Re: [Gnumed-devel] EMR tree display of allergy

[James Busser]

On 21-Sep-08, at 8:06 PM, Karsten Hilbert wrote:

> OK, that is hard. I would then add an allergy named "undisclosed  
> trigger" :-)
>
> > do you put "Undisclosed" just on suspicion, or do
> > you at least get affirmation from the patient that there is at least
> > partial undisclosure
> I would try, yes.
>
> > Once you share your view of the above, could you then share how you
> > would handle the situation where the patient does recall pretty
> > confidently that they did indeed, in the past, have a problem with
> > one of their previous medications, but simply cannot remember the
> > medication, but they do or don't clearly recall the adverse reaction?
> I would enter an allergy - after all very likely there IS one -  
> with an unspecific name like
> trigger = "some previous medication".

So it seems we go from

        Unasked

to either

        None (meaning as far as could be determined with patient co-operation)

or any combination among

+-      Specific allergies

+-      Something the patient cannot clearly-enough recall
                (but we should put in what we can)

+-      Something the patient prefers to withhold *
                (but if patient acknowledges withholding
                        e.g. for personal reasons
                        we should put in a comment to this effect)

                * we should consider that the patient *could* be
                        willing to share the information at a future
                        visit, especially depending on the nature
                        of future complaints or of Rx we would offer

qed ?