Re: [Health] Prescription Workflow Issues

[Luis Falcon]

Hi Chris !


On Thu, Mar 8, 2012 at 2:43 PM, Christoph H. Larsen
<address@hidden> wrote:
> Dear Luis,
>
> On 08/03/12 20:56, Luis Falcon wrote:
>> Hi Chris !
>>
>> On Thu, Mar 8, 2012 at 9:15 AM, Christoph H. Larsen
>> <address@hidden> wrote:
>>> Dear Luis,
>>> Thanks for your help!
>>>
>>> On 08/03/12 12:45, Luis Falcon wrote:
>>>> Hi Chris !
>>>>
>>>> On Wed, Mar 7, 2012 at 5:07 AM, Christoph H. Larsen
>>>> <address@hidden> wrote:
>>>>> Thanks a lot, Luis.
>>>>>
>>>>> Question regarding the prescription workflow. If I prescribe a drug to a
>>>>> patient, it does - naturally - show in the list of prescriptions, but
>>>>> not in the list of medications in the Patient facility. Does this make
>>>>> sense???
>>>> Is done on purpose. The prescription process / order does not
>>>> necessarily means that the patient has takent the drug.
>>>> One example will be DOTS when dealing with Tuberculosis medication.
>>> Thought so, but it is still inconvenient, and not quite in line with
>>> other EMRs. Essentially, it means that I have to double-entry every meds
>>> I prescribe, which may be regarded as a turn-off by many busy doctors.
>>> Any doctor should, in any case, check whether the drugs have been taken.
>>> We DO have, in the Patient facility, Medication, the tic boxes
>>> "Discontinued" and "Course completed". Should that not suffice, and thus
>>> streamline the process???
>>
>> The problem I see is that when we have a centralized database, where
>> the patient goes to different health centers or doctors, we might not
>> be able to track the prescription that was done in a previous one.
>>
>> I do agree that we can find something intermediate. Thoughts ?
> With a centralised database, and different health centres and doctors,
> would it not make even more sense then to have prescriptions appear in
> the respective patient's Drug list? It may be useful to see, with
> prescriptions done from within the system .,who has prescribed that drug
> in question... In short, everything is patient-centred, and hence
> portable. Compliance will be indicated by the drug details that are part
> of the medication list in Patients.
Sure. The prescribed drugs are always visible, so the health
professional can check them out.
>>>>
>>>>> Also, the prescription workflow seems a bit awkward: When I am dealing
>>>>> with a patient, I have to go to Prescriptions, re-select that patient,
>>>>> and select the pharmacy from the long list of all parties.
>>>> No. Use the related action (little curved green arrow on top). It will
>>>> take you directly to the prescription process from the patient form,
>>>> and it will automatically fill in the patient name.
>>>> This is useful for many other patient-related processe, like
>>>> laboratory, evaluations, ...
>>> Oh dear, I should retire!
>> No :-) We need to document the prescription process at Wikibooks.
>>>>
>>>>> Would it be possible to:
>>>>> (1) introduce a field "is_pharmacy" to select pharmacies more easily,
>>>>> ideally with the way to select a DEFAULT pharmacy on top of that?
>>>> Agree.
>>>>> (2) create a button within the patient facility to easily issue
>>>>> prescriptions for this specific patient (pre-selected, that is)?
>>>> Use the related action that already does that.
>>>>> (3) to add prescribed drugs automatically to the list of medication
>>>>> within the Patient facility?
>>>> It should not be a 1:1 relationship between prescription and medication.
>>>>> (4) to use "prn" in ADDITION to the existing table of frequencies?
>>>>> Presently, it is either "prn" or other frequencies, which is medically
>>>>> incorrect.
>>>> Polysemic conflict :-). In PRN in the prescription line tree field
>>>> means "print", and is not related to "Pro re nata" / "as needed" term.
>>>> I will write the whole word "print" in the tree view to avoid conflicts.
>>> The problem is, as discussed with Andrew already, the mix-up of logical
>>> lines in the application frequency drop-down menu: qds (or qid) is a
>>> frequency, and it can be either "reg" or "prn". In effect, we need
>>> another drop-down menu, or a "prn" selection box (as non-prn = reg).
>> Great ! Sorry I missed the point . Can you please enter it as a task
>> or bug ? We still have time to have this feature  for 1.4.4
> Done.
>>>>
>>>>> I sent further suggestions last night.
>>>>> Also, in general terms, how can I select one record as default (e.g. for
>>>>> the above pharmacy issue) in generic terms?
>>>> We would use the system properties for the company.
>>> Did not get this: What I mean is: How could I, for instance, define a
>>> default pharmacy, if drugs are usually dispensed by a favourite pharmacy
>>> in town, yet others might have to help in case of drug shortage? This is
>>> just an example, but I have, so far, failed to figure out how to set
>>> defaults for boolean or multiple selections in Tryton. My bad, for sure....!
>>>>>
>>>>> Thanks a lot, indeed!
>>> Ditto!!
>>>>>
>>>> Thank you for the feedback !
>>>>
>>>>> Chris
>>>>>
>>>>> On 07/03/12 10:03, Luis Falcon wrote:
>>>>>> Follow-up Comment #4, bug #35462 (project health):
>>>>>>
>>>>>> Hi Chris
>>>>>>
>>>>>> In prescription, what you get is the prescribing doctor. For security 
>>>>>> reasons,
>>>>>> this is a read-only field that shows the UID of the doctor that logs 
>>>>>> into the
>>>>>> system.
>>>>>>
>>>>>> In the other fields, the doctor name is in the form of "Lastname, 
>>>>>> Firstname".
>>>>>>
>>>>>> Best
>>>>>> Luis
>>>>>>
>>>>>>     _______________________________________________________
>>>>>>
>>>>>> Reply to this item at:
>>>>>>
>>>>>>   <http://savannah.gnu.org/bugs/?35462>
>>>>>>
>>>>>> _______________________________________________
>>>>>>   Message sent via/by Savannah
>>>>>>   http://savannah.gnu.org/
>>>>>>
>>>>>
>>>>> --
>>>>> Dr. Christoph H. Larsen
>>>>> synaLinQ (Vietnam)                      synaLinQ (Kenya)
>>>>> P.O. Box 55, Bưu điện NT, 01 Pasteur    P.O. Box 1607, Village Market
>>>>> Nha Trang, Khánh Hòa                    Nairobi 00621
>>>>> Vietnam                                 Kenya
>>>>> Mobile: +84-98-9607357                  Mobile: +254-753-632481
>>>>>        +49-176-96456254 (Germany)
>>>>> Fax:    +49-231-292734790
>>>>> Email: address@hidden
>>>>>
>>>>
>>>>
>>>>
>>>
>>> --
>>> Dr. Christoph H. Larsen
>>> synaLinQ (Vietnam)                      synaLinQ (Kenya)
>>> P.O. Box 55, Bưu điện NT, 01 Pasteur    P.O. Box 1607, Village Market
>>> Nha Trang, Khánh Hòa                    Nairobi 00621
>>> Vietnam                                 Kenya
>>> Mobile: +84-98-9607357                  Mobile: +254-753-632481
>>>        +49-176-96456254 (Germany)
>>> Fax:    +49-231-292734790
>>> Email: address@hidden
>>>
>>
>>
>>
>
> --
> Dr. Christoph H. Larsen
> synaLinQ (Vietnam)                      synaLinQ (Kenya)
> P.O. Box 55, Bưu điện NT, 01 Pasteur    P.O. Box 1607, Village Market
> Nha Trang, Khánh Hòa                    Nairobi 00621
> Vietnam                                 Kenya
> Mobile: +84-98-9607357                  Mobile: +254-753-632481
>        +49-176-96456254 (Germany)
> Fax:    +49-231-292734790
> Email: address@hidden
>

Best

-- 
Luis Falcon
GNU Health
http://health.gnu.org