12 months are listed on Billing Readiness, and the tracker header says how many there are and links there. Older orders are never hidden: an order number, an Ask Axiom answer and the dashboard's intake links still reach them, exports still include every order, and a search that could match older orders says so and offers to search all history.

The Command Center now shows its page straight away and fills in each section as it is ready, so the live signals no longer wait for a year of history to be added up. Behind the scenes it reads only the figures it displays, which makes it much quicker in a busy department, and every number on it is the same as before. When several leaders open it at once they now share one calculation, so its figures refresh at most once a minute, and the page says when they were last worked out. Reports load faster too, and the printable report can be opened as soon as the default view appears.

Ask Axiom now answers how many studies one person did, ordered or read in a period, such as "How many studies did I do this month?" or "How many studies has Dr Patel ordered this year?". Work counts who actually hooked up and completed each study, not who it was assigned to, so it matches My Study Log; orders come from the Ordering Physician column and reads from the signed read. Names match exactly, "Dr. Ben Ortiz" and "Ben Ortiz, MD" count as one person, and two people with one name are offered as a choice. Anyone can ask about their own work; a named colleague or physician is for supervisors and administrators.

The reading physician for a study now gets an email when it starts recording, as well as when it is scheduled and when it is ready to read. For a timed study, such as a 72-hour ambulatory EEG, the email says when the recording is planned to end. It goes to the same reader the other messages reach, carries the study number, type and times with a link, never patient information, and is not sent again when a status is corrected.

A name with a credential or title written into it, such as "Ana Lopez R.EEG.T" or "Dr. Ben Ortiz", is now recognised as the same person in both products, and only when exactly one person fits. A linked person's skills come only from OrderFlow, so a skill withdrawn there is withdrawn in Axiom Shift too. When OrderFlow moves someone between technologist and reading physician, Axiom Shift follows and names them so their shifts can be checked. The coverage answer Axiom Shift reads from OrderFlow describes each problem without naming anyone.

Ambulatory, video, EMU and ICU continuous studies now carry their technical charges as lines with units, worked out from the hours actually recorded: the setup once, one 12-26 hour code for each 24 hours, and a 2-12 hour code for a final 2 to 12 hours. 120 hours of video EEG with continuous monitoring is the setup plus five 12-26 hour units. If monitoring or video changed during a study, each period is billed at the lowest level held throughout it. The lines are recorded when the technologist completes the study, each is priced from your chargemaster, and the billing record keeps every line. Units the recorded hours do not support are refused unless someone writes down why.

Time off entered in the attendance register now counts right away on the coverage answer, the Department Board, assignment suggestions and warnings, and Team Coverage. It no longer waits for the schedule to come back from Axiom Shift. A recorded day off takes precedence over a schedule that says the person is working, and voiding the record gives the day back.

When two Clinical Roster records for the same person are merged, anything still addressed to the retired record now reaches the person on the one that was kept, including schedules published from Axiom Shift. Their recorded time off and contract terms move with them. A connected Axiom Shift workspace follows the merge and updates its own link to the person on its own.

Reports broken down by technologist now count an order under the technologist who performed it once the hookup is recorded, and under the technologist it is assigned to before then. Only an order nobody has been assigned to reads "Not yet assigned", so a day of booked work no longer shows up as unassigned.

The Equipment page and the Department Board now show devices as the same compact tile, so a department with around 25 carts sees them all at once. Devices stay in number order (Cart 2 before Cart 10) whatever their status, so each one is always in the same place. Every tile states its status in words with one consistent colour, shows a picture of the kind of device, and says where the device is (with which patient and room when it is out, where it is stored when it is not), with the problem first when there is one. A count strip across the top (Ready, In use, Needs cleaning, Maintenance, Reserved, Needs attention) is also the filter.

My Day, the Department Board and the Equipment page now show the patient's name beside the order number, exactly as the Intake Tracker records it; the wall display, printouts and emails still show order numbers only. My Day's Today list reads like a schedule, with aligned columns for time, patient, study, location and status, one main button per row and the less common actions under More. Every device now says where it is: with which patient and in which room when it is out, or where it is stored when it is not. The Overview no longer repeats "tomorrow" in a coverage warning.

Ask Axiom now has one button at the top right of every page (an icon on phones) that opens the same window as Ctrl+K and the ? key: jump to a page or order number, or ask a question and read the answer in place, starting from three questions that fit the page. It also answers about one order by its order number or Study #: who hooked it up, disconnected it or read it, whether it is still recording, which device is on it, and, if you can see billing, whether it was billed. Asking about a patient by name, birth date or record number now points to the Intake Tracker's search; looking patients up in Ask Axiom turns on only once patient information is enabled for your organization.

When a cart is checked out, renamed, returned for cleaning, cleaned or retired, the Equipment page, the Department Board, My Day, the order's workspace, Open Issues, the shift handoff, the capacity forecast and the sidebar's overdue count now all show the change, without a reload. Renaming a cart that is out no longer raises a false custody alarm, and the tracker's Cart Used is filled in only when the checkout actually succeeds. When equipment is required for a study, a cart on hold counts only if it is held for that study. Retiring a cart from Settings now asks for the reason, as it does on the Equipment page.

A shift edited, removed, reassigned or unpublished in Axiom Shift after it was sent now reaches OrderFlow: Shift shows when the schedule has changed since the last send and re-sends it each night when it has. A shift removed and later added back goes live again, and a fortnight with nothing left published withdraws the old schedule. Someone marked inactive on the Clinical Roster is suspended in Shift, and departures are caught up every night. Shift sends shift times on its own workspace clock and says so when the two products are set to different time zones.

Administrators can now keep the department's own skill names on People & Skills: add one Axiom does not list, rename one of Axiom's to your wording, or retire one you do not keep. Records already kept under an old name still count after a rename. For each competency you can list the words in a study type that make it required, so a study that mentions one of them needs a technologist who holds it. Can we cover tomorrow?, the Coverage Outlook and the answer Axiom Shift shows all use these names, and they appear in the list you pick from when recording someone's skills. A name on the list qualifies nobody on its own: a person counts only when a verified record is on their own file.

Each person can add a photo on My Profile. Colleagues in the same department see it in the sidebar, on People & Skills and in the member list; people outside the department never receive it. Replacing a photo removes the old one, and every change is recorded.

Billing Readiness now opens with a short Set up billing guide, and a new Financial Record gives the month-end view of your charges: opening balance, charges posted, reversed and written off, and closing balance, month by month, with plain checks that it all adds up and a journal your auditor can download with a digital fingerprint. A supervisor closes each month once it reconciles. Every billing change is now kept as a permanent entry, prices always come from your own chargemaster, and a billed study must have its billing reversed before it can be deleted. It is a record of charges, not of payments.

A technologist is no longer offered actions only a supervisor or the named person can take, such as the payer-authorization override or acknowledging a handoff addressed to someone else, and can no longer change the disconnect time or equipment decision on a colleague's study. Director metric pages that couldn't load now show no figures instead of zeros, and a recording-pause status that couldn't be read is said plainly. Ask Axiom's answer about reads waiting over 72 hours now says whether it counts studies waiting to be sent or studies already with a reader. Small links on phones are easier to tap.

Start of Shift now treats a routine order past its review deadline as urgent intake, and its open-issue and unread counts are the whole list, so they match Open Issues and the shift handoff. When Axiom can't read a source, Open Issues says so instead of showing an all-clear, the sidebar shows a grey "?" instead of dropping a count, and My Day no longer says a reader isn't set when the roster couldn't be read. Begin Study in the tracker drawer is offered only to the study's own technologist, and a suspended workspace now refuses changes in every part of the app, not only where the lock was shown.

Axiom now finds records directly instead of searching a department's whole history, so the Intake Tracker, Department Operations, the Overview, the Shift Report, My Study Log and Billing Readiness stay responsive as years of orders build up and as more people use them at once. Department Status now reads only the studies it shows (open work, today's completions and anything a device is checked out against), so it loads quickly however much history a department has. Nothing about who can see what has changed.

The Intake Tracker, Department Operations, My Day, the Overview and Reports now show their content sooner: the information each screen needs is fetched together instead of one piece at a time. When Axiom can't read or recognise something, it now says so in one consistent way, a grey dashed "?", instead of showing it as ready, as a warning, or as nothing to report. A device status Axiom doesn't recognise no longer reads "Ready", a failed trend or billing read no longer reads as an empty period, and a disconnect count that is still loading is no longer confused with one that failed. Status colours, sizes and buttons now look the same on every screen.

Ask Axiom is back. Type a question such as "how many orders are waiting?", "what's running right now?" or "how many LTM studies did we complete in August?" and it answers from the same numbers your screens show, says how it read the question, and links to where the records live. If a question needs something it can't narrow to yet, like a person's name or a time of day, it asks you rather than guessing, and it tells you plainly when it can't answer. It never changes a record, never sends your question outside Axiom, and only shows what your role can already see.

Help now offers a ten-minute orientation for each role, and asking the command palette or Help a question such as "how do I return a cart?" takes you to the right screen. Every main menu item says what job it is for. An overdue disconnect shows how long it is actually overdue, and the Overview now also answers tomorrow, equipment and last shift at a glance. On My Day, finishing a disconnect tells you what saved, and your own completed studies offer Send to Reader. New Orders no longer lists orders already on the tracker.

Reviewing an order now opens with the patient, study type and any STAT flag at the top, with the fields that need a person's judgment listed first. The banner names exactly which required fields are blank, and a validated order that still needs information says so instead of reading as finished. Merging a duplicate previews every value that will change and copies only what you edited. On the Operational Overview, exceptions lead: an overdue disconnect ranks above billing paperwork, and each item shows how long it has waited and what happens if nobody acts. On My Day, a monitored study asks for its device before it starts, and a paused recording can be resumed from the disconnect dialog.

The Studies board, My Day and the Schedule now look up unfinished work and recently finished studies directly, instead of reading back through years of history on every load. If the board is slow to answer, it now says so and asks you to try again, rather than showing a technical error. Publishing or discarding a template draft stays fast in departments with years of orders.

On each order and study page, the progress bar now highlights the step the work is on rather than the last step already finished. A study that is running shows Study, a study waiting on its reader shows Read, and a read waiting to be closed out shows Closed. Screen readers announce the highlighted step as the current one.

The Studies board and My Day now load recent finished studies by default and keep every unfinished study whatever its age; the Closed tab and the Schedule say what is not loaded and can load older weeks on request. Billing Readiness loads the work waiting to be billed and the most recent billed studies, with the full count stated, so it opens far faster in a large department. When a service is briefly unavailable, signed-in staff now see that it is temporarily unavailable instead of being told to sign in again. With automatic field reading turned off, reviewers are asked only about fields the order states or requires.

The link under a long unread-studies list in the shift handoff now opens one view with every study it counted: those finished but not yet sent to a reader and those sent but not yet read, side by side, with a count and a note that it shows current work. It used to open only the second group. Once a list is expanded, its summary now reads "Showing all" instead of describing studies that are already on screen, and pressing Show all with the keyboard keeps your place.

A shift-handoff section that previews ten of a longer backlog now shows the real number of studies on its badge and in print, not the number of lines drawn. Its summary line offers Show all, which expands every remaining study in place, and a link to the full worklist, so an incoming crew can see the whole set including any urgent items the preview left out. Published handoffs stay compact: they keep the true total and the link, never a changing live list.

A technologist booked at 23:45 and again at 00:15 now gets the same double-booking warning as any other half hour, and a canceled study no longer raises a false conflict on the one booked in its place. The shift handoff lists patients on a recorder first, previews long backlogs by urgency rather than by order number, and says how many hidden items are urgent, so an old order with a new escalation never drops out of sight. Open Issues leads with its filters and urgent work, the exceptions count on the Command Center says where each part lives, guidance names who can act, the empty billing queue names what is still blocked, and custody and intake references open the order directly.

Reports now reads everything it needs in one pass, so a month or a year of figures arrives in about a third of the time it took. The shift handoff, Coverage Outlook, People & Skills and the Operational attention list read their sources together instead of one after another. A patient's skin history at the bedside, which could time out on a long-lived workspace, now answers in well under a second. The numbers are unchanged; the same records are read, only faster. The open-issues list is now called Open Issues everywhere it appears, and a scheduled background job that fails or stalls now emails the platform owner instead of waiting to be noticed.

Until now somebody in Axiom Shift had to press Import for a change in People & Skills to reach the schedule. Now Shift asks OrderFlow for the Clinical Roster every night over the connection the two apps were paired with, so no second link or token is stored anywhere. A competency withdrawn here is withdrawn there before the next shift is planned; a person missing from the roster is named, never quietly stripped; and anything entered by hand in Shift stays untouched. Shift's connection page says plainly when skills were last in step, when a check failed and why, and offers Refresh now. Roster sharing has to be on in OrderFlow's settings; when it is off, Shift says so and changes nothing.

People & Skills in OrderFlow is now the one place a team's skills and credentials are kept. For anybody linked to their OrderFlow record, Axiom Shift mirrors what OrderFlow sends: each label, whether it is a competency, credential or privilege, the dates it runs from and to, and who verified it. Revoke a verification or let a certificate lapse and the label leaves Shift on the next import, so that person is no longer eligible for shifts that need it. Imported records show read-only in Shift, marked as coming from OrderFlow; anything entered by hand in Shift is never touched.

Coverage Outlook has a new section that compares the studies booked in OrderFlow with the people on the schedule published from Axiom Shift, day by day for the coming week. Each day reads staffed, tight, short or cannot be determined, says why, and lists what would change the answer, ranked by how much work each would free up. An administrator sets the rules it judges by in Settings, such as how many studies one person is counted for in a day and whether every study needs a device, and every answer names the rules and the version it used. Anything that could not be read is shown as not known, never as a zero. Nothing in the section changes a schedule.

When Axiom Shift imports your team from OrderFlow, it now receives only the credentials OrderFlow itself counts: verified by a supervisor, in date, and never a record of somebody training towards a skill. A credential a staff member uploaded for themselves joins the import the moment a supervisor verifies it, and drops out again if that verification is withdrawn. Everybody on your roster still appears in the import, with the labels they actually hold.

The home page now carries a 99-second film that walks through a department's day in OrderFlow and Shift, from an order arriving to a handoff at the end of the shift. It shows real product screens on synthetic demonstration data, plays only when you press play, and includes English captions. Phones receive a smaller version.

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The coverage answer worked out what a study needed from three broad categories, and three categories cannot tell a routine EEG from a Wada. So a Wada, an ECoG, invasive Phase II monitoring, a neonatal study, a brain-death evaluation and the evoked potentials all asked for one general hookup competency, and the answer could report a specialist case covered by a technologist who had never been signed off on it. Each of those classes now carries its own requirement, the card names which class the requirement came from, and your own rules in Settings still override any of it.

A week can read covered every single day and still be one phone call from failing, because one technologist is the only person signed off on what the work needs. The Coverage Outlook now lists those requirements: how many of the technologists considered can actually work each one, who they are, and how much of the week rides on it. Recording or verifying the competency for a second person clears it.

A crew that comes on at seven in the evening works across two calendar dates, and at midnight every screen that showed the daily roster asked for the wrong one: the Department Board raised a coverage alarm while two named readers were on duty, the start-of-shift steps a supervisor had already completed reopened themselves, and a technologist's coverage area disappeared. It could not be corrected from the night desk either, because setting the roster at one in the morning set the next crew's. The roster now belongs to the shift that came on, and the night desk sets the roster it is looking at.

Standing on the night desk, the coverage question had two answers and neither was the useful one: tonight meant the shift already underway, and tomorrow skipped past the day beginning in a few hours. That day can now be asked about directly, and the seven-day outlook starts on it rather than stepping over it. The extra question appears only when it is genuinely a different one, so it never duplicates tonight.

My Day counted patients on a recorder only where a disconnect time existed, so continuous and long-term monitoring, the work a night shift exists to watch, read as zero, and the handoff preview offered a task count instead of naming the patient. Both now count every patient recording, and a patient stays counted after their round is documented, because documenting a round does not end monitoring.

A bedside round used to count against the calendar day, so one written late in the evening satisfied only that date and came due again at midnight, asking a single crew for two rounds on one patient, while the crew arriving in the morning inherited the night round as already done. A round now belongs to the shift that performed it, so each crew rounds on its own patients once, whenever suits the shift.

A department carrying months of history could arrive at Open Issues to find every outstanding closeout item listed one after another, dozens of screens of it, sitting between them and the tracked safety work below. The page now lists the ten most recent and states the full count beside the heading, with a control to show all of them. Nothing was removed, and the shift handoff already worked this way, so the two agree.

In a department running three shifts, the first question asked of any row on the Intake Tracker is whose study it is, and answering it meant opening each row or switching to the Studies page. The technologist assigned to a study now appears as a column on the layout the tracker opens on, reading Unassigned where nobody has taken it yet. It can be hidden from the Columns menu like any other column.

My Day, the Studies page, the Department Board and the Schedule share one set of records, and it used to include every order a workspace had ever approved. Finished studies older than ninety days are now left out of that set, which keeps those screens quick as a department builds up history. Nothing unfinished is ever left out, however old it is, and anything already booked for a future date is always included. When the Schedule's month view reaches back past that point it says so and offers to load those months, so an older month is never quietly empty.

Your units, such as an intensive care area, a monitoring unit or an outpatient lab, can be kept as a list the Department Board offers whenever coverage is set. Without one, each shift types its own wording and coverage cannot be counted across days. Naming them is now a step in the setup journey, which ticks itself off once the list has entries.

Findings from running the product as a fifty-person department on a round-the-clock schedule. Coverage asked only about tomorrow, so a crew working through the night was never asked about their own shift, and a single night was split across two answers that each described half of it. Supervisors can now ask about tonight as well as tomorrow: the night is resolved from the facility's own shift times and treated as one stretch across midnight, and asking from inside it answers for the shift in progress. A department that works daytime hours is never offered a night shift it does not run.

Three screens stopped being hard to read as a department accumulated history. The shift handoff listed every outstanding documentation item ever recorded, burying the patients actually on recorders; it now lists the most recent and states the rest as a count, with the full total kept in the record. A wearable study due back in three days showed only a time, which read as this morning beside work genuinely due today, so a due-back now carries its date whenever it is not today, and monitoring that runs until a physician ends it says so instead of showing a dash. Items in the attention list name the order they are about, so a row can be acted on without opening it.

A competency recorded for a technologist but not yet verified correctly does not count toward qualification, but the coverage answer reported it as no competency on file, which sends a supervisor to record it a second time. It now distinguishes nothing recorded from recorded-but-unverified from expired, and names verifying what is already on the roster as the step that fixes it. This matters most while a roster is first being loaded, when verification usually lags the data entry.

Six fixes from a readiness review. Rejecting an order that arrived by email or fax reported success and quietly left it in the queue; it now works for any technologist who has claimed it, and so does sending one back. A repeat order for the same patient months later, or a routine and an ambulatory study the same day, no longer reads as a high-confidence duplicate: a hard stop now needs agreement about the order itself, not the patient alone. The equipment forecast and the coverage answer keep working past a few hundred active studies. My Day no longer counts a device that cannot be checked out as ready, and someone whose assignment has ended is not offered for coverage.

The last open item from the verification pass. A charge label whose lower bound is written with a leading decimal point, such as an EEG band from .5 to 26 hours, was not recognized as a duration band at all, so a study with no recorded duration could be billed under it without an exception. It now reads as a 0.5-hour floor with the same evidence and floor checks as every other band. Labels with a doubled decimal mark are held for correction rather than guessed.

Five edge cases from the verification pass. Skin Integrity requires the clear baseline to come strictly before the finding, and a finding with no recorded time keeps its chronology unknown. A duration charge label is read as a whole or held, so a comma decimal or stray spacing never turns into a looser band. Asking about completed reads over all time counts them by completion state and says how many lack a read date; a period answer discloses the ones it could not place. The staffing narrative says weekends are quiet only when both days are. And Go-Live receipt history reads as pending a database update when its table is missing, never as an empty list.

Five follow-ups from the re-audit. Skin Integrity now requires the clear baseline to be recorded before a finding; a baseline entered afterwards cannot make the finding count as acquired. Duration-based charge labels are read by one grammar that understands dashes, the word to, and decimals, and a label it cannot read holds billing instead of waiving the duration check. Asking the tracker about reads in a period now uses the date the read was completed, not the date the study finished. The staffing narrative no longer calls weekday-only arrivals evenly spread. And the Go-Live receipt history reports unavailable on a database error instead of pretending there are no receipts.

A page audit found numbers that quietly meant something other than their label, and failed reads shown as clean answers. Billing Readiness now holds a study when its report-reference policy cannot be read. Skin Integrity calls a finding acquired only when that site had a clear baseline. The history export names its population as approved orders, year-over-year compares the same elapsed days, and pending reads with no sent time stay counted. Asking who read a study counts completed reads only. Admin pages show unavailable rather than an assumed state, the tracker export can be retried after a failure, and acknowledgements are counted past the first thousand.

Asking the Intake Tracker a question that named a month, such as how many studies were completed in June, used to be answered for the current month instead. A named month now means exactly that month: without a year it is the most recent June that has already begun, and with a year it is that month of that year. The answer's receipt still states the exact dates it counted.

The study-volume history and the Operations breakdowns used to download as plain comma-separated files, which opened in Excel as a bare grid with notes sitting in cells and changes showing as text. They now download as an Excel workbook with a title block naming the workspace, period and facility clock, a styled header with filters, real numbers you can sort and sum (changes signed, rates as percentages), and an About sheet that states what is counted and what is excluded. A demonstration workspace is labelled as synthetic on the first line. The plain CSV remains available on the Director page for anyone who wants raw data.

The attendance register defaults to today, so a day off approved in Axiom Shift for next month used to sit out of view until you moved the date. The register now says how many upcoming records start after your period and offers a button that widens it; elapsed totals never include future days. Manage in Shift opens Shift on the week of that record with the time-off room already open, instead of the Shift home page.

Every screenshot on axiomorderflow.com and the company site was retaken from the current build, so the Command Center, Coverage Outlook, People & Skills, Attendance and the equipment workspace look the way they do when you sign in. The narrated tour was re-recorded from the live demo workspace and now walks nine screens, including the coverage answer. The site copy, the machine-readable description search engines and AI assistants read, and the sister site for Axiom Shift all describe the same thing: Axiom as the neurodiagnostic operating platform, with OrderFlow running the work and Shift running the people behind it.

The setup journey used to sit on the Operational Overview, so a department that was already running orders scrolled past configuration to-dos to reach the day's work. It now has its own page under Administration in the menu, and the menu entry reads "in progress" while setup steps remain. Nothing about the journey changed: each step still checks itself off from real work done anywhere in the app, and a brand-new workspace with no orders yet is still pointed at it from the overview.

When every order on the tracker was already finished, the checkout screen said there were no orders at all and left the button greyed out with no explanation. It now says how many orders exist and that they are finished, and the disabled button states what it is waiting for. Inside the equipment workspace, Escape used to close the whole workspace even with a menu or panel open; it now closes only the thing on top, so a half-filled checkout is never lost. Device dates (first used, due back, next inspection) read on the facility clock instead of as raw stored values, and sending a device to maintenance asks you to confirm first, as retiring one does.

The monthly staffing report described turnaround as an average with a longest and a shortest, which one unusual study can define. It now leads with the typical case and the slowest tenth, shows the shape of each interval, and says how many records stand behind them; too few studies for a tail figure is stated rather than printed as the worst record under a statistical heading. The report also gained a section on when orders arrive: by day of the week, by time of day, and how many land outside the hours a facility staffs. That pattern is the part of a staffing case a volume total cannot make, and it carries into the staffing request too.

The volume charts on the operations screens and the monthly report now carry a scale, so a bar's height is a number you can read rather than something you take on trust, and a dashed line marks the average for the period so a bar answers whether it is normal, not only whether it is taller than the one beside it. Under each chart a short line says what the most recent period counted and how it compares with the one before, and the same figures are available to a screen reader as a table rather than a single sentence. A period with nothing in it now says so instead of leaving an empty box.

Each screen was opened as a technologist, a supervisor and an administrator, in the order the app itself offers them, and what that turned up is fixed. Several controls could not be reached or named by a screen reader, including an empty button on the people page and an unnamed setting; the wide capability table can now be scrolled from the keyboard; links inside sentences are underlined rather than told apart by colour alone; and the most urgent line on the technologist's day meets contrast on its own background. Controls that cannot be used yet now say what would make them usable, instead of sitting there looking broken.

Two screens now show the room rather than a table. The department screen opens on a floor: today's people, the studies moving through scheduled, recording, disconnect and reading, and the devices, with flagged work first in each lane. Selecting a person, or asking for exceptions, marks the related work without hiding anything else. The equipment page opens on a card for each device, searchable and filterable; selecting one brings up the same controls you already use to check it out or return it. A device reads as ready only when the checkout rules would release it, so a returned-but-uncleaned cart is never shown as free. Both screens keep the previous layout as a compact list.

Your written procedures now live in the app, and reading one is recorded against the version that was read. When a policy is rewritten, everyone who confirmed the old wording is asked again and told what changed, rather than being counted as up to date. Each policy shows three states side by side: read the version in force, read an older one, never read it, and the coverage figure counts only the first. Administrators publish; everyone with a login can read, and is prompted on their own day screen when something is owed. Retiring a policy keeps every version and every reading record, so a question about what the procedure was last spring still has an answer.

Every page now carries a short way to say what did not make sense, with the screen recorded for you. It goes to the team who can fix it, and to your own administrators, and it asks you to leave patient details out. Alongside it: the schedule's week grid and month agenda can now be scrolled from the keyboard, and the technologist screens were checked at phone width for reflow, thumb-sized controls and screen-reader use.

Many departments work a shift with no supervisor reachable, and until now several everyday steps waited for one. A technologist can now carry their own study the whole way: take it, schedule it, run it, send it to the reading physician, record the read, and close it. They can also record the order date and study type from the order document when those arrived blank, which previously blocked the study entirely. Acting on a colleague's study, handing work to someone else, and correcting a recorded detail remain supervisor decisions, and every step is audited either way. Screen names are plainer too, and each role's navigation now leads with the five places it uses all day.

The Operational Overview can now lead with how the department is performing instead of what needs to happen this shift. A "Lead with" switch under the date range reorders the same five sections, so a director opens on the shift report, the headline numbers and the trends, with what is falling behind next, and a supervisor keeps today's work first. Nothing is added or removed and no number changes; the choice is remembered on that device.

A workspace paired with Axiom Shift now hands its coverage answer back: for each of the next seven days, whether the scheduled studies can be covered by qualified, available technologists, with the counts and the main reason when they cannot. Shift shows it beside its own headcount check, as two separate answers to two different questions, never merged. Only counts, verdicts and plain-language reasons travel; no order or patient detail leaves the workspace, and the answer states that devices are not checked over the link.

A supervisor's Operational Overview reads in the order a department runs on: what needs to happen, who is qualified and available to do it, whether the equipment and capacity are there, what is falling behind, and how the department is performing. Each numbered section carries one plain sentence and the same cards as before, so no number changed; a strip under the date range jumps to any question. Technologists keep My Day exactly as it was.

The Operational attention list on the overview now leads with plain language: "A charge doesn't match the recording time" or "A patient's recording is overdue to be stopped" instead of billing and SLA wording, with one sentence of why and a Details link that still holds the exact record for anyone who needs it. The Start of Shift and Operational attention panels both fold away with a click on their heading, and stay folded on that device until you open them again, so a screen can show only the parts a person actually works from.

A review link for an order that no longer exists in your workspace used to sit on a loading card indefinitely; it now says the order does not exist and offers the way back to the Validation Workbench. A mistyped record address shows the same plain not-found message instead of a database error. The intake tracker tells you when a bookmarked filter is one it does not recognize, rather than quietly showing every order as if the filter had applied.

The coverage answer counts each technologist for at most a set number of studies a day (four unless your department changes it in Settings) and names who is already full instead of quietly giving one person fifteen studies. Routine studies that follow one another can share a cart, while monitored studies still hold their device. Workspaces paired with Axiom Shift now receive approved time off with the schedule, so someone on leave is never counted as available; a republished schedule replaces the previous one; and the study counts Shift reads back cover fourteen days and leave out canceled studies.

The capacity forecast used to give each cart or recorder to one study for the whole window, so a busy day of short routine studies read as a shortage even when the same three carts could easily have covered it one study after another. A device now returns to the pool once its study ends and the turnaround has passed, studies that start at the same time still need separate devices, and a continuous study keeps its device for as long as it runs. The forecast measures the fleet against the busiest moment of the day and says so, and the seven-day outlook checks each day on its own instead of letting the first day use up the week.

The tomorrow answer now extends across the coming week. The Workforce & Capacity Outlook, under Intelligence, shows each of the next seven days with a verdict, the drivers behind any short day (nobody holds a required competency, a technologist is marked unavailable, one person covering two studies at once, no device projected), the studies behind each driver, and what would change the answer, ranked by how many studies it would unblock. The evidence for every study opens beneath its day. Nothing is predicted beyond what is already recorded.

Workspaces paired with Axiom Shift, our technologist scheduling product, can now let Shift's coverage calendar set the reader of the day here. When a scheduler assigns the adult or pediatric reader for a date in Shift, that name arrives on the Department Board and becomes the default in the send-to-reader picker for that day. Names are matched to your Clinical Roster the same way read signatures are; a name that does not match is reported back to Shift rather than invented, a repeated push changes nothing, and every assignment made this way is recorded in the audit log as coming from Shift. Nothing is sent without the link an administrator issues under Settings.

The overview now answers the question every supervisor asks at the end of a shift: can tomorrow's scheduled studies be covered? For each study it names the competencies the study type needs, every technologist on the Clinical Roster it considered and why each was chosen or set aside (not qualified and which competency is missing, marked unavailable, already covering another study), whether a device is expected to be free, and the conclusion. Axiom supplies the competency defaults; a facility can override them per study type in Settings. A supervisor can acknowledge a risk, and that is recorded in the audit log without changing any assignment.

On a phone, My Day now opens on the work itself: the shift strip, equipment summary and handoff readiness fold into one line that shows the counts and opens on a tap. The phone tracker no longer scrolls sideways while it loads and hides the desktop-only controls. Department-wide handoff items sit on their own line beneath a technologist's personal list, so a shift total is never read as one person's work. Operations reports are named and described in one place instead of five unlabeled chips, every page title matches the menu item that opened it, and the Start of Shift panel leads the overview.

A long-term or EMU hookup now asks how the electrodes were applied, choosing collodion, Tensive, EC2, or tape only from one fixed list, so breakdown can be compared by method across every facility rather than across five spellings of the same glue; a monitored study cannot start without it. Every daily rounding check now asks one question before it can be logged: was any skin breakdown noticed at the electrode sites? A no records every required site as checked and clear, never an empty field; a yes needs the site, a severity from one to five, and the nurse notified. Each answered round is a data point the Skin Integrity page counts, and it now reports how many rounds found breakdown.

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The tiles on the operations snapshot invite you to select a work queue, and a strip through the middle of each one quietly swallowed the click, so a pointer aimed at the number hit nothing. The whole card is live again. The app also settled on one word for waiting: a screen loading its data says so plainly, instead of choosing between calculating, checking and reconciling depending which screen you were on. Supervisors stop seeing one page under two names, and several links a technologist taps at a bedside grew to a size a thumb can hit.

Every working page opened with a paragraph about the page, so on a phone at a bedside the first thing a technologist could tap was a link to the manual. That explanation now collapses, once, everywhere, until you ask for it back. The setup checklist stopped sending a new manager through eleven configuration steps before their first order, since watching one order arrive is what makes the rest of the setup mean anything. A new workspace no longer opens on a red alarm about having no reading physician: never configured is a setup task, not a failure.

Electrodes rest against skin under pressure for as long as a study runs, and until now findings lived in notes nobody could count. A Skin Integrity page now holds every assessment: the baseline taken at hookup, each rounding check, and the assessment at disconnect, recorded by head region rather than as one overall score. The baseline is captured inside the hookup dialog, because without it skin found on day two cannot be told apart from skin a patient arrived with. A recording past 48 hours with no check is flagged. The analysis reports which sites fail and how soon, against recorded wear time; studies nobody assessed are listed by reason rather than counted as good ones.

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The public site grew for the people evaluating us. This changelog now exists, with an RSS feed for long procurement cycles. A value calculator estimates technologist hours and gross charges surfaced from your own numbers, with the method stated under every figure. A trust and evidence portal gives security reviewers the full control index, marked Implemented, Documented, Business action, or Not held, built to print and forward. And a resources hub answers the accreditation questions EEG lab managers actually search for.

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Workspaces that use Axiom Shift, our technologist scheduling product, can now pair the two: an administrator issues a one-time link token under Settings, and a schedule published in Shift arrives in OrderFlow as a draft availability batch on the Clinical Roster. Nothing applies automatically: a supervisor reviews and applies every batch, hand-entered exceptions such as time off are never overwritten, and names that do not match your roster are reported back rather than invented. Shift can also read a count of scheduled studies per day, numbers only, so staffing can follow demand.

A billing status that asserts performed work, billed or denied, is now refused while the study has not been completed, with the study's actual stage named in the refusal. An authorized exception with a typed reason is still possible, and that reason is kept in the billing ledger and audit log. In the same pass: rejecting an order requires a stated reason recorded in the reviewer's own words, rejecting the same order twice is refused with a refresh hint, the early-start confirmation names the scheduled time on your facility's clock instead of a minute count, and the study documentation panel distinguishes fields your template does not carry from work that is genuinely missing.

Fax services deliver documents in different shapes, and one common one, an attachment list, was previously turned away as if no document had arrived. The fax intake now reads attachment lists as well as inline documents and links, so a faxed order lands in the review queue with its sender and file name. In the same pass: a manual-entry-only column no longer raises a false review flag on every new order, adding a device asks for its serial number up front so the first checkout is not interrupted, a time-off exception typed by hand is read on your facility's clock, and several messages now name the exact next step instead of the wrong cause.

We walked the product again as an administrator, a supervisor, and a technologist, and fixed what each chair hit. Moving an already-assigned study to a new time now actually moves it, with the change recorded. A value the order plainly states can no longer arrive as a silent blank: the reviewer sees what the document says and decides. A possible-duplicate refusal names the problem and both ways forward. Physicians who read adult and pediatric studies appear correctly in both pickers, invitation notices report exactly what happened to the email, the timezone you are confirming is shown where you confirm it, and unsaved Settings edits keep a save bar in view.

Some addresses can never receive mail: the reserved domains used for examples and testing, and the ones behind our own demo workspaces. Until now the app handed those to the mail provider anyway and reported the handoff as "sent," so an invitation typed to an example address looked delivered and simply never arrived. The app now recognizes those addresses and declines to send, recording the attempt with the reason instead of a misleading success. You see it on the email delivery card in Settings and on a test send. Real addresses are judged by their domain and are never affected, and nothing about who receives your digests, reminders, or reports has changed.

Adding someone to your workspace no longer means copying a code out of the app and sending it to them yourself. The invitation is emailed to the address it is issued for, with a link that opens sign-up with the code already filled in. It still only works for that address, at the role you chose, for seven days. The app tells you what actually happened rather than assuming: whether the email went out, whether delivery isn't set up for your workspace yet, or whether it failed. The code stays on screen in every case, so you always have a way to get someone in. "Re-share code" now genuinely re-sends the same invitation instead of just showing it again.

A physician phoning in an order no longer forces a paper workaround: Incoming Orders gained "Record a verbal or phone order." You enter the stated order date (marked hand-entered, never a future date), who called it in, and the priority, then type the details through the same validation screen, duplicate check, and audit trail as any uploaded order, permanently labeled as verbal with no source document. A rejected order's page now shows one clear choice, "Restore to queue," instead of buttons that would be refused. And intake review times under an hour display as minutes, so a fast team reads "4m" rather than "0h."

Technologists can now record which electrodes a patient is wearing (standard, MRI-conditional, or CT-conditional) right in the Hook Up step. When someone later taps "patient off recorder" for an MRI or CT, the app checks the record: if the electrodes aren't stated as safe for that scanner, it shows a clear reminder to confirm with radiology first, and never blocks the trip. The Department Board shows a small badge on studies wearing imaging-conditional electrodes so the answer is visible at a glance. The field arrives with the Tech & Charge Pack, the option names are yours to edit, and an unrecorded type is treated as unknown rather than unsafe.

A completed study whose device checkout and return were fully recorded no longer raises an "equipment use undocumented" alarm just because an optional tracker cell is blank; the custody record itself is accepted as evidence, and the guidance never asks for a column your template doesn't have. The Clinical Roster also stops suggesting that office staff who only process orders belong on the clinical roster, and forms that can't be submitted yet now say exactly what's missing instead of quietly disabling the button.

Technologists can now record the pre-study readiness confirmation with one tap inside the Hook Up or Begin step, where it can actually be recorded, instead of discovering a permanent documentation gap afterward. Checking a device out while a study is running records the equipment decision automatically. The cart list in the start dialog now names any device it can't offer and why, matching the Equipment page. And the Department Board's wall display gained a facility-branded header, a purposeful all-quiet state, and a way to exit it (Escape works too).

We walked the product as a brand-new customer and fixed what they would hit first. A newly uploaded order now starts its automatic reading immediately, with no extra step. The recognized study type is kept when the document's wording differs from the standard label, instead of being cleared for re-entry. And hooking up an ambulatory study whose wear time isn't set now checks the recorder out open-ended and says so, rather than failing quietly.

The product tour on the home page now opens with a narrated video walkthrough of the live demo workspace: intake, the Intake Tracker, studies by stage, the Department Board, billing readiness, and the accreditation evidence pack. Captions are included, and everything shown is synthetic data with no patient information.

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Supervisors can move a scheduled study to a new time with a recorded reason. The study keeps its place in the workflow, its technologist, and its full history. No more canceling and re-creating a record just to change the time.

A technologist can start a study that is scheduled and already assigned to them directly from their own worklist. Previously this specific situation could dead-end in a message asking for a supervisor.

The signed handoff record now opens with a section naming every patient currently recording, with the device and due-back context. An actively monitored patient can no longer reach the incoming crew as a footnote on an equipment line.

A device past its recorded return date now reads overdue on the navigation badge, the Equipment page, the Department Board, and the capacity forecast, even when the study's wear time was never entered. Previously that gap could hide a device that was days late.

The weekly summary now distinguishes studies genuinely ready to bill from work blocked by missing evidence, such as an unread study or a missing report reference. The email no longer asks staff to bill work the application itself would refuse.

The billing surface is now named Billing Readiness, and the age of unbilled work is measured on the charge-ready set only. A study waiting on its physician read is shown as blocked; it is never counted as a billing delay.

A clinic that closes at six no longer sees a fictional night shift. When the facility is closed, My Day, the dashboard, and the shift handoff state that the facility is closed with no coverage expected, and show the last operating shift for context. Around-the-clock departments are unchanged.

Taking a patient off the recorder for an MRI, CT, procedure, or break is now a one-tap event with a reason. Minutes off the recorder total automatically into the study's gap time and total recording time, and the Department Board shows an off-recorder flag while the interruption is open.

A published handoff can be addressed to the incoming crew, a specific shift, a team, or a named individual. A person-addressed handoff can only be acknowledged by that person or a covering supervisor, so responsibility is received by the person it was given to.

Every staff member can review and approve orders; there is no longer a per-person switch to remember during onboarding. Teams that split intake work can still flag an order ready for a colleague instead of approving it themselves.

The My Day changes inbox (what moved on your worklist while you were away) now keeps its place across your devices. Reviewing changes on a workstation means your phone will not replay them.

When the same physician or technologist ends up on the roster twice, an administrator can merge the duplicates. Credentials, name variants, and history move to the surviving entry; nothing is deleted, and reads signed under the old entry keep their attribution.

The room, unit, or location your templates record now appears on My Day, the Studies board, the Schedule, the Department Board, and the shift handoff, formatted consistently, with an explicit “Room not set” state instead of a silent blank.

Technologist and reader availability shows on the Schedule, and assigning someone during recorded time off raises an advisory warning with a reason to acknowledge. Hand-entered exceptions always override an imported schedule, and unknown availability is shown as not recorded, never assumed unavailable.

An optional forecast answers whether a recorder will actually be available for tomorrow's studies: expected returns, cleaning turnaround, reservations, and projected demand in one view, with uncertainty stated rather than hidden.

Each facility records whether it offers pediatric service. A department that does not read pediatric EEG is never nagged about a pediatric reader, and one that does cannot quietly go live without that coverage decision made.