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Re: [Gnumed-devel] Family History tables
From: |
Jim Busser |
Subject: |
Re: [Gnumed-devel] Family History tables |
Date: |
Thu, 09 Jun 2011 09:08:59 -0700 |
On 2011-06-09, at 12:36 AM, Karsten Hilbert wrote:
> My question was: When you sister comes and tells me the very
> same thing: "mother diabetes at 52" it is technically
> possible to search for your record of "mother diabetes at
> 52" and also link your sister to that. That would only
> create one row. In that case, when your sister comes back
> and says: "Oh, no, it was at 62" and I change that it will
> automatically show up with *your* record as well.
Aaargh no!
Only in the situation where mother is a patient in GNUmed can we "know"" this.
If my mother is not in the praxis, then my position would be as follows:
- I told you my mother developed diabetes at 52
- I do have a sister
- my sister is crazy just like her friend
- so just because she tells you I am wrong and it was 62, you change one record
in common to us which, as a result, changes it for me?
I would fire you. Then, I would sue you (for only $1, since I like you). <grin>
Under the design that suggested in my last posting, my own family history might
works as follows:
- on creating me, my family history would be empty
- on adding entries based on what I tell my doctor, we get one record per
instance of notable diseases in relatives of varying kinds X Y Z (mother father
sister brother etc) at age AA
- where the info is based on verbal report instead of known-for-sure in-praxis
data, then the kind of record we are talking about is not linked to any person…
"my" family history record of a mother who had diabetes onset at 52 is
*distinct* from my sister's record of a mother with diabetes onset at 62
- now let us add each of my 13 and later 8 year old sons to the praxis
- do we agree that we may want to link them into me as being blood-related
("clinically" related) to me, even though their heath contains no issues to
show inside "my" family history?
- if yes, then we are talking about to show a minimum of one record per person,
in my family history, for each person existing inside this praxis who have been
linked to me
- we may now have 4 records in my family history:
- my mother (not in-praxis) had diabetes onset at 52 (FHx record
created 2010.11.28)
- I have a sister (in praxis, age 30) with null disease data who was
linked 2010.12.08
- I have a son (in praxis, now 13) with null disease data who was
linked 2011.01.27
- I have a son (in praxis, now 8) with null disease data who was linked
2011.06.09
If my mother *now* joins the praxis, and we create for her a health issue of
diabetes (with onset at 62, telling you I often make such mistakes) we can now
register against her that she has in-praxis a daughter, an in-praxis a son and
two in-praxis grandsons.
From her record, we *could* programmatically select a health issue (with an
age-at-onset inputted) and then invoke a function that can attach this health
issue to the family history of all persons in GNUmed who appear as a blood
relative. Or we could do it one at a time. Age-at-onset would be static but
might later be corrected. If instead it had been inputted as a date-of-onset /
diagnosis, then the age at onset is still calculable from
date of onset or diagnosis - date of birth
Some manual cleanup may exist inside each of my own family history and my
sister's because inspection may show that I have
- mother (not in-praxis) had diabetes onset at 52 (FHx record created
2010.11.28)
- sister (in praxis, age 30) with null disease data who was linked
2010.12.08
- son (in praxis, now 13) with null disease data who was linked
2011.01.27
- son (in praxis, now 8) with null disease data who was linked
2011.06.08
- mother (in-praxis) with diabetes onset at 62 who was linked 2011.06.09
and my sister has
- mother (not in-praxis) had diabetes onset at 62 (FHx record created
2010.12.08)
- mother (in-praxis) with diabetes onset at 62 who was linked 2011.06.09
and we would delete the "not in praxis" records, which would of course transfer
into the audit table
: - )
-- Jim
- [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/08
- Re: [Gnumed-devel] Family History tables, Jim Busser, 2011/06/09
- Re: [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/09
- Re: [Gnumed-devel] Family History tables,
Jim Busser <=
- Re: [Gnumed-devel] Family History tables, Rogerio Luz Coelho, 2011/06/09
- Re: [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/10
- Re: [Gnumed-devel] Family History tables, Jim Busser, 2011/06/13
- Re: [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/13
- Re: [Gnumed-devel] Family History tables, Jim Busser, 2011/06/13
- Re: [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/13
- Re: [Gnumed-devel] Family History tables, Adrian Midgley, 2011/06/16
- Re: [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/17
- Re: [Gnumed-devel] Family History tables, Rogerio Luz Coelho, 2011/06/17
- Re: [Gnumed-devel] Family History tables, Karsten Hilbert, 2011/06/21