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Re: [Gnumed-devel] next version progress note plugin

From: syan tan
Subject: Re: [Gnumed-devel] next version progress note plugin
Date: Thu, 08 Feb 2007 21:53:20 +1100

ideally, problem-based structuring would work, but in think it doesn't
always in practice, and sometimes , if notes aren't too detailed, it's 
better to do a quick review of the entire recent notes , using a scroll
bar, not necessarily predicted to be related to the current problem,
just at a particular time. One app has a list of chronologically ordered
encounters, and clicking on the encounter gives all the notes on 
all the problems /plans described for that encounter, in a third
viewport ( the first panel is the current progress notes ).
There is no mandatory labelling of the notes however in this app.
      Another consideration, is that sometimes , notes might be
given about multiple complaints, but covered as a single Hx Ex Dx Ix Mx 
sectioned note, because it's easier to chronologically take down
the history without classifying it , like a stenographer, 
and then examination findings ( which are problem directed), but
the formulation behind the directed examination only revealed
in the Dx part,  which lists the problems formulated;
in fact, the SOAP structure for multiple problems only comes
in the Dx Ix Mx part as multiple iterations for each problem formulated,
but Hx and Ex are just single. Just another slant about
how notes seem to get naturally written.

On Thu, 2007-02-08 at 09:37 +0100, Karsten Hilbert wrote:
> On Thu, Feb 08, 2007 at 08:04:32AM +0800, Syan Tan wrote:
> > what about a button to switch to chronogical view of all notes
> > on the right as well ? 
> This is intended for the second-to-next release: a merger
> between the tree-based progress note *browser* and the new
> progress notes input plugin.
> The road towards that will be that the EMR tree will gain
> filtering features one of which will be "show active
> problems only". Then the problem list at the top left of the
> progress notes editor will be replaced by it with the
> default filter mode being "active problems".
> For actually displaying the notes I'll still have to think
> of a good way. Most likely they will move to a third middle
> column in the layout as per Richards design.
> I am not sure how to retain the "show excerpt from most
> recent progress notes relevant to the currently edited
> problem" functionality, though, which now lives at the top
> right. Making the middle column display scroll to that part
> whenever the progress note editor notebook at the bottom
> right changes tabs doesn't feel proper as the user might
> have scrolled to a specific place in the notes in the middle
> on purpose.
> If anyone got any good suggestions - feel free to share them.
> One thing I might consider for this next release is to add a
> radiobutton to the top right "most recent notes" display
> which selects between "currently edited problem" and "all of
> last encounter", which in the latter mode might simply do a
> tail(1) on a chronological view so if you scroll up you
> could indeed see all the previous notes.
> Karsten

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