gmane.comp.gnu.medical.devel

gnumed rc on ubuntu

2012-05-26T03:24:23

How can I install gnumed 1.2 rc on ubuntu ?

Medication bug

2012-05-24T16:00:59

I think this is possibly already described.
On windows, I added a substance mebeverine sr 150 mg , added brand
***ease and used it for one patient. I realised that mebeverine sr
comes as 200 mg. and tried to correct it without success. Tried to
delete it without success. Added a new substance entry of mebeverine
sr 200 mg and added ***ease with 200 mg as substance. Now when i
attempt to add morease sr 200 mg, only the entry of 150 mg is
displayed and 200 mg is not accepted. That simply means that a brand
name with a single substance with two different dosages can not be
accepted by gnumed. This is purely a safety issue and should be dealt
with on urgent basis

promoting GNUmed 2

Sebastian Hilbert — 2012-05-24T11:23:07

Hi again,

What do you think about showing your support for GNUmed right on existing 
material you create every day ? What about placing a GNUmed logo on your 
current system's documents (bills, referrals letters etc.)

What else would be a good place you can show your support ? Let me know.

Sebastian Hilbert


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promoting GNUmed

Sebastian Hilbert — 2012-05-24T11:18:22

Hi all,

GNUmed 1.2 and loads of new features are just around the corner. Once it is 
out I would like to make it visible to people.

You could help by updating the screenshots and video material we have.
If you are interested in helping GNUmed getting know please consider working 
with me on updating the content.

Have a look at
http://wiki.gnumed.de/bin/view/Gnumed/GNUmedMovies

We really should redo those.

Anyone ?

Let me know. Any help is appreciated.

Sebastian Hilbert

Gnumed ubuntu live

Vaibhav Banait — 2012-05-23T09:54:24

Please see 
geekconnection.org/remastersys/

Regards
Vaibhav Banait, 
Gastroenterologist,
Nagpur.
Ph: +91 98606 43436

conference wrap-up

Sebastian Hilbert — 2012-05-19T19:50:21

Hi all,

GNUmed conference took place in Leipzig Germany today. We started roughly 9:30 
am and pretty much continued until 3:30pm with few short breaks.

The group consisted of 10 people. Apart from a representative of a local 
software support company and an network specialist there was one Debian 
packager, two physiotherapists and 5 physicians.

Karsten started off by introducing himself and announcing the schedule. I took 
over and provided an overview of GNUmed from a historical point of view. I 
cited oloh.net which demonstrates how GNUmed's codebase evolved (who 
contributed what and when), demonstrated GNUmed infrastructure (blog, wiki, 
download pages), demoed available installation packages for Windows and Linux 
and talked about LIve-DVD and friends.

This was followed by Karsten introducing GNUmed 1.2 (rc4) for about 60 
minutes. He basically came up with an imaginary patient and a visit in the 
practice and showed how to document health problems, allergies, lab data and 
much more. Finally an invoice was created to show off billing. This was will 
received and the people who were there stated that they were amazed how much 
GNUmed is capable of and how well it supports medical worksflows

I took over once again and demonstrated how GNUmed packages are prepared on 
MS-Windows and what is involved in keeping the up-to-date. I took the liberty 
to actually install the packages, to bootstrap a database and to show that the 
same client that was demonstrated on Linux was running right there in Windows. 
A short discussion came up on how to improve certain ares of the packages. All 
were valid points and will most likely be covered by future releases.

We had a short break which was largely used for discussions among the 
attending crowd.

Andreas from Debian-med continued the afternoon session by introducing Debian, 
Debian-med and how distributions try to interact with upstream (eg. GNUmed 
project members). He demonstrated that in Debian-med and in GNUmed there are 
various areas where people without coding abilities can make substantial 
contributions.

Stephan, a physiotherapist who has been using GNUmed for 5 years in live-mode 
gave an inspiring presentation on how GNUmed can be used in a physiotherapy 
practice. He elaborated on his finding as a user and told us that he is very 
happy with GNUmed and how efficiently any problem coming up is handled and 
corrected.

Just short of 4pm we briefly touched the issues webinterface, cloud based 
GNUmed and GNUmed on USB-drives.

All this talk about GNUmed really made us hungry so we wrapped up at the steak 
house around the corner. All people attending the mini-conference expressed 
their believe on GNUmed having great potential in Germany. I even think that 
GNUmed has even greater potential outside of Germany.

We wanted to show GNUmed interacting with FreeDiams but recent changes in 
FreeDiams did not allow for a full-blown demo. We briefly touched the issue of 
GNUmed's current non-availability on MacOS but stated that this was subject to 
change and does not have a technical but ressources-associated background.

All in all a nice and productive get-together which showed how far GNUmed has 
advanced. 

We did record a number of presentations but have yet to check out if the 
recorded material is of any usable quality.

Regards,
Sebastian Hilbert

Patient > Merge not working?

Busser, Jim — 2012-05-18T21:05:24

Not sure if this has before been tested.

I realize I have twice now created a second patient because (I think) a search on them had failed.

I just tried the merge function, but in spite of asking me to provide the gm-dbo password (which I believe I did, correctly) it seemed to make no merge.

Since we are talking a real patient, I will send the log to Karsten offlist (after hopefully removing the patient name, anyway).

Gnumed live

Vaibhav Banait — 2012-05-18T16:26:29

Hi
I am not sure whether suse studio - can be updated. At least we should be able to update gnumed installation . Else I would prefer ubuntu LTS as a media for preparation of live distro and off course the one which can be installed also. 


Regards
Vaibhav Banait, 
Gastroenterologist,
Nagpur.
Ph: +91 98606 43436

placeholder for PHX

Karsten Hilbert — 2012-05-17T20:15:44

I added this placeholder:

u'PHX'# Past medical HiXtory, "args" holds: line template//separator//strftime date format//escape style (latex, currently)

Use it like this:

u'$<PHX::%(description)s\n  side: %(laterality)s, active: %(is_active)s, relevant: %(clinically_relevant)s, caused death: %(is_cause_of_death)s//\n//%Y %B %d//latex::250>$'

Karsten

Clinical narrative line breaks

Busser, Jim — 2012-05-16T22:07:59

I am noticing in the Journal and in the bottom left of the Notes plugin (display of most recent note) a number of line breaks.

This makes me wonder whether free text which has been entered into SOAP rows gets stored as originally entered (i.e. without line breaks) and whether it is only a function of the Journal and Notes display area code that line breaks get introduced into the display?

Placeholder for past history

Vaibhav Banait — 2012-05-16T18:00:18

What is the placeholder for past medical history ? 

Regards
Vaibhav Banait, 
Gastroenterologist,
Nagpur.
Ph: +91 98606 43436

Medications difficulty

Vaibhav Banait — 2012-05-16T12:58:47

For those who do not have readymade database for tradenames, dealing with medications is extremely difficult especially in initial few days to month as they have to keep adding trade names and dosage every time dealing with the patients in OPD. This not only disturbs thinking process but also increase OPD time. This can be eased by allowing addition of substance through child gui in trade name gui or allowing a free text with warnings pop up if you think it is necessary. 
 

Regards
Vaibhav Banait, 
Gastroenterologist,
Nagpur.
Ph: +91 98606 43436

Advance directives (DNR, Do not resuscitate)

Busser, Jim — 2012-05-15T22:11:50

Where in GNUmed would it be suggested that this be stored?

In a way, it is a kind of individual patient preference, except much more potentially-final than, say, I prefer my appointments in the mornings, Monday through Wednesday.

However GNUmed does not presently support to hold such preferences.

I suppose an advance directive might get stored under

Identity > Comment

or

Social network > Emergency notes

except here the "network" may be as limited (in the case of a patient with no family or friends) as just the patient and their doctor.

A different way to look at it would be as a "measurement" of the person's willingness to be resuscitated, which could change over time.

or, is the person instead decided to be allergic (intolerant) to resuscitation?

A similar question came up when I was thinking about a patient who, whether a Jehovah's witness or a Christian Scientist, may desire to avoid being given blood products. It is possible to put their religion as a Health Issue but some patients would be upset with this. Maybe such things could be "unattributed episodes" of label

Advance directive – No blood products
Advance directive – No resuscitation

??

GNUmed Live - show GNUmed to anyone withoutinstalling

Sebastian Hilbert — 2012-05-15T18:22:59

Hi all,

Can you believe it. For years I have build Live versions of GNUmed with 
openSUSE studio. This is a web interface for building openSUSE based Live-DVD, 
vmware images, preload-iso, amazone cloud images and more.

Just today I fired it up again and let it run to build all the above variants. 
Imagine my suprise when I downloaded the built iso images, burned it to a RW-
DVD and popped it into an 2 year old HP/Compaq notebook usually running 
Windows 7. It booted off the CD without a hitch, logged into KDE, started the 
GNUmed client.

I selected databae on this PC from the login Window and it actually ran off a 
GNUmed database having been installed on the DVD during the iso creation 
process.

What does this give you ? A fully working offline GNUmed demonstration including 
billing and friends without any installation of software except popping a DVD 
into the drive.

Removing the DVD and rebooting returns you to an unaltered PC with whatever OS 
you had on there before.

Want to install permanently ? Get the preload iso and let it install openSUSE 
12.1 including a fully configured GNUmed.

Don't feel like wasting a DVD ? Get the Vmware image, open the freely 
available VMPlayer or Oracle's Virtualbox and try it out. GNUmed witihout any 
installation (except for Virtualbox or VMPlayer).

Wonder where to get it ? Get it at studio.suse.com. And once GNUmed 1.2 have 
been released I will copy it to gnumedlive.sf.net.

Regards,
Sebastian

GNUmed document viewer

Sebastian Hilbert — 2012-05-15T12:09:18

Hi all,

Please check something so I know it is specific to my system and not to anyone.

Please create and invoice. Observer that it got added in the document archive. 
Go to document archive and try to open the invoice (pdf).

In my installation is will display but not open the pdf. No pdf viewer is 
invoked, no error appears.

Sebastian

GNUmed billing

Sebastian Hilbert — 2012-05-15T10:49:22

Hi,

Please consider add a billing address for Kirk during bootstrapoing or else 
billing will not work (or at least prompt the user for a billing address)

Sebastian

Portable GNUmed and public database

Sebastian Hilbert — 2012-05-15T09:44:00

Hi all,

Recent tests show that is is possible to connect to the public database even 
with rc4 portable GNUmed.

This offers a great and easy way to testdrive GNUmed. Download
http://www.gnumed.de/downloads/client/1.2/GNUmed-client.1.2.rc4.paf.exe

Run it/install it to eg. a thumbdrive. Run GNUmed from PortableApps menu. 
Connect to public database. Enjoy. 

Installation does not create any entries in registry or the like. If you want 
to remove simply delete the folder from thumbdrive or use the PortableApps 
uninstall feature.

Sebastian

Re : Repetitive entry

Vaibhav Banait — 2012-05-15T08:19:06

Another solution might be to provide field above s/0/a/p where we can
create a list of templates, and make execution of abbreviation
expansion from the list itself. This would make it easy to remember
abbr. But this is global use of abbreviated expansion.
What I was suggesting was duplication of individual patient data in
follow up visit. What karsten suggested appear to hold true till
better options appear.

Regards
Vaibhav Banait,
Gastroenterologist,
Nagpur.
Ph: +91 98606 43436
-----Original Message-----
From: Busser, Jim
Sent:  15/05/2012 12:59:24 am
Subject:  Re: Repetitive entry

On 2012-05-14, at 11:49 AM, Vaibhav Banait wrote:


I know that the professional regulators (colleges and disciplinary
bodies) are very uncomfortable with copy/paste the previous and then
change it, because often not everything in a template was actually
checked to the level of detail that the template might imply. Also, it
can be easy to miss to change something.

I would favour a solution in which the user can

1) select, from an inventory (a listing) of

findings statements

which one or many of them to be used, and

2) for these 'statements' to be able to support one or more fill-in values

basically, what I would see developing is similar to what I have been
doing outside of GNUmed with my LaTex templates... developing them as
a series of distinct "bands" which are then combined (concatenated) as
needed into a variety of LaTex templates.

The limitation with what I have been doing is that my templates are
not customizable per-patient. The "bands" are combined outside of
GNUmed and are then "Load"ed into my GNUmed database but at that point
I can only modify the free-text placeholder content. I cannot, for
example, choose to include or omit allergies, medications, problem
lists, vaccinations except by pre-defining the content in the
template.

A more flexible approach would permit the user to select which
one-or-many parts are needed for the report that is in question.

Adapting this to the present thread (and use-case), it would be nice
to be able to assemble a Physical Exam as a combination of
user-definaable elements:


[   ] The patient was alert and oriented and in no distress.
[   ] General health appeared ???
e.g.excellent
good
fair
[   ] S/he was able to give a ??? account of problems.
e.g.an excellent
a good
only a limited
[   ] Weight was ??? ???.
e.g. 70 kg
154 lbs
[   ] BP was ??? / ???.
[   ] Pulse was ???
[   ] Head and neck exam revealed no neck nodes or goitre.
[   ] (head and neck free text)
[   ] Chest was clear.
[   ] (chest free text)
[   ] Cardiac apex and heart sounds were normal, no extra sounds or murmurs.
[   ] (cardiac free text)
[   ] Abdomen showed no scars, was non-distended, and had no palpable
masses, liver, spleen or tenderness.
[   ] (GI free text)
...

GNUmed web interface

Sebastian Hilbert — 2012-05-15T06:19:33

Hi all,

GNUmed currently offers a wxpython based client. In principle this client can 
run off a portable drive (e.g. USB thumbdrive) and connect via internet to a 
GNUmed server. More often then not performance in this setting will be 
sluggish.

Do you think GNUmed need a webbased interface ? Apart from running (parts of) 
GNUmed in a browser (which is readily available) this means all the heavy 
lifting (SQL queries) are done on the server and far fewer information needs 
to travel over the intertubes to be displayed in the (webbased) client.

What could be fairly straigthforward is implementing the (to be released in 
1.2) GNUmed patient overview widget as webclient. What other parts of GNUmed 
would immediately benefit from being webbased ?

Do you see any benefit in this undertaking and/or would you be willing to fund 
this ? Funding is not the primary question here but it is part of the 
equation.

Regards,
Sebastian Hilbert

GNUmed - how to deal with new features

Sebastian Hilbert — 2012-05-15T06:12:50

Hi all,

Conference is coming up and I am predicting lots of people testing GNUmed once 
1.2 is released. There will be loads of feature requests as GNUmed gets more 
and more usable (We are seeing this on the mailing list already)

I would like your opinion on how to deal with this. Here are some suggestions.

1.) Point users to Launchpad to document the wished for feature
2.) Implement something along the lines of "adopt a feature"

Not racing ahead to much but thinking about ways to make features happen I 
wonder if asking users to fund "their feature" is a healthy model in the 
GNUmed context.

What do you think ?

Sebastian Hilbert

GNUmed on MacOSX

Sebastian Hilbert — 2012-05-15T06:05:49

Hi all,

I keep getting asked if GNUmed runs on Mac OS. I always say sure but ...

Casual Mac users often would like not to be bothered with MacPorts and 
friends.

Back in the days when I had access to a Mac I was able to show that GNUmed can 
be made available as easy to use dmg packages.

One of the goals for 2012 is to regularly provide dmg packages for Mac OS.

The key  point here is scripted creation of said packages. There is 
information on the Wiki on how to do it manually but I would like to take it 
to the next level and automate the process.

If anyone on this list has access to MacOS (ideally not the latest release) 
and is will to help with this let me know.

The work will involve getting GNUmed up and running on MacOS. The setting up 
pyinstaller and finally writing shell scripts to automate the process.

If anyone knows of a way to get access to Mac OS for maybe 48hours or so I 
could try to do it remotely.

Best regards,
Sebastian Hilbert