SIS 10490 Vision Release Guide

Summary for Changes

December 2019

The following changes are included in the SIS10490 Vision release:

QOF

  • Clinical Audit - Clinical Audit is updated to Version 42 QOF Business rules for practices in England. Practices in Northern Ireland and Wales are updated to QOF Version 37.
  • Vision+ - Vision+ Reports and Templates are also updated to QOF Version 42 for practices in England and Version 37 for practices in Northern Ireland and Wales.
  • Exception Coding – Vision+ Exception coding and reporting for practices in England has changed and now includes the new Exception Business rules. See QOF Exception Changes – England.

Vision+ SNOMED CT

SNOMED CT

  • SNOMED CT – The SNOMED CT April 2019 dictionary is implemented for practices in England.
Note – Practices in Northern Ireland, Scotland and Wales continue to record data using Read terms in Vision+, however, in the background the entry is mapped to a SNOMED CT term. The switchover to recording SNOMED CT terms directly into Vision+ is planned for a future release.

Vision+ Calculators

  • eGFR Calculator – The eGFR Calculator allows for the adjustment for ideal weight to Cockcroft-Gault. It also calculates CCR from Cockcroft-Gault and files this to the patient record. See Vision Calculators.
  • eGFR label - The eGFR Cockcroft-Gault screen previously displayed an incorrect label of CR-CL (creatinine clearance). It now shows the correct label of eGFR.

Vision+ Settings

  • Exception Reporting – Due to the changes in exception reporting for practices in England, the option to switch on separate Exception searches is removed from Vision+ Settings. The reasoning behind this is that exceptions are no longer reported separately and are part of the main indicators/denominator reports.

Vision+ Reports

  • Export Reports to a csv file – Previously, exporting a patient QOF list to a CSV file only displayed the denominator category. The export now also includes indicator data. See Vision+ Reports.

Vision+ Mail Merge

  • QOF ‘Merge All’ Invite Status – When running the Merge All category option within mail merge, the invite displays with a date and status for each clinical category. See Merge All Invite Status.
  • QOF Merge Fields – Previously, when sending a letter invitation to a patient that included QOF areas, the letter listed all the registers the patient was on, not just those you were inviting the patient in for. From SIS 10490 only the QOF areas selected are merged into the letter. See Mail Merge All QOF/QAIF Categories.
  • QOF Patient Record – Now when performing a mail merge on multiple QOF areas, using the filter option dictates what invite terms are written back to the patient record. See Mail Merge All QOF/QAIF Categories.
  • Non QOF Categories – Non-QOF category mail merge options are removed from the mail merge fields. See Mail Merge All QOF/QAIF Categories.
  • QOF Categories with No indicators – Some QOF areas do not contain any indicators within them. For example, Osteoporosis and Epilepsy. Selecting merge category from Vision+ Practice Reports displays the warning message “There are no invite status defined in the QOF Business rules for the Osteoporosis category”.
  • Pseudonymised NHS Number Mail Merge Template - Mail merge templates can now include a pseudonymised (encrypted) NHS number. The pseudonymised option was developed for practices who have patients participating in studies/trials. In conjunction with this is a new pseudonymised patient search. See Selecting patients by the Pseudonymised number.
  • Mail Merge Filter – Previously, after applying a filter using the All Merge categories you could only sort one column at a time. From SIS 10490 you can sort multiple columns. See Mail Merge All QOF/QAIF Categories.

Vision+ Contract Manager

  • Contract Manager – For practices in Northern Ireland, Scotland and Wales, the option to schedule Contract Manager reports to run are removed from Configuration and Settings in Vision+. Contract Manager now automatically runs overnight and will be up to date as of the day before. You can still select update if you want to run the reports during the day, especially if it is getting near to QOF year-end.
  • Contract Manager – Some practices experienced error messages when running Contract Manager. This is resolved in SIS 10490.

Anticoagulation Manager

  • Anticoagulation Manager Patient Printout - The printout given to a patient is enhanced to include extra information and can be customised. See Vision+ Templates.
  • Anticoagulation Manager A4 Patient Review – Previously, you could only preview the Anticoagulation Manager printout for a patient on prescription paper. There is now an option to print preview as an A4 report. See Vision+ Templates.
  • Time in Therapeutic Range Calculator - The default TTR now looks at the last 12 months only. If the TTR is less than 12 months plus 6 weeks, the calculator ignores the first six weeks of results after Warfarin indication and then sets the start date to the first INR after that date.
  • Mail Merge – Performing a mail merge in Anticoagulation Manager did not always display the Word document. This is resolved in SIS 10490.
  • Warfarin Audit – Previously the Warfarin audit report was displaying zero figures when searching on SNOMED CT terms. This is fixed in SIS 10490.

Outcomes Manager

  • Extract Patient Demographic data – Patient demographic data as well as aggregated data is now extracted in Outcomes Manager.
  • Rule Designer – Rule Designer within Outcomes Manager (the tool used by Vision authors to create templates), now allows a default value to be set against a SNOMED/clinical term within a template.
  • Repeat Count – Rule Designer allows for a repeat count.