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Re: [Gnumed-devel] clinician input wanted: how to implement "coding"
From: |
James Busser |
Subject: |
Re: [Gnumed-devel] clinician input wanted: how to implement "coding" |
Date: |
Thu, 03 Dec 2009 14:45:43 -0800 (PST) |
> I am still looking for more use cases defining genuine
> *medical* desires.
I was also thinking about disease-drug interactions. My first thought was
kidney or liver disease, hoever I quickly realized the kidney disease need not
be coded if one would just base the rules around the creatinines together with
weight and age. OTOH liver disease is less reliably defined by the lab tests,
and alcohol intake is sometimes also an important consideration to drug
therapy. Likewise the possibility of getting pregnant when a female is
premenopausal and not on contraception. There is also, in the case of
hemophilia, a reminder of which (if coded) may be better than trying to code
all the factor VIII and any other abnormalities.
These were causing me to realize that the presence or absence of any number of
conditions could cause us to regard patients as in a variety of "states"
is at risk of pregnancy
has impaired hemostasis
has impaired renal function
has impaired hepatic function
has impaired cardiac function
has impaired lung function
has impaired cognitive function
has impaired mood or judgement
has impaired communication
has impaired mobility
consumes alcohol
consumes tobacco
It seemed to me easy to lose sight of these things when they might eb buried
among a complicated list of chronic conditions which sometimes are overlooked
when we are busy and deciding a treatment for an unrelated condition. I almost
think that at the point of prescribing, it could be worth having any
"positives" from such a list to be easily viewed by the prescriber.
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", (continued)
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Karsten Hilbert, 2009/12/03
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", richard terry, 2009/12/04
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Jim Busser, 2009/12/04
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Jim Busser, 2009/12/04
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Jim Busser, 2009/12/08
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Karsten Hilbert, 2009/12/07
- Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Jim Busser, 2009/12/04
Re: [Gnumed-devel] clinician input wanted: how to implement "coding", Karsten Hilbert, 2009/12/03
Re: [Gnumed-devel] clinician input wanted: how to implement "coding", James Busser, 2009/12/03
Re: [Gnumed-devel] clinician input wanted: how to implement "coding",
James Busser <=