Other Tab

The Additional Identifier can be:

• Used for selecting a patient
• Displayed within Appointments on the Book and Reception views and the Appointment list summary report
• Selected from Report Output to added to a Standard and Summary Report
• Displayed on the therapy repeat re-order form
• Selected as a merge field when setting up a Word template

Additional identifier are either:

• Patient Numbers - For patients whose data was converted from VAMP Medical or a competitor system, the patient numbers used in those systems are added as Additional Identifiers during the data conversion process.
  Note - The numbering does not continue once conversion is complete. If you want to continue this numbering, you need to add them manually as you add patients.
• Practice-defined - You can enter an identifier here if required.

For practices involved in the Data Collection scheme - CPRD use the Vision and Additional identifier, preceded by a # sign. The Additional Identifier number for these practices should never be updated as it provides unique identification of that patient, especially following records of patients from VAMP Medical to Vision.

For practices not involved in data collection - Up to ten alpha-numeric characters can be entered in Additional Identifier. You are warned if you try and use a number assigned to another patient, but you can override this if you require.

Residential Institutes cover nursing homes, schools and other institutions. Their one or two-letter codes are issued by your local TP (HA / HB).

England and Wales

• Entry of codes for Residential Institutes in England and Wales is essential for Registration Links, any amendment generates an Amendment transaction.

Scotland

• The equivalent in Scotland is Institution codes, they are optional and not currently widely used by every HB. Any amendment generates an Amendment transaction.

To be available for selection, each Residential Institute must be entered in Control - Panel - File Maintenance - Organisation under Residential Institutes. Enter the one or two-letter code in RI code in Identifier Type on Organisation - Identifiers.

Using RI codes is a way of grouping patients together, if a patient is in a residential institution, select the appropriate one from the available list.

If your practice is an approved dispensing practice, and the patient lives more than one mile from the chemist, enter:

• Y to indicate they are a dispensing patient
• N or leave blank, if not a dispensing patient

For a dispensing patient, Dispensed is automatically ticked on Therapy - Add.

When you print a dispensing patient's prescription, Drug Labels is ticked automatically labels are printed at the same time.

If you do not want to print drug labels for dispensing patients, either:

• Remove the tick on the Print Therapy screen each time, or
• From the Vision front screen, select Modules – Label Design, remove the tick in Enable Print Labels for a permanent switch off

Select from the available list to mark a patient as exempt from prescription charges. Those under 16 and over 60 are automatically except, but any exceptions should be recorded for dispensing patients.

Some items on the list are for historical records only and can no longer be selected, for example:

• Woman aged 60 or over
• Man aged 60 or over
• Has a maternity/medical exemption certificate
• Receives Income Support/Family Credit
• Gets Disability Working Allowance
• Has WFTC exemption or gets full or reduced WFTC
• Has DPTC exemption or gets full or reduced DPTC

You can select to rank patients within the same house between 1 and 9, making your own classification of ranking, for example, Father 1, Mother 2, Eldest Child 3, next child, 4, and so on.

This refers to the Deprivation Status (Jarman Index) relevant to the patient's residential area if deprived (often inner city) . It is usually classified as (No selection), Low, Medium, High, Not Applicable. Select as required.

You can enter whether the patient is part of a private medical insurance scheme. Each insurance company for selection here must first be entered in Control Panel - File Maintenance - Organisation under Insurance organisations for patients. Select from the list available.

If you have more than one location for your practice set up in Control Panel - File Maintenance - Practice, select which branch the patient is usually seen at.

These are the two medical records flags which record that records have been requested or sent to the TP if a patient has deducted, or sent from the TP if a patient joins the practice.

Tick the Is MDS Patient to mark the patient as requiring dispensing labels for a Monitored Dosage System (MDS).

You can restrict staff access to a patient's clinical record by marking it as a Sensitive Record.Select Restrictions , the Sensitive Patient Restrictions screen displays.

This selection is for future functionality. If you do select an option other than no selection, Vision prints large font labels.