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[Gnumed-devel] Re: Primary gp, caregivers
From: |
James Busser |
Subject: |
[Gnumed-devel] Re: Primary gp, caregivers |
Date: |
Fri, 25 Jan 2008 10:53:42 -0800 |
On 25-Jan-08, at 10:45 AM, James Busser wrote:
(was Re: [Gnumed-devel] Patient menu regrouping suggestion,
including disambiguation of "Inactivate")
On 20-Jan-08, at 2:30 PM, Karsten Hilbert wrote:
The first step will be a "primary doctor in praxis"
association. Next will be "primary GP". Then there will be a
tab in Demographics saying "Caregivers" with a list of
doctors, home nurses, physical therapists ..
We already know that the staff (including doctors) will exist in the
identity table. Do I correctly understand that all GPs and
specialists (even though they are outside the praxis) will also exist
in the identity table? And the plan would be that their office and
contact info would be managed and accessed through the "Patient
details" plugin?
If this is true then is there not some potential problem or
confusion, for example I don't think we really want progress notes
created to store information and notes about referral instructions,
navigation, office hours etc. Is there are suitable way to protect
(prevent) clinical entries in someone who is not a patient? Also when
undertaking any specifics about the practice or doing any exporting,
it would be good to limit such activity to identities who are
actually patients.
Anyway, is there currently (or envisioned) how the schema would hold
the patient's caregiver info... maybe
clin.lnk_pat2caregiver
... consider fields to include
referred_byTo values null, "B" "T"
orig_referred (date)
last_referred (date)
active (T/F) <-- there is also the case of the
"planned review in one year" which is I suppose a different kind of
"active"
--> maybe consider patient to be on a "recall" list
preference (null, md declines, pt declines, pt prefers)