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[Gnumed-devel] Re: clin_health_issue - some thoughts
From: |
Ian Haywood |
Subject: |
[Gnumed-devel] Re: clin_health_issue - some thoughts |
Date: |
Sun, 21 Nov 2004 20:14:51 +1100 |
Jim Busser wrote:
> I am not sure how we would handle (assess/input)
> a continuous variable.
You don't, it's calculated from the notes using a defined algorithm
(which we need to discuss, I'll formulate a proposal if this idea reaches
consensus)
> with the naming assigned to the issues. For example I find it helpful
> to sort "adjacent" a patient's angina, status-post MI and post-CABG,
> heart failure and renal failure, it certainly helps when reviewing
> the rationale for a current drug regimen.
I think under our model you would have an overarching health issue
"cardiovascular disease" under which to group these diagnoses.
Just thinking aloud, is the disease<->health issue relationship reasonably
predictable, that is, could the disease codes directory
store a "default" health issue for each diagnosis, so they can be grouped
automatically. (of course the user should be able to re-arrange them manually
if desired)
Carlos Moro wrote:
> I've been playing around with the multi-split based SOAP inpuut
> approach. It's commited in cfmoro's test-area. It's basically a
> very first try of customizing wxpython multisash. It's completely
> open for advice/review/discussion/changes/improvements (thanks a
This is good work, I would like to propose a modification based on Karsten's
suggestion on IRC: instead of a TreeCtrl on the right, just have a listbox with
health issues numbered, then a single soap control,
the notes can be tagged to a health issue by adding the number, so
with this contrived example:
S: 1. SOB on exertion, while walking up stairs.
2. blurred vision
O: 1. mild bibasal crackles, JVP +2cm, mild pitting oedema to mid-calf
2. fundoscopy: some haemorrhages
A: 1. increasing CCF
2. retinopathy
The health issues are
1. congestive cardiac failure
2. diabetes
The numbered list can change over time, as health issues are ordered by
importance. New issues can be generated implicitly by referring to a new number.
This actually merges nicely with Richard's design: the list of health issues
becomes one of the tabs in the "pick list" notebook in the top-right (along
with medications, waiting room, inbox, etc.), leaving space bottom-right for
Recalls/Warnings and the scratch-pad.
Ian Haywood
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- [Gnumed-devel] Re: clin_health_issue - some thoughts,
Ian Haywood <=