SystmOne updates-April 2022

Changes released 21 April 2022


Allow patients to check in for appointments via Airmid. 

There is a new Organisation Preference Allow patients to check in for appointments using Airmid under Online Services > Airmid. Enabling this preference allows patients to check in for their appointment using Airmid as an alternative to using the patient self-check in screen. 

Patients are only able to check in for their appointment in the timeframe set by the organisation preference Appointments->Patient Check-In > General Settings. Depending on the preferences, the patient will be able to see their appointment number, expected wait time and the number of patients already waiting. 

If a patient using Airmid is called for their appointment, they will receive a push notification on their phone.

Patients checking in via Airmid will not be automatically assigned appointment tokens. If an appointment token has been manually assigned to their appointment, they will not be able to see this in Airmid.


Care Plans 

View and add general notes when performing a care plan. Perform a review immediately afterwards. 

It is now possible to view and add general notes when performing a Care Plan. This was previously only possible via the Amend Care Plan dialog.

You also have the option to perform a review immediately afterwards via a new Ok and Review button.

"Visit Frequency" now referred to as "Schedule"

Visit Frequency is now referred to as Schedule when configuring/performing Care Plans. This affects various buttons, labels and messages displayed in SystmOne.

New organisation preference for Force recording responsibility when creating care plan instruction.

Previously in all care settings except Mental Health the recording of Responsibility was mandatory when adding a new care plan instruction. A new organisation preference Force recording responsibility when adding care plan is now available in Clinical Policy > Care Plans. This preference will default to true for all care settings except Mental Health to maintain existing behaviour.


Clinical Reporting

When reporting on the most recent numeric value of a code, breakdown results options specific to the registered practice.

The breakdown options GP GMC code at time of event, Registered practice at time of event and Registered practice ID at time of event are now compatible with clinical reports that report on the most recent numeric value of a given code.



Care Plan visit frequency structured in Client API messages. 

Previously, when requesting patient record information through client API messages the visit frequency was textual. From this Maintenance Release, in addition to the textual visit frequency there will be structured frequency information. Refer to the SystmOne Client Integration Interface Specification document for more details.



Additional filtering options for Numeric Readings within the Change Variable step in Protocols. 

There are now additional filtering options for Numeric Readings in the Change Variable step within protocols. You can filter readings based on their values as well as based on a comparator within their values if one exists (e.g. <10). Existing protocols will continue to work as they currently do, with no additional filtering.

New quick action to search for and apply a care plan template. 

The Quick Action Apply care plan template has been renamed to Apply specific care plan template and a new action Apply care plan template has been added that allows the template to be chosen from a searchable list of available care plan templates.


National Dataset Extracts 

Outcomes Profile (TOP/YPOR/AOR) records that are recorded after the end of the referral, but explicitly linked to it, are now output in the NDTMS extract. 

Previously any Outcomes Profile (TOP/YPOR/AOR) records that were recorded after the end of the referral were not output in the NDTMS extract. They records are now included if explicitly linked to the referral. 

For the NDTMS extract, the DAT of Residence and Local Authority columns for 'no fixed abode' patients are calculated based on the patient's usual branch if they have one set. 

Previously for 'no fixed abode' patients the DAT of Residence and Local Authority columns were calculated using the organisation’s postcode. These are now calculated off the postcode of the patient's usual branch. If the patient doesn't have a usual branch, the calculation uses the organisation’s postcode.


Online Services

When issuing a new third party passphrase to a patient with online services access, the printout and email communications to the patient will contain additional information regarding NHS assured online citizen GP services.

To comply with the GP IT Futures contract, clear instructions of how patients can access details of all available online GP citizen services which work with TPP systems must be included within the first page of the linkage key communication. From this maintenance release, when issuing a new third party passphrase to a patient with online services access, the generated communications will contain the paragraph …


"Details of NHS assured online citizen GP services are available to view via:


Alternatively, you can search for online health service providers by entering the search terms 'GP Online services' into your internet browser"

This paragraph is included automatically in emails or the default letter. However if you choose to use your own word letter template for patient login details (Organisation Preferences > Online Services > Global Settings) you will need to include this information yourself.



Auto-filed pathology reports will not display in the 'Pathology/Radiology to Archive' section on Patient Home until they have been reviewed. 

Previously, the Pathology/Radiology to Archive section on Patient Home included reports that had not yet been reviewed. Unreviewed reports no longer display in this list. Note that, after reviewing a report, you will need to save and re-retrieve the record before the report displays in this list. 

When reviewing pathology reports, only one risk score is displayed.

Previously, when reviewing pathology reports, QRISK2 risk scores were displayed with an 'old' and 'new' score, separated by an arrow to show the direction of change. This has been replaced by a single value labelled Current risk score, including data from this report.

This is the same value that would have been labelled 'new' and represents the value calculated using all the data currently on the patient's record (including any data that is included in this report). This change is being made to make the meaning of these scores clearer, especially at pilot units using auto-filed pathology reports.

Auto-filed pathology reports: can hide reports from online services at the point of reviewing.

A new option has been added to the Review Pathology/Radiology Report dialog to allow you to hide the report from Online Services. 

Previously, when pathology/radiology auto-filing functionality was enabled, reports went directly into the patient record when they were received. They were not visible to patients through Online Services until you had reviewed the report. However, if you did not want the patient to see the report, you had to go back into the patient record after you have reviewed the report and manually hide it from online services.

A new option has been added to the Review Pathology/Radiology Report dialog to allow you to hide it from online services immediately. 

If you are not using auto-filing functionality, you already have the ability to hide the report from online services at the point you file it.



Repeat templates automatically created from re-prescriptions will have the correct ETP compliance. 

Previously, if you created a repeat template automatically while re-prescribing an ETP compliant acute issue, the template was not marked as ETP compliant. This will now work the same way as it does when you create a repeat template automatically while prescribing a new ETP compliant acute issue.



You will not be able to order indivisible medication in separates.

You can no longer order separates for indivisible medication. Previously when ordering medication options to order in packs and separates were available even for indivisible medication where the packs cannot be split. This option has been removed to prevent erroneous ordering of indivisible medication.



PDS Update tasks no longer trigger protocols when actioned.

Previously when actioning a task of type "PDS Update", any protocols set to trigger on patient retrieve were launched incorrectly. This will no longer happen.



Improved output of the 'Number' display mode for dashboard items in Visualisations.

Previously when outputting as a 'Number' the value stretched to fit the available space. You now can also specify a 'Fixed' format and configure the font, font size and alignment.

Can add Care Plan data to Visualisations.

You can now add Care Plan tables to Visualisations. You can filter the Visualisation by whether the care plans are active or inactive, the type of care plan and its category.

You can configure table header formatting in Visualisation Editor. You can apply the same formatting to table headers as you currently can for columns (font, font size, text colour etc.). This applies to both standard tables and aggregate tables.

SECONDARY CARE ONLY - Workflow Support Engine

New Order Requests trigger for the Workflow Support Engine


This new trigger can filter new order requests based on the tests ordered, request urgency and status. It is also possible to configure the trigger to run if an order request's status has changed to a particular value (e.g. rejected).


Links to Previous Updates 


June 2021

July 2021

August 2021

September 2021

October 2021

November 2021

January 2022

February 2022

March 2022 













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