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Re: [Gnumed-devel] Data entry-soap stuff - I tried it all day in consult

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Data entry-soap stuff - I tried it all day in consultations
Date: Tue, 16 Nov 2004 12:50:46 +0100
User-agent: Mutt/

> > Patient Request
> > History Taken
> > Clinical Findings
> > Assessment
> > Plan
> I note the main difference is "S" is split into "Patient Request" and
> "History Taken" [which implies a fifth clin_root_item type, say 'h' for
> history taken]
No, it does not, IMO. For native English speakers it may well
be that Subjective, Objective, Assessment, Plan are only seen
as labels for sections. I suspect that many other people
rather see it as the *type* of data. So, both Patient Request
and History Taken are Subjective. IF one really wants to
distinguish them we already have is_rfe. Whether *that's* how
it ought to be done is yet another matter.

> Currently the backend schema allows each clinical record fragment 
> (correspondes to each semicolon-delimited phrase in the SOAP widget)to be
> linked to *one* episode. (but a consultation record contains muliple
> fragments) I agree having seperate SOAP widgets for each problem is
> clumsy, but to move to this model (where the whole consult is linked to
> one or many problems) requires a big change in schema. 
And more importantly a dilution in concept - one of those
compromises I am not willing to make. IF this compromise is to
be made somehow then do it in terms of data not in principle.

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