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[Gnumed-devel] wells score - how to store it ?
From: |
Karsten Hilbert |
Subject: |
[Gnumed-devel] wells score - how to store it ? |
Date: |
Sat, 26 Mar 2005 13:09:23 +0100 |
User-agent: |
Mutt/1.3.22.1i |
Recently I chanced upon the Wells Score for evaluating DVT
likelihood based on history/findings. It lists a few yes/no
questions. Each positive gives 1 point. Depending on the sum
the likelihood is larger or smaller.
I was wondering (post-0.1) how we would store something like
that. There are several options:
1) A dedicated widget (like the BMI calculator) asks the
questions, calculates the score and stores a simgle sOap
line "Wells Score: 2 - low to medium DVT likelihood".
Disadvantage is that a) we lose the detail information we
gathered and b) therefore cannot reevaluate later on.
2) A dedicated table stores what the widget gathers (much like
family history) and stores a summary narrative line (see
above). Disadvantage: We would start accumulating lots and
lots of similar tables for Mini Mental State, etc etc
3) We develop a generic table structure to store such things
and place a narrative line in the notes. Disadvantage: We
would duplicate/rewrite OIO (and our forms layer).
4) We just store one line of narrative per question item and
type them accordingly (eg. "Wells Score Type") such that
a narrative display can filter them out. An "untyped"
summary line can be added. Disadvantage: for reevaluation
we would need to *parse* the narrative lines.
5) We develop a "form" to be stored in our forms schema which
doesn't get printed or mailed or anything. Disadvantage:
I am not convinced this is technically sound. I do favour
this approach. Maybe I just suffer blurred judgement.
Personally I favour 5). 3) sounds technically clean but also
sounds like duplication. Maybe 3) really is 5) ?
What do others think ?
Karsten
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- [Gnumed-devel] wells score - how to store it ?,
Karsten Hilbert <=