v153 - December 12, 2025 Update | 4th Dimension EMR Help Center

The Commission and Gratuity report received some highly anticipated updates in release 153. In an earlier release, we added deducting the Cost of Goods from the commissions for products sold. 153 expands this to also deduct the Cost of Goods of any staff services performed and any linked supply items associated with services.

A complete list of new features, improvements, and bug fixes is provided below. If you have any questions, please contact the 4D EMR Support Team at support@4d-emr.com or by 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.

4D EMR will be closed on December 25th and 26th for Christmas and January 1st and 2nd for New Year's. Support requests can be submitted by emailing support@4d-emr.com or leaving a voicemail at 844-878-2434.

Thank you all for being our partners!
Regards,
Rhyesa

Release Highlights

Updates to Commission and Gratuity Report

Cost of Goods and Services

If configured correctly, the Commission & Gratuity Report will optionally deduct the cost of goods of linked inventory items and/or "shop costs" from Staff Services for calculating commissions.

The Cost of Goods for any inventory items (left image above) linked to a staff service will now be included in the optional Cost of Goods deduction on the commission report.

A new Cost of Goods setting has been added to the Staff Services setup screen (right image above). This can be used to add the cost of goods to a staff service instead of, or in addition to, the cost of goods associated with linked inventory items.

Additional Filtering

The Commission & Gratuity has been updated to include a new filter for separating commissions from gratuity payments.

Itemized Unapplied List in Money

A new tooltip has been added to the shopping cart that will display an itemized listing of any unapplied payments on a patient's account. This tooltip is displayed when hovering over the Available Credit message.

Complete List of Version Changes

Improvements and New Features

S4M-7759 [Charting] Add encounter date to title of chart note when emailing from 4D EMR
S4M-6488 [Money] Display itemized unapplied payment list in Money
S4M-7919 [Permissions] Add New Staff Permission - Read Notes
S4M-7475 [Report] Add a commission/gratuity filter to Commission & Gratuity Report
S4M-7873 [Report] Add better disclaimer about rounding in Tax Summary Report

Bug Fixes

S4M-7624 [Admin] Unable to type RGB or Hex color code for appointment type color
S4M-7861 [Admin] Newly created facilities (Offices, Locations, Hospitals, Surgery Facilities) should have the option to enable/disable calendar for them
S4M-7826 [Clinical] Can't save note for patient if it's merged after starting the note
S4M-7903 [Forms & Scans] Can't insert signature
S4M-7869 [Quotes] The provider filter for Quote Reports do not include non-provider staff allowed to be quote providers
S4M-7935 [Reports] Commission & Gratuity Report not calculating COG on invoices
S4M-7848 [Schedule] Appointment Responsible Provider is not always set to doctor during a multiple resource appointment
S4M-7853 [Schedule] Appointments cannot be drag-dropped to non-staff calendars when appointment type is not available to all providers