Monday, 24 November 2008

desktop background

Ah well, this can be changed but you need to go digging in the registry, which I would clearly never do.

Also, if you then set the wallpaper through Firefox or MSIE then it will work as the control panel interface remains disabled via the group policy. Again, a registry key controls whether you see the wallpaper tab in display properties.

It is useful to have different wallpapers for different users as this then is a quick way of seeing if you are the logged in user as your desktop is immediately identifiable.

Not sure if changes I make locally will persist on reboot and relogin though. Find out tomorrow.


new server

Hey ho, a new server at the weekend. DXS is broken. Foxmarks vanished (but I have fixed this - you need to tell it to use encryption and it works!). Can't change the wallpaper. This may simply be access to control panel that has been disabled..I feel challenged to work around it, even though am normally content not to have fancy backgrounds etc. I get the feeling that Clear Type is off by default. That is annoying.

This is because the server, and thus our logins, have been moved to the Glasgow domain, which is all locked down. Don't know yet *how* locked down it is, but will post any gripes as I discover them.

Annoying DXS being broken though...


Thursday, 20 November 2008

post conference

Well, that was a good conference. Well attended (despite the economic climate) and useful talks. Thanks to anyone who attended mine and patiently put up with me talking through a cold which still refuses to go away...Thanks also to the organising team!

Reviewing the prescribing safety settings for NVUG it is pretty clear that in all parts of the UK bar Scotland at present you are able to tweak these pretty much back to where they were prior to DLM 260. We north of the border will have to be patient till we see some relaxation of the rules.

Nice stuff coming up in Vision in the next few DLMs and I am looking forward to both the Free Text search facility and the changes to the problem management. I have largely given up on problems for the time being, but will revisit them when the changes are delivered.

SNOMED talk was also fun, but apologies to anyone who thought it might make some sense! Is SNOMED really fit for purpose? I guess the answer depends on what the purpose will be. One of the biggest difficulties with SNOMED is the lack of people in healthcare and developer communities who understand it. It is complex, perhaps necessarily so, but does the inherent complexity of it make it essentially unusable in the real world? I think we need to get end users educated in SNOMED as far as we can, as the end users can really only drive the functionality if they can understand (to an extent) the advantages and limitations of the terminology.

Anyway, feeling fairly crap with this cold and have work to do...


Monday, 10 November 2008


Well, the new NVUG web site is up and running so well done to Simon Child for this. And welcome to the blog if you have navigated from to find it.

Conference this week so I am busy (overwhelmed, perhaps!) writing talks for the 2 days. Interesting breaking down the decision support for the 'Prescribing Safely' talk, and hope is that in Scotland DLM270 will return us to something more usable and safe. The SCIMP conference talk on Prescribing Safety was also enlightening, particularly the input from FDB on the difficulties that computers have working out if a patient has a condition.

Always reassuring, this, as it means GPs cannot (yet) be replaced by machines. Ahem. :-D

Also talking on SNOMED at the NVUG conference, which will be a) a challenge and b)slightly scary. I am expecting two people to turn up, right enough, one of whom will be lost and the other probably a clinical terminologist for a living. Joking aside, the challenge of moving the NHS people to using SNOMED is huge. Read has suceeded in part because people can understand it with only a little help. Thus they are able to explain it, and use it with success, in normal work. SNOMED is not easy to explain, nor immediately easy to use. I guess we are relying on the systems implementers to make SNOMED work under the bonnet, whilst all we need to do is steer in the right direction. Can that work? Let's hope...