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Re: [Gnumed-devel] Medication lists - Corrections vs Changes
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] Medication lists - Corrections vs Changes |
Date: |
Tue, 23 Jul 2013 18:33:49 +0200 (CEST) |
I understand the clinical side of things.
I am talking about technical implications which need to be thought through
(and handled) before "just removing a constraint".
Karsten
> Gesendet: Dienstag, 23. Juli 2013 um 17:38 Uhr
> Von: "Busser, Jim" <address@hidden>
> An: "address@hidden list" <address@hidden>
> Betreff: Re: [Gnumed-devel] Medication lists - Corrections vs Changes
>
> On 2013-07-23, at 12:14 AM, Karsten Hilbert <address@hidden> wrote:
>
> > On Mon, Jul 22, 2013 at 09:44:46PM +0000, Jim Busser wrote:
> >
> >> … 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,
> >
> > Because it requires thinking through, and handling, the
> > consequences.
>
> First of all, we should agree that among the substances that are inactive,
> there should be no reason why we cannot allow duplicates of the same
> substance, to reflect
>
> 1) different dates started and discontinued
> 2) optionally, differences in the schedule or instructions
>
> I would argue a difference between
>
> - editing something to "make it right" (with the prior version going into the
> audit table)
>
> and
>
> - capturing, in the record information that -- for any period of time --
> represents a new, or different state
>
> and where the second purpose is what provides value to any *clinical* history
> in the record. Not the audit tables.
>
> If this is disagreed with, then GNUmed should not bother with progress
> note*s* and should instead support a maximum of only one progress not*e* per
> patient, editing of which should always cause the *only* copy of the original
> to be relocated to the audit tables.
>
> Presently, I can input three times that a patient has diabetes, with variant
> spellings so they won't even be able to be sorted together.
>
> What exactly is the concern?
>
> With medications, duplicates among the inactive are not even visible, unless
> one chooses to see them.
>
> If the argument is to be that some clinician might "mistakenly prescribe"
> from among the inactive substances, then they can as easily mistakenly
> prescribe from among unique-but-inactive substances.
>
> In fact the latter is an even bigger risk for non-duplicated substances,
> because at least any duplication in any prescription between an inactive and
> active substance would draw attention to the duplication.
>
> -- Jim
> _______________________________________________
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> address@hidden
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>
- [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, 2013/07/22
- 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 <=
- 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
Re: [Gnumed-devel] Medication lists, Karsten Hilbert, 2013/07/13
Re: [Gnumed-devel] Medication lists, Karsten Hilbert, 2013/07/13