DLM 460 - Vision Release 460 - Vision... · 2014-05-30 · DLM 460 - Vision Release User Guide...

Copyright © INPS Ltd 2014

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Vision 3

DLM 460 - Vision Release User Guide

Online Services/My Health Online

Consultation Manager

Test Requesting

England – EPS, GP2GP

Scotland – ePharmacy, Organ Donation, ECS, SCI Pathology, Immunisation Extracts

Daybook Bug Fixes

Registration

Mail Manager

GP Communicator

Vision+

CPRD

THIN

http://www.inps.co.uk/

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Contents

DLM 460 - VISION RELEASE 7

Summary of Changes 7

Summary of Changes - Online Services and My Health Online 13

DLM 460 VISION RELEASE 16

Vision Front Screen 16

Consultation Manager Changes 17 QRISK Update 17

Consultation Manager Changes 23 NHS Specialities 23 Staff Names in Referral List - Bug Fix 23 Note Pad Keyboard Shortcut - Bug Fix 24 Problems Update 24 Cervical Cytology SDA Additions 25 Immunisation - MMR Status of Refusal 25

Therapy Changes 25 Therapy Display Updated - Highlighting Therapy 25 Prescription Name Change 26 Linking Medication to Problems 27

New Problem Column in Therapy Screens 28 Force Reauthorise Update 29 Bug Fix - Therapy Replace 30 Bug Fix (England) - Repeat Until Date when reauthorising drugs 31

Vision+ Changes 31 Prescribing from Vision+ 31 ScriptSwitch 32

Registration Changes 33 Main Address - Road name contains invalid characters 33 Registration Warning Message 33

Daybook Changes 34 Bug Fix - Daybook Audit Trail 34 Bug Fix - DLM 430 Task Templates Due Date 34

Mail Manager Changes 34 Auto-Allocating Messages for Inactive Staff 34 Kettering Messages 34

GP Communicator Changes 36

iv

Suspend Polling Message 36

Test Requesting Changes 37 New Test Request Button in Consultation Manager 37 tQuest Only - Radiology Test Requests 37

CPRD Data Collection Changes 38 General Changes 38

Removal of Define Collection Type 38 Removal of Email Option 38 Browse Option 38 Additional Information on Error Messages 39

Start Collection Changes 39 General Collection Process Changes 40

Change to Daily and Monthly Automatic Collection Names 40 Creating a Zip File 40 Check for Zip Files at the Start of a Collection 40 Deleting Files at the Start of a Collection 41 Event Log 41

New Entities to be Collected 41

Data Collection Changes 42 The Health Information Network (THIN) 42

Running the THIN Catch-up Collection 43

England Changes 49 Bug Fixes - Electronic Prescription Service - England 49

Bulk Signing Window 49 Nominated Appliance Contractors 49 Cancelling Post-dated EPS Prescriptions 49

GP2GP 50 Registration Warning 50 Compound Immunisations 51

Scotland Changes 59 Health Protection Scotland - Immunisation Extracts 59

Introduction 59 Seasonal Flu Level 8 Extract 59 Shingles Level 8 Extract 61 Rotavirus Level 8 Extract 62

ePharmacy (AMS and CMS) Reprinting 66 Chronic Medication Service - Scotland 68

Bug Fix - CMS Reprinting 68 Force Re-authorise Now Available for CMS Therapy - Add 68

Emergency Care Summary (ECS) Management - Scotland 69 Emergency Care Summary - Current Medication 69 Key Information Summary (KIS) - Self Management Plan 69 Key Information Summary and Palliative Care Summary - Resuscitation Status70 Issue Displaying or Entering Data on the ECS Summary Management Screen 71

SCI Pathology - Scotland and Northern Ireland 72 Serum Ferritin 72 Duplicated Messages 72 Mail Manager Duplicate Message Option - Scotland 72

Scottish Organ Donation - Change of Mind 73 Scottish Prison Service - SPIN Number in Appointments 74

Scotland and Northern Ireland Changes 79

v

SCI Referral Update to Patient Details Document Version 1.5 79

Online Services - MHOL Changes 80 View Unavailable Repeats 80 Practice ID Change 81 Online DNA Limit Reached 82

INDEX 83

7

DLM 460 - Vision Release

Summary of Changes 28 May 2014

DLM 460 brings the following changes to Vision:

Vision Front Screen

Daybook pane - It is no longer possible for the Daybook pane on the front screen to be switched off. See Vision Front Screen (page 16).

Consultation Manager

New Icon for Electronic Test Requesting - To make it easier to

access electronic test requesting, we have added a new Test

Requesting button to the Consultation Manager toolbar. See New

Test Request Button in Consultation Manager (page 37). This is button

displays inactive if you are not currently using electronic test

requesting.

QRISK Cardiovascular Calculator - DLM 460 updates the

QRISK calculator within Vision to the latest 2013 version. This ensures

the QRISK results are as accurate as possible and match the results

from the QRISK website. There have been changes to age range, smoking, atrial fibrillation and diabetes. See QRISK (page 17).

NHS Specialties Updated - We have updated the NHS specialty

lists throughout Vision to match the latest NHS dictionary specialties.

The following have been added: Endodontics, Prosthodontics,

Paediatric Cardiology,Tropical Medicine, Community Sexual and Reproductive Health, Public Health. See NHS Specialities (page 23).

Problems Update - When adding a problem the Current Problem

dialogue box now displays the selected data which will be added to the problem. See Problems Update (page 24).

New Cervical Cytology Read codes from Q3 2013 Read

Dictionary have been added to the Cervical Cytology structured data

area. See Cervical Cytology SDA Additions (page 25).

Bug Fix - Referral - Add Clinician List - Existing staff who also

have a previous inactive Vision account are now displayed in the

Referral Add Clinician List. See Staff Names in Referral List - Bug Fix

(page 23).

8

Bug Fix - Notepad Keyboard Shortcut - We have reinstated the

menu and keyboard shortcut for notepad in Consultation Manager. You

can now access this by clicking Add - Notepad or pressing Alt A+N,

thus allowing it to be used in macros. See Note Pad Keyboard Shortcut - Bug Fix (page 24).

Bug Fix - Immunisation - MMR Changes - If you record MMR

with a status of Refusal it now clears the immunisation due warning

from the Alert section in the navigation pane, the Alert form and the

Immunisation screen.The alert will remain in place if the status is

"Given" or "Advised". See Immunisation - MMR Status of Refusal (page 25).

Bug Fix - Guideline - When adding a clinical data hotspot for

seasonal influenza, the Read code now correctly defaults to 65ED100 Administration of first intranasal seasonal influenza vaccination.

Therapy

Therapy display - Highlighting Therapy - When highlighting a

therapy item, the details are now displayed in white text. See Therapy Display Updated - Highlighting Therapy (page 25).

Prescription Name Change - Drug details now list items as NHS

or Non NHS rather than FP10/non-FP10 as this was only relevant to England. See Prescription Name Change (page 26).

Linking Medication to Problems - When adding/reauthorising

medication, if problem population is enabled when presented with the

Add Problem window, the drug being linked is displayed. There is a

new column and icons to show which repeat items are linked to a problem. See Linking Medication to Problems (page 27).

Force Reauthorise Update - Force reauthorise has been

updated to enable all prescribers to reauthorise. See Force Reauthorise Update (page 29).

Dispensing Label Printing - From DLM 460, all label warnings

are be selected for label printing by default. You can deselect

non-mandatory warnings that you don't want to print but you are not permitted to deselect any mandatory warnings.

Bug Fix - Therapy Replace - Therapy replace has been fixed to

correct a problem with drug dosages being changed. See Update to

Therapy Replace (page 30).

Bug Fix (England) - Repeat Until Date Update - For English

practices, when logged in with your Smartcard, Vision no longer

removes the repeat until date when reauthorising repeat items. See

Update to fix Repeat Until Date when reauthorising drugs (page 31).

Vision+

ScriptSwitch and Vision+ - ScriptSwitch is now compatible

when prescribing from Vision+. See Prescribing from Vision+ (page

31).

9

Prescribing Drug Defaults - If you prescribe a drug from

Vision+ the drug defaults are now automatically populated. See Prescribing from Vision+ (page 31).

Appointments

Bug Fix - Dragging and dropping appointments to a different time now works effectively.

Registration

New Warning Screen - When opening the Registration Module, a

new warning will appear if you have any outstanding unacknowledged

acceptances or incoming transactions older than 7 days in Registration Links. See Registration Warning Message (page 33).

Character Validation in Patient Address - When you add or

edit an address entry in Registration, Vision now checks that the

characters entered are valid. See Main Address Road Invalid Characters (page 33).

Daybook

Audit trail - The audit trail within Daybook has been updated to

display the staff member that completed a task. See Daybook Audit Trail (page 34).

Bug Fix - Task Template - The problem with Daybook task due

dates with spaces causing exception errors has now been fixed. See Pre DLM 430 Task Templates Due Date Fixed (page 34).

Mail Manager

Messages for inactive staff are now posted to Unallocated mail.

Kettering Messages - Discharge Summaries/Out of Hours -

It is now possible to file Kettering messages with the clinical event date

rather than the system date. See Kettering Messages - Discharge Summaries/Out of Hours Messages (page 34).

We have made some behind the scene changes to the Mail

Manager which means that performance speed when navigating the message list by up\down arrow or up\down page is greatly improved.

GP Communicator

Suspend Polling Message - The GP Communicator - Options

- Scheduler screen has been updated to explain that Task Exclusion

times set up in Mail Gateway will also suspend polling in GP Communicator. See Suspend Polling Message (page 36).

Control Panel

Bug Fix - You can now add existing staff who also have a

previous inactive Vision account to Staff Groups in Control Panel - File Maintenance.

10

Electronic Test Requesting

A Test Request Button is now on the Consultation Manager tool bar.

Radiology Requests are now included in tQuest Electronic Test

Requesting. See Radiology Test Requests (page 37).

CPRD

We have made some general changes to the CPRD (formerly GPRD)

module:

CPRD - GPRD is now known as CPRD.

Define Collection Type - Option has been removed.

Email option - Removed from Start Collection and Copy to Media.

Browse - Updated to a standard Windows Folder Select screen.

Error messages - Updated with additional information for the INPS

helpline.

Start Collection

Automatic Copy to Media - Tick box removed.

Browse - Button enabled and populated with the last destination

used.

Removable Storage Devices - Automatically detected.

.ZIP file - Held in P:\Extract if there are any issue during transfer.

General Collection Process

Prefixes - Automatic collection prefixes M and D are introduced.

Check for .ZIP file - To prevent an unsent .ZIP being overwritten in

error.

Creation of .Zip file - At the end of every collection.

New Entities Collected.

See General Collection Process Changes (page 40).

MIQUEST

Problems Included in Searches - We have now included Problems in Journal extracts for MIQUEST searches.

THIN

There are four new clinical entities being collected by the The

Health Information Network (THIN) data collecting process. A catch-up

collection therefore needs to be run and sent. See Running the THIN Catch-up Collection (page 43).

England

Electronic Prescription Service - England

Bug Fix - Bulk Signing Window - A fix has been made to the

Bulk Signing window to ensure that when an item is cancelled from an

EPS prescription, the details are viewable on the rejection tab. Also,

11

Consultation Manager no longer crashes when selecting "Print as FP10" from the bulk signing window. See Bulk Signing Window (page 49).

Bug Fix - Electronic prescriptions with Nominated Appliance

Contractors no longer disappear from the Prescription Manager screen. See Nominated Appliance Contractors (page 49).

Bug Fix - Individual items from a post dated EPS prescription can

no longer be cancelled. See Cancelling Post-dated EPS Prescriptions

(page 49).

Bug Fix - Reprocessing ETP messages in transmission error no

longer results in the message being duplicated and rejected.

GP2GP

New Registration Warning Message - When you log into Vision

without a Smartcard, you now see a new warning message when you

access the Registration module. The warning alerts you that no Smartcard has been detected. See Registration Warning (page 50).

Compound Immunisations - Compound immunisations that

form part of a GP2GP message are now broken down into the

constituent items and the correct Read code recorded. See Compound Immunisations (page 51).

Scotland

Health Protection Scotland - Immunisation Extracts

Health Protection Scotland (HPS) has introduced three additional

reports for their electronically collected Immunisation Programme 2013

- 14. The new reports extract information about patient conditions and

diagnoses related to Flu, Shingles and Rotavirus. See Health Protection Scotland - Immunisation Extracts (page 59).

ePharmacy (AMS and CMS)

Reprinting - We have made some changes to the way you can

reprint AMS and CMS prescriptions:

When reprinting a prescription, you cannot reprint the prescription if

the selected prescriber in Prescription Manager differs from the

original signer of the prescription.

When reprinting a prescription, if the number of pages used differs

from the original, the prescription will not be reprinted.

See ePharmacy (AMS and CMS) Reprinting (page 65).

Chronic Medication Service (CMS)

Force Re-authorise - Force Re-authorise is now an available

option on the CMS Therapy - Add screen. See Force Re-authorise Now Available for CMS Therapy-Add (page 68).

Bug Fix - CMS reprinting has been fixed, so that only the date of printing is updated. See CMS Reprinting (page 68).

Emergency Care Summary Management

12

Emergency Care Summary - Current Medication now only

extracts acute prescriptions dated within the last 6 months. See Emergency Care Summary - Current Medication (page 69).

Key Information Summary - New Read codes have been added

to the list available within the Self Management Plan. See Key Information Summary (KIS) - Self Management Plan (page 69).

Key Information Summary and Palliative Care Summary -

Resuscitation Status data entry form now defaults to Priority 1. See

Key Information Summary and Palliative Care Summary - Resuscitation Status (page 70).

Bug Fix - Exception Error on accessing the ECS Summary

Management screen has now been addressed. See Issue Displaying or Entering Data on the ECS Summary Management Screen (page 71).

SCI Diabetic Care

To help reduce problems with SCI-DC, invalid Read codes are no longer included in the extract.

SCI Pathology

Serum Ferritin - Now files into the correct structured data area (SDA). See Serum Ferritin (page 72).

Mail Manager Duplicate Message Option - For practices in

Scotland a new option has been introduced in Mail Manager which

allows you to identify duplicate messages. See Mail Manager Duplicate Message Option - Scotland (page 72).

Bug Fix - Duplicated Messages - The issue of messages

duplicating if the SCI Pathology process fails part way through has

been fixed. See Duplicated Messages (page 72).

Organ Donation

Change of Mind - You can now change organ donation

preferences in the Registration module if patients who have previously

set their preferences change their mind. See Scottish Organ Donation - Change of Mind (page 73).

Scottish Prison Service

Scottish Prisons Identification Number (SPIN) is now

included in Appointments - As the SPIN is used more than the CHI

number, we have now added this to the Appointment list and

Appointment reports. See Scottish Prison Service - SPIN Number in Appointments (page 74).

eCare Alerts

eCare Alerts for patients who have transferred out are now rejected by Vision.

13

Scotland and Northern Ireland

SCI Referrals - The Patient Details Document section has been

updated by request to schema version 1.5. See SCI Referral Update to

Patient Details Document Version 1.5 (page 79).

Key:

New functionality

Update to existing

functionality

Bug Fix

Summary of Changes - Online Services and My Health Online The following pages detail the changes to Online Services and My Health Online

(MHOL) functionality released in DLM 460. Further details are available from My

Vision - User Guides

(http://www.inps4.co.uk/my-vision/user-guides-downloads/user-guides) on the

INPS website.

Online Repeats (Patient)

Online Services Only (not switched on in Wales)

View Unavailable Repeats - Patients can now see a list of

unavailable repeat prescriptions from the Online Services Prescriptions

tab. This list shows all repeats that have been issued in the past but

are unavailable for ordering online. See View Unavailable Repeats

(page 80).

Bug Fix - Online Repeats patients can now access their

prescription history in order to request a repeat without the system timing out.

Logging In

Online Services Only

Practice ID Change - If the patient's practice ID changes (as a

result of a practice split for example), a message is now displayed with

the new practice ID. Patients must take a note of this for use the next time they log in. See Practice ID Change (page 81).

Registration (Patient)

Bug fix - Patient Confirmation Code - We have removed

potentially ambiguous characters (ie o,O, 0, i, I, l, L) from the

automatically generated confirmation code sent to patients for Online

http://www.inps4.co.uk/my-vision/user-guides-downloads/user-guides

14

Services/MHOL registration. This will help stop patients inadvertently

entering an incorrect code and seeing the invalid confirmation code warning screen.

Appointments (Practice)

Bug Fix - When patient online DNA limit is exceeded this is now

visible in Registration under the patient's record. See Online DNA Limit Reached (page 82).

Bug Fix - The bug which caused online appointments which are

available at branch sites displayed as being available at the main

practice has now been fixed. Online Appointments now correctly shows appointments available at branch sites.

16

DLM 460 Vision Release

Vision Front Screen Displaying the Daybook pane on the Vision front screen is no longer optional, it

cannot be switched off. If you have previously switched it off, it is reinstated with

the install of DLM 460. This change is to ensure important tasks being allocated to

you are not missed.

Vision front screen with Daybook pane

17

Consultation Manager Changes

QRISK Update

Every year the way that QRISK is calculated is updated. The 2013 update has

resulted in the following changes:

Widening of the Age Bands

The widening of the age bands to 25 - 84 years

Atrial Fibrillation

The following Read codes are now included in the QRISK calculation:

G5734 - Permanent atrial fibrillation

G5735 - Persistent atrial fibrillation

The following Read code is no longer included in the QRISK calculation:

G5731 - Atrial flutter

Smoking

The following Read codes are now included in the QRISK calculation:

9kn - Non-smoker annual review - enhanced services administration

137f - Reason for restarting smoking

137h - Minutes from waking to first tobacco consumption

137M - Rolls own cigarettes

The following Read codes are no longer included in the QRISK calculation:

1371 - Passive smoker

137E - Tobacco consumption unknown

Diabetes

QRISK now differentiates between Type 1 and Type 2 diabetes

QRISK treats the following Read codes as Type 1 diabetes mellitus:

C1000 - Diabetes mellitus, juvenile type, no mention of

complication

C108. 12 - Type 1 diabetes mellitus

C1080 11 - Type l diabetes mellitus with renal complications

C1080 12 - Type 1 diabetes mellitus with renal complications

C1081 - Insulin-dependent diabetes mellitus with ophthalmic

comps

C1082 - Insulin-dependent diabetes mellitus with neurological comps

C1083 - Insulin dependent diabetes with multiple complications

C1084 - Unstable insulin dependent diabetes mellitus

C1085 - Insulin dependent diabetes mellitus with ulcer

C1086 - Insulin dependent diabetes mellitus with gangrene

C1087 - Insulin dependent diabetes mellitus with retinopathy

18

C1088 - Insulin dependent diabetes mellitus - poor control

C1089 - Insulin dependent diabetes mellitus maturity onset

C108A - Insulin-dependent diabetes without complication

C108B - Insulin dependent diabetes mellitus with

mononeuropathy

C108C - Insulin dependent diabetes mellitus with polyneuropathy

C108D - Insulin dependent diabetes mellitus with nephropathy

C108E - Insulin dependent diabetes mellitus with

hypoglycaemic coma

C108F - Insulin dependent diabetes mellitus with diabetic cataract

C108G - Insulin dependent diab mell with peripheral angiopathy

C108H - Insulin dependent diabetes mellitus with arthropathy

C108J - Insulin dependent diab mell with neuropathic arthropathy

C108y - Other specified diabetes mellitus with multiple comps

C108z - Unspecified diabetes mellitus with multiple

complications

C10E - Type 1 diabetes mellitus

C10E0 - Type 1 diabetes mellitus with renal complications

C10E1 - Type 1 diabetes mellitus with ophthalmic complications

C10E2 - Type 1 diabetes mellitus with neurological

complications

C10E3 - Type 1 diabetes mellitus with multiple complications

C10E4 - Unstable type 1 diabetes mellitus

C10E5 - Type 1 diabetes mellitus with ulcer

C10E6 - Type 1 diabetes mellitus with gangrene

C10E7 - Type 1 diabetes mellitus with retinopathy

C10E8 - Type 1 diabetes mellitus - poor control

C10E9 - Type 1 diabetes mellitus maturity onset

C10EA - Type 1 diabetes mellitus without complication

C10EB - Type 1 diabetes mellitus with mononeuropathy

C10EC - Type 1 diabetes mellitus with polyneuropathy

C10ED - Type 1 diabetes mellitus with nephropathy

C10EE - Type 1 diabetes mellitus with hypoglycaemic coma

C10EF - Type 1 diabetes mellitus with diabetic cataract

C10EG - Type 1 diabetes mellitus with peripheral angiopathy

C10EH - Type 1 diabetes mellitus with arthropathy

C10EJ - Type 1 diabetes mellitus with neuropathic arthropathy

C10EK - Type 1 diabetes mellitus with persistent proteinuria

19

C10EL - Type 1 diabetes mellitus with persistent microalbuminuria

C10EM - Type 1 diabetes mellitus with ketoacidosis

C10EN - Type 1 diabetes mellitus with ketoacidotic coma

C10EP - Type 1 diabetes mellitus with exudative maculopathy

C10EQ -Type 1 diabetes mellitus with gastroparesis

C10ER - Latent autoimmune diabetes mellitus in adult

QRISK treats the following Read codes as Type 2 diabete mellitus

C10 - Diabetes mellitus

C100 - Diabetes mellitus with no mention of complication

C1001 - Diabetes mellitus, adult onset, no mention of complication

C100z - Diabetes mellitus NOS with no mention of complication

C101 - Diabetes mellitus with ketoacidosis

C1011 - Diabetes mellitus, adult onset, with ketoacidosis

C101y - Other specified diabetes mellitus with ketoacidosis

C101z - Diabetes mellitus NOS with ketoacidosis

C102 - Diabetes mellitus with hyperosmolar coma

C1021 - Diabetes mellitus, adult onset, with hyperosmolar coma

C102z - Diabetes mellitus NOS with hyperosmolar coma

C103 - Diabetes mellitus with ketoacidotic coma

C1031 - Diabetes mellitus, adult onset, with ketoacidotic coma

C103y - Other specified diabetes mellitus with coma

C103z - Diabetes mellitus NOS with ketoacidotic coma

C104 - Diabetes mellitus with renal manifestation

C1041 - Diabetes mellitus, adult onset, with renal manifestation

C104y - Other specified diabetes mellitus with renal complications

C104z - Diabetes mellitus with nephropathy NOS

C105 - Diabetes mellitus with ophthalmic manifestation

C1051 - Diabetes mellitus, adult onset, + ophthalmic manifestation

C105y - Other specified diabetes mellitus with ophthalmic

complicatn

C105z - Diabetes mellitus NOS with ophthalmic manifestation

C106 - Diabetes mellitus with neurological manifestation

C1061 - Diabetes mellitus, adult onset, + neurological

manifestation

C106y - Other specified diabetes mellitus with neurological comps

C106z - Diabetes mellitus NOS with neurological manifestations

20

C107 - Diabetes mellitus with peripheral circulatory disorder

C1071 - Diabetes mellitus, adult, + peripheral circulatory disorder

C1072 - Diabetes mellitus, adult with gangrene

C1073 - IDDM with peripheral circulatory disorder

C1074 - NIDDM with peripheral circulatory disorder

C107y - Other specified diabetes mellitus with perph circ comps

C107z - Diabetes mellitus NOS with peripheral circulatory

disorder

C109 - Non-insulin dependant diabetes mellitus

C1090 - Non-insulin-dependent diabetes mellitus with renal comps

C1091 - Non-insulin-dependent diabetes mellitus with ophthalm

comps

C1092 - Non-insulin-dependent diabetes mellitus with neuro comps

C1093 - Non-insulin-dependent diabetes mellitus with multiple

comps

C1094 - Non-insulin-dependent diabetes mellitus with ulcer

C1095 - Non-insulin-dependent diabetes mellitus with gangrene

C1096 - Non-insulin-dependent diabetes mellitus with retinopathy

C1097 - Non-insulin-dependent diabetes mellitus - poor control

C1099 - Non-insulin-dependent diabetes mellitus without complications

C109A - Non-insulin-dependent diabetes mellitus with

mononeuropathy

C109B - Non-insulin-dependent diabetes mellitus with polyneuopathy

C109C - Non-insulin-dependent diabetes mellitus with

nephropathy

C109D - Non-insulin-dependent diabetes mellitus with hypoglyca coma

C109E - Non-insulin-dependent diabetes mellitus with diabetic

cataract

C109F - Non-insulin-dependent d m with peripheral angiopath

C109G - Non-insulin-dependent diabetes mellitus with arthropathy

C109H - Non-insulin-dependent d m with neuropathic

arthropathy

C109J - Insulin treated Type 2 diabetes mellitus

C109K - Hyperosmolar non-ketotic state in type 2 diabetes mellitus

C10A - Malnutrition-related diabetes mellitus

21

C10A0 - Malnutrition-related diabetes mellitus with coma

C10A1 - Malnutrition-related diabetes mellitus with ketoacidosis

C10A2 - Malnutrition-related diabetes mellitus with renal

complicatn

C10A3 - Malnutrit-related diabetes mellitus with ophthalmic complicat

C10A4 - Malnutrition-related diabetes mellitus with neuro

complicatns

C10A5 - Malnutritn-relat diabetes melitus with periph circul complctn

C10A6 - Malnutrition-related diabetes mellitus with multiple

comps

C10A7 - Malnutrition-related diabetes mellitus without complications

C10AW - Malnutrit-related diabetes mellitus with unspec

complics

C10AX - Malnutrit-relat diabetes mellitus with other spec comps

C10B - Diabetes mellitus induced by steriods

C10B0 - Steroid induced diabetes mellitus without complication

C10C - Diabetes mellitus autosomal dominant

C10D - Diabetes mellitus autosomal dominant type 2

C10F - Type 2 diabetes mellitus

C10F0 - Type 2 diabetes mellitus with renal complications

C10F1 - Type 2 diabetes mellitus with ophthalmic complications

C10F2 - Type 2 diabetes mellitus with neurological

complications

C10F3 - Type 2 diabetes mellitus with multiple complications

C10F4 - Type 2 diabetes mellitus with ulcer

C10F5 - Type 2 diabetes mellitus with gangrene

C10F6 - Type 2 diabetes mellitus with retinopathy

C10F7 - Type 2 diabetes mellitus - poor control

C10F9 - Type 2 diabetes mellitus without complication

C10FA - Type 2 diabetes mellitus with mononeuropathy

C10FB - Type 2 diabetes mellitus with polyneuropathy

C10FC - Type 2 diabetes mellitus nephropathy

C10FD - Type 2 diabetes mellitus with hyperglycaemic coma

C10FE - Type 2 diabetes mellitus with diabetic cateract

C10FF - Type 2 diabetes mellitus with peripheral angiopathy

C10FG - Type 2 diabetes mellitus with arthropathy

C10FH - Type 2 diabetes mellitus with neuropathic arthropathy

C10FJ - Insulin treated type 2 diabetes mellitus

22

C10FK - Hyperosmolar non-ketotic state in type 2 diabetes mellitus

C10FL - Type 2 diabetes mellitus with persistent proteinuria

C10FM - Type 2 diabetes mellitus with persistent

microalbuminuria

C10FN - Type 2 diabetes mellitus with ketoacidosis

C10FP - Type 2 diabetes mellitus with ketoacidotic coma

C10FQ - Type 2 diabetes mellitus with exudative maculopathy

C10FR - Type 2 diabetes mellitus with gastroparesis

C10G - Secondary pancreatic diabetes mellitus

C10G0 - Secondary pancreatic diabetes mellitus without complication

C10H - Diabetes mellitus induced by non-steroid drugs

C10H0 - DM induced by non-steroid drugs

C10J - Insulin autoimmune syndrome

C10J0 - Insulin autoimmune syndrome without complications

C10K - Type A insulin resistance

C10K0 - Type A insulin resistance without complications

C10L - Fibrocalculous pancreatopathy

C10L0 - Fibrocalculous pancreatopathy without complications

C10M - Lipoatrophic diabetes mellitus

C10M0 - Lipoatrophic diabetes mellitus without complication

C10N - Secondary diabetes mellitus

C10N0 - Secondary diabetes mellitus without complication

C10y - Diabetes mellitus with other specified manifestation

C10y0 - Diabetes mellitus, juvenile, + other specified manifestation

C10y1 - Diabetes mellitus, adult, + other specified

manifestation

C10yy - Other specified diabetes mellitus with other spec comps

C10yz - Diabetes mellitus NOS with other specified manifestation

C10z - Diabetes mellitus with unspecified complication

C10z1 - Diabetes mellitus, adult onset, + unspecified

complication

C10zy - Other specified diabetes mellitus with unspecified comps

C10zz - Diabetes mellitus NOS with unspecified complication

23

Consultation Manager Changes

NHS Specialities

We have updated the NHS speciality lists throughout Vision to match the latest NHS

dictionary specialities as follows:

Endodontics

Prosthodontics

Paediatric Cardiology

Tropical Medicine

Community Sexual and Reproductive Health

Public Health

See

http://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_cod

e_de.asp

http://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_cod

e_de.asp

Staff Names in Referral List - Bug Fix

Existing staff who also have a previous inactive Vision account are now displayed in

the Referral Add Clinician List:

Referral - Add Clinician List

http://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp

http://www.datadictionary.nhs.uk/data_dictionary/attributes/m/main_specialty_code_de.asp

24

Note Pad Keyboard Shortcut - Bug Fix

We have reinstated the menu and keyboard shortcut for notepad in Consultation

Manager. You can now access this by clicking Add - Notepad or pressing Alt A+N,

thus allowing it to be used in macros.

Notepad

Problems Update

When creating or adding a problem from an existing entry in the Journal, the entry

you are adding to the problem now displays on the Current Problems window.

This is particularly relevant when adding or reauthorising medication. See Linking

Medication to Problems (page 27)

Problems Add - Current Problems Window

25

Cervical Cytology SDA Additions

The following new cervical cytology Read codes received in the Q3 2013 Read

Dictionary have been added the Cytology structured data area:

4K2J. Cervical smear - low grade dyskaryosis

4K2K. Cervical smear - high grade dyskaryosis (moderate)

4K2L. Cervical smear - high grade dyskaryosis (severe)

4K2M. Cervical smear - high grade dyskaryosis with features of invasive squamous carcinoma

4K2N. Cervical smear - features of endocervical type glandular

neoplasia

4K2P. Cervical smear - features of non-cervical type glandular neoplasia

4K290 Cervical smear - borderline change in squamous cells

4K291 Cervical smear - borderline change in endocervical cells

Immunisation - MMR Status of Refusal

If you record MMR with a status of Refusal it now clears the MMR due/overdue

warning from the Alert form , the Immunisation Summary form and the Alert

section under the Navigation pane. The alert will remain in place if the status is

"Given" or "Advised".

Therapy Changes The following therapy details have been changed in DLM 460:

Therapy Display Updated - Highlighting Therapy

When selecting a drug in any Therapy screen in Consultation Manager, the text now

displays in white so it is easier to read.

When highlighted the text is displayed as white text on a blue background.

Consultation Manager - Repeats

26

Prescription Name Change

To accommodate different home nation prescription types, drug information found

in the Select Drug and Drug Properties screens, has now been updated to show

items as NHS and Non-NHS rather than FP10.

Select Drug - NHS

Select Drug - Non NHS

27

Training Tip - Accessing Drug Properties

To view the prescription properties:

1. Select an issued prescription, right click and select Show Prescription.

2. This will open Prescription Manager, showing the printed prescription. Right

click and select Properties.

3. The Properties window displays the drug attribute eg Non NHS.

Linking Medication to Problems

When adding a new medication, or reauthorising a single medication the Add

Medication to Problem window (if enabled) is displayed with the details of the

drug being added/reauthorised. Select an existing problem or add a new problem,

then select the relevant problem and click OK. The new medication is added to the

problem.

Add Medication to Problem

Linking Multiple Therapy Items to Problems

Previously when reauthorising multiple repeat masters with the Consultation -

Options - Setup - Management - Therapy Management option enabled, when

28

prompted with the Add Medication to Problem window there was no indication of

which drug was selected to add to a problem. This is now updated, the Add

Medication to Problem window now displays the drug to be added to a problem.

1. From Consultation Manager - Therapy - Repeats select the items for

reauthorisation and click the Reauthorise Repeat icon.

2. If the Therapy Management options are enabled to prompt to add to

Problems the Add Medication to Problem window is displayed, identifying

which drug requires linking to a problem.

Reauthorise Multiple Repeats - Add Medication to Problem

3. There are two options available:

Select an Existing Problem - If there are existing problems listed tick the box(es) to select, then click OK.

Add New Problem - Click New Problem . The Problem -

Add window opens, add a Read code then click OK. Then select the

new problem from the list and click OK to close the Add Medication to Problem window.

4. If there are further items to link to a problem the Add Medication to

Problem window will automatically be displayed with the next drug to link

displayed. Continue to link medications to problems until you are no longer

prompted by the Add Medication to Problem window.

Note - Drugs already linked to existing problems will not be

displayed.

New Problem Column in Therapy Screens

A new column has been added to therapy display to show which medications are

linked to a problem. A single book icon indicates that the medication is linked to

29

a single problem, whereas the multiple book icon shows that the medication is

linked to at least two problems. The colour of the book is determined by the Read

code used and your Read Colour Coding settings (Consultation Manager -

Consultation - Options - Setup - Patient Record).

If you hover the pointer over the problem icon the problem name is displayed.

Therapy Display - Problem Column

Force Reauthorise Update

Force reauthorise when checked, only allowed the repeat to be reauthorised by a

prescribing GP. Nurse, Independent and supplementary prescribers were unable to

reauthorise.

30

This has been updated to enable all prescribers to be able to reauthorise repeats

when force reauthorise is checked.

If you are not a prescriber you are prompted "Only a prescriber can reauthorise this

master".

Bug Fix - Therapy Replace

Previously when updating drugs via the therapy replace screen, which displays

when you attempt to reauthorise discontinued items, some quantities/dosages

where given a higher dosage than the item it was replacing. For example, Ventolin

100 micrograms/dose Evohaler with a quantity of 200, on reauthorisation the

quantity changes to 40000.

This problem has now been fixed in DLM 460 and equivalent quantities/dosages are

transferred correctly.

31

Bug Fix (England) - Repeat Until Date when reauthorising drugs

For English practices, when logged in with your Smartcard, Vision no longer

removes the repeat until date when reauthorising repeat items.

Vision+ Changes The following changes to Vision+ have been implemented in DLM 460:

Prescribing from Vision+

There is a facility to record therapy in Vision+. This option is available when adding

a patient to a QOF register that also requires therapy recording to count for QOF.

To add Therapy in Vision+ choose the to to Vision+ icon in Consultation

Manager (or choose Vision+ from the menu) and select Add to Register. The

option to prescribe medication is also available when recording drug treatment for

patients eg CHD patients treated with an ACE, A2 etc. This information can be

entered either via the Alert Indicator screen or by using a QOF Template. The

list of applicable therapy items is displayed below the Read code list.

Previously when selecting a drug, the Therapy Add screen would be blank. From

DLM 460 the drug defaults will be pre-populated with either the Gemscript Posology

or your practice drug defaults.

Note - If the patient is already on the appropriate medication

you can ignore this list.

To record a drug and print it, tick the Apply box. If the drug to be prescribed is an

acute prescription select Acute, if this box is not selected the drug is recorded as a

Repeat.

Training Tip - In order for the Repeat drug to be counted for

QOF it must be issued from the Therapy - Repeat screen.

32

Vision+ Read code list and Drug screen

Drug Treatment Screen

Note - If you prescribe a drug from Vision+ you will still see the

standard Therapy Warning Messages.

ScriptSwitch

ScriptSwitch now works when adding Therapy items in Vision+. If your practice is

enabled for ScriptSwitch and it is switched on in Management Tools - Security

for individual users, a prescribing warning will appear when you prescribe a drug

from Vision+.

ScriptSwitch Warning

33

Training Tip - ScriptSwitch references a database which is linked

into Therapy Add in Consultation Manager to offer specific prescribing

recommendations. If a match is found, based on drug formulation,

strength, dosage and therapy type, ScriptSwitch alerts the doctors at

the point of prescribing. This enables doctors to benefit from local

prescribing advice at every consultation.

Registration Changes The following enhancements have been introduced into the Registration module.

Main Address - Road name contains invalid characters

When registering a new patient or updating a patient's main address, you are now

warned after clicking OK, if the road name contains invalid characters.

Note - A valid character is classified as: A to Z, a to z, full stop,

quote, paren, parenthesis, hyphen.

Invalid Character Warning Message in Registration

Registration Warning Message

When opening the Registration Module, the following warning messages will appear

if you have any outstanding Registration Links Transactions that require your

attention.

17/12/2013 10:27:15 – There are unprocessed incoming registration

transactions older than 7 days. Please review and process these

transactions via the Transaction Management screen in Registration Links.

Or

17/12/2013 10:27:15 – There are unacknowledged acceptances older

than 7 days. Please review and process these transactions in the Transaction Management screen in Registration Links.

The messages relate to one of the following outstanding transactions:

Incoming Transactions - You are warned if you have any Incoming Transactions that are more than 7 days old.

34

Unacknowledged Acceptance - You are warned if you have new

patients in the Unacknowledged Acceptances file that are more than 7 days old and are waiting to be approved by your Board.

Daybook Changes

Bug Fix - Daybook Audit Trail

The audit trail within Daybook has been updated to display the staff member that

completed a task.

Bug Fix - DLM 430 Task Templates Due Date

Previously any spaces erroneously added to the Due Date section of Daybook task

templates prior to the DLM 430 upgrade, an Unhandled exception error displayed

every time you attempted to use it. DLM 460 removes the spaces within Due Date

enabling you to use your task templates with no errors.

Mail Manager Changes The following issues have been resolved:

Auto-Allocating Messages for Inactive Staff

The issue of incoming messages being allocated to inactive staff within Mail

Manager has now been fixed. Any messages received for inactive staff are now

displayed in Mail Manager - Unallocated Mail ready to be

manually allocated to the correct staff members mailbox.

Kettering Messages

Kettering messages are incoming messages that are received into GP

Communicator and transferred automatically into Mail Manager (Kettering is the

name given to the configuration of the XML message). They encompass a variety of

message types eg Discharge summaries, Out of Hours, Accident and Emergency

Reports. From DLM 460, you can now file the message into the patient's record in

Consultation Manager with the clinical event date instead of the default system

date. This date is not selected from the body of the message but is retrieved from

Training Tip - To access Registration Links, go to the Vision

front menu, select Messaging - Registration Links. In Registration

Links, click the first icon Transaction Management or select

Action and choose Transaction Management. You need to look at

Incoming Transactions and Unacknowledged Acceptances that are more than 7 days old.

35

the header in the message which has to be included by your provider if it is to be

used.

To file messages with the Clinical Event date; In Mail Manager choose Tools -

Options - Kettering. Untick the box System Date for filing and click OK to save.

Important - This is a Practice wide setting and once set applies

to all Providers.

Checking the content of a Kettering Message

If the message does not contain an event date the system date is used. This may

be due to the fact that the message header sent by your provider does not contain

the relevant information. If you want to check the message to confirm this you

need to view the content on the message in GP communicator. To do this Log onto

GPC, choose Messaging - GP Communicator from the Vision front menu. Select

the plus icon in front of the incoming mail folder , highlight

Today or All (depending on when the message was received). Find the incoming

message, highlight it and choose Content at the base of the screen. The message

must contain the following fields:

Kettering Message content

Note - Please contact the Helpdesk for further advice on

checking the contents of the Kettering Message.

36

GP Communicator Changes

Suspend Polling Message

The GP Communicator - Options - Scheduler screen has been updated to

explain that Task Exclusion times set up in Mail Gateway will also suspend polling in

GP Communicator.

Polling is the frequency that new clinical messages are checked for by GP

Communicator, adding a suspend time here affects the Polling process only. Task

Exclusion Times are set up within Mail Gateway and affect all Vision processes

including Polling.

"Suspend polling during the following times; these are in addition to the Task

Exclusion Times set in Mail Gateway that will also suspend polling".

GPC - Options - Scheduler

37

Test Requesting Changes The following changes have been made:

New Test Request Button in Consultation Manager

A new button has been added to the Consultation Manager toolbar to allow quick

access for creating electronic test requests.

Consultation Manager tool bar

tQuest Only - Radiology Test Requests

When you select a radiology test from your tQuest test request system it is now

displayed as one of the following within Consultation Manager:

Remote Radiology and Test request from tQuest system… -

which indicates a mixture of radiology and pathology tests.

Remote Radiology request from tQuest system… - which indicates a radiology request only.

Example Radiology requests

Note - This is button displays inactive if you are not currently using electronic test requesting.

38

CPRD Data Collection Changes Clinical Practice Research Datalink (CPRD) is the new name for the General Practice

Research Database (GPRD). From DLM 460 GPRD is referred to as CPRD. In

conjunction with the CPRD, we have also made the following changes:

General Changes

Removal of Define Collection Type

The Define Collection Type option has become redundant since floppy disks are

no longer used, it has therefore been removed.

Removal of Email Option

As the option has not been implemented by CPRD we have removed the option to

send reports by email within the following screens:

Modules - CPRD Data Collection - Option - Start Collection - Data Collection - Output Media

Modules - CPRD Data Collection - Options - Copy to Media - Copy to Media - The collected data will be copied to:

Browse Option

The Browse option across all CPRD functions has been updated to a standard

Windows Browse For Folder screen:

Browse For Folder

When browsing the file name is no longer changeable.

39

Additional Information on Error Messages

Error messages have now been extended to provide additional information for

example "The data collection process has not completed successfully. Collecting BP

- error on opening .CSV file. Any collected data has been deleted". This allows the

helpline to easily identify problems.

Example extended error message

Start Collection Changes

From CPRD - Options - Start Collection the following changes have been made:

The Automatic Copy to Media tick box has been removed.

The Browse button is automatically enabled and pre-populates with the last

destination used.

If a removable storage device is detected ie a USB flash memory drive,

it will be offered as the default destination (the first one found is

offered if more than one is detected).

If no removable storage is detected when you click Browse, the following message

is displayed "No removable devices were found on the local computer" indicating

that the file containing the collection data cannot be copied at the end of the

collection.

No removable devices message

Click OK, select a destination folder for your .ZIP file and then click OK to save. If

there are any issues during the transfer of the .ZIP file created, an error message is

displayed "An error occurred while copying the ZIP file P:\Extract\F7777113.ZIP"

and the file is held in the P:\Extract folder.

40

An error occurred while copying the ZIP file message

General Collection Process Changes

Change to Daily and Monthly Automatic Collection Names

To allow for easy identification and differentiation of daily and monthly collections,

the file names on automatic collections are now prefixed with either:

D for daily

M for monthly

The I prefix is reserved for manually sent incremental collections only.

Creating a Zip File

The collection process now creates a .ZIP file at the end of the data collection. This

means that you no longer have to separately run Copy to Media unless there was

no removable medium found at the time of the data collection or there is a need to

recopy/re-send the data at a later date.

Check for Zip Files at the Start of a Collection

The data collection process checks for the existence of a collection ZIP file in the

extract folder before starting a new collection of any type. To prevent an unsent

.ZIP file from being overwritten and therefore lost in error, a Data Collection

message is displayed if an unsent collection .ZIP file is found.

Data collection warning

The file name format is:

Xuuuuunnn.zip

Where

X = M, D, F, R or I depending on what type of collection this is:

M - monthly

D - daily

F - Full

Training Tip - If you wanted to use a removable device, but did

not connect it to your workstation before beginning the process,

select Cancel, attach the drive and select Browse again. Your removable drive is now available on the list ready to select.

41

R - Re-collection

I - incremental

uuuuu = Vision practice number eg 12345

nnn = consecutive 3 digit sequence

Select:

Yes to proceed with the new collection. Contact CPRD to ensure they have received this file first as it is deleted as part of this process.

No to terminate the process without starting a collection and then use

the Copy to Media option to send the previous collection.

Deleting Files at the Start of a Collection

Once you confirm a collection is to start, all the following file types are removed

from the extract folder before a new collection begins. This prevents CSV files from

previous collections being included in the current collection:

.CSV

Xuuuuunnn.ZIP files (see Check for Zip Files at the Start of a Collection

(page 40))

CPRD_SES.txt

Event Log

A record is written to the Event Log following the successful completion of a

collection. In the case of a failed collection, no Event Log records are made.

New Entities to be Collected

Structured Data Area Description

Ante natal blood tests Ante natal blood tests

Asthma Asthma daytime symptoms

Asthma Asthma night time symptoms

Asthma Asthma limiting activity

Biochemistry (Other) Biochemical Screening Tests

Biochemistry (Routine) Glomerular Filtration Rate

Diabetes Diabetic Retinopathy Screening

Examination Findings Weight loss

Examination Findings Target Blood pressure

Examination Findings Tactile Sensation

Examination Findings Waist Circumference

Examination Findings Pulse oximetry

Examination Findings Ankle Brachial Pressure Index

Haematology Haematology Screening Tests

Immunisation Immunisation status

Lung Function Spirometry

Lung Function Lung function pre steroids

Lung Function Lung function post steroids

42

Other Diagnostic Tests Dexa scan/Bone mineral density

Other Pathology Tests Genetic Observations

Other Pathology Tests Other Lab Result Information

Palliative Care Palliative Care Plan

Palliative Care Palliative Care at Home

Palliative Care OOH Arrangements (Palliative

Care)

Patient Preference Patient Preference

Procedures, Specimens and Samples Procedures, Specimens and

Samples

Recalls and Reviews Repeat Medication Review

Requests Requests

Serology & Immunology Hepatitis B Antibody

Serology & Immunology Immunology Screening Tests

Swab Results Ear swab

Thyroid Function Tests Thyroid Disorder Screening

Urine Chemistry Tests Albumin Creatinine Ratio

Urine Chemistry Tests Urine Leucocytes

Urine Chemistry Tests Urine Dipstick for Nitrites

Data Collection Changes

The Health Information Network (THIN)

There are four new clinical entities being collected by the The Health Information

Network (THIN) data collecting process. The additional records collected are those

displayed within the:

Ethnicity SDA

Religion SDA

Language spoken SDA

Language read SDA

43

Running the THIN Catch-up Collection

In order for THIN to have historical data on the four new clinical entities, you need

to run a catch-up collection.

To run a catch-up collection:

1. From the Vision front screen go to Modules - THIN Data Collection.

Vision Front Screen - Modules - THIN Data Collection

44

2. The THIN Data Collection screen is displayed, stating "You will need the disk

distributed by THIN in order to extract the data automatically. Otherwise you

will need to define the data collection options manually".

THIN Data Collection screen stating "You will need the disk distributed by THIN in order to

extract the data automatically. Otherwise you will need to define the data collection options manually"

3. Select I will collect the data manually.

4. Click Next.

45

5. The THIN Data Collection screen is displayed, stating "Please confirm or

amend your practice number and select the type of data collection required".

THIN Data Collection screen stating "Please confirm or amend your practice number and select the type of data collection required"

6. Select Perform a Full data collection. This option should be selected

only if specifically requested by THIN and then click on Next.

46

7. THIN Data Collection – Full Data Collection is displayed.

THIN Data Collection - Full Data Collection

8. Select THIN catch up Collection, and then click on Next.

47

9. THIN Data Collection – Select Destination is displayed.

THIN Data Collection - Select Destination

10. Click Next.

48

11. THIN Data Collection – Transmission Method is displayed.

THIN Data Collection - Transmission Method

12. In Transmission Method, select "The data will be automatically copied to

removable media at the end for the extraction process. You should ensure

the media is inserted before pressing ‘Finish’".

13. Use Browse to select the drive of your choice if it is not initially offered.

14. Click Finish and the collection will run through depositing .CSV files in the

\Extract\Thin folder which is located on the drive you specified in step 13.

15. Zip these files and name the zipped file <user number>.THIN.CatchUp.zip.

16. Attach this file to an email and send it to [email protected].

49

England Changes As part of DLM 460, the following GP2GP changes have been implemented:

Bug Fixes - Electronic Prescription Service - England

Bulk Signing Window

Previously, a successfully sent EPS prescription containing multiple items has an

item cancelled the details should be viewable as a rejection in the bulk signing

window. However, this was not working correctly and no prescription details were

shown for the patient.

This is now fixed, the Rejected view now shows the following items:

The whole prescription if failed.

Any of the prescription items if failed.

Also:

Consultation Manager no longer crashes when selecting "Print as FP10" from the bulk signing window.

Nominated Appliance Contractors

Prescriptions with Nominated Appliance Contractors no longer disappear from

Prescription Manager.

Cancelling Post-dated EPS Prescriptions

Previously, if you wanted to cancel one item from a post dated EPS prescription

that contained other items, Prescription Manager displayed the individual item as

being cancelled with the other items still valid when in fact the entire prescription

message was cancelled on the Spine. From DLM 460, as a temporary fix, it will

no longer be possible to cancel individual items for post dated EPS

prescriptions. We will be fixing this in a later release in line with Spine Version 2.

50

GP2GP

The following changes have been introduced to help manage GP2GP messaging:

Registration Warning

From DLM 460, if you log into Vision without your Smartcard and open the

Registration module, you will see the following warning message:

Registration Warning

You should logout of Vision, insert your Smartcard and log back in. Alternatively,

you can insert your Smartcard and choose Login from the Vision front screen and

select Enable National Services.

Enable National Services

Note - You must always use your Smart card when logging into

Vision. This enables you to access Spine services and initiate a

GP2GP transfer. If you do not use your Smart card the Spine is not updated and a GP2GP request will not be generated.

51

Compound Immunisations

Compound immunisations that form part of a GP2GP message are now broken down into the constituent items and the correct Read

code recorded. Previously, the compound immunisation would have been split into separate entries with a Vision Immunisation code

applied, but each would have retained its original compound Read Code from the 65M chapter.

From DLM 460, all existing GP2GP compound immunisations will automatically be checked and where appropriate converted to the

correct code. Below is a table of the Compound immunisations and their equivalent converted Read code.

Compound

Name

Immunisation

Type

From

Stage

From Read

code

To Stage

(If

different)

To Read

code

Comments

DTAPIPVHIB Diphtheria 1 65a0.00 6541.00

2 65a1.00 6542.00

3 65a2.00 6543.00

B 65a3.00 6544.00

Tetanus 1 65a0.00 6561.00

2 65a1.00 6562.00

3 65a2.00 6563.00

B 65a3.00 6564.00

Pertussis 1 65a0.00 6551.00

2 65a1.00 6552.00

3 65a2.00 6553.00

B 65a3.00 6554.00

Polio 1 65a0.00 6581.00

2 65a1.00 6582.00

3 65a2.00 6583.00

B 65a3.00 6584.00

Hib 1 65a0.00 657A.00

52

2 65a1.00 657B.00

3 65a2.00 657C.00

B 65a3.00 657D.00

HIBDTP Diphtheria 1 65M7.00 6541.00

2 65M8.00 6542.00

3 65M9.00 6543.00

Tetanus 1 65M7.00 6561.00

2 65M8.00 6562.00

3 65M9.00 6563.00

Pertussis 1 65M7.00 6551.00

2 65M8.00 6552.00

3 65M9.00 6553.00

Hib 1 65M7.00 657A.00

2 65M8.00 657B.00

3 65M9.00 657C.00

DTAPIPV Diphtheria B 65I8.00 6544.00

Tetanus B 65I8.00 6564.00

Pertussis B 65I8.00 6554.00

Polio B 65I8.00 6584.00

DTAP Diphtheria 1 65H5.00 6541.00

2 65H6.00 6542.00

3 65H7.00 6543.00

B 65H4.00 6544.00

Tetanus 1 65H5.00 6561.00

2 65H6.00 6562.00

53

3 65H7.00 6563.00

B 65H4.00 6564.00

Pertussis 1 65H5.00 6551.00

2 65H6.00 6552.00

3 65H7.00 6553.00

B 65H4.00 6554.00

DTP Diphtheria 1 65H1.00 6541.00

2 65H2.00 6542.00

3 65H3.00 6543.00

B 65H..00 6544.00

Tetanus 1 65H1.00 6561.00

2 65H2.00 6562.00

3 65H3.00 6563.00

B 65H..00 6564.00

Pertussis 1 65H1.00 6551.00

2 65H2.00 6552.00

3 65H3.00 6553.00

B 65H..00 6554.00

DTIPV Diphtheria 1 65K6.00 6541.00

2 65K7.00 6542.00

3 65K8.00 6543.00

B 65K9.00 6544.00

B2 65KA.00 6544.00

Tetanus 1 65K6.00 6561.00

2 65K7.00 6562.00

54

3 65K8.00 6563.00

B 65K9.00 6564.00

B2 65KA.00 6565.00

Polio 1 65K6.00 6581.00

2 65K7.00 6582.00

3 65K8.00 6583.00

B 65K9.00 6584.00

B2 65KA.00 6584.00

DT Diphtheria 1 65J1.00 6541.00

2 65J2.00 6542.00

3 65J3.00 6543.00

B 65J4.00 6544.00

Tetanus 1 65J1.00 6561.00

2 65J2.00 6562.00

3 65J3.00 6563.00

B 65J4.00 6564.00

TP Tetanus 1 65M..00 6561.00 Any Code with

65M..00 will be

mapped to Other

Combined,

because the real

immunisation

cannot be

identified in the GP2GP message.

2 65M..00 6562.00

3 65M..00 6563.00

B 65M..00 6564.00

55

Pertussis 1 65M..00 6551.00

2 65M..00 6552.00

3 65M..00 6553.00

B 65M..00 6554.00

DP Diphtheria 1 65M..00 6541.00

2 65M..00 6542.00

3 65M..00 6543.00

B 65M..00 6544.00

Pertussis 1 65M..00 6551.00

2 65M..00 6552.00

3 65M..00 6553.00

B 65M..00 6554.00

HIBMENC Hib B 65b..00 657D.00

MenC B 65b..00 657G.00

MMR Measles 1 65M1.00 65A1.00

B 65MA.00 65A1.00

Rubella 1 65M1.00 65B..00

B 65MA.00 65B..00

Mumps 1 65M1.00 65F5.00

B 65MA.00 65F5.00

MR Measles 0 65M2.00 65A1.00

1 65M2.00 65A1.00

Rubella 0 65M2.00 65B..00

1 65M2.00 65B..00

TD Tetanus 1 65J6.00 6561.00

56

2 65J7.00 6562.00

3 65J8.00 6563.00

B 65J9.00 6564.00

B2 65J9.00 6565.00

Diphtheria 1 65J6.00 6541.00

2 65J7.00 6542.00

3 65J8.00 6543.00

B 65J9.00 6544.00

B2 65J9.00 6544.00

HEPABTWIN Hepatitis A 1 65MD.00 65FA.00 Same Read code

as Hepatitis A (2 stage)

2 65ME.00 65FB.00

3 65MF.00 65FC.00

B 65MG.00 65FD.00

Hepatitis B 1 65MD.00 65F1.00

2 65ME.00 65F2.00

3 65MF.00 65F3.00

B 65MG.00 65F4.00

HEPATYP Hepatitis A (2

stage)

0 65ML.00 1 65FA.00 Same Read code

as HEPA2. Stage changed.

Typhoid

(Typherix)

0 65ML.00 652..00

57

HEPATYP2 HEPA2

Hepatitis A

(stage 2)

0 65ML.00 1 65FA.00 Same Read code

as Hepatitis A. Stage changed.

TYPTYPHERIX

Typhoid (Typherix)

0 65ML.00 652..00 GP2GP always goes

to HEPATYP, just a

brand difference.

HEPABAMBPA Hepatitis A

(Junior)

1 65MD000 65FF.00

2 65ME000 65FG.00

3 65MF000 65FP.00

Hepatitis B

(Junior)

1 65MD000 65F1000

2 65ME000 65F2000

3 65MF000 65F3000

HEPABAMBRIX Hepatitis A 1 65MD.00 65FA.00 Same Read code

as HEPA2

2 65ME.00 65FB.00

Hepatitis B 1 65MD.00 65F1.00

2 65ME.00 65F2.00

GP2GP Extract

When a patient leaves and a GP2GP record is sent, the GP2GP extract now includes the revised Read codes for compound

immunisations.

59

Scotland Changes

Health Protection Scotland - Immunisation Extracts

Introduction

Health Protection Scotland (HPS) has introduced three additional reports for their

electronically collected Immunisation Programme 2013 - 14. The new reports

extract information about patient conditions and diagnoses related to following

specific diseases:

Flu - see Seasonal Flu Level 8 Extract (page 59)

Shingles - see Shingles Level 8 Extract (page 61)

Rotavirus - see Rotavirus Level 8 Extract (page 62)

These three additional reports are triggered by your existing Swine Flu schedule,

which runs once a day through your practice eLinks communications system. You

do not have to do anything in order for these reports to run and be sent.

For each of the reports:

All patients that are either registered or temporarily registered as at the reporting period end date are included.

A patients is only added once per day, for example, if a patient is seen

twice in one day for the same qualifying issue, they would be counted

once, but if they are seen on consecutive days for the same qualifying issue they would be counted twice.

For both the Shingles and the Rotavirus reports, an initial collection of data is made

to enable HPS to establish a baseline for primary care consultation data, in order to

ascertain any longitudinal reduction in rotavirus, gastroenteritis consultations. The

initial collection starts from:

Shingles - Quarter 4 2010 (1st October - 31st December)

Rotavirus - 4th October 2010

Seasonal Flu Level 8 Extract

The Seasonal Flu Level 8 report is scheduled to run daily, if there is no data added

during a specific day, eg a Sunday, the report is still sent but the returns are all

zero. The following data is extracted and then totalled:

Number of patients registered and temporarily registered on report end

date

Patients with one or more of the following Read codes recorded in their record during the reporting period:

Influenza

H27.. Influenza

Influenza like illness

F030A Encephalitis due to influenza-virus identified

F0308 Encephalitis due to influenza-specific virus not identified

G5203 Acute myocarditis – influenza

H27% Influenza

60

H2y.. Influenza with other manifestations

H2z.. Pneumonia or influenza NOS

Hyu04 [X]Influenza with other respiratory manifestations,

influenza virus identified

Hyu05 [X]Influenza with other manifestations, influenza virus

identified

Hyu06 [X]Influenza with other respiratory manifestations,

virus not identified

Hyu07 [X]Influenza with other manifestations, virus not

identified

All Acute Respiratory Illness

H0% Acute respiratory infections

H2% Pneumonia and influenza

H30% Bronchitis unspecified

H3y0. Chronic obstruct pulmonary dis with acute lower resp

infection

H3y1. Chronic obstruct pulmonary dis with acute exacerbation

unspec

Hyu0% [X]Acute upper respiratory infections

Hyu1% [X]Other acute lower respiratory infections

For the following groups of patients for both males and females:

Under 1 year old

Over 1 years old but under 2 years old




















61


Over 75 years old

All patients

Shingles Level 8 Extract

The Shingles Level 8 report is run quarterly (3 monthly) with the first reporting

date being 01/01/2014 for data recorded between 01/10/2013 - 31/12/13.

The following figures are extracted and then totalled:

Number of patients registered and temporarily registered on report end date


Suspected Herpes Zoster

A53% Herpes zoster

AyuA4 [X]Zoster with other complications

AyuA5 [X]Zoster without complications

F0112 Meningitis due to herpes zoster virus

F300. Post-herpetic trigeminal neuralgia

F3744 Polyneuropathy in herpes zoster

F5016 Infective otitis externa due to herpes zoster

Post-Herpetic Neuralgia

A531% Herpes zoster with other central nervous system

complication

F300 Post-herpetic trigeminal neuralgia

F3744 Polyneuropathy in herpes zoster


Over 60 years old but under 65years old













Over 85 years old

All patients

62

Rotavirus Level 8 Extract

The Rotavirus Level 8 report is run weekly to include data from Monday - Sunday

(inclusive). The report is scheduled to be sent on the following Monday.

The following figures are extracted and then totalled:

Number of patients registered and temporarily registered on report end date


Suspected Rotavirus

A0762 Enteritis due to rotavirus

43jj Rotavirus nucleic acid detection

4JR8 Rotavirus screening test

43k6 Rotavirus antigen level

Suspected Gastroenteritis

A07y% Gastrointestinal tract infection specified organism NEC

A076 Viral diarrhoea

A076z Enteritis due to specified virus NOS

A080 Infectious colitis, enteritis and gastroenteritis

A0801 Infectious colitis

A0802 Infectious enteritis

A0803 Infectious gastroenteritis

A080z Infectious colitis, enteritis and gastroenteritis NOS

A081% Colitis, enteritis and gastroenteritis presumed infectious

A082% Infectious diarrhoea

A083 Diarrhoea of presumed infectious origin

Ayu0H [X]Diarrhoea+ gastroenteritis of presumed infectious

origin

19G Diarrhoea and vomiting

Suspected Novovirus

A0763 Enteritis due to norovirus

43jf Norovirus nucleic acid detection

43jw Norovirus (small round-structured viruses) nucleic acid

detn

682C Norovirus screening test

Diarrhoea

19F.. Diarrhoea symptoms

19F2. Diarrhoea

19F4. Toddlers diarrhoea

19FZ. Diarrhoea symptom NOS

19G.. Diarrhoea and vomiting

4141. Stool sample sent to lab

Note - Age is calculated as at the reporting period end date.

63

A082% Infectious diarrhoea

A083. Diarrhoea of presumed infectious origin

Ayu0H [X] Diarrhoea and gastroenteritis of presumed

infectious origin

Vomiting

199.. Vomiting

1992. Vomiting

1993. Projectile vomiting

199Z. Vomiting NOS


A78y1 Epidemic vomiting syndrome

J162. Persistent vomiting

J162z Persistent vomiting NOS

R070. [D] Nausea and vomiting

R0701 [D] Vomiting

R0704 [D] Projectile vomiting

R070z [D] Nausea and vomiting NOS

All Gastro-intestinal Infections(Viral, Becterial and Protozoal)

199.. Vomiting

1992. Vomiting

1993. Projectile vomiting

199Z Vomiting NOS

19F.. Diarrhoea symptoms

19F2. Diarrhoea

19F4. Toddlers diarrhoea

19FZ. Diarrhoea symptom NOS


1J8.. Suspected food poisoning

43b3. Cryptosporidium antigen level

43E.. Infectious titres NOS

43E5. Widal (salmonella) test

43k6. Rotavirus antigen level

43n3. Campylobacter jejuni IgA antibody level

43n5. Campylobacter jejuni IgG antibody level

43n6. Campylobacter jejuni IgM antibody level

47D.. Faeces examination – organisms

47D0. Stool sample – virology

47D1. Stool sample – bacteriology

47D2. Stool sample – parasitology

4A2A. Vomit: parasite present

4J230 Sample: salmonella cultured

4JH4. Stool sample for C/S

4JH40 Stool culture cryptosporidium positive

64

4JR8. Rotavirus screening test

4JRB. Escherichia coli O157 screening test

65V2. Notification of food poisoning

A0… Intestinal infectious diseases

A00% Cholera

A01% Typhoid and paratyphoid fevers

A02.. Other Salmonella infections

A020. Salmonella gastroenteritis

A03% Shigellosis

A04% Other bacterial food poisoning

A05.. Amoebiasis

A050. Acute amoebic dysentery

A051. Chronic intestinal amoebiasis

A052. Amoebic nondysenteric colitis

A061. Giardiasis – Lambliasis

A062. Coccidiosis

A063. Intestinal trichomoniasis

A064. Cryptosporidiosis

A06y. Other specified protozoal intestinal disease

A06z. Protozoal intestinal disease NOS

A070% Escherichia coli gastrointestinal tract infections

A071. Arizona paracolon gastrointestinal tract infection

A072. Aerobacter aerogenes gastrointestinal tract infection

A073% Proteus gastrointestinal tract infection

A074. Other specified gastrointestinal tract infection NOS

A0740 Staphylococcal gastrointestinal tract infection

A0741 Pseudomonas gastrointestinal tract infection

A0743 Campylobacter gastrointestinal tract infection

A0744 Enteritis due to Yersinia enterocolitica

A075. Unspecified bacterial enteritis

A076% Enteritis due to specified virus

A07y% Gastrointestinal tract infection due to specified

organism NEC

A07z. Gastrointestinal tract infection due to specified

organism NOS

A08% Ill-defined intestinal tract infections

A0y.. Other specified infectious diseases of intestinal tract

A0z.. Intestinal tract infectious diseases NOS

A78y1 Epidemic vomiting syndrome

Ayu01 [X] Paratyphoid fever, unspecified

Ayu02 [X] Other specified salmonella infections

Ayu03 [X] Salmonella infection, unspecified

Ayu0E [X] Other viral enteritis

65

Ayu0H [X] Diarrhoea and gastroenteritis of presumed

infectious origin

J162. Persistent vomiting

J162z Persistent vomiting NOS

J43.. Other non-infective inflammatory gastroenteritis and

colitis

J431. Toxic gastroenteritis

J4311 Toxic enteritis

J4313 Toxic colitis

J431z Toxic gastroenteritis NOS

R070. [D] Nausea and vomiting

R0701 [D] Vomiting

R0704 [D] Projectile vomiting

R070z [D] Nausea and vomiting NOS


Under 1 year old









Over 75 years old

All patients

Note - Age is calculated as at the reporting period end date.

66

ePharmacy (AMS and CMS) Reprinting

When reprinting an ePharmacy AMS or CMS prescription, you cannot reprint the

prescription if the selected prescriber in Prescription Manager differs from the

original signer of the prescription or is no longer valid in Vision. Where this

happens, the following is displayed:

"The selected signatory does not match that of the original prescription(s).

Please select the original signing clinician in the list of signatory and reprint

the prescription(s).

ePharmacy (AMS/CMS) prescription containing n item signed on nn/nn/nnnn

by "prescriber name""

AMS Reprinting where original prescriber is still valid

You should change the authoriser in Prescription Manager and continue to reprint.

Where the original prescriber is no longer available/valid, you are now asked to

manually cancel the prescription and re-prescribe:

"The selected signatory does not match that of the original prescription(s).

The original signing clinician is no longer a valid signatory. If you need to

reprint the prescription(s), you are advised to:

1. Cancel the original prescription(s) - AMS/CMS only.

2.Re-prescribe all necessary items.

3.Contact the patient and/or dispenser(s).

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AMS Reprinting where you want to change original prescriber

When reprinting a prescription, if the number of pages used differs from the original

prescription, the prescription will not be reprinted and the following message is

displayed:

"The selected prescription(s) cannot be reprinted because the associated

items do not fit on the same number of pages. If you need to reprint the

prescription(s), you are advised to:

1. Cancel the original prescription(s) - AMS/CMS only.

2.Re-prescribe all necessary items.

3.Contact the patient and/or dispenser(s).

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Chronic Medication Service - Scotland

Bug Fix - CMS Reprinting

Previously, when a CMS prescription was reprinted the print, authorised and

expiry dates were all updated in the patient record (not on CMS) as if the item has

been reauthorised. This is now fixed so that only the print date is updated when

reprinting. The authorised and expiry dates are no longer updated.

Force Re-authorise Now Available for CMS Therapy - Add

You can now tick the force reauthorise box on the CMS Therapy - Add screen:

Note - When reprinting a prescription with cancelled items,the

current functionality remains the same i.e. Vision will not reprint the

prescription if the cancelled items are selected, the prescription will be allowed to be reprinted if the cancelled items are deselected.

69

Emergency Care Summary (ECS) Management - Scotland

As part of the DLM 460 update, the following sections within the Emergency Care

Summary Management screens have been changed:

Emergency Care Summary - Current Medication

Within Emergency Care Summary, Current Medication has been updated so

that only acute prescriptions dated in the last 6 months are extracted. Details of

Repeat Issues or CMS dispensed medication in the last 6 months are no longer

included.

Key Information Summary (KIS) - Self Management Plan

Within Key Information Summary (KIS) - Self Management Plan the following

Read codes have been added to the list available:

Read Code Read Term

661M. Clinical management plan agreed

661M0 Angina self-management plan agreed

661M1 Asthma self-management plan agreed

661M2 Chronic kidney disease self-management plan agreed

661M3 Chronic obstructive pulmonary disease self-management plan agreed

661M4 Diabetes self-management plan agreed

661M5 Heart failure self-management plan agreed

661M6 Hypertension self-management plan agreed

661M7 Stroke self-management plan agreed

661N Clinical management plan review

661N0 Angina self-management plan review

661N1 Asthma self-management plan review

661N2 Chronic kidney disease self-management plan review

661N3 Chronic obstructive pulmonary disease self-management plan review

661N4 Diabetes self-management plan review

661N5 Heart failure self-management plan review

661N6 Hypertension self-management plan review

661N7 Stroke self-management plan review

8CG6 Care programme approach

8CG60 Initial care programme approach review

8CG61 Ongoing care programme approach review

8CG62 Discharge care programme approach

8CMG1 Review of mental health care plan

8CR Clinical management plan

8CR0 Asthma clinical management plan

8CR1 Chronic obstructive pulmonary disease clinical management plan

8CR2 Diabetes clinical management plan

8CR3 Hyperlipidaemia clinical management plan

8CR4 Hypertension clinical management plan

70

8CR5 Hypothyroidism clinical management plan

8CR6 Coronary heart disease risk clinical management plan

8CR7 Mental health personal health plan

8CR9 Benzodiazepine clinical management plan

8CRA Ankle brachial pressure index management plan

8CRB Transient ischaemic attack clinical management plan

8CRC Cancer chemotherapy management plan

8CY Mental health care programme approach

8BC1 Treatment plan given

8BC3 Cancer care plan given

8CS Agreement of care plan

8CS0 Diabetes care plan agreed

8CS1 Multiple sclerosis care plan agreed

8CS2 Health and social care plan agreed

8CS3 Agreeing on leg ulcer treatment plan

8CS5 Agreeing on health professional actions in care plan

8CS6 Agreeing on patient actions in care plan

8CS7 Agreeing on mental health care plan

8CS8 Agreeing on care plan with legitimate patient representative

9HC2 Substance misuse clinical management plan agreed

9HC3 Substance misuse clinical management plan reviewed

Key Information Summary and Palliative Care Summary - Resuscitation Status

The default Priority within Resuscitation Status, accessible from either Key

Information Summary or Palliative Care Summary (ePCS), now has a default

of priority 1.

Add Item - Add Resuscitation Status

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Issue Displaying or Entering Data on the ECS Summary Management Screen

There was a minor issue that for some patients an exception error displayed when

selecting ECS. The cause of the error was the presence of one or more records on

patient’s therapy record where Source of the Prescription was set to <None>.

This issue has now been fixed.

72

SCI Pathology - Scotland and Northern Ireland

The following issues have been resolved:

Serum Ferritin

When test result 42R4 Serum ferritin is received, it now files under the Serum

Ferritin structured data area (SDA).

Serum Ferritin - Display

Duplicated Messages

There has been an issue with messages being imported twice should the SCI

Pathology download fail during processing. This has now been addressed and so

each message will only import once, regardless of errors.

Mail Manager Duplicate Message Option - Scotland

DLM 455 changed the way duplicate messages were validated so that the amount

of duplicate warnings is reduced. From DLM 460, SCI Pathology messages are only

imported into Vision once, regardless of any errors encountered, thus avoiding any

duplication of pathology messages. Consequently, this means that the results will

be filed automatically and will not require filing as they did previously.

If you want to continue to view the duplicate warning options in Mail Manager,

select Tools - Options - Pathology. Tick the box Identify duplicates and click

OK to save.

Identify Duplicates Option

Note - Any changes made in Tools - Options only take effect

when the next batch of pathology results are received.

73

Scottish Organ Donation - Change of Mind

For practices in Scotland using electronic Organ Donation, if a patient changes their

mind about the organs they wish to donate or wish to give consent after previously

refusing, you can now do this in the Registration module as follows:

1. From the Front screen of Vision, go to Home - Registration

.

2. Select the patient who wishes to change their organ donation

preferences.

3. Go to Action - Voluntary Consent to Organ Donation.

Action - Voluntary Consent to Organ Donation

4. The Voluntary Consent to Organ Donation screen is displayed. You can edit

the organ donation preferences as the patient requires.

Note - If a patient wants to completely withdraw their consent for

organ donation, you cannot do this in Vision. It is a requirement of

the Scottish government that the patient must put this in writing and

send to the Organ Donation register at FREEPOST RRZKSHUX- SBCK, NHSBT, Fox Den Road, Stoke Gifford, Bristol, BS34 8RR.

Note - If the patient is frozen, locked by another user or you do

not have the required security rights in Registration, you cannot amend the organ donation preferences.

74

Voluntary Consent to Organ Donation Screen

5. Click OK to save.

6. The details are then transmitted via Registration Links.

Scottish Prison Service - SPIN Number in Appointments

From DLM 460, the Appointments module has been updated to incorporate the

patient's SPIN and CHI number. The following Appointment functions now include

this extra information.

Booking an Appointment

The Appointment booking screen displays the SPIN and CHI information in the

patient box.

Booking an Appointment

75

Editing an Appointment

The SPIN and CHI number is visible in the patient box when editing an

appointment.

Edit Booking

Reception and Book View

The Reception and Book View now display the patient's name, date of birth, SPIN

and CHI number when the appointment is booked into the appointment session.

Reception View

76

Patient Demographic Details

The patient demographic window is accessed by single clicking on the patient in the

appointment list (provided it has not been switched off in Maintenance - System

Constants - Patient Information). The demographic details include the patient's

SPIN and CHI Number.

Patient Demographic Details - showing SPIN and CHI

Patient Search

When searching for a patient's past and future appointments using the Patient

Search option from the Search menu (or pressing <F3>), the patient's SPIN and

CHI is displayed in the patient box.

Patient Search

77

Appointment Lists

The two Appointment List Reports (Full and Summary), that are accessed from File

- Print - Appointment List, now display the patient's SPIN and CHI numbers

Appointment List - Summary Report

Appointment List - Full Report

78

Appointment Search and Report Options

The following patient specific reports have been updated so that you can view the

SPIN and CHI number. The reports are accessed from the Search menu in

Appointments.

Booking Information Report - This report looks at appointments where the booking information has been used.

Did Not Attend Report - This report lists and counts the number of

patients who failed to attend their appointment.

Emergency Evacuation Report - This report provides a list of patients who are in the health centre and need to be evacuated.

Note - The Emergency Evacuation Report automatically goes

straight to printer and cannot be viewed on screen.

DNA Appointment Report

Booking Information Report

79

Scotland and Northern Ireland Changes

SCI Referral Update to Patient Details Document Version 1.5

The information sent to the SCI Referral service has been updated to meet the SCI

Patient Details Document version 1.5 schema. This update results in:

the last three Blood Pressure readings (BPs), Body Mass Index's (BMI's) and pregnancy Parity Status records are included.

the date recorded is added to each BP, BMI and pregnancy Parity

Status record.

the time recorded is added to each BP record where available.

SCI Referral - Past Medical History screen

Note - You do not have to action anything or change the way you

record this information, for these changes to take place.

80

Online Services - MHOL Changes

View Unavailable Repeats

The new online Unavailable Repeat Prescriptions list displays the following repeats:

Repeats that may have expired and need to be reauthorised

Repeats that have reached their maximum number of issues and need to be reauthorised

Repeats that have not been issued within the 'Old Repeat Offset' duration in

Consultation Manager Setup - Therapy tab (see Online Services Configuration Guide).

Unavailable repeats cannot be ordered online.

Training Tip - You could update the practice Prescription

message (displayed on the Prescriptions tab) to inform patients that

if they need to reorder any inactive repeats they should contact the

practice by telephone. Improved Online Services messaging facilities

are planned for the future.

For patients to view unavailable repeats they need to:

1. After logging in, click on the Prescriptions tab.

All requests made in the display period set by your GP practice are displayed

here.

2. Click on the link "Click here to make a new request". All available and

unavailable repeat prescriptions are listed here:

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Available/Unavailable Repeat Prescriptions Lists

Practice ID Change

Practices which shared a Vision database with another practice and have

subsequently split (ie now have their own database) are allocated a new national

practice identifier. This practice identifier is used by patients when logging in to

Online Services.

When the practice identifier changes, patients using Online Services are informed of

this when logging in - the following message is displayed containing their new

practice identifier:

'Your practice identifier <nnnnn> has been updated.

In future when logging into Vision Online Services, please use your new

practice identifier <nnnnn>.

Click Continue to login with the new practice identifier automatically.'

Practice Identifier Change Message

Patients should take a note of their new practice identifier for the next time they log

in.

They can click on Continue on the right of the screen to log in automatically with

the new identifier.

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Online DNA Limit Reached

When a patient's online DNA limit is reached, the following reason is now

automatically displayed in the Reason box in Registration - Online Services tab

- Appointments tab:

'User has exceeded the maximum number of DNAs allowed':

Registration - Online Services tab - Appointments tab - Appointments Disabled (Online DNA Limit Exceeded)

The next time the patient logs into Online Services, any links to the Appointments

module have been removed and the Appointments tab is no longer displayed.

The patient cannot access the Appointments module until it has been enabled

again.

Training Tip - You can reactivate the online account by removing

the tick from the Disable box.

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Index

A

Additional Information on Error Messages • 39 Auto-Allocating Messages for Inactive Staff • 34

B

Browse Option • 38 Bug Fix - CMS Reprinting • 11, 68 Bug Fix - Daybook Audit Trail • 9, 34 Bug Fix - DLM 430 Task Templates Due Date • 9, 34 Bug Fix - Therapy Replace • 8, 30 Bug Fix (England) - Repeat Until Date when reauthorising

drugs • 8, 31 Bug Fixes - Electronic Prescription Service - England • 49 Bulk Signing Window • 11, 49

C

Cancelling Post-dated EPS Prescriptions • 11, 49 Cervical Cytology SDA Additions • 7, 25 Change to Daily and Monthly Automatic Collection

Names • 40 Check for Zip Files at the Start of a Collection • 40, 41 Chronic Medication Service - Scotland • 68 Compound Immunisations • 11, 51 Consultation Manager Changes • 17 Copyright Notice • ii CPRD Data Collection Changes • 38 Creating a Zip File • 40

D

Data Collection Changes • 42 Daybook Changes • 34 Deleting Files at the Start of a Collection • 41 DLM 460 - Vision Release • 7 Duplicated Messages • 12, 72

E

Emergency Care Summary - Current Medication • 12, 69 Emergency Care Summary (ECS) Management - Scotland

• 69 England Changes • 49

ePharmacy (AMS and CMS) Reprinting • 11, 66 Event Log • 41

F

Force Re-authorise Now Available for CMS Therapy - Add • 11, 68

Force Reauthorise Update • 8, 29

G

General Changes • 38 General Collection Process Changes • 10, 40 GP Communicator Changes • 36 GP2GP • 50

H

Health Protection Scotland - Immunisation Extracts • 11, 59

I

Immunisation - MMR Status of Refusal • 8, 25 Introduction • 59 Issue Displaying or Entering Data on the ECS Summary

Management Screen • 12, 71

K

Kettering Messages • 9, 34 Key Information Summary (KIS) - Self Management Plan

• 12, 69 Key Information Summary and Palliative Care Summary -

Resuscitation Status • 12, 70

L

Linking Medication to Problems • 8, 24, 27

M

Mail Manager Changes • 34 Mail Manager Duplicate Message Option - Scotland • 12,

72 Main Address - Road name contains invalid characters •

9, 33

N

New Entities to be Collected • 41 New Problem Column in Therapy Screens • 28

84

New Test Request Button in Consultation Manager • 7, 37

NHS Specialities • 7, 23 Nominated Appliance Contractors • 11, 49 Note Pad Keyboard Shortcut - Bug Fix • 8, 24

O

Online DNA Limit Reached • 14, 82 Online Services - MHOL Changes • 80

P

Practice ID Change • 13, 81 Prescribing from Vision+ • 8, 9, 31 Prescription Name Change • 8, 26 Problems Update • 7, 24

Q

QRISK Update • 7, 17

R

Registration Changes • 33 Registration Warning • 11, 50 Registration Warning Message • 9, 33 Removal of Define Collection Type • 38 Removal of Email Option • 38 Rotavirus Level 8 Extract • 59, 62 Running the THIN Catch-up Collection • 10, 43

S

SCI Pathology - Scotland and Northern Ireland • 72 SCI Referral Update to Patient Details Document Version

1.5 • 13, 79 Scotland and Northern Ireland Changes • 79 Scotland Changes • 59 Scottish Organ Donation - Change of Mind • 12, 73 Scottish Prison Service - SPIN Number in Appointments •

12, 74 ScriptSwitch • 32 Seasonal Flu Level 8 Extract • 59 Serum Ferritin • 12, 72 Shingles Level 8 Extract • 59, 61 Staff Names in Referral List - Bug Fix • 7, 23 Start Collection Changes • 39 Summary of Changes • 7 Summary of Changes - Online Services and My Health

Online • 13 Suspend Polling Message • 9, 36

T

Test Requesting Changes • 37 The Health Information Network (THIN) • 42 Therapy Changes • 25 Therapy Display Updated - Highlighting Therapy • 8, 25 tQuest Only - Radiology Test Requests • 10, 37

V

View Unavailable Repeats • 13, 80 Vision Front Screen • 7, 16 Vision+ Changes • 31

DLM 460 - Vision Release 460 - Vision... · 2014-05-30 · DLM 460 - Vision Release User Guide...

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Transcript of DLM 460 - Vision Release 460 - Vision... · 2014-05-30 · DLM 460 - Vision Release User Guide...