[Top][All Lists]

[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]

[Gnumed-devel] Re: Re: Immunisation edit question

From: James Busser
Subject: [Gnumed-devel] Re: Re: Immunisation edit question
Date: Fri, 12 Dec 2003 23:37:01 -0800

If information is stored in 2 areas (what's been done "within" the practice versus what has been done "elsewhere") I could see a risk of action being

Hm, I don't think the GnuMed medical record should be into the
business of tracking the actions of one practice vs. another
but rather the state of the health of a particular person...

I agree that one cannot reliably know everything that happens elsewhere. And until such time as that info could be gotten electronically, you would certainly not want to input everything you learn.

However, where an event "elsewhere" is important enough for you to ask about (vaccination or current medications), or to have been "copied" (report from a consultant invited by another party), you want the info to be accessible IN CONTEXT, and NOT hidden away in some accessory area.

e.g. vaccinations given elsewhere that would affect your care plan should show up among the list of vaccinations (or analogous treatments) given by you. You would NOT want to waste time having to click around in GnuMed for any alternate information storage areas in order to cover off this question of what's already been done.

Another example becomes relevant once GnuMed could support entering referrals for consultation. Your patient then goes to the emergency room with chest pain, and you learn from a discharge slip (or a phone message left by the patient) that the Emergency Physician arranged for the patient to be seen by Dr X, one of several local cardiologists. Dr X may have seen your patient at the time, and/or may intend an office visit in the near future. You may well want to capture that Dr X has become involved.

As it is not you who initiated that request for consultation, there is nothing your office staff need do to make it happen. Yet the next time you are responsible for care, if you were to check GnuMed for any consultant involvement, you would want Dr X's name to show up here, and not in some other section of the program called "hospital visits", "care delivered elsewhere" or "miscellaneous notes".

reply via email to

[Prev in Thread] Current Thread [Next in Thread]