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Re: [Gnumed-devel] Family History tables

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Family History tables
Date: Fri, 10 Jun 2011 12:09:30 +0200
User-agent: Mutt/1.5.21 (2010-09-15)

On Thu, Jun 09, 2011 at 12:54:44AM -0700, Jim Busser wrote:

> Let us turn this situation around. I think I just came to
> the understanding that any sharing within GNUmed must be
> "push" not "pull".

I can agree with that based on the reasons you cited.

> I think it is worthwhile to create the family history link
> even though we did not yet add (share) any health
> information ...

I think we should not overly intertwine the two:

        - genetic relationship linking


        - family *history* items

despite the latter depending on the former.

> Therefore is seems like what appears in the family history
> for any person (patient) in GNUmed should be a combination of
> - a copy of information that was "pushed" from the
> person-relative GNUmed record on the basis of the consent of
> the relative, and

I would assume so because of this scenario:

I have history of recurrent gastritis. I don't tell my
doctor that I drink. Doctor asks me whether to allow
informing the family history of my son to know that I suffer
recurrent gastritis.

Later I inform my doctor that I drink and we establish that
as the cause of my recurrent gastritis. We also edit my
health issue of "recurrent acute gastritis" to "recurrent
acute gastritis (c2)".


If the family history item of my son is a *link* to the
health issue in *my* chart then my son's chart will now
auto-contain the "(c2)" modification despite I may or may
not have approved that to be pushed as well.

If the family history item of my son is a *copy* of my
previously pushed health issue it will NOT automatically
contain the updated yet sensitive information - rather only
after I decide to re-push it.

> - rows which are created based on *self-report* of the
> patient should not link to the source person -- even if the
> person existed in GNUmed

Based on the above implementing family history tables
actually becomes *easier*.

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