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It may not be as simple as "do they just not take the comments? ".  
 
Most GP clinical systems will accept things like free text comments &
free text clinical details over the messaging links and store them in
the database. Depending on the system they use, actually getting to see
them may be a different issue. On at least one popular system the doctor
has to suspect there may be something other than the numbers and then go
looking for the additional information. Not likely to happen every time
and much less likely if they only occasionally find helpful information.

 
Then of course there is your paper copy (Yes we still send them for the
above reason!). If the practice is trying to be paperless,  that was
either shredded on receipt or is sitting in a shoe box in the practice
basement as a "backup" in case they lose the database. Chances are that
nobody will have read it and they have also done the same with your
helpful guidelines/handbook which went out with the reports.
 
Maybe the standard Microsoft presentation routines (see 
http://www.e-health-insider.com/comment_and_analysis/index.cfm?ID=197)
will lead to more thoughtful human-computer interfaces in the future.
Then again .......
 
Regards
 
Richard Stott
Clinical Governance lead, Pathology
Doncaster & Bassetlaw Hospitals NHS Foundation Trust.

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