At 10:05 am +1000 20/7/06, Michael Tooth wrote:
[...]A number of GP's (thankfully a small number) down here use history items
as a way of writing what they feel are more useful referral letters
eg
Not OSTEOPOROSIS  (coded)
But OSTEOPOROSIS on Dexa  (-2.7)     (uncoded)

Personally, I would find the second way more useful, rich and specific. And it could be coded as well if the system supported that.

And recent first hand experience highlights that stuff still falls between the cracks when people see more than one practitioner even sharing an electronic record in the same practice. Published research a decade ago I think by Kaiser Permanente demonstrated that care was worse with more than one provider, even sharing the same record.


Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my practice email as well: [EMAIL PROTECTED])

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