[log in to unmask],Net writes:
>From: [log in to unmask]
>READ codes are c##p. It takes ages to find some things, you cannot
>find some important terms at all. There are so many unnecessary and
>inappropriate terms. Eg - there is no code for child protection
>supervison order, well I couldn't find one...
CHILD ¦[V]Child health supervision ¦ZV20.
CHILD ¦[V]Hlth supervisn+care of other healthy infant a »¦ZV6y1
CHILD ¦Child examn/reports/meetings ¦9F...
there are a couple of possibilities below this level
COURT ¦Place of safety court order ¦9F7..
¦Child exam/report NOS ¦9FZ..
might do, or you may be ;looking for something between
9F7 and 9FZ which you could now write and send to NHSCCC (whose systems
for accepting suggestions and dealing with them have quite rightly
brought calumny upon them)
> CHILD ¦Child at risk ¦13IF.
>but I found 8 codes for
>legal execution ie legal killing of someone. You can be killed by a
>spacecraft falling on you in 3 different ways. You can be killed by a
>horse falling on you, but not by falling off a horse.
¦Term Key ¦Term ¦Read
+----------+--------------------------------------------------+------
¦FALL ¦[X]Rider/occ inj by fall/thrown from anml/anml-d »¦U0800
Term 198
[X]Rider or occupant injured by fall from or being thrown
from animal or animal-drawn vehicle in noncollision accident
>IMHO READ codes are c##p. The NHS has been ripped off - they are
>copies with a few extensions of other morbidity/disease dictionaries,
>poorly indexed.
Indexing is of course a job for the software supplier - Surgery Manager
uses two indexes, one on the Read code + term code, and one on the Term
key (the 11 character short string which can be added to by the user)
It would be possible (for instance I did it several years ago using
Idealist version 2) to index the 30 60 or 198 character terms, but you
would run into three problems:-
- large indexes - not a great problem now, givine the large disks we
have, suppliers should perhaps reconsider
- large numbers of terms returned, leading to complaints that 763
codes including the word horse were returned when you just wanted "fell
off horse" - again, if the likely ones go near the top, this shouldn't
trouble us, but is a supplier matter.
- the inclusion of a term for each ICD 9 or 10 term is a requirement ,
and of course involves minimal effort since the terms can just be
copied in.
One could construct a far more effective attack on the NHS organisation
of funding Read COdes, which has on the one hhand delayed their
adoption by GPs while churning the fees to the benefit surely only of
accountants and clerks, and on the other lead to unhappiness form the
public audit office. Scotland, of course, got it right.
>The IM&T exec should be sacked.
They were.
They were.
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