(精编)【高血压英文教学精品课件】 Local READ Code Formularies and Templates EMIS NUG conference 6th September 2001.pptVIP

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(精编)【高血压英文教学精品课件】 Local READ Code Formularies and Templates EMIS NUG conference 6th September 2001.ppt

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教学课件课件PPT医学培训课件教育资源教材讲义

Implementation options READ code formulary Paper versions, alphabetic, and by speciality Top 100 , laminated for desktop use Training in READ code structure, terming, hierarchical searching Encouraging hospital use – autoread coding xml Minimum data sets EMIS templates Data entry forms invaluable for Saving time Standardising data recording Clinical prompts Can be shared between practices EMIS templates Disease management Health promotion Maximise IOS income Consultation records Links possible to READ codes and protocols Template options Code entry dependent on age and sex Add or insert entries Add diagnosis as problem title Insert an existing template Simple eg Cervical smear. Imms Complex eg component of NSF protocols Local READ Code Formularies and TemplatesEMIS NUG conference 6th September 2001 Dr Amrit Takhar General Practitioner Wansford , Peterborough www.wansford.co.uk How many READ codes? READ version 2 (5 byte) =107,000 Outline of todays session: Why coding is important? READ codes – facts and tips READ code formularies Development Implementation Maintenance EMIS templates Future developments Why use READ codes? Data quality – improving standards of care income generation (IOS claims) Clinical Governance Audit and Research Decision support systems Communication between systems READ code facts Developed by Dr James Read, GP, Loughborough 1982 Purchased 1990 by NHS and mandatory for GP accredited systems but not in hospitals Merger with Snomed system scheduled to form worldwide coding system Anatomy of a READ code 5 characters G…. Chapter heading ( circulatory diseases) G3… Ischaemic heart disease G30.. Acute Myocardial infarction G303. Acute inferoposterior infarction My choices of codes will then be as follows Circulatory System Disease (G.....) Hypertensive Disease(G2) Benign Essential Hypertension (G201) Secondary Hypertension(G24) Acute MI (G30) Ischaemic Heart Disease(G3) Angina Pectoris (G33) TIA (G65) Cerebro