Very good!
I have also heard teens say that about the English language when they can't be bothered to learn the rules, innit.
Sandra
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Trefor Roscoe
Sent: 02 October 2010 21:39
To: [log in to unmask]
Subject: Re: Health Informatics Lecture
not sure but the html rendition of your question, making Trefor's
include the Euro symbol as well as an a with the ' is a delightful
example of how computer systems cannot be trusted to represent what the
original author intended!
Trefor
----- Original Message -----
To: [log in to unmask]
From: [log in to unmask]
Cc:
Sent: 10/02/10 19:41:48
Subject: Re: Health Informatics Lecture
Sorry, John, how does this help Trefor’s lecture?
Mary Hawking
________________________________
From: GP-UK [mailto:[log in to unmask]] On Behalf Of John Glasspool
Sent: 02 October 2010 18:18
To: [log in to unmask]
Subject: Re: Health Informatics Lecture
I earn about £70k pa as a four day week GP in Scumton. The Chief Exec,
or at least the last one, earned £184k pa- in one of the country's
smallest PCTs. They should stop medicine and become managers. Or work in
our Darzi practice where they are paid over £900 per pat per year.
On 2 October 2010 11:19, Mary Hawking <[log in to unmask]>
wrote:
Read Code conversions 4->5 byte
The mapping disc issued from the Centre for Coding and Classification
(and repudiated as soon as the problems were identified) contained the
following Code conversion:-
Whole€blood€transfusionÌ74143|Lateral€rhinotomy|7557 - quite apart from
changing to preferred terms (so "Knee Joint Pain reappeared as
"Arthralgia of the lower leg") in the 4 byte to 5 byte conversion, some
of the other conversions had to change or lose meaning in the visible
term: e.g. in OXMIS there was a term "dyspareunia": in Read dyspareunia
is either non-psychogenic and in the chapter of diseases of the female
genital tract or psychological and comes under mental diseases.
This would affect how the patient was treated: how many women were at
risk of inappropriate treatment after the OXMIS to Read 5 conversion?
Moral: computers record information as an alphanumeric string and
displays this as an associated human readable term: if the human
readable Term is changed for any reason but the computer code is not
changed, errors may be introduced.
Data migration may involve Code Conversions - and official mapping discs
have only been reintroduced in the past year or so.
Just because GPs have EPRs does not mean that the EPR itself is always
reliable.
Also look at one of the common A&E reporting systems which are used for
A&E statistics rather than communication or management. They are created
from handwritten notes using drop-down menus - which can lead to
problems in data entry.
My favourite was a poor girl who had a fractured metatarsal - and was
treated with a high sling. Sounds like cruel and unusual punishment to
me!
Another catch is the idiosyncratic use of one term to mean something
different: is "plumbisum" lead poisoning or swinging the lead? The
problem gets worse with GP2GP record transfer or indeed record sharing
in any system e.g. SSEPRs.
Hope that helps
Mary Hawking
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Trefor Roscoe
Sent: 02 October 2010 09:14
To: [log in to unmask]
Subject: Health Informatics Lecture
As per usual I am doing my annual lecture to the first year students on
health informatics next week.
Anyone have any anecdotes or interesting things that have happened in
the last couple of years to use to liven up the lectuer.
It is the only lecture they get in the whole course on medical
computing.
Trefor
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