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Re: [Gnumed-devel] clin_medication

From: J Busser
Subject: Re: [Gnumed-devel] clin_medication
Date: Fri, 15 Oct 2004 08:28:11 -0700

At 9:23 AM +0200 10/15/04, Karsten Hilbert wrote:
I am attaching the entire table in it's current form for
reference and comment.
<paste>   discontinued date
                default null,

When reviewing that a drug has been discontinued, it will be of interest to quickly determine the reason. How is that best done (i.e. where to put/find the information) - in a Soap note? in an allergy/intolerance table? both, with an extra field in clin_medication as an fk to the record in question?

        - clin_root_item.clin_when == "started":
          * when did patient start to take this medication
          * in most cases date of first prescription - but not always

for example when inputting a medication first prescribed outside the surgery/practice

        is_SR boolean   -- ???

SR denotes "slow release". A more general case of CR (controlled release), which encompasses "slow release", has relevance because if it is controlled-release, it is specially-formulated and thus the tablet or capsule (usually but not always) cannot/should not be split, otherwise the release is disturbed. I think this is a main value of bothering to record that there is something "special" about a particular drug form, the other value would be that SR is typically given less often than the "regular" form, but you cannot tell just from the "SR" label, it might be only once a day, or it might be more often (e.g. some l-dopa/carbidopa).

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