I am doing a mental walkthrough of how to use the chart. Use-cases
include (but are not limited) to:
- review of the chart in order to assist external colleagues in their
care of a shared patient (here, the EMR tree profile and the EMR
journal informing the content of the last few encounters)
- managing your own care of your patients. Responsibility across
multiple patients is maybe best managed by some combination of the
Inbox and as-yet undeveloped "to do " functionality (maybe
scratchpad). Activity within a single patient is maybe best done from
Progress notes widget.
Within the visit widget, you want to orchestrate (manage) how much is
wanted to be achieved. The Active Problems list is beautiful to help
to manage this, but presently deficient (only) by failure to support
any planned purpose for the new visit. This must somehow be "seeded".
Use-cases include:
- the front line staff took requests from, and made the appointment
for, the patient.
- the doctor has already developed a plan for the current visit
The "patient request" field of the widget could hold the patient
"agenda" (purpose, "hope" even if unrealistic) for a visit. Even if
this agenda ultimately pertains to multiple splittable issues, it is
possible to begin with the whole agenda "floating" inside the Patient
request of a "new episode".
This pooled content would only become manually parsed at the point
that the doctor decides it is worth to move snippets into one of any
health issues. As Richard previously offered, in some practices it is
so busy that doctors will forego this approach *except* when it
becomes advantageous (time-management-wise, perhaps in the case of
complex patients) to do otherwise.
Here's an idea: I can confirm that the SOAP editor already supports
double-click selection of a word and triple-click selection of a
paragraph, and drag-and-dropping any selections between the sections
within a single encountlet. However, the wider-ranging potential drag-
and-drop targets of snippet selections (namely the Active Problems at
left, and the already-loaded-in-SOAP-widget episodes) are invalid
targets. Could they be made valid, so that if a selection were
dropped on the "button" of an already-loaded-in-SOAP widget, the text
would be appended to the end of the same-section (Soap row, sOap row,
soAp row etc) of the target? Also, of the target were a health issue
or episode that was not already loaded in the SOAP widget, the at-
left item would become loaded and the intended transfer of the text
could be completed? This would allow the doctor the benefits of
1) not having to click back and forth during the interview/exam in
order to enter text into desired target areas
2) facilitating the benefits of efficiently moving the text nearer
the end of the visit, when the clinical determination of goodness of
fit into existing problems that may be active (or which need to be
made active) is more possible.
_______________________________________________
Gnumed-devel mailing list
[email protected]
http://lists.gnu.org/mailman/listinfo/gnumed-devel
