Re: [Gnumed-devel] Gnumed post 1.0 - social network

[Jim Busser]

On 2011-09-21, at 7:36 AM, Jim Busser wrote:

> While not seeking to delay 1.0 going out, can I ask some thoughts about what 
> should be next, post-1.0?
> 
> I am working in the background with someone, to see if I can get the HL7 lab 
> import moved further along.
> 
> I think Karsten has been tinkering with schema and table permissions such 
> that GNUmed could at some stage support a non-doctor (non-clinician) class of 
> user.
> 
> One 1.0 official release is out, I may like to develop some data packs in 
> which to import hospital / lab / imaging department phone numbers. This may 
> help to
> (a) ease the hassles of getting in touch with them and
> (b) better identify points of care closest to patients' homes and work

I still don't know where to store, and where we would display, lists of other 
doctors (other sharers or primary care, and also specialists) previously seen 
by any one patient, including – for each care professional:

- oldest known contact (how long ago did the patient first see them?)
- what is the history of any referrals (to or from, and for what problem[s]) in 
respect to this clinician
- when was this clinician last seen, is the patient still seeing (i.e. under 
care of) this clinician and is a future appointment planned or booked or is the 
relationship contingent on re-referral
- has the patient expressed a desire to not again see this clinician (or vice 
versa)?
- what kind of clinician is it?
- contact information

I have been thinking this could be managed, per patient, inside their 
demographic tab Social network even below the in-praxis primary doc. Here I 
would envision:

- signed-out to

        (this could be a colleague inside the praxis (already enlisted as user) 
or, in the case of a small praxis, it could be a local colleague who uses his 
or her own EMR

-  care relationships

        Provider name   Provider type   Seen since      Last referral (date / 
reason)   Next appt status

and maybe clicking on the row of the provider would expose previous history and 
allow add / edit / delete

??