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	<title>Comments for Ankhos  -- Oncology EMR Project</title>
	<atom:link href="http://ankhos.com/comments/feed/" rel="self" type="application/rss+xml" />
	<link>http://ankhos.com</link>
	<description>Chronicling the origin and development of an Oncology EMR project for a private Oncology/Hematology practice</description>
	<lastBuildDate>Wed, 09 May 2012 14:50:10 +0000</lastBuildDate>
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		<title>Comment on Legacy Health IT: Case of the MUMPS by kd4ttc</title>
		<link>http://ankhos.com/2010/06/03/legacy-health-it-case-of-the-mumps/#comment-215</link>
		<dc:creator><![CDATA[kd4ttc]]></dc:creator>
		<pubDate>Wed, 09 May 2012 14:50:10 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=410#comment-215</guid>
		<description><![CDATA[I am affiliated with a hospital that runs EPIC EMR, which means they use MUMPS as the underlying database technology. Anyone know of a Django App or module that allows access to a MUMPS database?]]></description>
		<content:encoded><![CDATA[<p>I am affiliated with a hospital that runs EPIC EMR, which means they use MUMPS as the underlying database technology. Anyone know of a Django App or module that allows access to a MUMPS database?</p>
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		<title>Comment on Dojox chart2d connectToPlot links and examples by destefano</title>
		<link>http://ankhos.com/2010/03/23/dojox-chart2d-connecttoplot-links-and-examples/#comment-214</link>
		<dc:creator><![CDATA[destefano]]></dc:creator>
		<pubDate>Fri, 02 Dec 2011 20:39:44 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=326#comment-214</guid>
		<description><![CDATA[I like u, and the ur gotcha point]]></description>
		<content:encoded><![CDATA[<p>I like u, and the ur gotcha point</p>
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	</item>
	<item>
		<title>Comment on Django polymorphism: Mixins vs Inheritance Models by Filipe</title>
		<link>http://ankhos.com/2010/01/15/django-polymorphism-mixins-vs-inheritance-models/#comment-192</link>
		<dc:creator><![CDATA[Filipe]]></dc:creator>
		<pubDate>Sun, 17 Apr 2011 11:35:31 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=185#comment-192</guid>
		<description><![CDATA[@David: Great link. Thanks.]]></description>
		<content:encoded><![CDATA[<p>@David: Great link. Thanks.</p>
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	</item>
	<item>
		<title>Comment on Django polymorphism: Mixins vs Inheritance Models by David</title>
		<link>http://ankhos.com/2010/01/15/django-polymorphism-mixins-vs-inheritance-models/#comment-191</link>
		<dc:creator><![CDATA[David]]></dc:creator>
		<pubDate>Thu, 14 Apr 2011 16:06:54 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=185#comment-191</guid>
		<description><![CDATA[Have you looked at django-polymorphic?

http://bserve.webhop.org/django_polymorphic/

It seems to do most of what I need (I&#039;m experimenting with it now), since I need to M2M on a model that is polymorphic.]]></description>
		<content:encoded><![CDATA[<p>Have you looked at django-polymorphic?</p>
<p><a href="http://bserve.webhop.org/django_polymorphic/" rel="nofollow">http://bserve.webhop.org/django_polymorphic/</a></p>
<p>It seems to do most of what I need (I&#8217;m experimenting with it now), since I need to M2M on a model that is polymorphic.</p>
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	</item>
	<item>
		<title>Comment on Django polymorphism: Mixins vs Inheritance Models by orlowski</title>
		<link>http://ankhos.com/2010/01/15/django-polymorphism-mixins-vs-inheritance-models/#comment-190</link>
		<dc:creator><![CDATA[orlowski]]></dc:creator>
		<pubDate>Thu, 14 Apr 2011 15:38:47 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=185#comment-190</guid>
		<description><![CDATA[David, 

Yes, Abstract models are not without limitations, but they are very handy when sharing fields and methods across classes which inherit from them.


  In the above example, there is no &#039;Vehicle&#039; table in the database, so it makes sense that there are no ForeignKeys to it, even though it may be desirable.

Let&#039;s say MackTruck had a mudflap=CharField() field. You are correct in that a Vehicle instance cannot access the .mudflap attribute (not all vehicles have mudflaps) , but that subclass can still use its own .mudflap attribute if instantiated as a MackTruck.

Django is awesome, but it can&#039;t solve ALL problems :)

[Edit: fixed indentation error in Vehicle class]]]></description>
		<content:encoded><![CDATA[<p>David, </p>
<p>Yes, Abstract models are not without limitations, but they are very handy when sharing fields and methods across classes which inherit from them.</p>
<p>  In the above example, there is no &#8216;Vehicle&#8217; table in the database, so it makes sense that there are no ForeignKeys to it, even though it may be desirable.</p>
<p>Let&#8217;s say MackTruck had a mudflap=CharField() field. You are correct in that a Vehicle instance cannot access the .mudflap attribute (not all vehicles have mudflaps) , but that subclass can still use its own .mudflap attribute if instantiated as a MackTruck.</p>
<p>Django is awesome, but it can&#8217;t solve ALL problems <img src='http://s0.wp.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /> </p>
<p>[Edit: fixed indentation error in Vehicle class]</p>
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	</item>
	<item>
		<title>Comment on Django polymorphism: Mixins vs Inheritance Models by David</title>
		<link>http://ankhos.com/2010/01/15/django-polymorphism-mixins-vs-inheritance-models/#comment-189</link>
		<dc:creator><![CDATA[David]]></dc:creator>
		<pubDate>Thu, 14 Apr 2011 15:13:07 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=185#comment-189</guid>
		<description><![CDATA[The downside of using the abstract model is that you can&#039;t create a ForeignKey to it.

You also can&#039;t have any derived classes of the abstract model if they have their own fields.

For example, I have a generic MetaData object that my Task object owns. I want to be able to have any kind of MetaData and use polymorphic functions on MetaData that operate on the MetaDataSubclass&#039; fields.]]></description>
		<content:encoded><![CDATA[<p>The downside of using the abstract model is that you can&#8217;t create a ForeignKey to it.</p>
<p>You also can&#8217;t have any derived classes of the abstract model if they have their own fields.</p>
<p>For example, I have a generic MetaData object that my Task object owns. I want to be able to have any kind of MetaData and use polymorphic functions on MetaData that operate on the MetaDataSubclass&#8217; fields.</p>
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	<item>
		<title>Comment on Django polymorphism: Mixins vs Inheritance Models by Jake Drake</title>
		<link>http://ankhos.com/2010/01/15/django-polymorphism-mixins-vs-inheritance-models/#comment-186</link>
		<dc:creator><![CDATA[Jake Drake]]></dc:creator>
		<pubDate>Thu, 17 Feb 2011 19:26:55 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=185#comment-186</guid>
		<description><![CDATA[Nice post. One statement that is not quite correct:

&quot;using InheritanceClassModel can impose serious performance hits on your queries because it has to look up not only the objects, but for each time you call .cast(), it must make an additional query on the class look-up table.&quot;

If you look at the ContentTypes code, you&#039;ll see that those queries are cached. The table look-up only happens for the first time when a specific class is called. If implemented properly, dynamic ContentType casting can be very efficient.]]></description>
		<content:encoded><![CDATA[<p>Nice post. One statement that is not quite correct:</p>
<p>&#8220;using InheritanceClassModel can impose serious performance hits on your queries because it has to look up not only the objects, but for each time you call .cast(), it must make an additional query on the class look-up table.&#8221;</p>
<p>If you look at the ContentTypes code, you&#8217;ll see that those queries are cached. The table look-up only happens for the first time when a specific class is called. If implemented properly, dynamic ContentType casting can be very efficient.</p>
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	</item>
	<item>
		<title>Comment on Milestones by lroelofs</title>
		<link>http://ankhos.com/2011/01/31/sandboxing-redux/#comment-177</link>
		<dc:creator><![CDATA[lroelofs]]></dc:creator>
		<pubDate>Mon, 31 Jan 2011 13:52:14 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.com/?p=509#comment-177</guid>
		<description><![CDATA[As a retired nurse, I find this absolutely intriguing and amazing!]]></description>
		<content:encoded><![CDATA[<p>As a retired nurse, I find this absolutely intriguing and amazing!</p>
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	</item>
	<item>
		<title>Comment on What&#8217;s Next?: No Oncology Trial Patient Left Behind by orlowski</title>
		<link>http://ankhos.com/2010/08/16/whats-next-no-oncology-trial-patient-left-behind/#comment-159</link>
		<dc:creator><![CDATA[orlowski]]></dc:creator>
		<pubDate>Wed, 17 Nov 2010 22:55:27 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=469#comment-159</guid>
		<description><![CDATA[I&#039;ve had a chance to take a breath recently and ping-ponged with long discussions with the research clinicians and the Physicians. One of the major constraints we have while making Aknhos is that the office has zero extra time.  This also means zero extra time to remember trials.

I brought up all these neat machine-learning (and just patient criteria matching) we could do to find potential trial patients to my physicians, and they liked the sound of it.

However it turns out that if you are looking at a patient&#039;s past performance or prognoses, you are probably already too late to get them on a trial. The key is going to be analyzing schedules to provide lists of potential patients... in order to remind the MDs that there is a trial. The future is what is important, not the past.

We want to get a sick person treated as soon as possible, trial or not and having a retro-active trigger on monday for a patient seen friday afternoon just isn&#039;t fast enough.  There is still a lot to be done on this, obviously, but it&#039;s exciting.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;ve had a chance to take a breath recently and ping-ponged with long discussions with the research clinicians and the Physicians. One of the major constraints we have while making Aknhos is that the office has zero extra time.  This also means zero extra time to remember trials.</p>
<p>I brought up all these neat machine-learning (and just patient criteria matching) we could do to find potential trial patients to my physicians, and they liked the sound of it.</p>
<p>However it turns out that if you are looking at a patient&#8217;s past performance or prognoses, you are probably already too late to get them on a trial. The key is going to be analyzing schedules to provide lists of potential patients&#8230; in order to remind the MDs that there is a trial. The future is what is important, not the past.</p>
<p>We want to get a sick person treated as soon as possible, trial or not and having a retro-active trigger on monday for a patient seen friday afternoon just isn&#8217;t fast enough.  There is still a lot to be done on this, obviously, but it&#8217;s exciting.</p>
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	<item>
		<title>Comment on What&#8217;s Next?: No Oncology Trial Patient Left Behind by kd4ttc</title>
		<link>http://ankhos.com/2010/08/16/whats-next-no-oncology-trial-patient-left-behind/#comment-158</link>
		<dc:creator><![CDATA[kd4ttc]]></dc:creator>
		<pubDate>Wed, 17 Nov 2010 22:48:19 +0000</pubDate>
		<guid isPermaLink="false">http://ankhos.wordpress.com/?p=469#comment-158</guid>
		<description><![CDATA[In the clin pharm field we called this case finding.  It can be challenging.  It is usually the case that the clinical coordinator will present the current studies to staff, but that is more just being polite.  It is so common to forget to offer trials.  In an oncology practice trial participation can be a big financial benefit to the practice.

Docs may forget to document or forget about trials. However, orders are usually appropriate to the needs of the patients.  Talk to attendings about what are usual chem orders for each of the disease that you have trials for, and if a group of orders comes along that suggests a certain ca is in the practice alert the coordinator.  Other options are certain blood tests or types of CT or MRI orders.  

Dont worry about false positives to the coordinator.  If she finds just 10% of the patients flagged really are candidates for a trial she will be delighted. Actually, you want false positives.  With the EMR it is trivial to look up the clinical details.

Steve]]></description>
		<content:encoded><![CDATA[<p>In the clin pharm field we called this case finding.  It can be challenging.  It is usually the case that the clinical coordinator will present the current studies to staff, but that is more just being polite.  It is so common to forget to offer trials.  In an oncology practice trial participation can be a big financial benefit to the practice.</p>
<p>Docs may forget to document or forget about trials. However, orders are usually appropriate to the needs of the patients.  Talk to attendings about what are usual chem orders for each of the disease that you have trials for, and if a group of orders comes along that suggests a certain ca is in the practice alert the coordinator.  Other options are certain blood tests or types of CT or MRI orders.  </p>
<p>Dont worry about false positives to the coordinator.  If she finds just 10% of the patients flagged really are candidates for a trial she will be delighted. Actually, you want false positives.  With the EMR it is trivial to look up the clinical details.</p>
<p>Steve</p>
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