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Re: [Gnumed-devel] emrjounalplugin.py comments further html work
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] emrjounalplugin.py comments further html work |
Date: |
Thu, 15 Sep 2005 15:22:33 +0200 |
User-agent: |
Mutt/1.5.9i |
On Tue, Sep 13, 2005 at 11:58:00AM -0700, Jim Busser wrote:
> We could have
> - diabetes mellitus (control)
> S - Having trouble adhering to diet. Checking ~ 2x daily, staggered
> times, 9-13 mmol/L
> O - Last A1C 0.09% ( is it under O we would comment on test results,
> or under A?)
> A - Agrees to incr meds while continuing effort at wt loss
> P - Incr metformin 500->850mg bid
> (using whatever trigger text would activate the medication list)
>
> - diabetes mellitus (foot care)
> S - Noted slight drainage on socks past 3 days. No
> pain/red/fever/trauma but new shoes 7d ago.
> O - (Details of exam)
> A - Whatever
> P - Whatever
>
> likewise for dyslipidemia and hypertension
>
> Richard may prefer to enter all this in a *single* SOAP note (maybe
> I'm wrong). But under what Karsten has been proposing, the "parts"
> (dm control, foot care, lipids & hypertension) would each be
> encountlets (encounter-lets) within one encounter.
Precisely.
> So if the RFE originated from a patient saying "foot problem and
> refill BP meds" is this a single row RFE that gets attached
> unalterably to whichever issue the front desk or the doctor chooses?
Not unalterably but, hey, I think you have a point here:
Should we not make RFE attach to the *encounter* instead of
it being a clin_narrative row (which would need to be
attached to one episode only) ? Surely the patient isn't
expected to deal with episodes and present suitable RFEs.
Still the RFE can be auto-copied for edition into Soap for
each episode that's appended to during the encounter.
> Is there a requirement that each encountlet have an RFE, or can we
> have a single RFE for the encounter?
Likely the latter - what do other clinicians think ? Elizabeth ?
> In our display of what occurred in that encounter, if in the EMR tree
> we clicked, inside an issue/episode, onto a single encounterlet, we
> would presumably see only its parts (together perhaps with a shared
> RFE if it's possible).
Yes, it is possible.
> However it is important that we be able to "see' the entirety of what
> occurred in a visit. So we would need a means of being able to select
> an encounter (meaning to include/display all encounterlets from that
> encounter).
Sure. That view is still missing from 0.1. I hope to have it in 0.2.
> RFE
> S1
> O1
> A1
> P1
> AOE1
Actually, IMHO:
RFE
S1
O1
A1
P1
AOE
where AOE == clin_encounter.description == clin_encounter.aoe
== consultation summary == edit(soAp1 + soAp2 + ... + soApX)
> If not, would the user have an option of using a single AOE to tie
> together the parts into a synthesis e.g. new shoes / cellulitis /
> hyperglycemia / high BP (role of NSAIDs?)
Yes, that would be Richard's consultation summary. We
already support it now.
> Can the AOE be attached to the encounter without having to be
> attached to a specific health issue?
Yes.
> Encounter date/time
> AOE xcvxcv nbncxb bxnbcnx
> expansion triangle
>
> under the expansion we would have the encounterlets that made up the
> encounter, and each encounterlet would be denoted by its issue name &
> assessment info (or AOE if this had been input down to the
> encounterlet level?)
Yes, that's the second EMR tree view I hope to have in 0.2.
Karsten
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- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, (continued)
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Richard Terry, 2005/09/18
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Horst Herb, 2005/09/18
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Richard Terry, 2005/09/18
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Horst Herb, 2005/09/18
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, J Busser, 2005/09/19
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Horst Herb, 2005/09/19
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Karsten Hilbert, 2005/09/19
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Karsten Hilbert, 2005/09/19
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Karsten Hilbert, 2005/09/19
- Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Karsten Hilbert, 2005/09/19
Re: [Gnumed-devel] emrjounalplugin.py comments further html work,
Karsten Hilbert <=
Re: [Gnumed-devel] emrjounalplugin.py comments further html work, Karsten Hilbert, 2005/09/15