Last week, I attended a seminar at the University of Tokyo, organised by the Todai Policy Alternatives Research Institute. I spoke about the secondary uses of data from electronic patient records in the UK (the primary use is defined as their role in providing direct clinical care). Also speaking at the conference were John Halamka from Harvard and Nikolaus Forgo from Hanover, as well as speakers from the University of Tokyo, such as Professor Morita, Professor Akiyama, and Professor Sakata. Amongst the audience of 250 were representatives from clinical medicine, academia, government and health service management. I was very impressed by the expertise and commitment to this area of work in Japan. You can view a summary of the proceedings in Japanese.
Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have
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