local read code formularies and templates emis nug conference 6 th september 2001 dr amrit takhar...
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Local READ Code Formularies and Templates
EMIS NUG conference 6th September 2001
Dr Amrit TakharDr Amrit Takhar
General Practitioner General Practitioner
Wansford , PeterboroughWansford , Peterborough
www.wansford.co.ukwww.wansford.co.uk
How many READ codes?
READ version 2READ version 2
(5 byte)(5 byte)
=107,000=107,000
Outline of todays session:
Why coding is important?Why coding is important? READ codes – facts and tipsREAD codes – facts and tips READ code formulariesREAD code formularies
DevelopmentDevelopment ImplementationImplementation MaintenanceMaintenance
EMIS templates EMIS templates Future developmentsFuture developments
Why use READ codes?
Data quality – Data quality – improving standards of careimproving standards of care income generation (IOS claims)income generation (IOS claims)
Clinical GovernanceClinical Governance Audit and ResearchAudit and Research Decision support systemsDecision support systems Communication between systemsCommunication between systems
Why use READ codes?
Link to Templates, Protocols & ProdigyLink to Templates, Protocols & Prodigy Link to previous consultations using same Link to previous consultations using same
code code Activate drug warnings, interactions, Activate drug warnings, interactions,
contraindications contraindications Referral letters with coded details Referral letters with coded details
automatically addedautomatically added Helps ensure claim for items of serviceHelps ensure claim for items of service
What are the Read Codes?The Read Codes are a comprehensive list of The Read Codes are a comprehensive list of
terms intended for use by all healthcare terms intended for use by all healthcare professionals to describe the care and professionals to describe the care and treatment of their patients. They enable the treatment of their patients. They enable the capture and retrieval of patient-centred capture and retrieval of patient-centred information in natural clinical language information in natural clinical language within computer systems. within computer systems.
Anatomy of a READ code
G304.G304.
READ code facts
Developed by Dr James Read, GP, Developed by Dr James Read, GP, Loughborough 1982Loughborough 1982
Purchased 1990 by NHS and mandatory for Purchased 1990 by NHS and mandatory for GP accredited systems but not in hospitalsGP accredited systems but not in hospitals
Merger with Snomed system scheduled to Merger with Snomed system scheduled to form worldwide coding systemform worldwide coding system
Anatomy of a READ code
5 characters5 characters
G…. Chapter heading ( circulatory diseases)G…. Chapter heading ( circulatory diseases)
G3… Ischaemic heart diseaseG3… Ischaemic heart disease
G30.. Acute Myocardial infarctionG30.. Acute Myocardial infarction
G303. Acute inferoposterior infarctionG303. 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)
Cerebrovascular Disease(G6)
Stroke and CVA unspecified (G66)Subarachnoid Haem. (G60)
Level One Codes
Level Two Codes
Level Three Codes
READ code chapters
Symptoms Chapter 1 Examination Chapter 2 Investigations Chapters 3-8 Administrative Chapter 9 Diagnoses Chapters A-S Medication Chapters a to s
Chapter ContentsChapter ContentsA Infectious/parasitic diseasesA Infectious/parasitic diseasesB NeoplasmsB NeoplasmsC Endocrine/metabolicC Endocrine/metabolicD Blood diseasesD Blood diseasesE Mental disordersE Mental disordersF Nervous system/sensesF Nervous system/sensesG Circulatory systemG Circulatory systemH Respiratory systemH Respiratory systemJ Digestive systemJ Digestive systemK Genito-urinary systemK Genito-urinary systemL Pregnancy/childbirth/puerperiumL Pregnancy/childbirth/puerperiumM Skin/subcutaneous tissueM Skin/subcutaneous tissueN MusculoskeletalN MusculoskeletalP Congenital anomaliesP Congenital anomaliesQ Perinatal conditionsQ Perinatal conditionsR Ill-defined conditions/working diagnosesR Ill-defined conditions/working diagnosesS Injury/poisoningS Injury/poisoningT Causes of injury/poisoningT Causes of injury/poisoning
What do all the abbreviations in the Read Codes mean?
EC Elsewhere classified EC Elsewhere classified FH Family history FH Family history H/O History of H/O History of NEC Not elsewhere classified NEC Not elsewhere classified NOS Not otherwise specified NOS Not otherwise specified O/E On examination O/E On examination OS Other specified OS Other specified
Chapter headings0 Occupations
1 History/symptoms
2 Examination/signs
3 Diagnostic procedures
4 Laboratory procedures
5 Radiology/medical physics
6 Preventative procedures
7 Operations and procedures
8 Other therapeutic procedures
9 Administration
What does it mean when a term starts [V], [X] etc? These markers are used to indicate the sort of These markers are used to indicate the sort of
ICD/OPCS cross-mapping which is attached to the ICD/OPCS cross-mapping which is attached to the Read Code. Read Code.
[M] Morphology of neoplasms (ICD) [M] Morphology of neoplasms (ICD) [SO] Site of (OPCS) [SO] Site of (OPCS) [V] Supplementary factors influencing health status or [V] Supplementary factors influencing health status or
contact with health services other than for illness (ICD) contact with health services other than for illness (ICD) [X] Terms which have been added to the Read Codes in [X] Terms which have been added to the Read Codes in
order to ensure that every ICD-10 code is cross-mapped order to ensure that every ICD-10 code is cross-mapped to from a Read Code. to from a Read Code.
Pitfalls
Context vs. coding:- Context vs. coding:-
Angina ?Angina ? = have they got angina. = have they got angina.
AnginaAngina [G33] [G33] ?? [Free text] = this patient [Free text] = this patient hashas angina angina
Finding the right code
Formulary benefits
Avoidance of unsuitable codesAvoidance of unsuitable codes Data searching and audit much simplerData searching and audit much simpler Simplify picking options when selecting a Simplify picking options when selecting a
code code Sets scene for data transfer between Sets scene for data transfer between
practicespractices Raises awareness of codingRaises awareness of coding
Formulary – how to
Written version on paper, on website, in Written version on paper, on website, in excelexcel
Create your own hierarchy in EMISCreate your own hierarchy in EMIS TemplatesTemplates Synonym access (@Synonym access (@
Wish list:Wish list:
Import/export a Code formulary optionImport/export a Code formulary option
Formulary by Synonym access
@OM@OM Acute Right Otitis Media, Acute Right Otitis Media,
Acute Left Otitis Media, Acute Bilateral Acute Left Otitis Media, Acute Bilateral Otitis Media etcOtitis Media etc
@URTI has various pharyngitis/tonsillitis@URTI has various pharyngitis/tonsillitis
@Heart @Heart
@Mental@Mental
Formulary – choosing your codes
Look at the existing formulariesLook at the existing formularies Liverpool Liverpool SCIMP (Scotland)SCIMP (Scotland) Sunderland (modified SCIMP list)Sunderland (modified SCIMP list) York – DR Mike JonesYork – DR Mike Jones
Get local agreement – PCT IT strategyGet local agreement – PCT IT strategy Build on recent initiatives eg READ codes in Build on recent initiatives eg READ codes in
CHD NSFCHD NSF
READ code prioritiser (GPASS)
READ code browsers
http://www.cams.co.uk/browsers.http://www.cams.co.uk/browsers.htmhtm
Suite of browsers, including: Suite of browsers, including: Tree Browser Tree Browser Read Code Comparison Tool Read Code Comparison Tool Read Codes GP4-byte, Version 2 and Version 3 Read Codes GP4-byte, Version 2 and Version 3 Read Code Subset Wizard Read Code Subset Wizard Beginner's User Manual Beginner's User Manual
Implementation options
READ code formularyREAD code formulary Paper versions, alphabetic, and by specialityPaper versions, alphabetic, and by speciality Top 100 , laminated for desktop useTop 100 , laminated for desktop use Training in READ code structure, terming, Training in READ code structure, terming,
hierarchical searchinghierarchical searching Encouraging hospital use – autoread coding Encouraging hospital use – autoread coding
xmlxml Minimum data setsMinimum data sets
EMIS templates
Data entry forms invaluable forData entry forms invaluable for Saving timeSaving time Standardising data recordingStandardising data recording Clinical promptsClinical prompts
Can be shared between practicesCan be shared between practices
EMIS templates
Disease managementDisease management Health promotionHealth promotion Maximise IOS incomeMaximise IOS income Consultation recordsConsultation records Links possible to READ codes and Links possible to READ codes and
protocolsprotocols
Template options
Code entry dependent on age and sexCode entry dependent on age and sex Add or insert entriesAdd or insert entries Add diagnosis as problem titleAdd diagnosis as problem title Insert an existing templateInsert an existing template Simple eg Cervical smear. ImmsSimple eg Cervical smear. Imms Complex eg component of NSF protocolsComplex eg component of NSF protocols
Template sharing
Can be exported from EMIS (CO) to floppy Can be exported from EMIS (CO) to floppy diskdisk
Can be printed or stored as text fileCan be printed or stored as text file Library of templates of NUG websiteLibrary of templates of NUG website Main pitfall is to ensure compatible version Main pitfall is to ensure compatible version
of READ ( 4 byte or 5 byte)of READ ( 4 byte or 5 byte)
Sharing templates
CO, TT, CO, TT,
A (export to floppy)A (export to floppy)
B (import from floppy)B (import from floppy) Ensure the floppy goes in the server A Ensure the floppy goes in the server A
drivedrive Make sure you know the read codeMake sure you know the read code
for the title of each template.for the title of each template.
READ version 3
270,000 codes 270,000 codes The new file structure which forms Version 3 uses The new file structure which forms Version 3 uses
the actual Read Code simply as a label for the term. the actual Read Code simply as a label for the term. Hierarchy position thru relational tables. Hierarchy position thru relational tables. Infinite number of levels of detail and allows codes Infinite number of levels of detail and allows codes
and their terms to be moved to form a hierarchical and their terms to be moved to form a hierarchical structure which reflects current clinical thinking.structure which reflects current clinical thinking.
Each term can have qualifiersEach term can have qualifiers
READ version 3
Qualifiers allow addition of detail to "core terms". Qualifiers allow addition of detail to "core terms". For example; Inguinal herniorrhaphy using sutures For example; Inguinal herniorrhaphy using sutures may be qualified by;may be qualified by;
PriorityPriority - -ScheduledScheduled Revision statusRevision status --Repair of Repair of
recurrencerecurrence Terms are also available for providing the context Terms are also available for providing the context
of a core term, i.e. the goal of treatment, expected of a core term, i.e. the goal of treatment, expected finding or actual finding and certaintyfinding or actual finding and certainty
The Future of coding
Changing to SNOMED CTChanging to SNOMED CT Improved formulary creation and sharingImproved formulary creation and sharing Code transfer between hospitals and GPsCode transfer between hospitals and GPs
( starting in pathology EDI)( starting in pathology EDI)
Todays session:
Why coding is important?Why coding is important? READ codes – facts and tipsREAD codes – facts and tips READ code formulariesREAD code formularies
DevelopmentDevelopment ImplementationImplementation MaintenanceMaintenance
EMIS templates EMIS templates Future developmentsFuture developments
Visit this webpage for linksVisit this webpage for links
www.wansford.co.uk/codeswww.wansford.co.uk/codes
[email protected]@btinternet.com