Version 3.21 Release Notes

Version 3.21 was released to production on February 10th 2026. Please do not hesitate to contact our support email support@hdcbc.ca should you have any questions or comments about any of these changes.

What’s New? 

Penicillin Allergy

A Penicillin Allergy documented measure has been released for each supported EMR.

Measures	MOIS	OSCAR/Open OSP/OSCAR Pro	Profile	Med Access	Med Access – Legacy
Penicillin allergy documented	NEW	NEW	NEW	NEW	NEW

Concept Updates 

To improve the accuracy of our measures, we made changes to the following concepts: 

Concept	Changes	Impacted Measures
Mood Disorder	Added SNOMED CT codes: 370143000, 450714000, 66344007, and refined the text-matching criteria.	Mood disorder prevalence Mood disorder or psychotic disorder with SUD Mental health prevalence Mental health and alcohol use disorder Mental health and cannabis use disorder Mental health and substance use disorder OUD and mental health diagnosis  Requires data reloads for select MOIS clinics.
Depressive Disorder	Refined the text-matching criteria.	Depressive disorder prevalence No material change is expected.
Major Depressive Disorder	Refined the text-matching criteria.	Major depressive disorder prevalence Major depressive disorder and an encounter in the past year No material change is expected.
Bipolar	Refined the text-matching criteria.	Bipolar prevalence Schizophrenia or bipolar and an encounter in the past year No material change is expected.
COPD	Added SNOMED CT codes: 13645005.	COPD prevalence COPD and non-smokers COPD and pneumococcal vaccine COPD and post-bronchodilator spirometry COPD and activity documentation in the past year COPD and prescribed an inhaler in the past year Patients prescribed a high-carbon inhaler who do not have Asthma or COPD – age 19+ COPD being treated with inhalers and prescribed a low-carbon inhaler in the past year Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers Chronic disease prevalence Requires data reloads for select MOIS clinics.

Improvements to Metadata 

Changes	Example
Changed all instances of the term “visit” to “encounter”	“Patients with “active” status who have a visit in the past 3 years” changed to: “Patients with “active” status who have an encounter in the past 3 years”
Addition of our “encounter” definition into the “Concepts and Logic” tab for any measure that references encounters.	“Encounter” refers to the following definitions for each supported EMR: – MOIS: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). – OSCAR: An encounter with a signed encounter note. – Med Access: A visit that has been signed. – Profile: An encounter with status Complete or Resolved.
Updated any reference of “hemoccult test” to “FIT and other fecal occult blood tests”	“The percentage of active patients, 50 to 74 years old, who have had a hemoccult test recorded in the EMR in the past 2 years.”  changed to:  “The percentage of active patients, 50 to 74 years old, who have had a Fecal Immunochemical Test (FIT) or other fecal occult blood test recorded in the EMR in the past 2 years.”