Release Notes Medtech32 Version 20.11 Build 4341€¦ · Hepatitis A child Hepatitis B DLK (Hep B...

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© Copyright Medtech Limited Page 1 of 27 Release Notes Medtech32 Version 20.11 Build 4341 (June 2014) IMPORTANT NOTE Medtech recommends that all Medtech upgrades and database back-up and restore processes are performed by a Medtech Certified Engineer or your Practice Technician. For a list of Medtech Certified Engineers please visit the Medtech Global Website: www.medtechglobal.com 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.

Transcript of Release Notes Medtech32 Version 20.11 Build 4341€¦ · Hepatitis A child Hepatitis B DLK (Hep B...

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Release Notes

Medtech32

Version 20.11 Build 4341

(June 2014)

IMPORTANT NOTE

Medtech recommends that all Medtech upgrades and database back-up and restore processes are performed by a Medtech Certified Engineer or your Practice Technician. For a list of

Medtech Certified Engineers please visit the Medtech Global Website: www.medtechglobal.com

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.

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For further information on these new features, or any other queries regarding the changes in this release, please contact Medtech Support as follows:

Via the Medtech32 application [Help ► Contact Support]

By email to [email protected]

By fax to 0800 MEDTECH (633 832)

By phone on 0800 2 MEDTECH (633 832)

Table of Contents

Overview .................................................................................................................. 3 Immunisation Schedule Changes July 2014 ......................................................... 3

New 2014 Immunisation Schedules ................................................................................... 4 New 2014 Rotavirus Vaccine Details ................................................................................. 6 Pneumococcal Vaccine Changes ...................................................................................... 9 Pre/Post Splenectomy Vaccination Updates .....................................................................10 Overdue Timeframe Changes for 4 Year Old Vaccinations ...............................................11 New Eligible & No Claims Vaccines ..................................................................................12 HPV Vaccinations for Males & Other HPV Vaccine Changes ...........................................15 Immunisation Reporting ....................................................................................................16 Immunisation Merge Fields ...............................................................................................18 Outbox Document Wizard .................................................................................................18 Provider Inbox - Vaccine Update Messages .....................................................................18 NIR Message Transfer Utility ............................................................................................18 PHO Clinical Event Export Utility ......................................................................................18

Extension of GMS Claiming .................................................................................. 19 GMS Claim Changes ........................................................................................................19

Medtech Fax Solution ........................................................................................... 22 Enhancements & Issues Resolved for GP2GP .................................................... 22

GP2GP File Size Increase ................................................................................................22 GP2GP Issues Resolved ..................................................................................................22

Extension of List of Health Practitioners ............................................................. 23 Prescribing Enhancements .................................................................................. 24

Frequent Dispense replaces Close Control.......................................................................24 Staff Affiliation Code now printed on Prescription .............................................................24

Resolved Issues .................................................................................................... 26 ENIGMA Advanced Form Issue Resolved ....................................................................26 Query Builder – Query Store .........................................................................................26 Outbox – Merge symbol ................................................................................................26 Prescription Printing Enhancements .............................................................................26

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Overview This document describes the changes to Medtech32 since the last publicly released build, namely Version 20.10 Build 4299. If you choose to install this upgrade (Version 20.11 Build 4341) over an earlier version (from Version 20.6 Build 3697 onwards), you need to consult the release notes of all intermediate releases, in order to be aware of the changes made subsequent to the version you were running before this upgrade.

Immunisation Schedule Changes July 2014

The Childhood Immunisation Schedule routinely requires updating as new vaccines and disease

threats develop. The changes outlined in these Release Notes have been implemented to meet the

requirements of the latest schedule update for 1st July 2014.

The changes implemented to Medtech32 for the 1st July 2014 immunisation schedule update are as

follows:

Childhood Immunisation Schedule Updates

S.No Vaccine Details Changes Introduced in Medtech32

1 Rotavirus

New vaccines introduced as part of 6 weeks, 3 months & 5

months immunisation schedule for 2014

New Catch Up schedules have been introduced for 2014 based

on specific schedule rules for Rotavirus

2 PCV13

Since PCV13 will replace the generic PCV task, new vaccines

have been introduced as part of 6 weeks, 3 months, 5 months &

15 months 2014 Immunisation schedule.

New Catch Up schedules and new Pneumococcal schedules

have been introduced for 2014, these include the new PCV13

tasks instead of generic PCV.

3 4 Years Old Immunisation

Schedule - MMR &

DTAP-IPV

For the 4 year old vaccination schedule, the overdue period has

been shortened from six months to one month.

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New Standard Vaccines Available for Adults and Other Eligible Patients

S.No New Vaccines Changes Introduced in Medtech32

1

Varicella

Meningococcal A,C,Y & W-135 (for

eligible patients not on the

Pneumococcal Programme)

Meningococcal C

Hepatitis A adult

Hepatitis A child

Hepatitis B DLK (Hep B Dialysis)

MMR

New Eligible Vaccines introduced in Medtech32 for

Varicella, MenACYW-135, MenC, HepA Adult,

HepA Child, HepB DLK & MMR, these vaccines

can be given for eligible & high risk patients.

Same vaccines have been introduced in MT32

separately as No Claims vaccines, these can be

entered for patients who are not eligible to receive

funded vaccines.

2 HPV Vaccination for Males

HPV vaccines can be given to eligible patients

irrespective of their gender.

New HPV no claims vaccine introduced for

entering non funded HPV vaccines.

New 2014 Immunisation Schedules SetupRecall/ScreeningImmunisation Schedule

The following new schedules have been added to Medtech32 for the 2014 Immunisation Schedule

changes:

New Schedules Schedule Details

Childhood Immunisation Schedule Childhood Immunisation Schedule 2014

Catch-Up Schedules

Std CU 12-15 wks 1st dose 2014

Std CU 16 wks-6 mths 1st dose 2014

Std CU 7-11 mths + 1w 1st dose 2014

Std CU 12-23 mths 1st dose 2014

Std Cu 24-44 mths 1st dose 2014

Std CU 45-59 mths 1st dose 2014

Std CU 5-7 yrs 1st dose 2014

Std CU 7 yrs+ 1st dose 2014

Hep B Schedules Baby of HepB Positive Mother 2014

Pneumococcal Schedules

Pneum Schedule (6W to 6M) 2014

Pneum schedule (7M to 11M) 2014

Pneum schedule (12M to 21M) 2014

Pneum schedule (22M to 47M) 2014

Pneum schedule (48M to 59M) 2014

Pneum schedule (5 to16Y) 2014

Pneum 1 prev PCV(2 to 5Y) 2014

Pneum 2 prev PCV(2 to 5Y) 2014

Pneum 3 prev PCV(2 to 5Y) 2014

Pneum 4 prev PCV (2 to 5Y) 2014

Pneum 1 prev 23PPV (2 to 5Y) 2014

Pre/Post Splenectomy Schedules Pneum Pre/Post Splen 12m-15m 2014

Pneum Pre/Post Splen 16m-18y 2014

New „Eligible‟ & „No Claim‟ Vaccine Varicella vaccine, Eligible

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Schedules Varicella vaccine, No- Claim

Meningococcal C vaccine, Eligible

Meningococcal C vaccine, No- Claim

Hepatitis A Adult vaccine, Eligible

Hepatitis A Adult vaccine, No-Claim

Hepatitis A Child vaccine, Eligible

Hepatitis A Child vaccine, No-Claim

Hepatitis B DLK vaccine, Eligible

Hepatitis B DLK vaccine, No-Claim

MenACYW-135 vaccine, Eligible

MenACYW-135 vaccine, No- Claim

HPV Quadrivalent No-Claim

MMR Adult Eligible

MMR Adult No Claim

These schedules will replace the current 2011 Immunisation Schedules and will be available for

selection under the Immunisations Schedule tab in the Immunisations module.

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New 2014 Rotavirus Vaccine Details ModuleImmunisations

New Rotavirus vaccines have been added under Childhood Immunisation Schedules for 6 weeks, 3

months and 5 months.

Medtech32 Vaccine Codes

Rotavirus Vaccine Names

ROTA1 Rotavirus penta, 6w

ROTA2 Rotavirus penta, 3m

ROTA3 Rotavirus penta, 5m

The Rotavirus vaccine tasks cannot be scheduled for a patient if the patient is older than 15 weeks, due to

this the standard catch-up schedule for 3-6 months has been split into two schedules for 2014:-

Std CU 12-15 Weeks 1st Dose 2014 (includes Rotavirus)

Std CU 16 wks-6 mths 1st Dose 2014 (Does not Include Rotavirus)

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Rest of the catch up schedules starting from 16 weeks won‟t have Rotavirus vaccine tasks as this is not

required after 15 weeks‟ time line.

The course of the 3 Rotavirus vaccinations should be completed before a patient is 8 months old.

If there are uncompleted Rotavirus vaccine tasks after the patient turns 8 months old then these vaccine

tasks will be automatically updated with an Outcome of „Closed Not Required‟ and the Note field will contain

the text „Auto Added‟ so that the practice is aware that the Medtech32 application inserted the record.

The Rotavirus vaccine that has been updated with the Outcome of „Closed Not Required‟ will still remain on

the Patient Recall List as other vaccinations under the same group will still be due for administering at the

same time.

New Services and Subsidies have been created for the new Rotavirus vaccines available for 2014

Immunisation Schedules.

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IMPORTANT NOTE

From 1st July 2014, children under 15 weeks of age will be eligible for their first Rotavirus vaccine

dose. However some of these children will still be on the 2011 Immunisation schedule in Medtech32.

In this scenario, once you have run the Medtech32 build with the 2014 Immunisation Schedule

changes, it would be prudent to manually convert all children born in the 15 weeks before 1st July

2014 to the 2014 Immunisation Schedule.

This will enable Rotavirus vaccine details to be entered against these eligible children.

Please Note that Ministry of Health has specified that RotaTeq is the funded Rotavirus vaccine (see

Immunisation Handbook 2014) and there will be no valid alternatives given for these vaccines.

Please use the new Rotavirus Vaccines created in Medtech32 to enter details of the RotaTeq vaccine

and not the un-funded Rotarix vaccine.

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Pneumococcal Vaccine Changes ModuleImmunisations

The Generic PCV vaccination that is used as a placeholder for the PCV vaccination in the 2011

Immunisation schedule has been replaced with PCV13 vaccination in all Childhood and Catch-Up

Immunisation schedules for 2014.

New Pneumococcal 2014 Immunisation Schedules including new Pre/Post Splenectomy schedules

have been created as part of the 2014 Immunisation changes.

The new PCV13 vaccinations created for 2014 schedule will have PCV7 & PCV10 vaccines as valid

alternatives that can be given.

The PCV7 and PCV10 vaccinations will only allow the Outcomes of Given, Given Overseas, and

Given Elsewhere to be selected.

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Pre/Post Splenectomy Vaccination Updates ModuleImmunisations

The Pre/Post Splenectomy vaccination schedules have been updated with addition of two new

schedules – Pneum Pre/Post Splen 12 m-15m 2014 & Pneum Pre/Post Splen 16m-18y 2014.

The remaining valid Pre/Post Splenectomy schedules have all been listed together under the newly

added schedules for 2014.

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Overdue Timeframe Changes for 4 Year Old Vaccinations SetupRecall/ScreeningVaccine Group

The overdue timeframe for Childhood Immunisation 4 year old vaccination tasks have been reduced

from 6 months to 1 month.

The 4 year old vaccinations are:-

DTaP-IPV

MMR

The default „Late After‟ time period for all vaccines coming under the „4-5Y Prior School 2014‟ & „4-5Y

Prior School 2011‟ vaccine groups have been changed from 6 months to 1 month (4 weeks).

Due to this the 4 year old vaccinations will display in Red font (overdue) in 4 weeks‟ time period

instead of the usual 6 months period.

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New Eligible & No Claims Vaccines ModuleImmunisations

Eligible & No Claims Vaccine Schedules

New „Eligible‟ and „No Claims‟ vaccines have been introduced in Medtech32, these vaccines can be

given by selecting the respective vaccine schedules available under the „Schedule Selection‟ tab of

the „Immunisation Status‟ screen.

For all the new vaccine schedules for Eligible Vaccines and No Claims Vaccines, maximum of two

doses can be given to eligible, high risk and non funded patients.

Due to this, selection of any of the available new schedules will list two vaccine tasks to be given to

patients under the „Immunisation Schedule‟ tab.

The new „Eligible‟ and „No Claims‟ vaccines will have all the outcomes available for a vaccine except the Alternate Given (AG) outcome.

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Eligible Vaccines

The new „Eligible‟ vaccines can be administered to High Risk patients and other Eligible patients.

These vaccine details will be sent to NIR irrespective of the patient‟s age if the NIR status is „Opt On‟.

New services and subsidies have been created to enable claims to be sent for these funded vaccines.

Medtech32 Vaccine Codes

Eligible Vaccine Names

VAR1 Varicella Eligible-1

VAR2 Varicella Eligible -2

MENC1 MenCCV, Eligible-1

MENC2 MenCCV, Eligible-2

HEPAA1 Hep A, Adult, Eligible-1

HEPAA2 Hep A, Adult, Eligible-2

HEPAC1 Hep A, Child, Eligible-1

HEPAC2 Hep A, Child, Eligible-2

HEPBD1 Hep B, DLK, Eligible-1

HEPBD2 Hep B, DLK, Eligible-2

MENAE1 MenACYW-135, Eligible-1

MENAE2 MenACYW-135, Eligible-2

MMRE1 MMR Adult, Eligible-1

MMRE2 MMR Adult, Eligible-2

The new „Eligible‟ MenACYW-135 vaccine can be used to enter vaccine details administered to eligible and

high risk patients as part of Non-Pneumococcal Programme. Similarly MMR Adult Eligible vaccines can be

entered for administering MMR vaccines to eligible adults.

No Claims Vaccines Another set of similar vaccines have been introduced in Medtech32 separately as No Claims

vaccines, these can be entered for patients who are not eligible to receive funded vaccines.

No Claims vaccine details will not be sent to NIR, and these vaccines cannot be claimed so there are

no subsidies created, although new services have been created to enable billing the patients directly

for administering these vaccines.

Medtech32 Vaccine Codes

No Claims Vaccine Names

VAR1 Varicella No-claim-1

VAR2 Varicella No-claim -2

MENC1 MenCCV No-Claim-1

MENC2 MenCCV No-Claim-2

HEPAA1 Hep A, Adult, No-Claim-1

HEPAA2 Hep A, Adult, No-Claim-2

HEPAC1 Hep A, Child, No-Claim-1

HEPAC2 Hep A, Child, No-Claim-2

HEPBD1 Hep B, DLK, No-Claim-1

HEPBD2 Hep B, DLK, No-Claim-2

MENAE1 MenACYW-135, No-Claim-1

MENAE2 MenACYW-135, No-Claim-2

MMRE1 MMR Adult, No-Claim-1

MMRE2 MMR Adult, No-Claim-2

It is recommended that to enter MMR vaccine details administered to patients as non-funded

vaccines, the new MMR Adult No Claim vaccines are used, instead of the previous MMR Adult &

MMR misc vaccines that can be entered from the „All Immunisation‟ tab „Single Syringe‟ option.

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Sending New Eligible Vaccines to NIR

If the patient‟s NIR Status is „Opt On‟, then all the new „Eligible‟ vaccine details will be sent to NIR,

irrespective of the patient‟s age by bypassing childhood age cohort rules (checks the DOB and NIR GO

Live Date).

While entering the new „Eligible‟ vaccines from the „Immunisation Schedule‟ tab using the single syringe

icon or double syringe icon or by double clicking on the vaccine and if the patients NIR Status is not known

then the “NIR Information” prompt will be displayed asking the options of „Opt On‟, or „Opt Off‟ or „Continue‟.

Similarly if the patient‟s NIR Status is not known and the new „Eligible‟ vaccines are entered from the

All Immunisation‟ tab using the single syringe icon the “NIR Information” prompt will only be displayed if the

specific „Eligible‟ vaccine schedule has been selected under the “Schedule Selection” tab.

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Sending of “Opt Off” Messages based on Childhood Age Cohort Rules

While entering any of the „Eligible‟ vaccine details in Medtech32 and the patient decides to Opt Off

from sending the details to NIR, then the Opt Off message will only be sent if the patient falls within

the childhood age cohort rules (checks the DOB and NIR GO Live Date).

The same rules have been applied to all the Influenza vaccines and the dTap pregnant women vaccines.

This will mean that Opt Off messages will not be sent for all the adults if they are administered any of the

„Eligible‟ vaccines, Influenza & the dTap pregnant women vaccines.

HPV Vaccinations for Males & Other HPV Vaccine Changes ModuleImmunisations

HPV vaccine details administered to an eligible „Male‟ patient can be sent to NIR if the patient‟s NIR

Status is „Opt-On‟, these vaccines can also be sent to Proclaim for subsidy claims.

To enable this, existing HPV Quadrivalent & Bivalent vaccines default Gender has been changed

from „Female‟ to „All‟, although only HPV quadrivalent vaccine details will be sent to NIR irrespective

of the gender.

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To enable entry of non-funded HPV vaccine details administered to „Male‟ and „Female‟ patients, new

HPV No Claims vaccines have been created in Medtech32. These vaccine details won‟t be sent to

NIR and Proclaims.

These vaccines can be entered by selecting the “HPV quadrivalent No-Claim‟ schedule from the

„Schedule Selection‟ tab of the „Immunisation status‟ screen.

This will enable listing of 3 HPV quadrivalent vaccine tasks in the „Immunisation Schedule‟ tab

The same vaccines can be entered from the „All Immunisation‟ tab „Single Syringe‟ option as well.

Immunisation Reporting

Medtech32 Immunisation Audit Report

ReportImmunisationsMT32 Imm Audit

The Medtech32 Immunisation Audit Report has been updated to include the new 2014 childhood

Immunisation schedule vaccines.

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NIR Immunisation Audit Report

ReportImmunisationsNIR Imm Audit

The NIR Immunisation Audit Report has been updated to include the new 2014 childhood

Immunisation schedule vaccines.

The Report has been updated to include new „Eligible‟ & „No Claims‟ vaccines (Varicella,

Meningococcal C, MenACYW-135, Hepatitis A Adult & Child, Hepatitis B DLK & MMR Adult) and the HPV

No Claims vaccine.

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Immunisation Merge Fields SetupIn/OutBoxOutbox Document

All immunisation merge fields have been updated to include the new 2014 Immunisation Schedules

and New Vaccine Codes.

Outbox Document Wizard ModuleOutboxNew Document (Wizard button)

The Immunisations section in the More tab of the Outbox Document Wizard has been updated to

include the New Vaccines Codes for the 2014 Immunisation Schedules.

Provider Inbox - Vaccine Update Messages ModuleInboxProvider Inbox

The Provider Inbox display for Immunisation Update messages has been updated to ensure correct

formatting and display of Vaccine Details for Patients when imported.

NIR Message Transfer Utility UtilitiesNIRNIR Message Transfer Utility

The NIR Message Transfer Utility has been updated to enable the messaging of all new 2014

Immunisation Schedule changes.

PHO Clinical Event Export Utility UtilitiesLinktechPHO Clinical Event

The PHO Clinical Event Export Utility has been updated to enable the messaging of all new 2014

Immunisation Schedule changes.

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Extension of GMS Claiming GMS Claim Changes SetupStaffView StaffProvider Tab

The extension of GMS claiming only applies to GMS claims made through the GMS schedule of the

PHO Services Agreement – it does not apply to claims made outside the PHO Services Agreement

through a Section 88 Advice Notice.

GMS claiming is extended to “Health Practitioners” defined as a person who:

is registered under the HPCA with the relevant authority under the Act

holds an APC

is working within their scope of practice

is employed / contracted by a PHO or Contracted Provider of a PHO as part of a General

Practice Team

This means Nurse Practitioners, Registered Nurses and potentially other Health Practitioners working

within a General Practice Team (that holds a B2B agreement with a PHO) may initiate a GMS claim

for a consultation with a casual service user.

A “General Practice Team” is defined as follows:

General Practice Team means a multidisciplinary team whose members have the complementary

knowledge and skills of Medical Practitioners and Nurses, who may include other Practitioners, and

who work together to provide primary health care to improve the health of the Enrolled Population.

Nurse means a Nurse Practitioner, a Registered Nurse, or an Enrolled Nurse.

Practices need to make an application to PHOs/networks for approval of eligible Health Practitioners

to initiate GMS claims.

Once approved, eligible Health Practitioners may claim GMS from 01 July 2014 using the practice

payee number and the PHO agreement number (these numbers must be entered in the Medtech32

Staff Setup Screen).

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Medtech has implemented changes to the GMS claim file to identify the Health Practitioner claiming

for the GMS fee for service subsidy, two types of data will be sent in the claim file:-

Type of Practitioner (Doctor, Nurse, Pharmacist)

Practitioner‟s Registration Number.

Since the Affiliation code in the Staff setup will be used to identify the Type of Practitioner claiming for

the GMS subsidy it is imperative that the correct practitioner codes are entered in the Affiliation drop

down.

Provided below is a table with the correct Affiliation codes, please add these in your Staff Setup for

the Health Practitioner at your practice who is eligible to claim for GMS fee for service subsidy.

StaffProvider

TabAffiliation Provider/Practitioner Type

NZMC Doctor/GP

NZNC Nurse

NZPC Pharmacist

If you have added different Affiliation codes under the Affiliation drop down for the providers given in

the table above please inactivate these codes and enter the correct codes from the table.

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Please make sure that all staff members at the practice using the old inactivated Affiliation codes are

amended to the correct codes.

Also check that the Health Practitioner allowed to claim for the GMS fee for service subsidy is setup

as Service Provider and/or Income Provider under the Staff Setup screen. This will enable the

practitioner‟s name to be selected as Service Provider or Income Provider under the Invoicing screen

while invoicing for a GMS service.

IMPORTANT NOTE

If you require additional information on the extension of GMS, we have also included on our website

under version 20.11 an information document courtesy of General Practice New Zealand for your

reference.

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Medtech Fax Solution Practices having Windows 7 and above were not able to use the FaxTech utility for Faxing

requirements, this issue has been resolved by providing a new Medtech Faxing Solution which relies

on the Microsoft Windows Fax and Scan application.

A separate installer will be provided to practices to enable using the Medtech Fax solution, this

installer has to be run on the designated Fax server at the practice. The installer and related

documents can be found by following instructions below

Location of Medtech Fax solution

1. Visit our website at www.medtechglobal.com.

2. Select “New Zealand” in the region drop down (top right hand side of the window). 3. Select menu, Support Medtech32 Downloads. The New Zealand Medtech32

Downloads page will be displayed. 4. Locate the upgrade called Medtech32 Fax solution (June 2014) in the list.

Enhancements & Issues Resolved for GP2GP

GP2GP File Size Increase ToolsPatientGP2GP Patient Record Export

The maximum file size for messages that can be sent via Healthlink has been increased from 5 MB to

20 MB. To cater to this increase in file size, changes have been implemented in Medtech32 to allow

GP2GP file sizes greater than 5 MB and upto 20 MB to be exported and imported.

GP2GP Issues Resolved

Previously if a GP2GP Export process was carried out an entry was created under the

Messages Lodged Screen and Provider Inbox screen before the whole export process was

completed, if the export process was cancelled in between the entries created remained as it

is and never got deleted or removed.

This issue has been resolved now and if an export process is cancelled in between, the entries created under Messages Lodged and Provider Inbox will be removed.

While performing GP2GP Export process for a Medication that has a Classification linked with it, an error message was being displayed in the Patient Outbox stating “Error while Validating Drug Issue”. This issue is now resolved.

In Messages Lodged screen the “Rejected” messages were being displayed as

“Acknowledged” messages. This issue has now been resolved and “Rejected” messages are

being displayed correctly.

An additional column has been added under the Messages Lodged screen to display the Reason for the Rejected messages.

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Extension of List of Health Practitioners

Changes have been made to extend the list of providers that are now deemed “Health Practitioners”

to differentiate between different types of Health Practitioners for Service Utilisation Reporting and

other types of Service Reporting changes coming up in the future.

The “Health Practitioners” will be identified by the Affiliation Codes entered in the Staff Setup screen.

Valid Affiliation codes are listed below. If you have added different Affiliation codes under the

Affiliation drop down for the providers given in the table below please inactivate these codes and

enter the correct codes from the table.

Please make sure that all staff members at the practice using the old inactivated affiliation codes are

amended to the correct codes.

StaffProvider

TabAffiliation Provider/Practitioner Type

NZMC Doctor/GP

NZNC Nurse

NZPB Physiotherapist

NZWC Midwife

NZOB Optometrist

DCNZ Dentist

NZDB Dietician

NZOT Occupational_Therapist

NZCA Chiropractor

NZPC Pharmacist

MSNZ Laboratory_Scientist

OCNZ Osteopath

PSNZ Psychologist

MRTB Radiation_Technologist

PBNZ Podiatrist

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Prescribing Enhancements

Frequent Dispense replaces Close Control

Close Control has been renamed as Frequent Dispense and will affect all prescribers. Frequent

Dispense has the same meaning as Close Control however; Frequent Dispense will now be printed

on the prescription rather than CC.

In addition it is no longer required to initial the Frequent Dispense on the prescription to endorse it.

Further details can be found at

http://www.pharmac.govt.nz/2012/06/22/Close%20Control%20changes%20July%20Update%20news%20story.pdf

Staff Affiliation Code now printed on Prescription

Due to the increase of different Healthcare Providers permitted to create Prescriptions the Affiliation

code of the staff member is now printed on the Prescription, rather than NZMC. This value is obtained

from SetupStaffMembersProvider tabAffiliation field.

Accordingly it is important to ensure the correct Affiliation codes are used as specified within the

“Extension of List of Health Practitioners” section above.

Eg: Nurse practitioners who are allowed to prescribe medications will have their affiliation „NZNC‟

printed on the script.

Important:

The Prescription Template in the Outbox document setup determines the format of the faxed or

emailed copy of the prescription.

The Affiliation in the prescription template is hardcoded as NZMC, this wording must be replaced by

Practices with a new merge symbol [PROV_AFFILIATION] which will populate the Providers

Affiliation code.

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The [PROV_AFFILIATION] merge symbol has been added to the Document/Encounter Provider

Keywords.In addition the term “endorsed close control” must be replaced by “Frequent Dispense

specified”.

The path for this amendment is SetupIn/Out BoxOut Box DocumentSCRIPT

templateDocument Tab

Alternatively if you have not customised this template this can be automatically replaced by running

the following link from our website: „Outbox_Merge_Symbol_for_Affiliation.EXE’

1. Visit our website at www.medtechglobal.com.

2. Select “New Zealand” in the region drop down (top right hand side of the window). 3. Select menu, Support Medtech32 Downloads. The New Zealand Medtech32

Downloads page will be displayed. 4. Locate the download under „Outbox_Merge_Symbol_for_Affiliation.EXE‟ under „Medtech32

Version 20.11 Build 4334 (June 2014)‟

Before running the patch

After running the patch

Note: The existing customised outbox template for „SCRIPT‟ will be overwritten by a new one as shown in this above screenshot after running this patch. If you have customised the template and wish to retain it, do not run this patch and simply add the merge symbol and „Frequent Dispense Specified‟ manually in the outbox template

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Resolved Issues

ENIGMA Advanced Form Issue Resolved Previously there were issues with the write back of screening terms to Medtech32 application while

using Enigma Advanced Forms, if multiple advanced forms were open

This issue has now been resolved by restricting the ability to open multiple Advanced Forms. If more

than one form is opened, an information prompt will be displayed as shown below.

Query Builder – Query Store 1. The vertical scroll bar in the Query store window was not enabled for users when they were

trying to move queries to folders towards end of the list. This issue has now been resolved.

2. When trying to save existing query users had to retype the query name as it was displaying blank. We have now resolved it by displaying the existing query name in the “Save Query” window.

3. When you open the query store window all queries were displaying in the query list level. This is now changed to display at the folder level.

Outbox – Merge symbol When medications are prescribed in the non-granular mode, an issue has been identified with the

merge symbol “FRN_LT_RX_DSFQST” where the dosage is displaying as zero for these medications.

This issue has been resolved.

Prescription Printing Enhancements An enhancement has been made to Printing Prescriptions to ensure medications which have either no

Directions or Mitte are easily identified so they may be corrected.

Currently, only Directions are mandatory, now Mitte has also been included as being necessary

before printing them on a prescription. This is to avoid confusion for the Pharmacy when they

dispense the medication.

If you attempt to print a prescription which contains a medication that does not have either Directions

or Mitte the following popup message will be displayed:

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At this point you have two options:

You can continue to print all medications which are valid and exclude the invalid medications by

selecting Yes

Or you can select No to allow you to correct the medications before printing the prescription.

Regardless of the option you chose the medications with either no Directions or Mitte will be displayed

in italics to allow easy identification.

Simply click on the medication in italics, make corrections and save the changes which will then allow

the medication to be printed on the prescription.