DLM 450 - 29/08/2013

Vision+ - DLM 450 introduces a new QOF management and practice protocol tool called Vision+. This exciting new update to Vision includes real-time alerts for additional QOF points, practice-based protocols and a simple but powerful recall facility.
When a patient record is open in Consultation Manager, Vision+ shows missing or incorrect contract information and provides intelligent templates for fast data recording. There are also additional reporting facilities to help with QOF and protocol management.
Practices can also create their own protocols that alert users to missing information during consultations alongside the existing QOF related alerts.

Click here for an introduction to Vision+ (including quick references and a full user guide).
Click here for information about what happens when you receive DLM 450 with regards to Vision+.
Note - Once DLM 450 is installed, all QOF reminders in Clinical Audit will be inactivated. This is because Vision+ will now be the principal tool for QOF alert and data entry. See Clinical Audit and Vision+ for more information.

Read codes have been added to the immunisations SDA for: Intranasal Seasonal influenza, Hepatitis A adult and junior, Shingles and Rotavirus.
On receipt of DLM 450, previous medical history entries for Shingles and Rotavirus will be automatically converted to the immunisation SDA.
Read codes have been changed for Influenza, Hepatitis and Varicella.
You can now select Intranasal from the immunisation method list.
See Immunisations

Last Surgery Consultation - Full details of the last patient consultation are now displayed in the Last Surgery Consultation section of the Patient Preview screen.
Significant Medical History - Date Display - The Read codes and Problem entries in the Significant Medical History section of the Patient Preview screen now display the event dates.
Procedures - Procedure history items with a priority 0 or 1 no longer display in Significant Medical History (priority 1 items display in the medical history section). Also, the following chapter 7 codes are no longer displayed in the procedure section: 7L1% Other miscellaneous operations, 7M% Subsidiary classification of methods of operation, 7N% Subsidiary classification of laterality and operation sites, 7P% Diagnostic imaging, testing and rehabilitation, 7Q% Drugs.
Current Prescription Section - Current prescriptions are now categorised and grouped into acute and repeats and the associated text displayed now wraps.
Recalls section - Completed inactive recalls no longer display in Patient Preview.
Examination Findings Section - The Examination Findings section of the Patient Preview screen now displays the event dates.
Cervical Cytology Section - Previously the cytology section only displayed cytology in the last three years, it now displays the last cytology entry for the selected patient regardless of when it was recorded.
See Patient Preview

SDA Change - To better categorise oximetry recording and allow for a percentage value to be entered, the Read codes 44YA0, 44YA0, 44YA1 oxygen saturation at periphery have now been removed from Blood Gases SDA and put into Pulse Oximetry SDA. This applies to new and historical entries. The percentage value for historical entries is added as <none> however there will be a data quality clinical audit to help identify such entries. Please update any practice searches or guidelines to reflect this.
Epilepsy Register - A new code for F25H. Generalised Seizure was added to the Read dictionary in April 2013 and has now been excluded from the QOF Epilepsy register in v26 business rules. Because of this, we have stopped this code from invoking the Vision Epilepsy Register when entered on the patient record in Consultation Manager.
AMS Prescribing (Scotland) Urgency Status - You can now flag AMS messages as urgent if you right click on the item within Prescription Manager in the Consultation - Therapy screen.