Re: [Gnumed-devel] Encounter types suggested additions

[richard terry]

On Friday 20 May 2011 18:53:26 you wrote:

In regard to your questions about consult types:

I think you have to ask yourself (ie the user) why do I want to split these 
things up?

For me the basic answer is

1) For continuity of the medical record, so I can be prompted with why I 
said/where I said it/to whome did I say it. I don't think its important to 
define stuff like case conference numbers - simply the progress notes would 
simply state for that entry the persons 'present' during the conferennce.

3) Medico-legal- so that in a court of law I can produce the record which 
states I spoke to the patient over the telephone

3) Research/Ordering of records if desired, for example if the patient says I 
didn't  ring them about something, and I think I did, 200msec later all my 
phone conservations would be listed for me to scan and say 'well actually, yes 
I did - on 01 May 11, I told you this......"


In regard to entering nursing home notes:

As my program runs over the internet via an i-p address, when, and if I ever 
get it finished I will simply log on via wireless and write directly to the 
file 
server  ( Ian and I have tested this as and it works  fine in principal - as 
per gnuMeds public database),  but at the moment, as it's not - I just carry 
my laptop with  a  local database copy so I can view letters etc if needed, 
and I write the consults up when I get back.

Regards


richard

> On 2011-05-10, at 4:49 PM, richard terry wrote:
> > I'd be careful how many of these you add - I think it becomes confusing,
> > and at the end of the day I think you have to balance granularity with
> > usability.
> >
> > These are the ones I'm tentitively using, and I must admit I use all the
> > time obvious at consultating rooms, telephone consult and review of
> > correspondence, apart from that not much.
> 
> Hi Richard,
> 
> You wrote
> 
>       At consulting rooms
>       Case conference
>       Email
>       Home visit
>       Notes without patient present
>       Nursing home visit
>       Review of correspondence
>       Teleconference
>       Telephone
> 
> How do you use them? For example
> 
>       Teleconference
>       …       ≥ 3 people on the phone (only)
>       or      = phone call with a specialist
> 
> 
>       Case conference
>       …       = ≥ 3 clinicians (only), in person
>       or      = other?
> 
>       Email
>       …       = content of the email
>       or      = summary (reference) that the email exists elsewhere
> 
> Also do you make your "Nursing home visit" entries at the nursing home e.g.
>  on a laptop, or do you input them later?
>