[log in to unmask],Net writes:
>The idea of a universal format for import/export for all GP systems is
>more
>than nice, it is essential to save the forests!
>What WOULD be nice is a universal system including the hospitals, but
>NHS
>inertia is sur to scupper that. :-(
>Dr. John Caldwell
One of the key features of the open record format would be an ability
to absorb a fragmentary record into the main record.
THis would allow a walkabout computer to feed new notes into the main
system when it returned, or workstations in a practice whose network
goes down to carry on collecting info and feed it in at the end of the
emergency.
It would also define the format in which any other org which wanted to
feed into patient records would most easily put out their messages.
SOmething like
<patient note>
<patient identification name="John Smith" NHSNo="1234567809"
westminsterhospital="12 34 567" DoB="1 may 1965">
<narrative entry>
blah blah blah blah
<diagnosis diagnosis="G20..00 essential hypertension"
certainty="definite" madeby="Dr J Brown" date="1 May 1998">
we will review him blah blah blah
</narrative entry>
</patient note>
Is liable to be quite acceptable and usable.
We should not underestimate the organisation needed to agree on the use
of the tags in that, and the larger number of tags we would want, but
neither should we be put off...
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