Re: [Gnumed-devel] Inputting substances for as-yet-undefined indications

[Karsten Hilbert]

On Wed, Jul 03, 2013 at 01:58:40AM +0000, Jim Busser wrote:

> Can we add, inside the Medication (Substance) "Add"
> dialog, the ability to add a new problem?

You can simply type a name for a new episode into the
episode phrasewheel.

> 2. Figure out whether it should be permissible to input a
> substance without having to associate it with a reason.

It does not foster good care.

> Should we remain required to create a fake problem for
> every substance, even substances that we are not ourselves
> prescribing? Sometimes we lack the reason why some other
> clinician has started the patient on a medication. We should
> not be guessing. It is both valid, and a practical clinical
> necessity, to be able to list a patient as taking a
> substance even when we do not know why they are taking it.
> Too often, the patient is not even sure.
>
> If the patient asks me to re-prescribe (to "refill")
> something that has been provided by someone outside the
> praxis, it would be better that I can see in GNUmed that
> no-one in the praxis has yet figured out exactly why the
> patient is taking this substance. I would be more likely to
> refuse to provide it in this circumstance, than if someone
> else in the praxis estimated (absent having proper
> information) what that external episode might be.

We can always document that fact by using an episode
"external care".

Karsten
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