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Changes to MRS June 2017
A number of improvements were made to MRS on 16 June 2017. The changes are explained below.
Ability to save problem mapping
- A Save button has been added to the Findings page. This will allow you to save the problem mapping you have completed if you need to leave this page before finalising this part of the medical. When you return, any mappings already completed will not have been lost.
Auto-mapping of common findings to problems
- Thirty-three common findings have been auto-mapped to problems.
- These include findings such as:
- kidney stones
- vision standards not being met
- Parkinson’s disease
- family history/heart disease
- applicant is pregnant
- obstructive sleep apnoea
- heart attack/angina
- stress ECG required where CRI > 14.
- These findings will be auto-mapped in the first instance, however you will still be able to change or delete if you think another problem is more fitting for a particular applicant.
- The auto-mapping will only occur for an initial application.
Visual acuity tables
- The visual acuity section of the DAME examination has been completely overhauled.
- Specific tables will display depending on the type of correction selected, and only those visual acuity values required by the standard will need to be entered.
- If no correction worn – only uncorrected visual acuity values for left, right and both eyes need to be entered for distance vision (6m) and uncorrected values for intermediate (1m) and near vision (30-50cm) need to be entered for both eyes only.
- If distance correction is the main type selected, uncorrected and corrected values need to be entered for distance (6m) for left, right and both eyes. The same is required for the standby correction. Uncorrected vision values for both eyes only needs to be entered for intermediate and near acuity.
- If look-over is the main type selected, uncorrected visual acuity values need to be entered for distance (6m) for left, right and both eyes. Uncorrected and corrected visual acuity values for both eyes only need to be entered for intermediate and near acuity. The same is required for standby correction.
- If contacts, progressive focus, bifocal or trifocal are the main type selected, uncorrected and corrected values need to be entered for distance (6m) for left, right and both eyes. The same is required for the standby correction. Uncorrected, corrected and standby vision values for both eyes only needs to be entered for intermediate and near acuity.
- In addition, the system will automatically import the eye examination data from a Designated Aviation Ophthalmologist or Credentialed Optometrist into the DAME examination report if it has been completed within 90 days prior to the DAME examination.
Requirement for a stress ECG
- The system will flag the need for a stress ECG when an applicant’s Cardiac Risk Indicator (CRI) score is above 14.
- The CRI score will be displayed prominently on the Examiner Summary screen below the Document Tree.
- If the score is above 14, a message will be displayed saying ‘Please refer for Stress ECG.’ However, you will not have attached the stress ECG before submitting the medical. This can be attached to the medical at a later date when completed.
FAST total displayed
- The FAST total will be displayed on the Examiner Summary screen and on the PDF summary page. When the total is 3 or above, it will be highlighted and a link to the Clinical Practice Guidelines (CPGs) for alcohol will also display.
- This will serve as a reminder to provide the applicant with appropriate referrals.
Highlighting elements of the questionnaire
- Where you change an answer provided by an applicant in the History section of the medical examination, it will be flagged with the text: ‘answer changed by DAME’. If you change an answer, please provide the reason for the change in the comment box, even if the change is only that the applicant made a mistake in their original selection.
- Where an answer is different to the answer provided in the last medical, it will be flagged with the text: ‘answer changed from last medical’.
- For any non-normal responses – that, is where ‘yes’ has been selected by the applicant in the questionnaire – the answer will be flagged with an orange border.
- The purpose of this enhancement is to make issues easily identifiable, and also serves as a reminder you may need to provide additional information or investigate further.
- These highlights will also be present in the PDF summary report.
Increased DAME2 certificates may be issued
- The system will allow for more medicals to be issued by DAME assessors (DAME2).
- This enhancement will allow a greater number of findings to be passed by the DAME2 after consideration of the entire medical examination. This will reduce the number of medicals that will need to be sent to CASA for issue of the medical certificate. Examples of findings that may be passed after due consideration will include:
- routine screening blood tests with no abnormalities
- CVS high cholesterol
- applicant is pregnant
- urinalysis positive
- taking prescribed drugs
- health professional visits
- heart test
- lung test
- off work due to medical reasons
- vision uncorrected standard not met
Email notifications to DAMEs
- MRS will send all email notifications, including the notification for receipt of a Secure Message, to the email address identified within the CASA data system, EAP.
- If you update your email address through DAME Manager and My Details in MRS, the new email addressed will automatically be pushed through to the EAP system.
- You will be about to opt out of receiving system generated emails by clicking the check box on the My Details screen.
- The auto-generated email sent to you when a medical has been in your in-tray for more than seven days will now only be sent after 21 days.
Changes to the applicant questionnaire
- Information regarding referrals required for reports/test on the Applicant Summary screen has been made more prominent. This will assist applicants being better prepared for their medical examination.
- The button on the payment screen has been changed to Payment Complete from Finish. In addition, a note has been added informing applicants they must still submit the medical to their chosen DAME. This should reduce the instances where an applicant arrives at their appointment but you cannot access their medical.