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Getting back to real discussion, James from Adastra writes:

> (on Read)...we have approached a number
> of parties to try and get a good out-of-hours core of 2-300 codes to
> be part of a "hotlist" of codes.  These would represent (I hope) 99%
> of all OOH consultations.

What a sensible idea.  Law of diminishing returns, Pareto Principle, and
all that.  We're encouraging a similar approach, e.g. one hospital and
local GPs want to agree on sub-set of condition codes to be used in
immediate discharge letters.

But how to handle exceptions?  (since it would not be on to have to
shoehorn things into the wrong category)....simple free-text.

Perhaps folk like Adrian knows the answer to this: can current systems be
induced to print out a frequency count of codes used, descendingly sorted?

Alan Hyslop
Computing & IT Strategy
Management Executive, NHS in Scotland.



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