Re: [Gnumed-devel] EMR tree right-pane Synopsis tweak request

[Busser, Jim]

On 2013-08-03, at 3:41 AM, Karsten Hilbert <address@hidden> wrote:

> On Tue, Jul 30, 2013 at 11:59:13PM +0000, Jim Busser wrote:
> 
>> --> and if I experiment with the status flags and alter the "Health Issue" 
>> "Angina" to "inactive" the result is
>> 
>>       4 known problems, clinically relevant thereof:
>>         »Angina« (active)
>>         »Angina« (inactive)
>>         »Aortic stenosis, severe« (active)
>>         »Renal cell Ca, 4+ cm, left, presumptive« (active)
>> 
>> and so it seems that the list is alpha-sorted on the name of
>> 
>>      <health issue *or* Episode> concat (active *or* inactive)
> 
> Yes, but make that
> 
>       <problem> <activity>

Part of what confuses the clinical 'semantic' is when

        Health issue ...
                … episode

are identically named. As soon as any of

(1) the Health issue is renamed, to better reflect diagnosis
(2) the episode has been further renamed, and/or
(3) the index episode has been followed by a new episode of somewhat different 
context

then it is likely that the patient's record might adjust something like

        Unattributed episodes
                congestive heart failure

-->     Unattributed episodes
        congestive heart failure
                congestive heart failure

-->     Unattributed episodes
        Ischemic cardiomyopathy, EF 25%
                congestive heart failure

-- Jim