Hi Alejandro,

Thank you very much for your email, and very helpful comments. I am an
accountant, and not a clinician, so I have always tried not to
interfere with the workflow in care2x, unless otherwise instructed by
clinicians.

If you select "login" from the menu on the left, and login from there
it shouldn't keep asking for repeated logins. It will time out after
an interval but off the top if my head I can't remember what that
interval is.

I am aware that there are bugs in the demo I put online, the code
didn't run at all on PHP7.x so I have done my best to get something
running, and I fixed most of the bugs, but I know it is not 100%.

As a humble bean counter I have always found the care2x code complex
and impenetrable. Our first aim was to simplify the code, so that
people who aren't professional coders can understand it, take it and
build upon it for their own needs. We have adopted the process as
Kizito suggested of taking the existing functionality and mapping it
exactly in the new code. I realise what we are doing won't be to the
satisfaction of everyone but they are also free to take the code and
adapt it as well.

Truth is I hadn't planned to say anything about our plans at this time
until we had some new code to demonstrate, but when Kizito posted his
mail I wanted to respond in some fashion.

Your email has been circulated to all my colleagues so that we can
take your comments into account, and further ideas from a clinician
such as yourself are most welcome.

Tim
On Sun, 19 Aug 2018 at 09:44, Alejandro de Garate via
Care2002-developers <care2002-developers@lists.sourceforge.net> wrote:
>
> Sure,
> Hi Tim
>
> It is difficult to test an online program when it asks you for the user and
> password at each step.
>
> It is logical that there are different users and passwords for modules used
> by different people. But there are cases where the user is the same and the
> system should accept it; And not to mention if one enters with the category
> of administrator.
> This is a basic requirement to be able to test the program and make an honest
> return of what one thinks of it. For my es very important !
>
>
> "same old basic problems"
> -------------------------
> The main problem is the admision of the pacient.
>
> I am been working most of the time at emergency unit. Is quite common that
> unconscious patient can't give you any data, at less he carry an 
> identification
> document (also not too common).
>
> So to use care2x in the entrance to emergency, it is necessary to make 
> important
> changes.
>
> And then when you can provide the correct identification data, all the
> procedures done must be able to be added to the clinical history, if the 
> patient
> has previous hospital admissions; Or convert current admission data into a
> new clinical history record.
>
> Other data such as blood type are obsolete, do not conform to current 
> procedures
> and should be discarded.
>
> As I have previously told you, I work in a public charity hospital, in the
> emergency laboratory.
>
> With the current configuration online I can't add a patient and request
> laboratory analysis.
>
> I think a system like Care2x should be as solid rock, and work like a charm
> from the beginning, not as current do.
>
> In recent years, with changes in computer systems and decentralization of
> different sectors, ie: laboratory, radiology, etc (giving more independence
> about its internal computer systems) but always vinculated with HIS, we start
> to use an internal laboratory order number and not the admission number.
>
> This was because the patient had blood drawn for analysis, the results were 
> sent
> to the LIS, observed by the clinician, without administratively having
> completed the admission number.
>
> I do not say that this is good, only that it is a way to deal with the high
> demand of patients that we receive in the Emergencies sector and in the
> laboratory we keep the correct and updated information that can then be
> completed or linked with other data.
>
> We receive a high percentage of undocumented people, people with a national
> identity document but no social security, and foreigners with foreign
> documentation, and we must treat them properly.
>
> In our current scheme at the emergency sector, demographic data, as address,
> phone, postal code, family, etc. get filled later.
>
> I can give you more info about that, but now you have an idea of what I am
> talking about.
>
> regards
> ---
> Alejandro
>
>
>
> > Hi Alejandro, you mention "same old
> > basic problems" can you expand on
> > that for me?
> >
> > Tim
> > On Tue, 14 Aug 2018 at 21:17, Alejandrode Garate via
> >Care2002-developers <care2002-developers@lists.sourceforge.net>
> > wrote:
>  >
>  > Hi Tim
>  > It's been a couple of years since
>  I last used this project.
>  > I am seeing the same old basic
>  problems for which care2x is not used in South America.
>  > I have been working in public
>  hospitals for more than 30 years, so (at least
>  > for this part of the world) I know
>  what I'm talking about.
>  >
>  > Have you a roadmap about future
>  changes or what you think should be changed
>  > in the immediate future ?
>  >
>  > At what stage is the
>  modularization ?
>  > ---
>  > Alejandro
>  >
>
>
> ------------------------------------------------------------------------------
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