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Re: [Gnumed-devel] Aggregating health issues on screen. - Contextural In
From: |
Richard Terry |
Subject: |
Re: [Gnumed-devel] Aggregating health issues on screen. - Contextural Info |
Date: |
Tue, 30 Nov 2004 09:01:46 +1100 |
User-agent: |
KMail/1.5.4 |
snip....
> I fully agree with what you say here, Richard. The only thing
> is that we try to be logically consistent and make it possible
> for the doctor to link distinct parts of the encounter
> (encountlets, IOW) to their *respective* problem instead of
> simply linking the entire encounter to a "best-fitting"
> problem.
I'm not sure I fully understand what you are implementing, however I'll make
these comments.
Clinically information becomes meaningless when snipped out of its context.
Most encounters are only going to be half a dozen lines,( or half a page or a
page at the most more rarely).
Think about this. It is unusal in general practice to have to look back in
clinical notes.
hen one does, it is usually the last couple of consultations.
Yet when faced witha difficult case, where the symptoms have started to
present on a few occasions over a period of time, and the patient history is
often a little vague, or changing with every presentation, When you look
backwards through a set of patient notes - your eye takes in the context of
the key words, and what information is associated with them. If you cut out
this context, and link display to only part of an encounter, then you may
miss the clues that will cause the 'penny to drop' and help you make the
diagnosis.
That's the thing about diagnoses. It is rare that we think consciously
logically through DD's except on a very crude level - eg upper abdo pain =
stomach, gall, pancreas, aorta, oesophagus, bla bla bla. Most of our logical
deduction probably goes on unconsciously, with the brain sorting through
contextual clues to give additional information and make decisions, yet you
are not aware of that. Take it away and pay the consequence.
Richard
- Re: [Gnumed-devel] clin_health_issue - some thoughts, (continued)
- Re: [Gnumed-devel] clin_health_issue - some thoughts, Karsten Hilbert, 2004/11/17
- Re: [Gnumed-devel] clin_health_issue - some thoughts, J Busser, 2004/11/18
- Re: [Gnumed-devel] clin_health_issue - some thoughts, Ian Haywood, 2004/11/19
- Re: [Gnumed-devel] clin_health_issue - some thoughts, J Busser, 2004/11/19
- Re: [Gnumed-devel] clin_health_issue - some thoughts, Karsten Hilbert, 2004/11/28
- Re: [Gnumed-devel] clin_health_issue - some thoughts, J Busser, 2004/11/28
- Re: [Gnumed-devel] clin_health_issue - some thoughts, J Busser, 2004/11/28
- Re: [Gnumed-devel] clin_health_issue - some thoughts, Karsten Hilbert, 2004/11/29
- [Gnumed-devel] Aggregating health issues on screen., Richard Terry, 2004/11/28
- Re: [Gnumed-devel] Aggregating health issues on screen., Karsten Hilbert, 2004/11/29
- Re: [Gnumed-devel] Aggregating health issues on screen. - Contextural Info,
Richard Terry <=
- Re: [Gnumed-devel] Aggregating health issues on screen. - Contextural Info, Karsten Hilbert, 2004/11/29
- Re: [Gnumed-devel] Aggregating health issues on screen. - Contextual Info, J Busser, 2004/11/30
- Re: [Gnumed-devel] Aggregating health issues on screen. - Contextual Info, Karsten Hilbert, 2004/11/30
- Re: [Gnumed-devel] clin_health_issue - some thoughts, Karsten Hilbert, 2004/11/29
- Re: [Gnumed-devel] clin_health_issue - some thoughts, Karsten Hilbert, 2004/11/24
- Re: [Gnumed-devel] clin_health_issue - some thoughts, J Busser, 2004/11/24
Re: [Gnumed-devel] clin_health_issue - some thoughts, J Busser, 2004/11/17