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Re: [Gnumed-devel] constraining vaccination input ?


From: Karsten Hilbert
Subject: Re: [Gnumed-devel] constraining vaccination input ?
Date: Tue, 22 Jun 2010 10:59:27 +0200
User-agent: Mutt/1.5.20 (2009-06-14)

On Sun, Jun 20, 2010 at 08:33:16PM -0700, Jim Busser wrote:

> On 2010-06-20, at 7:28 AM, Rogerio Luz Coelho wrote:
> 
> > I second this idea, remove from DB any idea that the **project** will 
> > protect a doctor from being stupid. If you tell your patient to get 2 doses 
> > of the same vaccine the same day or 2 days of 15 days or 30 days a part ... 
> > and the recomended time interval is 90days, the PRACTIONER should be the 
> > culprit. There should be a place in GNUmed to RECORD the vaccine, but 
> > orientations on the individual time frame should be left to provider (or at 
> > the maximum the IT team) ... 
> 
> 
> It is the same as with guidelines... a guideline can list, and a decision 
> support system can be hooked-to and identify and recommend -- that a patient 
> should APPARENTLY not be managed in a certain way but needs to allow the 
> entry anyway since the ill-advised action could have already been done (and 
> may need to be recorded) or maybe the doctor actually knows some valid reason 
> why the rule does not apply. Maybe it was decided that an injection which was 
> to have been given intramuscularly was actually only given subcutaneously etc

You both (and Evgeny) are correct. I removed the relevant
database constraint.

Karsten
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