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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