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Re: [Gnumed-devel] Medication viewing
From: |
Jim Busser |
Subject: |
Re: [Gnumed-devel] Medication viewing |
Date: |
Fri, 30 Oct 2009 15:11:29 -0700 |
On 2009-10-29, at 11:05 AM, Karsten Hilbert wrote:
At discontinuation, the row could be updated
to reflect when a patient last used it, as well as the reason for
discontinuation which could be any combination of not needed, not
tolerated or not effective.
While I agree this seems desirable it does stray away from
the "current state of substance intake as best known to
date" design decision.
Actually, now that you clarify / reaffirm that current medication rows
(substances)
- were only ever intended to be present in the table for as long as
each was in the state-of-believed-to-be-used and not-yet-confirmed-to-
be-stopped (because there may have been no intent to stop, maybe the
supply lapsed or maybe they got more medication from a spouse or
another doctor)
- are to be deleted upon recognition / confirmation of no-longer-
currently-being-used
Then there is at minimum a deletion step that is required. So the
options for this step are:
1) simple:
- provide a Delete button which would apply to item(s) highlighted at
the time:
"Remove item(s) from the Current medication list?"
- if confirmed, the items are deleted in the same transaction as they
are copied into the Audit table in a row that records the datetime
without any further user interaction except should users first edit to
make each row as currently-informative/accurate as possible and *then*
delete? Maybe the button should be Remove and maybe it should warn the
user if any selected rows were carrying old information i.e.
if modified_when was within the past 6 or even 24 hours maybe it is
accurate
if modified_when is null then it maybe deserves the above warning?
2) better:
- make it possible to confirm/enter details like last_used and the
state of discontinuation
- tolerability issue
- lack of finances -- not a subtype of tolerability?
- insufficiently effective
- combination of above
- not needed
[Gnumed-devel] Re: Medication viewing, Jim Busser, 2009/10/23