Download Vision Apps User Guide

Vision 3
Vision Apps User Guide
Copyright © INPS Ltd 2014
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INPS Ltd.
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Website: www.inps.co.uk
Contents
VISION APPS
5
Introduction
5
What this Guide Covers
6
Accessing Vision Apps
Patient Banner
Apps Menu options
Selecting an App
6
8
9
10
The Different Types of Apps
Asthma Management Screen
Child Health Management Screen
Childhood Growth Chart Screen
CV/BP Management
Diabetes Management Screen
Findings Cloud
Home Visit Summary
Immunisation Summary
Maternity Summary
Community Data Screen
11
12
13
15
17
18
19
20
22
23
25
App Functions
Navigation and Searching
Apps Title Bar
Futures Toolbar
Management Screen Functions
Quick Data Entry Forms
Trend Graph
Summary/List View
Child Centile Charts
27
27
27
28
33
36
39
41
42
INDEX
43
iii
Vision Apps
Introduction
Vision Apps is a set of new application screens that have been designed specifically
for their ease-of-use and flexibility. The Apps range from basic summary screens to
comprehensive data entry forms (allowing you to add, edit and delete data as
required) and may contain charts, diagrams and documents. Their simple design
allows the same basic functionality but with different combinations and reusable
components.
The first release of Vision Apps provides examples of the types of screens that can
be produced. In future releases we hope to introduce a wider range of Apps quickly
to meet local and national requirements, and further develop so that they can be
launched from anywhere within Vision, with or without a patient selected.
This first release of Vision Apps contains the following screens:
Asthma Management Screen (page 11)
Child Health Management Screen (page 12)
Childhood Growth Chart Screen (page 14)
CV/BP Management (page 16)
Diabetes Management Screen (page 18)
Findings Cloud (page 18)
Home Visit Summary (page 19)
Immunisation Summary (page 21)
Maternity Summary (page 23)
Community Data Screen (page 24)
5
What this Guide Covers
This user guide gives detail of the following:

How to access Vision Apps - See Accessing Vision Apps (page 6).

The Different Types of Apps - See The Different Types of Apps
(page 10).

App Functions - See App Functions (page 26).
Accessing Vision Apps
To access Vision Apps:
1. From Consultation Manager, select the patient and choose Apps from the
Vision Toolbar (or press Alt+p).
Note - In order to select Apps from the Vision menu you must
have a patient selected but you do not need an open consultation.
2. You can either:

Click Select Apps (Shift+F10) which displays the Apps Menu, or

Choose a specific App from the pre-defined list (Alt+p then press the
underlined letter)
Apps Toolbar
The Vision Apps screen is displayed:
6
Apps Menu
7
Patient Banner
The patient banner displays the following patient demographic information:

Name

Born - Date of birth (age)

Gender

NHS No

Address

Phone – Displays Home telephone number if recorded

Language Spoken - Displayed next to Phone if recorded
Collapsed Patient Banner (default)
Click anywhere in the banner to expand and show more detail. The expanded
banner shows the above details plus:

Address - In full

All phone numbers - If recorded

Email - If recorded
Expanded Patient Banner
Click the
8
icon to collapse.
Apps Menu options
The following options are available when viewing the Apps menu.
Apps Menu

Re-order - The Apps are shown as tiles and can be re-ordered by
dragging and dropping

Resizing - The tiles can be re-sized by right clicking

Patient Specific - The Maternity App is currently the only App that
displays if appropriate for that patient, ie the patient is female, aged
between 12 and 60 years.
Note - Customising Apps is a user specific setting.
9
Selecting an App
To select an App:
1. From the Apps menu screen, click to select the required App or use the tab
key to toggle through the Apps and select the one required.
Apps
2. Alternatively, you can search for the App using the Select App option. As
you start typing the name of the App, possible matches are listed.
Select App
10
The Different Types of Apps
App Screens are interactive and allow you to add, view and edit data. The App
Summaries are for viewing or printing patient information. For more information on
how to use the Apps Functions - See App Functions (page 26).
This first release of Vision Apps contains the following screens:

Asthma Management Screen (page 11)

Child Health Management Screen (page 12)

Childhood Growth Chart Screen (page 14)

CV/BP Management (page 16)

Diabetes Management Screen (page 18)

Findings Cloud (page 18)

Home Visit Summary (page 19)

Immunisation Summary (page 21)

Maternity Summary (page 23)

Community Data Screen (page 24)
11
Asthma Management Screen
The Asthma Management screen is designed as an interactive screen for the management of patients with asthma. For an explanation of
how to use the screen - See App Functions (page 26).
Asthma Management Screen
12
Child Health Management Screen
The Child Health Management screen combines centile data and immunisations on a single screen. It shows the following information
relevant to the management of child health:

Childhood Growth Chart - Displays Height, Weight and BMI charts grouped in tabs by age band (0-2 years, 2-4 years and
4-18 years). For more info, see Childhood Growth Chart Screen (page 14).

Immunisation Summary - A summary of immunisations recorded. For more info, see Immunisation Summary (page 21).

Drug Allergies and Adverse Reactions - if any recorded

Immunisation Contraindications - if any recorded

Parental Consent - if any recorded
13
Child Health Management Screen
14
Childhood Growth Chart Screen
This App displays a graph of childhood BMI's plotted against centiles for children between the ages of 5 and 19 years. The information is
based on UK data. For more information - See Child Centile Charts (page 41).
Childhood Growth Charts
15
The Childhood Growth Charts display multiple tabbed growth charts dependent
upon the patient age
The patient centile charts cover three different age ranges:

0-2 years

2-4 years

4-18 years
Within each age range there are centile charts for Height, Weight and BMI. The age
ranges are shown on tabs and only those tabs relevant to the patient’s age are
shown. Thus, for a patient aged three only the first two tabs are shown and the
second selected by default.
16
CV/BP Management
The CV/BP Management screen is an interactive screen designed for the management of patients with cardiovascular disease. See App
Functions (page 26) for an explanation of how to use the screen.
CV/BP Management Screen
17
Diabetes Management Screen
The Diabetes Management screen is an interactive screen designed for the management of patients with diabetes. For an explanation of
how to use the screen - See App Functions (page 26).
Diabetes Management Screen
18
Findings Cloud
This App displays a tag cloud based on the frequency of Read terms recorded as
symptoms or diagnoses in the patient record.
Findings Clouds
Right Mouse menu options
A number of right-mouse menu options are available:

Show in record - This navigates to the Consultation Manager filtered
list using the selected word as the search.

Add to exclusion list - This adds the word to a list used to exclude
common but non-significant words such as ‘and’, ‘the’, ‘symptom’ etc.

Statistics - This shows a dialog stating how often the word appears in
the patient record.
19
Home Visit Summary
The Home Visit Summary report can be printed from the Home Visit Summary
screen and taken on visits. Similar to existing reports, it prints in a continuous list.
It contains the following information:
Full name
Address
Communication details
Allergies - Drug Allergies and intolerances; Non-Drug allergies
Significant Medical History:

All priority 1 & 2

Active Problems
Repeat Medication - All active repeat therapy including last issue date
Acute Medication - Last 6 months acute medication
Medication Review - Date of next medication review
Cytology - Last cytology for females under 65
Contraception - Last contraception for all females
Exam Findings:

Latest Height

Latest Weight/BMI

Last 3 Blood Pressure readings

Latest Pulse

Latest Peak Flow
Lifestyle:

Latest Smoking

Latest Alcohol

Latest Exercise

Latest Diet
Referrals - All referrals in last 6 months
Test Results - All test results in last 3 months
Consultations - In last 3 months. Excludes Administration, Results
Recording, Repeat Issue
Outstanding Recalls - 1 month past and 3 months future
Other Information:
20

Ethnicity

Spoken language

Patient door access key code (if applicable)

Carer details and contact numbers (if applicable)

Emergency contact details

Next of kin
Home Visit Summary
Note - If the patient has no data you either see 'No Data
Recorded' or 'None'.
Printing the Summary
When you click on the print icon
a screen opens allowing you to add notes
which will be printed at the foot of the summary:
'Optionally add notes to be printed at the foot of the summary' Screen
Click Close to open your system Print screen.
21
Immunisation Summary
The Immunisation Summary screen displays a list of scheduled, partial and
completed immunisations for a patient. It shows due dates and dates given and
patient data relevant to the patient's immunisation history.
Immunisation Summary
Immunisation Status
The Immunisation Summary has been specifically designed to show the
Immunisation status, date given, date due or date overdue. Below is a summary
explaining the colour coding and column position:
Status
Colour scheme/Column
Scheduled but not due
Shown in black, the date which the immunisation is due
Scheduled and given
Shown in green, the date on which the immunisation
was due and the actual date given
Schedule expired
Shown in grey with the additional text ‘Not Given’ these
are immunisations which were scheduled but not given
and are now no longer relevant according to the
patient’s age
Due
Shown in red, immunisations not issued where the
schedule date has been exceeded
Advised
Shown in yellow, immunisations advised by the clinician
22
Unscheduled
Immunisations (including travel immunisations) that have
been given other than as part of the immunisations schedule.
They show the immunisation and date given in the
chronological context of all immunisations but indented to the
right and shown in black
Maternity Summary
The Maternity Summary screen displays a view only summary of data relevant to a
patient's maternity care. The Maternity Summary report can be printed and taken
on home visits.
Maternity Summary Screen
The following data is displayed:
Allergies
Current Medication
Significant Medical History
Procedures
Referrals - Last 5 referrals in last 12 months
Past Obstetric History - All records of type:

Maternity plan

Delivery Details - Mother

OR Medical History with Read-codes 7F%, L3%, L4%
Parity - Last Parity record
Current pregnancy - Any record in last 10 months of type Pregnancy dates
Antenatal Consultations - Last 15 records in last 10months of type
Ante-natal consultation
Latest Findings

Latest record of Weight and BP

Latest record of Fetal examination
23
Tests
24

Last Antenatal Blood Test

Last Amniocentesis

Blood Group

Last Urine Protein test

Last Urine Glucose Test

Rubella Test
Community Data Screen
The Community Data screen allows you to view EMIS Web data via MiG. The view you have is dependent on the data available to your
CCG.
Community Data Screen
25
Before accessing the patient's community data, during the consultation, you must
choose the patient's consent type from the Consent dropdown at the bottom of the
screen. The consent option you choose is recorded in the Event log. Once you have
chosen the Consent type, click on the Request button to display community data.
Consent Types:

Given - When selected, access to patient data is permitted

Emergency - When selected, a Reason box is displayed in which you
must enter a reason for the emergency

Refused - When selected, access to patient data is denied ( the
Request button is disabled)
The Include Associated Text option, when ticked, displays any extra, associated
text.
26
App Functions
For consistency and ease of use, the following functions are available within the
Apps Screens and Summaries.
Navigation and Searching
Navigating and searching Apps is very simple. You can use the following options:
Function
Description
Tab
Tab can be used to move between Apps
Shift+F10
This switches focus back to Consultation Manager. The equivalent
keystroke in Consultation Manager invokes the App menu thus
acting as a toggle between Consultation Manager and Apps.
Alt+Left Arrow
When an App is displayed invokes the ‘Back’ functionality to
return the you to the menu
Alt+Right Arrow
When the menu is displayed it re-invokes the last App
F5
When an App is displayed it will reload the app and refresh any
data
Apps Title Bar
The title of the App is at the top of each App alongside the back button which
returns you to the Apps menu. For the Summary screens there is also the option to
print the screen.
Apps Title Bar
27
Futures Toolbar
The Futures Toolbar appears at the top of all the Apps screens except from the Summary screens. It is designed to show you the patient's
recent or anticipated events. From the toolbar you can add a new item, invoke an application, or review the data in the patient's record in
Consultation Manager. A tooltip indicates the function of each button.
Note - Data entered via an App is automatically updated in the patient's record.
Futures Toolbar
28
Navigating the Futures Toolbar
The following options are available when using the Futures Toolbar:

Add - Click the icon on the toolbar to add a new item, or right mouse
click and choose the option to Add

List - Click the arrow to display a list of items in the dropdown box or
right click and choose List which displays the data in a separate
window for easier browsing

Open - The open option is accessed from the right mouse menu and
will either open the associated item or navigate to the relevant part of
the patient record.
Appointments
1. Click on the Add Appointment icon
screen.
to open the Book Appointment
The screen shows, by default, the slots available from today for 3 days:
Available Slots
29
You can change the date range of available slots using the Date box and
defining the number of days from that date in the 'for' box.
The following options are also available:

Show slots for all owners

Show all slot types
2. Double-click a slot to book. The Confirm Appointment screen is displayed:
Confirm Appointment
Outstanding Tasks
This section displays all outstanding Daybook tasks for a patient ordered by
urgency then due date. To add a new task click the Add Task icon
the Issuing New Task screen:
30
to open
Issuing New Task Screen
or right mouse click and select Open Daybook to open Daybook.
Mail
The Mail box lists the patient's 'All Incoming' mail received since the last
consultation or 30 days, whichever is longer, and displays in the following format:
[document type] [date] from [sender] [filing status]
e.g. “Discharge Letter 01 Sep 2013 From: St George’s Filed”
To open, click on the Mail Manager icon
Manager.
or right-click and select Open Mail
Note - There is no add facility within this section.
Recalls
31
The Recall box lists all outstanding recalls for the patient in ascending order of
recall date. To add a new recall click the Add Recall icon
or right mouse click
and select Add to display a filtered view of recalls within Consultation Manager.
Referrals
The Referrals section shows a list of outstanding referrals for the patient in
ascending order of referral action date. To add a new referral click the Add
Referral icon
or use the right mouse open option to navigate to a filtered
view of referrals within Consultation Manager.
Note - An outstanding referral is a referral with an action date in
the future
Medication Reviews
A list of outstanding medication reviews for the patient in ascending order of review
due date are shown in this section. The Add Medication Review icon
will
add a new medication review or use the right mouse open option to navigate to a
filtered view of medication reviews within Consultation Manager.
Note - If updating an existing medication review it is
recommended that you go to the Therapy screen, rather than add a
new review.
Expired Repeats
This section displays a list of active repeat masters requiring reauthorisation. There
is no add facility from here but you can use the View Medication icon
right mouse open option to go directly to the therapy (Current) tab within
Consultation Manager.
32
or the
Management Screen Functions
The following Apps share the same screen functionality:

Asthma Management

Child Health Management Screen

CV/BP Management Screen

Diabetes Management Screen
This functionality includes:
Collapsible panels
1. Click on panel headings to expand/collapse the panel:
Management Screen Panels
Open Item in 'Popout' Screen
Groups of data can be opened in a separate resizeable 'popout' screen which lists
historical data. From this screen you can choose to add, view or edit data.
1. Select the App screen.
2. Click the popout
icon which is displayed alongside the relevant group.
3. The popout screen is displayed:
33
Data Popout Screen
4. Alternatively, right click on any line within the Apps screen and choose
Open, Add, View, Edit or Delete.
Right Mouse Menu
34
Data Add Popout Screen
Summary of Commands
Below is a summary of the options available:

Open - Right click on the Apps screen to invoke the Popout View.

Add - This allows you to add a new record

View Item - The Apps screen shows single lines with no word
wrapping. Choosing View Item displays the full record of the selected
item in a wrapped, scrollable window. This is particularly useful when
items have a lot of text.

Edit Item - This option allows you to update the selected item

Delete - This command can be used to deleted the selected item
Note - The delete option is only available on the right mouse
menu option, this is to avoid entries being deleted accidentally.
35
Quick Data Entry Forms
The Record section of the Asthma Management, Diabetic Management and CV/BP
Management Apps screens allows for quick data entry. The Asthma Management
Screen has its own quick data entry form and the CV/BP Management Screen and
Diabetic Management screen share the same form. This topic describes both of
these quick data entry forms.
Asthma Management Screen Quick Data Entry Form
Asthma Quick Data Entry Form
Both quick data entry forms described in this topic share the following functionality:
36

Save - Saves the data into the patient's record with today's date

Show Form - This option allows you to view each Structured Data
Area whilst recording the data. You can use this if you want to add a
comment or change the date of a particular entry.

More - Selecting More opens the Physiological Measurements screen
in which the most common physiological measurements can be quickly
entered:
Physiological Measurements Screen
Physiological Measurements
The following data can be added (the latest entry recorded is displayed to the right
of each box):

Temperature

Respiration

Pulse

BP

JVP

Height

Weight

Waist

Peak Flow
Tick the Show Form(s) checkbox see the Structure Data Areas (SDA) for
each entry.
CV/BP Management Screen and Diabetic Management Screen Quick Data
Entry Form
Blood pressures and associated data can be quickly entered in this data entry form:
37
Blood Pressure Data Entry Form

Time - This is automatically entered when you record the blood
pressure, but can be edited

BP - This will allow the entry of up to three blood pressure readings
and the filing of just the latest, all the readings, or an average. If only
one of the three readings is to be filed, it is easy to remove the other
two as they are recorded in the different boxes

Edit - Default values for laterality, position, and cuff are assumed but
these can be edited
Note - The blood pressure readings can be recorded in any
format eg 120 80. 120/80, 120\80, 120-8-, 120,80, 120.80 - all
formats are converted to the standard notation.
38
Trend Graph
Trend Graphs are available within each Apps screen. They provide a graphical
representation of the data and can be customised to accommodate different date
ranges and data.
Trend Graph
39
Trend Graph

Dates - The timescale can be changed using the dropdown option. Changing the months or years affects the start of the
x-axis with the end always being today.
Training Tip - Hovering over the line will show a tooltip giving the precise date of the record.
40

Repeat Therapy - In addition to specific data it is possible to plot the
patient’s repeat therapy. This show the currency of repeat masters as
lines at the top of the graph. Where a repeat master is complete
(inactivated or reauthorized) and has a start and last issue date it is
shown as a solid line between those two points. Where a repeat master
is still active and valid to issue from it is shown as a solid line up to the
last issue date and a dotted line up to today’s date.

Filter Medication - The repeat therapy can be limited, for relevance,
to one or more BNF chapters. When such a filter is applied it is possible
to uncheck the ‘Filter Medication’ box in the toolbar in order to show all
repeat medication. This may be useful to determine an effect caused
by medication not directly related to the condition.

Popout View - You can view the Trend Graph in a popout view by
clicking the

icon.
Print - A print function is provided but it should be noted that this
does not automatically scale to paper size and will give best results
when the graph window is maximised.
Summary/List View
The following Apps have been specifically designed to be viewed or printed.

Home Visit Summary (page 19)

Immunisation Summary (page 21)

Maternity Summary (page 23)
Training Tip - If you double click on any section of the screen,
you have direct access into the relevant part of the patient record.
41
Child Centile Charts
Centile Charts are available within Childhood Growth Chart screen.
Weight Centiles Chart
Centiles are sex-dependant and the plot will change automatically according to
patient. The Centile plot lines are pink for a girl and blue for a boy. Optionally the
chart background can be white or sex colour coded.
Patient data is plotted in black with values at the plot points and a hover facility to
show event dates.
Note - There is currently no facility to print the chart or to
add/edit data but this is planned for future versions.
42
N
Index
Navigation and Searching • 27
P
Patient Banner • 8
A
Accessing Vision Apps • 6
App Functions • 6, 11, 12, 17, 18, 27
Apps Menu options • 9
Apps Title Bar • 27
Asthma Management Screen • 5, 11, 12
Q
Quick Data Entry Forms • 36
S
Selecting an App • 10
Summary/List View • 41
C
Child Centile Charts • 15, 42
Child Health Management Screen • 5, 11, 13
Childhood Growth Chart Screen • 5, 11, 13, 15
Community Data Screen • 5, 11, 25
Copyright Notice • ii
CV/BP Management • 5, 11, 17
T
The Different Types of Apps • 6, 11
Trend Graph • 39
V
D
Vision Apps • 5
Diabetes Management Screen • 5, 11, 18
W
F
What this Guide Covers • 6
Findings Cloud • 5, 11, 19
Futures Toolbar • 28
H
Home Visit Summary • 5, 11, 20, 41
I
Immunisation Summary • 5, 11, 13, 22, 41
Introduction • 5
M
Management Screen Functions • 33
Maternity Summary • 5, 11, 23, 41
43