Re: [Gnumed-devel] improved medication start date

[Karsten Hilbert]

FYI (1.6-to-be)

On Thu, Jan 01, 2015 at 12:05:31AM +0100, Karsten Hilbert wrote:
> Date: Thu, 1 Jan 2015 00:05:31 +0100
> From: Karsten Hilbert <address@hidden>
> To: GNUmed list <address@hidden>
> Subject: improved medication start date
> User-Agent: Mutt/1.5.23 (2014-03-12)
> 
> On Tue, Dec 30, 2014 at 08:07:30AM +0000, Jim Busser wrote:
> 
> > > in 1.6 I plan to implement (for one thing) the following
> > > change in the current meds edit area. The line "Started" will
> > > look like this:
> > > 
> > >   Started:    [ ] Unknown or [YYYY-MM-DD]  [ ] ~ @ level of 
> > > [days/weeks/months/years]
> > > 
> > > When "[x] Unknown" is checked everything to the right is greyed out.
> > > 
> > > When "[ ] Unknown" is UNchecked the date can be edited.
> > > 
> > > Entering a date (YYYY-MM-DD only an example format) means
> > > started-exactly-then and will allow editing even more to the
> > > right.
> > > 
> > > Checking '[x] ~' will make the date approximate and will
> > > allow for editing the level of uncertainty (do you think the
> > > uncertainty needs a numerical qualifier ?).
> > 
> > In the case where it is presently December, and when dealing with two 
> > different patients both of whom had begun a medication some time between 
> > January and June, patient A might be unable to resolve it any better than 
> > that (in other words, it would be March 31 plus minus 3 months) whereas 
> > patient B might recall it was after the kids' return from an early April 
> > school break, so April 15 plus minus 15 days.
> > 
> > So if there is to be a quantifier, which IMHO could be helpful, I would 
> > conceive of it as a "plus minus" number of days.
> > 
> > If OTOH a new patient tells me next week, in January of 2015, that he has 
> > been on allopurinol for approximately 10 years, then it matters much less 
> > whether it was "really" 8 or "really 12".
> 
> I have decided to scale down my overengineered ;-)  approach
> as I noticed that we aren't going to do much of anything with
> a _structured_ started_uncertainty_level field ...
> 
>       Started:    [ ] Unknown or [YYYY-MM-DD]  [___<free text comment>___]
> 
> the comment being NULL meanding start_date is exact. If the
> comment is '?' then start_date is unknown. Beyond that if
> comment is set at all start_date is uncertain to the degree
> narratively described in the comment. Period.
> 
> Karsten
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