At 23:38 01/29/1998 +0000, you wrote:
If u ever come to Sri Lanka and travel to Colombo from the Air-port (30
Km), u will see pork and toddy stalls by the side of the main road. This is
about 4-5 Km from the airport, and is called Ja-ela where I practice.
The men who catch the pigs have a occupational hazzard. Most of the men
wear the sarong (not trousers or shorts) and when they try to grab the
large pigs after overpowering them and putting them on the ground on their
backs, the pigs sometimes catch the penis or the area around.
When they come to the clinic and cannot sit, the diagnosis is either anal
haematoma or a pig byte. This is not very rare.
I use my own little partial-CPR and the problem of coding this type of
encounter occoured. I use the ICPC and there is a section under Skin called
- Animal / Human bites. Can use the fourth digit codes that u define to
classify the animal bites - dog, cat, pig, monkey etc..
I think the The GP consultation is so rich and varied that trying to CODE
the consultation will be a absolutely futile excercise. Enrico Coiera in
his book (Guide to medical informatics the Internet and Telemedicine)
explanis the theoritical and practicle implications of trying to code very
clearly.
Even with sound and video capturing the full content of the consultation
will be very hard. What I attempt is mainly to use ICPC code the RFE and PD
in a general manner that can help to generate a morbidity profile.
I have read about Read codes. I know that that ver 2.0 (50,000) codes were
increased to around 300000 in ver 3.0. This will never be adequate in GP.
Is there a way of getting a copy of Read codes?
>I'm irritated by Read codes again.
>This afternoon a patient came in with back pain. He works at a piggery
>and had been assaulted by a porcine hooligan in early January, causing >a
back injury and some pain. The pain settled, he went back to work, >and the
pig assaulted him again, causing even more pain. He said that >he was going
to look for another job, as he was fed up with the way >the pigs behave.
>I tried to code "assault by pig" but, unbelievably, there is no such
>code.
>
>Toby Lipman 7, Collingwood Terrace, Jesmond, Newcastle upon Tyne. Tel
>0191-2811060 (home), 0191-2437000 (surgery)
kumara mendis
Dr.Kumara Mendis M.B.B.S., D.F.M.
Department of Community and Family Medicine and
Computer Centre
University of Kelaniya
Computer Centre email: [log in to unmask]
Personal Tel: 94-1-232280 Fax: 94-1-237360
Personal Email: [log in to unmask]
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