(1) Instructions for adding a new Read Code
From the main menu select:
DP - Dictionaries & Templates
C - Classifications
G - Advanced Code Management
Enter the password, which should by ANY
You now need to determine whereabouts the new code needs to be added, for further aspects see (2).
Assuming that you have now reached the section where you wish to add the code, select:
1 - To add at this level
Enter the new rubric: i.e., type in whatever you have decided to call the new code
Note: If at a later date you decide that the spelling is incorrect, or that the wording is not suitable then use D - change
spelling of an entry, accessible from DP (dictionaries & Prompts), then C (classifications) to alter it. Entries which are
already in medical records will automatically be changed to the new version.
Select the code type:
C, if it is simply a code, or
V, if the code will have an associated value
Ordinarily you would select C.
You are told that you have linked this code into that particular part of the read code system, is this correct?, enter Y
You may now enter a synonym, i.e., abbreviation for the code, for instance if the code is REMOVE STITCHES, EMIS will
automatically pull this code if you type in REM, or REMOVE etc., but in order to access the code by typing in STITCHES,
STITCH, STIT etc., you need to enter a synonym of STITCHES. You may enter what appears to be a large number of
synonyms, certainly eight is the most we have used/required thus far.
Once you have entered a synonym press return/enter, and you may enter another, when you have finished just press return
without entering another.
Note: If at a later date you decide that you wish to enter another synonym, simply select from the main menu, DP, C, and
then E - Create new synonyms for present entries. Unfortunately you cannot delete existing synonyms.
Select appropriate record section, governs where the code is assigned, such as in Personal History, or Screening, or Values,
etc. If you are unsure where to add the code, a good tip is to go to another terminal, find a code which is of a similar nature
to the one that you are adding, or in the same record section, and then select from the main menu DP, C, G, "ANY", E -
Change the record section of a code, type in the code you have just looked up, it will indicate which record section it is
currently assigned to, then ask if this is correct, enter Y, you will exit the option and now know where to assign your code
back on your own terminal.
Having entered this information you have created a new code, exiting four times will place you in position to create another,
exiting further will place you back at the main menu.
(2) Determining where to add the new Read Code
Unless you either:
a) use this procedure, or,
b) have memorised every code, and its location,
you will find it extremely tedious to trawl through the codes to get to the area where you want to add your code. There
is of course no reason why you cannot add your code in the first spot you hit, except for the fact that you will soon have
a very untidy set of classifications, so.....
If you wished to add the new code of APPENDICECTOMY PERFORMED ABROAD, you would select from the main
menu: DP, C, A - Access classifications, and then enter APPENDICECTOMY.
The screen should show amongst others:
Appendicectomy 79FI
Note down this reference code.
Now exit to the menu, and select A - Access classifications
Select G - Full Classification and then,
H - Surgical Procedures Code 7 <<<<<
J - Digestive System Procedure Code 79 <<<<<
P - Appendix Operations Code 79F <<<<<
Which puts you where you want to be. As you progress through you would jot down the call letters, in this case H, J, and
P. Then when you add the code for real you simply enter these letters to take you to the right section.
Note: You cannot at delete a Read Code once added. If you find it needs to be removed the best you can do is change
the name to something like: DELETE ME, or DO NOT USE, to prevent it being used in error.