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Re: [Gnumed-devel] Smoking status - revised.

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Smoking status - revised.
Date: Wed, 13 Aug 2008 10:56:38 +0200
User-agent: Mutt/1.5.18 (2008-05-17)

On Tue, Aug 12, 2008 at 05:28:21PM -0700, James Busser wrote:
> Subject: Re: [Gnumed-devel] Smoking status - revised.
> X-Mailer: Apple Mail (2.753.1)
> On 12-Aug-08, at 3:37 PM, Rogerio Luz wrote:
>> Just found the PERFECT place to put Smoking status :))))
>> Right next to the CAVEAT field ... make the field smaller and put it 
>> there like alergies ...
>> Oh and obstetrical information is a MUST - HAVE in the demografics, it 
>> might not be mandatory ... but it should be there :)
> Taking the second suggestion first, do you mean information about  
> previous obstetric history (like Gestations Para Abortions Live) or do 
> you mean current gestational information about a pregnancy that is  
> in-progress? In the first case it seems more like a special area of past 
> clinical history information rather than demographics (unless it is the 
> social aspects of who is in this person's social-familial unit). In the 
> second case, this would be a special kind of clinical information 
> (pregnancy-in-progress) that I do not believe we have yet modeled how to 
> manage it dynamically.
> As far as the CAVEAT field (or the space next to it) you may be  
> interested to search prior postings on the archive for the term "real  
> estate" which refers to competition for space within the available  
> screen area. :-)
> The other problem is how to support the possibility that a long list of 
> things will each have different importance to different doctors to be 
> able to easily see in each patient's record:
> - deaf
> - blind
> - language barrier
> - cognitive impairment
> - hostile or other threat risk
> - smokes
> - drinks alcohol
> - IV drug use
> - other addiction
> - other risk factors
> - very important person / patient
> - risk of abduction or threat from a deranged parent / contact
> - currently pregnant
> - currently participating in one of many research projects
> - currently being managed by a trainee under the supervision of one of 
> the primary providers

All those will need to be modelled as "traits" of the
patient. Some will result in visual cues in the top panel.
Most will appear on the patient-overview-to-be module.

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