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Re: [Gnumed-devel] Re: Medication viewing

From: Jim Busser
Subject: Re: [Gnumed-devel] Re: Medication viewing
Date: Thu, 29 Oct 2009 12:25:28 -0700

On 2009-10-29, at 11:47 AM, Karsten Hilbert wrote:

It would mean that within the Medication List, it would only be a
subset of records that represent the current medications
(substances). others would be recorded as having lapsed (without
being restarted) or discontinued for lack of tolerability or
effectiveness or affordability or desire or need. The difference
could be managed in the filtering of the display and any ambiguity
avoided by the use of last_used and status fields.

Yes. Judicious use of the available fields would allow for that.

I cannot find in the PG autodoc-generated v12 (via browser) a field last_used so am not sure if it has been removed or was never implemented.

I think it is helpful to hold such a value when for example a patient had been instructed to take an antibiotic for a duration of 10 days but at a followup visit in 10 days admits they only took the medication for 4 days and because they were both nauseated -- and did already feel better from their original symptoms -- flushed them down the toilet.

It is IMO totally wrong to alter this current medication row to change the duration to 4 days, unless the meaning of "duration" is changed from

        How long is this substances intended to be taken.


        Intended (or post-hoc actual) duration of use, if known

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