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Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES
From: |
James Busser |
Subject: |
Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES) |
Date: |
Sat, 23 Aug 2008 20:31:33 -0700 |
following on from
http://lists.gnu.org/archive/html/gnumed-devel/2008-08/msg00281.html
If a user were to wish to create habits entries (likewise family
history entries) for more than one habit or more than one family
history concern, the options that seem currently available would be:
1. --- If the special "placeholder" health issue that is Unattributed
will permit >1 episode to keep the status "open" (Karsten?) --- then
each attribute of interest (smoker, problem drinker of alcohol,
unhealthy diet, family history of each of breast cancer, colon
cancer, premature cardiac disease) could be nicely listed within this
branch of the EMR tree. In order to keep the components clustered
together, users could prepend a space or a hyphen or other character,
and could use an additional naming convention to include "habit:" or
"fam hx:" within the episode name:
EMR of patient ...
Unattributed episodes
fam hx: breast ca
fam hx: colon ca
fam hx: premature coronary disease
habit: problem drinking
habit: smoking
encounter 1
encounter 2
habit: unhealthy diet
A further advantage is among Unattributed episodes is that upon their
closure (say, a patient has quit smoking for sufficiently long to be
convincing) it would automatically disappear from the problem list.
Until such a time, it would remain visible it the problem list except
at times that the tree was fully closed. An additional advantage to
managing such _potential_ issues is that they could be associated /
attributed at a later time. For example if a patient should later
prove to have developed breast cancer it could be chosen to attribute
the family history under the health issue of breast cancer. I know...
the issue of breast cancer did not cause the family history...
If a patient had quit smoking and the clinician closed the
Unattributed episode "smoking", does the schema prevent the episode
being re-opened if it should later prove that the patient is again
smoking?
2. (alternative approach) make each one its own health issue.
issue "smoking"
issue "alcohol intake"
issue "exercise"
issue "diet"
or
issue "habit: smoking"
issue "habit: alcohol intake"
issue "habit: exercise"
issue "habit: diet"
issue "fam hx: breast cancer"
I suppose the decision could be whether or not the smoking /
alcohol / diet have contributed to clinical problems in which case
the importance of attacking the risks becomes more, and maybe at that
point they warrant to be issues of their own right.
- [Gnumed-devel] NEW TOPIC - FEATURES, Rogerio Luz, 2008/08/11
- Re: [Gnumed-devel] NEW TOPIC - FEATURES, Jerzy Luszawski, 2008/08/11
- Re: [Gnumed-devel] NEW TOPIC - FEATURES, Karsten Hilbert, 2008/08/12
- Re: [Gnumed-devel] NEW TOPIC - FEATURES, Rogerio Luz, 2008/08/12
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES), Karsten Hilbert, 2008/08/17
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES), Rogerio Luz, 2008/08/17
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES),
James Busser <=
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES), Karsten Hilbert, 2008/08/24
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES), Karsten Hilbert, 2008/08/24
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES), James Busser, 2008/08/24
- Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES), Karsten Hilbert, 2008/08/24