comment #1:

> Thanks, Mathias!
>
> Indeed notes_complaint is obsolete field. We'll remove it on 4.2
>
> The Chief Complaint (CC) and History of Present Illness (HPI) are part of the standard evaluation record. They go together in the "SOAP" note.
> The CC is a very short annotation using the patient's own words, while the HPI is a thorough description of the problem / condition.  We can put a tooltip in both fields.

I think tooltips are a good idea to explain the intended usage of those fields.

I agree that standards should be adhered to, but sometime standards seem not to be esatblished by real life work.

From https://www.aapc.com/blog/42585-chief-complaint-required/

"If the patient record does not reflect a chief complaint, the service is either:

    A preventive service; or
    Unbillable.
"

So in the case of e.g. a Corona immunization there is nothing in the CC and it is difficult to write something into HPI, because there is no illness. But yes, a standard is a standard... ;)

Cheers,
Mathias

On model PatientEvaluation there exist the fields

    chief_complaint = fields.Char('Chief Complaint', help='Chief Complaint',
                                  states=STATES)
    notes_complaint = fields.Text('Complaint details', states=STATES)
    present_illness = fields.Text('Present Illness', states=STATES)
    evaluation_summary = fields.Text('Clinical and physical', states=STATES)

1)

Field notes_complaint is currently unused and could be therefore be removed.

However I would favor a migration of field present_illness to notes_complaint for following reasons:

- not each complaint is an illness from a medical and human perspective, thus notes_compliant provides a less biased version of the intended use of the complimentary field to chief_complaint
- notes_complaint is the logical addition to chief_complaint, if chief_complaint shall make a sense


2)

On a further note I would even find it worth considering if field chief_complaint could not be a function field syndicating the first line of field notes_complaint (or present_illness depending on which field will be used) in the pattern used in e.g. Tryton sale or purchase modules:

    @fields.depends('notes_complaint')
    def on_change_with_chief_complaint(self, name=None):
        return firstline(self.notes_complaint or '')

I think this would simplify the input for the user and provide all complaint related information in a single field.


What do you think?