SystmOne Updates - March 2020

 

Incoming 111 messages that contain COVID-19 dispositions will result in coded entries and problems being automatically added to the patient record for "Suspected 2019-nCoV (Wuhan) infection". The tasks generated for these messages will use new task types to distinguish them from ordinary 111 messages. 


As of the next Maintenance Release, incoming 111 messages that contain COVID-19 dispositions will result in coded entries and problems being automatically added to the patient record for "Suspected 2019-nCoV (Wuhan) infection". The tasks generated for these messages will use new task types to distinguish them from ordinary 111 messages (prefixed with "COVID-19"). This is as requested by and agreed with NHSX and NHSD.

This applies to messages that are automatically filed to the patient record and those processed via Document Management (configured via Organisation Preferences > NHS 111). When processing via Document Management, the code/problem will be added to the record when the document is completed.

The problems will have an end date automatically set to 28 days in the future. The patient will also be added to the SCR Updates screen after the entries have been added to the record so that the information can be updated on the Summary Care Record. Please ensure pending updates are authorised and sent in a timely manner.

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EPS

After the release we will be rolling out EPS 2 functionality to non-GP organisations (But not currently available).

After an initial pilot TPP will be able to turn EPS 2 functionality on for community and OOH sites. This functionality was previously only supported at GP practices.

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Miscellaneous

You will be able to specify the printer settings to use when printing MED3 Statements.

Previously, MED3 statements would be printed using the general printer settings for each PC.  From the next maintenance release, you will be able to select the printer and settings that you want to use specifically for MED3 statements.  These settings will be available to change via a button on the 'Record MED3 Statement' dialog.  In particular, this will allow users to set MED3 Statements to be printed directly to PDF files, which can then be digitally signed and sent to patients electronically. 

Useful if you are using AccuRX to send MED3 Statements electronically! 

Two new icons relevant for COVID19 will be available.

Two new icons will be added to the icon selector - "HR C19" and a virus icon. These will be available for use in patient status alerts, templates, etc. 

The two icons will appear in the icon selector between the x-ray and cyan square icons 

The Mail Merge patient action will be removed.

From the next Maintenance Release, the Mail Merge patient action will be removed. It has been replaced by the Print Integrated Word Letters option. 

It will be possible to set a type on Record Attachments.

Currently it is possible to set a 'type' on files that are displayed on the Communications and Letters node in the patient record. After the next maintenance release, it will also be possible to set these types on files that are displayed on the Record Attachments node, allowing you to sort and filter by type.

It will be possible to record both an HPV status and a screening result on the Record Cervical Screening Result dialog.

Previously, the codes for HPV status have been selectable in the Screening Result field on the Record Cervical Screening Result dialog. This has made it difficult to record both an HPV status and a Screening Result. From the next maintenance release, the HPV status codes will be recorded through a separate field so recording them alongside a screening result will be possible.

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Prescribing

The Repeat List on the right hand side of an FP10 will show a patient's nominated appliance contractor as well as their community pharmacy.

Currently, the repeats list that prints on the right hand side of an FP10 prescription shows the name and address of a patient's nominated community pharmacy, if they have one, but never their nominated appliance contractor. This will be improved in the next release to show both the community pharmacy and the appliance contractor if they are set. 

Prescriptions that have been selected to be printed later will be able to be upgraded to an ETP Phase 2 prescription before being printed.

Currently a prescription that is not created as an ETP Phase 2 prescription will always have to be printed as an FP10. Following the release these prescriptions will have the option of being upgraded to an ETP Phase 2 prescription and sent to the nominated pharmacy electronically. Only users with prescribing access rights will have access to this functionality. This functionality will be rolled out in the weeks following the release. 

You will be able to choose the dispenser of each prescribed appliance.

Currently, when prescribing via ETP2, you are forced to send all appliances to the same dispenser. In the next Maintenance Release this behaviour will be improved and will allow you more granular control of the chosen dispenser when prescribing multiple appliances.

If you prescribe multiple appliances to a patient who has both a nominated community pharmacy and an appliance contractor you will be prompted to confirm the destination for each appliance. This will allow you to split the appliances across different prescriptions if you choose.

This change will not take effect immediately after the Maintenance Release and will be rolled out gradually across the system. TPP will post a further message once this functionality has been enabled system-wide.

You will be able to set the dispenser used for repeat prescribed appliances.

Currently, when prescribing via ETP2, you are forced to send all appliances to the same dispenser. In the next Maintenance Release this behaviour will be improved and will allow you more granular control of the chosen dispenser when prescribing multiple appliances.

You will be able to specify which dispenser (i.e. community pharmacy or appliance contractor) should be used for all subsequent issues of a repeat template. You can do this by right-clicking a repeat template and selecting to 'Configure pharmacy allocation'. Issues created from this repeat will then use the selected dispenser.

This change will not take effect immediately after the Maintenance Release and will be rolled out gradually across the system. TPP will post a further message once this functionality has been enabled system-wide.

On SystmOnline, patients can now see how and where to collect their requested medication.

Patients can now see the status of their prescription requests on SystmOnline - for example if the prescription has been sent to the pharmacy via EPS the status will be 'Script has been sent to pharmacy <pharmacy name and address>'. This status also shows in the Prescription Request node on SystmOne. 

When you sign an electronic prescription extra details for repeat issues will be available.

When signing an electronic prescription that contains repeat issues (not repeat dispensed issues) you will see the following extra information: Issue count, maximum issues, review date, previous issue date and whether the details of the issue are different from the previous issue. For repeat dispensed issues you will see the following extra information: issue count, maximum issues and review date. These extra details will be available if you are using the bulk signing screen, which is accessed from the prescription search screen.

This is an example of the format of information shown:

"Indoramin 25mg tablets 84 tablet (take one twice daily)

Issue: 2 / 6 (2) - Review: 03 Sep 2020 - Last issued: 03 Mar 2020

Some details of this issue are different to the last issue."

This extra information should help you make an informed decision at the point of signing without necessarily interrogating the patient record.

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Scanning 

When completing a Scanned Document, a check will be performed to prevent duplicate codes being added to the record.

When completing a Scanned Document, a check will be performed to prevent duplicate codes being added to the record. If a different user has already completed the same Scanned Document and already added a code to the record, you will be told, and given the option to add again if necessary.

 

Stayed tuned for next months instalment!

 

Previous Updates

February 2020