Version Build 2743 Release Notes

Transcription

1 Version Build 2743 Release Notes These Release Notes contain important information for all Medtech Users. Please ensure that they are circulated amongst all your staff. We suggest that these notes are filed safely for future reference. Copyright Medtech Limited Page 1 of 32

2 Table of Contents For further information on these new features, or any other queries regarding the Version Build 2743 Medtech32 release, please contact Medtech Support on (Option 1) or send us a fax, toll free on 0800 MEDTECH ( ) or nzsupport@medtechglobal.com. Medtech Pre Requisites... 3 Medtech32 Update Installation... 4 Flu Vaccinations 2010 Introduction... 6 Flu Vaccination 2010 Eligibility Utility... 7 Flu Vacc 2010 Eligibility Alert Utility... 7 Alerts... 8 Query Builder... 8 Selecting criteria for the Eligibility Alert Utility... 9 Settings Tab... 9 Main Tab Selections for Flu Vacc and H1N1 Monovalent Eligibility Selecting Enrolled and/or Registered Patients Identifying Pregnant Women Identifying Morbidly Obese Patients Identifying Patients 65+ Years Identifying Health Children in Eligible Practices Running the Eligibility Alert Utility Removing the Flu Vacc Eligibility Alerts Flu Vaccinations 2010 Schedules Setup Vaccines Vaccine Groups Immunisation Schedules Services Subsidies Selecting Patient Immunisation Schedule H1N1 Monovalent Vaccine Schedule Seasonal Flu Vaccination Schedule Other Eligible Seasonal Flu Vaccination Schedule - Child < 9 years 1 st dose Seasonal Flu Vaccination Schedule No Claim Seasonal Flu Vaccinations FL01, FL02, FL03, FL04 and FL Seasonal Flu Vaccinations 65+ years NIR Opt On/Opt Off Status Mandatory Data Capturing HL7 Electronic Claims Pegasus HL7 Claims Unload NIR Message Transfer Utility ManageMyHealth Clinical/Patient Portal ManageMyHealth SMS Diabetes Get Checked II Other Items Medication Merge Fields Use of 2010 Dates Invoice Resolutions Patient/ Provider Inbox CMDHB PDF Discharge Summaries Viewing Inbox Records Copyright Medtech Limited Page 2 of 32

3 Medtech Pre Requisites Please review the following Medtech prerequisites and ensure they are met prior to installation; Your practice MUST be on Medtech32 Version or above. If you ARE NOT on Medtech32 Version or above, please DO NOT continue. IMPORTANT: These documentations contain valuable information that, if not read, could seriously affect the upgrade progress and/or possible down time of your network. Ensure you are ALWAYS logged onto Windows with administrative rights when performing ANY installation, update, or maintenance tasks. This setup MUST be run on the Medtech32 Server and all users must be logged out of Medtech. Ensure ALL Briefcasing laptops with outstanding Briefcased data MUST be checked-in Prior To running the update. This update must also be run on any laptop that is used for Briefcasing. Please ensure the Medtech32 Scheduler, NIR Directory Monitoring Utility, ACC Generic Directory Monitor and ManageMyHealth Online Appointment Manager is shut down prior to running the update. An Interbase BackUp and Restore is required on all Practice Databases before running this update. IMPORTANT NOTE Medtech recommends that all Medtech Upgrades and Database Back up & Restore Processes should be performed by a Medtech Certified Technician or your Practice Technician. For a list of Medtech Certified technicians please visit the Medtech Global Website for further information. Copyright Medtech Limited Page 3 of 32

4 Medtech32 Update Installation 1. Ensure that you are running Version or higher of Medtech32. This can be checked by logging into Medtech32 and selecting Help About Medtech32 (see pre requisites above). 2. Visit our website at 3. Select New Zealand in region drop down (Top right hand side of the window) 4. Select menu, Medtech online Medtech32 downloads. The New Zealand Medtech32 Updates page will be displayed. 5. Here you will find Version Build 2743 Update. 6. In the File Download Security Warning dialogue box, select Run. 7. In the Open File Security Warning Dialogue box, select Run option. 8. The update installation screen will appear. To continue with the installation, click on Yes I Agree. Note: If you do not want to continue and want to cancel the installation click on No I Disagree. Copyright Medtech Limited Page 4 of 32

5 9. On clicking Yes I Agree, the update will continue. Server Upgrade Installation If you are installing this update on a Server Machine, select the MedTech32 Server Installation on this computer option; Briefcasing Upgrade Installation If you are installing this update on a Briefcasing Machine, select the MedTech32 Briefcasing Installation on this computer option; The installation will then continue. 10. Once installation has completed, the following message will appear. 11. If prompted to restart your machine after installation please do so. Copyright Medtech Limited Page 5 of 32

6 Flu Vaccinations 2010 Introduction The WHO (World Health Organisation) has advised that the H1N1 novel influenza strain will be included in the 2010 Seasonal Influenza vaccine. As a result of this decision, there will be a major initiative in New Zealand to use this vaccination as the primary preventative for a likely second wave of the pandemic. The group of people eligible to receive the vaccination has been extended to include: Pregnant Women Healthy children in eligible practices Morbidly Obese Northern Hemisphere experience suggests that pandemic influenza may occur earlier than usual influenza; this may be in mid- to late-march, leading to a peak in late April or early May. Difficulties in producing the 2010 Seasonal Influenza vaccine means delays are possible and there is a real risk that the pandemic may arrive before vaccine protection is in place, putting some New Zealanders at risk of serious illness if they are infected. The Ministry of Health is making a monovalent (single strain) pandemic vaccine available from February, through an early targeted immunisation programme. The Ministry recommends those at highest risk of complications have this monovalent vaccine, followed by the seasonal influenza immunisation when it becomes available. Early immunisation will also be available to frontline healthcare workers, including general practice staff, who want protection. This 2010 Flu Vaccinations update will provide practices with a utility that will enable the practice to identify and flag all those patients that meet the eligibility criteria for the Influenza Vaccinations, and will also provide the necessary Immunisation Schedules, Claiming and Messaging capability for the 2010 Seasonal Influenza Vaccine as well as the H1N1 Monovalent Vaccine. Copyright Medtech Limited Page 6 of 32

7 Flu Vaccination 2010 Eligibility Utility The Flu Vaccination 2010 Eligibility Utility will provide practices with the ability to identify and flag all those patients that meet the eligibility criteria for the Influenza Vaccinations and will also include patients aged 65+ years. For all patients who meet the eligibility criteria, a patient alert will be added to the patient s record. This can then be used by the query builder to create lists of patients whom are eligible. Allowing the practice to manage the identified patients however they choose. Either add recalls or create outbox documents for the identified patients. Flu Vacc 2010 Eligibility Alert Utility Utility Miscellaneous Flu Vacc 2010 Eligibility Alert Utility To open the Flu Vacc 2010 Eligibility Alert Utility select the Utility Miscellaneous Flu Vacc 2010 Eligibility Alert Utility menu item. Copyright Medtech Limited Page 7 of 32

8 Alerts Setup Patient Register Alerts An alert code FLUE with description Flu Eligibility 2010 will be added to the currently logged on database. The alert code will be inserted when the Flu Vacc 2010 Eligibility Utility is run on any selection other than Remove All Flu Vacc Eligiblity Alerts. If the eligibility utility is run with no selection made the alert will be added to the database with no patient alerts set. If the practice selects the Remove All Flu Vacc Eligibility Alerts option then the new alert code FLUE will be removed from the database. Query Builder Tools Query Builder On installation of this update three saved query builder items will be inserted into the practice database to help with finding eligible patients and can also be used by the practice to create / update recalls or mail merge letters. The three new query builders can be accessed under Query Store Open an Existing Query: #FLU 2010 All Flue Alerts, #FLU 2010 Excluding F65 Recall #FLU 2010 Healthy Eligible Child Copyright Medtech Limited Page 8 of 32

9 Selecting criteria for the Eligibility Alert Utility Settings Tab To enable the utility to identify Morbidly Obese patients the Settings tab must have the Screening Terms used by the system for Height and Weight so that the BMI calculation can be determined using the most recent height and weight values recorded for a patient. The Settings tab should automatically default to the correct values if they can be identified. The defaulted values will be determined by checking the Medical Calculator settings, and if they are in use, then the default will be set using the Medical Calculator setting values. If the values cannot be defaulted from the Medical Calculator settings then the Screening Terms for Height and Weight will be checked and if a match is found then it will default to that Screening term. If the values in the Settings tab are not able to be defaulted then the following message is displayed to the user. Copyright Medtech Limited Page 9 of 32

10 Main Tab Selections for Flu Vacc and H1N1 Monovalent Eligibility Selecting Enrolled and/or Registered Patients Enrolled Patients Only When the utility is first opened the Enrolled Patients Only option is selected by default. This setting will only add alerts to Enrolled Patients. This uses the same rules as applied to the patient palette to identify enrolled patients. All Active Registered Patients If the All Active Registered Patients option is selected then alerts will only be added if the patient is active and registered with the practice. Identifying Pregnant Women Selecting Pregnant Women will add patient alerts to all patients identified as Pregnant. Pregnant Women will be selected by default when the utility is first opened. The FLUE alert when added to a patient will have the note Auto Added Alert (PG). Rules used to identify Pregnant Women To Identify Pregnant Women the utility will look at the most recent Maternity form entered for all women entered in the previous nine months. A women will be identified as pregnant if the following any one of the following criteria is entered: If the entered form is a Maternity Registration ; and the Estimated Date of Delivery (EDD) is greater than the current date + 2 weeks. and the Maternity Registration is not Post Natal. Copyright Medtech Limited Page 10 of 32

11 If the entered form is a Single Service Episode ; and the Estimated Date of Delivery (EDD) is greater than the current date + 2 weeks; and the selected Fee Code is NOT: o Non-LMC First Trimester without Miscarriage or Termination With Reason Women has had Miscarriage With Reason Women has had Termination o Non LMC Labour and Birth (Rural Support) o Non LMC Urgent Postnatal Care o Non-LMC First Trimester with Miscarriage or Termination If the form is a LMC Service Claim ; and Estimated Date of Delivery (EDD) is greater than the current date + 2 weeks; and the Module End Reason is NOT : o Women has had Miscarriage o Women has had Termination If the form is a Labour & Birth claim If the form is a Services Following Birth claim If the form is a Specialist Claim ; and the Estimated Date of Delivery (EDD) is greater than the current date + 2 weeks; and the Service is for Mother, NOT Baby. If the form is a Ultrasound ; and the Estimated Date of Delivery (EDD) is greater than the current date + 2 weeks. Identifying Morbidly Obese Patients Selecting Morbidly Obese will add patient alerts to all patients identified as Morbidly Obese. Morbidly Obese will be selected by default when the utility is first opened. The FLUE alert when added to a patient will have the note Auto Added Alert (MO). Rules used to identify Morbidly Obese Patients To identify Morbidly Obese patients the utility will find most recent height of all active patients recorded. If the patient is under 18 years of age then the utility will only use the measurement if it has been recorded in last six months. If the patient is over 18 years of age the utility assumes the height has not changed much after 18 years of age so it will take any height measurement. The utility will also assume that the height is measured in centimetres. The utility will also look at the Weight measurement for the patient. The Weight measurement must have been recorded within last 6 months to be valid. The utility will then apply the BMI calculation and if the patient BMI is greater than or equal to 40.0 then an Alert will be added to the patient. Copyright Medtech Limited Page 11 of 32

12 Identifying Patients 65+ Years Selecting Patients 65+ years will add patient alerts to all patients identified as 65+ years of age. Patients 65+ years will be selected by default when the utility is first opened. The FLUE alert when added to a patient will have one of two notes: Auto Added Alert (F65NR) - (Patients with no F65 Recall Record) Auto Added Alert (F65WR) - (Patients with F65 Recall Record) Rules used to identify Patients 65+ years - with no current Flu Recall To identify patients 65+ years with no Flu Recall the utility will find all patients born before '01/02/1945' who do not have a F65 Recall on or after 01/02/2010. These patients will have the alert added with the note : Auto Added Alert (F65NR) - (Patients with no F65 Recall Record). Rules used to identify Patients 65+ years - with no current Flu Recall To identify patients 65+ years with a current Flu Recall the utility will find all patients born before '01/02/1945' who have a current F65 Recall scheduled for on or after 01/02/2010. These patients will have the alert added with the note : Auto Added Alert (F65WR) - (Patients with F65 Recall Record). Identifying Health Children in Eligible Practices Selecting Identify Healthy Children in eligible practices will add patient alerts to all patients 6 months to 5 years as at 01/02/2010. This option is NOT selected by default when the utility is first opened. The FLUE alert when added to a patient will have the note Auto Added Alert (EC) (Eligible Child). Rules to identify Health Children in Eligible Practices The practice must have been notified by the Ministry of Health that they are an eligible practice. Only if this is has been advised to the Practice should the user select this option. The Health Children selection is based on all patients 6 months to 5 years old (4years 364 days) as at 01/02/2010. i.e. the Date or Birth for the patient is less than or equal to '01/08/2009' and Date of Birth is greater than '01/02/2005'. Copyright Medtech Limited Page 12 of 32

13 Running the Eligibility Alert Utility Ensure that you have selected all the necessary options relative to your practice requirements as detailed in the Selecting Criteria for the Eligibility Alert Utility section of these Release Notes. Once you have made the necessary option selections, click on the OK button at the bottom of the Utility Screen. The Updating Patient Alerts section will provide you with a visual status of the Current Action and Total Progress of the Alerts being applied to the patients. Once the utility has completed the necessary tasks, the following message will be displayed to the user: Removing the Flu Vacc Eligibility Alerts A user can remove all of the applied FLUE Patient Alerts by selecting the Remove All Flu Vacc Eligibility Alerts option. If the Remove All Flu Vacc Eligibility Alerts check box is selected, then all other options in the utility are disabled and become unavailable. Copyright Medtech Limited Page 13 of 32

14 Selecting this option and clicking on OK to run the utility will remove the alert code FLUE from all patients that have had it applied. At the same time it will also remove the FLUE Alert Code from the Patient Register Alerts Setup. Copyright Medtech Limited Page 14 of 32

15 Flu Vaccinations 2010 Schedules The Medtech32 application has been enhancements with changes which will allow a practice to give seasonal flu vaccinations and monovalent H1N1 vaccinations. The enhancements will apply all the immunisation rules for the H1N1 monovalent vaccination and children under 9 years by way of immunisation schedules. The following section details the Immunisation Setup changes that have been incorporated into the Medtech32 application as well as information on using the new Immunisations Schedules for the 2010 Flu Vaccinations. Setup Vaccines Setup Recall/Screening Vaccine Vaccine Setups for the H1N1 Monovalent Vaccine 'H1N1P1', 'Novel Flu-H1N1-09-1' This vaccine will invoice for the service FL06M1 and claim the subsidy FL06. 'H1N1P2', 'Novel Flu-H1N1-09-2' This vaccine will invoice for the service FL06M2 and claim the subsidy FL06. Providers are NOT able to claim for the Vacc Component Subsidy when administering the H1N1 Monovalent Vaccine. The H1N1 Monovalent Vaccines have all the standard outcomes excluding AG Alternate given, as there is no alternative for administration. The antigen H1F9, H1N1/9 hemagglutinin has been assigned to these vaccines. Copyright Medtech Limited Page 15 of 32

16 Vaccine Setups for the Seasonal Flu Vaccine 'FL06-2', 'Flu Oth Eligible 2nd' This will claim for the service FL06-2 and claim the subsidies FL06 and VACC. This vaccine has been added for use in the under 9 years eligible schedule where a second dose is required. 'FLUNC', 'Flu Other No-Claim' This will invoice for the service FLUNC with no subsidy claiming. This is for use in schedule or individual vaccine where the patient is not eligible and is paying privately. The Flu vaccines have the all the standard outcomes excluding AG Alternate given, as there is no alternative for administration. An antigen FLU, Seasonal Flu Vacc has been assigned to these vaccines. This antigen has also been added to all the existing flu vaccines FLU, FL01, FL02, FL03, FL04, FL05, FL06. Vaccine Groups Setup Recall/Screening Vaccine Group Vaccine Group Setups for the H1N1 Monovalent Vaccine 'H1N1P1', 'Novel Flu-H1N1-09 1st' This group contains one vaccine H1N1P1 and the next group is 'H1N1P2 'H1N1P2', 'Novel Flu-H1N1-09 2nd' This group contains one vaccine H1N1P2, there is no next group and is due three weeks from the previous H1N1P1 group. Copyright Medtech Limited Page 16 of 32

17 Vaccine Group Setups for the Seasonal Flu Vaccine Other Eligible 'FLUE', 'Seasonal Flu Vacc Other Eligible' This group contains one vaccine FL06, there is no next group. Vaccine Group Setups for the Seasonal Flu Vaccine No Claiming 'FLUNC', 'Seasonal Flu Vacc No-Claim' This group contains one vaccine FL06, there is no next group. Vaccine Group Setups for < 9 years first dose 'FLUE1', 'Seasonal Flu Vacc Eligible 1st' This group contains one vaccine FL06 and the next group is FLUE2 'FLUE2', 'Seasonal Flu Vacc Eligible 2nd' This group contains one vaccine FL06-2, there is no next group and is due one month from the previous FLUE1 group. Immunisation Schedules Setup Recall/Screening Immunisation Schedule H1N1 Monovalent Vaccine Schedule 'H1N1P', 'H1N1 Monovalent Vaccine Schedule' This schedule is set to start at activation date, the appropriate age range is set to 6 months, to 64 years. It includes the H1N1P1 and H1N1P2 groups. Seasonal Flu Vaccination Schedule Other Eligible 'FLUE', 'Seasonal Flu Vacc Oth Eligible Schedule' This schedule is set to start at activation date, the appropriate age range is set to 6 months to 64 years. It includes FLUE group. Copyright Medtech Limited Page 17 of 32

18 Seasonal Flu Vaccination Schedule No Claim 'FLUNC', 'Seasonal Flu Vacc No-Claim Schedule' This schedule is set to start at activation date, the appropriate age range is set to 6 months to 64 years. It includes the FLUNC group. Seasonal Flu Vaccination Schedule - Children < 9 years first dose 'FLUE1', 'Seasonal Flu Vacc Eligible < 9yrs 1st'. This schedule is set to start at activation date, the appropriate age range is set to 6 months to 9 years. It includes the FLUE1 and FLUE2 groups. The display order of all existing schedules has be reordered and the above schedules have been added into the Schedule Selection screen above the exiting Flu 65+ schedule. Item 3 - 'H1N1P', 'H1N1 Monovalent Vaccine Schedule' Item 4 - 'FLUE1', 'Seasonal Flu Vacc Eligible < 9yrs 1st' Item 5 - 'FLUE', 'Seasonal Flu Vacc Oth Eligible Schedule' Item 6 - 'FLUNC', 'Seasonal Flu Vacc No-Claim Schedule' Copyright Medtech Limited Page 18 of 32

19 Services Setup Accounting Services 'FLUNC', 'Flu Other No-Claim'. This service is for when the patient is not eligible and is paying privately. No subsidies are claimed. (Note: The practice must add the Service Fee for this new Service before invoicing for the first time) 'FL06-2', 'Flu Oth Eligible 2nd'. This service is for when a child < 9 is getting their second dose of flu vacc. The subsidy FL06 and VACC will be claimed for this service. FL06M1, 'Novel Flu-H1N1-09-1' This service is for when the patient has been administered the first dose of the H1N1 Monovalent vaccine. The subsidy FL06 will be claimed for this service. FL06M2, 'Novel Flu-H1N1-09-1' This service is for when the patient has been administered the second dose of the H1N1 Monovalent vaccine. The subsidy FL06 will be claimed for this service. The VACC subsidy cannot be claimed when administering the H1N1 Monovalent vaccine. Subsidies Setup Accounting Subsidy VACC0, Flu Vacc Component 0 This subsidy is associated with the FL06M1 and FL06M2 H1N1 Monovalent vaccine services. The subsidy will be 0.00 claimed for these services. No other new subsidies are added for the Flu Immunisations as all other new services and vaccines use existing flu subsidy claim values. Selecting Patient Immunisation Schedule Module Clinical Immunisations H1N1 Monovalent Vaccine Schedule 'H1N1P', 'H1N1 Monovalent Vaccine Schedule' Who is eligible to receive the pandemic monovalent vaccine? Frontline healthcare workers staff in general practice, emergency departments, intensive care units and those who may have direct contact with at-risk patients. Copyright Medtech Limited Page 19 of 32

20 People under 65 years of age (including children) with certain conditions (as for seasonal influenza), pregnant women, people who are morbidly obese, and all children aged from 6 months to their fifth birthday enrolled in designated practices that have high proportions of people who are Maori, Pacific and/or from high deprivation areas (these practices will be notified by the Ministry of Health). If your patient is eligible to receive the H1N1 Monovalent Vaccine select the H1N1 Monovalent Vaccine Schedule from the Schedule Selection tab in the Immunisations screen. The Immunisation Schedule tab will be updated with the details of the vaccines that make up the selected schedule. The H1N1 Monovalent vaccine currently requires two doses, three weeks apart. The vaccine should be entered into Medtech using the same process as other immunisations that appear on the Immunisation Schedule tab. Click on the Add a New Immunisation Group icon to complete the necessary information for the vaccine administration. A recall will also be added to the patient record for the 2 nd dose of the vaccine due 3 weeks from the 1 st dose. It is also recommended that the patients who have been administered the H1N1 Monovalent vaccine also receive the Seasonal Flu Vaccination when it becomes available. In this instance, you would need to select the relevant schedule to administer the Seasonal Flu Immunisation at the time it is available and the patient requests it. Copyright Medtech Limited Page 20 of 32

21 Seasonal Flu Vaccination Schedule Other Eligible 'FLUE', 'Seasonal Flu Vacc Oth Eligible Schedule' This schedule should be used for patients that are aged from 6 months to 64 years old and are eligible for a Seasonal Flu Vaccination but do not fall into the FL01, FL02, FL03, FL04, and FL05 categories. (Note: If the patient is less than 9 years old and has never had a Seasonal Flu Vaccine before you will need to use the Seasonal Flu Vac Eligible < 9yrs 1 st Schedule) If your patient is eligible to receive the Seasonal Flu Vaccination and falls into the Other Eligible category select the Seasonal Flu Vacc Other Eligible Schedule from the Schedule Selection tab in the Immunisations screen. The Immunisation Schedule tab will be updated with the details of the vaccine that make up the selected schedule. The Seasonal Flu Other Eligible vaccine currently requires only one dose. The vaccine should be entered into Medtech using the same process as other immunisations that appear on the Immunisation Schedule tab. Click on the Add a New Immunisation Group icon to complete the necessary information for the vaccine administration. No recall will be added to the patient record for follow up doses. Copyright Medtech Limited Page 21 of 32

22 Seasonal Flu Vaccination Schedule - Child < 9 years 1 st dose 'FLUE1', 'Seasonal Flu Vacc Eligible < 9yrs 1st'. Children under the age of 9 years who have never had a Seasonal Flu Vaccination before require two doses of vaccine, one month apart for the first time. Subsequent years they will only require one dose of the vaccine. If your patient is eligible to receive the Seasonal Flu Vaccine under this schedule select the Seasonal Flu Vacc Eligible < 9yrs 1st Schedule from the Schedule Selection tab in the Immunisations screen. The Immunisation Schedule tab will be updated with the details of the vaccines that make up the selected schedule. The <9 yrs Seasonal Flu Vaccine currently requires two doses, one month apart. The vaccine should be entered into Medtech using the same process as other immunisations that appear on the Immunisation Schedule tab. Click on the Add a New Immunisation Group icon information for the vaccine administration. to complete the necessary A recall will also be added to the patient record for the 2 nd dose of the vaccine due 1 month from the 1 st dose. Copyright Medtech Limited Page 22 of 32

23 Seasonal Flu Vaccination Schedule No Claim 'FLUNC', 'Seasonal Flu Vacc No-Claim Schedule' This schedule should be used where the patient is not eligible and is paying for the Seasonal Flu Vaccine privately. If your patient falls into this category then select the Seasonal Flu Vacc No- Claim Schedule from the Schedule Selection tab in the Immunisations screen. The Immunisation Schedule tab will be updated with the details of the vaccine that make up the selected schedule. The Seasonal Flu No Claim vaccine currently requires only one dose. The vaccine should be entered into Medtech using the same process as other immunisations that appear on the Immunisation Schedule tab. Click on the Add a New Immunisation Group icon to complete the necessary information for the vaccine administration. No recall will be added to the patient record for follow up doses. (Note: As there is no Subsidy for this service the vaccination will not Auto Bill and you will need to generate an invoice using the service code 'FLUNC', 'Flu Other No-Claim'. Please ensure that you have updated this service code to include your practices charge for administering this vaccination so that the invoice is generated with the correct service fee.) Copyright Medtech Limited Page 23 of 32

24 Seasonal Flu Vaccinations FL01, FL02, FL03, FL04 and FL05 These vaccinations should continue to be administered as they have been for previous flu seasons. The process for these vaccines has not changed. Seasonal Flu Vaccinations 65+ years These vaccinations should continue to be administered as they have been for previous flu seasons through the Flu 65+ Immunisation Schedule. The process for these vaccines has not changed. NIR Opt On/Opt Off Status In order to provide the level of reporting required for the 2010 flu season, the Ministry of Health requires details of any flu vaccination given regardless of whether it is privately financed or subsidised to be messaged to the NIR. To accommodate the reporting requirement, when administering a flu vaccination, irrespective of the childhood birth co-hort (go-live date) and the patients Date of Birth, the Medtech32 application will display the NIR Prompt message if the patients current NIR Status is unknown allowing the patient to be select to Opt On or Opt Off the NIR. If the patients NIR Status is set to Opt On or Opt Off the NIR Prompt message will not be displayed and the current setting will be used. Important Note On installation of this update the NIR Messaging is NOT switched on for Flu Vaccinations. This will be done when the NIR is ready to receive the Flu Vaccination data at a later date. Copyright Medtech Limited Page 24 of 32

25 To avoid unnecessary errors in the Flu Vaccination messages when the NIR messaging for Flu Vaccinations is switched on, all necessary data will be collected now when administering flu vaccinations. To enable this the NIR mandatory fields will be enforced for all patients irrespective of their opt on or opt off status for the 2010 season. (Note: See the Mandatory Data Capturing section of these release notes for further information) Mandatory Data Capturing All flu vaccinations, whether via a Immunisation Schedule or through a Single Immunisation, entered for the 2010 flu season will force entry of all mandatory vaccine fields when vaccines are entered. The mandatory data fields for flu vaccinations are the same as the Childhood Immunisations and practices should ensure that the following data is entered when administering flu vaccinations for all patients: Mandatory Patient Fields Given Name Date of Birth NHI Number Ethnicity Street, Suburb, City Postal Street, Postal Suburb, Postal City (if street address not available) Next of Kin Surname, Next of Kin Given Name, Next of Kin Relationship (if under 16 years old) Mandatory Vaccine Fields Vaccination Outcome Vaccination Route Vaccination Site Batch Number Batch Expiry Dilutent Batch Number (if required) Diluent Batch Expiry (if required) Reschedule Reason (if required) Mandatory entry of required fields for flu vaccinations will automatically cease at the end of 2010 (31/12/2010). Only patient s Opted On in the preceding years for Childhood Immunisations will continue to require mandatory field entry. Copyright Medtech Limited Page 25 of 32

26 HL7 Electronic Claims Utilities Health Benefits HL7 Electronic Claims This utility has been updated to include the new services so that they are recognised as Flu Vaccines when doing the Immunisation Claiming. Pegasus HL7 Claims Unload Utilities Pegasus Pegasus HL7 Claims Unload This utility has been updated to include the new services so that they are recognised as Flu Vaccines when doing the Immunisation Claiming. NIR Message Transfer Utility Utilities NIR NIR Message Transfer Utility This utility has been updated to include the new rules for sending of Flu Vaccinations to the NIR. Please be aware that the NIR Messaging is NOT currently switched on for Flu Vaccinations. This will be done when the NIR is ready to received the Flu Vaccination data at a later date. Copyright Medtech Limited Page 26 of 32

27 ManageMyHealth Clinical/Patient Portal This update includes a large number of enhancements to the ManageMyHealth Client Adapter for Medtech32. ManageMyHealth is a Clinical and Patient Portal, a secure online health solution that extends the capabilities of your practice and is of real benefit to your patients. ManageMyHealth enables clinicians to connect online with their patients to enhance your practices efficiency and effectiveness. For information on the enhancements to the ManageMyHealth interface with Medtech32 please download and review the ManageMyHealth Release Notes which are available on the Medtech website. 1. Visit our website at 2. Select New Zealand in region drop down 3. Select menu, Medtech Online Medtech32 Downloads. The New Zealand Medtech32 Updates page will be displayed. 4. Locate the Version Build 2743 Update 5. Here you will find the ManageMyHealth Clinical/Patient Portal Release Notes For practices included in the ManageMyHealth Beta program: Please ensure that you download and review the ManageMyHealth release notes detailing the new enhancements to the ManageMyHealth Client Adapter for Medtech32, which will provide information on the changes to the setup and configuration required for practices to utilize the ManageMyHealth functionality. Important Note: The ManageMyHealth Release Notes contain important information for Beta Sites detailing changes that are required to be made immediately on installation of this update to ensure continuation of services with ManageMyHealth after upgrade. For practices NOT included in the ManageMyHealth Beta program: Should your practice be interested in signing up to ManageMyHealth please contact Medtech Sales on to discuss options. Copyright Medtech Limited Page 27 of 32

28 ManageMyHealth SMS This update includes a large number of enhancements for the ManageMyHealth SMS Interface for Medtech32. ManageMyHealth SMS provides the ability for a practice to send a patient SMS Reminders through a variety of ways through the Medtech32 application. SMS Reminders are available via the Appointment Book, Appointment Queue, Recalls, Query Builder and Patient Palette. For information on the enhancements to Medtech32 for ManageMyHealth SMS please download and review the ManageMyHealth SMS Release Notes which are available on the Medtech website. 1. Visit our website at 2. Select New Zealand in region drop down 3. Select menu, Medtech Online Medtech32 Downloads. The New Zealand Medtech32 Updates page will be displayed. 4. Locate the Version Build 2743 Update 5. Here you will find the ManageMyHealth SMS Release Notes For practices included in the ManageMyHealth SMS Beta program: Please ensure that you download and review the ManageMyHealth SMS release notes detailing the new enhancements to the ManageMyHealth SMS functionality in Medtech32, which will provide information on the changes to the setup and configuration required for practices to utilize the ManageMyHealth SMS functionality. Important Note: The ManageMyHealth SMS Release Notes contain important information for Beta Sites detailing changes that are required to be made immediately on installation of this update to ensure continuation of services with ManageMyHealth SMS after upgrade. For practices NOT included in the ManageMyHealth SMS Beta program: Should your practice be interested in signing up to ManageMyHealth SMS please contact Medtech Sales on to discuss options. Copyright Medtech Limited Page 28 of 32

29 Diabetes Get Checked II The Diabetes annual review programme for all people with an established diagnosis of diabetes has been supported by Medtech since 2000 by way of a Screening Template. However, in 2003 the evidence-based guideline on which the programme is based was updated and includes a specific guideline for cardiovascular disease (CVD). As a result Medtech32 has been updated to align with new criteria in the guidelines by implementing a new Advanced Form for the Diabetes Get Checked program. This allows the practices to enter the data at the time of the free annual check and forward the data electronically to the PHO. Your PHO may also be using a new database to collect the Get Checked II data from practices. Important Note: Some practices will be using BPAC, Predict or other programmes and therefore please check with your PHO if they wish you to use the Diabetes Get Checked II programme. For further information on the enhancements to Medtech32 the Diabetes Get Checked II program please download and review the Diabetes Get Checked II Release Notes which are available on the Medtech website. If your PHO requires you to take part in the Diabetes Get Checked II program, please also download the Diabetes Get Checked II Update available on the Medtech website. 1. Visit our website at 2. Select New Zealand in region drop down 3. Select menu, Medtech Online Medtech32 Downloads. The New Zealand Medtech32 Updates page will be displayed. 4. Here you will find the Diabetes Get Checked II Update 5. Here you will find the Diabetes Get Checked II Release Notes Copyright Medtech Limited Page 29 of 32

30 Other Items This update also includes a number of other enhancements and issues which have been resolved. Please review the Release Notes below for details on these enhancements and issues. Medication Merge Fields A number of new Medication Merge Fields have been added to the software. The new merge fields can be located under the Merge Symbol Front Page [FRN] filter option. [FRN_CURRENT_RX] Patient Current Med. This merge field will provide a list of ALL the patients current medications. [FRN_CURRENT_RX_5M] Patient Current Med. (5 mths) This merge field will provide a list of the patients current medications prescribed in the last 5 months. [FRN_CURRENT_RXS] Patient Current Med. with Dose. This merge field will provide a list of ALL the patients current medication with Dose information. [FRN_CURRENT_RXS_5M] Patient Current Med. with Dose (5 mths) This merge field will provide a list of the patients current medication prescribed in the last 5 months with Dose information. Copyright Medtech Limited Page 30 of 32

31 [FRN_LONGTERM_RXS] Patient L.T. Med. with Dose This merge field will provide a list of ALL the patients long term medications with Dose information. [FRN_LONGTERM_DSFQ] Patient L.T. Med. with Dose and Freq This merge field will provide a list of ALL the patients long term medications with Dose and Frequency information. It is recommended that Practices update their Front Page Templates and Referral Letters to include the most appropriate merge fields from the above list. These new merge fields have been added at the request of the Safe Medication Management Group in an effort to increase Patient Safety. New Front Page Templates have been added to the Setup > Clinical > Front Page Module, which utilise these new merge fields. Use of 2010 Dates The date fields in Medtech32 have been updated to allow practices to enter dates of 2010 onwards. Previously when entering dates in the format of 01/01/10, Medtech32 was identifying this as 01/01/1910. This issue has been resolved, and the dates will now be identified as 2010 dates. Invoice Resolutions An issue has been identified where in specific situations an invoice was being resolved to another invoice when making a payment. This issue has been resolved and will no longer happen. Patient/ Provider Inbox CMDHB PDF Discharge Summaries For those practices who are piloting the CMDHB PDF discharge summaries, an issue was identified when using the new Full Screen button with Adobe Reader Version 9 and above. This issue has now been resolved and this functionality can now be used with any version of Adobe Reader. Copyright Medtech Limited Page 31 of 32

32 Viewing Inbox Records To resolve and issue with viewing PDF documents in the Inbox a change has been made that may result in a Warning message appearing on some machines when opening an Inbox record. The warning occurs when the user login for the computer being used does not have Administrator Privileges which are sufficient to enable the registration process that is necessary for the PDF viewer. The warning message that may occur is as follows: If this warning occurs please follow the steps noted in the message to complete the registration process. Clicking on OK to the message will still allow the View Inbox screen to open and allow you to review the record. Should you have any questions with regard to the information contained in these Release Notes please don t hesitate to contact the Medtech Helpdesk on (Option 1 and follow prompts). Copyright Medtech Limited Page 32 of 32