Dear Roberto On Sun, 31 Aug 2014 22:55:43 -0300 Roberto Novaes <rvnov...@gmail.com> wrote:
> Dear Luis Falcon, > > First of all, thank you very much for your thorough answer. > > > Thanks a lot for the library ! That would be a lot of work, but > > definitely a great asset ! > > Yes, it is a lot of work. Although the implementation is not that > hard, the amount of data is very big, and we have to be very careful > to correctly copy AJCC data. > > > Let me try to answer, from a general practitioner perspective, how > > to integrate it in GNU Health. > > I would definitely take advantage and use the "Pathology Groups" > > functionality of GNU Health ( Health -> Configuration -> Diseases -> > > Pathology Groups ). You can link it to diseases from the current WHO > > ICD10 module. There is already a "neoplasic" group on it. > > I was tinkering a little after your answer and I think it is a good > way to go. I intend to add the T, N and M fields inheriting from > disease, as well as the staging field. While our library is not > ready, the doctor could fill the staging field by hand (that is what > they already do nowadays) > > > So, for example, you could call your TNM / Staging library if the > > patient disease list contains one of the Neoplasic . There are > > non-solid / diffuse oncological conditions where TNM does not work > > well or just would not apply. > > We are aware of the limitations of TNM staging, but we expect to > cover a large spectrum of tumors using this functionalities, > specially if you consider (at least in Brazil) that the majority of > cancers are breast, prostate, lung and colon. All of them could > benefit from TNM staging. For prostate cancer, we would also have to > add PCA and Gleason fields also, but we expect to cover an initial > demand for those most common cancer types. > > > You have all that information starting from the gnuhealth patient > > model. Appointments, evaluation dates, procedures, tests, etcetera > > are available from the main "patient control panel", which should > > be your friend :) . > > Ok. Very nice! > > > Finally, a personal side-note. We, as individuals, and our health > > conditions require an integrative approach. This concept stands up > > more when dealing with oncological conditions. We need to look at > > the bio/psycho/social/spiritual factors as a whole, both to promote > > health and for healing. I always have it present when designing and > > implementing GNU Health. > > We are hoping to solve (or try to solve) a specific problem of > automatically generating survival analysis curves. Of course, for this > holistic approach we would like to count on the help of the community. Your library and the interaction with GNU Health is great ! Projects like yours are most welcome in the GNU Health community, and I'm positive researchers will find it very useful also. Count on us for any questions you may have . Looking forward to meeting you again and talk about this in person. All the best > > Sincerely, > > Roberto Novaes > Silex Sistemas > www.silexsistemas.com.br >
