Oracle Accessibility Conformance Report

VPAT® Version 2.3 - April 2019

Name of Product:

Oracle Health Health Information Management (Win64) 2018.19

Product Description:

Health Information Management (HIM) is focused on the attainment of productivity gains and management control over all operations performed by medical records personnel. This solution provides an integrated set of applications and functionalities committed to the elimination of redundant data entry and the minimization of manual activities. The workflows test for this report are:

Patient Deficiency Analysis
Physician Deficiency Analysis
Task Queue
Chart Abstracting
Letters

Date:

01-Oct-2024

Contact Information:

accessible_ww@oracle.com

Notes:

Configuration & administrative tools and related documentation, support services, and implementation services for this asset are not included in the scope of this ACR.

Dependent Products

This product interacts with or is built with the other Oracle products listedin this section. Click below to view information about the accessibility ofthese dependent products. Products listed are the versions available at thetime of publication of this document; newer documents may be available that supersedethese versions.

Oracle Health & AI Product Documentation Cerner Wiki 8.5.4

Evaluation Methods Used:

Oracle's policy is to design, develop and test both products and documentation to be accessible. The recommended styles of testing for accessibility include: (i) algorithmic automated tests, (ii) human judgement tests such as tool-assisted tests, visual inspection and manual operation, and (iii) testing with assistive technology by people with and without disabilities. Additional information about Oracle's accessibility program is available on http://www.oracle.com/corporate/accessibility/index.html

Accessibility Standards/Guidelines

This report covers the degree of conformance for the following accessibility standard/guideline:

Standard/Guideline	Included In Report
Web Content Accessibility Guidelines 2.1	Level A - Yes Level AA - Yes Level AAA - No
Revised Section 508 standards published January 18, 2017 and corrected January 22, 2018	Yes

Terms

The terms used in the Conformance Level information are defined as follows:

Supports: The functionality of the product has at least one method that meets the criteria without known defects or meets with equivalent facilitation.
Partially Supports: Some functionality of the product does not meet the criteria.
Does Not Support: Majority of functionality of the product does not meet the criteria.
Not Applicable: The criteria are not relevant to the product.

WCAG 2.1 Report

Table 1 also documents conformance with:

Section 508: Chapter 5 - 501.1 Scope, 504.2 Content Creation or Editing, and Chapter 6 - 602.3 Electronic Support Documentation

Note: When reporting on conformance with the WCAG 2.1 Success Criteria, they are scoped for full pages, complete processes, and accessibility-supported ways of using technology as documented in the WCAG 2.1 Conformance Requirements.

Table 1: WCAG Conformance Criteria

Criteria	Conformance Level	Remarks and Explanations
1.1.1 Non-text Content (Level A)	Supports	The product was tested for: Images that convey information have meaningful alternative text. Images that are decorative are implemented in a way that it can be ignored by assistive technology.. Titles for Objects and Applets are provided. Controls have an associated name. Non-text characters are not used or have a meaningful alternative text. CAPTCHAs are not used.
1.2.1 Audio-only and Video-only (Prerecorded) (Level A)	Not Applicable	The product has no multimedia.
1.2.2 Captions (Prerecorded) (Level A)	Not Applicable	The product has no multimedia.
1.2.3 Audio Description or Media Alternative (Prerecorded) (Level A)	Not Applicable	The product has no multimedia.
1.2.4 Captions (Live) (Level AA)	Not Applicable	The product has no multimedia.
1.2.5 Audio Description (Prerecorded) (Level AA)	Not Applicable	The product has no multimedia.
1.3.1 Info and Relationships (Level A)	Partially Supports	The product was tested for: User interface component labels are associated with the fields they are labeling. Relationships between data are identifiable by assistive technology, or a description of the information and the relationship is provided. Information about headings, lists and tables is exposed to assistive technologies using accessibility services provided by the platform software. Groups of components are described with a description of the grouping. Exception: HIM Task Queue task table is not defined as a table and does not relay information accurately to a screen reader. (HIMSUP-5729) HIM Chart Abstracting has a table in the encounter location pop-up is not properly coded as a table. Therefore, information is not being properly relayed to a screenreader user because rows and columns are not properly defined. (HIMSUP-5813) Content in the View Codes pop-up is read without context, out of sequence, and is not accurate within in HIM Chart Abstracting. (HIMSUP-5742)
1.3.2 Meaningful Sequence(Level A)	Supports	The product was tested for: The sequence of elements presented by assistive technologies matches a logical reading sequence.
1.3.3 Sensory Characteristics(Level A)	Supports	The product was tested for: Instructions provided do not refer to things solely based on their sensory characteristics such as shape, size, visual location, orientation, color, or sound. Instructions provided which refer to graphics included a reference to the text alternative of the graphic.
1.3.4 Orientation (Level AA)	Supports	The product was tested for: Text is displayed in both device orientations without loss of functionality or visibility of the text.
1.3.5 Identify Input Purpose (Level AA)	Not Applicable	Technologies that do not provide attributes that support identifying the expected meaning for the form input data are not in scope for this success criterion.
1.4.1 Use of Color(Level A)	Partially Supports	The product was tested for: Information conveyed by color is available in alternative formats, such as shape, text, font weight. Information conveyed by color has a contrast ratio of at least 3:1. Exception: Color is used as the only visual means of conveying information in HIM Letters. (HIMSUP-5744)
1.4.2 Audio Control(Level A)	Not Applicable	The product has no multimedia.
1.4.3 Contrast (Minimum) (Level AA)	Partially Supports	The product was tested for: Large-scale text and images of large-scale text have a contrast ratio of at least 3:1. Other text and images of text have a contrast ratio of at least 4.5:1. Exception: The Demographics section in HIM Chart Abstracting does not meet the minimum contrast when default color settings are utilized. (HIMSUP-5740)
1.4.4 Resize text(Level AA)	Partially Supports	The product was tested for: Text can be resized up to 200% without loss of content or functionality. Exception: HIM Patient Deficiency Analysis: The Personnel Quick Pick and Remove elements are not visible at 200% (HIMSUP-5857) HIM Physician Deficiency Analysis: Content in the Vistis/Deficiencies section do not display at 200%. (HIMSUP-5858) HIM Letters: Buttons overlap and prevent users from completing tasks. (HIMSUP-5859)
1.4.5 Images of Text(Level AA)	Supports	The product was tested for: Images of text are not used.
1.4.10 Reflow (Level AA)	Not Supported	The product was tested for: Text information reflows so that only one direction of scrolling is required while at 400% zoom. Content that requires two-dimensional layout only presents scroll bars in the component used to present the two-dimensional content. Exception: Users are unable to scroll in: HIM Patient Deficiency HIM Physician Deficiency HIM Letters (HIMSUP-5860) HIM Task Queue: Users are unable to view contents of table when status bar is present The organization selection box and task type boxes overlap at the top of the screen (HIMSUP-5860) HIM Chart Abstracting: Users are unable to scroll Visits section on the left and cannot see contents of table unless the status bar is removed (HIMSUP-5860) Users are unable to scroll Forms section on the right; cannot see contents of forms list unless the status bar is removed (HIMSUP-5860)
1.4.11 Non-text Contrast (Level AA)	Supports	The product was tested for: Non-text items have a contrast ratio of at least 3:1.
1.4.12 Text Spacing (Level AA)	Not Applicable	There is no content implemented using markup languages that support editing the text style properties in this criteria.
1.4.13 Content on Hover or Focus (Level AA)	Partially Supports	The product was tested for: Dismissable - The content can be dismissed without moving the pointer or keyboard focus. Hoverable - When pointer hover triggers additional content, the pointer can be moved over the additional content without the additional content disappearing. Persistent - The additional content remains visible until the hover or focus trigger is removed, the user dismisses it, or its information is no longer valid. Exception: Unable to dismiss tooltips in HIM Task Queue (HIMSUP-5732) Tooltips are not dismissable, hoverable, or persistent in HIM Chart Abstracting (HIMSUP-5724)
2.1.1 Keyboard(Level A)	Partially Supports	The product was tested for: Ability to perform functions from the keyboard only, and without requiring specific timings for individual keystrokes. Proper operation of unique keystrokes and access keys, including those listed in the product documentation. The ability to use the product with OS keyboard aids: StickyKeys and FilterKeys (feature names may be different on different platforms). Exception: HIM Task Queue: Task table is not keyboard navigable. (HIMSUP-5722) The application menu bar not keyboard navigable. (HIMSUP-5731) HIM Chart Abstracting: Main toolbar, Application toolbar, Demographics section within the main screen and Action toolbar within the notes dialog are not keyboard navigable. (HIMSUP-5725)
2.1.2 No Keyboard Trap (Level A)	Supports	The product was tested for: Movement of focus through each control only using the keyboard, with no "keyboard trap" that prevents focus from moving away from any control.
2.1.4 Character Key Shortcuts (Level A)	Supports	The product was tested for: There are no single character keyboard shortcuts.
2.2.1 Timing Adjustable(Level A)	Not Applicable	The product was tested for: Time limits are not used.
2.2.2 Pause, Stop, Hide (Level A)	Supports	The product was tested for: There is no moving, blinking, scrolling or auto-updating content.
2.3.1 Three Flashes or Below Threshold(Level A)	Supports	The product was tested for: No portion of the screen flickers or flashes with a frequency between 2 Hz and 55 Hz.
2.4.1 Bypass Blocks(Level A)	Supports	Oracle non-Web software products, including bundles and suites of software, do not behave as a set of software programs as the term is defined. Therefore this guideline is always automatically met.
2.4.2 Page Titled(Level A)	Supports	The name of the software application describes the topic or purpose.
2.4.3 Focus Order(Level A)	Supports	The product was tested for: Logical movement through the focusable components using only the keyboard, in an order that follows a meaningful sequence.
2.4.4 Link Purpose (In Context)(Level A)	Not Applicable	The product was tested for: Links are not used in the product.
2.4.5 Multiple Ways(Level AA)	Supports	Oracle non-Web software products, including bundles and suites of software, do not behave as a set of software programs as the term is defined. Therefore this guideline is always automatically met.
2.4.6 Headings and Labels(Level AA)	Partially Supports	The product was tested for: Headers describe the topic or purpose of the content below them. Labels describe the purpose of the associated field. Exception: HIM Task Queue does not have labels for the Task Type selection button/field (HIMSUP-5733)
2.4.7 Focus Visible(Level AA)	Supports	The product was tested for: Visual indication of the location of the focus.
2.5.1 Pointer Gestures (Level A)	Not Applicable	The product was tested for: There are no multipoint or path-based gesture actions.
2.5.2 Pointer Cancellation (Level A)	Partially Supports	The product was tested for: When an operation uses a single pointer, the down-event of the pointer is not used to execute any part of the function. When an operation uses a single pointer, completion of the function is on the up-event, and a mechanism is available to abort the function before completion or undo the function after completion. When an operation uses a single pointer, the up-event reverses any outcome of the preceding down-event. Exception: When HIM Task Queue users select a task column to reorder, they are unable to cancel the selection of the column or undo reordering the column after the up-event. (HIMSUP-5750)
2.5.3 Label in Name (Level A)	Partially Supports	The product was tested for: User interface components that include text or images of text and have a label, have a name that contains the text that is presented visually. Exception: The columns in the HIM Task Queue task table component do not have names corresponding to the text that is presented visually. (HIMSUP-5845)
2.5.4 Motion Actuation (Level A)	Supports	The product was tested for: There are no functions that require motion of the device.
3.1.1 Language of Page(Level A)	Not Supported	The product was tested for: The application uses the software platform's "locale / language" setting. The application uses an accessibility supported method for assistive technology to determine the "locale / language" setting. Exception: HIM Task Queue, HIM Letters, HIM Patient Deficiency, HIM Physician Deficiency, and HIM Chart Abstracting do not honor the operating system language settings. (HIMSUP-5734)
3.1.2 Language of Parts(Level AA)	Not Applicable	The product was tested for: There are no passages of text that are different then the language of the application.
3.2.1 On Focus(Level A)	Supports	The product was tested for: When an element receives focus, it does not result in a substantial change to the page, an additional change of keyboard focus, or the spawning of a pop-up window.
3.2.2 On Input(Level A)	Supports	The product was tested for: Changes in the value of user interface components does not result in a substantial change to the page, an additional change of keyboard focus, or the spawning of a pop-up window. In circumstances where changing the value of the components causes a substantial change to the page, an additional change of keyboard focus, or the spawning of a pop-up window, warning is given prior to the user interacting with those user-interface components.
3.2.3 Consistent Navigation(Level AA)	Not Applicable	The product was tested for: There are no navigational elements that are repeated.
3.2.4 Consistent Identification(Level AA)	Supports	The product was tested for: Images and controls are used and identified consistently throughout the product.
3.3.1 Error Identification(Level A)	Supports	The product was tested for: When input errors are detected, they are described to the user in text, including identifying the item where the error occurred.
3.3.2 Labels or Instructions (Level A)	Partially Supports	The product was tested for: Labels or instructions are provided when the product requires user input. Exception: No instructions are provided for the Task Type Selection button in HIM Task Queue. (HIMSUP-5846)
3.3.3 Error Suggestion (Level AA)	Supports	The product was tested for: Where suggestions for fixing an input error are known, they are provided to the user.
3.3.4 Error Prevention (Legal, Financial, Data)(Level AA)	Supports	The product was tested for: Submissions can be reversed by the user. Data is checked for input errors with an opportunity for the user to correct them. Data can be reviewed, corrected, and confirmed by the user before they are finalized.
4.1.1 Parsing(Level A)	Supports	This criterion is considered as always satisfied for any content using HTML or XML.
4.1.2 Name, Role, Value (Level A)	Partially Supports	The product was tested for: Controls have a programmatically associated name. Additional state information is programmatically exposed for controls, such as whether a field is ‘required’. Custom controls have appropriate roles specified using the role attribute. Custom controls have appropriate state and property information conveyed. Custom controls have a meaningful programmatically exposed name. Exception: HIM Task Queue table does not incude name, role, or value information. (HIMSUP-5847) The following elements have name, role, or value errors in HIM Chart Abstracting: Application menu toolbar Labels of custom input fields Action toolbar within the notes dialog Visits Section Encounter Location History pop-up View Codes (add codes) pop-up Notes Icon in Patient Demographic Bar (HIMSUP-5862)
4.1.3 Status Messages (Level AA)	Not Applicable	The product was tested for: There are no status messages.

2018 Section 508 Report

Chapter 3: Functional Performance Criteria (FPC)

Criteria	Conformance Level	Remarks and Explanations
302.1 Without Vision	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.2 With Limited Vision	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.3 Without Perception of Color	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.4 Without Hearing	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.5 With Limited Hearing	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.6 Without Speech	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.7 With Limited Manipulation	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.8 With Limited Reach and Strength	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.
302.9 With Limited Language, Cognitive, and Learning Abilities	Not Applicable	The product does not rely on equivalent functionality, and all aspects are addressed by the technical standards.

Chapter 4: Hardware

These criteria are all Not Applicable because the product is not Hardware

Chapter 5: Software

Criteria	Conformance Level	Remarks and Explanations
501.1 Scope - Incorporation of WCAG 2.0 AA	Supports	See the responses in the WCAG 2.0 section of this report.
502 Interoperability with Assistive Technology	Heading cell - no response required	Heading cell - no response required
502.2.1 User Control of Accessibility Features	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.2.2 No Disruption of Accessibility Features	Partially Supports	The product was tested for: Does not disrupt platform accessibility features such as sticky keys, high contrast and large fonts. Exception: HIM Task Queue, HIM Letters, HIM Patient Deficiency Analysis, HIM Physician Deficiency, and HIM Chart Abstracting do not honor operating system font changes except for the Menu bar. (HIMSUP-5735) HIM Chart Abstracting does not honor operating system high contrast changes. (HIMSUP-5741)
502.3 Accessibility Services	Heading cell - no response required	Heading cell - no response required
502.3.1 Object Information	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.2 Modification of Object Information	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.3 Row, Column, and Headers	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.4 Values	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.5 Modification of Values	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.6 Label Relationships	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.7 Hierarchical Relationships	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.8 Text	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.9 Modification of Text	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.10 List of Actions	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.11 Actions on Objects	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.12 Focus Cursor	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.13 Modification of Focus Cursor	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.3.14 Event Notification	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
502.4 Platform Accessibility Features	Not Applicable	The product is not a platform or does not have access to platform accessibility features.
503 Applications	Heading cell - no response required	Heading cell - no response required
503.2 User Preferences	Partially Supports	The product was tested for: Responds to platform settings for color, contrast, font type, font size, and focus cursor. Exception: HIM Task Queue, HIM Letters, HIM Patient Deficiency Analysis, HIM Physician Deficiency, and HIM Chart Abstracting do not honor operating system font changes except for the Menu bar. (HIMSUP-5735) HIM Chart Abstracting does not honor operating system high contrast changes. (HIMSUP-5741)
503.3 Alternative User Interfaces	Not Applicable	The product does not have assistive technology features.
503.4 User Controls for Captions and Audio Description	Heading cell - no response required	Heading cell - no response required
503.4.1 Caption Controls	Not Applicable	The product has no multimedia.
503.4.2 Audio Description Controls	Not Applicable	The product has no multimedia.
504 Authoring Tools	Heading cell - no response required	Heading cell - no response required
504.2 Content Creation or Editing	Not Applicable	The product is not an authoring tool.
504.2.1 Preservation of Information Provided for Accessibility in Format Conversion	Not Applicable	The product is not an authoring tool.
504.2.2 PDF Export	Not Applicable	The product is not an authoring tool.
504.3 Prompts	Not Applicable	The product is not an authoring tool.
504.4 Templates	Not Applicable	The product is not an authoring tool.

Chapter 6: Support Documentation and Services

Criteria	Conformance Level	Remarks and Explanations
602 Support Documentation	Heading cell - no response required	Heading cell - no response required
602.2 Accessibility and Compatibility Features	Partially Supports	The product documentation describes: Accessibility modes, either at installation or runtime. Special keystrokes needed to operate controls. Workarounds. Accessibility-related documentation can be found at: Accessibility in Patient Deficiency Analysis Accessibility in Physician Deficiency Analysis Accessibility in Letters Exception: HIM Task Queue and HIM Chart Abstracting do not have accessibility documentation. (HIMSUP-5736)
602.3 Scope - Incorporation of WCAG 2.0 AA	Supports	See the responses in the WCAG 2.0 section of this report.
602.4 Alternate Formats for Non-Electronic Support Documentation	Not Applicable	Product documentation is in electronic format.
603 Support Services	Heading cell - no response required	Heading cell - no response required
603.2 Information on Accessibility and Compatibility Features	Supports	Oracle Health Products are supported by several operations teams who can provide accessibility support solutions to customers.
603.3 Accommodation of Communication Needs	Supports	Oracle customers have access to electronic support through eService or by calling Oracle Health Support at 1.866.221.8877. Hearing-impaired customers in the U.S. who wish to speak to an Oracle Health Support representative may use a telecommunications relay service (TRS). Information about the TRS is available at http://www.fcc.gov/cgb/consumerfacts/trs.html, and a list of telephone numbers is available at https://www.fcc.gov/general/telecommunications-relay-services-directory. International hearing-impaired customers should use the TRS at +1.605.224.1837. Oracle Health Support will respond to technical issues according to the standard service request process.

Oracle Legal Disclaimer

The information above describes this product's ability to support the applicableStandards/Guidelines, subject to Oracle's interpretation of those standards(available at https://www.oracle.com/corporate/accessibility/policy.html#standards-tab) and the remarks in this document. For more information regarding the accessibility status of this product or other Oracle products, see http://www.oracle.com/corporate/accessibility or contact: accessible_ww@oracle.com.

This document is provided for information purposes only and the contents hereof are subject to change without notice. Oracle Corporation does not warrant that this document is error free, nor does it provide any other warranties or conditions, whether expressed orally or implied in law, including implied warranties and conditions of merchantability or fitness for a particular purpose. Oracle Corporation specifically disclaims any liability with respect to this document and no contractual obligations are formed either directly or indirectly by this document. Oracle further makes no representation concerning the ability of assistive technologies or other products to interoperate with Oracle products. This document addresses the named product(s) only and not prerequisite products for which Oracle supplies restricted use licenses.