Richard and others, in your design there's an entry field for progress note in the past history edit area. Also, in your past history table you have a comment field. I would assume you would be storing the progress note in the comment field ?
This would be akin to our storing a Soap row attached to the new past history item (IOW clin_health_issue). We do this. However, when entering past history items via the past history popup in the resizing progress note STC (courtesy of Ian) we also want to embed a string regarding the past history item in the progress note for the currently edited medical problem. Do we want to include the progress note along with that embed string ? Example: Consider a patient with Crohn's Disease which I've been seeing for two months to get the recent flare under control. While entering notes during today's encounter the patient suddenly feels like informing me of his last-year bout of heavy NSAID use due to now-chronic polyarthritis. I decide that the CPA is a health issue/past history item I want to store in GNUmed. Hence I type "phx" and up pops the edit area for past medical history. I enter "chronic Polyarthritis", "age 47", "11/2004 heavy use of Ibuprofen due to acute bout", respectively, for condition, age_noted, progress_note. This will result in a new health issue "chronic Polyarthritis" with a proxy episode "past medical history" and an attached S(oap) row "11/2004 heavy use of Ibuprofen due to acute bout". However, in the clin_narrative row created for the Crohn's Disease problem that I am currently working under we would *also* want to add a short blurb (eg embed a string) like "relates history of 'chronic polyarthritis' known since 'age 47'". Now, the question is: would we want to also embed the (potentially quite long) progress note or leave that for storage under the new health issue only ? I tend to think the latter is better. BTW, notice that I am talking about existing functionality in GNUmed. Karsten -- GPG key ID E4071346 @ wwwkeys.pgp.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 _______________________________________________ Gnumed-devel mailing list [email protected] http://lists.gnu.org/mailman/listinfo/gnumed-devel
