updated readme

README.md

@@ -38,9 +38,11 @@ Once installed, you'll be ready to use the `acmc` tool along with the associated
 
 ### Install Clinically Assured NHS TRUD Code Mappings
 
-1. **Register at TRUD**: Access clinically assured terminology mappings at [NHS TRUD](https://isd.digital.nhs.uk/trud/user/guest/group/0/account/form).
+1. **Register at TRUD**
 
-2. **Subscribe and Accept Licenses**: Subscribe to the following data files:
+	Registry your account with TRUD  at [NHS TRUD](https://isd.digital.nhs.uk/trud/user/guest/group/0/account/form).
+
+3. **Subscribe and Accept Licenses**: Subscribe to the following data files:
 
    - [NHS Read Browser](https://isd.digital.nhs.uk/trud/users/guest/filters/2/categories/9/items/8/releases)
    - [NHS Data Migration](https://isd.digital.nhs.uk/trud/users/guest/filters/0/categories/8/items/9/releases)
@@ -49,9 +51,11 @@ Once installed, you'll be ready to use the `acmc` tool along with the associated
 
    After subscribing, you'll receive an API key once your request is approved (usually within 24 hours).
 
-4. **Get TRUD API KEY**: Copy your API key from [NHS TRUD Account Management](https://isd.digital.nhs.uk/trud/users/authenticated/filters/0/account/manage) and store it securely.
+4. **Get TRUD API KEY**
+
+	Copy your API key from [NHS TRUD Account Management](https://isd.digital.nhs.uk/trud/users/authenticated/filters/0/account/manage) and store it securely.
 
-5. **Add TRUD API KEY to as an environment variable**
+7. **Add TRUD API KEY to as an environment variable**
 
 	To set the environment variable temporarily (for the current session), run:
 
@@ -74,15 +78,12 @@ Once installed, you'll be ready to use the `acmc` tool along with the associated
    ```bash
    acmc trud install
    ```
-   Processed resources will be saved in the `build/maps/processed/` directory.
-
-*Note: NHS TRUD provides one-way mappings. To reverse mappings, duplicate the `.parquet` file and reverse the filename (e.g., `read2_code_to_snomed_code.parquet` to `snomed_code_to_read2_code.parquet`).*
 
 ### Install OMOP Vocabularies 
 
-1. Register with [Athena](https://athena.ohdsi.org/auth/login)
+1. **Register with [OHDSI Athena](https://athena.ohdsi.org/auth/login)**
 
-2. Download vocabularies [Athena OHDSI](https://athena.ohdsi.org/vocabulary/list). 
+2. **Request download of vocabularies from [OHDSI Athena](https://athena.ohdsi.org/vocabulary/list)**
 
 	* Required vocabularies include:
 	  * 1) SNOMED
@@ -126,11 +127,11 @@ Please execute the following process:
     Load the unpacked files into the tables.
 ```
 
-4. Un-zip the OMOP file
+4. **Un-zip the downloaded OMOP files to a directory**
 
 	Create a directory where you want the OMOP CSV tables to be stored, the default from the current working directory is `./build/omop`. Unzip the OMOP files into that directory
 
-5. Install OMOP vocabularies
+5. **Install OMOP vocabularies**
 
 	Run the following acmc command to create a local OMOP database from the download:
 
@@ -470,4 +471,8 @@ The tool supports verification and mapping across diagnostic coding formats belo
 - [**ICD-10:**](https://icd.who.int/browse10/2019/en) International Classification of Diseases (ICD) is a medical classification list from the World Health Organization (WHO) and widely used in hospital settings, e.g. Hospital Episode Statistics (HES).
 - [**ATC Codes:**](https://www.who.int/tools/atc-ddd-toolkit/atc-classification) Anatomical Therapeutic Chemical (ATC) Classification is a drug classification list from the World Health Organization (WHO)
 
-## Notes
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+## Notes
+
+   Processed resources will be saved in the `build/maps/processed/` directory.
+
+*Note: NHS TRUD provides one-way mappings. To reverse mappings, duplicate the `.parquet` file and reverse the filename (e.g., `read2_code_to_snomed_code.parquet` to `snomed_code_to_read2_code.parquet`).*
\ No newline at end of file