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Quick Guide to Read code mapping in ISOFT Synergy

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Quick Guide to Read code mapping in ISOFT Synergy Powered By Docstoc
					Electronic Radiology Results
           for GPs




      Quick Guide to
    Read code mapping




       iSoft Premier
                                                Contents


Useful Contacts................................................................................................ 3

Introduction ...................................................................................................... 4

How to set up read codes and mappings: ........................................................ 5

How to check if report is missing:................................................................... 12

Appendix 1: Read Code Mapping ................................................................. 13




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc                       Page 2
Useful Contacts
Project Team:

Peter Knowles                                    Michelle Turpin
Interface Manager                                Change Manager
ICT Services                                     ICT Services
Nottingham University Hospitals NHS              Nottingham University Hospitals NHS
Trust                                            Trust
Heathfield House                                 Heathfield House
Hucknall Road                                    Hucknall Road
Nottingham                                       Nottingham
NG5 1PB                                          NG5 1PB

Tel: 0115 9691169 ext 57285                      Tel: 0115 9691169 ext 54655
Fax: 0115 9627663                                Fax: 0115 9627663
Email: peter.knowles@nuh.nhs.uk                  Email: michelle.turpin2@nuh.nhs.uk


Help Desk:

HIS Helpdesk                                     ICT Services Helpdesk
Laurel House                                     ICT Services
Ransom Wood Business Park                        Nottingham University Hospitals
Mansfield                                        E Floor
Nottingham                                       West Block
NG                                               Queens Medical Centre
                                                 Derby Road
Tel: 0115 9352444                                Nottingham
Email: Helpdesk@nottingahm-
his.nhs.uk
                                                 Tel: 0115 9249924 ext 69000
                                                 Email: helpdesk@nuh.nhs.uk




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Introduction
Appendix 1 contains details of the read code mappings that you are required to set
up in ISOFT Premier.

There are not too many to do and it is estimated that this process will take
approximately 2 hours of concentrated uninterrupted time.

These mappings and the set up process has been developed and tested with The
Forest Practice who use iSoft Premier.

Below you will find a step by step guide of how to set up the read codes in iSoft
Premier.

When you are adding the read codes please ensure that you enter them exactly as
they appear on the attached document as the system is case sensitive.

These mappings need to be set up in advance. If a mapping is not set up it will
cause the file to create an interchange error.




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How to set up read codes and mappings:
To add a Read code:

       Go to Links
       Tools
       Pathology Translator

Scroll down through .4 codes to check if any .5 codes in and if one wanted is missing
you need to add – in this example need to add .52B5 for Toes




If the new button is either missing or greyed out it is because your system has
not got the correct parameters set up to enable you to enter new read codes.
You will need to contact iSoft and ask the pathology team to enable the
system to allow you to enter new read codes.




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc    Page 5
        Click on New




NB       If you do not see this screen it is because your system has not got the
         correct parameters set up to enable you to enter new read codes. You
         will need to contact iSoft and ask the pathology team to enable the
         system to allow you to enter new read codes.

        In Four byte Read code box at top type in 52B5
        Type in the description of the Read code rubric in the box below.
        It will auto-fill the Five byte fields
        Pick ‘No’ from the Measurement expected for numeric results
        SAVE (you must save at this point as otherwise it won’t save the mappings
         you are about to add).
        It will close
        Go back to find it on the list
        Click on View
        Click on Mappings.




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It will then say ‘There are no Read code mappings available’




       Click ‘New’




       Type the test name exactly as it appears on the list, in this case XR Toes Rt
       Specimen type is Unknown (for ALL the radiology tests)
       Save
       Close




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc     Page 7
       Repeat the exercise for Toes Lt!




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc   Page 8
You must ensure that there is a Read code in place before you can map text to it.

The list may not be exhaustive and if you receive results that have not been mapped
to .5 Read codes they will show in the Mappings list with blank mapping as below –
this is an example of one that came into the practice before it was mapped to a Read
code:




You will still need to add the Read code to the list if it isn’t already there before you
can map it to the right code.

However for things like fingers, once you have the Read code in place you can quite
quickly map several variations on the finger theme!




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc      Page 9
However, if the unmapped result has come in before a Read code has been
added/mapped, when you try to map it via the Read Codes window, it will say it
already exists and so you have to map it via the Mappings window

       View
       Type in the XR test name
       Specimen type unknown
       Click on …browse button in ‘Mapped to’ field




This takes you to Read Code Finder window.

       Enter the Read code WITH the dot at the front
       Click GO
       Tab to field below which finds the code and rubric
       Highlight
       Select
       Close




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc     Page 10
This brings up the mapping window

       Click on Save
       Click on Close




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc   Page 11
How to check if report is missing:
Checking Links Comms Status

       Utilities menu
       Links
       Links
       Communication Status

If Trading Partner is set up by iSoft as per instructions from NUH, you will be able to
see the Radiology results easily as they are the Nottingham University Hospitals
interchanges.

Clicking on the files with status of ‘Interchange fully Accepted’ and then View, will
enable you to see the results that have come in and whether there are any
unmapped ones as they will show as having .4 Read codes (These won’t cause
Interchange Errors but won’t show in X-ray area of Synergy unless mapped to .5
Read codes and will show erroneously as Lab tests).




If any Interchanges are Partially Accepted or fully rejected you will need to look at the
file and probably contact Peter Knowles at NUH with details as it may be that a
requestor or part of a file has been erroneously sent from the hospital end.




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Appendix 1: Read Code Mapping




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc   Page 13
 READ Codes

 Read Code            Description                                Measure Bounded
 5224.                Plain X-ray mandible                       No
 524..                Plain X-ray skull                          No
 5246.                Plain X-ray orbit                          No
 524C.                Plain X-ray facial sinuses                 No
 525..                Plain X-ray spine                          No
 5254.                Plain x-ray cervical spine                 No
 5255.                Plain x-ray thoracic spine                 No
 5256.                Plain x-ray lumbar spine                   No
 5263.                Plain X-ray clavicle                       No
 5265.                Plain X-ray sternum                        No
 527..                Plain X-ray pelvis                         No
 5278.                Plain X-ray cacro-iliac joint              No
 5283.                Plain X-ray shoulder joint                 No
 5284.                Plain X-ray scapula                        No
 5287.                Plain X-ray elbow                          No
 5288.                X-ray shaft of radius/ulna                 No
 5289.                Plain X-ray of wrist                       No
 528B.                Acromio-clavicular joint X-ray             No
 528C.                Plain X-ray humerus                        No
 529..                Plain X-ray hand                           No
 5293.                Scaphoid X-ray                             No
 5295.                X-ray phalanges of finger                  No
 5296.                X-ray phalanges of thumb                   No
 52A3.                Plain X-ray hip joint                      No
 52A7.                Plain X-ray knee                           No
 52A8.                Plain X-ray patella                        No
 52A9.                X-ray shaft of tibia/fibula                No
 52AA.                Plain X-ray ankle joint                    No
 52B..                Plain X-ray foot                           No
 52AD.                Plain X-ray femur                          No
 52B7.                Calcaneum X-ray                            No
 52C..                X-ray: general skeletal survey             No
 52B8.                Forefoot X-ray                             No
 52D..                Plain X-ray abdomen                        No
 533..                Soft tissue X-ray neck                     No
 535..                Standard chest X-ray                       No
 537..                Soft tissue X-ray breast                   No
 547..                Barium swallow                             No
 548..                Barium meal - general                      No
 54A..                Barium enema - general                     No
 54C..                Intravenous urogram                        No
 54L2.                Sailography                                No
 54R..                Barium meal and follow through             No
 567..                Computerised axial tomography              No
 5855.                U-S abdominal scan                         No


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 5856.                U-S pelvic scan                        No
 585A.                U-S liver scan                         No
 585B.                U-S kidneys                            No
 585C.                US scan of breast                      No
 585D.                US scan of scrotum                     No
 585G.                Ultrasound scan of thyroid             No
 58EI.                Lumbar Spine DXA scan                  No
 58EC.                Hip DXA scan                           No




iSoft 5501cd89-1756-4db4-8a87-c880c83d5212.doc     Page 15
 Read Code Mapping (All)
                                                          Read
 Test Name                                       Specimen Code Mapped to Text
 XR Ankle Lt                                     Unknown      52AA.   Plain X-ray ankle joint
 XR Ankle Rt                                     Unknown      52AA.   Plain X-ray ankle joint
 XR Cervical Spine                               Unknown      5254.   Plain x-ray cervical spine
 XR Chest                                        Unknown      535..   Standard chest X-ray
 XR Feet                                         Unknown      52B..   Plain X-ray foot
 XR Foot Lt                                      Unknown      52B..   Plain X-ray foot
 XR Foot Rt                                      Unknown      52B..   Plain X-ray foot
 XR Hand Lt                                      Unknown      529..   Plain X-ray hand
 XR Hand Rt                                      Unknown      529..   Plain X-ray hand
 XR Hands                                        Unknown      529..   Plain X-ray hand
 XR Hip Lt                                       Unknown      52A3.   Plain X-ray hip joint
 XR Hip Rt                                       Unknown      52A3.   Plain X-ray hip joint
 XR Hips                                         Unknown      52A3.   Plain X-ray hip joint
 XR Knee Lt                                      Unknown      52A7.   Plain X-ray knee
 XR Knee Rt                                      Unknown      52A7.   Plain X-ray knee
 XR Knees                                        Unknown      52A7.   Plain X-ray knee
 XR Lumbar Spine                                 Unknown      5256.   Plain x-ray lumbar spine
 XR Pevlis                                       Unknown      527..   Plain X-ray pelvis
 XR Scaphoid Lt                                  Unknown      5293.   Scaphoid X-ray
 XR Scaphoid Rt                                  Unknown      5293.   Scaphoid X-ray
 XR Shoulder Lt                                  Unknown      5283.   Plain X-ray shoulder joint
 XR Shoulder Rt                                  Unknown      5283.   Plain X-ray shoulder joint
 XR Spine                                        Unknown      525..   Plain X-ray spine
 XR Thoracic Spine                               Unknown      5255.   Plain x-ray thoracic spine
 XR Thumb Lt                                     Unknown      5296.   X-ray phalanges of thumb
 XR Thumb Rt                                     Unknown      5296.   X-ray phalanges of thumb
 XR Thumbs                                       Unknown      5296.   X-ray phalanges of thumb
 XR Wrist Lt                                     Unknown      5289.   Plain X-ray of wrist
 XR Wrist Rt                                     Unknown      5289.   Plain X-ray of wrist
 XR Wrists                                       Unknown      5289.   Plain X-ray of wrist
 XR Toes Rt                                      Unknown      52B5.   Plain X-ray phalanges of toes
 XR Toes Lt                                      Unknown      52B5.   Plain X-ray phalanges of toes
 XR Toe Great Rt                                 Unknown      52B6.   X-ray phalanges of hallux
 XR Toe Great Lt                                 Unknown      52B6.   X-ray phalanges of hallux
 XR Tibia/Fibula (Lower Leg) Rt                  Unknown      52A9.   X-ray shaft of tibia/fibula
 XR Tibia/Fibula (Lower Leg) Lt                  Unknown      52A9.   X-ray shaft of tibia/fibula
 XR Thoraco-Lumbar Spine                         Unknown      525A.   Plain X-ray thoracolumbar spine
 XR Thoracic Inlet                               Unknown      5367    Thoracic inlet X-ray
 XR Temporo-Mandibular Joints                    Unknown      5225    Plain X-ray temporomandib.jnt
 XR Sternum                                      Unknown      5265    Plain X-ray sternum
 XR Sterno-Clavicular Joints                     Unknown      5265    X-ray sternoclavicular joint
 XR Skull                                        Unknown      524..   Plain X-ray skull
 XR Shoulders                                    Unknown      5283    Plain X-ray shoulder joint
 XR Shoulders                                    Unknown      5283    Plain X-ray shoulder joint
 XR Scapula Rt                                   Unknown      5284    Plain X-ray scapula


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 XR Scapula Lt                                   Unknown      5284    Plain X-ray scapula
 XR Scaphoids                                    Unknown      5293    Plain X-ray carpus
 XR Sacro-Iliac Joints                           Unknown      5278    Plain X-ray sacro-iliac joint
 XR Radius/Ulna (Forearm) Rt                     Unknown      5288    X-ray shaft of radius/ulna
 XR Radius/Ulna (Forearm) Lt                     Unknown      5288    X-ray shaft of radius/ulna
 XR Patella Rt                                   Unknown      52A8    Plain X-ray patella
 XR Patella Lt                                   Unknown      52A8    Plain X-ray patella
 XR Paranasal Sinuses                            Unknown      524C.   Plain X-ray facial sinuses
 XR Mandible                                     Unknown      5224    Plain X-ray mandible
 XR Mammogram Both                               Unknown      537..   Soft tissue X-ray breast
 XR Mammogram Lt                                 Unknown      537..   Soft tissue X-ray breast
 XR Mammogram Rt                                 Unknown      537..   Soft tissue X-ray breast
 XR Humerus (Upper Arm) Rt                       Unknown      528C.   Plain X-ray humerus
 XR Humerus (Upper Arm) Lt                       Unknown      528C.   Plain X-ray humerus
 XR Hand & Wrist (Bone Age)                      Unknown      529..   Plain X-ray hand
 XR Forefoot Rt                                  Unknown      52B8.   Forefoot X-ray
 XR Forefoot Lt                                  Unknown      52B8.   Forefoot X-ray
 XR Forefoot Both                                Unknown      52B8.   Forefoot X-ray
 XR Fingers Rt                                   Unknown      5295    X-ray phalanges of fingers
 XR Fingers Lt                                   Unknown      5295    X-ray phalanges of fingers
 XR Finger Ring Rt                               Unknown      5295    X-ray phalanges of fingers
 XR Finger Ring Lt                               Unknown      5295    X-ray phalanges of fingers
 XR Finger Middle Rt                             Unknown      5295    X-ray phalanges of fingers
 XR Finger Middle Lt                             Unknown      5295    X-ray phalanges of fingers
 XR Finger Little Rt                             Unknown      5295    X-ray phalanges of fingers
 XR Finger Little Lt                             Unknown      5295    X-ray phalanges of fingers
 XR Finger Index Lt                              Unknown      5295    X-ray phalanges of fingers
 XR Finger Index Rt                              Unknown      5295    X-ray phalanges of fingers
 XR Femur Rt                                     Unknown      52AD.   Plain X-ray femur
 XR Femur Lt                                     Unknown      52AD.   Plain X-ray femur
 XR Facial Bones                                 Unknown      524A.   Facial bones X-ray
 XR Elbows                                       Unknown      5287    Plain X-ray elbow
 XR Elbow Rt                                     Unknown      5287    Plain X-ray elbow
 XR Elbow Lt                                     Unknown      5287    Plain X-ray elbow
 XR Clavicle Rt                                  Unknown      5263    Plain X-ray clavicle
 XR Calcaneum Rt                                 Unknown      52B7.   Calcaneum X-ray
 XR Calcaneum Lt                                 Unknown      52B7.   Calcaneum X-ray
 XR Calcaneum Both                               Unknown      52B7.   Calcaneum X-ray
 XR Ankles                                       Unknown      52AA.   Plain X-ray ankle joint
 XR Abdomen                                      Unknown      52D..   Plain X-ray abdomen
 US Wrist Lt                                     Unknown      58DE.   Ultrasound scan of wrist
 US Upper Limb Lt                                Unknown      58D9.   Ultrasound scan of forearm
 US Thyroid                                      Unknown      585G.   Ultrasound scan of thyroid
 US Testes                                       Unknown      585D.   US scan of scrotum
 US Sternum                                      Unknown      58DM.   Ultrasound scan of chest
 US Spine Lumbar                                 Unknown      58D8.   US scan of spine
 US Shoulder Rt                                  Unknown      585j.   US scan of shoulder joint
 US Shoulder Lt                                  Unknown      585j.   US scan of shoulder joint
 US Salivary Glands (Submandibular)              Unknown      58DC.   Ultrasound scan of salivary glands
 US Salivary Glands (Parotid)                    Unknown      58DC.   Ultrasound scan of salivary glands


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 US Popliteal fossa Rt                           Unknown      58D7.   US scan of knee
 US Pelvis (Transvaginal)                        Unknown      5856    U-S pelvic scan
 US Pelvis (Transabdominal)                      Unknown      5856    U-S pelvic scan
 US Pelvis                                       Unknown      5856    U-S pelvic scan
 US Parathyroids                                 Unknown      585i.   US scan of neck
 US Obstetric Dating Scan                        Unknown      584A.   Dating/booking US scan
 US Neck                                         Unknown      585i.   US scan of neck
 US Lower leg Rt                                 Unknown      58DF.   Ultrasound scan of lower leg
 US Lower leg Lt                                 Unknown      58DF.   Ultrasound scan of lower leg
 US Knee Rt                                      Unknown      58D7.   US scan of knee
 US Knee Lt                                      Unknown      58D7.   US scan of knee
 US Kidneys                                      Unknown      585B.   U-S kidneys
 US Groin Rt                                     Unknown      5856    U-S pelvic scan
 US Groin Lt                                     Unknown      5856    U-S pelvic scan
 US Forearm Lt                                   Unknown      58D9.   Ultrasound scan of forearm
 US Foot Rt                                      Unknown      58DL.   Ultrasound scan of foot
 US Doppler carotid artery Rt                    Unknown      585Q.   Carotid artery doppler assessment
 US Anterior Abdominal Wall                      Unknown      5855    U-S abdominal scan
 US Abdomen and Pelvis                           Unknown      5855    U-S abdominal scan
 US Abdomen & Renal Tract                        Unknown      5855    U-S abdominal scan
 US Abdomen                                      Unknown      5855.   U-S abdominal scan
 Sialogram Submandibular Rt                      Unknown      54L2.   Sialography
 Intravenous Urogram (IVU)                       Unknown      54C..   Intra-venous pyelogr.-general
 DXA Whole Body                                  Unknown      58E..   Dual energy X-ray photon absorptiometry
 DXA Vertebral morphometry                       Unknown      58E..   Dual energy X-ray photon absorptiometry
 CT Urogram                                      Unknown      567..   Computerised axial tomography
 CT Thorax/Abdo/Pelvis                           Unknown      567..   Computerised axial tomography
 CT Thorax & Abdomen with Contrast               Unknown      567..   Computerised axial tomography
 CT Neck With Contrast                           Unknown      567..   Computerised axial tomography
 CT Chest/Abdo/Pelvis With Contrast              Unknown      567..   Computerised axial tomography
 CT Abdomen/Pelvis with Contrast                 Unknown      567..   Computerised axial tomography
 CT Abdomen with Contrast                        Unknown      567..   Computerised axial tomography
 Bone mineral densitometry lumbar spine          Unknown      58El.   Lumbar spine DXA scan
 Bone mineral densitometry hip Lt                Unknown      58EC.   Hip DXA scan
 Bone mineral densitometry hip Rt                Unknown      58EC.   Hip DXA scan
 Barium Swallow & Meal                           Unknown      548..   Barium meal - general
 Barium Swallow                                  Unknown      547..   Barium swallow
 Barium Meal                                     Unknown      548..   Barium meal - general
 Barium Enema                                    Unknown      54A..   Barium enema - general




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Please Note:

We have found that the following codes may not save into the database.
             525A.
             58DC.
             585Q.
             58E..

If you experience this problem it is because the rubric is longer than the 30 spaces
allowed.

iSoft are able to expand this field for you – to get this done you will have to contact
iSoft and request them to dial into your system and expand the field from 30 spaces
to 60 spaces.




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