Viewing a Patient Record

• ENCOUNTERS - Select to list the patient's encounters history.

• Add new encounter - select to open a new Encounter.

• Last Encounters - Displays details of the last recorded Encounter.

• MEDICAL HISTORY - Select to list the patient's medical history. Any problem entries display first, to show you significant items.
• Significant Diagnoses - Displays Problem headers, priority 1 and 2 diagnosis codes.
• Significant Operations - Displays Priority 1 medical history entries in Read chapter 7.

The Medical History view can also be accessed from the Navigation menu, see Navigation Menu for details.

To refine the Medical History that displays:

• Search bar - Use the Search Bar to look for entries, see Search a Patient Record for details.
• Filters - Apply Filters to display specific items including Diagnoses, Procedures and Referrals, see Filtering the Record for details.
• Problems - Medical History entries can have links to a Problem, see Problem Linkage for details.

• MEDICATIONS - Select to list the patient's medication history and access the repeat medication functionality.
• Active Repeats - Displays active repeat medication.
• Acutes - Displays acute medication.

• ALLERGIES - Select to list the patient's allergy history.
• If the patient has drug or non-drug allergies recorded Known allergies displays on the Patient Banner at the top of the screen.

• LIFESTYLE & EXAMINATIONS - Select to list the patient's lifestyle and examination history.
• Displays the patient's last recorded lifestyle and examination entries, including weight, height, alcohol, smoking, exercise, diet and blood pressure.

Test Results displays any test results from the last 3 months, if there are no results in this period the message 'No test results in the last 3 months' displays.

Select Test Results to list the patient's test results in the last 2 years. These display in a chronological order, along with any problem linkage:

You can filter results to a specific time frame, see Filtering the Record for details.

The Test Results view can also be accessed from the Navigation Menu.

• IMMUNISATIONS - Select to list the patient's immunisations history.
• Displays the patient's recorded immunisations.

• CORRESPONDENCE - Select to list the patient's correspondence history.
• Displays the patient's correspondence from the last 3 months.

• eMED3 - Select to list the patient's eMED3 history.
• Displays the patient's eMED3 from the last year.

Displays the patient's:

• Registered and usual GP

• Address

• Contact details, for example, phone number(s). Select the Phone to telephone the patient directly from your device

• Map - Select to view a patient's address location and directions.
• Email - Select to email a patient directly from your device:

The demographic details also display on the Home screen for the Next Booked Appointment.

The Clinical Record Browser gives a chronological view of all items in the patient's record.

1. Select the Navigation Menu from the top left corner of your screen.
2. Select Clinical Record Browser and the patient record displays:

   

3. Swipe the screen to access more information.
   

The Clinical Record Browser view can also be filtered.

You can filter the data views in Vision Anywhere to display specific items such as blood pressure and smoking. You can also add date filters onto all of the views.

1. From the Patient Summary screen select the area that you want to filter, for example, Lifestyle and Examinations.
2. Select Options to access the filters and then select from Categories or Date range. Both filters can be applied separately and all categories or dates display.
   
3. Select the tick next to Show All to clear the current filter.
   
4. Select the items you want to view, you may need to swipe the screen to see all options. The All Entries count updates as you select
   Training Tip - The Lifestyle and Examinations categories includes filters for All Lifestyle and All Examinations.
5. Select OK to apply the filter and the filtered view displays:

   

If required an additional filter can also be applied.

Filter Categories

This list tells you what categories are available for the patient record screens.

• Clinical Record Browser - Encounters, Medical History, Medication, Allergies, Lifestyle and Examinations, Test Results, Immunisations, Correspondence and Other.
• Medical History - Problems, Diagnoses, Procedures, Family History, Referrals, Requests and Other.
Note - If you remove the tick next to problems, the problem term still displays in the view, as the clinical term exists outside of the problem.
• Allergies - Drug allergies, Non-drug allergies.
• Lifestyle and Examinations - Blood pressure, Height and Weight, Peak flow, Pulse, Pulse Oximetry, Respiratory Rate - Temperature, Visual Acuity, Alcohol, Smoking, All Examinations and All Lifestyle.
• Correspondence - Incoming and Outgoing.

Vision Anywhere has the facility to search the patient's record, to quickly return specific information:

1. From the Patient Summary or Encounter screen, select Search .
2. Enter the term you want to find in Search:

   

   Note - You can search on drug names, free text and clinical terms.
3. Select Search on the keypad and the results display, these can be a mix of coded and free text entries.
4. Use the back arrow to return to the previous screen.

Problem linkage displays items that are linked to a condition, to provide a full overview of the management and treatment.

The problems also display as a header in the Medical History view, and any linked items flagged.

Select a Problem flag to view the problem header and the linked items.

If items such as Medication or Test Results are linked to a problem, this is indicated alongside the entry. If selected the problem details display in the same way.

The Navigation menu provides quick easy access to all parts of the patient's record:

1. Select a patient and open their record.
2. Select Navigation on the top left of the screen, this can be accessed from any view of the patient's record.
3. Select the heading required, swipe the screen up to view all available options.

Select Navigation - Patient Summary to return to the Patient Summary screen.

Incoming and outgoing correspondence for the last 2 years can be viewed in the Correspondence view:

1. Select a patient and open their record.
2. Swipe the screen up to see Correspondence from the last 3 months.
   
3. Select Correspondence to access a list of documents in the last 2 years.
   
4. Select an entry to display further information and a summary of the letter displays, including any problem linkage:

   

5. Select the letter to view. If there is more than one app that can view the letter you are asked to choose which you want to use, the letter now displays:
   

   

   
   

The Correspondence view can also be accessed from Navigation , see Navigation Menu for further details.