Updating the Term Description List
When you are adding a scanned document in Vision 3 as an attachment, you must select a Term Description from the Add Attachment screen:
To update the list available:
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From the Add Attachment screen, select the tab required:
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Letter Summary - Select for recording the type of letter this is.
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Coding - Select for recording the clinical terms within the letter.
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Right click within the available list and select as required:
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Add to Vision - To add the highlighted Description Term to the patient record.
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Reset List View - Not available.
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Add... - To a new Description Term to the list.
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Edit... - To update the highlighted Description Term.
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Delete... - To remove the highlighted Description Term from the list.
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If you select to Add or Edit a Description Term, the appropriate Code Management screen displays:
Complete as follows:
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Description - Enter the Read Description.
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READ2 Code - Enter the full Read code required, remember the full stops and synonyms where appropriate. Guidance is provided in the Data Entry Information section.
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SCT Code - If known you can enter the SNOMED CT term here.
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Select Save and then repeat if required.