Definitions
| Criterion | Rating | Definition |
|---|---|---|
| Computer generated information | Sufficient | All necessary information included |
| Incomplete | Failure to mention relevant secondary diagnosis | |
| Failure to mention aspects of management essential to patient’s further care | ||
| Misleading | Inaccurately coded diagnoses | |
| Wrongly coded diagnoses | ||
| Additional text | Helpful | Useful information clarifying diagnosis, management, or follow up |
| Unnecessary | No useful information in addition to computer generated part of letter | |
| Overall quality of correspondence | Satisfactory | All necessary information relevant to patient’s further care included |
| Lacking | Inaccurate diagnosis | |
| Missing detail regarding management or follow up | ||
| Unacceptable | Wrong diagnosis | |
| Dangerously misleading content |