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Table 4 Structure and health skin of information esfj personality database typical health records The NHS is currently evaluating a semi-structured system for communications and possibly for health records (American Hospital Association, 2002).

Its advantage is that communications are structured to provide information in paclitaxel (Paclitaxel Tablets)- FDA standard language, but without the limitations of hierarchical and other classifications. A template of headings for communicating patient information has been developed on the basis of previous evaluations (NHS Information Authority, 2000), and this is being assessed in everyday practice in a number of different specialities.

The advantage of the semi-structured system is that its framework should improve the consistency of content of paclitaxel (Paclitaxel Tablets)- FDA communications. Additionally, the structure allows free text, so that the richness and detail of the consultation and planning relating to the patient are not lost. The approach currently being taken is to use headings that will form part of a multi-professional clinical information standard (Box 3).

Regarding authoring and reading health records: a structure increases the chance of errorc subjective, objective, assessment and plan are four types of data describedd history, observations, assessment and plan are four types of data describede identifiers, patient findings, hypotheses, actions and modifiers are categories of clinical data.

Regarding teamworking: a structures are needed paclitaxel (Paclitaxel Tablets)- FDA key clinical communicationsb most information in shared health records is written as free textd semi-structured communications may combine the benefits of structured information and free-text informatione the draft standard for communicating patient information contains health characteristics.

With respect to communication and health records: a SNOMED has its origins in pathologyb Clinical Terms (Read Codes) were initially used in primary careTable 1 Categories of clinical data (after Wyatt, 1994)Fig. Type Research Article Information Advances severe neutropenia Psychiatric TreatmentVolume 8Issue 3May 2002 paclitaxel (Paclitaxel Tablets)- FDA, pp.

Standards governing organisation of information The way in which information is organised affects the meaning and the quality of communications. Authoring and reading health records Efficient record-keeping is essential for good clinical practice and service delivery. Table 1 Categories of clinical data (after Reference WyattWyatt, 1994) A common language: classification and coding In the authoring of health records, we should use paclitaxel (Paclitaxel Tablets)- FDA standards for both recording and communicating information.

Box 1 SNOMED axes (after Reference RothwellRothwell, 1995) Table 2 Systems for different classification purposes Table 3 Comparison of classifications Problems with coding and fully structured records The current classification systems substantially improve the organisation of information for communication, but we should always be aware of the purpose for which they were intended. Electronic patient records and electronic health records Patient records are key paclitaxel (Paclitaxel Tablets)- FDA the delivery of quality health care.

Box 2 Main components of the six levels of the electronic patient record Organising information for communication within and between teams The development of electronic records and communications will further highlight the need for common standards of information organisation for communicating and teamworking. Regarding authoring and reading health records: a structure increases the chance of error b records have become increasingly task-oriented c paclitaxel (Paclitaxel Tablets)- FDA, objective, assessment and plan are four types of data described d history, observations, assessment and plan are four types of data described e identifiers, patient findings, hypotheses, actions and modifiers are categories of clinical paclitaxel (Paclitaxel Tablets)- FDA. Regarding teamworking: a structures are needed for key paclitaxel (Paclitaxel Tablets)- FDA communications b most information in shared health records is written as free text c separate records aid clinical communication d semi-structured communications may combine the benefits of structured information and free-text information e the draft standard for communicating patient information contains health characteristics.

With respect to communication and health records: a SNOMED has its origins in pathology b Clinical Terms (Read Codes) were initially used in primary care c Clinical Terms contain qualifiers d the sharing of information systems improves record-keeping e structured Celecoxib Oral Solution (Elyxyb)- FDA can only be used electronically. Google Scholar Clinical Systems Group (1998) Improving Clinical Communications.

Google Scholar Cote, R. Northfield, IL: College of American Pathologists. Google ScholarDe Moor, G. Google Scholar Department of Health (1998) Information for Health.

CrossRefGoogle ScholarPubMed Fienstein, A. Google Scholar Johnston, M. A critical appraisal of research. CrossRefGoogle ScholarNHS Executive (1999) Learning to Manage Health Information. Google Scholar NHS Information Authority (2000) Towards an Information Standard for Organising Clinical Communications. London: NHS Information Authority. Google ScholarPubMed Rothwell, D.

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