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Re: [Gnumed-devel] Re: Kirk's penicillin allergy
From: |
Jim Busser |
Subject: |
Re: [Gnumed-devel] Re: Kirk's penicillin allergy |
Date: |
Sun, 11 Jul 2010 16:06:52 -0700 |
On 2010-07-11, at 2:50 PM, Rogerio Luz Coelho wrote:
> I agree Jim, but this should not be the priority, priority should be to make
> FD a frasewheel to populate GNUmed´s medication list ... after this I assume
> it is all downhill
You are maybe thinking
EMR user sets focus into medication field
get ready to supply a GNUmed phrasewheel
establish connection to FD
pull down all of the FD "drug selector" values
but this is IMO not so easy because even if such functions (now missing) were
added to FD, I am not sure it would work... in GNUmed you would still need to
decide
is what I am typing "brand (commercial)" or molecule?
does this phrasewheel combine
brand +- strength +- form +- route ?
or, if these are done individually, does that then mean
--> multiple "calls" back and forth?
How does it presently work for the German db?
As far as competing priorities, I agree that "intelligent" allergy handling is
a future-item in terms of *implementation* but IMO may be good to think about
it already. My big-picture question when discussing medical "intelligence" is
how much to build into the EMR and how much to outsource to clinical decision
support (CDS)?
When a patient reports an allergic reaction, the EMR may do as little as report
the exact substance that was taken. How widely applicable to other substances
becomes a matter of clinical judgement and expertise.
It would be nice for an EMR to support ~ "one optional level of extra clinical
intelligence" while still letting outside resources help when a user may be
unaware or incorrectly recall or judge a situation. So in the example of the
penicillin allergy it may be good that
- an EMR, at the patient level, allows a judgement to extend an allergy more
broadly (without a subsystem of expert knowledge inside GNUmed because this
would be heavy lifting)
- the interoperating system (FreeDIams), when fed "dumb" allergy information,
could still prompt the user... maybe FD can eventually support computational +
table based prompts for drug-allergy and drug-disease interactions, or maybe
this would be maintained in some separate open source expert system that both
GNUmed and FreeDiams can access
- [Gnumed-devel] Kirk's penicillin allergy, Jim Busser, 2010/07/11
- [Gnumed-devel] Re: Kirk's penicillin allergy, Eric Maeker, 2010/07/11
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Eric MAEKER, 2010/07/12
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Karsten Hilbert, 2010/07/14
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Jim Busser, 2010/07/14
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Karsten Hilbert, 2010/07/14
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Eric MAEKER, 2010/07/14
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Karsten Hilbert, 2010/07/15
- Re: [Gnumed-devel] Re: Kirk's penicillin allergy, Sebastian Hilbert, 2010/07/15