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[Gnumed-devel] Handling of allergy entries

From: Busser, Jim
Subject: [Gnumed-devel] Handling of allergy entries
Date: Wed, 30 Nov 2011 09:54:05 +0000

Presently when allergy information is updated, it appears that an episode is 
auto-created where into


is inserted the name of the drug however anyone else in the praxis (or outside 
the praxis) who would see listed this 'episode' risks to be given the 
impression that some possibly-relevant clinical event happened inside this 
episode when, really, all that will have usually happened will have been the 
allergy *entry*.

Therefore when inputting a history of a penicillin reaction, instead of seeing 
in GNUmed

        Episode (closed): Penicillin; (2011-11-25 00:48)

my suggestion would be that we see

        Episode (closed): Allergy detail; (2011-11-25 00:48)


1) the detail is already available from

        select substance, fk_type, definite, narrative from clin.allergy where 
fk_episode = <episode number>


2) in the circumstance where a patient presented with an actual allergic 
reaction or drug sensitivity, we would likely be creating the item as a named 
episode via a progress note or via the EMR tree and so would suggest that when 
entries are made using the allergy editor, the auto-created episode be named 

        Allergy detail

which could be re-used if it already existed and could be left as a more or 
less long term resident among 'unattributed episodes'

-- Jim

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