Echo is available in ‘Echo Only’ mode or combined with the full Lexacom toolbar. This guide applies to both, your exact layout may vary.

How to use coding mode (spoken word)

Coding mode

Echo will automatically add snomed codes directly into SystmOne as you speak.
Any words or phrases that can be entered as subjective or objective read codes will be recognised and entered into the system as you speak.

Any diagnostic and chronic disease monitoring codes can be manually triggered as you speak by prefixing it with the word “SNOMED”*

*Echo requires you to say “SNOMED…” to trigger the coding of diagnoses and chronic conditions to avoid any risk of accidentally adding a diagnosis unintentionally.

This guide explains how to use coding mode using spoken word via dictation.

• • Log in to Lexacom Echo
  • The Toolbar will appear at the top of the screen:

  Echo Only	Combined

  • Press the ‘Comprehension Engine® hotkey’* on your keyboard and repeat until the orange tag icon appears
    • If you are using a handheld Olympus or Philips microphone with an F2 button, you can press this instead of Insert.
    • In combined mode, you can also click on the icon on the right to swap modes.

*Note: by default the ‘Comprehension Engine® hotkey’ is the ‘insert’ key but this can be changed in settings

Echo Only	Combined

For all observations, and objective information

• Dictate your text into SystmOne (other clinical systems will be supported soon)
• Codes will be identified by the Comprehension Engine®. It will automatically convert your spoken phrase into codes and text accordingly.

E.g. Dictating “Blood Pressure 120 over 80, pulse 90 patient smokes 20 per day. ” will appear as shown:

For all diagnoses and references to chronic conditions

• Dictate your text into SystmOne (other clinical systems will be supported soon) adding the word ‘SNOMED’ before any diagnostic word you would like coded.

• Codes will be identified by the Comprehension Engine®. It will automatically convert your spoken phrase into codes and text accordingly.

E.g. Dictating “SNOMED hypertension medication review, continue on same medication.” Will result in Echo’s Comprehension Engine coding the medication review and entering the free text as shown here:

We make frequent additions to Comprehension Engine®’s terminology. If a code you often use isn’t yet available please let us know.

How to request additions to patient, medical and coding modes