On Sun, May 29, 2005 at 05:26:38PM -0700, Jim Busser wrote: > Can we legitimize some (possible) differences of meaning - it may be > a matter of the level of breadth at which to define. Sure. It'll help to get a better understanding of what code is needed.
> To prescribe is to advise (e.g. a medicine) especially by an > authorized (written) prescription. I fully agree. BTW can we collect those nuggets on the Wiki ? > So at an encounter and its > components (encountlets) we have the possibility of a treatment plan > with many elements. Some will be simple things the patient can do by > themselves e.g. lifestyle change, over-the counter medicine which do > not require any "authorization" by the doctor. Yet we can argue a > value to being able to print the entirety of a patient's current > treatment plan *including* those things that do not require the > doctor's authorization. Yes? Yes. Handling treatment plans (notice that we are talking about soaP) could come in several steps: 1) simply note down the plan as the soaP entry - possible print that - I routinely do that in my practice 2) generate prescriptions - they are a large common part of treatment plans 3) structured explicit treatment plans - in the backend - dedicated frontend widgets - reaching farther than prescriptions only Need to crawl before running. > However we *can* constrain "prescription" to mean those parts of a > treatment plan that require authorization by a doctor, yes? Agree. > And > physiotherapy can be a good example of a treatment for which the > physiotherapist (and/or financially responsible health payer) may > require authorization i.e. a prescription. Yes. > So though when we talk about "prescription" we typically mean *drug* > prescription we really should be specifying *drug* prescription > because there are non-drug prescriptions that need to be supported. Agree. > So far we have a hierarchy of > > - treatment plan elements > - treatments that the patient can do on their own > - can include non-prescription drugs! > - can of course include non-drugs > - treatments that require a "prescription" (doctor authorization) > - non-drug items > - drug items This would be useful to keep on the Wiki. Helps in getting the head clear when thinking about actually coding it up. 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
