[Gnumed-devel] Comments on SOAP

[richard terry]

I've heaps to say on this but not right now cause I've a busy day. Suffice to 
say that its something I've given much thought to. It is the one thing I 
never actually implemented into my MedRec program - not for any real reason 
other than I stopped at that point when the writing on the wall said that I'd 
have to give the program up one day.

 Malcolm Ireland and I (you will remember Malcolm is a GP/Academic/IT 
degree/Director of Medical IT at the Hunter Urban Division/ etc etc, spent 
quite a lot of time some years ago experimenting with SOAP stuff and 
presenting it intelligently in a medical records system. I think it lends it 
self to intelligent contextural use of the phrase wheel (learning our habits) 
and that used correctely this concept can  help rapidly enter quite detailed 
and personalised SOAP notes.

I'm going to spend an hour or two with Malcolm going over this, and will 
write at great lengh on it at some point over the next couple of weeks. It is 
certainly crucial to a medical records system to get this right. Perhaps I 
should prototype something in V/B for the gnMed Conference.

Regards

Richard

On Thursday 05 June 2003 6:49 am, you wrote:
> Karsten Hilbert wrote:
> > 2) keeping progress notes in simple SOAP structured text input
> >    fields (clin_note/clin_history/clin_physical rows)
> > 3) per patient ASCII export of progress notes to text files for
> >    re-use constrained by date, encounter, episode, health issue
>
> snip
>
> >Any opinions ?
>
> I would have to see this in practice, Karsten.
>
> Item 3 is a nice extension to item 2. However, my patients typically
> present with, on average, three problems. Often the symptoms and signs
> will overlap from one problem to the next and I find it hard,
> particularly in advance, to determine what data item belongs where.
>
> Currently I have one large SOAP box where I use bars to delimit each
> clinical entitity. This makes moving data around within the box
> relatively easy. I am concerned that multiple input fields for multiple
> problems will make the display and hence the manipulation and more
> significantly the interpretation of that data worse.
>
> I too am interested in others views. Richard?
>
> David
>
>
>
>
>
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