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GP2GP User Guide

1. We suggest you tick GP2GP Request GP2GP Patient Notes and PDS Updates and let the system decide whether each message is valid for archiving You can also tick Record Transfer Record Transfer Acknowledgement Record Transfer Rejection Record Transfer Request Record Transfer Request Rejection You may want to leave GP2GP Request Acknowledgement unchecked so that you can follow up on these later Ignore GP2GP Legacy Request which is not currently being used See Which messages can be archived page 73 GP2GP Request includes the following message types and status Incoming GP2GP Request Ready for Action can never be archived Incoming GP2GP Request Acknowledged notes can never be not yet sent archived Outgoing GP2GP Request Acknowledged with can never be caveats archived Outgoing GP2GP Request Acknowledged can never be archived Outgoing GP2GP Request Sent awaiting can never be acknowledgement archived Incoming GP2GP Request Withdrawn can be archived after 30 days Incoming GP2GP Request Cancelled Supersed can be archived ed after 30 days Outgoing GP2GP Request Withdrawn can be archived after 30 days Outgoing GP2GP Request Processing error can be archived after 30 days Outgoing GP2GP Request Transmission error can be archived after 30 days Incoming GP2GP Request Notes sent can be archived when older than 1 week Incoming GP2GP Request Request rejected can be archived when older than 1 week Outgoing GP2G
2. 2 Click OK to Save 3 Close Mail Manager Example Exporting practice meaning of priority 7 In the example below the exporting practice have set their Export Priority 7 to map to the Operations External Priority This means that medical history with a priority 7 is defined as an operation bm Ow 4 P p E Importing practice priority for the operations external priority The receiving practice have their Operations External Priority to map to Import Priority 3 The Tonsillectomy medical history will be priority 3 when received by Vision E AT ON 9 9 w wee d gt X 9 we dof t Stee am aot e TN tu by o 9 oe toe ene fep Hoa on terry 99 9 9 cw om nd re cuo 4 ees apis w Lo v M Mery Bad Ores Gm Bos go K Cesi m ae ne E n 55 Recalls Recalls set up in the previous practice will need scrutiny and resetting in the new practice as methods of recall may differ You do not need to start a consultation to view edit or delete recalls The Read Term for Recall Trigger and the Read Term for Recall Reason are likely to have a 9bJ code Edit these to reasonable codes For Cytology records you may want to edit just the last smear record and add a recall to it Patients from non Vision practices may need to be excluded from the Cytology Target aS appropriate Consukaton Summary Guidelines Add List View window Help 3E BEbs amp Ho5 tOBESSO
3. e Priorities page 53 e Audit Trail from previous practice page 58 Training Tip Using Consultation View click on the Consultations tab you get a much clearer breakdown of the consultation Note that some sending systems export records in separate consultations called 2non consultation data and they are thus imported into Vision in separate consultations Match efficiency jol Cent ation E 2 059 209 OE heed prorina reedieg Converiien ba code 2469 09 OE Systolic DP reading trem PIG VOT Sprtelic ood prersere scored match eificsoney ef 5299 and sbeweld be verdiod Conversion te code PARADO 0 0 Diartelic NP reading from PISA 00 Diario bised perire scored a malth efficiency of 6798 and shasl be ver 7ed E on 20 OE rli Vals comverted Doom T5 Ka Te TI kg wed chould be worded Figure 15 Example of blood pressure record in the Import Summary Mail Manager A coded clinical statement in GP2GP consists of 1 The main clinical code displayName and codeSystem from the sending system For example e code 2469 00 e displayName O E Systolic BP reading e codeSystem READ 35 displayName is the text from the clinical dictionary that goes with the code theoretically this can be different from the text displayed to the user although this is not the case for Vision with the exception of converted data 2 Optionally one or more translations of the main code to another codeSystem For exam
4. 9 12 2013 DCUT Updated the Registration topic to include the new warning 17 01 201 estu GP2GP MI and compound 4 immunisations 11 06 201 4 GP2GP MI and Vision SystemOne PDF and HTML 4 Bug Fix Contents VERSION HISTORY GP2GP lil GP2GP ENGLAND 9 What s New in GP2GP 9 DLM 290 9 GP2GP Version 1 1 10 Advice 10 What s New in DLM 235 11 What s New in DLM 230 11 Changes from 1 0 to 1 1 11 GP2GP in Vision 12 Lloyd George notes 12 Outline of GP2GP in Vision 13 Pre checks before starting GP2GP 14 Organisations 14 Set Options in Mail Manager 15 Single Sign On 16 Working Online 16 Register a patient and request notes using GP2GP 17 Summary of actions for a new patient 17 Register the new patient in Registration 17 View the messages in Mail Manager 21 Track the GP2GP Request in Mail Manager 21 The previous practice now reply to the request and send the notes automatically23 Import summary tab 25 File the Record 27 Audit tab 28 Practice A to Practice B to Practice C 30 Next step review the record 30 What happens when the patient is not registered at the previous practice 31 Summary of Mail Manager Messages New patient registering 32 Review the Notes in Consultation Manager 33 Degraded Records 33 Match efficiency 35 Gemscript 36 Blood pressure 36 Units of Measure 37 Reminders 37 Allergies 38 Repeat medication 41 Previously Active Medication Problem Heading 43 Reauthorising inactive imported repeats 43 Example of
5. Vision 3 GP2GP User Guide England 3 IMDS A CEGEDIM COMPANY Copyright INPS Ltd 2014 The Bread Factory 1A Broughton Street Battersea London SW8 3QJ T 44 0 207 501700 F 44 0 207 5017100 W www inps co uk Copyright Notice 2014 INPS All Rights Reserved No part of this document may be photocopied reproduced stored in a retrieval system or transmitted in any form or by any means whether electronic mechanical or otherwise without the prior written permission of INPS No warranty of accuracy is given concerning the contents of the information contained in this publication To the extent permitted by law no liability including liability to any person by reason of negligence will be accepted by INPS its subsidiaries or employees for any direct or indirect loss or damage caused by omissions from or inaccuracies in this document INPS reserves the right to change without notice the contents of this publication and the software to which it relates Product and company names herein may be the trademarks of their respective owners INPS Ltd The Bread Factory 1a Broughton Street London SW8 3QJ Website www inps co uk Version History GP2GP 20 12 11 Attachment limit removed 0 01 12 Remove Attachment limit removal now 390 taken out as we have to wait for CfH to implement this on the Spine ESTU 01 03 2012 references to Multilex and Action groups replaced with Gemscript and Drug
6. page 41 Discontinued medication is now added as a medical history with the Read code 8B3R Drug Therapy Discontinued See Discontinued Medication The transferred Read code 137L Current Non Smoker now automatically selects the ex smoker radio button on the Smoking SDA See Smoking DocMan attachments are now included in GP2GP transfers Data about Palliative Care and Med3 is now included in the GP2GP transfer message There are some pathology additions 677 Other Lab Result Information 678 Hepatitis B Antibody and a change to existing entity 515 Thyroid autoantibodies now includes numeric value BMI data transferred with a weight entity within the same consultation and entry date is now combined in the Vision weight entity e You are now able to delete erroneous transferred medication review data See Medication Reviews The wording has changed for GP2GP options in Mail Manager Tools Options to make them more user friendly See Setting up to receive GP2GP requests GP2GP Version 1 1 10 06 08 e Screenshots of converted records and those that fail to convert and explanation of match efficiency see Match efficiency page 35 23 04 08 e When importing GP2GP records the clinicians at the patient s previous practice will populate the Staff file in Control Panel File Maintenance Naturally these clinicians are not active in your practice If you are doing an ad hoc search and using Clinician as one of yo
7. 3 fr G U paoi b 3 Results with a green tick have already been filed For unfiled results you could select e File All to file all the result lines e File Abnormal to file only the abnormal lines 67 Summary of Mail Manager Messages Previous practice receiving GP2GP Request This is a summary of the Mail Manager messages that the patient s previous practice will see when they receive and act on a GP2GP Request eventually sending the notes Incoming Mail Manager Outgoing Mail Manager messages messages Practice receive GP2GP Incoming GP2GP GP2GP Response Request Request status Ready status Sent ie for Action acknowledgement of which almost immediately request sent changes to Notes sent automatically Incoming GP2GP GP2GP Record Transfer and transmitted status Awaiting Transmission and then Sent once the records have been sent Once filed by new practice an Acknowledgement is sent and the outgoing updates to Complete a Request status Notes sent the request has been fulfilled Transmission or Translation Errors and Attachments If a status of Transmission Error occurs Outgoing Mail GP2GP Record Transfer the audit trail can be viewed for reasons for any transmission errors These might occur e if there are too many attachments maximum 99 the audit trail will display a message such as The service does not support the number of attachments e or the message is too big tota
8. 96 Conversion to code 04027002 benzydamine hydrochloride oromucosal spray 0 15906 from BESP4637 Benzydamine Hydrochloride Spray Sugar Free 0 15 96 scored a match efficiency of 6396 and should be verified 19 03 1991 Consultation 19 03 1991 Clinitar Shampoo 2 96 Conversion to code 01758001 CLINITAR shampoo from CLSHEGTONS8210 Clinitar Shampoo 2 90 scored a match efficiency of 6296 and should be verified The other two have been converted to Gemscript drug codes but there are discrepancies between the drug names and therefore the user is advised to verify that they are equivalent The only verification needs to be in the Import Summary 46 Discontinued Medication All medication received which is discontinued is now added as a Medical History entry with the Read code 8B3R Drug Therapy Discontinued The details of the discontinued drug are stored in the comments section of the data form H Ona therapy deconbrumd buotan vugariee sutpencion 1T00ro Srl Dosagerute at deected Dreconhnue Type orm dose Hunt wt i i Y Iu j A Change Endet 10 08 2007 xh of EM Ended 10 08 7007 rire Ope Lig E uto m Caon Dmna Dotata e orne J tre P DY PA 3 3 wt GF U S CO r H Dnag therapy diconinisd sock eye oniment 35 Dorsgesapoly 5 imesiday Diconbnue Typentllergy Ended 10 08 2007 H Drag ther
9. CABASER tabs Ing 2 2 TAKE ONE DALY 20 tablets 13 06 2008 11 02 2008 GP2GP BAILE 13 06 09 pod ABILIFY tabs Smg 1 3 TAKE ONE DAILY 28 tablet s 13 06 2008 11 9 2008 GP2GP BAILE 0 13 06 08 E ASPIRIN pwd 1 3 ASDIRECTED 250 gamis 13 06 2008 11 02 2008 GP2GP BALE 13206705 Bd TABPHYN MR caps 400miiogame 2 2 TAKE ONE DAILY 30 cape 05 05 2005 05 08 2006 GP GP BAILE O 13 06 05 GABAPENTIN capt 100mg a B TAKE ONE 3 TIMES DAY 100 capudel 05 05 2006 11 02 2008 GP GP BALE 13 06 05 A FINASTERIDE tabs Img 2 2 TAKEONE DALY 28 tablets 05 05 2005 05 09 2005 GP2GP BALE 3 13 06 05 NADOLOL tab S0mg 2 2 TAKEONEONCE DAILY 28 tabiet s 05 05 2005 1102 2008 GP2GP BALE r 05 5 5 B DE NDLTAB tabs 120mg 3 _ TAKE ONE 4 TIMES DAY 112 tablet z 05 05 2005 12 11 2005 GP2GP BAILE C 05 05 05 peg ERDOTIN cap 300mg 3 TAKE ONE TWICE DAILY 20 capsule 05 05 2006 11 02 2009 GP GP BAILE rje B SM ETEXRATE co 1 3 TAKE 1 OR 2 DAILY 10 captulei 05 05 2005 12 11 2006 GPQGP BALE 05 5 05 A SABRIL sach 500mg 3 TAKE FOUR DAILY 112 sachet s 05 05 2005 11 02 2009 GP GP BAILE Figure 18 Receiving Practice Imported Therapy Data 42 Previously Active Medication Problem Heading Furthermore active imported medication now only appears under Previously Active Medication imported via GP2GP active problem Inactive imported medication is only visible from the inactive filter in the Therapy Repeats tab Apogriments Patiert Select
10. Class respectively 01 03 201 2 27 06 201 410 docx allergy degraded tests 2 results outside reference path units SCR folder readded and topics rearranged into more obvious order 4 10 12 PDF HTML 21 11 12 4 GP2GP changes Free Text Notepad Entries are now is displayed in the Consultation category associated with the Read code or Structured Data Area SDA that it belongs to End Dates are now correctly populated in History entries Export in Chronological Order GP2GP records are now exported in the same order that they were entered into Vision Drug Description Length Previously if a degraded drug had a long description Vision truncated it in the GP2GP message From DLM 430 this is no longer the case and you are able to see the full drug name description Test Results with no Numeric Value For test results with no numeric value the unit of measure box now displays as none Test Result Units From DLM 430 Vision now recognises non standard units of measure for GP2GP messages In addition to this we have also updated our list of standard units of measure to include the new pathology LSR and pu pH Donor Details Ethnicity and Religion are now included in the GP2GP transfer 30 17 12 12 amp 430 UOM change for 430 10 01 201 3 17 01 201 CCG replaces PCT 3 04 04 201 440 Languages UOM agency end 3 date 23 04 201 Agency End Dates added 3 70 message about using your Smartcard
11. Patent Detats Consutations Jounal Famed List Sunmay Gtid Tests Therapy Guidelines gt Problem Active Problems M Previously Active Medications imported via GP2GP 02 01 2009 Repeat ACRIVASTINE caps Seng Unti 11 02 2009 mxamum 5 allowed Supply 12 capsules TAKE ONE 3 TIMES DAY Di M Blackwall 02 01 2009 Repeat NIASPAN mr tab 500mg Uniti 11 02 2089 Last iscued 02 01 2009 Issued 1 maximum 3 allowed Suppl 25 tabletjs AS DIRECTED Dr M Blackwall G 13 06 2008 Repeat ABILIFY tabs Smg Unt 11 02 2008 Last sued 13 06 2008 Issued 1 maoamuam 3 slowed Supply 28 tabledz TAKE ONE DAILY Dr M Blackest 05 05 2005 Repeat ERDOTIN caps 300mg Uni 11 02 2009 Laut issued 05 05 2005 sued 1 maium 3 slowed Supply 20 capndels TAKE ONE TWICE DAILY Dr M Blackwal New Problem Figure 19 Previously Active Medications imported via GP2GP Reauthorising inactive imported repeats The repeat medication needs to be made valid again You cannot reauthorise in the usual way because these repeats have no Prescriber or Source of Drug Sarah CAIN 32 10 02 1975 F 2 Grange Close Bardsey Leeds L517 9AX Copy of Initial View 7 Consultation Summary Guidelines Add List Repests View Window Help D amp u amp uao5 e NOBESOSSODOSSHMmM 585 OV er Appointments Patient Select Patient Details Problems Consultations Jounal Eltered Summe Gsd Tests Therapy Guidelines mb 46 Consultation Curent Scripts Repe
12. Record Even if you have automatic filing switched on you will still need to file GP2GP Record Transfers manually Right click on this Incoming message with the icon E and select File All 9 45 bh U 61 ao i 4 Oo pna Pa r oe md ise ir LED bane a l vg ey Inoommg Mar FES eo nR Oeno ee LL a ltwt TS T a Ar Y roe x PLAY 7 3 bod Md v ro Fr Mua x 7 Motes sosi Ioco DPP R SARAN E23 Tae Pie Wskkun iese wage ae ass A Meter rmm Income GP P R IASAD 1129 7 m Pre Metin Conphes t f ti 7j Manes sasi icm GPO PR O BASAM A faa Pia Qena Paden 7 iid Moter com Incommg GPP A AD 13919 Fes Pe uel Gori RE M 7j Mater sent Incoming GP7GP R MASAMI 16 04 For Pre Resecci Sabin am y Meter nomi Inc omma SP TAS 14 0 Fun Pa Deshon Vaerppes P Lg head Mater oot Ita catum GORE A HAZ US 43 Fee Pie Hentai Mondes p mter Meter vest Incomes CPG P A OANA 10 44 Fan Pre Shaugheesry Zebe c 3 Cuperc Mel Manes scc re conim GP7GP A AAT 191 ae Pha hen Hian Lr albo tad M jf How M E77 iw dst we Y tte rere eee metrsr LR oe der rta n TORT ME Connain Pura Horsez sono E39 io Figure 10 Incoming Record Transfer being filed This may take a while but eventually you should see a message box Filing successful Click on OK 27 The Status changes to Filed if successful with a green filed icon for the Incoming Record Transfer The record can now be vie
13. Vet dome artum Freed vt GPF nem a wet Fori Chee manatee Dus i Na leoi Se TT ai Toten tu ANTEA au Lndbenancabe Met DD Math Ongocatatte CVO ar Cras wie Hc Seung Tutus iant Mor Mrcyscicb o pessas wad eM Ore now T mpa feud Low te idea Ho Total Chowrweot vads pw Dagil GPORP Hecate FON Reel let io Pese fex Tee 7 Ue ee e aad l z 31 a I L3 Moo roe buco are Ae ess jas 39 Note the Read code on the degraded allergy screen is 9bJ4 H O drug allergy The 9bJ shows that this is a degraded record From DLM 410 where an allergy record is received from another system without an attached drug it will be imported as a non degraded allergy record Eg imported as 14L 00 H O Drug allergy instead of 9bJ 00 Transfer degraded record entity 5 Ifthe Notes button is ticked red click on this to view the text from the original record 19 08 30 eg Refer for Aefenal f further core Di A Waters Whatedsle Gen with Dr Walters Outpetent Outpetient Vala Adverse reaction to Penicilin vk 3 Drug Allergy and Intolerance Display BiNotes O Boca Ea X Ghee 1 Heb Date of Recording Clinician InPrachco Read Term for Allergy 197 qu v Drug Read Term for Reaction Reaction Type Severity Certainty ROO EI BF PP jor David Burton Admin zsjO5 07 14 54 14 55 6 Click on the Edit button to start to update the allergy record Note that the Clinician field is blank and there is no tick i
14. as unallocated Cancel e Allocate requests to responsible GP If this is checked any GP2GP Record requests that are incoming will go into the mailbox of the patient s registered GP e Treat requests as unallocated This toggles with the above option If checked GP2GP messages come in unallocated and will need to be dealt with by a member of staff who has rights to view unallocated mail Make sure the relevant admin staff have rights to view mail see Setting up staff rights to view and action mail page 69 61 The request messages come into Mail Manager In Incoming mail the Incoming GP2GP request status changes from Ready for Action to Notes Sent fairly quickly and on the Summary tab it will say This request has been fulfilled see the audit trail for details A request was made for the history of JOHN DE AKIN 29 02 1980 4002520226 The requec has teen fidified pee the wade mal for deradr MM Was M JC Figure 27 An incoming message Incoming GP2GP Request shows a status of Sent Click on the Audit tab to see the status of Notes Sent d wo k Somme 2 teow et Figure 28 Audit Trail showing Notes Sent Incoming GP2GP Request 62 A Read coded record will appear on the Message and on the Journal in the patient record in Consultation Manager Patient deregistration by transfer of GP to GP electronic record In Outgoing Mail there i
15. degraded record 45 Discontinued Medication 47 Acute medication 47 Medication Reviews 47 Pathology Test Results 47 Unfiled pathology results 48 Attachments 48 DocMan Attachments 49 Documents not transferred or invalid attachments 50 Permitted formats for attachments which will transfer in GP2GP 50 History entries which should be in an SDA Bl GP2GP Data Entry Free Text Notes 52 Priorities 53 Filtering priorities 53 Setting the Priority Mapper 53 Example Exporting practice meaning of priority 7 55 Importing practice priority for the operations external priority 55 Recalls 56 Requests and Referrals 57 Requests 57 Referrals 57 Health Promotion 57 Smoking 58 BMI 58 Disease Registers 58 Practices using CPRD and THIN Data collection 58 Audit Trail from previous practice 58 Data Quality 58 Palliative Care 59 Med3 59 Immunisations 59 Immunisation Data from EMIS practices 59 Receive GP2GP request and send notes 60 The previous practice receive a request for the notes 60 Setting up to receive GP2GP requests 61 Requests to responsible GP 61 The request messages come into Mail Manager 62 Consultation Manager record 65 Unfiled Pathology may prevent record being sent 66 Summary of Mail Manager Messages Previous practice receiving GP2GP Request68 Transmission or Translation Errors and Attachments 68 Setting up staff rights to view and action mail 69 Rights to view mail 70 Set up rights to see all mail for all users 71 Add Access Rights to
16. for this patient or edit therapy reauthorise or reactivate Drug allergies have a Read code of 9bJ4 Transfer degraded drug allergy and non drug allergies 9bJ5 Transfer degraded non drug allergy If you try and prescribe you will see a message This patient has allergy records that have been degraded You must correct these records before prescribing OK Consultation Manager A This patient has allergy recorcde that hawe been degraded You must correct these records before prescribing Lx 1 Start an Administration type Consultation so as not to record a face to face consultation 2 If you look on the Journal entry you will see the allergy information Ata INIT l t ib ake ie ILI Maren Last T rr 3 WE ra Pratl fume hens Gabbe AA Gt m Ihm tit HAFI Ht tehun oO GS RO SSBDBPOVOSGP HoH DW OO F HAA x Agenten Pemi Sd Dime Poet Done onde tm Tum To Dmm Thatcher t 6 Coran Dee PAR y Tbe om bagija i Aden mnom Part reget won Sy nerra of 718 0s OF seer recent J O Inad esf MDT Pat on ATANDA Fee Elder Heft hospi Ml d rem I Vig Mrd ene Vides 251g ly bene warmers eter OR uet rami ant Hee te posed Paw aed Capt EE ay E stem Bl Raped Features Laiti POR La TENTION Lat road CBDIDUTTURE sed T sinan alieni Taye C8 e cette AL DIPCCTLE dat Femme Tro Han for paer Parece Capen OR eg fa e DOTO ideme wactonio Wang Deng Vecafiargnur TQ Bg Fiore tor Pinto ter hahe sae Oy A Warten w hamdste Der
17. practices To accommodate for incoming immunisation data from EMIS practices 10 immunisations codes used specifically by EMIS have been added to the Vision Immunisation SDA list and will be shown with the Immunisation icon against their 9 The new 10 codes are as follows e 65F6 00 4th hepatitis B vaccination e 65F7 00 5th hepatitis B vaccination e 65FM 00 6th hepatitis B vaccination e 65FP 00 3rd hepatitis A junior vaccination record line e 65H4 00 Booster diphtheria tetanus pertussis DTaP vaccination 59 e 65H5 00 First DTaP vaccination e 65H6 00 Second DTaP vaccination e 65H7 00 Third DTaP vaccination e 657K 00 Booster pneumococcal vaccination e 65FQ 00 Booster hepatitis A junior vaccination Other immunisation Read codes which are not found in the Vision Immunisations SDA will be added to the patient record as Medical History entries with the icon These are also presented in an Imported Immunisations Problem heading iamen Paes eti Pm JE ev fomno i n cmm N e pratat AUC TI1STCER IT 000 UE 7A La Tuah Grendits jasna t9wetion Domevni omi hampi kaum P ws XN Figure 26 Imported Immunisations Receive GP2GP request and send notes The previous practice receive a request for the notes If one of your ex patients is registering with a new practice there are two stages to the GP2GP process 1 If you are GP2GP enabled and one of your patients registers elsewhe
18. provided screens may differ Click OK or Yes I agree 3 Double click on the Vision icon to be presented with a Vision role select screen 4 Select the appropriate role from the drop down list on the Select Role screen and click OK 5 You will then be presented with the Vision front screen when working online through SSO the Vision user name and password are not used Register a patient and request notes using GP2GP This section covers what happens when a practice registers a new patient generates a request for the records from the old practice and receives and files the records into Consultation Manager Summary of actions for a new patient These are the stages in the GP2GP process which require your action when you are registering a new patient 1 Use your Smartcard to log into Vision CF 4 Note The following warning message will appear if you access the Registration module without using your Smartcard A smart card has not been detected Do you wish to continue with Registration If you want to use your smart card for a GP2GP transfer you will need to log out of Vision and log in again with your smart card Register the new patient in Vision Registration by clicking on n then selecting them from the PDS The GP2GP request message is triggered following a successful PDS update and if the patient is not a flagged patient stop noted or a sensitive patient The GP2GP request is made to the patien
19. user to verify In the case of this blood pressure screenshot above this is perfectly represented in Vision and does not need any action 9 nised Preceere Avett Trail hae e Heb 99 Meee md pew l Feds hesi enu me Gemscript As an example Conversion to code 03383001 codeine phosphate with paracetamol tablets 8mg 500mg from COTA684 Co Codamol 8 500 Tablets scored a match efficiency of 53 and should be verfied This means that the user should check that the Gemscript drug imported into Vision codeine phosphate with paracetamol tablets 8mg 500mg is equivalent to the drug that was on the original system Co Codamol 8 500 as Vision has detected that there are discrepancies between the drug names Blood pressure Blood pressures in GP2GP are sent as a compound statement containing child statements representing systolic and diastolic values Each of these statements BP systolic diastolic has to be clinically coded and all systems use READ for this When this statement is imported into Vision it creates a BP entity and looks to fill the systolic and diastolic attributes with the correct child statement from the compound This is done by converting the child clinical code to Read then populating 36 systolic from the statement which has a code mapping to 2469 00 and similarly diastolic from the statement with code mapping to 246A 00 As the READ dictionary used by Vision says that the c
20. 001 920 525 0626 46F8 8151 0CCCS0771L530_wORD TEMPLATE dot PerPeastanii elle type unsunpoer ed 3 i Figure 24 When you view this attachment because it is not valid it gives the filename contact the previous practice if you want them to send you this file Permitted formats for attachments which will transfer in GP2GP e docx e text plain e text html e application pdf e application xml e text xml e text rtf e audio basic e audio mpeg e image png e image gif e image jpeg 50 e image tiff e video mpeg e application msword If you are sending attachments in a GP2GP transfer you need to make sure that any attachment documents are as compact as possible In particular Word processing documents have the potential to be very large especially if they incorporate images or pictures in the header or background For instance a letter headed image may be 100 times greater than the same letter without an image As a general rule you are strongly advised to consider removing any embedded images in any word processor generated letters that are attached to the core clinical records If at all possible attached WP documents should be text only History entries which should be in an SDA Most entries will have imported successfully and via Read codes located in the correct SDA structured data area However some records may transfer without a Read code and not appear in their correct SDA They will appear as Histor
21. 005 12 11 2005 BLAK SYS Yes Figure 17 Sending Practice Therapy Data Receiving Practice ES oe LIE X V0 m HE Tamala SI oem a OT es Um aa C 30 01 09 PARADE TAMOL cap 500mg 2 2 TAKETW 4TIMES DAY 80 capsules 09 01 2008 11 02 2009 GP GP 30 01 09 CAFERGOT supp 2 2 INSERTONEAS NEEDED 3 suppomtonfer 02 01 2009 11 02 2008 GP2GP i O 02 00 09 ped NIASPAN ire tad 500mg 1 3 ASDIRECTED 25 tablets 02 01 2003 11 02 2008 GP GP BAILE 109 001 09 A EAREX ew drop 1 3 USENIGHTEMORNING 10 mms Q2 01 2009 11 02 2008 GP2GP BAILE C Not Issued HCUAV pwd SHS 2 AS DIRECTED 1 2789m sachet Q2 01 2008 02 02 2008 GP GP BAILE Yes O Netissued fi MAALUX PLUS tabe 4 TAKE THREE AS NEEDED 40 tatiet s 02 01 2009 11 02 2008 GP26P BALE Ye C Not Issued SEALEGS tabs 2 ASDIRECTED 5 tablets 2 01 2008 02 02 2008 GP2GP BAILE Yes Motissued Peg ACRIVASTINE cap Bmg 5 TAKE ONE 3TIMES DAY 12 capsulei 2 01 2009 11 02 2003 GP2GP BAILE Yes 02 01 09 YARIBA tabs 250mg 1 3 WIE Ones 5 tablets 02 01 2008 11 02 2008 GP2GP BAILE O env FIBRAZATE gt L tabs 400e9 1 3 TAKEONEONCE DAILY 30 tablets Qc g1 2009 TiAQ2 2009 GP2GP BAILE 02 01 09 A RABBIT FUR tabs 30c YN ee a on 2AS 125 tablel 11 09 2008 11 02 2008 GP2GP BAILE j09 01 09 K NABILONE caps Img 2 2 ASDIRECTED 19 capsule 11 09 2009 11 02 2008 GP GP BALE 11 09 08 VALTREX tabs 250mg 2 2 ASDIRECTED 15 tablets 13 06 2008 11 02 2008 GP2GP BAILE Odan A
22. 17 Summary of Mail Manager Messages New patient registering e 22 29 30 32 Summary of Mail Manager Messages Previous practice receiving GP2GP Request e 64 68 T The previous practice now reply to the request and send the notes automatically e 23 The previous practice receive a request for the notes e 60 The request messages come into Mail Manager 60 62 Track the GP2GP Request in Mail Manager 21 Transmission or Translation Errors 68 Transmission or Translation Errors and Attachments 68 U Unallocated mail e 72 Unfiled Pathology may prevent record being sent 66 Unfiled pathology results e 48 Units of Measure 37 V Version History GP2GP e iii View the messages in Mail Manager e 21 W What happens when the patient is not registered at the previous practice e 30 31 What s New in DLM 230 e 11 What s New in DLM 235 e 11 What s New in GP2GP e 9 Which messages can be archived 73 75 76 Working Online 16 83
23. 2GP Record 30 days GP2GP Patient Outgoing Transfer Transmission error Notes i 74 3 These GP2GP messages can be archived after one week or immediately GP2GP Incoming GP2GP Request Notes sent Immed Request Incoming Request GP2GP GP2GP Request rejected 1 week Request Document Filing Status Archive if Description in Mail Manager older 1week Doc Type GP2GP Outgoing GP2GP Request Rejected 1 week Request GP2GP Outgoing GP2GP Request Complete Immed Request Outgoing GP2GP Request GP2GP Ready for Acknowledge Response Action Immed ment GP2GP Request GP2GP Acknowledge Response ment outgoing How to archive We suggest you archive GP2GP messages at least once a week to begin with Astime goes on a daily archive may be necessary 1 In Mail Manager select File Archive 2 Select the criteria for archiving From Date To Date You can select the date from which archiving Should start and the range it covers Note that the To Date defaults to one month ago See Which messages can be archived page 73 Incoming By default both incoming and outgoing messages will be archived Unchecking the Incoming box prevents incoming messages from being archived We suggest you leave this checked Outgoing By default this box is checked Unchecking the Outgoing box prevents Outgoing messages from being archived We suggest you leave this checked 75 Archive messages w
24. 8 Ay Jy o RR H c i FOE C A OUI Ne Sag dE 8 Ougong Mi Dm LLIME Tu T IA anna uci le Moog 4 Le i brea P ri J 8 i 7 SRL 2 kd o beam J 5 x Vem n m 3 El Cm em M LI A r f i Desai Lor eee Figure 31 Outgoing GP2GP Record Transfer Complete See Summary of Mail Manager Messages Previous practice receiving GP2GP Request page 68 64 Consultation Manager record For patients whose records have transferred to a new practice there will be a Journal entry of Read code 92 Patient de registration The patient s registration status remains as permanent until deducted in the usual way You could add a manual reminder that the patient s records have been transferred The Read code of 92 allows you to do regular searches for patients whose records have been transferred recently Search for patients with transferred records page 79 Sarah CAIN 32Y 10 02 1975 F 2 Grange Close Bardsey Leeds LS17 SAX Initial View 6 theo FS KA SOPSOOTI KM CO OTF BA Initial Filter numa e 3 Problems gb 46 Consultation gj 2 2 Drug Allergies amp Adverse 3 20 Recalls and Reviews B Patient Preference 1 Hk 37 Medical History 06 06 07 Ha Patient de registiahion by transfer of GP to GP electronic record 19 10 05 peg Refer for Right iliac fossa pain at Communi
25. 9 A Da ig 4 B At E gt E al B Bud fowed Eee gt ti deua c hy a Pu 0 w Cm Outgoing Mas iusa w 6 w jUe Sui jw w AO Le ilo a Ya Far noon B i aaa gt m band gem UP T Pwspores BORE IS ww D saos ol _jRoapeee FP a Fon anni WIDI ISA Pn d Dise Vow OPP Fececree 2B Fried Fun m 7 UNE T UN WEN 7 At the old sending practice they will receive a message A request was made for the history of an unmatched patient This request was rejected see audit trail for details A ms jim i Seg E PS Te Pt ES V im c TSUS Fam Pectus Mot Vett IC X i i e z TIAM VIS Fam Psemes M Temp Dcos mmm Io LENZ A ION PNE m Portion M Lon Michelin iden ELI FNF A TOODE AR m M M ee a Cartes H v e n 7x04 D Ae TT ee Te m Ch Dean Lom Jame s o qm A request was made for the history of an unmatched gt Malo 4 Oren patient PEL 4 i r The repai wwe pojecsed ene the andit tral for detalle Omm H Ott Loo Asas Figure 13 A GP2GP Request has been made but the patient is not registered at the practice 31 Summary of Mail Manager Messages New patient registering This is a summary of the Mail Manager messages that the new practice may see when they are registering a new patient and requesting the records from the previ
26. LERGY gt H 0 drug allergy EMISBOTH 3435 Adverse reaction to B Non drug Allergies Penicillin vk Cannot convert code ALLERGY EMISBOTH 3435 Adverse reaction to Penicillin Yk to a multilex drug code Compound identifies this item as a drug allergy but unable to process as such Downgraded item to Freetext Description of event Clinical term H O drug allergy Value Adverse reaction to Penicillin k Summary Message Actions Header Audit Import Summary Figure 16 Viewing the Mail Manager message within Consultation Manager The Import Summary shows the errors particularly allergies which need to be re added Repeat medication Repeat medication which was prescribed by the last practice and was active at the time of transfer can be listed in several places On the Journal As a Problem with the header of Active Medication As a Problem with the header of Previously Active Medication see below On the Therapy Repeats tab Prior to DLM 290 active and inactive repeats see explanation below appeared in the inactive filter of the Therapy screen with the 4 bow tie icon depicting that they were third party entries From DLM 290 you can differentiate between active and inactive drugs by the icons P Sfor active imported medication and Ed for inactive imported medication Active imported medication P Repeats with number of issues less than maximum permitted issues with the Repeat Until D
27. Mail Manager You can track the progress of the GP2GP Request and Record Transfer in Mail Manager You may not see all the messages listed below as some pass by quickly and unless you have the Mail Manager Tools Options Message tab ticked for Show Incoming Audit Messages and Show PDS Updates we recommend in fact that you leave Show PDS Updates unticked in order to make the screen less cluttered Once a new patient has been registered and the GP2GP process started there will be two messages in Outgoing Mail in Mail Manager e PDS General Update message in Outgoing Mail with initially and briefly a status of Sent Awaiting Acknowledgement and once the PDS Success message has been received a status of Complete this shows the change of address and registered GP see Message tab Note that even if the subsequent GP2GP transfer fails the PDS Update is still sent to the spine to update the registered GP NB only for permanent and applied patients A demographic update message for RICHARD TAYLOR 27 05 1900 9223647193 has been sent to the PDS Details of update habs Tet 1 be o mn mad PA mm I4 9v ve Figure 3 In Outgoing Mail there will be two messages the PDS General Update message is complete showing change of address and registered GP 21 Note The GP2GP Request message is only sent if the PDS Update is successful If this is not successful then no request is sent However if the PDS Update went i
28. O0SS B8 e 7 Arcgriman Paiet Select Paters Dualo Dohieme Gorautaiene Jounal gt Fikered Summary Grid Tests Gu Tobiems Therapy uideline gt gl 8 Consultation E F 2 Drug Allergies amp Adverse E O 1Recalc and Reviews m T D Caplets LT Sup 28 capt asd Notes tor patient Paracetamol Caplets J B Patient Preference B Hepeat Paracetamol Caplets S00 mg aa 16 10 2006 Last issued 08 00 2006 ssued 1 maamum 1 alowed Supply 28 fh Hk 3 Medical History caplet s AS DIRECTED E P 3 Therapy Notes for patient Paracetamol Caplets 500 mg A Lifestyle 19 08 50 ped Refer for Referral for further care Dr A Waters Wharfedale Gen wath Dr A waters Dutpabent Dutpabent HA 1 Examination Findings 8 Immurisationz 3 Miscellaneous AB All Test Results New Registration Exam Well Person Clinic HP Interventions R Disease Regsters Asthma Diabetes CY or Hypertension Deme T gt do lb Health promotion Cinical intormabon messing Immunisations Duc in Ne Poliomyelitis 1st 01 07 9950 o d Tetanus 1st 01 07 1950 a d te Cardiovascular Risk CHD Risk Unavailable CVD Riek Unavailable No Smoking Status found Non No systolic blood pressure readi No Total Cholesterol value aval c Recall Displ Notes 04 Lette Edit X Close 7 H No HDL Cholesterol value avail i Ix B nos Bes jxcee Hep A Degraded GP2GP Records Set Up Dale Clinician Selling Recalt Read T
29. Overdue and Due Medica Medication review Due January A Degraded GP2GP Records T degraded reconds Appointment Patient Select Patient Details Consultations Jounal Fitered List Summar Grid Teste Therapy Guidelines gt 24 05 07 Ha za mm B 14 05 07 QP icsue 1 Emis Painkiller Tablets 25mg Supplp 28 Tablerz ONE TO BE TAKEM THREE TIMES A DT Motes for paient Ems Pamkiler Tablas 5mg E Aenest Emis Pankila Tablets 25mg Uni 23 05 2007 Lest issued 14 05 2007 Issued 1 maximum 1 allowed Supply 28 Tablets ONE TO BE TAKEN THREE TIMES A DAY Nites for patient En Painkiller Tablets 25 mig Q3 Recall an 1540 2007 For Asthma annal view Adverse reaction to Paanute a Adverse reaction fo Amoxapine En Value Adverse reaction in amp moxsapme Pencil V Elik 250 mg 5ml Supply 28 ml 1 ONCE DAILY Motes for patient Penicillin Elie 250 mgro ml Ems Pankile Tablets 25mg Supply 2B Tablets AS DIRECTED Motes for patient Emis Painkiller Tablets 25mg Hy Body Mass Indes Value 21 7 Iriterpretation Pobeniially abniommal B weight BD 31 kge OVE weight ff Height 1 676 metres OE height di Medicshon ree Due by HEPB 1 Given Patient registration by tranzler of GP to GP electronic record Othe tachment eral mage M Peak exp ow rate PEFR PFR 150 L min Hg Asthma Hy Breast examination Hg FFION up to date Issue 1 Mitrazepam Tablets Sig Supply 56 jtablets TwO TO BE TAKEN AT NIGHT Hepeal Mibrazepam
30. P Request Rejected can be archived when older than 1 week Outgoing GP2GP Request Complete can be archived when older than 1 week e GP2GP Patient Notes includes the following Incoming Record Transfer Available for filing Can never be archived Outgoing GP2GP Record Held in Queue Can never be Transfer archived Outgoing GP2GP Record Available for Can never be Transfer Transmission archived Outgoing GP2GP Record Batched Can never be Transfer archived Incoming Record Transfer Withdrawn older than 30 T7 ays Incoming Record Transfer Cancelled Supersed older than 30 ed days Outgoing GP2GP Record Processing error older than 30 Transfer days Outgoing GP2GP Record Transmission error older than 30 Transfer days Incoming Record Transfer Filed Archived immediately Outgoing GP2GP Record Sent Older than 1 week Transfer Outgoing GP2GP Record Complete Older than 1 week Transfer e G2GP Request Acknowledgement includes the following Outgoing GP2GP Response Processing error Older than 30 days Outgoing GP2GP Response Transmission error Older than 30 days Incoming GP2GP Response Ready for Action Archived immediately Outgoing GP2GP Response Sent Archived immediately e PDS Update Outgoing PDS General Update Complete Archived immediately Outgoing PDS General Update Rejected Older than 1 week 3 Click Archive to start the archiving process Retrieve from Archive Remember you can always retrieve mess
31. Read Term Clinician Review Dates and Due Dates Some GP2GP transfers from non Vision practices include Medication Review data which does not contain a review date and a clinician which interferes with the review system From DLM 290 you are now able to delete transferred medication review data to overcome this problem Pathology Test Results Points to note e Degraded Test Results Test results free text is added to the notes field of the corresponding test result The result qualifier is also shown here e Results Outside Reference Range have a qualifier of Outside reference range 47 e For incoming test results where the numeric value is blank but a unit of measure value has been sent to avoid confusion Vision changes the unit of measure to lt none gt e Vision recognises non standard units of measure for GP2GP messages Unfiled pathology results Pathology results that are unfiled at the previous practice will be automatically filed at the previous practice on transfer and will appear as filed at the new practice Pathology results which are multi specimen and appear in the old practice as multi tabs will appear in the new requesting practice as a single tab Training Tip Right click on a pathology result eg in the Journal and select Source to show the exact message with reference values Attachments Attachments are transferred if the attachment is filed within the patient record and not held outside The
32. ST KAM ER 8 tgggeewens Fem Sat Pring Desin Pattee Comsdatore pama sei pomagati T Dos U mj radite Ed liem d Y Conddn z 1 Daag dem e Laken bet Lawan Finding i t domum gam 4 btrretareces 17 AM Td Aadi V hmm Rinat tar Tan wisst Prarie treat Jove d Mte ter ret rented he tr e eg e Gee at Dee m Ne lassa 2 20071988 0 Polonia 1 190271915 acd ap Urcecus sed Dus Medica Modo on mem Cm O maga P MM schmests Displey a Jae P IE EI r i Co c HOA AMA Li nl Lem E vi OE Fates oe Lorem crepe treet tere NT o Pas Hoop deemed o Fh ever Lai meg Dy Ur w d t m dt XO im J Figure 22 Attachments and Letter Correspondence filtered through Miscellaneous 0060 ELS d S t RG PPSVI KH FB ol Initial Filter en Problems A 30 Consultation EIE 4 2 Drug Alergias amp Adrere amp 3 2Recallz and Reviews Patient Preferance 2 Be 10 Medical History a 7 Thea g Lifestyle ahe 3 Examination Findingz 4 E 2 immunisation E 4 Micelaneaus HEE 2 Multimedia Altschm LA 2 Mote Pad EE 1 Al Test Resulte New Registration Enam 3 wel Person Ciric HP Interventions K Disease Registers E Asthma ll Diabetes bail 4 Li tos 31 Health promotion Clinical information miss Intaresntions not recordad Immunizations Due in Ne Poliomyeliis 12 1112 1581 od Tetanus Tat 11 1 271381 n d
33. SYS Yes O 0270 09 EAREX oa drops 1 3 USE NIGHTLMORNING 10 mi 02 01 2008 BLAK YS Yes j02 01 09 E NASPAN mi tad 500m 1 3 ASDIRECTED 25 tsbet 02 01 2008 BLAK sys Yes O 020109 fA NABILONE cap Img 2 2 ASDIRECTED 19 capsule 11 03 2008 BLAK SYS Yes 02 01 09 O RABBIT FUR tab 30c 2 2 HEEL m 245 125 tablet 11 09 2008 BLAK sys Yes g 11 08 08 CABASER tabs Te 2 2 TAKE ONE DALY 20 tablet 13 06 2008 12 06 2008 BLAK YS Yes D 1306 08 R ASPIRIN pret 1 3 ASDIRECTED 260 gals 13 06 2008 12 06 2008 BLAK sys Yes 11 09 08 I VALTREX tabs 250mg 2 2 AS DIRECTED 15 tablet z 13 06 2008 12 06 2003 BULAK SYS Yes g 1306 08 S ABIUFY tabs Smg 1 3 TAKE ONE DAILY 29 tablet 12 06 2008 12 06 2009 BLAK SYS Yes 1127 05 E NADOLOL tabs Stig 2 4 TAKE ONE ONCE DAILY 29 twblet s 05 05 2006 BLAK SYS 1306405 fA FINASTERIDE tab Img e 2 TAKE ONE DAILY 28 tablet 05 05 2006 05 09 2006 BULAK SYS Yet j 05 05 05 FA SABRIL tach Oe 1 3 TAKE FOUR DAILY 112 sachetis 05 05 2006 BLAK SYS Yer gews A Momm cap 1 3 TAKETOR2OALY 10 capsulel 05 05 2005 12 11 2005 BLAK SYS Yes 1940805 D GABAPENTIN caps 100g 2 4 TAKE ONE 3TIMES DAY 100 capsule 05 08 2005 BLAK SYS Yes 3085 05 05 A ERDOTIN cap 300mg 1 3 TAKE ONE TWICE DAILY 20 capsulet 05 05 2006 BLAK Svs Yet O 1970605 TABPHYN MR caps 40DN erogams 2 2 TAKE ONE DALY 30 capsulet 05 05 2005 05 08 2006 BLAK SYS Yes 1059 05 05 7 DENOLTAB tab 120mg 1 3 TAKE ONE 4 TIMES DAY 112 tablet z 06 05 2
34. Tablete 5 mg Urik 2305 2007 Last peeved 6 01 1996 Issued 1 maximum 1 alowed Supply 56 tablets Twi TO BE TAKEN AT NIGHT Chlrompcetin Epe Drope 5 x Supp 5 ml AS DIRECTED Motes for patient Chieremeicetm Eye Drops 0 53 FH FH Cardiovascular disease of Hy fel acried Hy Asthma Hg Headache Figure 23 Multimedia attachment filtered through Miscellaneous 49 Documents not transferred or invalid attachments Documents held elsewhere outside of the Vision patient record for example Passport Correspondence Manager are not transferred Attachments in GP2GP transfer are limited to a maximum size of 5 mB There is a limit of 99 attachments allowed in a single transfer The practice sending the records will show Transmission Errors if the message is too big and the message will not reach the new practice Invalid attachments and some file formats of attachment are not permitted in GP2GP and in Consultation Manager placeholders will be shown Attachments with non permitted formats will be listed and you can select to display them but when you come to View you will see a text message stating the reason the attachment is not present You could contact the previous practice or wait until the Lloyd George MRE arrives in the post and then decide whether to scan in the file in question b onossonn kt Setepad LS LES De mne d Fame wWew nee allowing Tile could not be 1nciudad with the Electronic Record L
35. Unallocated mail 72 Add Access Rights to another user s mail 72 Archiving Messages from Mail Manager 73 Archive by filter archiving from live database or remove from hard disk 73 Which messages can be archived 73 How to archive 75 Retrieve from Archive 78 Search for patients with transferred records INDEX vii 79 81 GP2GP England What s New in GP2GP DLM 470 11 06 2014 o GP2GP Management Information MI GP2GP messages can now be monitored more easily by the Health and Social Care Information Centre HSCIC using a new GP2GP Management Information process See GP2GP Management Information E3 GP2GP Messages to SystemOne Vision to SystemOne GP2GP messages are now being sent correctly DLM 290 01 03 2012 A global priority mapping tool has been introduced to allow practices to define their priorities according to a set of data categories called external priorities for incoming and outgoing GP2GP Vision messages See Priorities page 53 To accommodate for incoming immunisation data from EMIS practices 10 immunisations codes used specifically by EMIS have been added to the Vision Immunisation SDA list See mmunisations page 59 Transferred repeats now appear with F for inactive repeats and 4 for active transferred repeats in the Repeats list in Consultation Manager Active repeats are also stored in the Previously Active Medication imported via GP2GP problem heading See Repeat medication
36. Vision where different codes are used will This particularly affects medication allergies and some business functions such as recalls Some data may be missing a Read code Such data which is incomplete and which require attention are called degraded records You can list these by double clicking on the Alert pane line Degraded GP2GP Records under the navigation pane This displays the degraded records on a Filtered tab Work down each record by right clicking then Edit Degraded records have a Read code 9bJ Transfer degraded record entry e 9bJO Transfer degraded medication entry e 9bJ1 Transfer degraded referral e 9bJ2 Transfer degraded request though note that requests are not transferred in GP2GP e 9bJ3 Transfer degraded plan this refers to recalls e 9bJ4 Transfer degraded drug allergy 33 Figure 14 Note the Degraded GP2GP Records line at the bottom of the navigation pane double Clinicians need to be made aware that data in unsummarised GP2GP Records may not appear where they are used to seeing it for example in the previous practice priority e 9bJ5 Transfer degraded non drug allergy MI LI LM kale L51 155 wr re or dm Lew eh eum emer amt ams Grab arr ow ee du ne imo me por chalet p p done Supple 1 T eher ES OFECTED Hoher For passent Gatien Acadie JDO macoginmc dose E MEME ganas 7 t ton ak eee ELN ra iy of Imo ai yc 4 F s E 4 Probhens aS Coretwen E 2 Drug Am
37. Were Sate v te Every individual has rights to view their own messages Own Mail In addition they may be granted rights to view unallocated mail and mail assigned to other staff members For example two members of staff Dr A and Dr B e Dr B has no rights to view mail other than his own e DrA has rights to view his own mail unallocated mail and Dr B s mail 70 Or in another example Dr A instead could be granted rights only to deal with Dr B s mail for the duration of his holiday Staff Access Actions Action Status Folder Items Green Jeff Halton Linda Hawkins M ary Hill Alison Hill Gail Hither Fiona Jatta Barry Kimble Jane Martin Amanda Mazon Dorothy wa Own Mail B3 Unallocated Mail Mcallister Jahn wa Own Mail wa Unallocated Mail wa Burton David wa Doctor Oop w3 Hill Alison wa Smith Lindsay fe System Supervisor System Painter Fiyon wa Own Mail i Parane Paina gt If you right click on a staff name and select View Access to this Staff this lists the staff members who have Access Rights to the mail of the name on which you right clicked Green Jeff Stalf Access Actions Action Status Folder Items x F2 Own Mail 3 Green Jeff Halton Linda Hawkins Mary Hill Alison Hill Gail Hither Fiona Jatta Barry Kimble Jane Martin Amanda Mason Dorothy B3 Own Mail B3 Unallocated Mail J Mcallister Jahn B3 Own Mai
38. a Badd iwa 7j Hois sere Iecomaeg G 2G R TATED 16084 Dec Pr Porimco Sobis Ty Mates awe lns smeg GEILE A PUTRID 1606 Fa Pi Daien Georges 7 Meet ov es SP PP RH Hos UO 4e ae Pe eb etl Mmi Meter c Income rr A GEA 009 1044 Toar Tre Sheeghereng Zoe GATES 1033 Tar P Lye Hisp Error report for MIRZA JOHNSON 11 10 1981 9224610595 Show Hide LU seen na Current filter Sow All ij afoga ip pamat din DURA ANTT Perret adiad hai A md B amia Lje dr Ae e Falat bo qui target La mee arm 4 cnp ctm m un A ported Pani shina taat I uL Ls sem 9007 DF my ates converted bem Oh II 9g 1e 009 gp ed edd be cordfd EA OMM Comes abet V ted ts anart code Arer AEN Bini dathdbo IL chm cdm Um Ae HUE TD Om Ihe Ebert Shen Me IDE nad Figure 8 Incoming Record Transfer Filed the Import Summary tab showing a degraded record of painkiller medication 25 Degraded records appear in Consultation Manager as a Degraded GP2GP Records line on the Alerts section under the navigation pane click on this line to list the degraded records on a Filtered tab You can then edit them Degraded Records are unlikely to occur for Vision to Vision transfers but more likely with other suppliers to Vision transfers where it is not correctly Read coded but can still be read ng ye Dos te Dunja aired 0 net Sie Ee WSO t St NM Bao Forward Tu Hx a bail d f The data is not lost but degr
39. aded to a state Fred Cony i eun pane Mrs sorte Iiis De tate 71 05 2007 13 09 Fao Pracben M 18 05 2007 11 59 Fau Praticu M 16 05 2007 14 35 Fao Practice M 1 amp 05 2007 16 10 Fao Praeter M 15 05 7007 11 43 Badey M 5 70 7200 it Daley M 15 05 2007 11 28 Fan Piactee M 15 05 2007 11 20 Fau Piachee M 15 05 2007 10 25 Fac Piacce M 15 05 2007 16 18 Fao Practice M 14 05 TOOT Peewee V Eier 250 3 7 rd Fated te convert code PIELTG27TDERTDA Passi V Clee 770 ma 7 ad Cose comment code PEL 2 TREO Pweecdike V Bikes 2 0 94 5 mE te n mtl fimm drew idu Importing Nese at Tromler degraded medi stica ssiry That Hees mdi auper andar Acute and Repeat Icon Ther apy Nebe Vai thee devy pana rom the isport wdi be preserved 4 mnd atewes 1405 2007 Alrerr reactions de Aem aptes Faded ia iooo t MULERGS CPISROTHH 4 2294 TON totem Cos te Weed Cody Vorrise 2 rantler degraded diets wil ender reed codu Fb 91 00 tr ender degraded slbenrwe Y Meba that tha term frer Ve wapert be preierved ERNE EPRINPLIPCHDURAL RY pesewets Adeorsr remtion ts Pemeets Ugtoo Dede te Weed Cade Verses 7 dd date AB Mud ioe NUM Stuer rond searchinandts M ttis pare P OA inr Figure 9 This shows degraded records for penicillin medication a drug allergy and a peanut allergy See also record page 30 26 File the Record page 27 Audit tab page 28 Next step review the File the
40. ages from archive using View Archive View You will be prompted for From Date and To Date You can either enter a date range or leave From Date blank for dates prior to and including the To Date and leave To Date blank for dates after the From Date The status bar at the bottom of the screen repeats the dates chosen and shows Archive View To turn the archive view off reselect View Archive View again 78 Search for patients with transferred records New registrations whose records have transferred with GP2GP will have a Read code of 91 Patient registration in their Consultation Manager Journal Those that have deregistered with their records being transferred to a new practice will have a record of 92 Patient de registered This allows you to do regular reports of all new registrations Such a list might be useful for a GP who is summarising the records IL 2 Select a new Adhoc search UJ Se SS 9 10 11 Go into Search amp Reports if Select Add Entity and select all Other Clinical Data folder and within this select El All other Clinical Data Click to highlight All other Clinical Data and click on the Selections button Select Date of Event and Add New Select After and type in T 1m and tick Inclusive Then select Read Code and Add New Type in 91 and press Enter This should select 91 00 Patient registration Leave Hierarchical search unchecked as you do not want to search all 91 codes N
41. an Note that you can hide the display of inactive staff for example doctors who have left and been removed in your mailbox in Mail Manager if you untick the option View Inactive Staff If you find that inactive users are still being displayed in your mailbox in Mail Manager but greyed out when the View Inactive Staff filter is ticked in Mail Manager then you have in the past set up access to their mailbox Go to Mail Maintenance Staff Access and under your name right click on the relevant staff member and select Remove Archiving Messages from Mail Manager Archive by filter archiving from live database or remove from hard disk Depending on how many messages you are receiving in Mail Manager you will need eventually to adopt an archiving strategy to declutter your screen We advise that in the early days of GP2GP you should archive at least once a week and as time goes on possibly daily Not all GP2GP files can be archived and some can never be archived Some need to be older than 30 days and some older than 1 week Others are archived immediately We suggest that when you are archiving you select all GP2GP message types to be archived and the system will work out which ones are valid to archive see Which messages can be archived page 73 Messages can be removed from the live database using File Archive or by right clicking on a message and selecting Archiving By using View Archive View archived messages may be r
42. apy decontrved fuhcstone equecut nara spray S0 mecrogeams pry Dorageeune at deeched Discontinus T ypesintolecance Ended 10 08 2007 moy to ACICLOVIR exe ont IY Discontinued for alergy Kk History Display C Bacoi E g Es X Core Hep Evert Dale Cirscian Puyse Read Lem to Chaiactenic Coerrert smoecdin capsules 250m Dosageetake one 3 trres day Deconhnue Typesl sck of Elect 10 August 2007 In Practice SER 00 Doug therapy doconhnoed Type of Cherschenztic Epaode Type Pty EpndDse Figure 21 Transferred Discontinued Medication Acute medication Acute medication is past issued therapy and if degraded cannot be edited or copied This is because the reason for the degrade is often lack of a drug Read Code You can add a new item entering the original prescribing date and change the Source of Drug to By GP in another practice and delete the old one Medication Reviews List any medication reviews that have transferred successfully from the List menu Medication Reviews Edit the latest one in each type eg Asthma Epilepsy to match your practice protocol If no medication reviews are listed go to the Therapy tab and click on the Add Medication Review button to start a new review sequence e Click on the checkbox Review Done to uncheck it This will set the Medication Review as due but not done yet On the other hand if you have carried out the review leave the tick in Review done e Check the
43. ate blank or in the future Inactive imported medication Ed Repeats with the number of issues more than or equal to the maximum permitted issues regardless of the Repeat Until Date Ed Repeats with the Repeat Until Date in the past regardless of number of issues Note You can list inactive medication by unclicking the inactive medication filter RE when at the Repeats tab of Therapy 41 The screenshots below show the Vision sending practice s therapy data and how it is transferred to the receiving practice Sending Practice at wel Sd Dee oet ERered List Gummarp Grid Tests gt Therapy Gudelnec Probleme gis Rec DA PANELE E zr GL Pese tense Repeat urti Present User _ Prt Ser INSERT ONE AS NEEDED 39 2 tuppostonfe 02 01 2009 12 02 2000 BLAK SYS gt FIBRAZATE XI abe 400mg 3 TAKE ONE ONCE DAILY 30 tablet s 02 2009 12 02 2000 BLAK SYS a 3394 09 I PARACETAMOL caps 500mg 2 TAKE TWO4TIMES DAY 80 capsule t 02 01 2008 12 02 2008 BLAK svS Yes 02 00 09 A VARIBA tabs 250mg 3 LASER 5 tsbleti 02 01 2008 12 02 2008 BLAK vS Yes C Not Issued HCUAV pred SHS 2 AS DIRECTED 2789m gain 02 01 2009 02 02 2009 BLAK SYS Yer O Not Issued MAALOX PLUS tabs 4 TAKE THREE AS NEEDED 40 tablets 0271 2003 BLAK SYS Yes C Notlssued D SEALEGS tabs 2 AS DIRECTED 5 tablet 02 01 2009 02 02 2009 BLAK SYS Yes O Notlssusd B ACRIVASTINE caps Sng TAKE ONE 3TIMES DAY 12 capsulels cen 2008 BLAK
44. aters Wharfedale Gen with Dr A Waters Outpatient Outpatient Miscellaneous 1996 Hg Serum cholesterol raised RY All Test Results 1971 H O drug allergy to Value Adverse reaction to Penicillin Vk t New Registration Exam Well Person Clinic HP Interventions R Disease Registers i Asthma Diabetes Cv or Hypertension E nilancn ill E nN amp Ull Health promotion Clinical information missing Immunisations Due in Ne Poliomyelitis 1st 01 07 1950 o d Tetanus 1st 01 07 1950 o d te Cardiovascular Risk CHD Risk Unavailable CVD Risk Unavailable No Smoking Status found Non No systolic blood pressure readi No Total Cholesterol value avail No HDL Cholesterol value avail A Degraded GP2GP Records 8 degraded r tords mMm N d TFT aia ra Double click on the Allergy line DAw amp Wily Tae TET TTY TT CEE T AeA 2 n o desees Foii imt Polti Patet Dono Contar Lese Theeagy Tes FimodLal ouium di GCowdute jose Omme Nogami EPP Aer 0 0 8 0 ll 2 rng Airaga dad D USTA Q wcal ee 28 0034 y Ely arm oocerment Q Rech ani Fino arriendo Tue B teens wre Piceni Capi S00 egi 28 omi el bde be ptm F Peustend Conte p oit B Anara Poem mme Caic E p Un ADORN Lart nami CTV tari d cerns mni Srl D heus tape AS OPEC TED e mue then be eet Pascua Catt Whey eo temm Fm me r Opec Tmp oc mom ati Lu AO dag ege fo
45. ats EF EY 3 X a LL B 2 Drug Allergies amp Adverse 20 Recalls and Reviews CLINDA i aqueous lotio TIE PPLIED 3 10 2003 05 2007 Patient Preference Omg m SPARINGLY TWICE Hk 37 Medical History DAN 13 Therapy O 03 06 03 peg CETIRIZINE tabs 10mg ONE EVERY DAY 30 03 05 2003 24 05 2007 JM AA 10 Liestyle 16 Exemnalion Findings B 35 All Test Results New Registration Exam wb 1 Matemity well Person Clinic 4 HP Interventions r R 1 Disease Registers z e Asthma Diabetes BP OY o Hemaittarcinn w l gt 9 Incomplete Registration E Health promotion J Repeat Master Display HEt X Cse Hep Interventions not recorded Date Prescribed Prescnber Source of Drug P Admn I Di Health Promotion cut of date EIN TO 2 Health Promotion data inconsist ls I Private Print Script Immunisation Due in Ne 3 Batch Potomwebtis 1st 10 04 1975 o d eum PHOSPHATE aqueous lotion 10mg ml mms zm iul Aubella 14 10 03 1976 o d Quantity Preparation Pack Size Treat Daye epes LI ec Tetanus 13t 10 04 1975 o d m Es M M BM 24 May 2007 Cardiovascular Risk Days Bet i CHD Risk 0 Dosage Mn Mex CVD Risk 1 TO BE APPLIED SPARINGLY TWICE A DAY Waming Last BP Record gt 3m Waming Last Smoking Status Action Group Last Issue Date 13 10 2003 Issues Made 1 yy of Insel View 7 Be S B Fs Fs Or David Burton Medicne 20 05 07 16 51 18 52 43 44 All repeat me
46. ch have been added to the previous practice will be sent through If it was a non Vision practice the referral record could be degraded Health Promotion Unless a specific Read code such as 6791 Health ed smoking is used health promotion interventions will be coded as 6781 Health education offered placed in the correct Vision area and with additional text Read code and term Additional text 6791 Health ed For smoking smoking 6781 Health education For Blood Pressure offered 6781 Health education For Overweight offered 57 Smoking From DLM 290 when you receive a 137L Current Non Smoker Read code via a GP2GP message Vision now selects the ex smoker smoking status on the Smoking SDA This is also the case when adding the Read code manually in Consultation Manager O Bea HE iok x Cancel Helo Date of Recording Clinician Private Smoking Read Ter 24 March 2009 Dr Carol Saturn rz InPractice 1177 00 Cue dd E dit Recall Smoking Status Tobacco Consumption f Smoker Date Started Date Stopped Cigarettes per day Cigars per day Hever Smoked Ex Smoker Ounces of Tobacco per day Prior to DLM 290 any BMI data received in a GP2GP transfer was stored in Vision under the BMI SDA From DLM 290 any BMI data received which also has weight data with the same date in the same consultation will be combined within the Weight entity with no separate BMI entry recorded Disease Registers There are
47. ct the corresponding drug carefully e Check the Quantity and Dosage e The Date Prescribed will default to today s date e Enter a suitable number in Repeats Once you click OK the medication will be prescribed as an active repeat master Note that medication that has transferred from a non Vision practice may not have a drug Read code and will be degraded You cannot copy or edit degraded medication Make sure that you prescribe and select the drug name form and strength correctly If you do not have a Problems tab you can either add one to your current patient record view or choose another Patient record view such as Initial view 6 7 or 8 To add a problems tab to your current view right click on any of the tab headers eg Journal Tests and select Organise Tabs Click on Add scroll down and select Problems List Click OK Click on Problems at the bottom of the list and Move Up to position it where you want it Click OK then Yes to refreshing the screen Example of degraded record SS ee Oe Oe oO ee 02 07 2001 Consultation 02 07 2001 Co Codamol 8 500 Tablets Conversion to code 03383001 codeine phosphate with paracetamol tablets 8mg 500mg from COTA684 Co Codamol 8 500 Tablets scored a match efficiency of 5496 and should be verified 45 The text in this screenshot reports Conversion to code 03383001 codeine phosphate with paracetamol tablets 8mg 500mg from COTA684 Co Codamol 8 500 Tablets scored a matc
48. d the extract will be sent without the unfiled pathology results item but will included the filed pathology This means that only filed pathology will ever be received by the requesting practice If the pathology cannot filed automatically on transfer and is ess than a year old the extract ie the GP2GP Record Transfer will not be sent from the old practice Instead it will go into manual mode ie the GP2GP Request will be in the Incoming folder as Ready for Action stating 7here are outstanding pathology results that must be filed before the history can be sent bo y t5 4 29 6 21 17 TET w SHAY 14 57 Foe Prectee M Lined Ces PPNA 14 5 Te Poches M Cont Nay Incamag GIG W JAMESON 1425 ac l racece M Coleman David mete P al PASINT 14 21 Fen Prater M Geh Dee E Uretocacs ai i eto N eee H Devin Lo 4 dug A request has been made for the history of DAVID GREB 08 04 2004 fb 9223647576 4 Mom H imen Leevi ll ger 6 al 2 H mE A Pher mr mitar nag sethedegy reni that mant be fro before the bastery cm be set 4 pel ie Please stlect you reponit aie t nmt d t Mol H tmon oeno u A ian doizile Poner hc 891077 3 Chariry Lane Cain H E Lassia D3131 2LP zi 66 You must try and file the unfiled pathology 1 In Consultation Manager select the patient Under View Mail for Patient oe there is an Unfiled filter to list all unfiled pathology Cur
49. d and is greater than a year old the extract will be sent without the unfiled pathology results item but will included the filed pathology This means that only filed pathology will be received by the requesting practice There are new filter buttons in Consultation Manager including an Unfiled filter so unfiled pathology can easily be listed When selecting a patient you can no longer enter an address for an Advanced Trace from the PDS Changes to archiving GP2GP messages some of which are never archived and some archived immediately or after one week or after 30 days What s New in DLM 230 Archiving messages explained more fully Changes from 1 0 to 1 1 GP2GP 1 1 will progress the project to include Vision to Vision transfers EMIS to Vision transfers and Vision to EMIS transfers One of the main differences between version 1 0 and version 1 1 is that following a GP2GP request when the patient is registered many version 1 1 messages are now transmitted automatically from the sending practice without requiring user intervention A request will only be sent from the patient s new requesting practice if the PDS Update is successful The requesting practice are told if a request has NOT been sent The system at the old practice will try and file unfiled pathology automatically when the GP2GP request is received If the pathology cannot be filed and is less than a year old the extract will not be sent and will go int
50. dication needs to be represcribed in the same way as you would if it were a paper record The easiest way to do this is to go to the Problems tab and look under Active Medication or Previously Active Medication Click on this Active Medication heading once to expand the list beneath So Cope of 8 1 NR 1 amem rt qo a a D i aae Aad D Oo oe E IHN W a bee if k D i bul a arrir u Ormai jad Dramapi Tete Thonier Cadier mestis Pos Prodtwers ee DATOS Popes AMDHCILUS cape Darg Unt 21 71 2089 Lat meet 2711 2008 teed To 3 Such 77 capnt TT OMe 3 TULOG To J Dande x Pomat Ue TI Tetons te TORT ote ESRB Figure 20 A new Problem called Active Medication is created giving all the patient s repeats that were active at the time of transfer P gt ned MUI MMIILIIAISSS I LES OMIT ITAL OM 12 TORIN ot Teenan Tot 11071002 ao Lapeevted Thocaps From either Problems Active Medication or from Therapy Repeats drag each sole line until the floating toolbar appears and drop on the top left icon Another ES make sure there is a consultation started first This will copy the medication details and show a Repeat Therapy Add screen for you to complete Check that the medication is the one you wish to continue to prescribe and change it if necessary e f the record was transferred from a non Vision practice the drug name will probably be blank so sele
51. dys ant cruciate Igmt knee CAPS NUM Dr David Burton CN t 15 04 Figure 6 Message tab of Available for Filing message shows the record e The Audit tab shows the message status in more detail duni uw See also Import summary tab page 25 File the Record page 27 Audit tab page 28 Next step review the record page 30 24 Import summary tab For each message you can look on the Import Summary tab in Mail Manager to see if there are any problems that were encountered with the Incoming Record _ AAA SAEN MS NEEE ATS ee CN EOC ee N BAe w I uu 0099 ee Ap T9 0 U H8 SM Samum a ane i fuas Das A lene Man inre tke NES SL Lj vd Puepegta _ Error report for JOHN DEAKIM 29 02 1980 4002520226 Current lihen Sterw All e oe et lth he Figure 7 A record imported with no problems If there are any errors or degraded records these are shown in red These will need to be dealt with shortly for more detail see Degraded Records page 33 They might include unfiled pathology un Read coded medication etc Often allergies are a source of error as these do not file and will need to be added later in Consultation Manager by a clinician PEP 11 29 Fan Ma VERAM 1108 For Po Meia Copien Weber ew ere SPUR A ee Ree oae Pa Qram Pet Nois mere Iscommg G7G A POTA 1 Faa P
52. e Action menu No GP2GP Transfer will take place 17 18 5 Once you have estab rac the patient is not already on your system you can add them Click on Add Patient 6 Then on the New Patient screen find the patient from PDS Enter either the NHS number if you have it to hand PDS Query and click on Find or other patient details such as date of birth or with a minimum of surname forename sex and click on Find This may find a multiple list or too many to list if more than 50 More than one patient has been found with the criteria entered please refine your search No GP2GP Request can be made here until an NHS Number is found In this case enter the date of birth or their old postcode When entering a surname or forename you can use a wildcard search by entering two or more letters followed by an eg sm New Patient X To search for a patient on the National Register please enter either 1 NHS Number or 2 Please enter all information you have for the patient and click Find IF you cannot complete this Farm then click Skip NHS Number MHS Mo Fa S urnam Forename Post Code Patient details from the M ational Register Ok Cancel Skip Help Warning You must thoroughly check that the patient s details you are accepting are correct A request cannot be cancelled once it has been sent Therefore do not click OK until you are confident that the patient details being retu
53. e NHS No PDS Query or doing an Advanced Search using surname forename date of birth and gender MAKE SURE YOU HAVE SELECTED THE CORRECT PATIENT A GP2GP Request message is sent to the previous practice e once the PDS Update is completed e If your practice is GP2GP enabled and the patient s previous practice is GP2GP enabled The previous GP s practice send the notes automatically on receiving the GP2GP Request unless there is unfiled pathology which cannot be autofiled which is less than one year old When the notes are received in Mail Manager by the new requesting practice a message type of Record Transfer is shown in Incoming Mail with a status of Available for filing Right click on messages with Available for filing in Mail Manager and select File All Even if automatic filing is switched on the new practice need to file the message into Consultation Manager by right clicking on it and selecting File All This files all the message details into the patient s record in Consultation Manager including any transmitted filed pathology The Import Summary tab of this message should be viewed to show any areas which have not degraded such as allergies Review the medication records in Consultation Manager e A clinician should check and add allergies in consultation with the patient You can view these and other parts of the Mail Manager message on the Import Summary tab No prescribing is allowed until a degraded allergy reco
54. e header lines such as Blood Venous without result values Filed pathology is shown in the Journal or from View Mail NS Pre checks before starting GP2GP Organisations Before starting GP2GP check in Control Panel File Maintenance under Organisations that you do not have an organisation with the same name as the practice For example the practice may be called The Medical Centre but you also have an Organisation under General Practitioner Fundholder called The Medical Centre In this case when trying to send a GP2GP extract with a referral in it with the organisation hospital being the Fundholder GP2GP cannot distinguish which organisation the department is linked to so the hospital is not sent through and is missing from the referral screen at the receiving practice So if there are ANY duplicate names within Organisations change one of them In the example above the General Practitioner Fundholder name could be changed to The Medical Centreold Set Options in Mail Manager Within Mail Manager you can decide in Tools Options on the Message tab which mailbox the GP2GP messages will go to There is a choice that messages go into either the mailbox of the patient s registered GP Allocate requests to responsible GP or to leave the GP2GP message unallocated Treat requests as unallocated so they can be dealt with by an admin Staff who has rights to see unallocated mail see Add Access Rights to Unallocated mail
55. e le co Mm we toe CON 3 JO m CONO eue Kou MO Pede Face P leven H Jive Lu bed zr Error report for WILLIAM SCURRAM 30 03 2000 94011301 59 L Sma v pene tems o o mdr oup abai seda es iat the ee al eee ata ate cmd eee dome Phew Quis dd Tee Seng duum eem the apat eabte aIta Miam Md EU uM See Next step review the record page 30 and What happens when the patient is not registered at the previous practice page 31 Next step review the record e Finally you need to review the patient record see Review the notes in Consultation Manager page 33 e There are some actions you need to take regarding repeat medication allergies and possibly other areas such as recalls referrals and history priorities e Pay attention too to an archiving policy see Archiving Messages from Mail Manager page 73 e See also Summary of Mail Manager Messages New patient registering page 31 e See also What happens when the patient is not registered at the previous practice page 31 30 What happens when the patient is not registered at the previous practice If a GP2GP Request is made from the new practice and if the notes are not sent the audit trail will usually reveal the reason for example Message Rejected Patient not at surgery In this screenshot from the new receiving practice the patient is not registered at the previous practice the spine is maybe out of date aisi xj
56. e the modit trail for detalle L 1 i as mieten dca TH severe ere ore Figure 32 A GP2GP Request has been made but the patient is not registered at the practice Setting up staff rights to view and action mail You should set up at least one member of staff who has rights to view and action each GP s mail and a member of staff must also have the right to deal with any unallocated mail GP2GP Request messages come in to Mail Manager under Staff marked For the attention of FAO the Practice Manager Within Mail Manager you can decide in Tools Options on the Message tab which mailbox the GP2GP messages will go to The choice is either the mailbox of the patient s registered GP or to leave the GP2GP message unallocated so they can be dealt with by an admin staff who has rights to see unallocated mail 69 Rights to view mail The Staff Access tab on Mail Maintenance in Control Panel allows viewing and maintenance of staff access rights i e the mail that each active member of staff has access to view Mates Veet fem yadi Foie md be JU LI Acem Liga LU Cobet Ge Lu Oan wee LJ Dada Cop LJ Duncan Santa j ohan Fay D Gades Uhe jOa Jut LJ aon Leda Dj Metn Ma LJ jets Dey Lg Katie Jane _Jj Main Amenda M mon Corm LJ Meee Jahn Lj Porte Fon LJ eru Pairs au ahd Turnos a tetr ite FF 9 t d prem Seow Sema a Whee Ane sd aon Doreen Sext D
57. entries to be categorised using a priority number between 0 9 Priority numbers can be applied differently from one practice to the next This has caused particular problems with the introduction of GP2GP as it is essential that the recipient practice understands the intended meaning of the priority flag from the sending practice To address this issue we have created a GP2GP Priority Mapper tool which allows you to map each medical history priority number used by your practice to a predefined data category external priority for both incoming and outgoing GP2GP messages The main benefit to your practice is that all transferred medical histories should carry the correct priority according to your practice protocol Filtering priorities To review the priorities used filter the history entries ie on the left hand navigation H pane clickon Medical History to expand the list then click on the lower Medical History view on the Filtered tab Work down the list assessing each entry and its priority and right click and Edit to your own priority scheme Setting the Priority Mapper The Priority Mapper is a practice wide setting and you must have System Manager Rights in Vision to alter the settings To access the GP2GP Priority Mapper 1 In Mail Manager go to Tools GP2GP Priority Mapper Liew the Expert column to describe how each of your nod Priority Code should be represertad to edem ratem Sedo ure the Trout column to spec
58. er k Atanas H O T Reco and Reween B Pant Preteence Me Medea Matos B Peces Saadani Accuhae A rucrogrme deus Url O amp 12 200 amp Lait sned 35 10 200 kamt 1 061 Guppy 1 betel AS DIRECTED Hone For parent Saburo roai 20D araa dese BF ATtess S vene ieecnon to Cai Hoi Potent ated Vo ty sed avoid orbs wih tady cl EE na P Ern Porites Tulle Meg funy Mi Tbe AD PECTED 3 AS t Enmmarnton Finding Noter lor patet Era Poirier Tablets 250g 6 Arbverzs reacton n Pec din VA lo aue Atomie machun te Peres V Palompullis ta 18 11 1373 old Taart to 18 11 1373 we lw Canbowasowa Risk CHD Pie Unaas CVE Aak Uneregistte No Simalang Sisin deat Hon No minic blood perrus wad No T otal Choebee vakor ad NoHOL Choleieed value qva aded GPPHP Necords S degraded records f Pea Wegen cuu click this to list the Degraded records on the Filtered List tab numbers may differ or problems may or may not have been used See 34 e Match efficiency page 35 e Allergies page 38 e Repeat medication page 41 e Acute medication page 47 e History entries which should be in an SDA page 51 e Pathology page 47 e Attachments page 48 e History entries which should be in an SDA page 51 e Recalls page 56 e Medication Reviews page 47 e Requests and Referrals page 57 e Health Promotion page 57 e Disease Registers page 58 e Immunisations page 59
59. ertii Recall Trigger Recall Date 4 degraded records fog March 2006 Dez t3 DO Elderly Heslth Assessment 26 May 2034 Clinician to Action Recall Read Term for Recall Reason 3tJ3 DO Transferdegreded plan opy of Initial view 7 No Open Consultation 56 Note that some non Vision practices give recalls to babies from their moment of registration including a 20 year recall for cytology for baby girls and eighty years for elderly assessment Sometimes the recall date is so far into the future that you may simply want to delete the recall altogether Pte THOMPGIY 01 05 20007 FP amp Cheech Clear Merdierth Larda W Yorkcberr ESIS 427 CCPNOHRIROSEIN Crepy DLE View 4 Plisi XC Tooten pateines Ott QM p Window Iw 212 x JEES SILIKAJ PANN IETA E kkh T Pudens 3X Drag Merges E Aches d p Uwe and even d ree himc D M Mendes hiring wt p Poen Meet fon by eedem of GP tn CP doaire vor WU D ect TOUTE Fer Ele Math ucecorwent 1 Recolor DIOSA 2672 Fur Booster laharai Cob ware 2 Neced an POAT ja fonan D T Eninuble oin aec N Recall an E05 200 be Maier ariris v goon CY necali an 20 705 200 be Fes OT Ineubie dipole vacz 1 Recell oy 29 06720 7 Wee Few DTP Piper polo wae Nec an SRL ter md P erties rcbus B occorre 6 Recall n 25 06 2007 Var Sy Hierophis eue D vaccination Figure 25 Automatic baby recalls Requests and Referrals Requests Requests are not sent in GP2GP transfer Referrals Referrals whi
60. es from the old practice The other could say Unsummarised Record which can be deleted once the record has been summarised Remember that you can open the patient record in Consultation Manager from Mail Manager by clicking on the Filed Record Transfer message Incoming Mail then clicking on the ConMgr icon on the Mail Manager toolbar A consultation does not need to be open to add a reminder To add a reminder use one of these methods e Select Add main menu Reminders Type in the reminder text and click OK For example GP2GP Record received 25 05 2007 e To add a second reminder manually to a patient in Consultation Manager right click on an existing yellow reminder and select Add Type in the reminder text and click OK You might want a second reminder that says GP2GP Record Not yet Summarised e If the patient has no existing reminder select Add Reminder instead Or select View Reminders which displays a blank post it headed with the patient s details Right click on this and select Add The second reminder can be deleted once the notes have been summarised right click on the reminder line and select Delete 37 Allergies Allergies and adverse reactions do not translate well in record transfers and will appear as degraded entries Until a clinician has reviewed and edited the patient s allergies adverse reactions according to clinical judgement you will be unable to prescribe new therapy
61. ess Continue as for normal Vision process Message notifies Click on Skip button New or Existing patient not found on Family dialog appears Continue as for PDS normal Vision process 7 Once the correct patient details are returned from the PDS query click OK 8 You can make the usual choice of Existing Selected or New patient e Select Existing if the new patient is to join a household ie the address of an existing patient already on your register Select the existing patient Note that because you are working on line the patient details will NOT be overwritten with the existing family details to avoid the PDS details inadvertently being changed e select Selected if the patient currently selected in Registration prior to your pressing Add is of the same address and family as your new patient e Select New if the new patient has no connection to any existing patient on your practice list 19 9 Complete the Registration Personal Details as usual entering the Registered GP who the patient is registering with in your practice Remember to check the patient s surname is entered correctly iix il He Been Bee Regt newer Sort Wem Mobs Figure 1 Enter the Registered GP 10 Then complete the usual Medical Card screens Transfer In etc 11 Edit the old Main Address Details to the new address where the patient is now living if necessary the old address will be kept on the audit trail are niao ama ail
62. etrieved at any time see How to archive page 75 Which messages can be archived In essence any GP2GP message that is completed or record that has been filed can be archived after a period of time Incomplete or unfiled messages cannot be archived The following is a list of GP2GP messages These have been grouped by the type and status of the message and the age of the message there are those that can never be archived those that can be archived after 30 days those that can be archived after one week and those that can be archived immediately 1 The following GP2GP messages are NEVER archived and should be dealt with Document Filing Status in Message Description Mail Manager type Archive Incoming Incoming GP2GP Request Ready for Action GP2GP Request Never 73 __ eP26P Request notes not yetsent o Acknowledged GP2GP Request Outgoing GP2GP Request with caveats Outgoing GP2GP Request Acknowledged GP2GP Request Sent awaiting GP2GP Request Outgoing GP2GP Request acknowledgement ose potea 2 These GP2GP messages can be archived after they are 30 days old Archive if Document Filing Status in Mail older than 30 Message Description Manager days Type Record 30 days GP2GP Patient Incoming Transfer Withdrawn Notes Record 30 days GP2GP Patient Incoming Transfer Cancelled Superseded Notes GP2GP Record 30 days GP2GP Patient Outgoing Transfer Processing error Notes GP
63. ged and some that are Complete If you want to chase up the Acknowledged ones re sort the Status column by clicking on the column header which will group them together Any action will have to be manual by contacting the previous practice see Summary tab for details of the previous practice Once a message is Complete a Read coded record will appear on the Message tab and eventually on the Journal in the patient record in Consultation Manager Patient registration by transfer of GP2GP electronic record Note A summary of all the Mail Manager messages is shown in sequence in Summary of Mail Manager Messages New patient registering page 31 29 Practice A to Practice B to Practice C In time patients will not only transfer from practice A to practice B but also on to practice C This has an implication for degraded records It may well be that practice C receives records that were previously degraded when practice B received them Looking on the Import Summary tab will show Item was previously downgraded fom bebe mera HEENENCIM y v Se fup ee Meu O 7 eee Bake Sh 2 4 9 b Mat SAC m LI ne ache p e 9 jam dine 21 U Meot Tyne QUAS 1280 eaa Dome P Tomi em i k o wmm PNP JH COR S00 Pom Pete M Rem e B L M occ OLOR 8 DAAT MAR Tom Paste MEO Ascot Lade ca asengls j teres cot tocoming GPAD A PARO I Tee Pokat Dha Viar eani
64. h efficiency of 53 and should be verfied This means that the user should check that the Gemscript drug imported into Vision codeine phosphate with paracetamol tablets 8mg 500mg is equivalent to the drug that was on the original system Co Codamol 8 500 as Vision has detected that there are discrepancies between the drug names In the screenshot below the first two have failed conversion to Gemscript because in the message they do not have a drug code or translation that can be mapped to a Gemscript code possibly EMIS drug coded 04 07 2003 Amoxycillin Oral Suspension 250 mg 5 ml Failed to convert code AMOR10254BRIDL Amoxycillin Oral Suspension 250 mg 5 ml Cannot convert code AMOR10254BRIDL Amoxycillin Oral Suspension 250 mg 5 ml to a multilex drug code Importing item as a Transfer degraded medication entry This item will appear under Acute and Repeat Issue Therapy Note that the drug name from the import will be preserved 25 11 1996 Consultation 25 11 1996 Amoxycillin Syrup Sf 125 mg 5 ml Failed to convert code AMSY4592 Amoxycillin Syrup Sf 125 mg 5 ml Cannot convert code AMSY4592 Amoxycillin Syrup Sf 125 mg 5 ml to a multilex drug code Importing item as a Transfer degraded medication entry This item will appear under Acute and Repeat Issue Therapy Note that the drug name from the import will be preserved 04 07 2003 Consultation 04 07 2003 Benzydamine Hydrochloride Spray Sugar Free 0 15
65. he data was recorded in another practice e Type in any value such as a weight in kg 51 e Click OK to finish e Finally the degraded record can be deleted from the degraded record list by right clicking on it and selecting Delete e The newly added record will appear in the Journal GP2GP Data Entry Free Text Notes Any free text notes added on the sending system is brought into Vision as a notepad entry Depending on the Read code or Structured Data Area SDA it was associated with the notepad entry is displayed in one of the following consultation categories Read code Category of Incoming Data Consultation Category for Associated Freetext 1 History symptoms 2 Examination Signs 3 Diagnostic procedures 4 Laboratory procedures 5 Radiology physics in medicine 6 Preventive procedures 7 Operations procedures sites 8 Other therapeutic procedures 9 Administration A Z Structured Data Area Therapy BP Referral Recall Smear Smoking Alcohol Allergy Allergy 52 Symptom Examination Examination Examination Examination Intervention Intervention Intervention Intervention Diagnosis Consultation Category Intervention Examination Intervention Intervention Examination Examination Examination Examination Diagnosis Priorities Historically Vision has supported the concept of a priority field on Medical History entries in Consultation Manager which allows for such
66. ith outstanding actions Not relevant for GP2GP as you cannot attach actions to these messages Archive unassigned messages By default a message will not be archived unless it has been assigned to a patient By default the box is unchecked If checked unassigned messages will be archived as well as assigned messages Archive Messages From Cate To Date 09 07 2006 i Incoming Iw Outgoing Archive messages with outstanding actions Archive unassigned messages f Archive only those messages allocated to me Archive all message types t Archive all messages to which have rights t Archive messages allocated to the following people 76 t Archive only the following message types WF Archive Cancel Archive only those messages allocated to me By default only those messages allocated to the currently logged on user will be archived Archive all messages to which I have rights Checking this will allow all messages to which the user has rights those appearing on the Staff tab to be archived Archive messages allocated to the following people If this is checked then the multi select listbox below is enabled You must select at least one entry from this list The list is mailboxes that you have rights to view Archive only the following message types If this is checked then you can select from the list and at least one entry must be selected Use Control click to make multiple selections
67. l Audit Trail Semi pnma nome i ont deta Ait IT INUM The previous practice now reply to the request and send the notes automatically There is no action for you to take until you receive the GP2GP Record Transfer message saying Available for Filing when you file the records e Incoming Record Transfer Available for Filing The Summary tab shows GP2GP Record Transfer received for patient name date of birth NHS No GP2GP Record Transfer received for RICHARD TAYLOR 27 15 1900 9223647193 Severs 2911005 1141 Lee tpe Moestmp Male for dna r a RE Figure 5 Incoming Record Transfer Available for Filing 23 e Click on the Message tab of an Available for Filing message to view the record Note the various tabs similar to Consultation Manager Journal Therapy Repeats General History Tests Allergy Problems and Filtered The Journal displays the Read coded entry that will be present in the Patient Record once it has been filed Dr David Burton Mail Manager Fie Fiker Message View Tools Help Back Forward Refresh Actions Tick Allocate Assign file Print Adie Find ConMgr View ncoming Mail 4 Patients NocuwientPatiere Status ity Date j Staff Achons EE E HE 18 05 2007 15 04 Burton David Deakin John 2 weeks Al Mal x Stali 34 Sy Incoming Mail Outgoing Mai Navigation 18 05 2007 Patient registration by transfer of GP to GP electronic record 12 05 2004 Opn
68. l a Unallocated Mail fe Burton David wa Doctor Oop wa Hill Alison B3 Smith Lindsay w System Supervisor System J Painter Fiyon w Own Mail View Access Rights The following staff member s have Access Rights to Dr Jeff Green s mail Burton David t Hill Alison t System Supervisor System Set up rights to see all mail for all users It is possible on Mail Maintenance for a user to see all messages for all users 1 Go to Mail Maintenance and select the Staff Access tab 2 Right click on the user to be allowed rights to everyone s messages 3 Select Add All T1 4 Answer Yes to Add ALL staff access rights to your name If you want to remove the rights right click on the user again and select Remove All Add Access Rights to Unallocated mail NOTE Itis most important that at least one member of staff or GP and preferably two probably including SYS should have access to unallocated mail Unallocated mail is not matched to a recipient in the practice and will need to be manually allocated to a GP or nurse as appropriate 1 Select the Staff Access tab in Mail Maintenance Control Panel Right click on the name of the staff member who is being given access rights to Unallocated Mail eg Dr Alison Hill and select Add On the Access Rights Add screen select Unallocated Mail from the very bottom of the list Click OK Add Access Rights to another user s mail In this examp
69. le Dr Alison Hill is going to be allowed rights to Dr Alan Smith s mail 72 1 Select the Staff Access tab in Mail Maintenance Control Panel 2 Right click on the name of the staff member who is being given access rights to another person s mail eg Dr Alison Hill and select Add On the Access Rights Add screen select the person from the picklist to which the staff member is allowed access eg Dr Alan Smith You cannot multi select The picklist has all the staff members that the user does not currently have rights to view At the bottom of the picklist is also the option Unallocated Mail this is mail which has not been allocated to a staff member Access Rights Add Grant Dr Alison Hill access to the following staff member s mail Smith Alan Groups Access valid from 25 5 2 04 Valid Until leave blank for unlimited access mes 4 The Access valid from date defaults to today and the Valid until is blank If the staff member is allowed rights from now on for an undefined time leave these as they are and just press OK If there is a limited period such as a holiday that the staff member is allowed rights enter the start and finish dates here in Access valid from and the Valid until Hill amp lisan B3 Own Mail w Smith Alan 5 Click OK 6 Repeat steps 2 5 for any other staff members or Unallocated Mail Hill Alison fe Own Mall a Unallocated Mall wa Smith Al
70. lling no more than 5 mB the audit trail will show a message such as The message received exceeded the maximum message size 68 In either case you cannot reprocess the message even if you edit the patient record as there will still be too many attachments or the message will still be too big However for other transmission errors it is worth trying to send again by right clicking on the GP2GP Record Transfer and selecting Reprocess If you are sending attachments in a GP2GP transfer you need to make sure that any attachment documents are as compact as possible In particular Word processing documents have the potential to be very large especially if they incorporate images or pictures in the header or background For instance a letter headed image may be 100 times greater than the same letter without an image You are strongly advised to consider removing any embedded images in any word processor generated letters that are attached to the core clinical records If at all possible attached WP documents should be text only Note that not all formats are supported in attachments These will be replaced by text placeholders in the new practice s record For a list of valid formats see Attachments page 48 L we SS NCRT GH A win cr o ad z E AS hea MM 222 8 TONDE RSS um Pte M exter e A request was made for the history of an unmatched 4 t patient Pg see The neguaect wwe pojecod n
71. n In Practice 8 Click on the Read Term for Allergy picklist to select the correct Read code You may need to check the type and extent of the reaction with the patient G Drug Allergy and Intolerance Update T Notes Reall bd oF X Cancel Help Date of Recording Chniciare C InErachee Read Tenn for Alero nn gh 0 M S o diug Bewarity Certainty MLS HAO vaccne alerg k 0B By BSBS pr David Burton Admin 26 05 07 14 54 14 56 9 Type in the abbreviated drug name and search the drug dictionary for the correct drug 10 Select the Reaction Type eg Allergy and if known the Severity and Certainty 11 If you have ascertained the type of reaction you can find a suitable Read code in Read Term for Reaction eg keyword in drug rash and press Enter 12 Click OK 13 If there are no more degraded allergies or adverse reactions you can now prescribe 14 The degraded allergy line will no longer now appear in the Filtered list of degraded records You can also view what the allergies were in the previous practice by going to the Import Summary tab in Mail Manager which shows all errors that occurred as a result of the GP2GP transfer ES Individual Message l x File All File ABharnal Print Actions Close Error report for SIMON ALLERGY 08 01 1940 7307492911 Show Hide menu Show All Current filter Allergies E Allergies 1971 H O drug allergy Failed to convert code AL
72. no specific Read codes that Vision uses to signify that a patient has been placed on one of the chronic disease registers Vision uses the diagnosis code for example H33 Asthma for the Asthma register Patients on registers will have the text Placed on register on the diagnosis record Practices using CPRD and THIN Data collection Practices need to realise that any imported free text will be include in the CPRD or THIN data collection unless you edit it to add the to precede any free text You should review any GP2GP records added to your system to see if you need to edit the free text This is only applicable to data collection sites Audit Trail from previous practice This is not transferred in the GP2GP transfer Data Quality Data quality is of paramount importance If the data from the previous practice is good then the new practice will have the benefit particularly for example with QOF data 58 Palliative Care The following Palliative Care codes are included in the GP2GP transfer message e 671 Palliative Care Plan notes not included e 672 Palliative Care at Home notes not included e 673 OOH Arrangements Palliative Care notes not included Med3 e eMED3 entries and notes are included in the GP2GP transfer Immunisations Compound immunisations such as Diphtheria Tet Pert Polio Haemophilus DTaP IVP HiB are held as separate records for example Diphtheria Tetanus Pertussis Polio and Haemophil
73. nto Transmission Error you could try reprocessing it right click Reprocess and if successful the Request will be sent on receipt of the successful response GP2GP Request message in Outgoing Mail with status of Sent awaiting acknowledgement ie the request for the notes has been sent and the practice are now awaiting acknowledgement of this request After that there is a sequence of messages which track the outgoing GP2GP Request In some cases these happen so quickly you may miss some stages A summary of messages is given in Summary of Mail Manager Messages New patient registering page 31 GP2GP Request message in Outgoing Mail then has a status of Complete On the Summary tab it shows the previous practice details No action is needed though if necessary you can chase things up with the PCT Deve b ui NO DUO MO DB TEEN TM 9 b i 1 w 4 4 9 Requesting history of RICHARD TAYLOR 27 05 1900 9223647193 Previous practice details retard Nj DE 104 the Ache Medical Centre Bridewell Lane Ache Norwith NUI GRA F s AM lume Mr IM WEN Figure 4 The GP2GP Request message now has a status of Sent awaiting acknowledgement 22 If you look on the Audit tab page 28 you can see the succession of messages fe Fan Meme wm te 698980 w 2 oe nn an ee 8 ABB Be Feed e a he Ades Fa Gro Ye Outgoing Maa P mkt Atal Stat Du L v om Val Dt Dap Vo
74. o manual mode ie the GP2GP Request will be in an Incoming folder stating Unfiled Pathology If the pathology cannot be filed and is greater than a year old the extract will be sent without the unfiled pathology results item but will included the filed pathology Pathology can be filed from either Mail Manager or Consultation Manager View Mail NS Filed pathology sent in the transfer will appear in Archive in Mail Manager In Consultation Manager it will appear in the Journal or View Mail There are more prompts for degraded data in the new requesting practice in Consultation Manager You can double click on the degraded line on the A Alerts pane to bring up a list of degraded records Degraded data often has no Read code Itis less likely to occur from another Vision practice than from the practice of another supplier Degraded data uses the Read code hierarchy of 9bJ If there is degraded allergy data then no medication can be added issued reauthorised edited or copied until the allergy record is edited All repeat medication needs reauthorising before issue e Pathology results which are multi specimen and appear in the old practice as multi tabs will appear in the new requesting practice as a single tab GP2GP in Vision GP2GP is a project to enable the transfer of the electronic component of a general practice patient health record from the patient s previous practice to a new practice when a patient registe
75. on e 47 Disease Registers e 34 58 DLM 290 e 9 DocMan Attachments e 49 Documents not transferred or invalid attachments e 50 E Example Exporting practice e 55 Example of degraded record e 45 F file formats valid for attachments e 50 File the Record 24 26 27 File unfiled pathology results 66 Filtering priorities e 53 G Gemscript e 36 GP2GP England e 9 GP2GP Data Entry Free Text Notes e 52 GP2GP in Vision e 12 GP2GP Request message 21 GP2GP Request message complete e 28 GP2GP Version 1 1 10 H Health Promotion e 34 57 History entries which should be in an SDA e 33 34 51 How to archive e 73 75 Immunisation Data from EMIS practices e 59 Immunisations e 9 34 59 Import summary tab e 24 25 36 Importing practice priority for the e 55 J Journal entry transfer of GP2GP record e 28 81 L Lloyd George notes e 12 logging on 16 M Mail Manager archiving messages e 73 Requesting practice e 21 summary of messages in new practice e 32 summary of messages in old practice e 68 Main Address Details e 17 Match efficiency e 10 34 35 Med3 e 59 Medical Record Envelope e 12 Medication Reviews e 34 47 N new patient in Registration 17 Next step review the record e 24 26 30 notes sent from previous practice e 28 O Organisations e 14 Outline of GP2GP e 13 Outline of GP2GP in Vision e 13 P Palliative Care e 59 Pathology Test Results e 33 34 47 PDS General U
76. orresponding text for these codes is O E Systolic BP reading and O E Diastolic BP reading respectively rather than Systolic blood pressure and Diastolic blood pressure it issues a warning based on the algorithm described above Were EMIS to send the correct text for this code the warning would disappear The user verification should be a check that the Vision importer is correct to map 2469 00 Systolic blood pressure to 2469 00 O E Systolic BP reading which it clearly is etc I e the verification occurs using the information in the Import Summary only Units of Measure Units of measure in GP2GP should ideally be sent using the UCUM standard Where any unit is represented in a different format eg d or day those units will be recognised as equivalent and filed appropriately A number of units outside this list which have been historically supported by Vision are also recognised and filed appropriately As of DLM 440 if a unit falls outside these classifications then no attempt will be made to automatically convert it to a known unit and it will therefore be downgraded to text Reminders If a member of staff processing the transfer wants to draw attention to the GP when next seeing the patient they could add one or two yellow post it reminders in Consultation Manager One could say Incoming GP2GP Record so other staff and GPs know this record has been transferred one difference might be the use of history prioriti
77. ote You could use a similar search to find patients whose notes have been requested and sent to a new practice by using 92 Patient de registration Click OK Make your selection for the Report output and enter a name for Group output Click on Run In time you may want to regularly include this report in a monthly batch of reports 79 Index A Acknowledged and Complete messages e 28 Acute medication e 33 34 47 Add Access Rights to another user s mail e 72 Add Access Rights to Unallocated mail e 15 72 Advice 10 allergies e 25 38 Allergies e 33 34 38 Archive by filter archiving from live database or remove from hard disk e 73 Archiving messages from Mail Manager how to archive e 75 which messages can be archived 73 Archiving Messages from Mail Manager e 30 73 attachments e 50 too big 68 too many e 68 Attachments e 33 34 48 69 Audit tab e 23 24 26 28 Audit trail outgoing GP2GP Record Transfer e 62 Audit Trail from previous practice e 34 58 B Blood pressure e 36 BMI 58 C Changes from 1 0 to 1 1 e 11 Consultation Manager attachments e 50 disease registers e 58 health promotion e 57 immunisations e 59 letters e 48 priorities e 53 recalls e 56 reminders e 37 repeat medication e 41 requests e 57 review the notes e 33 SDA entries e 51 Consultation Manager record 65 Copyright Notice ii D Data quality e 58 Data Quality e 58 Degraded Records e 25 33 Discontinued Medicati
78. ous practice Some messages move on so quickly you may miss seeing some of them The messages are described by Message Type then by status Incoming Mail in Mail Outgoing Mail in Mail Manager Manager New patient is registered address and Registered GP edited System checks if previous practice is GP2GP enabled If OK sends GP2GP Request to previous practice Previous practice receives GP2GP request and Sends a Response Previous practice send notes and they are received at the new practice New practice right click on Available for Filing message and select File All 32 Application Acknowledged Ready for Action Action required None Record Transfer status Available for Filing amp Action required right click on this message and select File All Record Transfer status Filed 3 Action required None PDS General Update status first Send Awaiting Acknowledgement then Complete GP2GP Request status Sent Awaiting Acknowledgement Action required None GP2GP Request Acknowledged with caveats Action required None GP2GP Request status Complete ie the request has been completed Action required None Review the Notes in Consultation Manager e Once the patient record has been filed from Mail Manager you should review the imported record on the Journal in Consultation Manager e Allergies and Repeat Medication are particularly urgent and should be dealt wi
79. page 72 Options Eg Message Pathology Autofiling m New messages v Refresh message folders every 10 minutes 1 60 When new Incaming messages arrive Play a Sound Show an lcon in the System Tray Mark message read after displaying for seconds 5 60 Iw Process messages when refresh selected C Show Incoming Audit Messages Show POS Updates C Show Sent Electronic Prescriptions I Lil Default completion choice for double clicked messages Complete v GP2GP f Allocate requests to responsible GP Treat requests as unallocated Cancel 15 Single Sign On In order to carry out GP2GP you must first be signed on to the Spine services using your Smartcard The purpose of Single Sign On is to enable the user to gain access to your local clinical system Vision and any of the national applications such as GP2GP Choose and Book EPS NHSCRS by logging on only once Single Sign On access is by Smartcard Cards are issued by a Registration Authority normally the CCG There is a 12 to 14 Digit Unique Identifier UID associated with each card which must be recorded in Vision before the card can be used Registered users choose or are given a pass code or PIN to use with the card Working Online 1 Insert the Smartcard into the reader attached to the workstation this may be built in to the keyboard or it may be a USB plug in device 2 Enter the pass code or PIN into the box
80. pdate message 21 PDS Query 17 Permitted formats for attachments which will transfer in GP2GP e 50 Practice A to Practice B to Practice C e 30 Practices using CPRD and THIN Data collection e 58 Pre checks before starting GP2GP e 14 Previously Active Medication Problem Heading e 43 Priorities e 9 33 34 53 R Reauthorising inactive imported repeats e 43 Recalls e 34 56 receive a request for the notes e 60 Receive GP2GP request and send notes e 60 Referrals e 57 Register a patient and request notes using GP2GP e 17 Register the new patient in Registration e 17 Registered GP 17 Registration Personal Details e 17 reminders e 37 82 Reminders e 33 37 Repeat medication e 9 33 34 41 Reprocess after transmission error 68 Requests e 57 Requests and Referrals e 34 57 Requests to responsible GP 61 Retrieve from Archive e 78 Review the Notes in Consultation Manager 13 17 30 33 Rights to everyone s messages 71 Rights to view mail e 70 S Search for patients with transferred records e 33 65 79 Set Options in Mail Manager 15 Set up rights to see all mail for all users e 71 Setting the Priority Mapper e 53 Setting up staff rights to view and action mail e 60 61 69 Setting up to receive GP2GP requests 60 61 Single Sign On 16 smartcard e 16 Smoking e 58 Staff Access e 70 Mail Maintenance 70 staff rights to view messages 69 Summary of actions for a new patient e
81. ple EMIS may have an EGTON code for their main clinical code translated to a READ code 3 Optionally the text the user saw in the original application originalText against this clinical item if different from the main code s displayName Although it should not happen when receiving a statement in a GP2GP message there is potential for the translated codes to be clinically different from the main code or for the text the user saw in the original application not to be actually the correct text for the code transmitted etc To safeguard against this possibility the Vision 3 importer implements a complicated set of validation rules This involves verifying each of the codes are equivalent where possible e g if Vision receives therapy with a Gemscript code translated to Read and DM D Vision knows how to translate each of these to Gemscript therefore part of the validation is to convert each to Gemscript and check that they all map to the same code The next step is to check that the text sent in the message actually relates to the code therefore every displayName and the originalText is compared to the term for the code we are going to import If the verification decides everything matches above a 70 confidence threshold nothing is reported to the user The more discrepancies there are the lower the match efficiency and if the matching falls below 70 a warning is output in the Jmport summary tab page 25 in Mail Manager for the
82. rd is edited in Consultation Manager Note This process should be carried out by a clinician e Repeat masters from the previous practice are placed in a Problem with a header of Active Medication and you can also see them listed under Therapy Repeats if you click on the inactive filter icon with red cross All these have a bow tie icon prescribed out of practice and need to be represcribed to make viable active repeats in the new practice drag each repeat line on to the top left icon on the floating toolbar Another Those without a drug Read code will need their drug name form and strength entering 5 Review the notes in Consultation Manager page 33 by double clicking on the Degraded line beneath the Alerts pane to bring up a list of degraded records in a Filtered tab e Each degraded record will have been given one of the Read codes 9bJ Edit each one of these to a correct Read code if a history entry If an SDA entry eg weight BP serum cholesterol re add a record in the correct SDA eg weight BP serum cholesterol and delete the old degraded entry 13 e Check and if necessary change the allocation of priorities on history entries the incoming record will follow the pattern adopted by the previous practice which may not be the same as your practice e Look in Mail Manager or Consultation Manager View Mail icon oe for any unfiled pathology File the pathology lines you want ignoring for example blu
83. re at a GP2GP enabled practice you will receive an Incoming GP2GP request from the patient s new practice requesting the notes This is addressed FAO Practice Manager and not to an actual member of staff 2 The notes are sent automatically and electronically from your practice to the new practice Note that the patient does not have to be transferred out but permanently registered A Deduction will follow in due course to transfer the patient out All this is handled within the Mail Manager module See Setting up to receive GP2GP requests page 61 The request messages come into Mail Manager page 62 Setting up staff rights to view and action mail page 69 60 Setting up to receive GP2GP requests Requests to responsible GP In Mail Manager Tools Options under GP2GP there are two choices either Allocate requests to responsible GP or Treat requests as unallocated Options Eg l Message Pathology Autofiling New messages Iw Refresh message folders every im minutes 1 60 When new Incaming messages arrive Play a Sound Show an Icon in the System Tray Mark message read after displaying for seconds 5 60 Iw Process messages when refresh selected Show Incoming Audit Messages Show POS Updates C Show Sent Electronic Prescriptions I SEI Default completion choice for double clicked messages Complete iv GP2GP f Allocate requests to responsible GP C Treat requests
84. rent Mail DAYID GREB w 23 05 2007 2 Select a result by clicking on it once to highlight it then select View Result This resembles the Message Details pane in Mail Manager with result details in the right hand pane Note that as well as a Pathology tab you can also view tabs for Actions Header and Audit EB individual Message File All File Abnormal Print Actions Close H Request SERUM Observations Serum lzpidz FEED POO quu Toce PAESE SERUM LIPID REPORT Laboratory Report Sender Chemical Pathology CARLISLE HOSDITAL DATHOLOCY Recipient AJAI AJACBE IZO Z Requestor DA BR _ATAGRE Date 05 10 2002 15 05 Report ID xm128001 880004 0000600007001zabcdaj J Order Patient EDITESTPATIENT THREE ZOS 19 07 1978 WHS No 5333535484 Comments Serum cholesterol 6 Serum triglycerides LIPID HDLC FASTING Serum HDL cholesterol Result Gerwn LOL cholestercl Result Serum TSH THYROID Zevel IO i1ig2i123 FUNCTION Free Text and Further Information HEXACON HOUSE PYNES HILLRYDON Serum free Tt level LANZEXETZEREZX2 SSE THYROID FUNCIION TESTS Eypothyroic results Clinical information Dreviocusly raised Chol Pathology Actions Header Audit 70 mu L 1 rete n M Lesse ISICI LZ eDICc2LOICIl POIILICY lt mO ri 2 3 mmol L 0 2 5 level 1 2 Supplementary level 4 5 Supplementary 5 39 an
85. rh Cn A Witten Dutoawet Quaere M Tant Neo Maa map cf md cmd ICM agit m dug der te drm macton h Swe Vo wH Che Lr Domo Pnge ter n THD Roi Lm ie Leste Hho Sento hate munt Nae My gee tet mmm tort Mes Tom T dmm om mo Mo HR Cede odium amd E De mend GPOGE Tieren eger vro Ty eed Term Add We xl l 38 Double click on Degraded GP2GP Records under the navigation pane to filter a list of degraded records Alan DEGRADE 57Y 01 05 1950 M 15 South Mount East Keswick Leeds LS17 9EY UNLINKED Gill 3 Consultation Summary Guidelines Add List View Window Help aia es NOBgESsOOSSH mo8 6 c Initial Filter Appointments Patient Select Problems Patient Details Consultations Joumal Therapy Tests gt Filtered List Guidelines F Air Date Description Degraded GP2GP Records 3 08 03 06 H Recall on 26 05 2034 for Elderly Health Assessment o 2 Drug Allergies amp Adverse i 1 Recalls and Reviews He Ideal Weight Value 23 Kg Issue 1 Paracetamol Caplets 500 mg Supply 28 caplet s asd a feud v Notes for patient Pascua est eu eae J Repeat Paracetamol Caplets 500 mg Until 16 10 2006 Last issued 08 03 2006 Issued 1 maximum 1 allowed Supply 28 4 caplets 4S DIRECTED AA Lifestyle Notes for patient Paracetamol Caplets 500 mg M gt Examination Findings 10 08 05 S Adverse reaction to Wasp Sting Immunisations 19 08 38 Bed Refer for Referral for further care Dr A W
86. rnal priorities for outgoing medical history priorities Each Vision priority 0 9 MUST be mapped to an external priority You can map more than one priority to the same external priority External Priority There are 25 external priorities listed below which detail possible data categories for import and export priorities to map to This list has been created after detailed consultation with existing practices Sensitive confidential secure Practice nurse items Nurse Normal default or routine Hesitivvisiror entries Major Significant or important Midwife enduring diagnoses and HV amp Midwives Attached or summary information allied staff Inactive diagnoses or Private non enauring E EH me Occupational significant past histories Social demographic Other diagnoses grap Out of hours Major diagnoses QOF Data Restricted release data High priority Medium priority Low priorit Operations P y Examinations Administrative entries Scanned documents and hospital correspondence Import Allows you to define the medical history priorities for incoming data categories external priorities 1 Set your export and import preferences against the External Priority Definitions by clicking in each drop down box You can select more than one priority for each External Priority If you do not select a medical history priority for Export data the data will automatically be mapped to Normal Default or Routine entries
87. rned are for the correct patient Note that You are no longer able to use addresses in an Advance Trace All the fields need to match if a patient is to be found When doing a PDS query if you have no match and a NHS Number cannot be found and not synchronised with the spine then a GP2GP Request will not be sent You could remove the old postcode field as the patient has now moved to a new postcode GP2GP requests can only be made for patients who have applied or permanent registration status e Flagged Stop noted and Sensitive patients records are not transferred e Patients with a temporary NHS number will be transferred if they are matched on PDS and found at the old practice Clicking on Find searches both the spine PDS and Vision databases Possible results of these searches are as follows Patient Found On Ea Response Dialog box notifies Accept Edit option Patient details are patient found and opened in Registration Details From offers chance to edit the Action Menu select Re registration and continue normal Vision process Message notifies Click on Skip button New or Existing patient not found on Family dialog appears Continue PDS Re registration as for normal Vision process Message gives patient Click on OK New or Existing Family spine demographics dialog appears Select as appropriate First Registration screen appears with details from spine filled in Select Registered GP and edit main addr
88. rs with a new practice for primary health care Currently most of the 9 000 practices in England deal with approximately 500 patient record transfers each year With the current system it can take anything between six weeks and three months to receive Lloyd George notes from the previous practice Once received it then has to be summarised by re entering on the new GP clinical system a very time consuming task GP2GP transfer of records can happen within 24 hours in some instances which lets the new GP have the benefit of the patient record from the previous practice when the patient consults in the early days Lloyd George notes The transfer of the Medical Record Envelope MRE will continue as normal for the following reasons e The use in general practice of electronic health records EHR for direct patient care is not across 100 of patients e The majority of patient information from outside practices remains paper based e The variable degree to which such external information is incorporated into the electronic health record The need for the print out of the patient s EHR to accompany the MRE will continue during the GP2GP project Outline of GP2GP in Vision 1 First use your Smartcard to sign on to Vision and HSCIC Note You must log on to the spine using your Smartcard to use GP2GP functionality Register the patient in Registration when registering a new patient first find them from the PDS either via th
89. s i e Aton Folder Dauwe 0 We Hip T Incomplete Dotals T Incomplete Aeg inks Pengnsl Addas Regwration Meter Ota ide tonis FREI Conon amane Bet Surene rayon Forename firHe gt SY Forename CHARLE 5P Other Forename O Daia ct Bethy Title 27 06 1900 MR Cox Masta statur use n tabe hon NHS Na Old Format NHS Na a22 364 7133 LAMPS NUM A Figure 2 Edit the patient s address if they have moved Note You must NOT have a tick in the Incomplete RegLinks box before clicking OK so check you have all the details 12 Click on OK 13 The process checks to see if the previous practice is GP2GP enabled If not or if the spine is down there is no further message Tt will also not proceed if there is no record of the patient s previous GP the patient s previous practice 20 cannot be located or the patient s previous practice cannot transmit notes electronically You will see a message if there is some reason why the notes cannot be requested for example The patient s notes will not be requested electronically Error The previous practice is not NCRS compliant Note GP2GP requests can only be made for patients who have applied or permanent registration status Temporary patients are not transferred 14 That completes the registration process Now you need to View the messages in Mail Manager page 21 View the messages in Mail Manager Track the GP2GP Request in
90. s a GP2GP Record Transfer message initially with a status of Available for Transmission and after a while Sent to show GP2GP Response has been sent to the previous practice It states the Record is available and to be sent immediately Note that Mail Manager must be open for this to happen 4 vailable for Transmizinn GPAGP Recod Transfer 06406 2007 1449 0 Mcallister John Ent i Deakn John GP2GP Response DB OG 2007 14 48 Mcallister John eakin John Response to the request for the history of JOHN DEAKIN 29 02 1980 1002520226 Response Summary Record available and to be sent mmecdately e g 24 hours Figure 29 Outgoing GP2GP Record Transfer is Available for Transmission The Audit Trail confirms this with Message Sent Avalable hor Tranzmiszaon ojien GP2GP Recond Transfer 08 06 2007 14 49 Mecalister Jahn Deakin Jahn GP2GP Response OBB A00F 1446 Mealister John Deskin John Audit Trail 63 In Outgoing mail the GP2GP Record Transfer has now been Sent and the content of the outgoing record may be seen on the Message tab DICE TUE EE y 00G song AAO USUR CUO Mag Modis don Desr tome 259802419020 MB meam 77700500 Figure 30 Once the GP2GP Record Transfer has been sent the status changes to Sent You can view the audit trail on the Outgoing message GP2GP Record Transfer with Sent and then Complete to see the details NT eric f e me y ow 2
91. t s previous practice for the notes to be sent as long as the practice is GP2GP enabled The previous practice send the notes automatically as an XML message into Mail Manager Messages show the progress of the request You right click on the Record Transfer message which shows Available for Filing and select File All This files the records into Consultation Manager You then review the records in Consultation Manager re entering allergies re authorising repeat medication and dealing with any degraded records eg recalls records without Read codes etc see Review the notes in Consultation Manager page 33 Register the new patient in Registration I 2 2 Make sure you first have Vision Mail Manager open when registering patients in Vision Click on Messaging then Mail Manager from the Vision front menu Then click on the Minimise icon so it runs in the background Select Registration from the Vision front menu under Home In Registration in order to register a new patient first check the patient is not already on your system Click on ii and on the Select Patient screen remove any tick from Active Patients only Search for the patient by date of birth enter the date of birth in the Search Details prompt eg 15 02 1980 and in the Search Attribute select Date of Birth Click on Find If the patient was once a patient and already on the system it will warn you Press to continue then re register the patient from th
92. t y hoa Poort Values recerved from extend sostems should be mappsd boty Bipot Estema Prionty gor Meow u ttory 0 SensovelConhidenosl Secure terg Medic Hator D ej Medical tory 3 4 5 6 7 8 Moral Dalat oc Routine entries Medical History 3 l Meckal vesrony War godes tpartat m ro dagnoces ura Medios History 1 vj etc History 2 T Inactive diagnoses or narrenduing events o pat history Medes Ptr z Other Desagnces Medcal Hector s 3 wj l 7 Minor dughooes Medic Hestoy 3 QOF data Pechcad Hilary 3 m vi Restricted reese dats Medis History 3 T Opeta Medical History 5 C9 txeninstions Medal Hsu 3 veces itor hirat dree erise Medica History a MM c Simed documents and hospital cormespondencs Nade History 3 l i Prado Nurse Medcal History 3 l i Muse Medica hitoy 3 Meath Votor Medea Hilary 5 e l Vette Medical Hiton 3 w vi tf Melton Medea History 5 vi thtached or toi zalt Medica Heitor 3 m l i Pesis Medical Heto 3 _ Ocpupaoonal Medical Patry 3 l ocw Dernog schic Mexbcal Histor 3 w Cat af Hoan Medios History 3 l High Proy Peace ad Hetory 1 w l Meum Prerty Pedic History 2 9 Low Priority Medici History 3 The GP2GP Priority Mapper is divided into three columns Export External Priority and Import 53 Export Allows you to define the data categories exte
93. th by a clinician See Allergies page 38 Repeat medication page 41 and Acute medication page 47 e Other degraded records should also be dealt with promptly there is a degraded records line in the Alerts pane which you can double click to see a list of degraded records See Degraded Records page 33 including History entries which should be in an SDA page 51 Pathology page 47 Attachments page 48 e Records of newly transferred patients will have a Journal entry with a Read code of 91 Patient Registration This allows you to make regular searches for GP2GP patients Search for patients with transferred records page 79 e Alert practice staff that this patient has records transferred in GP2GP by adding reminders see Reminders page 37 e Staff should be aware for example that the previous practice was a Vision practice they may have used a different system for priorities 1 9 on History records than your practice You can use a Priority mapper to map each history priority number to a pre defined category see Priorities page 53 Degraded Records There are some elements of current electronic health records which cannot be transferred in completely structured form in every case This is due to different conventions for describing them on different GP clinical systems or where different coding schemes are used Vision to Vision transfers are unlikely to produce degraded records but other suppliers to
94. ty Referrals department of Palistive Care Team Achon 24 06 2003 Asthme monitoring Clinician Dr John Mcolister ij beg Reter for Family ilness at Bury Hospital department of Department of 4 m e 19 Therapy General Surgery Achon 24 06 2008 S KA 10 Lifestyle Asthma montoring Clinician Dr John Mcallister BEA 16 Examination Findings beg Reter for FH Asthma at Bury Hospital department of Department of Immunizations Genera Surgery Action 24 06 2008 7HE 1 Miscellaneous Ez Letter 28 05 2003 Refer for C O low back pain ot Bury Hospital Ex u 35 Al Test Results department of Orthopaedic Department wath Mr Graham Foot by Dr New Registration Exam John Mcalister di al beg Refer for C70 low back pain at Bury Hospital department of gt Orthopacdc Department with Mr Graham Foot Acton 18 06 2003 Hg Scisbca Ha C 0 low back pain H Nursing care FH No FH CV4 Stroke TIA of Ceebrovesculer disease Health promotion Interventions not recorded Heakh Promotion out of date Heath Promotion data inconcist H Nursing care Q Current Recalls H Blood sample taken 3 Immunisations Duc in Ne Hy Acute conjunctivitis Poliomyelitis 1st 10 04 1975 o d 49 Cervical smear negative Recal due 02 10 2007 Rubella 1st 10 03 1976 o d 4 WICoil check Recal 05 11 2004 Claim Expry Date 05 05 2001 Tetanus 1st 10 04 1975 a d FH No FH Ischaemic heart disease of Ischaemic heart dizeaze Jv Cardiovascular Risk Y Current drinker units per
95. ur selection criteria you can ignore these inactive clinicians by making sure the box Display Inactive is unticked in the Criteria Select screen ll Criteria Select remove Al ll other Clinical Data ae Authoriser Unc m Date of event ae End date ae Episode type e In practice e Input Operator m Priority ae Private treatment Head code Head description oe Type of medical entry Advice 05 02 08 OF Cancel Help All other Clinical Data Clinician f Equals Not Equal Dr Alan Smith Dr Alison Hill Or David Burton Or David Moore Dr Jane Thomas Or Jett Green Or John Mcallister Dr Lindsay Smith Display Inactive Add New Delete e Docman needs to be installed on the GPC workstation for any Docman attachment to be successfully transferred from the GP2GP extract 10 What s New in DLM 235 31 07 07 When the GP2GP request is received at the old practice and if there is unfiled pathology the system will try and autofile it regardless of whether autofiling is switched on in Mail Manager Tools Options If the pathology cannot be filed and is less than a year old the extract will not be sent from the old practice and will go into manual mode ie the Request will be in the Incoming folder stating There are outstanding pathology results that must be filed before the history can be sent The old practice must try and file the unfiled pathology If the pathology cannot be file
96. us Imported imms records that fail to covert will be put in Medical History Consultation 06 07 2000 Meningitis C Vaccination Failed to convert ATTLBMET7 Meningitis C Vaccination Egton Code to Read Code Version 2 Importing item as a Transfer degraded record entry This item will appear under Medical History with the read code 9bJ 00 Transfer degraded record entryT Note that the read term from the import will be preserved Consultation 24 07 1996 It Op Check Failed to convert ATTLBIT1 It Op Check Egton Code to Read Code Version 2 Importing item as a Transfer degraded record entry This item will appear under Medical History with the read code 9bJ 00 Transfer degraded record entry Note that the read term from the import will be preserved Consultation 08 11 1994 Measles Rubella Vaccination Failed to convert ATTLBME2 Measles Rubella Vaccination Egton Code to Read Code Version 2 Importing item as a Transfer degraded record entry This item will appear under Medical History with the read code 9bJ 00 Transfer degraded record entry Note that the read term from the import will be preserved Consultation Insufficient Imms information import as General History Consultation Insufficient Imms information import as General History j Consultation Insufficient Imms information import as General History Immunisation Data from EMIS
97. wed in Consultation Manager L b e X S z Em d i Me rl AA d sA e 2 Nae Sees Incoming Moli iti to meljm oe Powe Taaa GP2GP Record Transfer received for Jia RICHARD TAYLOR 27 05 1900 9223647193 Record 2171 2105 1141 Jer te Menage tet for rtal een Ama enin cab agus lassa 37 I I Figure 11 Incoming Record Transfer Filed Audit tab If you look on the Audit tab you can see the succession of messages The message status is shown in more detail You should finally see Successful integration notification 28 Finally to complete the sequence of messages Outgoing GP2GP Response Sent no action needed ie the response has been sent stating that the patient s notes have been successfully integrated into your Vision system Once the notes have been sent from the previous practice the new requesting practice will see in Outgoing Mail a status of Complete on the GP2GP Request message ie the request has been completed Look atthe Audit tab to see the sequence of events ending with Received Acknowledgement Record Received n ay m fe Fe eem jm e te og S LU T m o wu Aa Cowwt beet ta Arr PM fea mi Ps Pn Outgoing Mail EDT dg X X 3 WW Figure 12 GP2GP Request in Outgoing Mail is Complete Note At any one time you may have several messages that are Acknowled
98. week 4 Drinks rarely CHD Risk 0 Health education offered for Alcohol CVD Risk 1 FH No relevant Family history of Malanant neoplasm of female breast Waning ee oe Q9 BP 110 70 recall 01205 2010 Q E blood pressure reading Warning king Statue sania Pael Saan a MiCoil check Recak 05 11 2004 Claim Evpiry Date 05 05 2001 Health education offered for Smoking FH No FH Glaucoma of Glaucoma Hg C U a headache RT Heght 17 mebes D E height amp Diet patient initiated Eating habits Good En Read Term Add ee 65 Unfiled Pathology may prevent record being sent You may see a message following a GP2GP Request There are outstanding pathology results that must be filed before the history can be sent When the GP2GP request is received at the old practice and if there is unfiled pathology the system will try and autofile it regardless of whether autofiling is switched on in Mail Manager Tools Options Those that are filed are transferred and will appear as filed at the new practice However these pathology results will remain unactioned in Mail Manager Note that the responsibility for actioning unfiled results still lies with the old practice If any late pathology results come in after the transfer of records has taken place it is the responsibility of the old practice to forward the result on to the new practice If the pathology cannot be filed automatically on transfer and is greater than a year ol
99. y can be viewed in the Attachments SDA under Miscellaneous on the left hand navigation pane If you double click on an Attachment line Filtered or Journal tab and then click the View button you should see the image Letters sent by the previous practice may appear as either Attachments or Correspondence In Vision to Vision transfers letters with doc will be filed in Correspondence if that is where they came from or in Attachments if they originated there in the previous practice Note that Vision Editor letters are not transferred in GP2GP Double click on the Correspondence entry on the Journal or Filtered View and click on the Letter button to view the original letter Patient records may contain attached test results such as Spirometry ECGs etc which appear as Multimedia attachments in the Journal These can also be filtered using Miscellaneous 48 DocMan Attachments DocMan attachments are included in the GP2GP Transfer message Note that Docman needs to be installed on the GPC workstation where the GP2GP extract is created for any Docman attachment to be successfully transferred Whilst you can receive DocMan attachments via a GP2GP transfer the attachments are stored in Consultation Manager and are not integrated into your DocMan system Mirza JOHNSON 11 10 1981 M Rhos Brynglas Nebyn Pellheli Gaynedd LL53 GHT Copy of Initial Viee 4 21788 L1 97 E ete Sw gode AM OL V a I H4 eR ee H RO SEBBOV
100. y entries with the Read code of 9bJ Examples might be O E Weight or Serum Cholesterol Another example might be a BP record with just a systolic reading which will appear as degraded with the BP reading in free text In these cases you should add a new record eg Add Weight Add Test Result Add BP and then delete the History record These degraded records should not be left and must be edited as untouched they will not appear in searches QOF audits or graphs in the case of numerical values such as weight 1 List the degraded records by double click on the Degraded GP2GP Records line at the bottom of the Alerts 2 This lists the degraded records under the Filtered tab 3 Double click on the degraded line 4 The Comments or Notes field will carry the correct information from the Original record 5 A degraded record will have the correct Read Description but the WRONG Read code starting with 9bJ If this degraded record is a history entry then just edit the Read code to a suitable code If this degraded record is not a history entry and it normally appears under a Structured Data Area SDA such as weight height blood pressure press Cancel on this screen e Add a new record using either the Add menu or Select Read Term e Make sure you change the Date of Recording from today s date to the date of the original record e Click on the checkbox In Practice to remove the tick e Blank out the name of your GP as t

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