Re: [Gnumed-devel] Clinicians: indications, again

[Jim Busser]

On 2010-06-17, at 10:33 AM, Karsten Hilbert wrote:

> This is what GNUmed currently "knows" about vaccination
> indications.
> 
> Anyone care to expand on the ATCs or suggest some ICD10s ?


Maybe I have a different meaning for indications. To me, an indication is not a 
purpose but rather a situation that justifies to do something.

A patient has an aortic aneurysm and a possibility of a surgical repair. 
Surgery achieves a repair, but the repair is not the indication... the repair 
is the outcome. The indication is not even just the existence of the aneurysm, 
it should be e.g. aneurysm >5cm

So back to vaccinations, the "indication" for pneumovax is not the intended 
outcome of immunization. The indication should be

        hyposplenism
        chronic lung disease

etc ... or do I misunderstand the table, and is the table supposed to include 
some yet-to-be-added columns that are *themselves* to hold the "indications" 
which will indicate the use of the vaccine (and maybe the first column should 
have a different label)?

-- Jim