DLM 350 21/07/2012

The following changes are new to DLM 350:

New Stroke Risk and CVD Risk Calculators

The Frammingham risk calculator has until now been the only Cardiovascular Disease (CVD) and Stroke Risk Calculator within Vision. From DLM 350, There are now 3 additional risk calculators to choose from in Consultation Manager:
- ASSIGN – a cardiovascular risk score developed in Dundee University, Scotland in 2006.
- QRISK – a cardiovascular risk score developed by Julia Hippisley-Cox at the University of Nottingham.
- CHADS2– a measure of stroke risk for patients with atrial fibrillation.

See CHADS2 Stroke Risk Calculator and CVD and CHD Risk Calculators.

Advanced Label Design

The new Advanced Label Printing option brings the following additional functionality to Drug Label Design:
- You can now manage Monitored Dosage Systems (MDS) labelling.
- Labels can now have larger text for patients with poor eyesight.
- You can now print practice definable label warnings and instructions.
- You now have more control over the number of labels required.
See Advanced Label Printing.

Preview Pane for Drug Labels

DLM 350 brings a new Preview option for drug labels. This allows you to view labels before they are printed, change number of labels for each item, view if the labels are for Monitored Dosage System trays, view mandatory cautions and add practice defined cautions. See Preview Dispensing Label.

Electronic Test Requesting

As well as ICE and tQuest, Vision now integrates with Technidata electronic test requesting systems. See Electronic Test Requests.

Display NHS/CHI/H+C Number

There is a new option to display NHS, CHI or H+C number in the Title Format section of Consultation – Options – Setup – General. Once this is selected, the relevant patient number displays in the Consultation Manager title bar. See Consultation Options Setup.

Prevention Display

Target Blood Pressure -In response to user requests the Target Blood Pressure is now visible alongside Blood Pressure on Summary - Prevention Display.
Peak Flow and Pulse Rate are now displayed on the Prevention Display screen.

Recall Change

From DLM 350, when a recall is entered with Read code which is not mapped to any SDA (mapped to General History by default), it now auto-completes any previous recall with exactly the same code.

Label Trace

The Label Trace icon has now been changed to .

England - EPS Release 2 – Phase 3

The following changes have been made to full EPS 2 functionality:
- Controlled Drug Changes - All users can now see in the Options-Setup screen from the front screen of Vision, if schedule 2 & 3 and private prescribing are enabled for EPS 2.
- Cancellation Changes
  You can now view rejected and cancel failed prescriptions in the bulk signing view - rejections tab.
  You can now access the cancellation reason, dispenser and dispenser telephone number from Prescription Manager.
Bulk Signing changes
- F9 to Sign - You can now press F9 to sign selected prescription(s) in the workflow list.
- Urgent Prescriptions - Prescriptions marked as urgent are now displayed at the top of the selected patient’s drug list in the bulk signing screen with the following urgent icon: .
- Prescriptions displayed oldest first - The order of prescriptions in the patient drugs to sign in the bulk signing screen is now ordered oldest prescription first rather than alphabetical order.
- Edit Additional Instructions – You can now select Edit Additional Instructions from the bulk signing screen after a prescription has been sent to change information for the dispenser.
See EPS Release 2 - Phase 3 for all EPS 2 - Phase 3 information.

Northern Ireland - Electronic Referrals

For practices in Northern Ireland, there is now access to SCI Gateway via Summary – CCG. You can also add a CCG tab to your Consultation Manager tab set. See SCI Gateway/CCG - Referral and Discharges.

Scotland - Scottish Cervical Cytology Recall System (SCCRS)

SCCRS Recall Advice - SCCRS Recall Advice - A "Refer for Colposcopy" code has been added to the current SCCRS recall advice codes.

Wales – Welsh Clinical Communication Gateway

WCCG referral from floating toolbar – You can now trigger a referral by dragging and dropping your history entry onto the referral icon in the floating toolbar.

Structured Data Area (SDA) Changes

We have also changed, added and removed some Read codes and data entry options from existing SDA picklists.

Test Results - We have added a value, unit of measure and normal range fields to numerous test result SDAs. See Test SDA Changes - DLM 350.
Lung Function – The result value for 339a. Lung function before bronchodilation and 339b. Lung function after bronchodilation, can now be recorded to two decimal places.
Drug Allergy and Intolerance – To prevent inaccurate data recording, the severity and certainty boxes on the drug allergy screen default to empty. See also SDA Read code removal and additions.
Maternity - To save confusion between recording maternal details and infant details, three of the Maternity SDA’s have been renamed to the following:
- Delivery Details – Mother
- Pregnancy Outcome – Mother
- Infant Details – Mother
Absence of Condition in Guidelines – Absence of Condition data display in guidelines is now clearly marked.

SDA Read Code Additions

The following Read codes have been added to the SDAs below:

Cardiac Enzymes

44MC. Serum troponin T level
44ME. Plasma troponin l level
44MG. Serum troponin l level
44MH. Plasma troponin T level

Faecal Occult Blood

6867. BCSP faecal occult blood testing kit spoilt
6868. BCSP faecal occult blood test technical failure
6869. BCSP faecal occult blood test result unclear
686C. BCSP faecal occult blood test incomplete participation

Knee X-ray

52A..13 Knee X-ray
52A8 Plain X-ray patella
52A80 Plain X-ray patella normal
52A81 Plain X-ray patella abnormal
52AB Stress X-ray knee

SDA Read Code Removals

The following Read codes have been removed from the SDAs below:

Death Administration

94Z.. Death Administration NOS
94Z0. Preferred place of death
94Z1. Preferred place of death: home
94Z2. Preferred place of death: hospice
94Z3. Preferred place of death: community hospital
94Z4. Preferred place of death: hospital
94Z5. Preferred place of death: nursing home
94Z6. Preferred place of death: pt unable to express preference
94Z7. Preferred place of death: discussion not appropriate
94Z8. Preferred place of death: patient undecided
94Z9. Preferred place of death: learning disability unit
94ZA. Preferred place of death: mental health unit
94ZB. Preferred place of death: discussed with family