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From: | Jim Busser |
Subject: | Re: [Gnumed-devel] further thinking on list of current medications |
Date: | Tue, 31 Mar 2009 18:23:34 -0700 |
Maybe the frame of capture is the encounter and in that encounter whichever condition-encountlet most attracted this clinical decision and action --- no matter if it was a first-time prescription or an increase in dosage when the patient was already on the medication for something else --- could serve as the point of reference for this action. In the soap note, the clinician could choose to enter some words to show their awareness of the multiple-actions, if they were not already making a separate entry in the encountlet relating to the other-affected condition.
I suppose the same is true of a drug that is being prescribed to help one condition with the knowledge that it could worsen another known condition. Sometimes we do this hoping that the other condition is not (or is not badly) aggravated. Some way of visualizing this linkage might help to protect us from the risk of such actions. I am not suggesting that the visualization be built in the current-next client but it might be good to think about the schematic relationships.
On 31-Mar-09, at 9:25 AM, Karsten Hilbert wrote:
Hello, can anyone think of a multi-component drug where the components do NOT target the same affliction (episode) ? Say, a combination of Simvastatin and Metformin ... And, no, Paracetamol + Codein/Coffein doesn't count ;-) Karsten -- GPG key ID E4071346 @ wwwkeys.pgp.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 _______________________________________________ Gnumed-devel mailing list address@hidden http://lists.gnu.org/mailman/listinfo/gnumed-devel
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