Re: [Gnumed-devel] Storage and and representation (formatting?) of past history items

[James Busser]

On 14-Jan-08, at 4:38 AM, Karsten Hilbert wrote:
> Pragmatism in a GP office dicates to make do with three levels:
> apparent causating health issue (may change over time)
>         episode of activity of symptoms of issue
>                 patient-provider interaction incident within episode

I do agree with this pragmatic implementation. The internist in me  
just wanted the satisfaction of seeing what options would exist  
*inside* a pragmatic implementation. The method appears it would be:

- create the new, enclosing health issue by one of many ways
... best: control-click an episode that is to be associated to the  
new issue and simply name the issue in the "Base issue" field
... via EMR tree (control-click top-most "patient" item)
... via EMR menu > Medical history... > Past history (Foundational  
issue)
... via progress note (create new episode and enter "phx" in the save  
popup)

- identify (other) episodes that are to be associated with the new  
enclosing health issue

- consider whether to merge these episodes' current health issue  
names into the episodes' names

- associate the episodes with the new enclosing health issue

Would it be easy / hard to support drag-and-drop to relocate an  
episode under a different health issue? In absence of this, the  
change is achieved by control-clicking and filling in an alternative  
value, which is helpfully facilitated by the phrasewheel. Drag-and- 
drop would have to update the backend value in the "Base issue" field.