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Re: [Gnumed-devel] script tables


From: Hilmar Berger
Subject: Re: [Gnumed-devel] script tables
Date: Sun, 22 Dec 2002 20:21:01 +0100 (CET)

Hi,
On Sun, 22 Dec 2002, Karsten Hilbert wrote:
>
> storing scripts
> ---------------
> Yes, we want to store the exact content of what we put on the
> script if only ever for medico-legal reasons. This CAN be a
> field of type text. This WILL differ considerably from country
> to country. This MAY come in a parseable text format. This may
> even be considered worth signing at some point. This also
> holds true for most if not all forms we generate.
>
> We may also want to store pointers to prescribed items in the
> drug database. Yes, this WILL go stale at some point. But we
> need not care, I dare say, as we did our best.
Absolutely true. As long as we know the name of a prescribed item there
will be some way to find out *what* exactly that was.

> whole slew of surrounding data comes up. Writing a proper
> script is an art unto itself over here.
That's why some people believe I'm trying to do abstract painting when
trying to read my handwriting :)

> keeping a list of current medications
> -------------------------------------
> This will store a generic drug description linked to a problem
> we hope to fight with it. This may be facilitated by the last

BTW, is there any concept on how to deal with those links between
description/therapy/referral to specialist and a given medical problem
in general ?
On the backend side this would probably mean a link between e.g.
clinical_diagnosis and script_drug.
On the other hand one might want to link events in general to a diagnosis.
Those events could include non-continuation of a drug because of adverse
events, changes in medication etc.

Any ideas ?

Hilmar




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