Wednesday, 26 May 2010

'How do you just look at the record w...

'How do you just look at the record without opening a consultation'

First way:

If you see this form when you select a patient:

Click on 'Cancel' or, better yet, just hit the 'Esc' key top left on your keyboard. This will dismiss this form without starting a consultation.

If you don't see that form before you start a consultation, i.e. Vision just immediately opens a consultation without asking, then use the second way...

Second way:

Change the settings for Consultation Manager. Click on Consultation, select Options, then Setup, like this:

Opens this form:

Uncheck the box 'Start a new consultation automatically when patient is selected'. (note it is checked in the picture, you would uncheck it!).

OK that.

Now, when you select a patient you will not start a consultation.

As shown, you can control whether you ever see the 'Consultation Form' shown in 'first way' above using the options under 'Display Consultation Form'.

To start a consultation:

When you want to, press F7 (or press the 'chair') icon to start a consultation.


Monday, 24 May 2010

Consultation Types

Below is advice for our reception staff on selecting the correct consultation type

Consultation Types

Please use the correct consultation type for the encounter.

The consultation type is selected here:

And can be quicly selected by pressing the first letter of the type of consultation you are recording. For example, press 'A' twice to select 'Administration', or 'T' once for 'Telephone call from a patient'.

Alternatively, click on the drop down list with the mouse and select the correct one.

You can change it by double clicking on the bottom right part of the screen, here:

Which will open back up the Conusltation details form as above.

Which Type?

Use some common sense to select the best type. Do not, for example, use 'Home Visit' unless you are actually seeing the patient on a home visit!

Please use:


Use for any mail processing, recall management, records review and coding.


Use for any phone calls received from patients or their carers or representatives. Commonly use for Home Visit requests.


Use whenever you call a patient or their carer or representative.


When contacted by a patient's relative, carer or other person about a patient at the reception area.


For all updates to prescriptions and prescription requests.


For repeat prescriptions issues.


When seeing a patient for HCA activities, i.e. in a consutling room for BP checks etc.


When transcribing any results from paper to computer record


For anything else, including e.g. encounters at the reception desk with the patient which require some entry in the record, but are not prescription requests.


Monday, 17 May 2010

Vision 3 therapy and Emergency Care Summary

To include a medication in ECS

Vision 3 sends Acute prescriptions and Issues of Repeat Prescriptions to ECS. Acute prescriptions are included regardless of whether they have been printed or sent to eAMS provided their Date Prescribed value is within the last 30 days. Issues of Repeat Prescriptions are sent regardless of whether they have been printed or sent to eAMS provided their Date of Issue is within the last 12 months.
Note that Repeat Prescription Masters are never sent to ECS – only issues.

To include a medication in ECS but not generate a prescription

In Vision 3 this can be achieved by creating an Acute medication or a Repeat Prescription Master and un-checking the ‘Print Script’ check box.
For an acute medication this will be available to ECS on the next upload, with the time constraints as above. For Repeat Prescription Masters the user must select the prescription and Issue from it (F9 once) as the issue will appear in ECS.
Items with the check box ‘Print Script’ un-checked will not be printed or sent to eAMS.

To include medication prescribed outside the practice in ECS

Vision 3 offers a drop down selection box on new medication forms for ‘Source of Drug’. This is to allow practices to record items supplied outside the practice on the local system and thus inform decision support as well as providing a more complete record.
All Acute medications, regardless of the value for ‘Source of Drug’, will be sent to ECS if within the 30 day time limit. If a medication remains current for a patient after 30 days a new Acute will need to be added if still required for ECS. It is good practice to append the Dosage field with text indicating the source of the drug, as ECS does not import or display this value.
Repeat Master Medications with a Source of Drug value of anything other than ‘In Practice’ cannot be issued from, and thus will not be displayed in ECS. As a workaround for this users can create a new Repeat Prescription Master and leave the Source of Drug field as ‘In Practice’, un-check the ‘Print Script’ check box and append the Dosage value with text to indicate the source of the drug. This master should then be issued, and the issue will remain valid for ECS for up to 1 year.


DLM 300

Got this last week, enable eCMS which, for those not in Scotland, is the new electronic prescribing service known as the 'Chronic Medication Service'. Be interesting to try when it arrives - I think we need to be switched on by the Health Board, and have some local pharmacies also capable.

Annoyingly discovered recently that eCMS is only available to patients receiving free prescriptions by virtue of age or specific chronic diseases. Humph.