CBLUE Chart

Product Updates

Review the latest CBLUE Chart improvements, fixes, and workflow changes.

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Latest

Save Narrative Customization to Profiles

Moved narrative customization from browser-only storage into account-backed profile storage so settings follow users across browsers.

September 21, 2026
Profile Sync

September 21, 2026

Save Narrative Customization to Profiles

Moved narrative customization from browser-only storage into account-backed profile storage so settings follow users across browsers.

Profile Sync

Narrative Customization

  • Added profile-backed storage for hospital destinations, default unit, dispatch priorities, agency options, and custom quick workups.
  • Added professional and academic narrative customization APIs.
  • Migrates existing browser-saved customization into the profile the first time the user opens the customization page.

September 4, 2026

Add 12-Hour Active Chart Drafts

Added active open chart drafts so users can save an in-progress narrative and resume it later from the control panel.

Saved Drafts

Narrative Builder

  • Added Save Chart inside the EMS builder with a 12-hour local draft hold.
  • Added Active Open Charts workspaces for professional, student, and instructor control panels.
  • Completing a chart removes its saved draft while normal exit or inactivity keeps saved drafts available until expiration.

September 2, 2026

Improve Assessment and IV Documentation

Added clearer mental-status orientation details and IV not-attempted documentation to the EMS narrative builder.

Assessment

Narrative Builder

  • Added orientation detail checkboxes for non-AOx4 mental-status selections so narratives can read like AOx2 to name and place only.
  • Added a Not attempted IV outcome with a due-to reason field in treatments and quick workups.
  • Updated IV rendering so successful, unsuccessful, and not-attempted outcomes each produce the correct narrative wording.
Customization

Narrative Builder

  • Added a Narrative Customization tab to professional, student, and instructor control panels.
  • Added hospital destination management with name, optional short name, active/inactive status, and remove controls.
  • Updated shared multi-patient destination and transport destination fields to show saved hospitals as dropdown options with a manual-entry fallback.
  • Added default unit setup in Narrative Customization and prefilled blank unit fields in single-patient and multi-patient dispatch setup.
  • Added saved dispatch priority levels and converted dispatch priority fields into dropdowns when saved options exist.
  • Added a saved agency list and converted agency detail fields into dropdowns with manual-entry fallback.
  • Reorganized Narrative Customization into focused Hospitals, Dispatch Defaults, and Agencies panels to reduce long-page scrolling.
Reassessment

Interventions

  • Added a Custom Quick Workups panel where users can name a workup and select associated treatments and medications.
  • Custom quick workups now appear in the Interventions quick workup tab alongside built-in BLS and ALS workups.
  • Applying a custom quick workup adds selected treatments and medications into the correct intervention lists.
  • Added treatment-specific reassessment prompt buttons for common interventions such as Zofran, adenosine, nebulized respiratory treatments, nitroglycerin, pain medications, IV/IO access, and ECG reassessment.
  • Prompt selections can automatically mark vitals or ECG reassessment when the selected wording calls for it.
HPI

Narrative Builder

  • Expanded signs and symptoms quick picks with more realistic EMS options including weakness, dizziness, numbness, tingling, altered mental status, seizure activity, and bleeding.
  • Rebuilt pertinent negative pills with chart-ready phrasing such as no blood thinner use, no loss of consciousness, no head strike, no neuro deficits, and no recent trauma.
  • Converted allergies, medications, and past medical history into quick-add chip fields while preserving free typed entries.
Narrative Output

Narrative Builder

  • Improved wording for common EMS selections so raw option values render as readable clinical phrases.
  • Tightened sentence assembly across dispatch, assessment, interventions, and disposition output.

August 31, 2026

Product Updates Page

Added a dedicated in-app product updates page and routed release-note links to it.

Product Updates

Portal

  • Added a dedicated Product Updates page where all CBLUE Chart update history can live in one place.
  • Updated academic portal Release Notes links to open the in-app Product Updates page.
  • Updated professional, academic support, and EMS support release-note links to use the same Product Updates page.
  • Added a View All Updates action to the recent updates panel.
Narrative Builder

Academic Portal

  • Added Multiple Patients / Shared Scene access to student narrative setup.
  • Added Multiple Patients / Shared Scene access to instructor narrative setup.
  • Kept academic template access controlled by the existing admin-approved template policy.
  • Academic multi-patient sessions now pass shared incident setup and per-patient dispositions into the EMS builder.
Disposition

Narrative Builder

  • Added practical patient-to-gurney movement options including MegaMover, carry seat, stand-and-pivot, backboard, KED, lifted, carried, sheet lift, and sheet transfer.
  • Updated patient-to-ambulance options to include gurney, backboard, assisted walk, and walked with no assistance.
  • Added ambulance position choices for bench seat, captain's chair, backboard placement, and ambulance floor documentation.
  • Changed report-given role labels from MD/DO to MD while preserving existing chart compatibility.

August 28, 2026

IV Treatment Documentation Update

Improved IV documentation so successful and unsuccessful attempts generate clearer EMS narrative wording.

Interventions

Narrative Builder

  • Added a successful / unsuccessful IV attempt toggle to IV treatment entries.
  • Added the same IV attempt toggle to ALS quick workups before the workup is applied into Interventions.
  • Updated narrative output so successful attempts render as IV established and unsuccessful attempts render as IV attempted but unsuccessful.
  • Improved multiple IV entry rendering so unsuccessful attempts are no longer grouped under an IV established count.
  • Improved the IV attempt outcome control layout so it fits cleanly on smaller laptop screens.
  • Changed the IV attempt outcome control to two visible options so users can clearly see whether Successful or Unsuccessful is selected.
  • Added a Treatment Reassessment section that pulls from medications and treatments already entered so users can document patient response, repeat vitals, ECG changes, and follow-up notes.
  • Improved common treatment rendering so IV, IO, ECG, blood glucose, temperature, bleeding control, splinting, and spinal motion restriction read more like EMS narrative sentences.
  • Added final narrative cleanup to reduce duplicate sentences and clean spacing or punctuation artifacts after the narrative is assembled.
  • Improved intervention form layouts so medication, treatment, and quick workup controls fit better on smaller laptop screens.
Updates

Product Updates

  • Added a cleaner update publishing workflow so customer-facing changes can be grouped into the correct date entry.

July 27, 2026

Narrative Builder Context Card Updates

Focused updates to EMS context cards so high-value call types build cleaner HPI stories and import into the right builder sections.

Narrative Builder

Context Cards

  • Rebuilt the Stroke context card around guided HPI and assessment imports, including last known well, reported deficits, symptom changes, current deficits, primary assessment, baseline comparison, and secondary exam details.
  • Updated Stroke assessment imports so Primary Assessment, Baseline Comparison, and Secondary Exam populate the actual builder fields instead of separate context-only notes.
  • Rebuilt the STEMI / Chest Pain context card as an HPI-only guided chest pain story builder with onset, location, quality, radiation, severity, modifiers, associated symptoms, pertinent negatives, and cardiac history.
  • Updated the STEMI / Chest Pain card so associated symptoms and pertinent negatives import into the builder's Signs / Symptoms and Pertinent Negatives fields.
  • Rebuilt the Behavioral context card as an HPI-only guided story builder for call reason, reported behavior, scene presentation, safety concerns, patient statements, cooperation, stressors, substance concern, law enforcement context, and de-escalation context.
  • Rebuilt the OB Emergency context card as an HPI-only guided story builder for gestational age, pregnancy complaint, onset, pain details, bleeding, fluid leakage, contractions, fetal movement, delivery urge, high-risk factors, OB history, and prenatal care.
  • Removed unused Sepsis, Overdose, Pediatric Critical, and Hazmat context cards from the current context-card lineup.

July 8, 2026

EMS Workflow and Portal Updates

A collection of EMS-focused improvements across the portal, control panel, library, narrative builder, and generated narrative output.

Portal

Portal

  • Added a Recently Updated section to the main portal.
  • Added the same update section to the professional login portal.
  • Moved product updates underneath the main portal actions so the login and access choices stay first.
Control Panel

EMS Control Panel

  • Added disposition tiles for faster narrative setup.
  • Added default and last-used template behavior.
  • Added mobile-friendly EMS control navigation.
  • Reduced visual weight in the EMS control panel frame.
Library

Library

  • Added search, filter, and sort controls.
  • Added a Use in Setup action for saved templates.
  • Added confirmation prompts before deleting templates or saved tools.
Tools

EMS Tools

  • Improved the medication cheat sheet builder workflow.
  • Added medication reorder controls.
  • Added review status messaging for incomplete medication cards.
  • Added a preview summary for medication, push table, drip table, and concentration counts.
  • Added confirmation before removing a medication from a cheat sheet.
Narrative Builder

Narrative Builder

  • Added a multi-patient incident setup option with patient tabs and mixed dispositions.
  • Added shared incident context that can be imported into each patient tab.
  • Moved multi-patient shared incident setup into the builder as the first step, with dispatch, response, scene, agency, and MCI details applied across patient tabs.
  • Reframed multi-patient setup as a Multiple Patients / Shared Scene workflow and added patient-specific triage and scene details that import into each patient HPI.
  • Added patient assignment and handoff details to multi-patient setup, with clearer rendering for selected MCI type, EMS role, scene status, and unified command details.
  • Improved Trauma, Cardiac Arrest, and Advanced Airway HPI context imports so they read more like narrative sentences.
  • Expanded the Trauma context card with guided mechanism-of-injury details, MVC extrication fields, adult Rule of Nines burn estimates, and cleaner HPI paragraph rendering.
  • Added focused context cards for Stroke / Neuro Deficit, STEMI / Chest Pain, Behavioral / Restraint, OB Emergency, OB Delivery, and Newborn / Neonatal calls.
  • Added polished HPI, assessment, and intervention import support for the new emergency context cards.
  • Updated emergency context cards so their fields clearly match the builder sections they import into.
  • Added a Quick Build HPI option that helps create a call-story narrative from source, onset, progression, pre-arrival care, and patient-found details.
  • Added active-section narrative previews inside the builder.
  • Added non-blocking review notes for potential chart consistency issues.
  • Added quick phrase buttons for common transport, orders, and transfer notes.
  • Added a 30-minute inactivity timeout that clears the active session and returns to the correct EMS control page.
  • Hid Import From Context when no context cards are active.
Narrative Rendering

Narrative Output

  • Added dispatch priority to the rendered narrative.
  • Improved hospital contact and orders wording.
  • Deselected oxygen, ventilation, and EtCO2 details no longer render after their parent control is off.
  • Unchecked default values no longer appear in generated narrative text.
  • Refusal form status no longer renders unless it is documented.
EMS

Product Focus

  • Focused the current product experience on EMS workflows.
  • Kept professional and academic EMS workflows active.