Just a couple of points.
First, Consultant and GP's, as I understand it at present consultants are identified nationally by their GMC code with a prefix of "C" whereas GP's are only given an OCS code (see GP Links), a number prefixed by "G", if they are a full partner. So, you either have to use no code, or do what when you receive a request from salaried or part time GP, or heaven forbid, a nurse specialist either in primary or secondary care. The GP with whom the patient was originally registered gets fed up with all the results being send back to him/her, when they have not seen the patient for the last 10 years. So, as all doctors practicing in the UK have to have a unique GMC number, as do all nurses (NMC pin number) can we not agree to use these please.
Second point is test coding, I know Read Coding will be integrated into SNOMED, but can we have codes for everything asap, not just the ones everyone knows about. We would like to use codes for say electrophoresis, but have to use free text, as Read coding does not support gamma, beta etc.
Equally, we need all the possible RAST tests out there in already, not in 5 years time, there are lists of these available from the manufacturers, why not get these and code them.
Linked to this is a plea from Primary care - please stop messing around with existing Read Codes. They set up protocols in their systems to handle results automatically that get totally screwed when we have to change the Lab sent code because the originally used one is suddenly deleted for duplicate or hierarchy reasons.
Gary
G. C. Mascall
Consultant in Clinical Biochemistry
Worcestershire Acute Hospitals NHS Trust.
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Tel: 01562 823424 extn 53464/53136
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]]On Behalf Of Rick Jones
Sent: 27 June 2005 14:24
To: [log in to unmask]
Subject: Position Paper - UK CfH IT Deployment in Pathology
As part of the Connecting for Health Programme the ACB-IT group was asked by Sir Muir Gray to pull together a set of requirements which would need to be met by the programme in order for successful upgrade and integration of pathology systems. This paper has been submitted to the Design Authority of the programme and hopefully will influence the roll-out of systems.
It focuses on clinical & operational requirements, such as the need for positive patient ID on all specimens, rather than on technical and internal requirements.
By placing this on the open ACB list it is hoped to :
A) generate discussion about these and possibly other requirements
B) act as a focus point for discussion between local CfH staff and pathology users about local deployment of systems
Is intended that this will come out in parallel via the RCPath since the issues are common for all disciplines. Since many IT staff may well not be covered by either list (especially IBMS members) please fell free to copy it to contacts in other disciplines.
I will collate whatever points are made and will update the document.
Best wishes
Rick Jones
Dr Rick Jones
Clinical Biochemistry & Immunology
Leeds Teaching Hospitals Trust
Leeds General Infirmary
Great George St
Leeds
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Tel: 0113 392 2340
Fax: 0113 392 5174
LS1 3EX
http://www.ychi.leeds.ac.uk
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------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
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