What's New?

Vision Anywhere v4.4 for iOS

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.

Previous Releases

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 the V360 Clinical Portal Audit Viewer, see the Audit Viewer help 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:

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.

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.

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

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

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.

The ability to prescribe non-FP10 medication has been withdrawn pending the introduction of Private Prescriptions in Vision Anywhere.

Easily synchronise all your patient's drugs to the same issue and review frequency to simplify medication reviews.

Note - Repeat Synchronisation is currently only available on the iPad.
See - Repeat Synchronisation Overview.

Available pack sizes display for selection when prescribing.

Note - This displays the first 6 pack sizes, other quantities can be entered directly into the Quantity box.

Topical interaction warning alerts now display in the prescriber warnings.

See - Prescribing Preferences.

When choosing a high risk drug, a detailed toxicity warning displays after selection.

See - Toxicity Drug Warnings.

Methotrexate and derivatives have default dosage regimes, the standard dosage regime populates and alternatives can be selected from the drop down list.

A custom dosage can be entered if required, which triggers an alert.

See - Toxicity Drug Warnings.

Vision Anywhere now talks directly to the Vision databases, this improves performance and provides immediate consultation data write back to the patient’s registered practice.

If the practice system is unavailable i.e. an upgrade in progress, you cannot access patient records unless they have been previously downloaded.

See - Searching for Patients.

Vision Anywhere now supports consultations for patients without an NHS / CHI number.

The latest supported version of iOS is now iOS 9, this is to enable Vision Anywhere to take advantage of features in the newer operating systems.

The search facility is now available in Drug Allergy form, making it easier to enter the clinical term for the reaction.

The search facility is now available when entering an encounter, allowing you to quickly search the patient's record for free text or coded entries.

See - Search a Patient Record.

If an appointment has been booked for a patient without a NHS/CHI number, this displays as Unknown (no number).

Manually refreshing the view displays the patient's name.

  • Improved performance when opening and navigating a patient record, along with creating and saving encounters.
  • Patient Summary displaying duplicate last encounter issue resolved.

Following detailed analysis of the most efficient way of adding data, we have overhauled the encounter and data entry work flow. Recording both clinical terms and prescribing is now quickly done from the dynamic data entry bar.

Single letter entry gives rapid access to the Common Observations offering fast intuitive data entry.

See - Common Observations.

You can now easily search the patient's record.

This gives you quick access to any free text or coded entries containing the search term.

See - Search a Patient Record.

Many of the views such as Medical History, Lifestyle & Examinations and Correspondence now allow you to filter the data to return specific items such as procedures or blood pressure and smoking. You can also add date filters into all of the views.

Select the Arrow in the top right corner of the screen below the Patient Banner to access the filter categories:

The categories change depending on which part of the record you are currently using.

See - Filtering the Record.

All problems are now shown as a header in the Medical History view, you can see if there are linked items and quickly view these.

Linked items are displayed when the Problem is selected.

See - Problem Linkage.

The Common Observations offer fast access to commonly used terms and have been expanded from 10 to 16 and now include:-

  • Ankle Brachial Pressure
  • Weight Loss
  • Postural Drop in Blood Pressure
  • Jugular Venous Pressure
  • Visual Acuity
  • Head Circumference

For a full list of common observations and quick entry forms see - Common Observations.

These items are now shown in the test results.

We have now introduced patient QOF alerts to Vision Anywhere. This means that you are now alerted to any missing QOF data when you access the patient record. From the alert, you can then continue to add the associated data, medication or patient exemption.

See - Care Reminders.

The Appointments lists now display more information about each appointment, the associated patient and free slots.

Patient information now shows more details about each patient and their practice.

You can now switch between tiled and tabular views of patient search results and explore a patient’s demographic details from within the search results view.

You can now view a broader range of document types that have been attached to a patient’s record, including Docman attachments (these must have been filed into Vision).

Ability to use the drug browser when recording drug allergies.

Vision Anywhere now supports, Issuing, Re-authorisation, Restarting and Stopping of repeat medications.

It is now easier to understand when a patient still has an open encounter on your device.

For acute and repeat prescriptions.

Improvements to the app sign-in experience and support for changed passwords.

Improved performance of terminology searching when adding entries to an encounter.

Making it clearer when expired data has been removed from the device.

 

Faster data entry.

Offering access to interactions and contraindications at the point of prescribing. These are not currently available when in off line mode.

Initially new repeats / reauthorising / reissuing.