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DLM 440/441/442 11/07/2013

Patient Preview

  • Patient Preview is a new screen in Consultation Manager designed to display a quick overview of patient details in a simple and consistent layout. It provides a snapshot of essential information on one page and allows clinicians to have immediate access to the most important patient data. See Patient Preview.

Language and Interpreter Details

  • Structured Data Area - We have introduced two new structured data areas for Language Spoken and Language Read.
  • Viewing Languages - In addition to displaying on the Journal view, languages are listed under Patient Preferences on the Navigation pane. This information also populates the Patient Preference tab in Registration.
  • Interpreter details - Any interpreter details recorded in Consultation Manager automatically filter to the Patient Preference tab in Registration.

See Navigation Pane.

Guidelines

  • Drug Regime changes in Guidelines - Previously, if you prescribed a drug from a drug regime and chose the repeat option, the number of repeats and the minimum and maximum days between issues was set to zero. The repeat until date also defaulted to today's date. This has changed so that all the boxes are now blank. See Guidelines and Reports

Management Plans

  • Serology and Immunology Management Plan - The Serology and Immunology plan has been updated so that the label now states Tumour Markers rather than Carcinoembyronic antigen. See Management Plans.

Med3

  • Mandatory Information - Mandatory items are now indicated with an asterisk on the Med3 form.
  • Follow-up Assessment - The follow-up assessment box no longer allows you to enter a date in the past.
  • Requested By - As most Med3 certificates are requested by the patient and not the GP, the Requested By box now defaults to Patient.
  • Changes to the Med3 display in Journal - The Med3 display in Journal shows the dates issued from and to and the diagnosis.
  • Follow-on Med3 - When adding a follow-on Med3 the start date of the new certificate defaults to the expiry date of the previous Med3, rather than expiry date + 1 day.
  • MED3 Future Dates - The previously reported problem where MED3s with a future date caused a loop of error messages has now been fixed. If you do happen to have a future date on the MED3 form, you will be prompted that the date cannot be in the future and returned to the date box where you can change the date manually.

See Electronic MED3 Doctor’s Statement.

Medication Review

  • Medication Review Notes Bug Fix - If you change the free text notes when completing medication reviews, the notes of previous medication review entries are no longer replaced.
  • Medication Review - When you update a medication review the free text note from a previous review displays. Over typing this free text note no longer changes historical entries.

See Medication Review.

Immunisation

  • Seasonal Flu by Pharmacist - The Read code 65ED0 (Seasonal Flu by Pharmacist) is included in the Immunisation SDA. This code counts in version 24 of the QOF Business rules. See Type of Immunisation.

Therapy Changes

  • Drug Display changes to the Journal tab, Consultation View and Filtered List - The drug name, form and strength now displays in bold on the patient's record. See Therapy in the Journal.
  • Drug Select by Hierarchy - Drugs displayed by hierarchy in the Drug Select box, appear in strict alphabetical order. See Hierarchy/Drug Class.
  • Controlled Drug Warning - When prescribing a Controlled drug for more than 30 days you are now warned that the treatment days is greater than 30. See Prescribing Controlled Drugs for more than 30 Days.
  • Batch Prescribing Warning for practices in England, Northern Ireland and Wales - When reauthorising a batch prescription that has more than a certain number of days before expiry, you are now warned to ask the patient whether they have unused batch issues. See Reauthorise Batch Prescription and Repeat Dispensing Options.
  • Electronic Prescription Service (EPS) Authorising Four or more items in England - We have fixed the issue that affected the authorisation of four or more ETP medications, you can authorise or re-authorise as many items as required. See Electronic Prescription Service Release 2 (EPS2).
  • Prescribing Imported and Secondary Care drugs - The restrictions for imported and secondary drug prescribing has been lifted and a new warning message has been introduced to ensure you are aware when prescribing drugs of this type. See Drug Status and Imported and Secondary Care Drugs.
  • Therapy Warning Message Changes - Some therapy warning messages have changed so that they are more descriptive.
  • Repeat Masters on the De-Registration of Patients - From DLM 440, a patient transferring out of your practice has all of their active repeat masters automatically inactivated. Any patients that have transferred out prior to DLM 440 must have their repeat masters deactivated manually. There is a new option - Patient de-registered when inactivating repeats manually. See Inactivate Repeats (Discontinue) and Reactivate and Inactivation/Reactivation Reason.
  • Repeat Masters on the Re-Registration of a Patient - When re-activating repeat masters for a patient that has re-registered with your practice, you can now choose patient re-registered as a reason for re-activating the medication. See Inactivation/Reactivation Reason.
  • Dispensing Drug Labels - Some long drug names (those with a long dm+d name), are now shortened when printing on dispensing labels. See Dispensing Labels and Caution Codes.

Tests

  • Fasting Glucose SDA - The units of measure now displays mmol/L.
  • Haemoglobin and MCHC Units of Measure - The units of measure for Haemoglobin (Hb) and mean cell haemoglobin concentration (MCHC) pathology results are changing from g/dL to g/L.

Agency

  • Agency End Dates - The Agency structured data area (SDA) includes an end date which displays on the Journal and is listed within the Lifestyle section of the navigation pane. See Lifestyle.

Attachments

  • Prohibited File Types - If you attempt to attach an unauthorised file type to a patient's record you get a warning.
  • File Types error message removed - You no longer get an error message when adding an attachment to a patient's record that contains an invalid character or if the file name is greater than 4 characters.

See Scanning.

Bug Fix

  • Bug Fix - Browse Lists (Consultation - Options - Setup -Startup) - When you receive DLM 440, the browse list options are cleared. Browse lists is one of the ways to set list/guidelines to initially display when you select a patient. You can reset them if required (click Browse Lists for instructions).

SCI Gateway/WCCG and CCG Changes - Scotland, Northern Ireland and Wales

  • SCI Referrals to include Spoken Language - Referrals can now include the patient's spoken language.
  • SCI Gateway - Processing Parked Referrals - Referrals sent to SCI Gateway post DLM 440 will contain a unique identifier comprising of the practice and patient ID. Note - Referrals parked before DLM 440 do not include this unique identifier and may not easily be matched and filed back to the originating system. It is therefore recommended that all parked referrals are sent before DLM 440 is installed.
  • Redirecting SCI Advice Responses and SCI Discharge Notifications - There is a new facility to redirect SCI messages to Mail Manager. See Mail Manager on-screen help
  • WCCG Dosage Display - The therapy dosage box which is sent as part of a WCCG referral has been increased to allow for 198 characters.

See Electronic Referrals For Scotland, Wales and NI.

England Changes

  • GP2GP Units of Measure - Units of measure in GP2GP should ideally be sent using the UCUM standard. Where any unit is represented in a different format (eg /d or /day), those units will be recognised as equivalent and filed appropriately. A number of units outside this list which have been historically supported by Vision are also recognised and filed appropriately. As of DLM 440, if a unit falls outside these classifications then no attempt will be made to automatically convert it to a known unit and it will therefore be downgraded to text.
  • GP2GP Agency end date - The Agency structured data area now includes an end date which is sent electronically as part of a GP2GP message.
  • GP2GP Languages - The new structured data areas for language spoken and language read are included in GP2GP transfers.
  • Reminder for Practices using EPS2 - Role Bases Access (RBAC) to Daybook - If using your Smartcard you must have the activity B0093 allocated to it in order to access Daybook or view your Daybook tasks from the Vision Front Screen.

See GP2GP.

Scotland Changes

  • Emergency Care Summary - New combined screen for Emergency Care Summary, Key Information Summary and Palliative Care. The new screen displays consent status and data extracted for each summary as well as new data entry screens for KIS and Palliative Care. See Emergency Care Summary - Scotland .
  • Scottish Cervical Cytology Results System (SCCRS) - Some of the existing descriptive text in a SCCRS result has been updated. In order to maintain data integrity between the SCCRS system and GP systems, these changes are reflected in the SCCRS GP message. See SCCRS Read Codes.
  • eAMS Message Failure Fix - The issue with some eAMS messages not picking up CHI numbers causing messages to fail has now been fixed.