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Re: [Gnumed-devel] Re: GNUmed and FreeDiams
From: |
Jim Busser |
Subject: |
Re: [Gnumed-devel] Re: GNUmed and FreeDiams |
Date: |
Sat, 01 Jan 2011 13:41:46 -0800 |
On 2011-01-01, at 11:48 AM, Karsten Hilbert wrote:
>> However… FreeDiams has columns
>>
>> route
>> global_strength
>>
>> lacking in GNUmed ref.branded_drug. We should add them, yes?
>
> No.
I find myself disagreeing here… at least, on the question of strength. There is
little point to capture that a Brand exists, without capturing its strength,
because each Brand makes its drug (or drug combo) available only in discrete
strengths. Even when a range of strengths is available, not all Brands provide
all strengths. Therefore:
say Brand A happens to be available in strengths of 5, 10 and 20mg
say Brand B happens to be available in only 10mg
but we do not keep this information in ref.branded_drug, then it is entirely
easy to input into GNUmed that the patient is to take
Brand B 5mg 1-0-0-1
when Brand B is not even available as 5mg therefore when you send the patient
with prescription to the druggist, they will maybe give
Brand B 10mg 0.5-0-0-0.5
and may confuse the patient and/or your instructions as you later unpuzzle at a
future visit what the patient is doing if they did not bring their pill bottles.
This example becomes even more clear when you would prescribe a *combo* drug
whose combination strengths you cannot arbitrarily vary and which arbitrary
action the druggist cannot fix.
If instead we would support strength in Brand, then that value can pre-populate
the strength or (if empty) need not impede the widgets.
If we do *not* support strength-in-brand
1) won't
ref.lnk_substance2brand
still need to link to each replicate in ref.branded_drug, or is there some
argument to link only to *some* replicates, and on what basis to choose the
"some"?
2) as far as listings of brands-in-phrasewheel (Adding substance intake)
are you thinking each brand should be offered only once and, even if a
phrasewheel in GNUMed would collapse the otherwise-replicated values, wouldn't
the phrasewheel lose any linkage to distinct external_codes (or an arbitrary
value from among several available)?
- Re: [Gnumed-devel] Re: GNUmed and FreeDiams, Jim Busser, 2011/01/01
- Re: [Gnumed-devel] Re: GNUmed and FreeDiams, Karsten Hilbert, 2011/01/01
- Re: [Gnumed-devel] Re: GNUmed and FreeDiams,
Jim Busser <=
- Re: [Gnumed-devel] Re: GNUmed and FreeDiams, Jim Busser, 2011/01/01
- Re: [Gnumed-devel] Re: GNUmed and FreeDiams, Karsten Hilbert, 2011/01/02
- Re: [Gnumed-devel] Re: GNUmed and FreeDiams, Jim Busser, 2011/01/02
- [Gnumed-devel] GNUmed substance schema was Re: GNUmed and FreeDiams, Jim Busser, 2011/01/03
- [Gnumed-devel] Re: GNUmed substance schema was Re: GNUmed and FreeDiams, Jim Busser, 2011/01/03
- [Gnumed-devel] Re: GNUmed substance schema was Re: GNUmed and FreeDiams, Jim Busser, 2011/01/03