Re: [Gnumed-devel] guidline routed diagnostic in GNUmed

[Sebastian Hilbert]

On Tuesday 19 September 2006 20:12, Philipp Walderdorff wrote:
> In GNUmed's field "Patient Request" I can enter the patients request
> individually and intuitive, like our diagnostic work is going on. This is
> what every GP is doing in daily work.
>
> The other possibility could be: From here ub to the Field "Findings" the
> diagnostic strategy could be guided by a guidline-plugin, which leads to
> the Assessment.  I do not mean a diagnosis automatism.
>
> This Plug-in-programm, that could do that job would be a big project of its
> own.
>
> Because the docters have various ways of thinking and because the
> diagnostic in General medicine is complicated (a never ending
> discussion-process) an adequate application will be a very big project.
>
> Nevertheless I am dreaming since years to get it realized.
>
> A guidline-programm for that purpose needs a data input mode, which does
> not disturbe the doctor/patient contact.
>
> The quickest way of data input in medicine is via keyboard, without mouse.
> But this means: both hands on the keyboard, concentrated on tipping into
> the keyboard. That is OK after having done my diagnostic chat with the
> patient. The patient does accept this interruption for administrative
> means.
>
> But hacking into the keyboard  while speaking to the patient, with both
> hands on the keyboard, having a glimps over the shoulder to the patient
> is'nt what Balint would have done when speaking to the patient.
>
> So I think, for that part of dhe docter-patient-contact the better way of
> entering datas from the diagnostic chat into GNUmed would be to only (or
> predominantly) use the mouse.
>
> Do we need to enter data while doing the diagnostc/therapeutic chat?
>
> If we want our diagnostic chat beeing guided through a program, we have to
> enter data direct in front of the patient.
> This has to be done in a way, which does not or very few disturb the chat.
>
> How can we use the mouse to move thum-nail images of the symptoms of the
> patient's request on to an image of the human? It is not possibel in that
> simple way. But if we could divide and organize that process I have the
> idea, that we could manage it.
>
> This is, what I would like to test.
>
> The next question is: how can we provide guidance through the diagnostic
> process without a steep and inflexible sequence of question?
>
> How could it be that GNUmed knows now which filds I need to enter now?
> Which question have to be asked?
>
> When we are able to enter data while speaking to the patient, in a way,
> that does not disturbe the doctor-patient-contact, the Gnumed-programm
> could be able to think with us. Gnumed could be able to acompanay us in
> this diagnostic process (=Guidline). Gnumed should be able to offer fields
> to take up data whenever we need them. Like a good nurse during operation,
> knowing which instrument the docter will need now.
>
> A huge database would be necessary to save these diagnostic gatewayes.
> A self-learning programm would be necessary to learn these informations.
>
> Certenly this is a future project.
>
> But what I would like to start with now is to test, if the first approach
> is possible.
>
> As I am new in python and object oriented programming, I am not able to
> start this project on my own. Not now. But may be later :-)
>
> My question is: Does anyone know python source-code, that has realized to
> put graphical thum-nail-objects (could be the graphical sign for pain in
> our example) to some graphical surfice (could be  the image of human beeing
> in our project). By positioning this object at a given position the
> following programmflow will depend on what is spicified on that position
> point. That means: The object "pain" will behave different on different
> locations.
I know it will bepainful but yes there are sample that do this. Install and 
take a look at the wxpython examples. They show source code and run at the 
same time. There are samples that do what you want.

-- 
Sebastian Hilbert 
Leipzig / Germany
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