Re: [Health] Prescription Workflow Issues

[Christoph H. Larsen]

Dear Luis,

On 08/03/12 20:56, Luis Falcon wrote:
> Hi Chris !
> 
> On Thu, Mar 8, 2012 at 9:15 AM, Christoph H. Larsen
> <address@hidden> wrote:
>> Dear Luis,
>> Thanks for your help!
>>
>> On 08/03/12 12:45, Luis Falcon wrote:
>>> Hi Chris !
>>>
>>> On Wed, Mar 7, 2012 at 5:07 AM, Christoph H. Larsen
>>> <address@hidden> wrote:
>>>> Thanks a lot, Luis.
>>>>
>>>> Question regarding the prescription workflow. If I prescribe a drug to a
>>>> patient, it does - naturally - show in the list of prescriptions, but
>>>> not in the list of medications in the Patient facility. Does this make
>>>> sense???
>>> Is done on purpose. The prescription process / order does not
>>> necessarily means that the patient has takent the drug.
>>> One example will be DOTS when dealing with Tuberculosis medication.
>> Thought so, but it is still inconvenient, and not quite in line with
>> other EMRs. Essentially, it means that I have to double-entry every meds
>> I prescribe, which may be regarded as a turn-off by many busy doctors.
>> Any doctor should, in any case, check whether the drugs have been taken.
>> We DO have, in the Patient facility, Medication, the tic boxes
>> "Discontinued" and "Course completed". Should that not suffice, and thus
>> streamline the process???
> 
> The problem I see is that when we have a centralized database, where
> the patient goes to different health centers or doctors, we might not
> be able to track the prescription that was done in a previous one.
> 
> I do agree that we can find something intermediate. Thoughts ?
With a centralised database, and different health centres and doctors,
would it not make even more sense then to have prescriptions appear in
the respective patient's Drug list? It may be useful to see, with
prescriptions done from within the system .,who has prescribed that drug
in question... In short, everything is patient-centred, and hence
portable. Compliance will be indicated by the drug details that are part
of the medication list in Patients.
>>>
>>>> Also, the prescription workflow seems a bit awkward: When I am dealing
>>>> with a patient, I have to go to Prescriptions, re-select that patient,
>>>> and select the pharmacy from the long list of all parties.
>>> No. Use the related action (little curved green arrow on top). It will
>>> take you directly to the prescription process from the patient form,
>>> and it will automatically fill in the patient name.
>>> This is useful for many other patient-related processe, like
>>> laboratory, evaluations, ...
>> Oh dear, I should retire!
> No :-) We need to document the prescription process at Wikibooks.
>>>
>>>> Would it be possible to:
>>>> (1) introduce a field "is_pharmacy" to select pharmacies more easily,
>>>> ideally with the way to select a DEFAULT pharmacy on top of that?
>>> Agree.
>>>> (2) create a button within the patient facility to easily issue
>>>> prescriptions for this specific patient (pre-selected, that is)?
>>> Use the related action that already does that.
>>>> (3) to add prescribed drugs automatically to the list of medication
>>>> within the Patient facility?
>>> It should not be a 1:1 relationship between prescription and medication.
>>>> (4) to use "prn" in ADDITION to the existing table of frequencies?
>>>> Presently, it is either "prn" or other frequencies, which is medically
>>>> incorrect.
>>> Polysemic conflict :-). In PRN in the prescription line tree field
>>> means "print", and is not related to "Pro re nata" / "as needed" term.
>>> I will write the whole word "print" in the tree view to avoid conflicts.
>> The problem is, as discussed with Andrew already, the mix-up of logical
>> lines in the application frequency drop-down menu: qds (or qid) is a
>> frequency, and it can be either "reg" or "prn". In effect, we need
>> another drop-down menu, or a "prn" selection box (as non-prn = reg).
> Great ! Sorry I missed the point . Can you please enter it as a task
> or bug ? We still have time to have this feature  for 1.4.4
Done.
>>>
>>>> I sent further suggestions last night.
>>>> Also, in general terms, how can I select one record as default (e.g. for
>>>> the above pharmacy issue) in generic terms?
>>> We would use the system properties for the company.
>> Did not get this: What I mean is: How could I, for instance, define a
>> default pharmacy, if drugs are usually dispensed by a favourite pharmacy
>> in town, yet others might have to help in case of drug shortage? This is
>> just an example, but I have, so far, failed to figure out how to set
>> defaults for boolean or multiple selections in Tryton. My bad, for sure....!
>>>>
>>>> Thanks a lot, indeed!
>> Ditto!!
>>>>
>>> Thank you for the feedback !
>>>
>>>> Chris
>>>>
>>>> On 07/03/12 10:03, Luis Falcon wrote:
>>>>> Follow-up Comment #4, bug #35462 (project health):
>>>>>
>>>>> Hi Chris
>>>>>
>>>>> In prescription, what you get is the prescribing doctor. For security 
>>>>> reasons,
>>>>> this is a read-only field that shows the UID of the doctor that logs into 
>>>>> the
>>>>> system.
>>>>>
>>>>> In the other fields, the doctor name is in the form of "Lastname, 
>>>>> Firstname".
>>>>>
>>>>> Best
>>>>> Luis
>>>>>
>>>>>     _______________________________________________________
>>>>>
>>>>> Reply to this item at:
>>>>>
>>>>>   <http://savannah.gnu.org/bugs/?35462>
>>>>>
>>>>> _______________________________________________
>>>>>   Message sent via/by Savannah
>>>>>   http://savannah.gnu.org/
>>>>>
>>>>
>>>> --
>>>> Dr. Christoph H. Larsen
>>>> synaLinQ (Vietnam)                      synaLinQ (Kenya)
>>>> P.O. Box 55, Bưu điện NT, 01 Pasteur    P.O. Box 1607, Village Market
>>>> Nha Trang, Khánh Hòa                    Nairobi 00621
>>>> Vietnam                                 Kenya
>>>> Mobile: +84-98-9607357                  Mobile: +254-753-632481
>>>>        +49-176-96456254 (Germany)
>>>> Fax:    +49-231-292734790
>>>> Email:  address@hidden
>>>>
>>>
>>>
>>>
>>
>> --
>> Dr. Christoph H. Larsen
>> synaLinQ (Vietnam)                      synaLinQ (Kenya)
>> P.O. Box 55, Bưu điện NT, 01 Pasteur    P.O. Box 1607, Village Market
>> Nha Trang, Khánh Hòa                    Nairobi 00621
>> Vietnam                                 Kenya
>> Mobile: +84-98-9607357                  Mobile: +254-753-632481
>>        +49-176-96456254 (Germany)
>> Fax:    +49-231-292734790
>> Email:  address@hidden
>>
> 
> 
> 

-- 
Dr. Christoph H. Larsen
synaLinQ (Vietnam)                      synaLinQ (Kenya)
P.O. Box 55, Bưu điện NT, 01 Pasteur    P.O. Box 1607, Village Market
Nha Trang, Khánh Hòa                    Nairobi 00621
Vietnam                                 Kenya
Mobile: +84-98-9607357                  Mobile: +254-753-632481
        +49-176-96456254 (Germany)
Fax:    +49-231-292734790
Email:  address@hidden