Re: [Gnumed-devel] Notes editor 0.4.6-1 feedback and suggestions

[Jim Busser]

On 21-Jun-09, at 3:31 PM, Karsten Hilbert wrote:

> This discussion is good...

:-)

> > 2. identify what synchronous (concurrent) issues were addressed in  
> > the
> > same encounter
> Now for that a multi-problem AOE seems logical to me.
>
> OTOH, the doctor is using the wrong tool (but we don't yet
> have the tool she should use ;-)  She should use the tool
> which lists:
>
> encounter 1
>  episode X1 in issue X
>  episode Y1 in issue Y
> encounter 2
>  episode X1 in issue X
> encounter 3
>  episode X2 in issue X
> encounter 4
>  episode Y1 in issue Y
>
> IOW, the continuity-of-care tree rather than the
> state-of-health tree we got.

add to roadmap (v0.6 or future) to be a plugin labeled "ENC tree"?

> > In some cases the patient would be referring us to something they are
> > sure they had previously told us, or that we had advised them or had
> > told us that we planned to do. They may remind us that it was in a  
> > phone
> > call or that it had been in a visit or that it was something that  
> > Dr X
> > was going to discuss with us.
> For that particular quest we should offer a total
> longitudinal listing (we already do, it's the Journal View)
> and a per-issue longitudinal listing (think all relevant
> encounter data concatenated at the right when clicking on an
> issue or episode node.

the capacity to search the text displayed in a pane might be invaluable

> > rather than
> > something I have figured out how to use in an EMR tree where it is
> > re-demonstrated under multiple problems. ??
> I do agree it warrants discussion to utilize the available
> data more fully. Maybe using soAp (or soaP) is the way to
> go. Ah, wait, not soaP, because that will contain potential
> things about the *next* encounter :)

I have been thinking it could be very handy, within a notes viewer  
(whether Journal or other form) to be able to filter the content by  
type of row (s o a p or ellipsis ...) this could help more easily review

- symptoms or other subjective information
- previous physical examinations
- previous thinking (assessment)
- previous plans, some details of which may have escaped doing