Begin forwarded message:
Date:
December 9, 2011 2:55:33 PM PST
Subject:
Re: [Gnumed-devel] Handling of allergy entries
Agree, or worse, someone looking at the encounter would see Penicilin and think it ok to "prescribe it again" ...
Rogerio
2011/11/30 Busser, Jim <address@hidden>
Presently when allergy information is updated, it appears that an episode is auto-created where into
description
is inserted the name of the drug however anyone else in the praxis (or outside the praxis) who would see listed this 'episode' risks to be given the impression that some possibly-relevant clinical event happened inside this episode when, really, all that will
have usually happened will have been the allergy *entry*.
Therefore when inputting a history of a penicillin reaction, instead of seeing in GNUmed
Episode (closed): Penicillin; (2011-11-25 00:48)
my suggestion would be that we see
Episode (closed): Allergy detail; (2011-11-25 00:48)
because:
1) the detail is already available from
select substance, fk_type, definite, narrative from clin.allergy where fk_episode = <episode number>
and
2) in the circumstance where a patient presented with an actual allergic reaction or drug sensitivity, we would likely be creating the item as a named episode via a progress note or via the EMR tree and so would suggest that when entries are made using the
allergy editor, the auto-created episode be named instead
Allergy detail
which could be re-used if it already existed and could be left as a more or less long term resident among 'unattributed episodes'
-- Jim
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