151 - November 6, 2025 Update

3 min. readlast update: 01.05.2026
Release 151 is a smaller release with fewer changes compared to some of our recent releases. However, it contains many backend improvements and lays the groundwork for future releases. 

The most noticeable changes in Release 151 are the ability to share your screen with patients during telehealth visits and the ability to configure services to allow custom pricing during checkout. 

As always, a complete listing of all new features, improvements, and bug fixes can be found below. If you have any questions about these changes, please contact the 4D EMR Support Team by emailing support@4d-emr.com or calling 844-878-2434.

If you have a suggestion of a new feature or improvement you would like to see added to 4D EMR, you can submit it via our Feature UpVote board found at https://4demr-requests.featureupvote.com/. With our Feature UpVote board, you can submit new suggestions, vote on those submitted by other practices, and track the status of existing suggestions.

Thank you all for being our partners!
Regards,
Rhyesa
 
Release Highlights
Share Screen During Telehealth Sessions
Release 151 adds the ability to share your screen with the patient during TeleHealth visits. After clicking "Share Screen," you will be prompted to select what you wish the patient to view. You can choose either a single browser tab, any open program, or your entire screen.
Custom Fees for Services
Staff Services can now be configured to allow custom fees during checkout. This setting is enabled by editing the service itself (Practice > Admin > Money > Staff Services > Services) and checking the "Custom Fees Allowed" box.

When enabled, a new Price field is included on the popup when adding the service to the cart, allowing you to set a custom fee for that patient.


Complete List of Version Changes 

Improvements and New Features
  • S4M-7483 [Clinical] Allow Bulk Cosigning of Chart Notes when "Multiple Cosigner" feature is enabled
  • S4M-7747 [Clinical] Enable screen sharing in Telehealth
  • S4M-6945 [Money] Custom Fees for Services set during Checkout
  •  
  • S4M-7646 [Reports] Improvements to Future Appointments Report
  • S4M-7756 [Schedule] Cancel single Placeholder from schedule without entering Placeholder view
  • S4M-7635 [TEPE] Annual patients consents now sent via TEPE automatically
  • S4M-7764 [Money] Increase length of time allowed to modify commissions to 90 days  

Insurance billing

  • S4M-7429 Add multiple instances of CPT code with different modifiers
Bug Fixes  
  • S4M-7750 [Clinical] Schnurr scale not respecting setting
  • S4M-7547 [Insurance] OpenPM integration pulling incorrect patient balances
  • S4M-7777 [Insurance] Slowness entering insurance payments
  • S4M-7760 [Patients] AdvancedPatientSearch times out
  • S4M-7740 [Products] Increase length of inventory note field
  • S4M-7769 [Products] Error when trying to save new product without adding any details
  • S4M-7744 [Quotes] Unable to change the facility amount in a quote
  • S4M-7786 [Quotes] Prepayments made towards packages included on quotes not included in balances due
  • S4M-7525 [Schedule] Current time arrow and line loses focus when navigating across calendar view options
  • S4M-7800 [Schedule] Online Scheduling Template cannot be created or edited
  • S4M-7763 [Schedule] New appointment type cannot be created
 
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