Tuesday, 30 October 2007

Presentation One

Is done bar the animations and transitions, but the content is there! There is so much to therapy in V3 that it is hard to know where to draw the line when talking to new users. Any hints and tips on the things that threw you when new to Therapy management in Vision 3? All suggestions welcome!


Sort a search

Quickie off the forum:

To sort a report's output, click on Edit then 'Report Output' to find the sorting options. As below:

and then the options display:


Thursday, 25 October 2007

busy busy busy

So, I am in Dundee every Wednesday and every Friday just now as we go through medication requirements in detail. This is good to do, but means I am in Dundee every Wednesday and every Friday and squeezing in additional work round the edges of the practice and home. Also, I have 3 presentations to prepare for NVUG. And my personal accounts from last year still need finalised. And the kitten is having some litter training 'issues'. And the builder never appeared so kitchen conversion is set back yet again....

All this by way of excuses as to the lack of blogging!

There has been some interesting discussion on the sorting of medication records on the Vision forum. I am sorta involved in this for V4 development and I am reading it and taking it all in. I cannot promise that it will all be delivered out the box, but as I will be using the system too I am also keen to see such neat and useful functionality. These things (like sort by indication) are on the list of stuff to happen, but what I am not sure of at this stage is when they will happen. The basic design and framework of Oracle, Java, Flex should make supporting clever functionality like this a) easier and b) nicer to the end user. So, happen it can and happen it will.

But when? dunno just yet. :-(


Tuesday, 16 October 2007

Add to Address doesn't work

Further to Patient Details tab discussed below, there was then a coincidental discussion on the mailing list about the 'Add to Address' button for phone numbers. Apparently, it does not actually add the phone number to the address. To do this you need to go into Patient Registrations, where unwary GPs should not venture.

Ho hum :-(


Thursday, 11 October 2007

tabs: Patient Details

Continuing the theme of looking at the tabs I use, here is Patient Details:

I like this tab as an easy way of finding phone numbers and addresses, mostly, and also adding and checking numbers. There is a school of thought that clinicians shouldn't have to do this stuff - keep phone numbers up to date - but my feeling is that it is everyone's job to make sure the data we hold is accurate and complete. hmmm, maybe a sore point ;-)

Anyway, ranting over what have we got? Names, addresses, identifiers and phone numbers. You can add, edit and delete numbers from here and add them to an address or to a patient.

Look at the tabs at the bottom of the form:

Identifiers lists all other IDs, like hospital codes and so forth. I don't use this but maybe you choose'n'bookers do?

Family is excellent as it lists all family members and allows you to double click on them to open a consultation. Great when mum comes in with 3 weans in tow.

Not such a great pic as all the detail has to be pixellated! It shows Address, Forename, Surname, DOB, CHI.

The 'Carer' tab lets you both see who is the carer of the patient or who the patient cares for. And to add or edit these things:

And lastly some Patient Preferences, which presumably changes with different regions of the UK. Preferred pharmacy is in here though, which is great to have for Drug Clinics. Perhaps in V3 you are using this for nomination in ETP2?

Anyways, I like this tab because it has all this useful stuff on it. I use CTRL+D to get to it quickly. As an aside, I do not like nor use the Patient Select tab. I always found it changed the behaviour of F3 sufficiently that I could not work with it. But hey, it is probably just me. Maybe everyone else loves it!

More on 'Paul's Favourite Tabs' next week!

Anyone else want to write stuff for the blog? If by some remote chance you do, please let me know. It is not difficult, and almost good fun. ;-)


Thursday, 4 October 2007

Long Format Syntax for No Drug Allergies

Following on from earlier post this week, 'Nell' kindly supplied the syntax to make the grid look better when displaying no known allergies.

Here is the syntax:

And here is the result:


Tuesday, 2 October 2007

Medication Review reminder that is not

This, this morning:

so a patient with NO repeat masters and the system is prompting me to do a medication review. Well, I don't wanna do that.

Here is why it has appeared:

So, patient has an outstanding reminder from a medication review previously done. V3 does not query the status of current repeat medication to determine if a review is reuqired. V4 might just do this, which would be nice.

Anyway, if you delete the review reminder:

then the yellow reminder text thing goes way.



Monday, 1 October 2007

Show No Known Allergies in a Guideline

If you record No Known Allergies from the Alert Pane by double clicking the line as shown below:

then to display that record in a guideline or report (a report is a guideline that prints!) you need to select 'Absence of Condition' like this:

and it will then display...

'Negation' is not done well in Read - the 'not got this' codes are often under the chapter headings that imply 'got this'! Vision 3 has a special SDA for recording Absence of Condition, and it uses this for allergy negation.

Apparantly negation it is not too hot in SNOMED-CT either....but then no one understands SNOMED-CT, so maybe we won't notice ;-) (tho presumably you can use a post-cordinated term to negate anything??!! Kinda like the V3 Absence of condition SDA...). But I have not explored negation in SNOMED-CT to any degree, so this may well be apocryphal.

To change the display string in the report so it shows something more meaningful like 'No known allergies' then you need to change the second Read term in the form to e.g.'1151 No Known Allergies', tho' then it still says in big letters 'ABSENT'.

which is a little recursive and thus a bit odd.

So you could just add it as medical history, then it will list in the medical summary assuming you elect to display that priority, but then it will not turn off the alert option in the alerts pane...

Or, you can put it into a grid and elect to use the Long Format:

which is not very pretty either. P'raps someone nice could tell us magic syntax for the Special Format to make it look prettier?



One of the best things about Vision 3 is the ability of the user to customise the interface for their own needs. Consultation Manager allows every user to set up their own set of views, choosing which panes to show and also allowing any number of customised 'Tabs'. My tab set is as below:

and I think it may be useful to talk you through them...


OK, I always work with the appointments tab in my setup. I don't know of any clinical staff who don't use this. I have a keyboard shortcut of 'CTRL+T' to get to this quickly - you need to put an ampersand in front of the letter in the Tab View Options (Right click the tab to get this up):

So I can always quickly get to the appointments tab with CTRL+T. Keyboard is good - take time to learn it.

Have a look also at the tabs on this form - you can quickly see AM, PM or ALL appointments, review 'Other' surgeries (although this view does not persist), and find free slots into which you can book the currently selected patient.

But mostly, you can see what work you have done, what you have left to do and how long you are taking!

We also use an appointments book for messages, tho it looks a little weird this morning for some reason yet undiscovered:

but normally it works fine! I think someone had the wrong session type in place for the message book this am and has undone that error, replacing it with a weird looking thing!

I also like the bit at the top that tells you how many patients you have seen, and current time:

which is even nicer when it shows all pts seen and thus time for coffee and cake. ;-)

The check box that says 'booked' on the above, shows that some of my forms display a little oddly, sometimes truncating text. This is because I like to run my 'puters with large fonts (currently at 1680 x 1050, clear type, font size Large). I can live with this, but it is not normally a 'feature' of Vision 3 to truncate text in forms.