What's New?

Vision Anywhere release 4.4 for iOS contains the following new features and improvements:

• Medication - When recording a medication, the term Authoriser replaces Clinician:

  

• Independent and Supplementary Nurse Prescribers - When recording medication prescribed, your nurse prescribers, both Independent and Supplementary are now available to select from Authoriser. As with all clinicians, if the nurse prescribers are logged in, Authoriser defaults to their name, if a non-clinician is logged in, the Usual GP is the default, but independent and supplementary nurse prescribers are now available to select.

  Note - This functionality is not currently available in a Shared Care Setting.

• Downloaded Patient Records - Downloaded patient records, that have not been updated, are now stored on your device for 7 days and then deleted.

  See Selecting and Downloading Patients for details.

• iOS Version - The minimum version of iOS for Vision Anywhere release 4.4 is iOS 14.

• Repeat Synchronisation - The issue with the intermittent creation of a duplicated Repeat Master being created has been addressed.

Summary of Changes

Vision Anywhere release v3.8 brings together Vision Anywhere releases v3.7 and v3.8 and contains the following new features and improvements:

• Medication Decision Support - You can now chose to enter a reason when you override any decision support warning on either an acute, a new repeat or a reauthorisation of an existing repeat medication. When you select Continue on a medication with decision support warnings, the Decision Support Summary screen displays:

  

  You can enter any comments required in the section under the warnings. Audit information for overrides is held in Vision360 Audit Viewer, see Audit Viewer in the Shared Care Help Centre for details.

• Medication Reviews - You can now view all existing Medication Reviews, see Medication Reviews for details.
• Death Administration - You can now view all death administration information in one screen, see Death Administration for details.

Vision Anywhere release v3.6 contains the following:

• Statement for Fitness for Work (eMED3) - Existing eMED3s can now be viewed from both the eMED3 and Recent Correspondence category headers.
  See Viewing a Patient's eMED3s for details.
• Medication - The following medication enhancements have been made as part of the Vision Anywhere v3.6 release:
  • Decision Support - In the unlikely event of your patient having a clinical term in their record that has been made inactive in the SNOMED CT dictionary, decision support is not available for any medication against that term. You are now warned of this with an Inactive clinical terms warning which you can expand to identify the inactive clinical term you may need to take into consideration whilst prescribing:

    

• Allergies - When recording a drug allergy, you can now select from branded generics and special drug items.
• Appointments - The Free Slot Search no longer has a 2 week option.

England Only

• QOF Indicators (England only) – When you are selecting a clinical term QOF terms are highlighted with a QOF indicator.

• Therapy - The following changes have been made to therapy as part of this release:
  • Drug Class – If a medication belongs to more than one drug class, you can now select which class you are prescribing for, simply select Drug class and choose from the list offered:

    

  • Black triangle indication - Black triangle products are those being intensively monitored by the MHRA. When searching for a drug these items are now flagged to remind you to report any suspected reactions via the yellow card system. Where a medication has a Black Triangle designation a Black Triangle displays after the medication name.

  • ACBS indication – Foodstuff or medicinal toiletry items are flagged by the Advisory Committee on Borderline Substances (ACBS). When searching for an item, where an item is designated ACBS, country specific ACBS display after the item name.

• Recent Patients – From your Home screen, Recent Patients now displays a list of your five most recently opened patients; these are retained across your sessions.
• Display Health Promotion Data – Where recorded in Vision 3, any Health Promotion data displays in the Clinical Record browser and any search results.
• Display Palliative Care Data – Where recorded in Vision 3, any Palliative Care data displays in the Clinical Record browser and any search results.
• Gender – Unknown and Not Specified gender types are now recognised in Vision Anywhere.
• Test Results – The issue with units defaulting incorrectly has been addressed.

Scotland, Wales and Northern Ireland

• Therapy - You can no longer prescribe, issue or reauthorise Discontinued Drugs from Vision Anywhere. This is a temporary measure and is due to be addressed in a future version of Vision Anywhere.

Vision Anywhere release v3.4 contains the following:

• Upgrading to a new version of Vision Anywhere - When you receive updates to Vision Anywhere, the system now retains:

  • Incomplete encounters.

  • Any encounters that have failed to synchronise.

  • Any encounters that are in error.

  • Downloaded patient records within the 90 day time frame.

  • Manually downloaded patient records within the 90 day time frame.

  • Any prescribing and encounter preferences you have updated.

• Controlled Drugs - When adding a new prescription for a controlled drug item, a new warning displays in orange if you enter more than 90 days supply into Quantity. This is triggered using the calculated daily dose.

  

  This is a warning only, you can continue and prescribe the amount entered if required.

• Stability improvements – We have made some technical changes in the background to improve overall system stability.

Vision Anywhere release 3.3 contains the following:

SNOMED CT

Vision Anywhere now uses native SNOMED CT for data entry instead of Read codes. This ensures that searching for codes is more accurate and efficient, as the context types display.

Prescribing with notes

You now have two new options within the Prescribe screen:

• ­ Notes for patient
• ­ Notes for dispenser

For a new repeat prescription, the notes are copied to an acute item raised if you tick Also add an acute or the top-up acute option for repeat synchronisation.

See Adding Medication for details.

Default Consultation Type

Surgery Consultation Note is the new default consultation type for a patient encounter, see Recording a Consultation for details.

Calculators and Templates

As part of Vision Anywhere v3.3 we are introducing the framework for using clinical calculators and data entry templates. These are released independently of the Vision Anywhere release process as they form part of the Outcomes Manager delivery mechanism. Initially, the following clinical calculators are available to download:

• BMI
• Diabetes Risk
• DOSE Index

See Templates and Calculators for details.

Care Reminders

Care Reminders are temporarily unavailable, they will be reinstated in a later release of Vision Anywhere.

Failed Encounter Writeback

Encounters that fail to be written back due to service availability or other service issues are now added to the automatic retry queue. The encounter for retry displays on the Home page and can be viewed and deleted from here if required.

Non-FP10 Medication

The ability to prescribe non-FP10 medication has been withdrawn pending the introduction of Private Prescriptions in Vision Anywhere.