the artificiality of only allowing one reason per consultation is a significant deterrant too - MD aware of this for years but only rectified in MD3 (at least I presume it has been rectified)

also once you press the "Reason" button or "Action" button the entry jumps to a different part of the progress note which can totally change the logical presentation of what you have written

a better system would be one in which "free text" type entries occurred but you then highlighted the reason and right clicked or similar to interrogate the code entry dictionary. a less arbitrary coding system than Docle would be an incentive to use it too (as would reliable preservation of the coding when moving to other software) .

suspect there are similar issues with other software.

adrian

On 20/07/06, Peter Machell < [EMAIL PROTECTED]> wrote:
On 20/07/2006, at 12:13 PM, Greg Twyford wrote:

> GPs are already coding data in programs like MD. It's diagnosis/
> past history dialogues have forced them to consciously avoid using
> the available coded entries if they don't want to use them, and
> enter uncoded stuff instead.

Most of the MD users I see enter free text for all notes, and are
offended when I suggest they first use the 'Reason' button. Isn't it
time that coded diagnosis be made the default entry method, with free
text a last resort?

Peter.
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