[Gnumed-devel] Re: address@hidden: Immunisation edit area question]

[Richard Terry]

On Tue, 9 Dec 2003 05:03 am, you wrote:
> ----- Forwarded message from Karsten Hilbert <address@hidden>
> -----
>
> > Richard,
> >
> > in the backend we have defined "vaccination events" for given
> > schedules such that we can say "vacc N is due at that time".
> > Now, your edit area does not contain a field to allow
> > selection of the vaccination event a particular vaccination is
> > meant to represent (say, the 2nd of the 3 basic
> > immunisation shots for tetanus).
> >
> > How are we to handle this ? Do we just assume that whenever we
> > enter a new vaccination we mean the one that comes next

This is just what I did, with a popup reminder message a la png attatched. 
I've found this works simply and well, one can tell what the overall vaccine 
status is from the lists, and the system can analyse what is missing from the 
database.

However there are other solutions, depending on what the group wants. For 
example the editing area could contain an extra line for the sequence number 
in a primary vaccine + a check box if it was a booster.

There is of course a much more difficult problem, that of recording which 
vaccines have already taken place, but that you didn't personally give.

 In the ideal world, in the future when everyone world wide is using gnuMed we 
would of course import that data!. If not we need to decide what to do. At 
one stage I took the approach of, rather than having to manually type in all 
the vaccines for say the last 5 years of the childs life, having a wizard 
button, which worked out what the child should have had, and generating a 
list of approximate dates. This is easy to do, but obviously not accurate, so  
I suspect Horst et al would not accept this, even if the dates were marked as 
approximate.

We need some debate on this because it is important.



> > considering the ones already in the database ?  Makes sense,
> > medically, most of the time, except when we need to restart
> > basic immunisation due to the interval since the previous
> > aborted course being too long, say, the patient had one Td
> > shot but didn't show up again until 8 years later which means
> > we need to redo the basic immunisation (unless she had them
> > elsewhere, of course).
> >
> > Karsten
> > --
> > GPG key ID E4071346 @ wwwkeys.pgp.net
> > E167 67FD A291 2BEA 73BD  4537 78B9 A9F9 E407 1346
>
> ----- End forwarded message -----

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