[Gnumed-devel] chronic vs acute, was: Turtorials

[Karsten Hilbert]

On Fri, Jul 02, 2010 at 05:41:55PM -0300, Rogerio Luz Coelho wrote:

> 2nd - Wishlist:
> 
> I would like to see in the future the Problem List with a separator:
> Chronic  / Acute
> This is somewhat done by the client already by the "grouping" of problems,
> but my thinking would b e as follows:
> 
> - first the problem list could have a difference in permissions for
> modifications in the Chronic list and a Acute list where even Dr.Joe can
> make encounters and episodes. This is specially interesting in settings
> where we have a Clinical Ambulatory and a ER in the same setting or sharing
> the same EMR.
> 
> - second this facilitates the job of doctors while browsing the EMR -
> besides, acute diagnostics generally aren´t supposed to be that precise ...

Rogerio, this is what I wrote back then:

> On Thu, Jun 24, 2010 at 01:52:09PM +0200, Hilbert, Sebastian wrote:
> 
> > Anyone up to creating this for GNUmed ?
> > https://medsphere.org/docs/DOC-1778
> 
> Problem list.
> 
> This shows how Vista seems to consider it a good idea to
> support an immediacy flag on problems.
> 
> The German GP research also knows this flag.
> 
> Do you see value in supporting
> 
>       clin.health_issue.immediacy
>       clin.episode.immediacy
> 
> ?  Values would be NULL (undecided), chronic, and acute.
> 
> We already sort of support this except from a different
> angle:
> 
>       clin.health_issue.is_active

This flag cannot tell which of the active problems is
chronic but it can tell that inactive problems are NOT
chronic :-)

Does that suffice ?

After all, any problem that is thought active warrants
attention, regardless of being chronic or not.

Karsten
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