Thursday, 28 February 2008

Had a Chat to Patient

Please do NOT use this code as a header for clinical work you do. It is not appopriate or correct. It is OK to use this code when you do have a chat to a patient - about the weather, their fmaily or pets, their holiday plans etc. And, indeed, we do want to use it for this because then we can make a view which just shows us these 'chats', which is nice and personalises our consultations a bit more.

But, if you fill up 'Chat' codes with actual clinical work, then this will be of no use to us.

What to use instead

Generally, try and use a SYMPTOM code of some kind. These are all in Chapter 1 of Read.

and, more often than not, you can find them by using a 'keyword', often prefixed by 'co' for 'complaining of'. For example:

Enter 'codizzy' as the keyword:

will get you this Read Term:

Often you can just enter the first word of the symptom, e.g. 'cough' and an appropriate Read Term will be found:

gets you:

and if you double click there or press F3 you get a picklist of terms:

Which is even better.

It is OK to type everything else you do under this header code, though all numerical values and measurements must be recorded in the right place, e.g. Blood Pressures. This is as before.


As a general rule, only use 'Chat' to record a 'chat'. That is what it is for; not for recording clinical work.
Try and find a single code that fits the main or first presenting complaint of the patient, often from Chapter 1.


Tuesday, 12 February 2008

Read coded feverish child consult

It's all codes, bar the '3-4d' bit of free text. Took me about 2 minutes to enter.


Sunday, 10 February 2008

Vision in Vista

Seems to work OK. You need to turn off User Access control. I wouldn't recommend running your live system off of Vista though, just a local copy!

And you need to use the Vision32.exe to get it to go. I think.


How to Add 'Therapy Advice'

Using the Right Hand Side (RHS) of the GP10 (FP10 in England, and 'Prescription form' to everyone else!) is an immensely useful function. You can do this from the 'Notes for Patient' button on the Add New Medication forms, but you can also print out therapy advice on the RHS without having to add a drug first.

To do this, select to Add - Advice from the Consultation Manager (CM) menu:

This then displays the 'Add Advice' form.
Then we need to change 'Type of advice given' to 'Therapy:

And then add our advice:

Ok, now we have done all that we can 'OK' the form. Then Press F9 and we can see it in Prescription Manager:

and F9 again, prints it out.

Ta da!

I am busy this week as my partner is off on holiday and our 2 day a week doc is off a little earlier than she intended for maternity leave :( No more blogging till the week after, I think. Though, as the government seem to want us to work every evening and weekend (wasn't that what the 2004 contract was meant to stop?!) I will probably be able to blog all the time as I will never be away from the work computer...

grumble grumble.