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RELEASE NOTES Contents - 4S Dawn Clinical Software

1. ccccee sees eeeaeeeeeeeeeeeeeeees 24 Move Patients To Next Appointment AUtOMmatiCally ccccecccseceeeeeeeeeseeeeeeeeeseeeeeessseeaeeeseeeeaes 24 What s New In DAWN CF V7 9 19 scte coe cenety a aAA ENE Aaa vedere eee 25 Changes Affecting The Clinical Framework Base System ccccceceeeeceeeeeeeeeesaeeeeseeeesaeeeneeesaaaees 25 Caption On Patient Details SCre N ccccccccsseccceeeeceeeeeeeececeeeesseeceeaeessaeeeseeessueesseeeeseeessaaeessags 25 Changes Affecting The Anticoagulation Base Module ccccseeceeeeeeceeeeeeeeeesaeeeeeeeeeeaaeeeseeesaaeees 25 REME Style DOSING NSIC ONS aesan eats tenatialnhs caused mame aed yng E EESE 25 What s New IN DAWN CF V7 9 18 iois aaa NEE a seeded eee ete 26 Changes Affecting The Clinical Framework Base System cccccceeeeeeceeeeeeeeesaeeeeeeesseaeesneeessaaess 26 Production Of Letters amp MESSAGC Sick cei scale intid Senenia acids Sona Daman elucanett aonenutestuetued pede openaveieeus ams 26 Changes Affecting The Anticoagulation Base Module ccccseeeeceeeeceeeeeeeeeesaeeeeeeeessaaeeeeeeesseees 26 OUI INR WAT ACE ss castes hice taba ad ies Snadenautara suas a a E 26 What s New In DAWN CF v7 9 1T isisisi annin annenin eea iaaa a aa aa ces aaa aaa aa adaa iraan aaao adia aaia 26 Changes Affecting The Clinical Framework Base System c ccceeeeeeceeeeeeeeeeseeeeeeeeeeseaeeseeeessaaess 26 OFGSHING Ol QUESTIONM AICS nasser nA e E E
2. cccccc sees eeeceeeeeaeeeeeeeeees 34 Redesigned Interventions Tab cccccsssecceeceeseececeeceeseeeeeeceseeeesueeseaeeeseeeseaeeeseeeesaeesaeeessanees 34 Updating Interventions with the Latest Test Results cccccceeecceeeeeseeeeeeeeeeseeeeeeeesaeaeeseeeesnaees 34 Dealing with Out of Line Results or Trend cccccccccseeecceecesseeeeeeeeeceeeeeseeeseaeeeseeesesgeeseeessagess 34 Suppressing Tests Or Marking Tests As Not Required This Time cccccceeeeceeeeeeeeeseeeeeeeees 35 ClOSifid a Set OM Planned TESIS ste cccecs raterus lent a a a ad ew thactas TE aes 36 Redesigned MISTO Tab sisarten rder E ETO E EEEE ONE nace ads 36 Amending and Deleting Patient Results ccccccececseeceeeeceeeeseeeceeeseeeesseeesseeseeseaeesseeeseeeseeees 38 What s New In DAWN CF V7 9 T cesses vewsves tee cecteis sesaducsedeccdeepaewedsiaceensccewe vacvececestacdvectavensieeesacesstess 38 Changes Affecting The Chronic Disease Monitoring Base Module ccccececeeeeeceeeeeeeeeeeeeeaes 38 Option To Default Consultant On New Treatment Plans cccccccssececeeeeceeeeeeeeeeceeeeeeeeeeeaeeeeeees 38 Changes Affecting The Clinical Framework Base System cccccceeececeeeeeeeeeesaeeeeeeeesaaeeeneeessaaees 38 Referring GP Defaulted On New Treatment Plans ccccccccssseccceeeessseeeeeeeeseeeeeseeeeeeaeeseeeeananess 38 Version 75 00 Page 3 of 47 01 05 2014 Clinical _ RELEASE NOTES
3. ccccee sees eeeceeeeeeeeeeeeeeees 46 Making DAWN chronic disease monitoring easier tO USC cccceeeeeeeeeeeeeeeeeeeeaeeeeeeeeesaeeeeeeeeeeas 46 rRetrieve most appropriate test results for planned test datesoButton On Visit Screen 46 Reset Button Removed From Phases Tab On Treatment Plan Screen ccccccccecseeeeeeeeeeaeeees 46 OUtSTAMGING ISSUES saraaa aaa a ace aAa enced e aa iaa a aAa A a A Aaa 47 Macio O aacamngnacen ena serie aoe recia nowee oawadaneaneush caut oeaenaneane 47 Wea Members Val i fe sece ses eis ee ea ad neato calender omens 47 New Patient Wizard TaD Srania EA N A E aude cedaeiemhoueat eater aauebsnetes 47 Version 75 00 Page 4 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential Introduction The DAWN Clinical Framework DAWN CF release notes are intended to give the user an overview of the changes introduced in each new release of the CF application How These Release Notes Are Structured The release notes detail the changes that were introduced in each new release starting with the most recent release through to the oldest release Each release will be sub divided into sections that define the changes made to each of the available modules within the Clinical Framework application as detailed below Clinical Framework Base System The Clinical Framework Base System includes all areas of the system that are common to both Anticoagulation and Chronic
4. rRetrieve most appropriate test results for planned test datesoButton On Visit Screen The Retrieve most appropriate test results for planned test datesdbutton on the Interventions tab for the current Visit can now be used to update all Intervention records on that Visit with the latest relevant test result held within the Dawn database In previous versions clicking on this button Caused an error Reset Button Removed From Phases Tab On Treatment Plan Screen This reset button has been removed from the Phases tab on the Treatment Plan screen to avoid confusion as this action should not be performed during normal operation of DAWN Version 75 00 Page 46 of 47 01 05 2014 Clinical __ RELEASE NOTES AV Framework Strictly Confidential Outstanding Issues Induction The Induction Transfer dialog should be displayed when you authorise a dose on or after the Induction Protocol transfer day if the patient is still on Induction therapy However if you fail to respond to a alert against the INR dose INR date or next test date DAWN AC prevents you from accepting or authorising the dose until you have responded to the alert Once you have either rectified the error or clicked on the to confirm the data is correct you can Authorise the dose successfully However in this case the Induction Transfer dialog is not displayed You can still switch a patient to maintenance therapy by changing their selected Therapy in their Treatment Plan Team
5. allowing patients on a particular therapy to be easily found using a list view What s New In DAWN CF v7 9 9 Changes Affecting The Chronic Disease Monitoring Inbound Test Results Interface Module Test Result Interface Speed Improvement We have made some changes to increase the speed at which the inbound interface imports test results In previous versions importing test results made quite intensive use of system resources On certain servers this could potentially slow down the main DAWN application during busy periods The new changes increase efficiency and reduce the load on the server Version 75 00 Page 32 of 47 01 05 2014 Clinical _ RELEASE NOTES JA 4 Framework Strictly Confidential which should decrease any adverse impacts a busy interface has on general system performance Changes Affecting The Chronic Disease Monitoring Base Module Optimisation Of Standard List Views Version 7 9 9 improves the speed of the standard list views supplied with DAWN Please note customised versions of the standard list views may not be as quick to display Version 75 00 Page 33 of 47 01 05 2014 Clinical __ RELEASE NOTES JANN Framework Strictly Confidential What s New In DAWN CF v7 9 8 Changes Affecting The Chronic Disease Monitoring Base Module Redesigned Interventions Tab DAWN allows you to plan tests for patients at regular intervals monitor their test results and chase up patients who have not had tests when requ
6. when the interface schedules an appointment in these circumstances Changes Affecting The Chronic Disease Monitoring Base Module Improved Performance Of The Test Result Monitor Screen The Test Result Monitor has been enhanced to remove the short delay that can be experienced on opening the screen when there are extremely large volumes of test results held within the DAWN database Version 75 00 Page 40 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential Changes Affecting The Clinical Framework Base System Updated Warnings And Conditions Of Use On Login Screen Several new clauses have been added to the list of warnings and conditions of use displayed on the login screen These include details of a webpage showing any safety notices issued by 48 Count Of Current Users In previous versions of DAWN it was sometimes possible for the count of current DAWN users to be incorrect If the incorrect count is equal to or higher than the licensed maximum number of users then this prevents users logging into DAWN This incorrect count has now been corrected What s New In DAWN CF v7 9 4 1 Changes Affecting The Chronic Disease Monitoring Base Module Update Of PatientInterventions With Test Results Test results inserted into DAWN as part of the data conversion process can now optionally be prevented from updating a patientG latest open Visit This can be done by setting the test result status to d rchiveOwhen
7. A Visit With WarningS ccccscseccsseeeteeeeeeeeees 42 What s New In DAWN CF V2292 4 osisss isss a eden eeweey eit a aS edt a 42 Changes Affecting The Chronic Disease Monitoring Base Module ccccceecee eee seeeeeeeeeeeeeeees 42 Enhanced Trend Detection Options ccccccccsseccceeeeseseeeeeeeeseeeeeseeeeseeeeeseeeeseaeeeseeessaeeseeessanees 42 What s New In DAWN CF V1 9 scscci scares ccewercts ee scene wena ceuan cuwces needed avec ede reetatetenarecemeructeeael 43 Changes Affecting The Clinical Framework Base System cccccceeeeeeceeeeeeeeeeceeeeeeeeeseaaeeeneeesaaaees 43 Making DAWN Easier TO WS 6 sce sec azure see e pet cuieee a a ait satel o ance Ta ee canta Raa 43 New Palent Wizard osei eronneen ea E E a 44 DAWN Applicaton AC CNM isons fuccanss a a E N N ausitataannG 44 Mandatory Fields When Adding A New Patient ccccccececeseeseeceeeeeeeseeeeeseeeeeeaeeeaeeesaeeeeeeeeesas 44 SCU IIMPLOVEIMEINS errereen e E a A R E E A 45 Message Centre Performance Improvement ccccccccsececsecceecceececseeecsseceeeseeesseeseaeenseeeseresaas 45 Changes Affecting The Anticoagulation Base Module ccccseececeeeeceeeeeeeeeesaeeeeseeeaaaeeeseeesaaeees 45 Making DAWN Anticoagulation Monitoring Easier To Use ssnssenssennnsrnnsrnnnenreerrerrrrnrrnrrrnrrren 45 PNECTAGE DOSES SUO eii T E E anteater 46 Changes Affecting The Chronic Disease Monitoring Base Module
8. A fault existed in versions of DAWN between 7 9 26 and 7 9 33 where in certain circumstances the last review note from the previous treatment plan was displayed at the top of the history as if it related to the latest appointment instead of in the appropriate chronological position This fault is fixed in 7 9 34 Version 75 00 Page 10 of 47 01 05 2014 Clinical RELEASE NOTES AV Framework Strictly Confidential What s New in DAWN CF v7 9 33 Changes Affecting the Clinical Framework Base System Login Screen Improvements to Text and Error Messages and New Link to User Manual Some additional text has been added to the DAWN Login screen as shown below telling users that the details of password format requirements can be seen by hovering over the blue anformationdicon A link to the User Help Manual has been added to the DAWN Login screen as shown below lf you want to change your password please also fill in the two fields below For details of password format requirements please hover over the blue Y symbol Click here to view the User Help Manual 1997 2014 45 Information Systems Ltd The information message which displays when a new user logs in for the first time and needs to create a password or when a user with an expired password needs to change their password has been improved to give more information to the user about how to enter the new password and that password format requirements apply Help Button A Help butt
9. Disease Monitoring application areas e g patient screens clinic screens Every system contains this component If changes are made to the Clinical Framework Base System a section will be included in the release notes listing those changes This section should be read by users of all application areas Anticoagulation Base Module The Anticoagulation base module includes areas of the system that are specific to the Anticoagulation application area e g the anticoagulation dosing engine and the patient treatment screen If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you purchased this module Anticoagulation Induction Module The Anticoagulation Induction module allows patients to be dosed using induction algorithm rules and will let you know when they reach the end of the protocol and can be moved over to maintenance If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you purchased this module Chronic Disease Monitoring Base Module The Chronic Disease Monitoring base module includes areas of the system that are specific to the Chronic Disease Monitoring application areas e g the alerting and trending engine and the patient intervention screen If changes are made to this module a section will be included in the release notes listing those changes This section shou
10. Members Tab lf the patient currently being displayed is changed while the Team Members tab is open that tab continues to incorrectly display any Team Members that are selected from the previous displayed patient That tab should be automatically closed when the a different patient is displayed New Patient Wizard Tabs lf additional telephone numbers or email addresses are inserted while adding a new patient via the New Patient Wizard then the separate tabs that are opened for entering the additional telephone numbers or email addresses remain open after the new patient has been inserted and the Wizard has been closed Version 75 00 Page 47 of 47 01 05 2014
11. What s New In DAVIN CF V7 9 29 aaa thse a aaa a ea eee dda peace soa 13 Changes Affecting the Clinical Framework Base System 2 00 00 cece eeeeeee cece eee eeee eee eeea eee eeaaeeesaaaeeeeaas 13 Warning Shown When Next Appointment Is Not Scheduled cece csececs cess eeeseeeeeeeeeaeeeeeeeseeens 13 What s New In DAWN CF v7 9 28 cities sist etc ee ce hd deuce dae taace el euteued aveeeenegs dadsendaceenueman yes 14 Changes Affecting the Clinical Framework Base System 0 0 cceeeeeceee cece eee eeee eee eeea eee eeaaeeesaaaeeeeaas 14 Password Reset Enhancements is s2aiccncnsecanecsdaecnanccs te cnaneaadacaeneacschanahrecenegecuedroatecinabagaetantaadessaaetss 14 What s New In DAWN CF v7 9 27 sc 6scetiie casts cee seciscans dene ees oc tae aan sie eacadee ta actee sees eeee aoe 14 Changes Affecting the Clinical Framework Base System 0 0 00 cece eeeee cece cette cece eee eeea eee eeaaeeesaaaeeeeaas 14 NAS Number COMPIIANCG aise a a EEE spaa tut bee AR 14 Changes Affecting the Anticoagulation Base Module ccccccccseeceeeeeeceeeeeeeeeesaeeeeseeeeeaaeeseeeeeeaaess 14 Enhancement To Ensure Compatibility With Internet Explorer VQ cccccseceeeeeeseeeeeeeeaeeeeeeeeees 14 What s New INDAWN CF V7 9 26 6c cia cote ewcte hereon esas Soest dane AA SA Nieedneus dos eacawcaeweveecdavesesese 15 Changes Affecting The Clinical Framework Base System cccccceceececeeeeeeeeeeseeeeeeeeeeseaeeeeeesaaaees 15 Date
12. entirely on the Healthcare Professional judgement in selecting the appropriate therapy Version 7 9 5 includes several changes aimed at detecting when a patient doses and intervals appear to be outside the scope of the normal maintenance dosing and then either switching the patient to manual dosing or taking other actions such as disabling automatic dose calculation to mitigate the risk These changes are Version 75 00 Prevent Automatic Dose Calculation If Last Interval Or Interval Before Last lt 7 Days Automatic dose calculation is now prevented if the last test interval or the interval before last is less than 7 days Some induction or post operative protocols include a one week test interval as a final step Preventing automatic dose calculation after an initial one week interval following a change prompts the user to manually verify that the dose really is an appropriate maintenance dose before recommencing automatic dose calculation rBridgingoTherapy Renamed To Manual Bridging Therapy fBridgingotherapy has been renamed to Manual Bridging therapy This has been done to make it clear to the user that this therapy is not only intended for when LMWH is used to bridge a stop or reduction in the oral anticoagulant dose Automatic Switch To Manual Bridging Therapy Patients will now automatically have their therapy within DAWN switched to fManual Bridgingo if a dose change is entered that exceeds the maximum percentage change a
13. in red e A blue line a Details button and any review notes are displayed above each set of planned tests Clicking the details button opens a screen showing the Intervention details review notes notes referral and audit details for that particular set tests Version 75 00 Page 36 of 47 01 05 2014 Clinical __ RELEASE NOTES JAV Framework Strictly Confidential TP INCV MCH MCHC ROW MPV NEUT LVMPH MONO EOS 04 08 2010 10 8 10 3 tag 0 345 69 5 29 1 321 13 5 11 7 6 12 10 40 12 3 i E E L S a Checked all results OK to proceed 22 06 2010 10 6 10 1 315 3 74 27 52 Platelet count has fallen by 24 Check again in 25 05 2010 11 39 24 asr 3 9 0 341 87 4 Ty 23 53 Checked all resuks OK to proceed 26 04 2010 12 2 12 5 323 4 1 15 77 Checked all resus OK to proceed 18703 2010 11 8 10 9 279 3 56 0 364 91 9 2 Checked all resus OK to proceed lf more than one set of results is received for a set of planned tests they appear as separate rows below the appropriate blue review line as shown below Details Allresults checked OK to proceed 28 07 2009 12 1 3 6 214 4 06 0 361 88 9 29 8 335 13 2 12244 3 1 1 0 1 0 0 D 10 4 K 14 8 K 42 9 Details All results checked OK to proceed 30 06 2009 13 28 195 4 53 Ui Peb ermi heti hrak yay 0 7 0 1 0 0 29 05 2009 12 9 8 5 214 4 56 0 402 88 2 28 3 321 146 13351 2 7 0 6 0 1 0 0 18 05 2009 12 6 9 1 199 4 51 04 887 279 315 1
14. interval 2 weeks Version 75 00 Page 29 of 47 01 05 2014 Clinical _ RELEASE NOTES AV 4 Framework Strictly Confidential When the Wse recommended6option is selected an information icon is also shown Hovering the mouse pointer over the icon displays a popup with information on the interval between the current date and the next date None selected w Next date Use recommended 13 12 2010 Li f Set manually Normal interval 2 weeks Automatic Activation Of First Available Phase The first available therapy phase is now automatically activated when the Treatment Plan is activated or re activated Previous Phase Automatically Finished When New Phase Activated Options to finish or skip a therapy phase are no longer required as the active phase is now automatically finished when another Phase is activated or the Treatment Plan is stopped See below for changes to correctly show result history and to stopping a treatment plan introduced in v7 9 10 1 after v7 9 11 What s New In DAWN CF v7 9 11 Changes Affecting The Clinical Framework Base System Speed Improvement When Referencing Questionnaires In Letters We have added indexes that should improve the performance of certain reports and letters that pull information from questionnaires Enhancement To Customisable Field Names The customisable field names that can be entered for Unit Number National Number Town County Postcode are now used when the patien
15. of tests Version 75 00 Page 34 of 47 01 05 2014 Clinical RELEASE NOTES Framework Strictly Confidential DAW early the liver and renal function tests would subsequently appear as early results for your next set of planned tests which could be confusing In version 7 9 8 when an out of line or trend is detected a checkbox appears against the result in the Interventions tab When you have reviewed that individual result you can tick or reheckd the checkbox to show that particular result has been reviewed Your list view can be reconfigured to only display patients with runcheckedoout of line results or trends Due by 20 07 2010 J Type None selected v 04 08 2010 Haemoglobin 10 8 04 08 2010 WBC 10 3 04 08 2010 Platelet count 348 04 08 2010 RBC 42 04 08 2010 PCV 0 345 2 I gt 04 08 2010 Mean Corpuscular Volume 8 04 08 2010 MCH 04 08 2010 Mean Corpuscular Haemoglobin Concentration 04 08 2010 RDW To revisit our scenario using 7 9 8 you would review the full blood count results and tick the checkboxes displayed against the individual out of line values However you would not close the set of tests as a whole prior to receiving the liver and renal function results The patient would disappear from the Unchecked Out of Line Results list view once you had ticked the appropriate checkboxes for the out of line full blood count results Later when the liver and renal function test results arrive the
16. scheduled Sun Mon Tue Wed Thu Fri 4 a 4 4 Dose changed by 21 INR changed by gt 1 5 Dose Change 1 OUT OF 1 ABOVE 3 3 HIGH INR CHECK WITH PATIENT Treatment notes H Dose decreased by 21 Dose 27 50 w z Status Tested Next 23 04 20 12E 7 d Accept dose When there are no alerts the Accept Dose button will be green INR 2 0 InRange Date 16 04 2012 w gt Not scheduled Sun Mon Tue Wed Thu Fri J J J J J Treatment motes No dose change Dose 65 00 w Status Tested Next 07 05 2012 EEE 3 wk Accept dose What s New In DAWN CF v7 9 22 Changes Affecting The Chronic Disease Monitoring Base Module Prevent Deletion Of Patient Groups With Members In previous versions of DAWN it was possible to delete a Patient Group even if the group contained patients No warning was displayed the group was deleted and all record of which patients were members was lost DAWN has now been enhanced so that a group cannot be deleted until all members have been removed Version 75 00 Page 22 of 47 01 05 2014 Glinical__ RELEASE NOTES Prevent Deletion Of Teams With Members In previous versions of DAWN it was possible to delete a Team even if the team contained HC Professionals No warning was displayed the team was deleted and all record of which HC Professionals were members was lost DAWN has now been enhanced so that a team cannot be deleted until all members have been removed Prevent Del
17. v7 9 31 Changes Affecting the Clinical Framework Base System Fix to fault with custom modules that update the Patient Screen The non VKA module for managing novel anticoagulants such as dabigatran and the recent add on for Rheumatology which looks up the current DMARD and or Anti TNF drugs from the drugs tab and displays these on the main patient screen both make use of custom modules In previous versions these modules could occasionally report a spurious error Object does not support this property or method pContext webformoor rObject does not support this property or method pContext dataseta We have rewritten the way that the custom modules are invoked to prevent this from happening Changes Affecting the Chronic Disease Monitoring Base Module Support for the new rivaroxaban module The non VKA module for managing novel anticoagulants has been updated to support the initiation assessment and follow up review for rivaroxaban therapy You can buy the rivaroxaban and dabigatran modules as individual add ins to your main system Version 7 9 31 includes some small behind the scenes enhancements to support some of the rivaroxaban specific features What s New In DAWN CF v7 9 30 Changes Affecting the Clinical Framework Base System New Drug Local Code Field A new local code can now be entered for each drug in DAWN This is intended to hold the code from your own hospital computer systems and is used by the optional medications i
18. with that drug template must be between those minimum and maximum values Enhancements To Drugs Within Therapy Templates Previously it was possible to carry forward doses within a patient record using an Guto repeatd checkbox on the Patientintervention screen This feature has been replaced by settings on the TherapyTemplate screen to allow doses to be chosen and carried forward for all patients on such a therapy Default Drug Template On Drug Intervention Templates One of the drug templates for the selected drugs can be chosen as the default set of doses for patients on this therapy dRemember Dose Given Last Time For PatientOSetting On Drug Intervention Templates If the setting Remember Dose Given Last Time For Patientdis selected then any patients on this therapy will have the dosing information automatically set to the values used in the patient previous set of results within the current treatment plan Enhancements When Entering Drug Doses For A Patient Version 75 00 Selection and approval of a drug dose has been simplified by several screen enhancements including the removal of all unused fields allowing the frequency and duration fields to be optionally hidden and the addition of onscreen help Selection Of Drug Instructions lf the selected drug template has instruction lines defined then an initial instruction line can be selected from a drop down list on either the Patientintervention screen or on the Interventions
19. 41 Updated Warnings And Conditions Of Use On Login SCreen cccccecceeecceeeeceeeeeeceeeeeaeeeeeeeeees 41 COUNT OF CUire MiSs On Sake ise cee A aera main sence sais ae A A A A 41 What s New In DAWN CF v7 94 Tosia sede ieee oo EAS aA ue aa Eaa ase AES Naa aaa 41 Changes Affecting The Chronic Disease Monitoring Base Module ccccececeeeeeseeeeeeeeeeeeeenes 41 Update Of PatientInterventions With Test Results cccccccceeeceeeeeeeeeeeeeeeeseeeeeeeeesasaeeeeeeeasaaess 41 What s New In DAWN CF V7 9 4c soiicctsstesseoscss Heiescced ta cases ce a a canis cee teeddedieeswcnneiantadeeadextveticcnaawessties 41 Changes Affecting The Clinical Framework Base System ccccceceeeeceeeeeeeeeeseeeeeeeeesaaeeeseneessaaees 41 Enhancement To Ensure Compatibility With Internet Explorer V6 ccccsececeeeeeeeeeeeeeeeeeeeeeeaes 41 What s New In DAWN CF V7 9 3 occ sits sdi sa veceesenttecetcs cer oana ececcniaeesaseddedeneilevasienesdnedecsesedceteneessstes 41 Changes Affecting The Chronic Disease Monitoring Base Module ccccceeceeeeeceeeeeeeeeeeeeeees 41 Enhancement To Simplify Changing Therapy PhasSe cccccssccceeeeseeceeeeeeeeeseeeeseeeaeeeeaeeeseeeeaas 41 Whats Newlin DAWN CF V7 9 2 osc cose aa ae cect elatacyt ee hoses aA aE a eee 42 Changes Affecting The Chronic Disease Monitoring Base Module cccceeeceeeeeceeeeeeeeeeeeeeees 42 Review Notes Must Be Entered When Closing
20. 48 13257 24 0 9 0 1 0 0 vi lt m gt If more than one result for the same test is received for the same test date the results appear on different rows corresponding to their respective times You can hover your mouse over the date to see the full date and time Date HD wsc pt TREC 04 08 2010 10 8 10 3 34 42 9 04 08 2010 14 00 10 79 K 12 3 04 08 2010 10 8 10 3 348 2 lf there is more than one result for the same test on the same date and the test time is not provided DAWN displays the results beneath each other using the date received to determine the likely order In this case DAWN displays an asterisk next to each result to denote that the true order is not Known 18 03 2010 9 0 1 0 0 1364 54 72 S 19 29 84 44 77 9 21 A 17 24 gt gt m J Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential Amending and Deleting Patient Results In previous versions of DAWN if you made a mistake entering a test result manually you could edit the value but not the actual date and time of the test In version 7 9 8 you can edit the actual date and time provided the result remains the latest patient result for that test You can also delete a test result that is no longer displayed in the interventions tab or associated with an intervention for a previous closed set of tests What s New In DAWN CF v7 9 7 Changes Affecting The Chronic Disease Monitoring Base Module Option To Default Consultant On New Tr
21. 75 00 Page 6 of 47 01 05 2014 WARNING Clinical __ RELEASE NOTES AV 4 Framework Strictly Confidential Windows Compatibility The latest versions of DAWN are no longer compatible with Windows 2000 In order to upgrade to 7 9 33 onwards your Web Server must be running Windows 2003 as a minimum Recommended minimum Windows 2008 What s New in DAWN CF 7 9 36 Changes Affecting the Clinical Framework Base System View Patient Summary Button You can now configure your DAWN system to display a View button on the main patient screen Pressing the View button displays a summary of the patient treatment to date based on a pre selected message template The patient summary is displayed in its own window with popup Print options in the same way as letters and messages are displayed when you select a Direct Print message from the drop down list on the letters tab Risk dass Pref clinic default Big Hospital s Phone a4 15395 63091 home et Age 63 ee Vasculitis secondary Drugs E l l This is the patient summary button 2 0 3 0 2 5 Target Clicking this will display a printable summary message for the patient 21 11 2012 Indefinite Warfarin Same Dose Daily 14 mg Daily Avg i ofi active Mew You can choose which Message Template to use for the Patient Summary so you can ensure the summary includes the information you need to see If your DAWN system is shared by more than one departmen
22. 9 22 ocsi aosioe naa a aaea a a aa AEA Daaa EA Na aeaa 22 Changes Affecting The Chronic Disease Monitoring Base Module ccccceceeeeeseeeeeeeeeeeeeeees 22 Prevent Deletion Of Patient Groups With MemberS ccccccsecec sees seeeneeeceeeeseeeeseeeueeessaeeseeenans 22 Prevent Deletion Of Teams With Members cccceccceseeceeccueeeceeeeueeseeeseeeseeeeseesseeesseesseeesass 23 Prevent Deletion Of HC Professional Selected As A Team Membet cccccccceeecneeeeeseeeeeeeees 23 Prevent Deletion Of Questionnaire Types Used in Questionnaires ccccsecec sees eeeeeeeseaeeeeeeeeees 23 What s New In DAWN CF V7 9 2 1 ovcccccesctiess chess veseccuaicel aaaea ewan aa aaa a oani a Kaarina aiaiai 24 Changes Affecting The Anticoagulation Base Module ccccceeeeeeeeeceeeeeeeeeeeaeeeeseeeeaaeeeeeeeesaanees 24 Control Adding And Editing On Treatments Via User Profile cccccceccecsseceeeeeesaeeeeeeeeesaeeeeeees 24 Enhancement To Date Handling When Entering INR HiStory ccccseeeeseeeeeeeeseeceeeeaeeeseeeeees 24 Whats New In DAWN CF V7 9 20 2s ocsscisect sh seks ccewenscctes cared cacSececeiccedeiecgeid aaan aa eiia daia kaada iiaa kaiaia 24 Changes Affecting The Anticoagulation Base Module ccccseeeeeeeeeceeeeeeeeeesaeeeeseeeeeaaeeeeeeessagess 24 HTMEStve DosihgINSrUCIONS snsdinarnranae anea E E AN aes 24 Changes Affecting The Chronic Disease Monitoring Base Module
23. And Time In Quick Note Header Displayed In Black Text ccccescceesseeeeeeeeseeeeeeeeeeeneaees 15 Changes Affecting the Anticoagulation Base Module ccccccseeeeeeeeeseseeeeeeeeseeeeeseseeeaaeeeeeeeeaaes 15 Version 75 00 Page 1 of 47 01 05 2014 Clinical RELEASE NOTES fA Framework Strictly Confidential Enhancement To Warning For Miss Or Boost DOS6S ccccceceeeeeeceeeeeeeeeeseeeeeeeeesaaeeeseeeesaaaees 15 Changes Affecting The Chronic Disease Monitoring Base Module cccccecee eee ceeeeeeeeeeeeeeees 16 Enhancements To Drug em plaleS Jaxajteascccietecg sen adanieaaneearanteutaedcateed ueddan aaacietiakeisdveineieatalaandys 16 Enhancements To Drugs Within Therapy Temp lates ccccsececeeeeseeceeeecee cesses eeeeeeeeaeeeseeeeaes 17 Enhancements When Entering Drug Doses For A Patient cccccccceecseeceaeeeeeeeeaeeeaeeeeaeeeseeenees 17 Enhancements To RSTO T da Desnen na a a 18 Diagnosis Date On Main Patient Screen ccccecccccceseeeecceeeeseeeeeeeeeseeeeeseeeseeaeeeseesseeaeesageessagess 18 Increased Width Of Therapy Template And Preferred Clinic fields On Treatment Plan Screen 18 What s New In DAWN CF V7 9 29 itis ss tosses saican sneiesedsvucsussenstennedelbaca adaa aka EAE AE iaaa Ri 18 Changes Affecting the Anticoagulation Base Module c cccccsseeeeeeeeseeeeeeeeeeseeeeeseeeeeaaeesaeeeseaaess 18 Dabigatran and non VKA Monitoring MOCUIE
24. CS ASC Cy sedea a O E EE E R E N EEN EEE SE 12 Changes Affecting the Anticoagulation Base Module ccccssececeeeeceseeeeeeeeseeeeesseeeeaeeeaeeeeaaaees 12 Dosing Instructions Show Total Mg in Decimals Whilst Showing Tablets in Fractions 12 What s Newin DAWN CF Y7 9 3 9 isipin anan apaa aa cid caw aa a K a i Eaa Eie rioan aiiai 13 Changes Affecting the Clinical Framework Base System ssensssnsnsssessesrrrnrnnresrrrrrrressrrrrnrrnsrrnnes 13 Fix to fault with custom modules that update the Patient Screen cc cececeeeeeeeeeceeeeeeeeeeeneeees 13 Changes Affecting the Chronic Disease Monitoring Base MOdule ccccceceeeeeeeeeceeeeeeeeeeeeeeees 13 Support for the new rivaroxaban module cccccceecececeeeeeee cee eeeseeeceeaeeeeeeecaeeeeeeueesseeeeseeeesaaeeeeess 13 What s New In DAWN CF v7 9 30 airinn iai cscs ee ccc aia aa cm ic teesacctd sis Pesta rictenteasdeeeencieeadetacdes 13 Changes Affecting the Clinical Framework Base System 2 00 00 cece cece cece eee ee eater eeeaeeeeeaaeeeeaaaeeeeaas 13 New Drug Local COE Field osser a a et steaks tatsedneta teeny meena 13 Referral And TreatmentPlanTeamMember Screens Automatically Closed c seeeeeeeeeeeees 13 Changes Affecting The Chronic Disease Monitoring Base Module cccceeeeeeeeeseeeceeeeeeeeeeees 13 Enhancement To Automatically Moving Patient To Their Next Appointment ccceeeeeeeee eee 13
25. Clinical RELEASE NOTES ya Framework Strictly Confidential Contents HERERO CU CULO aches daca E E T dees eee seed cate seca eee E E E A E fee E 5 How These Release Notes Are Structured cccccecccecescceeceeeceeceneanecnesseeeneeneseesenseneee seen seensensneaness 5 VVINGOWS GOMP at NEY sycscbeseeseed a yess Ses atew E EEEa 7 Whats New in DAWN CF 7 9 30 oe isiccceco ds pice a a chorea et eta ache cee eed eh aa aiden cactt aces 7 Changes Affecting the Clinical Framework Base System 0 00 c cece cece cece cece tee cece eee eeeeeeeeeaaeeeeaaeeeeeaa es 7 View Patient summaty BUON aeoieo naen E EANA N AE acess ae 7 Changes Affecting the Chronic Disease Monitoring Base MOdule ccccsecceeceeeeeseeeseeeeeeeeeeeeees 7 New Confirmation Dialog for Closing a Set of Tests with Missing Results Early Results or a Long Test MALS IY Alleasecccnandaanstasencusathaetaaedsadicanstesannadunanantad taanaicarehaanaaaas NE E EE 7 What s New in DAWN CF v7 9 35 a nnnnnnnnnnnnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnnnnnnnnnennnn nenne nnmnnn 9 Changes Affecting the Clinical Framework Base System 0 00 cece cee cece cece cece tee cece eee eeee ee eeeaaeeeeaaeeeeaa es 9 Load Balanced Application Pools sis esd asec ct ey een Gnas te cease aee cue Aaaear eens haces nena daaseea 9 What s New in DAWN CF V7 9 34 oi jcccscticsccmceseceveee ceaececsnadetecevce cesta tee teedddewenceccustentsdeencecteetccsrandestcde 10 Changes Affectin
26. DAWN CF v7 9 15 Changes Affecting The Clinical Framework Base System Production Of Letters amp Messages In 7 9 13 we made some mistake proofing changes to the production of dose letters Unfortunately a side effect of these changes was a problem whereby on rare occasions message templates that included processing to manipulate date type fields that were blank in DAWN e g a blank date of death were not being created This has now been fixed Performance Improvement Improvements have been made to help speed up the display and refresh of the front screen Changes Affecting The Anticoagulation Base Module Automatic Rescheduling Of Non Attending Patients When automatically rescheduling your non attending patients from the Non Attendance list view any patients that were originally given an interval of less than 7 days between appointments are no longer automatically rescheduled Following the automatic rescheduling these patients will remain in the list of non attending patients and a message will be displayed warning the user that these patients should be manually rescheduled Performance Improvement Improvements have been made to help speed up the creation of letters containing Treatment related information Version 75 00 Page 27 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential Help Files In previous versions of DAWN the Anticoagulation help files included information for other chronic disease monitoring a
27. EN TIRANE EAEE E A EEE 26 Messages are Processed in the Order They Were Created ccccccccssecceeeeeceeeseeceeeeeaeeseeeeeens 26 Changes Affecting The Anticoagulation Base Module ccccseeeeeeeeeceeeeeeeeeeseeeeeseeeesaaeeeeeeesaaeees 26 Fault with the Total Mg line and European Decimal Format ccccccecseeeceeeeeeeeeseeeneeeeaeeeseeeneas 26 What s New In DAWN CF Y7 9 16 svsesecoseseese iuas aE ENE EA a ees 27 Changes Affecting The Anticoagulation Base Module 0 ccccseeeeeeeeeceeeeeeeeeesaeeeeseeeesaeeeeeeeesaaeees 27 Automatic Rescheduling Of Non Attending Patients ccccccccsecesseeeeseeeeseeeeeeeeeeseeeeeeeeeenaaeeeaees 27 Changes Affecting The Chronic Disease Monitoring Base Module ccccec sees eeeseeeeeeeeeeeeeeees 27 Pl UO NOS psa nR Nas gaan eaten O E E RN es eens 27 Version 75 00 Page 2 of 47 01 05 2014 Clinical RELEASE NOTES fA Framework Strictly Confidential What s New In DAWN CF v7 9 15 soni ea aaa aA KE EESE AE 27 Changes Affecting The Clinical Framework Base System ccccceeeeeceeeeeeeeeesaeeeeeeeeseaeeseeessaaees 27 Production Of Letters amp M SSAQGES ccccccccseceeseeceeeeeeeseeeeeeeceseeeeseeeceaeeeseeeseaeesseeessaaeeseeessaness 27 Perormance IMPO Ve Me Ninana a E N N 27 Changes Affecting The Anticoagulation Base Module ccccseeeeeeeeeceeeeeeeeeecaeeeeeeeeeeaaeeeeeeesaaeees 27 Automatic Rescheduling Of Non Attending Pa
28. HS number If it is valid then the number is re formatted into the 3 3 4 format It is no longer possible to save invalid NHS numbers The NHS number appears in the title of the patient screen on the patient search screen and in other screen titles that display patient identifiers such as Treatment Plans Treatment records and the Message Center When searching for a patient you can enter the NHS number with or without spaces lf Full complianceo is enabled then the NHS number only appears in reports letters emails or outbound interface messages if the status is Number present and verified lf compliance is not enforced DAWN 7 9 27 works exactly the same as previous versions with regard to entry and use of the national number Changes Affecting the Anticoagulation Base Module Enhancement To Ensure Compatibility With Internet Explorer v9 Version 75 00 Page 14 of 47 01 05 2014 Clinical _ RELEASE NOTES AV Framework Strictly Confidential In previous versions of DAWN dosing instructions which include a Total Mg line are not displayed correctly in the history when using Internet Explorer v9 The column for the first day of the week takes up a disproportionate amount of column space forcing the remaining days to be bunched up This has now been corrected What s New In DAWN CF v7 9 26 Changes Affecting The Clinical Framework Base System Date And Time In Quick Note Header Displayed In Black Text The date and time shown a
29. R Renal If itis safe to dose this set of tests and proceed to the next appointment in spite of this issue check the checkbox and enter a comment to say why then press Otherwise press Cancel to address any of these issues first Cancel In previous versions DAWN also checked whether any results were significantly early and whether the interval to the next test date was longer than expected If so it displayed separate confirmation boxes for each issue In the latest version if any combination of early results missing results and longer than expected next test interval are detected the information is combined in a single dialog so you can review it as a whole Version 75 00 Page 8 of 47 01 05 2014 Clinical RELEASE NOTES JA 4 Framework Strictly Confidential What s New in DAWN CF v7 9 35 Changes Affecting the Clinical Framework Base System Load Balanced Application Pools DAWN CF v7 9 35 now supports a oad balanced application poolsoconfiguration which can significantly improve system performance The DAWN system is single threaded which means that it processes web requests from different users for patient records list views reports the diary indeed any screen or function within DAWN one at a time At peak times when several users are logged in web requests from different users can queue up causing a bottleneck that makes system performance for each user deteriorate Version 7 9 35 supports an alternative config
30. a warning message to remind you that the appointment has not been entered into the diary What s New In DAWN CF v7 9 28 Changes Affecting the Clinical Framework Base System Password Reset Enhancements The temporary passwords created by DAWN are now easier to remember and type These passwords are now 6 characters long and only contain numbers 2 9 and lower case letters other than g j I O p and q The buttons on the HCProfessional screen used to reset a password and then create a new one are now labelled Click to reset existing password for user and Click to create a new password for user When you have created a password on the HCProfessional screen the message that displays the new password now also has a reminder to tell to the user that they need to change their password the first time they log in to DAWN What s New In DAWN CF v7 9 27 Changes Affecting the Clinical Framework Base System NHS Number Compliance For UK customers DAWN can now be set to enforce compliance with NHS directives governing mandatory using of the NHS number DAWN now offers two levels of compliance Validate amp Verify Only or Full Compliance This can be controlled via a new screen on the system menu When either level of compliance is enabled A drop down list of verification states is displayed below the NHS number on the main patient screen Whenever an NHS number is entered or amended DAWN checks that it is a valid N
31. an Version 7 9 10 1 now always shows all test results received from 3 months prior to the start of the currently selected Treatment Plan until now regardless of the status of the Treatment Plan This makes it easier to review previous results NOTE This change is not included in version 7 9 11 Enhancements To Stopping A Treatment Plan On stopping a Treatment Plan to change therapy a series of checks are now performed before the Treatment Plan can be stopped lf there are current results notes referrals the user will be prompted to deal with these before the Treatment Plan can be stopped The latest appointment in a stopped treatment plan may contain planned drug or procedure interventions DAWN will delete a current appointment with no current results notes referrals drug procedures questionnaires on stopping the Treatment Plan Appointment and test result details in a stopped Treatment Plan are now read only and cannot be edited unless the treatment plan is reactivated NOTE This change is not included in version 7 9 11 What s New In DAWN CF v7 9 10 Changes Affecting The Clinical Framework Base System Patient Screen Speed Improvement We have made some changes to prevent the occasional slow speed at which the main patient screen loads Changes Affecting The Chronic Disease Monitoring Base Module Therapy Template Filter On List Views It is now possible to include a therapy template filter on list views
32. ate Handling When Entering INR History In previous versions of DAWN depending on the user6 regional settings it was possible for an error to be displayed when entering INR history for certain dates This has now been corrected What s New In DAWN CF v7 9 20 Changes Affecting The Anticoagulation Base Module HTML Style Dosing Instructions In previous versions of DAWN if an HTML style dosing instruction had been customised by altering the days of the week on which each dose is taken but keeping the total dose the same and then an out of range INR is entered at the next appointment then the error ERROR DayPattern chosen for this instruction but no tablets are chosen for the Regimeowas displayed This has now been corrected Changes Affecting The Chronic Disease Monitoring Base Module Move Patients To Next Appointment Automatically Once a patient has a full set of in line results not flagged DAWN may now be set to automatically move the patient onto their next appointment This is intended to speed up the process of dealing with patients results when they do not need a review By default this feature is deactivated Once the feature is activated the therapy template and risk class for your patient must both be set to allow this All of the checks that are made when clicking on the existing close button on the patient screen are still made for each patient automatically moved onto their next appointment that is there must be a
33. bove each quick note on the main patient screen is now displayed in black rather than white making it much clearer to see on the grey background Big Hospital Stornaway Deirdre Barbara changed her appointment to Thursday dinit next weet due to her son being unwell Big Hospital Stornaway Deirdre 11 12 2012 10 36 Out of the country for 3 weeks returns Jan 9th Changes Affecting the Anticoagulation Base Module Enhancement To Warning For Miss Or Boost Doses In DAWN v7 9 13 onwards whenever a miss or boost dose is entered for a patient a warning that the miss or boost dose has been set to an unexpected high value is always displayed regardless of the value in the system setting dreatment_MissOrBoostWarningPercentageTreshold6 Message from webpage Warning You set the Miss or boost Dose to an unexpected high value Please correct the Miss or boost Dose or days or press the red to accept the current values The warning is now shown only when the percentage difference between the normal dose and the miss or boost dose does actually exceed the value in the system setting Version 75 00 Page 15 of 47 01 05 2014 Clinical __ RELEASE NOTES JANN Framework Strictly Confidential Changes Affecting The Chronic Disease Monitoring Base Module Enhancements To Drug Templates Options for adding drug doses under the Interventions panel have been re designed Please contact support 4s dawn com for advice if you already use
34. by checking the checkbox before the set of results can be closed 1042 2012 Haemoglobin 1 TON 2 2012 Neutrophils 6 2 v Enhancements To History Tab The result history tab on the main patient screen can now optionally also show drug doses This option is available individually for each disease area and is activated by selecting Ghow Drugs In History on the disease area maintenance screen The history now includes ALL review notes entered up to 3 months before the start of the current treatment plan Previously only the review notes up to the start of the current treatment plan were shown Diagnosis Date On Main Patient Screen The diagnosis date of the patient amp primary diagnosis is now displayed in the top left of the main patient screen Increased Width Of Therapy Template And Preferred Clinic fields On Treatment Plan Screen The drop down lists for therapy template and preferred clinic on the treatment plan screen are now wider to allow the full therapy template and clinic names to be visible What s New In DAWN CF v7 9 25 Changes Affecting the Anticoagulation Base Module Dabigatran and non VKA monitoring module Version 7 9 25 supports an optional new extension to the anticoagulation module that enables you to monitor patients on non vitamin K antagonist anticoagulants such as dabigatran New anticoagulation look up tables allow you to define certain diagnoses as therapeutic indications for specific anticoagulants an
35. cccceeeccceeeeceeeeeeeeeeseeeeeeeeeeeeaeesseeesaaeeesaeeessaness 18 What s New In DAWN CF V1 9 24 isco onss cece casita ee ein ae eae aaa ee ienet Sesom cena ect eecane te aieeeeees 19 Changes Affecting The Clinical Framework Base System cccccceceeeeceeeeeeeeeeseeeeeeeessaaeeseneessaaess 19 Quick Note For GP Updates Now Optional ccccccscccccceeeesceeeceeeeeeeeeseeeeeeessaeeeeeseeseeeesaaeeeeees 19 Changes Affecting The Anticoagulation Base Module ccccceeceeeeeeceeeeeeeeeeseeeeeeeeessaeeeeseeeeaeees 19 Enhancement To Amending Dosing Instructions With The Cycle Button cccccseeeeeeeeeeeeeees 19 Changes To Automatic Switch To Manual Bridging Therapy ccccccccccseeeeeeeeeseeeeeeeeeesaeeeeeees 20 What s New In DAWN CF V0 9 23 js fois oe asi aa aaa ahi ete es iene eect ieee 20 Changes Affecting The Anticoagulation Base Module ccccseececeeeeceeeeeeeeeecaeeeeeeeeseaaeeeeeeesseees 20 Enhancement To INR And Dose Change Warnings cccsseeeeeeeeeneeeeeeeeeeseeeeeseeeeuaaeesaneeeaaeees 20 Enhancement To Dose Change Percentage Indicator ccccececeeeeaeeceeeeeeeeeeeseeseesseeeeeeeeeeeaes 21 Change To Colour Of Acknowledged Alerts ccccsccceeeseeceeeeseeeeceeeeeseeeeseeeeeseueesaeeeeeeeesaeeeeeess 21 Colour Coded Accept Dose BUT iets incce ccnbnacde acer yennaddecea imei achenden madaunmaanon maciamenceaunenaneanaeckeaets 21 What s New In DAWN CF V7
36. d Monitor What s New In DAWN CF v7 9 17 Changes Affecting The Clinical Framework Base System Ordering of Questionnaires In previous versions of DAWN the Questionnaires tab on the patient screen listed questionnaires for the patient with the oldest at the top and the most recent at the bottom In v7 9 17 onwards questionnaires are displayed with the most recent at the top making it easier to find the latest answers and scores Messages are Processed in the Order They Were Created In previous versions of DAWN while most messages letters emails and outbound interface messages were processed in the order they were created messages created within the same minute could be processed in any order This does not usually matter if the message is a letter or an email but can cause problems with outbound interface messages triggered in response to certain actions like updating and stopping a treatment plan If the external system receives an update message after a stop message it may incorrectly assume the Treatment Plan has been reactivated In 7 9 17 messages are always processed in the order they were created even if they are created within the same minute Changes Affecting The Anticoagulation Base Module Fault with the Total Mg line and European Decimal Format From version 7 7 onwards it is possible to include a Total Mg line with a dosing instruction expressed in tablets This can be useful if the tablet strength is not 1mg or if mu
37. d certain risks as additional qualifying factors You can also categorise risks or drugs as contraindications or specific haemorrhagic or thromboembolic risks for a particular anticoagulant You can define dosing regimes for non VKA anticoagulants which use fixed doses such as 150 mg twice daily or 220 mg once daily as opposed to sets of dosing instructions You can then define which Version 75 00 Page 18 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential regimes are permitted for which therapeutic indications diagnoses and which is the default or normal dose Initiation and follow up monitoring is achieved by means of specialist questionnaires which display lists of contraindications interacting drugs and specific risks together with relevant tests and scores including risk assessment mechanisms such as the CHA2DS 2VASC and HASBLED scores and the ability to calculate an estimation of renal function using the Cockcroft Gault formula Initiation questionnaires are intended to help you identify whether a patient is suitable for the anticoagulant and if so help you to determine the most appropriate dose When you activate a treatment plan for the anticoagulant the dosing regime and diagnosis are automatically cross checked with the initiation questionnaire to ensure there is no discrepancy and that they are both valid and compatible selections You are prevented from activating a treatment plan if a contraindicatio
38. e allows for INR results to be imported into the Anticoagulation application area via the DAWN Integration Engine If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module e Anticoagulation Inbound Non INR Test Results Interface Module The Anticoagulation Inbound Non INR Test Results Interface Module allows for non INR test results e g haematocrit platelets creatinine to be imported into the Anticoagulation application area via the DAWN Integration Engine for viewing purposes only No alerting or trending is performed If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module e Chronic Disease Monitoring Inbound Test Results Interface Module The Chronic Disease Monitoring Inbound Test Results Interface Module allows for test results e g hematocrit platelets creatinine to be imported into the Chronic Disease Monitoring application areas via the DAWN Integration Engine Where applicable patient intervention records will be updated accordingly and any alerting or trending processing will be performed If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module e Clinical Framework Inbound Demographics Interface Modu
39. eatment Plans It is now possible to configure DAWN to automatically set the consultant on newly created Treatment Plans to the Healthcare Professional that was selected on the patient previous Treatment Plan When the consultant is set automatically a quick note is added to for patient The option to set the consultant automatically can be set separately for each disease area in use Changes Affecting The Clinical Framework Base System Referring GP Defaulted On New Treatment Plans When creating a new Treatment Plan the referring GP will now automatically be set to the Healthcare Professional that was most recently selected as the referring GP on any of the patient Treatment Plans Referring GP Updates Received Via The Interface When previous versions of DAWN received a referring GP update message via the demographics interface for either a patient that the interface has just created in DAWN or an existing patient with no Treatment Plan it is unable to process the GP update and so places the message on the hold monitor Version 7 9 7 can now successfully process these GP update messages and no longer places them on the hold monitor Referring GP Updated In All Disease Areas lf the referring GP is updated in DAWN for a patient with Treatment Plans in multiple disease areas the update will now automatically occur in all disease areas Quick Note Created For GP Updates When a patient referring GP is selected or updated in DAWN a qu
40. electing Next Test Date 0 ccccececee cece eeeeeeeeeeeseeeeeeeeesseeeeeeesaaeees 29 Automatic Activation Of First Available Phase cccccccessececseeeeeeeeeseeeeeeeeeeseeeeeseeeeeeaeeseeeeneaees 30 Previous Phase Automatically Finished When New Phase Activated cccssccssecseeceeeeeeeeeeees 30 What s New ln DAWN CF V7 9 977 orsi eel cere aa te ae a Aa a dues ANEETA 30 Changes Affecting The Clinical Framework Base System c ccceeeeeeceeeeeeeeeesaeeeeeeeeesaeeeeneessaaees 30 Speed Improvement When Referencing Questionnaires IN Letters ccccccccecec eee eeeeeeeeeeeeeeeees 30 Enhancement To Customisable Field NAMme s ccccsesccceececeeeceeeeeeseeeeeseeeessaeeeseeeeeaaeeeseeeenaness 30 Changes Affecting The Chronic Disease Monitoring Base Module ccceeeceeeeeaeeeeeeeeeeeeeeees 30 Suspend Option Removed From Chronic Disease Treatment Plans cccccecseeeeseeeeeeseeeeeeees 30 Changes Affecting The Anticoagulation Base Module ccccseeceeeeeeceeeeeeeeeeceeeeeeeeeesaaeeeeeeesseees 31 Enhancement To INR And Dose Gla OI soiicciaiceiniiictid nan sssarniciasacoxens jnaniadastaeanaasdiagowwamcmiaaedraiiess 31 What s New In DAWN CF V7 9 10 1 oisean aaaea a a Aar aa eaaa ENA EN a de 32 Changes Affecting The Chronic Disease Monitoring Base Module cccceeeceeeeeceeeeeeeeeeeeeenes 32 Enhancement To Correctly Show Result History For Stopped Treatme
41. ested However in previous versions of DAWN test results were displayed by the planned date rather than the actual date If patients had their tests as planned everything looked as you would expect but if test results arrived significantly earlier or later than planned it could cause confusion One option was to adjust the planned date to match the actual test dates which kept the display looking correct but made it more difficult to keep track of when tests were originally due In version 7 9 8 we have redesigned the way results are displayed to avoid these pitfalls herapy Adalimumab RH Phase 3 Maintenance Phase Due by 20 07 2010 Type None selected v A 04 08 2010 Mean Platelet Volume 04 08 2010 Neutrophils 04 08 2010 Lymphocyte count 04 08 2010 Monocyte count AOI 04 08 2010 Eosinophil count lt a kI 4 Qo Ow Q ii Tat fip 04 08 2010 Basophil count Sodium Potassium Urea The Interventions tab in the top right hand corner of the patient screen still shows the latest results for the patient next set of planned tests but now the actual test date is displayed beside each result A separate Due by date is displayed at the top so you can see how early or late any current results are and see if any missing results are overdue Updating Interventions with the Latest Test Results In previous versions of DAWN only test results received within a specified number of days of the plan
42. etion Of HC Professional Selected As A Team Member In previous versions of DAWN it was possible to delete an HC Professional who was selected as a team member in the Treatment Plan for one or more patients No warning was displayed the HC Professional was removed as a team member from these Treatment Plans and then deleted DAWN has now been enhanced so that an HC Professional cannot be deleted if selected as a team member in a Treatment Plan Prevent Deletion Of Questionnaire Types Used in Questionnaires In previous versions of DAWN it was possible to delete a Questionnaire Type even when that type was used in Questionnaires No warning was displayed the type was deleted and all questionnaires of that tyoe were deleted DAWN has now been enhanced so that a type cannot be deleted if there are questionnaires of that type Version 75 00 Page 23 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential What s New In DAWN CF v 7 9 21 Changes Affecting The Anticoagulation Base Module Control Adding And Editing On Treatments Via User Profile A new user profile setting Add Edit Treatment Records has been added to control whether users are allowed to add or edit Treatment records for patients This setting is initially set to True for all user profiles and so after upgrading it is important to disable the setting for any user profiles where the ability to add or edit Treatments is inappropriate Enhancement To D
43. etting larmDoseChangePercent6 a dose change warning is included in the list of Warnings in the top right of the dosing panel on the patient screen In previous versions of DAWN the wording of this warning was Dose changed by gt 15 Q where 15 is the TargetRange setting larmDoseChangePercent6 This warning now gives the actual percentage dose change as shown below Dose changed by 16 INR changed by gt 1 5 Dose Change 1 OUT OF 1 ABOVE 3 3 HIGH INR CHECK WITH PATIENT This dose change warning is now always displayed at the top of the warnings list Version 75 00 Page 20 of 47 01 05 2014 Clinical _ RELEASE NOTES LM Framework Strictly Confidential The INR change warning ANR changed by 1 5Q where 1 5 is the TargetRange setting larmINRchanged is now always displayed second in the list of warnings Enhancement To Dose Change Percentage Indicator The percentage increase decrease in dose is displayed below the dosing instruction on the dosing panel on the patient screen If DAWN has been unable to calculate a dose and patient has to be manually dosed then this text has a yellow background UINR 2 0 InRange Date 16 04 2012 y a Not scheduled Take no Warfarin Calc prevented Manual Bridging Therapy Dose manually Treatment notes When the patient was manually dosed in previous versions of DAWN even if there was a dose change this text continued to be shown with a yellow background This has now been changed so t
44. etween the results for consecutive appointments these trends are NOT recalculated or corrected in any way if an intervening result that is one with an earlier soecimen date is added later As such it is important to re review the pattern of results if an interim result is received out of sequence In 7 9 34 out of sequence results are highlighted in the History panel and a new filter is available on the Worklist list view to draw your attention to results that have been received out of sequence 21 02 2014 3 19 56 35038 44 2 S1 44 13 100 5 75 18 02 2014 62 Result added rof Munro agreed to switch to penicilla after Hb 131 07 02 201419 27 61 35035 44 2 50 47 124 6 5 75 cn z In the above example no trend has been calculated on the fall in Haemoglobin from 124g L to 62g L and the result of 62g L has not been identified as outside the limits set for this test because the result of 62g L was sent from the lab system after the result of 131g L However the out of sequence result is highlighted and the patient appears in the new Worklist fOut of sequence results filter Fix for Displaying Review Notes from an Earlier Treatment Plan in the History Panel The history panel on the patient screen includes test results and review notes for up to three months before the start of the current treatment plan
45. fA Framework Strictly Confidential Referring GP Updates Received Via The Interface cccccccssscceseeeeeseeeeseeeseeeesseessaaeesaseesaaeees 38 Referring GP Updated In All Disease Areas ccccccccseecceeeeeceeeeeeeeeeseeeeeeeeeeseaeeeseeesaseeeeeeesaagess 38 Quick Note Created For GP UPdalES iiion taaa a a N 38 What s New In DAWN CF v7 9 6 naannnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnnnnnnnnnnnnnnnnnnennnn nnn nnnnnnnn nnn neneman 39 Changes Affecting The Anticoagulation Base Module ccccseececeeeeceeeeeeeeeeseeeeeeeeeseaaeeeeeeesaeees 39 Redesigned INR And Dosage History Tab ccccccccccseeeeee eee neeeeeeeeeseeeeeseeeeseaeeeseeeaaaaeeeseeeenaaees 39 What s New In DAWN CF V7 9 5 iscsi nanai rdng eaa aana ad a iada a aa a aaa aapa ETa Eaa Nona aaa 39 Changes Affecting The Anticoagulation Base Module ccccceeeeeeeeeceeeeeeeeeeseeeeeeeeecaaaeeeseeeeaeees 39 Changes To Prevent Maintenance Dosing Being Used for Patients With Unstable Dose History 39 Message Event Prevented When Interface Schedules An Appointment Prior To Inserting An INR40 Changes Affecting The Chronic Disease Monitoring Base Module ccceceeeceeeeeceeeeeeeeeeeeeeees 40 Improved Performance Of The Test Result Monitor SCree n cccccceeecseeeeeeeeeeeeeseeeaeeeeaeeeseeenees 40 Changes Affecting The Clinical Framework Base System ccceceeeeceeeeeeeeeseeeeeseeeeseaeeeneeesaaaees
46. full set of unflagged or checked results in the appropriate date range and no pending referrals Use of this feature requires careful consideration of the trend action limit settings and regular review of DAWN workload statistics Please contact 4S if you wish to make use of this Version 75 00 Page 24 of 47 01 05 2014 Clinical __ RELEASE NOTES ya Framework Strictly Confidential What s New In DAWN CF v7 9 19 Changes Affecting The Clinical Framework Base System Caption On Patient Details Screen The caption at the top of the main patient screen now allows for a user definable field to be included as shown in the example below _ Patient x Testpatient Frederick 25 06 1945 78166253 28 Hunters Yard Lancaster The New Surgery Dr ET NewGP eee A new system setting PatientForm_Caption_Field has been introduced to define which field is to be displayed in the patient caption and can be set to show address line 2 GP consultant or laboratory If set to GP consultant or laboratory the details are taken from the treatment plan currently being viewed The last name first name date of birth unit national number address line 1 and town are always displayed in the caption Changes Affecting The Anticoagulation Base Module HTML Style Dosing Instructions The system now has the option to display HTML style dosing instructions in decimals as shown in the example below Take 2 25 mg for 4 days then Zeal M
47. g the Clinical Framework Base System 0 0 22 cece cece cece eee eeee eee eeea eee eeaaeeesaaaeeeeaas 10 Fix for Problem with the Database Upgrade cccccceeececeeeeseeeeeeeeeneeeeeeeeeeseaeeeseeesaseeseeeeeaaness 10 Changes Affecting the Chronic Disease Monitoring Base MOdule ccccsecceeceeeeceeeeeeeeeeeeeeees 10 Highlighting Test Results Received Out Of SEQUENCE cccececeeceee cece cee eeeeeeeeeeeeeeaeeesaeeeeeneeeens 10 Fix for Displaying Review Notes from an Earlier Treatment Plan in the History Panel 10 What s New in DAWN CF VT 3 roesak case eh ees a orci ee aaa eel eee ea 11 Changes Affecting the Clinical Framework Base System 1 00 0 ccc ceee cece eee ee eater eeea eee eeaaeeeeaaaeeeeaas 11 Login Screen Improvements to Text and Error Messages and New Link to User Manual 11 PICO BUO Maere aE a E van diatadl encannduusdeuuec aime S 11 Changes Affecting the Anticoagulation Base Module cccccsseceeeeeeceseeeeeeeeseeeeeeseeeaaeesaeeeseaaees 11 Variance Growth Rate VGR Functionality ccccccccceeeeeseseeeseeeceeeeesseeecaeeeeseueesaeeeesausesaaeeeeess 11 What s Newin DAWN CE V1 9 532 cscs otc aei tee oe teen canoer a Ea EEE NERE 12 Changes Affecting the Clinical Framework Base System 00 cece eeeeeee cece eee ee eater seen eeeeeaaeeeeaaeeeeeaas 12 Fix for a Fault Where the Treatment Plan is not Stopped when a Patient Record is Marked as DO
48. guration Of Automatic Switch To Manual Bridging Therapy The automatic switching of patients to Manual Bridging therapy can now be controlled via the new system setting Areatment_SwitchToManualDosing_Threshold6 If this is set to zero DAWN works as it did in v7 9 5 i e the patient is switched to Manual Bridging therapy if a dose change is entered that exceeds the maximum percentage change allowed for the patient s treatment plan or 25 whichever is the lower threshold If the system setting dreatment_SwitchToManualDosing_Thresholddis set to greater than zero then patients are switched to Manual Bridging therapy if a dose change is entered that exceeds that value On upgrading to v7 9 24 this system setting is set to 0 and so automatic switching of patients to Manual Bridging therapy will still work as per v7 9 5 Treatment Note On Switch To Manual Bridging Therapy Now Optional The treatment note that is added when a patient is switched to Manual Bridging therapy is now optional and can be disabled using the new system setting dreatment_SwitchToManualDosing_TreatmentNote6 On upgrading to v7 9 24 this system setting is set to 1 and so the treatment notes will continue to be added until the setting is disabled What s New In DAWN CF v7 9 23 Changes Affecting The Anticoagulation Base Module Enhancement To INR And Dose Change Warnings When a dose is entered that causes the dose change percentage to exceed the TargetRange s
49. h a highlighted background to indicate that they are required fields Version 75 00 Page 44 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential Securit Improvements Once a user has logged into a previous version of DAWN if the URL from the address bar in Internet Explorer is entered into Internet Explorer on a different PC then while the original user remains logged into the DAWN application it is possible for the user DAWN session to be accessed on that other PC without the need for a user login With version 7 9 this is no longer possible If the PC on which the user logs in accepts cookies then it is impossible for that session to be accessed on another PC as the DAWN server detects that the userG session was started using cookies and will not allow access from a PC without that correct cookie being present If the PC does not accept cookies then the DAWN server will now allow the user session to be accessed from any IP address other than the one from which the session was started Message Centre Performance Improvement For customers who have sent high volumes of messages to patients when using the message centre the screen can be very slow to load in previous versions of DAWN This issue has now been corrected in version 7 9 Changes Affecting The Anticoagulation Base Module Making DAWN Anticoagulation Monitoring Easier To Use The following changes have been implemented to the make Anticoag
50. hat the background colour becomes a darker shade of red with a percentage increase in dose change or a darker shade of blue with a percentage decrease in dose change as happens when DAWN suggests a dose INR 2 0 InRange Date 16 04 2012 w gt Not scheduled Sun Mon Tue Wed Thu Fri ee ee 5 5 6 514 6 Dose increased by 1454 Change To Colour Of Acknowledged Alerts Any alerts red question marks can be acknowledged by clicking on them changing them to an exclamation mark In previous versions of DAWN a red exclamation mark was shown This is now an orange exclamation mark Colour Coded Accept Dose Button The colour of the Accept Dose button now changes depending on the presence of acknowledged or un acknowledged alerts When there are un acknowledged alerts red question marks the Accept Dose button will be red Version 75 00 Page 21 of 47 01 05 2014 Clinical _ RELEASE NOTES ya Framework Strictly Confidential INR 4 4 High 4 00 mg for 1 days then Warfarin Sun Mon Tue Wed Thu ma Dose changed by 20 Total m 4 3 INR changed by gt 1 5 Dose Change 1 OUT OF 1 ABOVE 3 3 HIGH INR CHECK WITH PATIENT Treatment notes H Dose decreased by 21 Dose 27 50 Status Tested Next 23 04 2012 EH 7 d Accept dose When all alerts have been acknowledged and are now shown as orange exclamation marks the Accept Dose bution will be orange rE E T E i i INR 4 4 High Date 16 04 2012 6 9 Not
51. ick note containing details of the selected GP is added for the patient Version 75 00 Page 38 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential What s New In DAWN CF v7 9 6 Changes Affecting The Anticoagulation Base Module Redesigned INR And Dosage History Tab The INR and Dosage History Tab has been redesigned so that The full dosing instruction can be shown rather than having to hover the mouse over the information icon to see the dosing instruction in a separate popup window After upgrading to this version the dosing instruction will be included in the history display by default To hide this column update the new system setting AC_ShowlnHistory_DosingInstructions The DNA count column can be hidden To hide this column update the new system setting AC_ShowlnHistory_ DNACount The time in range column can be hidden To hide this column update the new system setting AC_ShowlnHistory_TimelnRange What s New In DAWN CF v7 9 5 Changes Affecting The Anticoagulation Base Module Changes To Prevent Maintenance Dosing Being Used for Patients With Unstable Dose History The DAWN maintenance module is intended for dosing patients who are already on a stable maintenance dose It is not appropriate for patients being induced on Warfarin or receiving reduced or booster doses perioperatively DAWN provides induction and manual bridging therapy for use in these cases but previous versions relied
52. inserting them during the data conversion process Previously it was possible is some circumstance for historical test results to update a new Visit 1 even if the date of those test results was before the date of earlier Visits What s New In DAWN CF v7 9 4 Changes Affecting The Clinical Framework Base System Enhancement To Ensure Compatibility With Internet Explorer v6 Various security enhancements were made in DAWN v7 9 to prevent an unauthorised user being able to gatecrash a DAWN session using various hacking techniques One of these safeguards uses an HTTP only cookie to hide relevant session identifiers from potentially malicious client side scripts While this safeguard works well with modern browsers it has been found that this particular feature is not fully compatible with Internet Explorer v6 Version 7 9 4 allows the use of HTTP only cookies to be disabled via a system setting making this version compatible with Internet Explorer v6 The application will be configured to NOT use HTTP only cookies by default when installed Even without the HTTP only cookie the remaining security features in DAWN make this type of session hijacking very difficult to achieve Please contact 4S if you require further details What s New In DAWN CF v7 9 3 Changes Affecting The Chronic Disease Monitoring Base Module Enhancement To Simplify Changing Therapy Phase DAWN has been enhanced to automatically update existing visits when a patient
53. is could cause problems with deceased patients appearing on fwork listolist views and reports In 7 9 32 if the system is unable to stop a Treatment Plan DAWN does not mark the patient as deceased Instead it displays a message box describing the issue and the steps you need to do take to resolve it Once common reason for DAWN failing to stop Treatment Plans automatically is that the Treatment Plan requires a Cessation Reason Version 7 9 32 treats this as a special case and automatically assigns a Cessation Reason of Patient Deceasedoto the Treatment Plan It can then stop the plan and mark the patient record as deceased successfully If you have an existing Cessation Reason with slightly different wording for example Meceasedg that you would like use instead you can configure the system to use this wording by changing the new TreatmentPlan_DeceasedCessationReason system setting Changes Affecting the Anticoagulation Base Module Dosing Instructions Show Total Mg in Decimals Whilst Showing Tablets in Fractions In previous versions of DAWN you could show day pattern dosing instructions in fractions e Wed Sun Mon In version 7 9 32 it is possible to create tablet instructions which include a Total mg line with the tablets in fractions but the Total mg in decimals Sun Mon Tue Wed Thu Fri Sat Version 75 00 Page 12 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential What s New in DAWN CF
54. istinguish between 4F 6for Alkaline phosphatase and 4f 6for Glucose Test names and aliases remain as case insensitive by default following an update to this version of DAWN They can be made case sensitive via the new system setting aseSensitiveTestNames6d A new screen to allow all current test aliases to be viewed is now available by selecting Normal Tables gt TestAlias from the System Menu What s New In DAWN CF v7 9 13 Changes Affecting The Clinical Framework Base System Manual Production Of Letters And Custom Messages A user can no longer produce a direct print or send a custom message containing treatment related information where the following conditions are met e The document or custom message has been defined with a mail merge type of atientWithUnfilteredTreatmentsd Version 75 00 Page 28 of 47 01 05 2014 Clinical _ RELEASE NOTES AV 4 Framework Strictly Confidential e An INR has been entered but the dose has not been authorised and the next appointment created Under such circumstances an error message will be displayed informing the user to accept the dose and create the next appointment before attempting to print the document or send the message Increase In Fax Number Length The following DAWN fields now allow up to 50 characters to be stored Health Authority fax number Healthcare Professional fax number Organisation fax number What s New In DAWN CF v7 9 12 Changes Affecting The Chronic Di
55. ld be read if you purchased this module Automatic Authorisation Module The Automatic Authorisation module allows for calculated anticoagulant doses to be automatically accepted and authorised dependent upon a set of rules e g the INR is in range the calculated dose has not changed no alerts have been generated the risk class is low there are no treatment notes etc If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module Questionnaire Module The Questionnaire module allows for the capture and calculation of scores from patient responses If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module Custom Modules The Custom Module add on allows for the creation of site specific programs or macros that perform extra validation or automate certain tasks e g validating a UK NHS number has been entered correctly defining rules for automatic authorisation If changes are made to this module a section will be included in the release notes listing those changes This section Version 75 00 Page 5 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential should be read if you have purchased this module e Anticoagulation Inbound INR Interface Module The Anticoagulation Inbound INR Interface Modul
56. le The Clinical Framework Inbound Demographics Interface Module allows for patient demographic details to be imported into the Clinical Framework base system via the DAWN Integration Engine Matched patient details will be updated and new patients can be created if configured to do so If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module e Clinical Framework Inbound Admissions amp Discharges Interface Module The Clinical Framework Inbound Admissions amp Discharges Interface Module allows for patient admission and discharge details to be imported into the Clinical Framework base system via the DAWN Integration Engine If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module e Clinical Framework Outbound Interface Module The Clinical Framework Outbound Interface Module allows for text file or web service messages to be exported from the Clinical Framework base system If changes are made to this module a section will be included in the release notes listing those changes This section should be read if you have purchased this module If you are considering updating to the latest version of DAWN CF you should read and familiarise yourself with all the improvements made since the version you are currently using Version
57. linical Framework Base System Making DAWN Easier To Use The following changes have been implemented to the make the application easier and more intuitive for the user Please refer to the DAWN help system or e manual for further details 1 The top panel of the application has been amended to include the following functionality Open Screen Tabs The top panel will show a tab for each screen the user currently has open This replaces the drop down list box that was available in the top right hand corner of previous versions of the application Clicking on a tab will return the user to the corresponding screen New Buttons The top panel will include the following 3 new buttons lose all tabsdi This will close all open tabs and return the user to the front screen ystem menudi This will allow the user to toggle the system menu on and off atient search i This will allow the user to navigate straight to the patient search window There will also be new buttons for the available disease areas when viewing a patient Where a patient has a treatment plan in more than one disease area corresponding disease area buttons will be enabled to switch between the treatment plans should the user have the relevant permission 2 To provide a single entry point for patient searches the patient filter screen has been removed and the main patient search screen has been updated to include all the fields that were available on the filter screen A ne
58. llowed for the patient s treatment plan or 25 whichever is the lower threshold lf the treatment plan setting is blank then a value of 25 is be used This switch will Page 39 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential happen regardless of whether the dose is entered as history or via the dosing panel either manually or as the result of an automatic dose calculation When the therapy is automatically switched to fManual Bridgingoa message is displayed informing the user what has happened and a treatment note is added for the patient The switch is performed at the Treatment Plan level so that all subsequent Treatment records are also dManual Bridgingo until a healthcare professional makes a deliberate decision to switch the patient back to Maintenance therapy This switch triggers a message asking the user to confirm that the patient is on a stable maintenance dose Users are allowed to authorise doses for patients on AVanual Bridgingotherapy only if the new User Profile setting AllowAuthoriseOfManualDose is set to True This setting is initially defaulted to True for all user profiles and so after installing this version of DAWN it is important to disable the setting for any user profiles where the ability to perform manual dosing is inappropriate ANo Next Interval FoundoWarning Re worded The ANo Next Interval Foundowarning has been re worded to say Unable to suggest a test interval last inte
59. ltiple tablet strengths are used For example Sun Mon Tue Wed Thu Fri he 7 TS 4 4 4 Version 75 00 Page 26 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential However if you changed the DAWN International Settings in line with European convention and specified a comma rather than a full stop or period as the decimal character for example 4 5 instead of 4 5 the Total mg did not recognise the comma as the decimal indicator and could display the wrong dose This fault is corrected in 7 9 17 where the Total Mg line displays the correct dose whichever character you use as the decimal indicator What s New In DAWN CF v7 9 16 Changes Affecting The Anticoagulation Base Module Automatic Rescheduling Of Non Attending Patients In previous versions of DAWN the automatic rescheduling of non attending patients from the Non Attendance list view would run for 60 seconds before simply timing out and stopping New functionality has now been added to help ensure the processing does not timeout and stop midway through processing a patient A new message will also be displayed to the user to inform them that not all the patients could be rescheduled in the allocated time and that they should click the Reschedule button to reschedule the remaining patients Changes Affecting The Chronic Disease Monitoring Base Module Help Files The section headed Workflows in DAWN an overviewohas been updated What s New In
60. n has been identified on the questionnaire The follow up questionnaire is intended to identify new risks such as interacting drugs compliance or adverse reaction issues increasing age or change in renal function that may require a change in dose or cessation of therapy lf you start a treatment plan for a non VKA anticoagulant the warfarin and other VKA dosing history and graph tabs are hidden and the questionnaires tab is selected by default You can purchase configurations for specific non VKA anticoagulants The configuration for dabigatran is available now and includes pre configured look up tables for approved therapeutic indications risks drug interactions and contraindications The configuration also includes dabigatran specific initiation and follow up questionnaires and settings to ensure all the required automatic validation and cross checking takes place when you activate a treatment plan The configuration also includes a non VKA monitoring list view and report to check all patients are on an appropriate dose What s New In DAWN CF v7 9 24 Changes Affecting The Clinical Framework Base System Quick Note For GP Updates Now Optional DAWN v7 9 7 introduced automatically adding a quick note when a patient referring GP is selected or updated in DAWN This quick note is now optional and can be disabled using the new system setting atient_InsertGPAndConsultantQuickNote6 On upgrading to v7 9 24 this system setting is set
61. ned test date were displayed in the interventions panel and checked for out of line values or trends In version 7 9 8 all new results are displayed in the Interventions panel and checked for out of line values or trends If later results are received before you lose this set of tests and schedule the next they simply supersede the older results in the Interventions panel All results now always remain visible in the history panel below see Redesigned History Tab Dealing with Out of Line Results or Trends In previous versions of DAWN you were obliged to write a review note to demonstrate you had reviewed any out of line results or trends that DAWN highlighted in the interventions tab However this assumed that all test results were received at the same time and could be reviewed together as a complete set In many cases results for different test groups arrive at different times Let us consider a scenario where a patient has full blood count liver and renal function tests but the full blood count results arrive a day before those for the liver and renal function tests In previous versions should the full blood count results include one or more out of line results you might review these straight away and write a review note However if you were to leave this set of planned tests fopeng as you have not yet seen the liver function results the patient would remain on your list view for flagged or abnormal results If you were to close this set
62. nt Plans cccceeee ees 32 Enhancements To Stopping A Treatment Plan cccccccecessecceeeeseeesseeceeeceeeeseeesseeseeeenseeeneeesegs 32 What s New In DAWN CF v7 9 10 osaeran a saclay yous pice EE AE E a 32 Changes Affecting The Clinical Framework Base System c cccceeececeeeeeeeeeeseeeeeeeeesaeeeeseeessaaees 32 Patient Screen Speed IMProveMent ccccccccsseccceececsseceeeececeeeeeeeeeeseeeeeseeeeseaeeeseeessegeesgeeessaeess 32 Changes Affecting The Chronic Disease Monitoring Base Module ccccececeeeeeaeeeeeaeeeeeeeeees 32 Therapy Template Filter On List VIQWS ccccccccceeeceeeceseeceeeeseeeceeeceeeessesesseesseeseeeesseseseeesesens 32 What s New In DAWN CF V799 iienaa aaa erect ence eee eee ote ae acces 32 Changes Affecting The Chronic Disease Monitoring Inbound Test Results Interface Module 32 Test Result Interface Speed Improvement ccccceecccseceeeeeceeeececeeeeeseueeseegeeseueessaeeeseeeesseeeeness 32 Changes Affecting The Chronic Disease Monitoring Base Module ccccce sees eeeceeeeeeeeeeeeeeees 33 Optimisation Of Standard List Views ccccccccccssecceceseeeeseee cesses ceeseeeeeeeeeeeesseeeeesaeeeeeeaeeeseaaeeeeaas 33 What s New In DAWN CF v7 9 8 rico coetisaccttie es edict ed secienec tesa dtedsisiugsdwetS ceacece stuecead gaxetlensascanieacessnasaaeh 34 Changes Affecting The Chronic Disease Monitoring Base Module
63. nterface that can automatically add the details of which drugs a patient is taking Referral And TreatmentPlanTeamMember Screens Automatically Closed When you move to a different patient on the main patient screen in DAWN if the Referral or TreatmentPlanTeamMember screen is open they will automatically close This is because they would be showing information for the previous patient that you were viewing It is vital that you do not become confused about which patientG referrals or team memebers you can see Changes Affecting The Chronic Disease Monitoring Base Module Enhancement To Automatically Moving Patient To Their Next Appointment Since v7 9 20 DAWN has been able to automatically move selected patients onto their next appointment if the patient has any required results checked or not flagged The rules for making a next appointment have been relaxed so that this can now happen if the patient s latest test results are late What s New In DAWN CF v7 9 29 Changes Affecting the Clinical Framework Base System Warning Shown When Next Appointment Is Not Scheduled Version 75 00 Page 13 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential lf DAWN is not able to automatically schedule a patient next appointment into the clinic diary it shows the diary page for you to choose and alternative appointment time or date If you dond chose an alternative time or date and click the Cancel button then DAWN will show
64. numeric dose as its original value DAWN AC bases each dose recommendation on the last numeric dose so in this case the next time the patient is tested DAWN AC would recommend a slightly different instruction to the last one while reporting no dose change This appears to be an environmental problem so it is likely that both the instruction and numeric dose appear correct in DAWN AC at the time the error occurs AS such you are more likely to notice the discrepancy when you next dose the patient and DAWN AC does not give the same instruction Version 7 9 will present a message if such as instance occurs so that this can be rectified Changes Affecting The Chronic Disease Monitoring Base Module Making DAWN chronic disease monitoring easier to use The following changes have been implemented to the make chronic disease monitoring easier and more intuitive for the user 1 Where a patient does not have a next visit defined an option to create the patient next visit has been added to the Interventions tab on the patient details screen The visit will be automatically scheduled into the diary if applicable using the patient preferred clinic and time The Miscellaneous tab on the treatment plan detail screen has been removed The Preferred Clinic and Preferred Time have been moved on to the main treatment plan detail screen The In Patient Flag Ward Admission Type and Admission Location fields have been moved to a new Admission tab
65. od for new patients added via the wizard to be defined PatientWizard_DefaultMessagingMethod and to specify a default status for treatment plans created via the wizard PatientWizard_DefaultAC TreatmentPlanStatus for Anticoagulation treatment plans and PatientWizard_DefaultNonACTreatmentPlanStatus for treatment plans in other disease areas Please refer to the DAWN help system or e manual for further details DAWN Application Facelift The overall look and feel of the DAWN application has been given a facelift to make it easier on the eye and simpler to use This includes altering the colour scheme to various shades of blue and making any buttons appear much more clearly as buttons for example the links to the treatment plan and diagnosis in the treatment plan summary panel on the main patient screen and the buttons to change the status of the patient Mandatory Fields When Adding A New Patient When adding a new patient the required fields are firstname and lastname and either the unit number or national number depending on the system setting PatientUnitOrNationalNumber In previous versions of DAWN the lastname and firstname fields were marked with an asterisk on the new patient screen to indicate that they are required but this was missing from the unit number or national number field In version 7 9 new patients are added via the New Patient Wizard which now displays the firstname lastname and either the unit number or national number wit
66. on ae Wed Thu Fri Sat 7 25 7 29 7 25 J A F A 7 25 29 A new system setting AC_DisplayDosingInstructionsInDecimals has been introduced to define whether the HTML style instructions should be displayed in fractions or decimals Previously miss or boost doses were always displayed in decimals This has now been changed to display them in the same format as the dosing instructions as shown in the example below Take 2 25 mg for 4 days then Sun stl LL ul oleae i Sat 7 25 7 25 29 7 25 7 25 7 25 29 Take 2 mg for 3 days then Sun Mon Tue Wed Thu Fri Sat fla Ta JM Ta TAa 7A OSI Version 75 00 Page 25 of 47 01 05 2014 Clinical RELEASE NOTES f Framework Strictly Confidential What s New In DAWN CF v7 9 18 Changes Affecting The Clinical Framework Base System Production Of Letters amp Messages From v7 9 15 if an error was encountered during the production of a message the content of the message would not be generated from the point at which the error occurred This has now been fixed to ensure the whole of the message is generated with the data field s that caused the problem being left blank Changes Affecting The Anticoagulation Base Module Inbound INR Interface From v7 9 16 if the inbound INR interface was unable to register the INR the message appeared in the Hold Monitor with an incorrect description This has now been fixed to ensure the correct description is reported in the Hol
67. on has been added to the area at the top of every DAWN screen Clicking this button opens the DAWN User Manual in a new window Changes Affecting the Anticoagulation Base Module Variance Growth Rate VGR Functionality New functionality has been added to DAWN AC to calculate and display the 6 month TIR and 3 month VGR as traffic light indicators of the risk of a patient having a bleeding or thrombotic event This functionality is disabled by default but can be turned on by changing a System Setting The functionality applies to all patients on active warfarin or other vitamin K antagonist regimes Version 75 00 Page 11 of 47 01 05 2014 Clinical RELEASE NOTES DAN 4 Framework Strictly Confidential What s New in DAWN CF v7 9 32 Changes Affecting the Clinical Framework Base System Fix for a Fault Where the Treatment Plan is not Stopped when a Patient Record is Marked as Deceased If you mark a patient record as deceased DAWN automatically stops all related Treatment Plans However in some circumstances DAWN may be unable to stop a Treatment Plan This may be because the user does not have sufficient permissions or in Chronic Disease Monitoring modules because the patient already has some test results for their latest appointment or has an open referral In previous versions of DAWN the system did not report an error in such cases it simply left the Treatment Plan with its current status and marked the patient record as deceased Th
68. ou had the option to define a percentage change threshold for a test Test results that differed by this amount or more were flagged for attention You could also specify whether to flag a change if it occurred successively across two three or up to five successive results However in some cases this meant that in order to catch a 25 change in an abnormal result for example a change in ALT from 80 to 100 many normal results might be flagged too for example a change in ALT from 16 to 20 Version 7 9 1 affords greater flexibility You can set up to three independent trend checks and specify whether each applies to results outside within or regardless of any limits effective for this patient and this test You can further specify whether each check detects a percentage or absolute change in the result and whether it only applies to rises falls or changes in either direction You could for example detect 25 rises in ALT that are outside any defined limits and look for absolute changes of 10 or more within limits Please note that if you have any reports that provide information on how your tests are defined with DAWN these will no longer work due to the database changes made for these enhanced trend detection options For assistance with updating any such reports please contact 4S Version 75 00 Page 42 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential What s New In DAWN CF v7 9 Changes Affecting The C
69. pplications e g Growth Factors This information has now been moved into a separate more comprehensive manual for non ac applications What s New In DAWN CF v7 9 14 Changes Affecting The Clinical Framework Base System Enhancement When Multiple Users Attempting To Delete Same Record In previous versions of DAWN if more than one user attempted to delete a record at the same time for example a patient Anticoagulation Treatment record it was possible for more records to be deleted then was intended For example 2 users are viewing the latest Treatment record for a patient and one of the users deletes this Treatment If the second user also then tries to delete the Treatment DAWN incorrectly deleted the patient previous Treatment record This problem is now prevented when the second user presses delete the screen will just be refreshed rather than any actual deletion being performed Changes Affecting The Chronic Disease Monitoring Base Module Case sensitive Test Names It is now possible to optionally configure DAWN to treat test names as being case sensitive For example it is possible to create separate test definitions called dlemoglobin d and EMOGLOBING In previous versions this would be prevented This change also applies to the optional test aliases that can be entered to allow the inbound test result interface to find the correct test definition in DAWN For example the DAWN laboratory interface will now be able to d
70. rval suggests instability o Checks When Adding INR Dose History As a safeguard against typing errors when entering historical INR and doses a check is now made for i A large INR change using the Target Range setting for a large INR change ii A large dose change using the max percentage dose change setting for the patient treatment plan or 25 whichever is the lower threshold If the treatment plan setting is null or zero a value of 25 is be used lf either of these is detected a message box alerts the user and ask them to confirm that the relevant values are correct Message Event Prevented When Interface Schedules An Appointment Prior To Inserting An INR For a patient to have an INR result entered they must have a scheduled next appointment in DAWN If the inbound interface receives an INR for a patient who does not have a next appointment then the interface must first create and schedule a new next appointment If the inbound interface receives an INR for a patient whose next appointment still has a status of New6 then the interface must first schedule that appointment DAWN can be configured to send messages e g a patient letter whenever an appointment is scheduled and it has been found that when the interface schedules a new appointment as described above then these letters are produced potentially containing out of date INR and dosing information To prevent this DAWN has now been enhanced to not trigger such letters
71. sease Monitoring Base Module Automatic Update Of The Recommended Next Test Date The recommended next test date is now automatically updated when a test result is entered either manually or via an interface and that result is the most recent result for the patient lf the date of the result is within an acceptable range of the due by date then the recommended next test date is set to the due by date the normal interval for the patient therapy lf the date of the result is NOT within an acceptable range of the due by date then the recommended next test date is set to the date of the result the normal interval for the patientG therapy However if the difference between the dates of the earliest and latest tests is greater than the acceptable range then the recommended next test date is left blank For example if the normal interval for the patient therapy is 2 weeks and a result is received with a date that is within 5 days of the due by date then the due by date is used to determine the next text date If the result date is more than 5 days after the due by date then the result date is used to determine the next text date Redesigned Options For Selecting Next Test Date There are now 2 options for choosing the next test date either the recommended next date as determined by DAWN can be used or a date can be manually entered None selected Ww Next date f Use recommended 13 12 2010 Set manually 20 12 2010 Ei Normal
72. t for example anticoagulation and DVT assessment or rheumatology and gastroenterology you have the option to choose a different Message Template for each department or disease area Changes Affecting the Chronic Disease Monitoring Base Module New Confirmation Dialog for Closing a Set of Tests with Missing Results Early Results or a Long Test Interval In previous versions of DAWN you were prevented from closing a set of tests if some tests had missing results unless you individually marked each test as not required this time To do this for a whole test group could be laborious In the latest version DAWN displays a dialog showing which test groups are missing results how long ago the last results you had for these tests were and how long the patient might go without a result for these tests should you proceed with closing the set of tests If it is safe to continue you can check a Version 75 00 Page 7 of 47 01 05 2014 Clinical RELEASE NOTES Framework Strictly Confidential check box to acknowledge the warning and enter a comment You are then able to proceed with closing the set of tests Please review the following issues Issue Results are missing for some tests in the following test groups Normal Test Interval every 2 weeks Test Group Last Result Delay if you Proceed ESR 16 04 2014 09 10 2 weeks ago i month RENAL FUNCTION 16 04 2014 09 10 2 weeks ago 1 month Comments mandatory OK to wait 2 more weeks for ES
73. t screen is showing a list of patients Previous versions of DAWN used the customisable field names only when the displaying the details for a single patient Changes Affecting The Chronic Disease Monitoring Base Module Suspend Option Removed From Chronic Disease Treatment Plans It is no longer possible to Guspend a chronic disease Treatment Plan This has been removed as this status prevents test results being imported into DAWN via the interface Where a patientG Version 75 00 Page 30 of 47 01 05 2014 Clinical _ RELEASE NOTES JA 4 Framework Strictly Confidential treatment is being temporarily withdrawn but there is a need to still monitor test results for the patient a new Wontinue Monitoring Treatment Plan can be created Changes Affecting The Anticoagulation Base Module Enhancement To INR And Dose Graphs In previous versions if you attempted to display the INR and dose graphs for a patient before you selected their target range an error would occur This has now been corrected Version 75 00 Page 31 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential What s New In DAWN CF v7 9 10 1 Changes Affecting The Chronic Disease Monitoring Base Module Enhancement To Correctly Show Result History For Stopped Treatment Plans Previously in certain circumstances the test result history on the History tab of the main patient screen could appear blank if you were looking at a stopped Treatment Pl
74. tab of the main patient screen Once an instruction line has been selected the drop down list is no longer displayed Both screens then allow the selected instruction line to be changed by clicking either an up arrow to select the instruction line with the next highest dose or a down arrow to select the instruction line with the next lowest dose Percentage Dose Change A percentage dose change is displayed next to the drug dose if the current dose is different from the dose for this drug in the patient previous set of results The percentage can be calculated only if the current and previous doses both have the same dose units ss Hydroxycarbamide 2 capsules Mon Sat no dose Ga Sun 03 01 2013 Haemoglobin 121 y 03 01 2013 Neutrophils 6 2 we Drug Dose Warnings A warning icon and a checkbox are shown next to the drug dose on the Interventions tab of the main patient screen if Page 17 of 47 01 05 2014 Clinical __ RELEASE NOTES AV 4 Framework Strictly Confidential The dose units are different from the dose units used for this drug in the patient previous set of results The current dose means there is a percentage dose change No numeric dose has been entered This is the first dose entered for this drug on the current treatment plan Hovering the mouse pointer over the icon displays a popup with information on why the warning icon is being shown Any dose with such a warning displayed must be reviewed
75. test as mot required this time in 7 9 8 click on the test name to display the Intervention details form and tick the checkbox labelled rCheck this box if this test is not required this time Patient Patient Dawn 31 0 Ya 1954 TreatmentPlan Check this box if this test is not required this time ONLY check this if you are sure that you don t need to know about this result InterventionType Perform a test Test CRP Closing a Set of Planned Tests In previous versions you were not permitted to close a set of planned tests without entering a review note if e Any test had an out of line result or detected trend e Any test had a missing result In 7 9 8 review notes are always optional but you are not permitted to close a set of planned tests if e Any test has an out of line result or detected trend and the corresponding checkbox has not been checked e Any test has a missing result and has not been marked as mot required this timeo Redesigned History Tab In version 7 9 8 the test result history tab has been redesigned in line with the Interventions tab described above In the redesigned history tab e All test results received during the patient current therapy Treatment Plan are always displayed The columns are ordered according to the order number assigned to each test in the Test details form e All results are displayed by their actual rather than their planned date e Out of line results are highlighted
76. therapy phase is changed lf a new or scheduled appointment exists when the user chooses to change phase this appointment will be carried into the new phase automatically Version 75 00 Page 41 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential If an existing appointment has a status of partially or fully completed results the user will be asked whether they want to move this visit into the new phase If they say no they will be prompted to close the visit before changing phase and the phase will not change lf a visit of any status is carried into a new phase and the phase settings require any additional interventions these will be added to the visit but no existing interventions will be dropped for this one visit What s New In DAWN CF v7 9 2 Changes Affecting The Chronic Disease Monitoring Base Module Review Notes Must Be Entered When Closing A Visit With Warnings In previous versions of DAWN a visit cannot be closed without review notes if the visit has any test results that are out of range or if there are any unsupressed tests that do not have a result entered Version 7 9 2 now also requires review notes if any tests have a trend detected if there is a previous test result warning or is there is any range check warnng text What s New In DAWN CF v7 9 1 Changes Affecting The Chronic Disease Monitoring Base Module Enhanced Trend Detection Options In previous versions of DAWN y
77. these are shown and are editable from the Documents tab on the main patient screen 10 The Questionnaires tab on the treatment plan detail screen has been removed as these are shown and are editable from the Ad hoc Questionnaires tab on the main patient screen 11 Alternative onscreen captions can be defined for the Referring GP and Consultant fields in the Referral tab on the Treatment Plan screen and in the new patient wizard These can be specified in the new system settings TreatmentPlanReferringGpID_FieldCaption and TreatmentPlanConsultantID_FieldCaption 12 Each user can now select a default DAWN clinic for each disease area they have access to This clinic will then automatically be set as the preferred clinic in any new Treatment Plans that the user creates These default clinics can be selected in the personal Settings screen available from the main screen New Patient Wizard The process of adding a new patient has been simplified by the introduction of a New Patient wizard The aim of the wizard is to capture the main patient and treatment plan information in one place rather than having to navigate between different screens within the DAWN application The wizard will be displayed when clicking the dNewObutton on the patient screen It will consist of 5 main steps Patient Details Treatment Plan Details Next of Kin Details Clinical Details Contact Details OU SN There are new system settings to allow a default messaging meth
78. this option for dosing drugs such as erythropoietin methotrexate etc The main changes are Version 75 00 Drug Templates Require Activation Before Being Used Drug templates now have a status which is set to NewOwhen the template is first created Drug templates must now be activated before they can be used for dosing When the drug template is activated via a new Activated button the settings for the template are validated If any of the validation checks fail then the drug status is not updated to dctived To make changes to an active drug template the template must be put into maintenance mode via a new Maintaindbutton Drug Template Settings The drug template settings screen is now only accessed via the Drug screen under Lookup tables in the System menu This ensures that all templates listed are for the current drug only A drug template must have dose units selected before being activated Available dose units are defined on a separate Drug Dose units maintenance screen Drug Templates Can Have Multiple Instruction Lines Defined Drug templates for drugs such as erythropoietin and methotrexate can now optionally have one or more pre defined dosing instruction lines entered Each dosing instruction line must have a text description e g amp capsules Mon Fri 2 capsules on other daysd and an associated numeric dose entered If instruction lines have been defined then a patient being dosed with that drug template can only ha
79. tients cccccccceseeeeceeeeeeeeeeseeeeeseeeeeeeeesaeeeeneeees 27 PeMONManCe IMPrOVEIMGN apo n a a N a EN E EE 27 MeD FES oin E a E ere pieaaisaniaanias 28 What s New In DAWN CF V7 9 14 o osienisesn dianae aaia aaka aE e EEEa ai 28 Changes Affecting The Clinical Framework Base System ccccceceeeeceeeeeeeeeeseeeeeeeeeesaaeeseeessaaess 28 Enhancement When Multiple Users Attempting To Delete Same Record c cseeeeeeeeeeeeees 28 Changes Affecting The Chronic Disease Monitoring Base Module cccee sees eeeceeeeeeeeeeeeeeees 28 Case sensitive Test Names earan aaa E E 28 What s New In DAWN CF V7 9 13 cseccccsscscsscccsecevedetcrasdecenseeeetnececessacicdeccdcevancwicasiastndvendeeeestcetaneoszddes 28 Changes Affecting The Clinical Framework Base System ccccceeeeeeceeeeeeeeeecaeeeeeeeeesaaeesneeessaaess 28 Manual Production Of Letters And Custom MeSSaQ6 S cccseccceeeeeeeeseeeceeeeeeeeeseeeseeeseeeesaeeesess 28 Increase In Fax Number Length iccnccess ectincndcasted ertchsuee dundbanedenesieedands vaeacewadtueds tet weeeasGndc sagtsaeace Sake 29 What s New ln DAVVIN CE 7 954 2 6555s sect ce cette ahs aioe eats Sutter aad edasset santa 29 Changes Affecting The Chronic Disease Monitoring Base Module cccceeeceeeeeceeeeeaeeeeeeeeees 29 Automatic Update Of The Recommended Next Test Date ccccccccececeeceseeeceeceeeeteeeeseeeseeeeas 29 Redesigned Options For S
80. to 1 and so the quick notes will continue to be added until the setting is disabled Changes Affecting The Anticoagulation Base Module Enhancement To Amending Dosing Instructions With The Cycle Button Where a dosing instruction for a patient shows an odd dose on one or more days e g 5 2 mg on Wed and 5 on all other days you can use the cycle button to move the dose for each day back one increment at a time e g Wed gt Tue Tue gt Mon Mon gt Sun Sun gt Sat etc In DAWN v7 7 onwards this modified pattern failed to be carried forward to future treatment records This has now been corrected Version 75 00 Page 19 of 47 01 05 2014 D Clinical _ RELEASE NOTES AV Framework Strictly Confidential Changes To Automatic Switch To Manual Bridging Thera Version 7 9 5 included several changes aimed at detecting when a patient amp doses and intervals appear to be outside the scope of the normal maintenance dosing and then either switching the patient to manual dosing or taking other actions such as disabling automatic dose calculation to mitigate the risk Several of these changes have now been updated Automatic Dose Calculation Allowed If Interval Before Last lt 7 Days Automatic dose calculation is now allowed if the interval before last is less than 7 days and the warning Previous test interval was less than 7 days is added to the list of warnings on the patient screen This had been prevented in v7 9 5 onwards Confi
81. ulation monitoring easier and more intuitive for the user iP The option to create the patient next appointment has been moved from the treatment plan screen to the dosing tab on the patient detail screen The appointment will also be automatically scheduled into the diary if applicable using the patient preferred clinic and time The Treatment tab on the treatment plan detail screen has been removed and the option to add a patientG historical INR and dose information has been moved to a panel at the bottom of the history tab on the patient detail screen 3 The Miscellaneous tab on the treatment plan detail screen has been removed Version 75 00 The Preferred Clinic and Preferred Time have been moved on to the main treatment plan details screen The In Patient Flag Ward Admission Type and Admission Location fields have been moved to a new Admission tab The Problem Patient Flag and the Recalc time in range button have been moved on to the main treatment plan detail screen The Percentage In Range Percentage Below Range and Percentage Above Range are available on the patient details screen The Time In Range Start Date field has been removed Page 45 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential Average Dose Issue It is possible in certain extremely rare circumstances that when a user amends a dose only the change to the instruction is saved back to the database leaving the
82. uration where web requests from different users are automatically distributed among several instances of the DAWN system meaning they are processed in parallel rather than series thus reducing or even removing queuing In addition to providing the mechanism for redirecting users to specific instances of DAWN version 7 9 35 includes updated routines to ensure that outbound interfaces and updates to system settings are handled correctly in a load balanced environment Full details of oad balanced application poolsoincluding instructions on setting them up are available in a separate document entitled Setting up Load Balanced Application Pools pdfa Version 75 00 Page 9 of 47 01 05 2014 Clinical RELEASE NOTES JA Framework Strictly Confidential What s New in DAWN CF v7 9 34 Changes Affecting the Clinical Framework Base System Fix for Problem with the Database Upgrade A fault existed in previous versions that could on rare occasions cause an error on upgrading to a later version of DAWN This fault is fixed in 7 9 34 Changes Affecting the Chronic Disease Monitoring Base Module Highlighting Test Results Received Out of Sequence DAWN is designed to receive each result in the order it was taken In other words it expects to receive Monday s Haemoglobin result before Tuesday s Haemoglobin result Your hospital lab system might sometimes send electronic results to your DAWN system in an unexpected order As DAWN calculates trends b
83. ve a dose selected from one of those instructions lines it is not possible to manually enter a dose or instruction unless another template is chosen For each dosing instruction line an optional patient friendly description can be entered for use in letters sent to the patient and an optional alternative description can be entered for say letters sent to a pharmacist A template with instruction lines must also have between one and 3 dose ranges entered A dose range defines a minimum and maximum dose and the maximum step between doses allowed on dosing instruction lines in that dose range This helps ensure you have not missed a dose when adding settings An error will show on activation is you have missed a dose Drug Templates With A Fixed Dose Defined A drug template can have a fixed dose entered A patient being dosed with that drug template will always have that drug dose entered it is not possible to manually enter a dose or instruction unless another template is chosen Drug Templates Allowing Doses Or Instructions To Be Manually Entered A drug template can be created with no fixed dose and no instruction lines A patient being dosed with that drug template can have either a numeric dose or a text dosing instruction entered manually Page 16 of 47 01 05 2014 Clinical __ RELEASE NOTES AV Framework Strictly Confidential Minimum and maximum doses must be entered Each numeric dose manually entered for a patient being dosed
84. w system setting Patient_DefaultSearchField has been created to enable the user to define which field on the patient search screen should contain the cursor when it opens This will enable the user to immediately enter the value of the field they commonly search on without having to re position the cursor to the correct field beforehand 3 The list of patients displayed when the Patient View icon on the main screen is clicked is now displayed in alphabetical order 4 The Team Members tab on the treatment plan detail screen has been removed and team members can now be maintained via the Contacts tab on the patient detail screen 5 The Reviews tab on the treatment plan detail screen has been removed as these are shown and are editable from the Review tab on the main patient screen 6 The Letters tab on the treatment plan detail screen has been removed as it has been obsolete since it was replaced by the Letters tab on the main patient screen 7 The Transport details are now implemented as a drop down list of values Values that are currently being used will have to be defined via a new system setting 8 The Reminders tab on the treatment plan detail screen has been removed as these are shown and are editable from the Reminders tab on the main patient screen Version 75 00 Page 43 of 47 01 05 2014 Clinical __ RELEASE NOTES ya 4 Framework Strictly Confidential 9 The Documents tab on the treatment plan detail screen has been removed as
85. y would be matched to the same set of tests in the Intervention tab If any liver or renal function results are flagged as out of range or have trends detected the patient would reappear in your Unchecked Out of Line Results list view When you view their record you would be able to see at a glance which out of line results or trends you had already looked at and which you had yet to review by whether or not the checkbox was ticked In the example below the Platelet and Red Blood Cell counts have been ticked but the Creatinine is yet to be looked at herapy Adalimumab RH Phase 3 Maintenance Phase Due by 20 07 20 10 Ey Type None selected v A 04 08 2010 Haemoglobin 04 08 2010 WBC 04 08 2010 Platelet count 04 08 2010 RBC 04 08 2010 PCW oO h _ oO w oO I O A WwW to MN cn D on 04 08 2010 Mean Corpuscular Volume 04 08 2010 Sodium t9 WO 04 08 2010 Potassium 04 08 2010 Urea 04 08 2010 Creatinine Y w J Nm Suppressing Tests Or Marking Tests As Not Required This Time In previous versions if a test was not required this time you could rsuppressoit using a checkbox to the left of the test name on the Interventions tab In version 7 9 8 to avoid confusion with the new checkbox for reviewing out of line results the fsuppresso checkbox has been moved To Version 75 00 Page 35 of 47 01 05 2014 Clinical _ RELEASE NOTES AV Framework Strictly Confidential mark a

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