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Medical Codes available in TORTUS

The full list of available Medical Codes in TORTUS, with their synonyms and Units

Updated this week

The automated coding feature is designed to extract structured data from consultations, enabling you to enter information accurately into the Electronic Health Record (EHR)

As a product for General Practitioners, medical codes relevant to primary care are prioritised. The most critical codes for EHR entry are those linked to reimbursement through the Quality of Outcomes Framework (QOF) specifications. Particularly important are SNOMED codes related to examinations of the patient's vitals—these report observable metrics that describe the patient's condition

Once a consultation has been completed with Surgery Intellect, the transcript is generated within the Intellect Window

Based on the content of the consultation, Surgery Intellect will identify Medical Codes that may be relevant. Each item displays the code and any observable values, as well as showing the consultation content that prompted the code to be generated

Available Medical Codes:

1. Systolic arterial pressure

  • Synonyms: SAP - systolic arterial pressure

  • Unit: mmHg

2. Diastolic arterial pressure

  • Synonyms: DAP - diastolic arterial pressure

  • Unit: mmHg

3. Heart rate measured at systemic artery

  • Synonyms: Pulse rate, PR - Pulse rate

  • Unit: bpm

4. On examination - pulse rhythm regular

  • Synonyms: O/E - regular pulse, O/E - sinus rhythm, O/E - pulse rhythm regular

  • Unit: None specified

5. On examination - irregular pulse

  • Synonyms: O/E - irregular pulse

  • Unit: None specified

6. Respiratory rate

  • Synonyms: BR - Breathing rate, Breathing rate, RR - Respiratory rate, Respiratory frequency, Rate of respiration

  • Unit: resp/min

7. Core body temperature measured at tympanic membrane

  • Synonyms: Tympanic temperature, Aural temperature

  • Unit: °C

8. Standing height

  • Synonyms: Height

  • Unit: m

9. Body weight

  • Synonyms: Weight

  • Unit: kg

10. Waist circumference

  • Synonyms: None listed

  • Unit: cm

11. Hemoglobin saturation with oxygen

  • Synonyms: Haemoglobin saturation with oxygen, O2 - oxygen saturation, Blood oxygen saturation

  • Unit: %

12. Blood glucose level

  • Synonyms: None listed

  • Unit: mmol/L

13. Date of last menstrual period

  • Synonyms: LMP - Last menstrual period

  • Unit: DD/MM/YY

14. Peak expiratory flow rate

  • Synonyms: PEF - Peak expiratory flow rate, PEFR - Peak expiratory flow rate

  • Unit: L/min

15. Forced expired volume in 1 second

  • Synonyms: FEV1 - Forced expired volume in 1 second

  • Unit: L

16. Forced vital capacity

  • Synonyms: FVC - Forced vital capacity

  • Unit: L

17. Capillary filling, function

  • Synonyms: Capillary filling, Capillary refill time, Capillary filling time

  • Unit: seconds

18. Cigarette consumption

  • Synonyms: None listed

  • Unit: /day

19. Rolls own cigarettes

  • Synonyms: None listed

  • Unit: g/week

20. Cigar consumption

  • Synonyms: None listed

  • Unit: /day

21. Alcohol units consumed per day

  • Synonyms: None listed

  • Unit: /day

22. Alcohol units consumed per week

  • Synonyms: None listed

  • Unit: /week


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