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Re: [Gnumed-devel] Medication lists - Corrections vs Changes
From: |
Busser, Jim |
Subject: |
Re: [Gnumed-devel] Medication lists - Corrections vs Changes |
Date: |
Mon, 22 Jul 2013 21:44:46 +0000 |
On 2013-07-11, at 10:38 AM, Jim Busser <address@hidden> wrote in part:
> truly, if GNUmed is to be an EMR, it has to keep available in the *clinical*
> tables (and not in the audit tables) the clinically-useful records of what
> has happened to the patient. Therefore we really must evolve
>
> Current substance intake
>
> into
>
> Substance intake history
>
> wherein, at any one time, some substances may be active and others inactive.
>
> I am not here talking about a "Prescription writer".
I think this thread did not yet get commented on. The full posting is archived
at http://lists.gnu.org/archive/html/gnumed-devel/2013-07/msg00099.html but the
point and question remains
… why can't we remove the constraint which prevents for a single patient to
have, in clin.substance_intake, more than one row with the same clin.substance,
thereby allowing both:
1) to support the reality where the patient is taking two or more forms of a
substance at the same time and
2) to support to be able to keep, in the medications table, previous dosages of
a substance which are currently 'inactive' ?
Yes, I know that if more than one row of a substance has the status of being
'active' at the same time, then this offers some risk.
However the following are all clinical realities, where a patient takes
- a particular strength in a blister pack, and that same strength 'on the side'
from a bottle
(I confess not the best example, but read on …)
- and / or the same strength, in two forms
1) a strength of an ace inhibitor that is combined with a diuretic
(combined, when the diuretic is already a max dose, with)
2) a dosage increment using the same strength of ace inhibitor
mono-substance tablet
- and / or two different strengths (say, warfarin 5 mg and 2 mg tablets)
BTW am I somehow escaping what was preferred to be a constraint, because I am
able to put a patient on
hydrochlorothiazide 25 mg daily (as unbranded substance)
+
hydrochlorothiazide 25 mg daily (as part of a combination branded drug)
?
--> The latter means that even while we work out acceptable constraints, we do
-- even *now* already -- need an additional medication display sort order,
which should IMO by default be
Substance Strength Schedule Started Duration/Until Brand
Health issue (or episode) OK?
-- Jim
- [Gnumed-devel] Medication lists, Busser, Jim, 2013/07/04
- Re: [Gnumed-devel] Medication lists, Busser, Jim, 2013/07/11
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Busser, Jim, 2013/07/11
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes,
Busser, Jim <=
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Karsten Hilbert, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Busser, Jim, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Busser, Jim, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Busser, Jim, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Karsten Hilbert, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Busser, Jim, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Karsten Hilbert, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Busser, Jim, 2013/07/23
- Re: [Gnumed-devel] Medication lists - Corrections vs Changes, Karsten Hilbert, 2013/07/23
Re: [Gnumed-devel] Medication lists, Karsten Hilbert, 2013/07/13