v163 - April 30, 2026 Update

We are excited to announce the launch of 4D Scribe within the 4D EMR platform. It is a combined AI scribe and dictation option designed to simplify clinical documentation. In the Scribe mode it records the spoken conversation during the patient encounter into structured chart notes. It significantly reduces time spent on manual charting while maintaining clear and consistent records. For encounters such as operative reports, or for those who prefer dictation, Dictation mode can process that as well with straight speech-to-text. All offices will have access to a free two-week trial from May 1st through May 15th, during which 4D Scribe will be enabled automatically for all offices with access to patient charting (normally $175/month/user). A separate email will be sent on Friday describing how to use this trial feature.

In our last release, we announced the upcoming release of Memberships. Memberships provide a streamlined way to enroll patients in recurring packages of services and products. Memberships automatically handle billing the patient's saved credit card, generating the package, and expiring unused items in previous membership installments. You can view more information regarding Memberships and sign up for early access here: 4D EMR - Memberships.

Release 163 introduces the next Treatment Table: Neuromodulators. This update makes it easier for providers to document injection details and quickly convert them into chart notes that are automatically signed or routed for co-signature when needed.

This release also enhances the new patient entry process by automatically checking leads in addition to existing patient records after adding a new patient name, helping to prevent duplicates and improve data accuracy.

Also, the photo canvas now includes optional grid and facial oval overlays to support more consistent alignment and framing for before-and-after photos.

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.

Thank you all for being our partners!
Regards,
Rhyesa

Release Highlights

Treatment Tables - Neuromodulators

Release 163 includes the next Treatment Table option: Neuromodulators. The Neuromodulator Treatment Table can be found by going to Patients > Clinical > Treatment Tables > Neuromodulators. The Neuromodulator Treatment Table can be used to log lot numbers, expiration dates, and the number of units of any injectable configured as a neuromodulator in Practice > Products > Product List.

The table can be converted into a chart note using the +Chart Note button. These notes are created as stand-alone notes separate from visit notes, and they are automatically signed by the user when created. If the treatment note type is flagged as requiring provider co-signature, they will be sent to the provider for final review.

In order to use the Treatment Table along with Drawings in a chart note, it is recommended to first create the chart note from the Treatment Table. The signed note can be opened and edited to include the stamped drawing.

Convert Lead to New Patient from Add Patient Window

The system now automatically searches both existing leads and patient records when adding a new patient. This helps identify potential matches and prevents duplicate entries, allowing staff to confirm whether a record already exists before creating a new one, improving accuracy and efficiency.

Photo Grid and Facial Oval

The photo canvas now includes optional grid and facial oval overlays designed to improve photo consistency. These guides help position the subject more precisely, ensuring that before-and-after images are aligned, scaled, and framed in a uniform way. This makes it easier to compare results over time while maintaining a more professional and standardized presentation.

New Integration - Acurate Health

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Complete List of Version Changes

Improvements and New Features

S4M-8165 [4D Pay] Add 4D Pay support for Online Scheduling
S4M-8254 [Clinical] Add Neuromodulators to Treatment Tables
S4M-8333 [Integrations] New Arcuate Health integration
S4M-8187 [Media] Add grid and facial oval to the PhotoCompose canvas to assist with alignment
S4M-8267 [Money] Add Resend capabilities to Payment Requests
S4M-8212 [Patients] Convert Lead to New Patient from Add Patient Window
S4M-7962 [Reports] Add Summary Sorted By to the bottom of the Conversion by Staff report
S4M-8225 [Reports] Add ability to select multiple categories and staff in Revenue by Staff Report

Insurance billing

S4M-8174 Sync Admitted date to OpenPM
S4M-6976 Support up to 8 ICD-10 codes per claim
S4M-8176 Allow changing provider on invoices without impacting provider for chart notes

Bug Fixes

S4M-8087 [Money] Receipt for redeemed packages not appearing for printing in ledger
S4M-8329 [Money] Unable to select 'Complete Sale' or select different payment method after cancelling PatientFi transaction
S4M-8391 [Reports] Revenue by Staff reports truncate Anesthesia and Facility Fee Amounts in report total section