Molly Joseph Dal Molin wrote:
....how about some form of inheritance....
For example, a personal one, I was diagnosed with colon cancer a few years ago....I was lucky and we caught it early....now I have regular colonscopies....digressing a micron and a plug for colonoscopies...GET ONE if you are in the age group or have had relatives with colon cancer.....believe me when you have had the big C colonscopies become something you look forward to! My apologies to our US neighbours....forgot you are having Thanksgiving dinner today....
Back on track... so what would be great would not only be the reminders for me.... but that my children's medical record be automagically flagged with a "birthday present" at the appropriate time in the future so they will be screened too. Their records would "inherit" relevant protocols, reminders etc. that are related to genetically inherited problems etc. We shouldn't have to remember this stuff ....
J.
Benjamin Irwin wrote:
Dr Zimmer,
All I can say for now is, wow, this is a huge idea that would be greatly useful.
My daughter is currently at Oxford University studying Medical Anthropology
and we talk about following the habits of people groups as related to
general health. Your question brings it down to life with following family
groups.
I will be giving your question a great deal of thought.
Thanks,
Ben
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of John Leo
Zimmer
Sent: Thursday, November 25, 2004 1:42 PM
To: Hardhats
Subject: [Hardhats-members] does VistA need a PATIENT FAMILY file?
Ok,
For a diversion from the heavy lifting going on over in vista-open-source...
And for something to think about while digesting the turkey...
I am a <<family>> doctor, ok?
VistA has never seemed particularly family oriented to me. (Perhaps because most veterans do not bring Mom and all the kids along for their health
care.) So, how might we address the task of capturing and using (for pleasure,
profit and the good of mankind) a patient's family ties?
I do not mean existing next-of-kin fields. I want structured linkages among patient records. For example, when one of four children comes in for immunizations, the system might be able to present more than just Johnnie's record and <<his>> currently needed shots. I want to be presented with the fact that MaryAnn missed her last polio update, and that Daddy is probably past due for a tetanus booster, three years ago. And it might be good to
know that grandpa is past due for his colonoscopy.
It is the sort of thing that could get out of hand very quickly, of course. But the ability to treat family groups rather than just individuals is one
of the few things that keeps me convinced that I am doing some good in the
world.
OK, so the question is what would one add to VistA's patient records to
allow such linkages within patient records? I don't want a kludge, but something elegant.
Thanks to all,
JohnLeoZ
Healthcare, a human right.
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