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

[Karsten Hilbert]

> On Tue, Sep 23, 2008 at 04:28:50PM +1000, Richard wrote:
> 
> > I wouldn't be too prescriptive about this personally.
> > 
> > A blank allergies textbox to me as a user means
> > a) No allergies or
> > b) No allergies recorded.
> 
> I agree. But I also agree that there is value in
> differentiating those two states by displaying either
> a "ø" (for None) or "?" (for not asked).
> 
> > As a clinician I would always say to the patient each and every time 'Are 
> > you 
> > allergic to anything" or "I note your allergic to penicillin".
> 
> I agree and this (together with Jim's thoughts) made me
> realize that the date of the last confirmation is important,
> too. So that's now handled.
> 
> > If giving a report it would read either which allergy, or none recorded.
> Correct.
> 
> > I think a null entry = none recorded and that one does not need to record 
> > that 
> > one asked, unless of course it is important to yourself, in which case you 
> > type that in the clinical progress notes for posterity (and the law).
> Correct. However, if putting the date of last asked into its
> own date field makes it possible to algorithmically alert
> users of old data. IOW if the allergy state was reconfirmed
> just 1 week ago simply display it when writing a
> prescription. If it was last asked 3 years ago make it flash
> and/or display a hint "should be reconfirmed" or something.
> 
> Karsten
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