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Obviously on patients with little or no history of illness then the above information may be displayed on only one or two screens.
From the Medical record command menu:
·
Use M to
move to the Prescribing screen
· Use C to view Consultations: then use page up and page down to navigate this screen. Use Y to find a particular year, or T to find particular text. Use F to filter consultations, for example to view consultations sorted by the consulting GP.
Use A to add a new consultation, which will effectively open Consultation Mode.
Alternatively use E to edit an existing consultation, for example if you have made an error, or wish to make an amendment. First move the cursor up or down using the arrow keys to select the appropriate consultation, then use E to open Consultation Mode. Make your amendments, and then save them in the usual way. Note that such changes will be recorded in the audit trail, as Harold Shipman discovered to his cost! In the same way use D to delete existing consultation entries.
· Type A to add a new Read-coded entry: once you have entered the date (and this can be a historic date) you can enter a Read-coded diagnosis directly. Alternatively enter the relevant letters to access the Read-code menus as listed below:
When you have completed your selection you will be asked to choose if the problem is a problem (appears on problem list) or not; then, if a problem, if it is significant, minor, or health administration; and finally if active or past.