At 12:17 +0000 on 24-11-1996, [log in to unmask] wrote:
> [log in to unmask],Internet wrote at 8:43 am on 24/11/96
> about "Re: The Universal Client":
> -----------------------------
> >Ahmad wrote:
> >
> >> What do I need, for example, the entire Read database on my hard
> >> disk for? Ditto drug dictionaries, directories, knowledge DBs
> >> etc.etc.
>
> Andrew replied
> >Oracle say 'yes, but think how cheap terminals are now'. I for one don't
> >trust the idea of having someone like the NHSE in command of half my
> >software!
> >
> >Andrew
>
> We don't need the entire Read database on our hard discs, what we need are
> all the codes we have ever used (and to save predictable time, those which
> one could reasonably anticipate everyone is likely to use sometime)
> We do need the latest codes, whenever the Govt gives us a new concept to
> record which for some reason has not previously been coded by the hard
> working and scientific workers at NHSCCC or yet filtered through the
> distribution channels in CAMS and supplier.
>
> So, load a core dictionary, with links to collect updates and to search
> further down the tree by web browser when needed.
> Simultaneously, if the concept sought is not there, upload in real time a
> request for the code to CAMS/NHSCCC or wherever the ReadWeb server is.
> Build in added value, a dialogue t oguide pepole through the search for a
> code whch is so obvious that it must be in there somewhere. Accept a
> coding request which results in a returned code which is directly
> incorporated into the place marked in that patient's records along with a
> helpful reminder (RTFM+)
>
> Moving along... Obviously each time one connects, the machines will talk,
> and download the latest codes agreed to be core codes everybody will need,
> and upload any requests or comments on the coding system, which have been
> waiting for such an opportunity ratehr than being e-mailed individually.
>
> Perhaps a statistical breakdown of codes used, together with analysis of
> the number of keystrokes needed to get to them...
>
> and on... specialist codes will obviously be present in hospital systems,
> and therefore will be sent on to us with dishcarge or outpatient
> communications. SInce the rubric will usually be sent, the whole code can
> be accepted into our system from that source. In fact, like the American
> who ditched his entire code library, and then built one up from cdes from
> ICD10 SnowMed and various ther systems as needed, there is no reason why
> our code libraries should not self assemble thus, with fields used to
> retain the name of the coding system, and the source of the individual code
> added to our dictionary. Superset plus, and all distributed and run
> according to need.
You (we?) are getting to some core features of my imaginary perfect system.
Coding? Fine!. But don't bother me with all the stuff. Show me what I need.
And if I do need more give me LINKS to places where I can find more.
And if it isn't there, report it to persons/organisations who are
responsable. Let them decide if a new topic should be included into the
coding system.
In this way all will contribute to the developemnt of the codes used,
contribute to the evolution of medical slang (MedSpeak). And this will be
done in an unobtrusive friendly way.
Gerard Freriks,huisarts, MD
C. Sterrenburgstr 54
3151JG Hoek van Holland
the Netherlands Telephone: (+31) (0)174-384296/ Fax: -386249
Mobile : (+31) (0)6-54792800
ARS LONGA, VITA BREVIS
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