When you visit your GP, certain words are coded when they are added to your electronic record. Care.data will extract coded data only. The following is an example of GP consultation. I have written all the information that is coded, usually automatically as it is typed in, in bold:
Harold Smith. MaleD.o.B. 14/10/1948. NHS number 4744 4394 3205
Address: 30 Chester House. Hoxton N1 5HL
Ethnicity: white British. Religion: Catholic
Problem: Type 2 diabetes
History: since bereavement hasn’t been taking meds regularly, often misses doses, tired/ tearful.
No previous DKA/ last HbA1c 7.9
Has also been drinking up to bottle of wine at night to help with sleep, would like a few sleeping tabs. Has used them before when she was on ITU last year. No concerns r/e overuse. Discussed risks with alcohol. Prefers not to drink.
Plan: see other entries/ review at next apt…
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