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In-Reply-To: <[log in to unmask]> Adrian Midgely replied positively to the suggested modus operandi put forward under the heading of 'EDIFACT versus Internet' and went on to ask: > We would rather like to get away from the handwritten forms as well, so > if the system could run in reverse... Inspires me to ask about another reversal - out-patient booking. Why is that it's always mooted as something done in direction of Practice to Trust? Loads of complications to this route, eg type of clinic, urgency, Consultant preciousness, etc. But what of the other direction? "Here's your discharge letter, Mrs Smith, just take it to your GP. We've made an appointment for you to see her on Thursday at 3pm, which is when you said you'd be free". Good old GPs don't much discrimate with requests for appointments. Take anything that wanders in etc. So why not make a big stride for continuity of care by offering Trusts read/write access to your appointments modules? Alan Hyslop Computing & IT Strategy Management Executive Scottish Health Service %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%