What's New?

 

Vision Anywhere for Windows Desktop Release 4.10.8

Summary of Changes

Vision Anywhere release 4.10.8 contains the following new features and improvements:

The 4.10.8 release of Vision Anywhere introduces a series of highly requested enhancements designed to streamline clinical workflows, improve data accuracy, and give practices more control over permissions and safety. Below is an overview of the key improvements included in this release.

 

Patient Warnings:

• Customers who have the Add/Edit Patient Warnings permission can now create and update warnings directly.

• When a patient is retrieved from the system if a warning has been set up it will display when the patients record is open.

• This warning will appear from the search results and from the patients record in the Appointment list.

   

  Note

  The feature of Adding and editing warnings is possible for practice users. Federated users can only view patient warnings .

   

   

   

  

 

Discreet warnings can also be set up which will not be displayed immediately when the patient record is open.

              

Discreet warnings can be viewed by selecting Show warning.

              

Warnings can be edited and removed if required.

              

All patient warnings are audited and can be viewed by searching the Audit Logs.

To add a warning to a patient record:

1. Click on the three ellipses (top right-hand corner)

2. Select Add patient warning

3. If a warning is already attached to a patient record, Edit patient warning will be displayed.

              

To edit a warning:

1. Click on the three ellipses (top right-hand corner)

2. Select Edit patient warning

3. Warnings can also be edited from the Patient Warning dialogue box.

Notes:

• If the current patient has a warning attached to the record, the warning icon will be displayed on the patient banner. If no warnings exist, the icon is hidden.

• Warnings can contain up to 250 characters.

• Users without permissions cannot create warnings.

• Discreet warnings hide the message, while non discreet warnings display it.

• Customers working in federated settings can view Patient Warnings but cannot edit them.

• Warnings must be acknowledged before the patient record can be viewed.

• The warning can be viewed at any time by clicking on the warning icon in the Patient Banner.

• Patients can only have one warning.

• All activity is fully audited.

 

Cervical Cytology

The Cervical Cytology form is now easier to access and use. When starting a new encounter, users can search keywords such as Smear, HPV, Cervical or Cytology to surface the form quickly.

Searching specific clinical terms such as Abnormal cervical smear or Cervical smear – borderline change in endocervical cells opens the form automatically, with the Description already populated

• To add a Cervical Cytology record, users simply complete the Description and Date Performed fields.

• Saving the form now includes validation: Date smear performed is mandatory.

• The Description drop-down shows all SNOMED terms from the Cervical Cytology subset.

• Users can also choose to exclude a record from target reporting and select the reason for exclusion.

The Cervical Cytology form is suggested when relevant keywords are entered in the Current Encounter search:

The form is also opened when choosing the Quick Entry option and selecting a clinical term in the Cervical Cytology subset:

 

All fields are optional except for Description and Date smear performed:

 

The Inflammation category drop down will include all terms in the Vision Anywhere Cervical Cytology Inflammation SNOMED subset:

 

A warning prompt will appear when closing the form advising the user that changes have not been saved:

BMI Calculations

The BMI now recalculates automatically when height or weight is updated.

• Deleting the height before closing the encounter will reset the BMI to its previous value.

• The Weight form now displays recorded height with date.

Note: A warning prompt will appear when closing the form advising the user that changes have not been saved.

 

General History Form Updates

Medical History and General Record Entry forms now support both standard and value-based modes depending on the term selected.

• Standard mode: Clinical Term, Notes, Date (+ Priority & Episode for Medical History). Value-based mode: adds a Value field.

The fields will be specific to the form e.g. the value field will not be present in the General Record Entry form:

Score records are entered using a version of Medical History form that includes a value field.

 

LibreOffice Template Support

Vision Anywhere now supports LibreOffice templates created in Vision 3.

• LibreOffice templates created in Vision 3 can be accessed in Vision Anywherereferral forms.

• Templates retain formatting, colours, and styles.

• Templates used in referrals are saved in the encounter attachments.

• Mail merge fields are fully supported.

 

Immunisation Enhancements

A series of improvements make immunisation entry safer and clearer including:

• Minimum age threshold warnings.

• Disabling of Stage when no stages exist:

• Traveller/Special Risk Groups details shown:

• Nature of Risk displayed for Special Risk Groups:

• Method, Site and Batch number disabled when status is Refusal or Advised (and values cleared for Advised):

• Country field displayed when Traveller is selected:

• Reason defaults to Routine Measure:

Blood Pressure Laterality

Laterality can be recorded for BP readings with options None, Left, Right, Midline, Indeterminate, Bilateral. The default is None.

This works in practices and federations and displays in the current encounter.

RBAC Prescribing – Acute Items

Access to acute prescribing is controlled by RBAC code 132.

This can now be restricted for federated users by editing the business activities in V360 -Organisation Services: Setting Up and Maintaining Business Activities

or in V3 - Security for practice users: List of Vision Functions and default access

Users without this permission will not see the acute option, and the also create an acutecheckbox is hidden when creating repeat medication.

A toggle is available to disable restrictions if required.

When creating repeats, the Also create an acute check box is hidden if user lacks acute permissions.

 

RBAC Prescribing – Repeat Items

Repeat prescribing is controlled by RBAC code 133.

This can now be restricted for federated users by editing the business activities in V360 -Organisation Services: Setting Up and Maintaining Business Activities

or in V3 - Security for practice users: List of Vision Functions and default access

Without this permission, users cannot see repeat or batch repeat options.

If a user has repeat permission only, repeat is automatically selected. A toggle is available to disable restrictions.

 

Prescribe Form Enhancements.

A number of updates have been included to Vision Anywhere 4.10.8 to improve prescribing safety and clarity, including:

Automatically recalculating the Days’ supply and Quantity Values on the Prescribe form.

1. From the Prescribe Screen with a selected medication, click the Dosage and frequency entry field. You can make changes to values in the field which result in the following actions:

• Editing the frequency will recalculate the Days’ Supply.

• Editing the dosage will recalculate the Quantity

2. Select the frequency and type in a new value:

3. As you change the frequency value, the Day's Supply immediately updates

4. As you change the Dosage the Quantity immediately updates.

Note: Both the dosage and frequency can be changed simultaneously.

Other Enhancements include:

• Indications and dosage visibility.

  • When users select a drug on the Prescribe Form, the Posology is now displayed:

• Scottish Drug Tariff status

  • Users can see Scottish prices applied to the selected drugs in the Prescribe form and Drug Dictionary for Scotland region.

• Legal status information

  • Legal status information now displays detailed information and associated warning messages for any selected drug.

• Highlighting invalid DM+D items

  • Invalid drugs are no longer listed within the Drug drop down on the Prescribe form.

• VMP drugs (generic) availability warnings

  • When a use selects a generic product whose DM+D availability restrictions are not available in the Drug table of the Vision Anywheredrug database a warning message WARNING! Actual Product is not Available displays on the Prescribe Form

Other Enhancements include:

• AMP restriction warnings

  • When searching for an AMP product (Branded) that is marked unavailable in the Vision Anywhere drug database, the products are no longer listed

• Sorting products by preparation strength

  • When searching for a drug in the Drug name drop-down, users can now see drugs listed based on their Form and Strength.

• Defaulting to the POM version

  • Users are now warned when they inadvertently select a P/GSL product where a POM version exists and highlight the pack Quantity that contains a POM. A user can then select the quantity having POM available for the drug.

• Unlicensed medicine warnings

  • When a user now selects an unlicensed drug on the Prescribe form a new icon appears representing unlicensed drugs and a warning message appears stating Warning! This is an Unlicensed drug. Users can then search for an equivalent licensed drug.

• Display of prescribable items

  • General – General Improvements to user messages when prescribing.

 

Previous Releases