What's New?

Vision Anywhere v3.6 Release

Summary of Changes

July 2020 Vision Anywhere v3.6

Vision Anywhere release v3.6 contains the following new features and improvements:

  • Statement for Fitness for Work (eMED3) - An eMED3 can now be created, printed and, if necessary reprinted, from within Vision Anywhere for both shared care and practice-based working. A PDF attachment is created which can be emailed to the patient if required.
    See eMED3 in Vision Anywhere for details.
  • Encounters screen - The Encounters screen has been greatly improved with the ability to view, filter and sort the data recorded within an encounter by:
    • Clinician
    • Encounter Type
    • Date Range
    See Viewing Encounters for details.
  • Templates and Calculators - The Templates and Calculators screen has been redesigned to make it quicker and easier for you to view, find, sort and download templates and calculators.
    See Templates and Calculators for details.
  • Medication - The following medication enhancements have been made as part of the Vision Anywhere v3.6 release:
    • Appliance code - You can now use the appliance code when searching for a drug item from both the:
      • Current Encounter dynamic search bar, and
      • Prescribe form - Drug name

      Enter the appliance code and select from the smart list offered:

    • Print SLS endorsement - Country specific Selected List Scheme (SLS) endorsements now print on prescriptions.
    • 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:

    • Test Qualifiers - To make it easier to identify Abnormal test results, they are now flagged with a yellow traffic light:

      Note - Abnormal pathology results are determined by results that are outside of the normal range set by your pathology lab, you may have a different interpretation of normal/abnormal results.
    • Settings - Printing preferences are now split over two options:
    • 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.

Previous Releases

Summary of Changes

Vision Anywhere release v3.5 contains the following new features and improvements:

  • Vision Anywhere for Business Continuity - Vision Anywhere v3.5 installs an automatic start up. This automatically starts Vision Anywhere and prompts you to log on this in turn downloads your patient list for the last and the next 7 days so should you experience network issue, you have a valuable business continuity service. Although it is not recommended, you can switch this facility off.
    See Business Continuity for details.
  • Appointments Books – To facilitate locating the Appointments book required, they now display alphabetically.
  • Patient Summary – Based on user feedback, the Patient Summary screen now displays in a vertical format, simply use the vertical scroll bar to view all available data. Section headers now display a count and can be selected to display relevant entries.
  • 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.
  • Medication – The following changes have been made to medication as part of this release:
    • Drug Class – If a medication belongs to more than one drug class, you can now select which class the drug you are prescribing belongs to. Simply select Drug class and choose from the list offered, see Recording Medication for details.

    • Drug Class Writeback to Vision 3 – For medication added to patient records in Vision Anywhere, all associated drug classes are now written back to the patient record in Vision 3.
    • Allergies - Where an existing allergy, intolerance or adverse reaction with a Severity of Potentially fatal exists, for a medication, you are now prevented from prescribing it:

      If you add a potentially fatal allergy where the drug is already active on the patient record, you are prompted to review the medication:

      See Recording Drug Allergy for further details.
    • Out of Practice - You can now record therapy that has been prescribed elsewhere, for example, over the counter medication, in a hospital or handwritten.
      See Recording Medication for details.
    • Handwritten Prescriptions - You can now record hand written prescriptions within Vision Anywhere, simply remove the tick in Print when you record the prescription.
    • ACBS – ACBS flags are now country specific where appropriate.

  • 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.

  • Printer Settings – Your printer settings are now retained when Vision Anywhere updates.
  • Test Results – The issue with units defaulting incorrectly has been addressed.
  • Uninstalling Vision Anywhere - There is a new option from within Settings - Application preferences to uninstall Vision Anywhere
    See Uninstalling Vision Anywhere for details.

England Only

  • QOF Indicators (England only) – When you are searching for a clinical term in an encounter, any terms that are QOF compliant are flagged with a QOF indicator.
  • Print SLS endorsement (Currently England only) – Prescriptions printed for items endorsed as Selected List Scheme now have SLS printed alongside the item.

Scotland, Wales and Northern Ireland only

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

Vision Anywhere release v3.4 contains the following:

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.

  • 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 Prescription 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 v3.5 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.

See SNOMED CT for details.

You can now create a referral letter from an encounter, which then saves to the patient record.

See Adding a Referral for details.

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:

  • BMI
  • Diabetes Risk
  • DOSE Index
See Templates and Calculators for details.

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.

Note - Vision 3 users with nurse formulary restrictions will no longer be able to print scripts in their own name until the nurse formulary becomes available in a later release.
See Prescription Printing for details.

Printer settings are now saved per device, instead of per user. Printer settings need to be configured following installation of Vision Anywhere 3.3.

Note - A default printer must be configured before a prescription can be printed.
See Prescription Printing Preferences for details.

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.

See Adding an Encounterfor details.

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.

Note - This is not compatible with the Chrome browser.

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.

See Prescribing Preferences for details.

When choosing a drug, a toxicity alert indicator appears next to high risk drug names, a detailed warning displays after selection.

See Toxicity Drug Warnings for details.

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 for details.

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.

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

See Repeat Synchronisation Overview for details.

Practices can now use Test Requesting with Vision Anywhere.

This release works with ICE / DART / Cyberlab.

Note - This will be available for Shared Care organisations in a later release.
See Adding a Test Request for details.

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.

See - Finding a Patient .

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.

See - Search the Patient's Record.

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.

Note - If Vision anywhere goes offline, this displays as Unknown (no number).
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.

See Adding Clinical Data.

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.

See - Search the Patient's 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.

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.

See - Filtering the Patient's 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.

This is the same record as presented in Vision 3.

Vision Anywhere also displays all Priority 1 or 2 entries as a "problem" header.

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
See Common Observations and Quick Entry Forms.

 

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.

You can now select any appointment book from your practice list. This is especially useful if you have clinic appointment books.

See - Logging in to Vision Anywhere.

Appointment lists now show coloured slot types as per your Vision 3 Appointments list.

See - Appointments List .

You can now search and book follow-up appointments from the Appointments and Patient details screen.

See - Making Appointments.

- 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)
See - Using Vision Anywhere in a Shared Care Setting.

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.