Transcript Slide 1

ision
Bytesize
Using Vision – The Journal Tab
Using Keywords to find
Read Codes
This work is subject to the terms of a
Creative Commons License
N V UG
National Vision User Group
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
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
How they are used
What is typed
• Eara
• Tmred
• 0rash
• uwg
What Vision displays
• Earache
• O/E - tympanic membrane red
• O/E - Rash absent
• Usual warning given
This reduces the number of keystrokes
Examples of clinical acronyms
Type this 
Vision will give you
TAH  Total abdominal hysterectomy NEC
CABG  Saphenous vein graft replacement of
coronary artery
DU
AOM
ECG
IB
 Duodenal ulcer - (DU)
 Acute non suppurative otitis media
 Standard ECG
 IB113 DLS Incapacity for work form
completed
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
Press the
down arrow to
scroll through
 these terms
Medication stopped - contra-indication
Drug not taken
- pat disbelief
Medication stopped - ineffective
Examples of clinical prefixes -2
Other examples
– FU finds codes related to Follow-up
•
•
•
•
FU1m
FU1w
FU2w
FUrefer
–
Follow-up 1 month
- Follow-up 1 week
- Follow-up 2 weeks
- Referral needed
– PMH finds past medical history
• pmhIHD
• pmhDep
- H/O angina pectoris
- H/O: psychiatric disorder
Finding a better Read code - 1
You’ve found a Read code that’s 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
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…
Finding a better Read code - 3
Click here
to go into Read
hierarchy
Here are two better
options
Double click one to
select