I don’t think that most practitioners appreciate the value of highly
specific data and so much of medicine is centered on the short term. 

We need to get the science into it and the measurable parts measured. Only
then will the bullshit stop and benefits flow. It is reassuring to see such
self audit and it is a pity that it is confined to the surgical area.

I agree that it is the collection of high level information is so important
and should be routine. Part of the reason that a lot of this agenda is
driven by pathologists is that their information lends itself to pure
analysis and the advances will be made when we start to not the facts rather
than the impressions.

Most mistakes are made not by not knowing but by not looking. 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Horst Herb
Sent: Monday, February 13, 2006 10:36 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Putting SNOMED to work

On Mon, 13 Feb 2006 23:29, john dooley wrote:
> In real live clinical practice snomeding a histopathology report is a
> complete waste of my time and a complete chore to do.
>
> its totally automated or count me out from my point of view.
>
> Whats wrong with free text search engines..


"xyz has not the features of a melanoma / squamous cell carcinoma / whatever

key word ..."

Emphasis on the *not* - such text are common, and if there is no dedicated 
"diagnosis" section in the text that's parseable, free text analysis hunting

just for key words out of context is problematic.

I'd love to have coded histopath - I am currently in the process of wading 
manually through more than 2000 reports to review my own performance 
regarding pre-op diagnostic accuracy, free margins, and wound infection rate

depending on site and size (well, actually my poor daughter does most of the

wading in order to resuscitate her ailing bank account)

Horst
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