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Re: [Gnumed-devel] EMR tree display of allergy
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] EMR tree display of allergy |
Date: |
Sun, 21 Sep 2008 01:25:27 +0200 |
> I might dispute the contention (per the email before) that the tree
> should show only "diseases" since the tree is, after all, supposed to
> list "Heath Issues".
Exactly, and the state of allergicity (?) ist not a Health Issue but rather a
Non-Issue.
> 1) absence of information in the Caveats (an empty box) is
> ambiguous...
If there is no information there there is no known allergy. Other states are
shown explicitely.
> can it be taken to mean the absence of allergies, or
> only the absence of allergy *information* ?? Perhaps no one had yet
> asked, or maybe they had asked but somehow failed to put it into
> GNUmed. Can I therefore suggest -- at minimum -- that while the
> allergy state is Unknown (which is the default at new patient
> creation) the Caveat field should display a "?".
Please file as wishlist.
> 2) absence from the EMR Summary of the known Allergy state. In my
> view when referring the patient and potentially providing a copy of
> the Summary, the presence of known allergy information will be
> included but the fact that to the best of our knowledge, the patient
> has no allergies is important to include in communications.
The "summary" menu item should be more appropriately renamed "statistics" cause
that is what it shows. Of course, a clinical summary MUST contain allergy state.
> While I am at it, can I ask the intended use of the allergy state
> "Undisclosed"?
- patient was asked but refused to disclose
- it explicitely models the case "I did my best, you cannot sue me"
> While a patient's refusal to answer is possible, I suspect in the
> area of allergy it will more often denote an inability to remember,
> or a lack of knowledge. The patient may be unsure, and accompanying
> caregivers may likewise be unsure, or they may know the patient is
> allergic to something, while being unsure what it was ("an
> antibiotic, I think").
For such things there are other states.
> Therefore, I am wondering if the intended use
> is meant to cover this situation,
No. Clarification was sought but denied.
> It may be a subtle distinction, but while "Undisclosed" *could* mean
> that the patient elected not to answer i.e. was not co-operating...
yes
> So to me, in the situation where the question *had* been specifically
> asked, IMO "Unresolved" or "Pending" (if collateral were requested)
> would make clearer that the question was at least asked but that any
> lack of resolution was not necessarily from lack of co-operation. Is
> "Unresolved" acceptable?
I did want to model "not co-operating".
> While there is nothing stopping someone entering a text value in
> trigger and comment that would further detail the situation for any
> given patient, I am assuming there can still be programmatic value to
> recording Undisclosed (or Unresolved) as a "state", for example for
> programmatic purposes.
Exactly, such as to perhaps prompt again at prescription time.
Karsten
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- [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/18
- [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/18
- Re: [Gnumed-devel] EMR tree display of allergy, Karsten Hilbert, 2008/09/19
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/19
- Re: [Gnumed-devel] EMR tree display of allergy, Rogerio Luz, 2008/09/20
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/20
- Re: [Gnumed-devel] EMR tree display of allergy, Rogerio Luz, 2008/09/20
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/20
- Message not available
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/20
- Re: [Gnumed-devel] EMR tree display of allergy,
Karsten Hilbert <=
Fwd: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/20
- Re: [Gnumed-devel] EMR tree display of allergy, Rogerio Luz, 2008/09/20
- Re: Fwd: [Gnumed-devel] EMR tree display of allergy, Karsten Hilbert, 2008/09/20
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/21
- Re: [Gnumed-devel] EMR tree display of allergy, Karsten Hilbert, 2008/09/21
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/22
- Re: [Gnumed-devel] EMR tree display of allergy, Karsten Hilbert, 2008/09/23
- Re: [Gnumed-devel] EMR tree display of allergy, richard terry, 2008/09/23
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/23
- Re: [Gnumed-devel] EMR tree display of allergy, James Busser, 2008/09/23