Interesting that it is lacking Paternal and Mathernal distinctions and with 
the grandparents, aunts, uncles, etc.
'
On Thursday 25 November 2004 07:44 pm, Cameron Schlehuber wrote:
> FYI these are the relationships that VistA supports in the PATIENT RELATION
> file:
>
>  SPOUSE
>  SON
>  DAUGHTER
>  STEPSON
>  STEPDAUGHTER
>  FOSTER SON
>  FOSTER DAUGHTER
>  SON-IN-LAW
>  DAUGHTER-IN-LAW
>  BROTHER
>  SISTER
>  STEPBROTHER
>  STEPSISTER
>  BROTHER-IN-LAW
>  SISTER-IN-LAW
>  FATHER
>  MOTHER
>  STEPFATHER
>  STEPMOTHER
>  FATHER-IN-LAW
>  MOTHER-IN-LAW
>  GRANDFATHER
>  GRANDMOTHER
>  GREAT-GRANDFATHER
>  GREAT-GRANDMOTHER
>  GRANDSON
>  GRANDDAUGHTER
>  GREAT-GRANDSON
>  GREAT-GRANDDAUGHTER
>  NEPHEW
>  NIECE
>  UNCLE
>  AUNT
>  OTHER
>
> -----Original Message-----
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] On Behalf Of Dr Molly
> Cheah
> Sent: Thursday, November 25, 2004 3:27 PM
> To: [EMAIL PROTECTED]
> Subject: Re: [Hardhats-members] does VistA need a PATIENT FAMILY file?
>
> This is what we call "lifetime health plan". It's regularly done in
> child health clinics and ante-natal care clinics. But once clinical
> conditions change course, it will be more involved to "track" those
> patients unless the system provides for the "gate-keeper" or the primary
> care co-ordinator of that particular individual. That essentially mean
> that a primary care provider is responsible for the health of a defined
> population group, a system seen in Canada,UK.. but not the US.
> Organizing patients into family folders is not difficult - just needs to
> define "head of family" and you can view all family members' summary
> sheets for example. We had done this for our PrimaCare system which is
> designed for family practice in Malaysia.
>
> 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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Nancy Anthracite


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