Hi Mark,

Interesting idea for a project. My suggestion is to make your project
public on bitbucket and post a wishlist right on the front page. I've
found most developers will send a patch before they will take on a
whole app.

My other suggestion is to work from the inside out. Focus on a
notebuilder without bookmarking, social, etc. Once you go social,
aren't you going to have to start worrying about HIPPA, etc...

best,

alan


On Mar 29, 12:32 pm, Mark <joanna.m...@gmail.com> wrote:
> OK, maybe it won't save the world.
>
> My name is Mark Morgan and I'm working on a project which might be of
> interest to some of you.  I'm a family doctor in Minnesota and I'm
> associated with a really, really big clinic in Minnesota as well as
> the US Indian Health Service.  Neither institution is associated with
> the project I describe below.
>
> http://bitbucket.org/mmorgan71/soapnote
>
> The project involves clinical (medical) documentation and using
> templates (not in the Django sense) for some of the more routine
> visits.  I believe that an application that inserts blurbs into free
> text fields would augment medical care and could work with nearly any
> Electronic Medical Record (EMR).
>
> I'm not a programmer.  I thought I was smart because I had done a lot
> with MS Access before medical school.  Working on this has been a
> lesson in humility.
>
> So much clinical software is proprietary.  Over the last year and a
> half learning about Django, I've learned that the narrow focus of a
> proprietary project ignores the abundance of benefits of an open
> source effort.
>
> A year ago, I approached the Indian Health Service about my project
> and they encouraged me to pursue open-source.  I'm currently in
> residency and have kids, so I haven't had a whole lot of time to work
> on this, except in the middle of the night when I'm not on call.
>
> But I still believe in this project.  I was afraid to put it out there
> until I had something like a "proof of concept".  Over the last few
> weeks, I've basically cloned Ayman Hourieh's application in his
> awesome book:  "Django 1.0 Web Site Development".
>
> Instead of sharing bookmarks, though, this is sharing pieces of text
> which would be rough clinical note text.  I plugged in django-tagging
> and a csv importer.
>
> His project includes voting, commenting, and social networking
> features  and those are all important to me.
>
> For my project, I'm hoping to refine the interface, add a bookmarking
> feature, and put together something of a note builder.
>
> What I envision for the note builder is: a mechanism for saving a few
> blurbs of text to build the different "SOAP" sections of a medical
> note (the S is subjective (patient's complaint), the O is objective
> (doctor's examination), the A is assessment (diagnosis) and the P is
> plan (treatment).  So the user clicks on an S, O, A, and P (or any
> combination) and builds their note.  Then that can be dumped into a
> temporary text file on their computer or they can just copy it to the
> clipboard.
>
> I have some other thoughts on what would happen to that text file, but
> this is already becoming a long post.  The basic functionality of just
> getting your note put together and copying and pasting it into the EMR
> would be a great improvement.
>
> And OH HOW would I love for this to be on App Engine (and I do keep
> trying) but I can't figure out how to do this with Django Nonrel (or
> helper or patch).
>
> I believe that this would make medical care better.  The content would
> be open-source as well.  Medical providers collaborating to improve
> the questions we ask, the exams we do, and treatments we provide.  At
> the point of care.
>
> There's also a place for this in medical training.  A student is given
> the assignment of creating a clinical note for a common visit:  upper
> respiratory infection.  They submit their note to their precepting
> physician who gives feedback via this website.  And the information
> persists for all to benefit.
>
> I've been looking periodically over the last year and a half and there
> isn't a project like this (open source or otherwise).  There are lots
> and lots of EMRs out there, but the EMRs are proprietary and that
> works against collaboration.
>
> One note, you may see "evidence" is one of my models.  This is
> important.  It is the piece that providers use to decide if treatments
> actually work.  Linking these "SOAP notes" to evidence will help
> select out the clinical notes that are "best practices".  To a certain
> extent, every doctor is reinventing the wheel with every single
> patient visit.  It's really amazing to me how similar programming is
> to providing medical care.  And here we could apply DRY to both!
>
> So, I've been living with this "ideal app" in my head for a long time
> now, and even though the code is going to make you throw up and a lot
> of the urls are messed up, I thought maybe at least one person might
> be interested in helping with this.
>
> Let me know and we can get to work.
>
> Mark

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