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Ision Bytesize This work is subject to the terms of a Creative Commons License Using Keywords to find Read Codes Using Vision – The Journal Tab.

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Presentation on theme: "Ision Bytesize This work is subject to the terms of a Creative Commons License Using Keywords to find Read Codes Using Vision – The Journal Tab."— Presentation transcript:

1 ision Bytesize This work is subject to the terms of a Creative Commons License Using Keywords to find Read Codes Using Vision – The Journal Tab

2 This is what you will learn Using Keywords to find Read codes: Key words explained How they are used Examples of clinical acronyms Examples of clinical prefixes Finding a better Read code

3 Keywords explained Short cuts to finding Read codes e.g. the keyword IHD will find Ischaemic Heart Disease Not part of the Read code term Based on commonly used medical abbreviations or logical prefixes Keywords have no spaces e.g. painabdo

4 How they are used What Vision displays Earache O/E - tympanic membrane red O/E - Rash absent Usual warning given What is typed Eara Tmred 0rash uwg This reduces the number of keystrokes

5 Examples of clinical acronyms Type this Vision will give you TAH Total abdominal hysterectomy NEC CABG Saphenous vein graft replacement of coronary artery DU Duodenal ulcer - (DU) AOM Acute non suppurative otitis media ECG Standard ECG IB IB113 DLS Incapacity for work form completed

6 Examples of clinical prefixes -1 The first part is the same and the second part is added without a space, for example: Rx finds codes related to medication RxStop: Treatment stopped - alternative therapy undertaken Medication stopped - contra-indication Drug not taken - pat disbelief Medication stopped - ineffective Press the down arrow to scroll through these terms

7 Examples of clinical prefixes -2 Other examples –FU finds codes related to Follow-up FU1m – Follow-up 1 month FU1w- Follow-up 1 week FU2w- Follow-up 2 weeks FUrefer- Referral needed –PMH finds past medical history pmhIHD- H/O angina pectoris pmhDep- H/O: psychiatric disorder

8 Finding a better Read code - 1 Youve found a Read code thats nearly correct … e.g. Rxstop finds Treatment stopped - alternative therapy undertaken However…. the real reason is that they found the tablet too big With the wrong code still displayed, press [F3] in the Read term entry field

9 Finding a better Read code - 2 F3 will show you what you searched on You are looking in the formulary A list of other similar codes is displayed If not accurate enough…

10 Finding a better Read code - 3 Click here to go into Read hierarchy Here are two better options Double click one to select


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