Vision 3 Release DLM 890

Summary of Changes

Vision 3 release DLM 890 contains the following features and improvements:

All Countries

Vision 3 Log in

• Login Name List - To improve the security of your Vision 3 system and your patient data, the Login Name list has been removed from the Vision Login screen. You must now type in your Login Name as set up in Management Tools - Control Panel - Security. To support this change the Show list of users option available from the Security Settings screen has been removed, see Security Settings in the Management Tools Help Centre for further details.

  Training Tip - If you have forgotten your Login Name, your system administrator can find it for you from Management Tools - Control Panel - Security, see Viewing the Current User List in the Management Tools Help Centre for details.
  Training Tip - (Scotland only) Your Imprivata OneSign User Name is the same as your Vision 3 Login Name.

  The Login screen now has an Information Point alongside Login Name, hover over it too see the tooltip or select to display the 'Please contact your Administrator or Vision Helpline if you cannot remember your Login Name.' message:

  

  If you select the Information Point, you must select OK to close the message:

  

Consultation Manager

• Immunisations - As part of a clinical consistency review of Vision 3 and Vision Anywhere, we have updated any historic compound/combined immunisation data initially recorded in Vision Anywhere and written back to the patient record as one item. This data is now split out into its constituent immunisations, for example an MMR initially recorded in Vision Anywhere and written back to the patient record as one entry, is now split into three entries, Measles, Mumps and Rubella.

• Firearms and Shotgun Certificate - When you record a Firearms and Shotgun Certificate on a patient record, a Firearm Status notification displays in the Alert Pane:

  

  The following clinical terms trigger the warning:

  • 9D8.. Shotgun application cert

  • 9D81. Shotgun applic cert-not paid

  • 9D82. Shotgun applic cert-fee paid

  • 9D8Z. Shotgun applic cert NOS

  • 9DP.. Has firearm certificate

  • 9DP0.. Has shotgun certificate

You can select the Firearm Status in the Alert Pane to display all firearms related details in the Filter tab, including the following terms:

• 9DT.. No longer has firearm certificate

• 9DV.. No longer has shotgun certificate

• Guidelines - You can now search for Guidelines by the Guideline Description. A new By Description option displays in:

  • Guidelines - Select Guideline:

    

  • Consultation Manager Setup - Startup - Views Displayed When a Patient is Selected - Guidelines - Edit:

    

    Note - Full words are not required, for example, pox may return Smallpox, Monkeypox and Chickenpox.

• Date selections - The issue of '$$' automatically being inserted when setting or updating a date within a Guideline has been addressed.

• Medication Review Structured Data Area (SDA) - Clinical term 8B3S200 Structured Medication Review now defaults to, and can be selected from the Medication Review SDA.

• Methotrexate Prescriptions - The following has been updated:

  • To support the guidance and recommendations included in a MHRA Drug Safety Update (DSU) published on GOV.UK here, for Methotrexate prescriptions with a once-weekly dosing schedule, the day of the week agreed with the patient to take their Methotrexate on can now be recorded.

    When you prescribe a methotrexate item, and select OK, the Methotrexate - Select Day of Week screen displays:

    

    Either:

    • Select a day to append to the Dosage and select OK. The day selected is added to your dosage, for example 'ON WEDNESDAY':

      

      Or,

    • Select Skip to bypass adding a day. The 'A day of the week for intake has not been specified for this drug. Do you wish to continue?' warning displays if you do not enter a day in the dosage, select Yes to continue or No to select a day:

      

  • The issue of Dosage reverting to default when updating Methotrexate prescriptions is addressed.

• Therapy - Exact Drug Warning - When searching for a drug name, if an exact drug cannot be found the following message displays:

  

  Select OK and check the item selected is the correct one.

  See Using the Select Drug Screen in the Consultation ManagerHelp Centre for details on searching for drugs

• Units of Measure - The following default units of measure are updated:

  • Head circumference centile and Jugular Venous Pressure are now cm instead of cms.

  • Infant details - Mother is now kg instead of kgs.

Vision 3 Front Screen

• Options - To improve the security of your clinical data and prevent the accidental download of malicious software, the Install .Net Framework option is no longer available from the Vision 3 Front Screen - Options menu.

Registration

• Online Services - The issue of a partial online services account being created when you update the Online Services tab on a patient record without selecting Create Online Account, has been addressed.

Patient Facing Services (Patient Services and My Health Online)

• Branch Site Sessions - The issue of Sessions allocated to a specific Branch not retaining the Branch details, has been addressed. Your patients can now use the Specific location option to filter available appointments.

Help Centres

• Accessing Help Centres from Vision 3 - If you press F1 on your keyboard or select Help from any Vision 3 module or screen, you can no longer alter the web address that displays.

  Note - This does not stop you from navigating the Help Centre you have opened.

  Select Launch help in external browser to open the Help Centre topic within your default browser, for example, Microsoft Edge:

  

  Note - The Help screen within Vision 3 closes down automatically when you select to launch it in your browser.

• Help - The Help option has been removed. If you need help with using one of our Help Centres, please refer to the Welcome - Using this Help Centre topic from any Help Centre:

  

England only

• e-Referrals - As per NHS England instruction, you can no longer upload .HTML or .HTM files to the e-Referrals Service. Vision 3 therefore no longer allows the attachment of .HTML or .HTM files. Should you try to upload files of this type the following message displays, select OK to close:

  

• GP Appointments Extract - The automatic GP Appointments Extract that is run weekly, has been extended to include Exception Reasons.

England, Wales and Northern Ireland

• Repeat Limit - The issue restricting the maximum number of repeat issues to 366, has been addressed. You can now set the maximum number of repeat issues for a single master up to 999.

  See Settings - Therapy Tab in the Management ToolsHelp Centre for further details.

Scotland only

Registration

• Returning Patients - The way Vision 3 handles returning patients in Scotland has been updated. If a patient has clinical term of 92...00 Patient de-registration with 'by transfer of GP to GP electronic record' in Comments, recorded in their record, they cannot be reactivated via Registration and a new record must be created. The original record is marked as 'Superseded Record'.

  See Returning Patients - Scotland Only for full details.

• Organ Donor Consent - Following the implementation of the Human Tissue (Authorisation) (Scotland) Act 2019:

  • The Registration - Voluntary consent to organ donation screen no longer displays at the end of a patient registration.

  • Donor details is no longer an option on the Preferences tab, and

  • No organ donor messages are sent.

Registration Links

• Bulk Registration - The Bulk Registration facility is bring introduced to allow practices that are closing down to create bulk export files that can be imported in bulk into a new practice as specified by the relevant Health Board.

  See Bulk Registration - Scotland Only for details.

Mail Manager

• CMS and AMS Messages - If you need to reprocess a CMS or AMS message from Mail Manager, Vision 3 now marks the original message as Withdrawn and automatically creates and sends a new message with the same reference.

Northern Ireland only

Consultation Manager

• GP2GP - You may see (Offline) after a patient’s demographic details at the top of the Consultation Manager screen:

  

  This is expected functionality due to updates in Vision 3 in readiness for GP2GP.