These updates are intended for Ardens EMIS customers only. To view a full list of the available Ardens resources click here.


Recent Email Communication:


29/02/24 - Prioritising Work for Financial Year End FAQ

06/02/24 - Ardens EMIS Updates - Feb 24 

01/02/24 - Automating Recall for Blood Tests

10/01/24 - New Features (Ardens EMIS)

09/01/24 - QOF, IIF and V+I Contract Updates & Changes



Ardens Searches:


Latest versions of the Ardens searches can be downloaded from the Ardens Portal.


4th March 2024


Search Folder

Version

Description

2.20 Prescribing Monitoring 

 

V2.50

Error fix - CVD-PP: Register - 30-84y+ QRISK2/3 >=10%/MH/HYP/DM + no CVD/statin/antiplatelet is now looking at greater than OR EQUAL TO 10%, to align with the Ardens Blood Test Due Analyser and clinical best practice.

 

 

 

5.32 Network Contract DES 

 

V2.20

Error fix - Improved Inequality DQ search that was over-reporting.


27th February 2024


Search Folder

Version

Description

2.15Prescribing CAS Alerts

 

V3.50

A search and report have been written to help practices identify patients who may need review due to the recent supply shortage notification.


26th February 2024


Search Folder

Version

Description

5.36 NHS Health Check 

 

V32.40

Update - search "NHS HC | Done: LD" was slightly under-including.

New - Added 2x new searches - NHS HC | Done: Depression; NHS HC | Done: Is a Carer.

New - Added 2x reports - NHS HC | All: Done - Elsewhere (by code); Report showing mandatory elements in 28d before NHS HC last quarter.

 

1.31 Administration – Registration 

 

V24.90

Improved - "allocated/informed of named GP" search to ensure patients that have left the practice and subsequently re-registered are identified as "to do".

Folders re-named for clarity, into new divisions.

 

4.12 Conditions - Diabetes

 

V19.40

Updated to exclude patients with a diagnosis of DM1 or EOL from NDPP eligibility searches.

3.10 Vaccination COVID

 

V13.00

New – these searches have been updated for Spring Booster 2024.

5.32 Network Contract DES 

 

V2.10

Update - CAN-02 - we have corrected an error in the date range for CAN-02 exceptions. This may mean that you have additional patients appearing in your denominator for this indicator, so we have provided an additional 'data quality' for patients previously excluded from CAN-02 denominator

New - CAN-02 - we have created activity reports to enable practices to count the relevant referrals as a % of the count of total referrals. This will help users to understand their projected activity for year end.

 

2.15 Prescribing - CAS alertsv3.50Update - A search and report have been written to help practices identify patients who may need review due to the recent supply shortage notification for salbutamol nebuliser solution.


15th February 2024


Search Folder

Version

Description

5.32 Network Contract DES 

 

V1.91

Update – IIF > Work done > CAN-02 search updated to align more closely with the business rules. This has included removing the code ‘rectal haemorrhage', while although mentioned in the details it is not a code included in the refset codelist and therefore will not count. We have added a new data quality search to identify those patients who may have been excluded for this reason previously, as you may wish to re-code them with an alternative.

3.20 Vaccinations - Other

 

V25.40

Update – Childhood Immunisations ? Recall > Pre-school boosters > error fix for the pre-school booster recall searches (it was previously flagging too many people as eligible, based on incomplete prior vaccination history).

Important – Pneumococcal eligibility – we have temporarily retired this folder as there is a coding issue, whereby one of the most frequently used codes is not being recognised by searches. We have logged this with EMIS and will re-instate the suite once we have a work-around.

 


12th February 2024


Search Folder

Version

Description

5.36 NHS Health Check 

 

V32.30

Fix – the reports for monthly activity were named the same as quarterly – this has been updated.

5.22 QOF Misc 

 

V3.30

New- Mental Health – we have added a new report to assist with MH021 which shows any missing elements of physical health checks

 

3.22 MMR Catch-up 

 

V2.10

New - We have added a catch-up folder for patients older than 25, up to the point where Green Book guidance takes effect (those born in 1990). We have added two folders to cover Green Book guidance for those born 1980-1989, and 1970-1979.

5.32 Network Contract DES 

 

V1.90

Background update - The list of Chronic Respiratory Disease codes has been updated to include extra codes, reflecting the central NHS update

 


2nd February 2024


Search Folder

Version

Description

5.22 Contracts - QOF - Misc

V3.20

New - Added folder for patients failing indicator AF008 but on Warfarin to assist with the elements needed to achieve this indicator

 

Update - QOF Housekeeping: Heart Failure review this QOF year broken down into 3x searches to assist workload management and updated all codes to align with current QOF; Patients with a declined, contraindication or max tolerated therapy recorded will now be excluded from diabetes housekeeping search; Asthma housekeeping search for "no full review" has been updated to align with QOF on logic and ACT codes.


New - Several data quality searches and a report have been added to support the reviewing of Cholesterol indicators 1&2.

1.34 - Administration - Carers

V24.2

Update – fix to error in parent population of new occupational carers search.

5.00 - Contracts - QOF - Case Finders

V3.1

Update- osteoporosis register codes updated to reflect latest NHSE update; Dementia case finder updated to find more patients based on possible dementia coding

3.20 Vaccinations - Other

v25.3

Urgent - error fix to Childhood Immunisations > Recall > Pre-school booster as this was over-including patients in the previous version, v25.2.


29th January 2024


Search Folder

Version

Description

3.20 Vaccinations - Other

V25.20

New – addition of folder within Child Imms section for recall for early MMR vaccinations (at 18m) for the London area.

1.34 Administration - Carers

V24.10

New – further to customer request, a new folder for ‘occupational carers’ has been added.

1.10 LTC Recalls

V9.10

Update – Recall for LD, where LD is the only condition, has been reinstated and a lower age limit of 14y imposed. While not needed for QOF, recall for these patients is needed for IIF.

2.20 Prescribing Monitoring 

V2.40

Update – minor tweaks to coding for retinopathy screening for patients on hydroxychloroquine; NSAID searches have been refined to ensure only patients with at least 3 issues in the last year are included.

4.14 Conditions - Learning Disability 

V2.10

Update - Health screening searches updated with an updated retinopathy screening codelist; Updated LD register as per NHSE latest code cluster update

3.22 MMR Catch-up Searches

 

V2.00

New – suite of searches to identify those eligible for MMR catch up under the 6y-25y national catch up. Note – as the recall is being done centrally, these are not call / recall searches but will indicate numbers of eligible patients.

5.32 Network Contract DES 

V1.80

Minor update – Inequalities – Autism register updated to reflect national AUT_COD code list.


19th January 2024


Search Folder

Version

Description

5.20 Contracts – QOF - Monitor

V19.60

Update – an update to some of the rules relating to BP to mirror recent EMIS alterations.

5.40 CQRS Searches

 

V4.20

Error – an error in the date of birth for the shingles reports, which meant the report was not correctly identifying vaccinated 80 year olds, has been corrected in this version.

5.33 NCD - Supporting ACC-08 Searches 

V1.30

Update – ‘Home Visit’ added to the report for ‘Booking time to appointment time <2w as this was being picked up by the search but not showing in the report.


17th January 2024


Search Folder

Version

Description

4.14 Conditions - Cancer 

V4.10

Error - Cervical screening non-responder report for 50-64y updated to correct an error. Additional report elements added to aid contacting these patients.

5.22 QOF Misc Searches 

 

V3.10

Update – we have added some new reports to this folder to assist practices with data quality around recording of BP. A non-home BP value only counts where it is entered as part of a ‘dual value code’, e.g. O/E BP Reading and not if it is entered as single values. The support article (https://support-ew.ardens.org.uk/support/solutions/articles/31000157205-5-22-qof-misc-searches) has been updated to explain how to use these (see section ‘b) BP Data Quality).


12th January 2024


Search Folder

Version

Description

2.10 Prescribing Safety Searches

V20.70

Update – this folder has been updated to remove searches made redundant by the release of the updated version of 2.22 Prescribing – Alerts in order to avoid duplication.

4.14 Conditions - Cancer 

V4.00

Update – this suite has had a complete overhaul and the recall searches for the national screening programme have been removed. Please see this link for more information on the change to our cervical screening searches - https://support-ew.ardens.org.uk/support/solutions/articles/31000172376-information-cervical-screening-invitations

2.15Prescribing CAS Alerts  

V3.40

Update - The carbomer recall search has been updated to surface all patients who have carbomer eye gel on their current list of medications. Patients will need to be reviewed in light of the NPSA alert.

Update - The GLP1 search has been updated in light of the updated CAS alert to include an additional search and report which will highlight patients on Byetta or Victoza to consider changing to the oral preparation Rybelsus.

New - A new search has been written to support the company led recall of Nutramigen LGG stage 1 and stage 2 Hypoallergenic Formula powders because of the possible presence of Cronobacter sakazakii. The search will identify all patients that have the milk on their current medications; this could be used to contact patients to find out if they have the batches concerned with the recall.

 

 

2.22 Prescribing - Alerts

 

V1.40

New – additional folders added to this suite for Endocrine, Frailty, Gastrointestinal, Mental Health, Potentially Addictive meds and Women’s Health.


Ardens Clinical Templates:


Please note the following updates will reflect instantly for Resource Publisher sites. For Template Manager sites you will be manually updated during your next Ardens install.


January 2024


Template Name

Change Type

Description

Diabetes

New Templates

A suite of new Diabetes templates - Diabetes (SMART version), Diabetic Preconception Care, Suspected and New Diabetes, Hyperglycaemic Emergencies, Initiation of Injectables. 

Asthma

New Templates

Asthma NEW (SMART version), Suspected Asthma.

Structured Medication Review template

Updated

Improved to allow clinicians to complete a comprehensive medication review, with links to a number of polypharmacy medication review tools.

Emergency Scenarios template

New Template

To assist with the quick capture of data relating to scenarios such as cardiac and respiratory arrest, seizures and chest pain.

Primary Prevention of Breast Cancer template

New Template

Supports clinicians with classifying the risk of breast cancer and identifying patients requiring referral.

Hyperlipidaemia 

Updated

As per latest NICE guidance in December 2023.

Rhinitis 

Updated

As per latest CKS guidance on prescribing.

Postnatal mother examination 

Updated

As per latest NHSE guidance in December 2023.

Abnormal LFTs
Pulses and ABPI doppler template
Insomnia
Acne
Targeted Lung Health Check coding
Menopause and HRT
Iron deficiency anaemia
Food allergy and intolerance

Updated

Minor updates made.


December 2023


Template Name

Change Type

Description

Hypertension NEW

Major update

Major update to include smart working

Cancer NEW template

Major update

Major update to include smart working

Drug Monitoring template

Major update

Major update to include smart working. Name change (previously High Risk Drug)and inclusion of additional drugs.

Military veterans or family member

 

New Template

 

Community Outreach 

Updated

Significant coding update throughout

Domestic violence

Updated

Coding added for different types of abuse and updated honour-based abuse.

Child and Adult safeguarding 

Updated

New sections for honour-based abuse

 

Vasectomy 

Updated

Additional information on assessment page and counselling page

Cancer screening follow-up 

Updated

Condensed and updated

Inflammatory Bowel Disease 

Updated

Condensed and updated and Quick Entry page added 

Hernia 

Updated

 

Varicose Veins 

Updated

 

Axial Spondyloarthritis 

Updated

Name change (prev Ankylosing Spondylitis)

Menorrhagia 

Updated

 

Coeliac disease

Updated

Quick Entry page added

Self harm

Updated

Quick Entry page added



If you require any further assistance on the process above, please contact Ardens support on:

 support-emis@ardens.org.uk