[Gnumed-devel] re: data entry-soap stuff

[sjtan]

> In regard to how to link a particular consultation in a progress notes to a 
> problem - there are many ways, and I note recent comments and debate on this.
>  

> when using paper notes, when we look back over a few pages say - trying to 
> determine if the current symptoms - say abdominal pains - have been entered 
> before - we tend to scan visually each consultation - this helps in addition 
> to keep the information in context with other symptoms also recorded in the 
> consultation. 
what about past history items , current medications and allergies. Then 
vaccinations, and recent screening items performed. And last blood 
pressure, last glucose, cholesterol ; most recent investigations.
The non-computerized  standard  gp college health summary front sheet  
can do this with a glance,
but in the most common clinical system here, there is a summary form, 
but it usually  isn't trusted,
and I find I go clicking on all the individual tabbed subsections , just 
to make sure no item or relevant detail
is missed. Often have to go into an item e.g. past history item, opening 
it's edit dialog,
to see if any details are entered, if the  past history item is a 
little sketchy. A partially expanded emrBrowser tree could be like an 
expandable health summary sheet if properly organized.
Wrt to past progress notes items, one scrollable flat past entry 
listing  might be sufficient  most of the time,
but the option of filtering or even searching notes on terms/keywords 
could be there. Maybe have markers
on the side of the vertical scrollbar, to mark where items are found in 
the chronology of the entire past progress notes, after a search or 
filter is done ( idea from eclipse editor).

> In the SOAP version below, I've added a simple combo box to 
> allow the consulation to be linked to an existing problem, additionally  the 
> user  should be able to (cannot here in this simple example) link multiple 
> problems to the same consultation notes. 

> If these are stored correctly, it should be a simple manner of pulling out all consultations which were linked 
> to a particular problem and formatting them with html when you need to review 
> a particular problem.
*stored correctly* this  is a goal even our Lowest Common Denominator  
dominant  mutant oz prescription writer  pays lip service to , but I 
think coding/linking is regularly violated by busy gps who just want to 
get the notes  in , the scripts printed, and the pathology ordered.  It 
also goes against the single soap per consultation
idea, - is it possible  to have single soap, and  proper linking  to  
episodes of health issues , in  a nice
gui workflow ?  Being  more of an art critic than an artist, hope to see 
some innovative solutions from the gnumed team.