Thank you all for your feedback (this is the same Dave at another computer 
now)


You've convinced me to stick with the fields method of key value pairs.

Yes, I forgot to mention that the entire file will be for a single 
patient.  I have visions of having the entire set of patient TWs in a Bob 
instance which apparently can handle multiple wikis, but single file wikis 
are fine to start with (as I'm sure there is currently a way to import a 
single file wiki into that system)

The concept of separating personal notes from patient notes is something I 
hadn't thought of.  I'll have to check with my association if that's even 
allowed.  In most cases where I might not want a patient to necessarily 
know what I'm talking about I usually use code language (e.g. when a 
patient has bad body odor and the room needs to be sprayed with air 
freshener I'l send a message to the front desk that we need a "red pen" in 
the room, ha ha

As for privacy, I'd thought that the best way would be to possibly encrypt 
the hard drive its on and use syncthing (also encrypted) to keep current 
copies sync'd between the treatment rooms and my office computers.  I guess 
I'd have to see if there are Tiddlywiki ways to encrypt a single TW file in 
case a patient wanted a copy.


** the other thing I'm concerned about is what if I have TW patient files 
that are a couple years old, and over time I end up modifying say the 
layout of how I view or modify information?  In TW Classic there was a way 
to import a tiddler automatically on startup which would ensure old files 
are updated with the newest changes (would have to be only tiddlers tagged 
"sometag" or whatever).  I'm not sure if TW5 has that capability yet.

* and what about updating TW version?  Currently I drag my TW file onto a 
thing at tiddlywiki.com/updates, but that can't be a secure enough method 
as far as privacy legislation, can it?

thanks again
- Dave

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