May 2020 Vision Anywhere v3.4
Vision Anywhere release v3.4 for Windows Desktop contains the following:
When you receive updates to Vision Anywhere, the system now retains:
- Incomplete (open) encounters remain for 90 days
- Any encounters that have failed to synchronise always remain
- Any encounters that are in error, remain
- Downloaded patient records
- Manually downloaded patient records
- Any prescribing and encounter preferences you have updated
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, ACBS displays after the item name.
- Controlled Drugs - When adding a new prescription for a controlled drug item, a new warning displays in orange if you enter more than 30 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.
Repeat Reorder form – The repeat reorder form no longer prints on the right hand side of an acute issue.
- Stability improvements – We have made some technical changes in the background to improve overall system stability.
Before installing Vision Anywhere v3.3, please be aware of the following:
- Printer settings are lost as part of the install and therefore need to be reset after the install has completed, see Printing Preferences.
- Shared Care Only - Please email any referral templates you wish to use to VATemplates@Visionhealth.co.uk for uploading to the cloud.
Vision Anywhere release v3.3 contains the following:
From Vision Anywhere v3.3 the icon on your desktop is updated to:
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 can now create a referral letter from an encounter, which then saves to the patient record.
As part of Vision Anywhere v3.3 we are introducing the framework for using clinical calculators and data entry templates. These will be 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:
- Diabetes Risk
- DOSE Index
The prescription printing functions are available to both practices and shared care organisations, and have been enhanced to include:
- Multiple acute prescriptions
- Repeat medication issues
- Re-print acute and repeat prescriptions
- Re-order form on the prescription right hand side
The prescription add form also includes the Advice to patient and Instructions to the pharmacy which print on the script.
Vision Anywhere reads the Vision 3 permissions settings in Control Panel for reauthorising, issuing and reprinting of items. In a practice setting, any user not authorised to issue prescriptions generates scripts with the Usual GP as the signatory.
Printer settings are now saved per device, instead of per user. Printer settings need to be configured following installation of Vision Anywhere 3.3.
The Test Requesting providers now includes TQuest.
Care Reminders are temporarily unavailable. These will be reinstated in a later release of Vision Anywhere.
The Settings tab now displays the version number and device ID.
Please quote these details, in the event of contacting Helpline.
Surgery Consultation Note is the default consultation type for a patient encounter.
In the event of the practice Vision system being unavailable the error message has been enhanced and the message "Unexpected error - Remote service is unavailable" displays.
The new process simplifies the installation and update process. When a new upgrade becomes available, Vision will inform you of this and release the upgrade from our central servers. The next time each user logs into Vision Anywhere, they are asked if they want to run the installation and then simply follow the installation wizard. This does not require administrator access to the workstation.
The ability to prescribe non-FP10 medication has been withdrawn pending the introduction of Private Prescriptions in Vision Anywhere.
Prescriber warning alerts now display with the wording Topical interaction.
When choosing a drug, a toxicity alert indicator appears next to high risk drug names, a detailed warning displays after selection.
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.
Available pack sizes display for selection when prescribing.
Easily synchronise all your patient's drugs to the same issue and review frequency to simplify medication reviews.
Vision Anywhere now talks directly to the Vision databases, which both improves performance and provides immediate consultation data write back to the patient’s registered practice.
If the Vision system is unavailable i.e. being upgraded, you cannot access records for that patient unless the record has been downloaded.
Records for patients at different practices should still be available, as long as their system is operational.
Vision Anywhere now supports consultations for patients without an NHS / CHI number.
Appointments can also be booked for patients without an NHS/ CHI number via Vision Anywhere.
The search facility is now available in Drug Allergy form, making it easier to enter the clinical term for the reaction.
When used in a shared care setting, when the encounter is sent back to the practice's clinical system, the read code 9kh0 Attended extended hours clinic - ESA is entered into the patient's notes.
This replaces the previous code 9Na Consultation.
Enhancements to the display of records for patients registered at an EMIS site.
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.
If a patient has opted out of sharing their record with the Shared Care service, and a clinician attempts to record consent, the following error message is returned "Please note that the patient has withdrawn consent from this service".
The Record a consultation without consent option can then be selected.
If an appointment has been booked for a patient without a NHS/CHI number, their name is now displays in the Appointments list.
Federations can only access records for applied and permanent patients.
- Improved performance when opening and navigating a patient record, along with creating and saving encounters.
- Windows 8 - unable to view patient record, SQLite Exceptions error resolved.
- 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.
The same box can then be used to select a drug.
Single letter entry gives rapid access to the Common Observations offering fast intuitive data entry.
You can now easily search the patients record.
This gives you quick access to any coded entries containing the search term.
The powerful search also returns matching free text entries too.
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.
Selecting the options button in the lower right corner of the screen.
Or right clicking in the app bars will bring up the filter
The categories change depending on which part of the record you are currently using.
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.
This is the same record as presented in Vision 3.
Vision Anywhere also displays all Priority 1 or 2 entries as a "problem" header.
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
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.
You can now select any appointment book from your practice list. This is especially useful if you have clinic appointment books.
Appointment lists now show coloured slot types as per your Vision 3 Appointments list.
You can now search and book follow-up appointments from the Appointments and Patient details screen.
- You can now use Vision Anywhere in a federative care setting using Windows devices. This means that you can access all patients within your federative organisation.
Vision Anywhere allows you to.
Search all patients being shared with your service including patients registered at EMIS practices.
Record Patient Consent
- Access shared appointments list
Print/re-print an acute prescription - Windows 7 only
- View and record data for all patients (Vision and EMIS)
You can now choose different appointment books other than your own when signing into Vision Anywhere.
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.
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.