[Gnumed-devel] Re: Primary gp, caregivers

[James Busser]

On 25-Jan-08, at 10:45 AM, James Busser wrote:

> (was Re: [Gnumed-devel] Patient menu regrouping suggestion,  
> including disambiguation of "Inactivate")
>
> On 20-Jan-08, at 2:30 PM, Karsten Hilbert wrote:
>
> > The first step will be a "primary doctor in praxis"
> > association. Next will be "primary GP". Then there will be a
> > tab in Demographics saying "Caregivers" with a list of
> > doctors, home nurses, physical therapists ..

We already know that the staff (including doctors) will exist in the  
identity table. Do I correctly understand that all GPs and  
specialists (even though they are outside the praxis) will also exist  
in the identity table? And the plan would be that their office and  
contact info would be managed and accessed through the "Patient  
details" plugin?

If this is true then is there not some potential problem or  
confusion, for example I don't think we really want progress notes  
created to store information and notes about referral instructions,  
navigation, office hours etc. Is there are suitable way to protect  
(prevent) clinical entries in someone who is not a patient? Also when  
undertaking any specifics about the practice or doing any exporting,  
it would be good to limit such activity to identities who are  
actually patients.

Anyway, is there currently (or envisioned) how the schema would hold  
the patient's caregiver info... maybe

clin.lnk_pat2caregiver

... consider fields to include

        referred_byTo values null, "B" "T"
        orig_referred (date)
        last_referred (date)
        active (T/F) <-- there is also the case of the
		"planned review in one year" which is I suppose a different kind of  
"active"
                --> maybe consider patient to be on a "recall" list
        preference (null, md declines, pt declines, pt prefers)