Table 1


Computer generated informationSufficientAll necessary information included
IncompleteFailure to mention relevant secondary diagnosis
Failure to mention aspects of management essential to patient’s further care
MisleadingInaccurately coded diagnoses
Wrongly coded diagnoses
Additional textHelpfulUseful information clarifying diagnosis, management, or follow up
UnnecessaryNo useful information in addition to computer generated part of letter
Overall quality of correspondenceSatisfactoryAll necessary information relevant to patient’s further care included
LackingInaccurate diagnosis
Missing detail regarding management or follow up
UnacceptableWrong diagnosis
Dangerously misleading content