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Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES

From: Rogerio Luz
Subject: Re: fields in health issues (was Re: [Gnumed-devel] NEW TOPIC - FEATURES)
Date: Sun, 17 Aug 2008 13:13:30 -0300

makes perfect sense ... will try it.

2008/8/17, Karsten Hilbert <address@hidden>:
On Tue, Aug 12, 2008 at 02:25:06PM -0700, James Busser wrote:

>> > What I see is a field in the Health Issue field where we could just
>> click on
>> > (smoking status: never, past, current) and a OB/Gyn field (infant,
>> fertile,
>> > menopaused, number of births / normal delivery / C sections /
>> Abortions )
>> Sorry ... it was to be what I would like to see in the future is ... "a
>> field in the Health Issue ... etc.."
> This is sounding like pre-populating the "health issues" with a variety
> of specific items
> Perhaps a single health issue row "Risk factor assessment" could include
> some ascertainment of multiple areas (smoking, alcohol, IV drug use,
> high-risk sexual activity) with any desired details captured in the
> narrative and any notable responses codable onto these rows. Any positive
> items could be promoted to an independent health issue when circumstances
> warranted.
> Would that work?

That is one way of using issues/episodes to "model"
structures which aren't available explicitely yet:

issue "habits"
episode "smoking"
narrative in encounter: "2 pack-years"

issue "family history"
episode ...

This is in use by two GNUmed users currently.

It can be made easier by means of the hook framework where a
particular Python snippet can be run when, say, a patient is

> I know that the GNUmed design plans, but did not yet implement, for any
> clinical SOAP row, to be able to be keyed/coded (I forget the precise
> term) to one or more classification entries e.g. ICD9, Read, Snomed etc


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