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GP2GP Data Entry Free Text Notes
Any free text notes added on the sending system is brought into Vision as a notepad entry. Depending on the clinical code or SDA it was associated with, the notepad entry is displayed in one of the following consultation categories:
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Read code Category of Incoming Data |
Consultation Category for Associated Freetext |
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1.History / symptoms |
Symptom |
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2.Examination / Signs |
Examination |
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3.Diagnostic procedures |
Examination |
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4.Laboratory procedures |
Examination |
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5.Radiology/physics in medicine |
Examination |
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6.Preventive procedures |
Intervention |
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7.Operations, procedures, sites |
Intervention |
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8.Other therapeutic procedures |
Intervention |
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9.Administration |
Intervention |
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A-Z |
Diagnosis |
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Structured Data Area |
Consultation Category |
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Therapy |
Intervention |
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BP |
Examination |
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Referral |
Intervention |
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Recall |
Intervention |
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Smear |
Examination |
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Smoking |
Examination |
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Alcohol |
Examination |
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Allergy |
Examination |
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Allergy |
Diagnosis |
