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. 1999 Nov 13;319(7220):1279. doi: 10.1136/bmj.319.7220.1279

Table 1.

Knowledge coupling software modules (“couplers”) currently available. Source: PKC Corporation

Coupler sets Use
Screening For complete health history, mental health screening, wellness, physical examination, and laboratory screening
Senior assessment and disease management To support care planning, case management, disease prevention, OASIS (outcomes and assessment information set) reporting, and patient education for senior and disabled populations
Occupational health To equip providers to identify and manage work related injuries, exposures, and disease, as well as to navigate the complex rule sets surrounding specific work environments
Behavioural care For assessing potential behavioral manifestations of medical problems, supporting the determination of DSM-IV diagnosis, and guiding patient-provider strategies for disease management
Chronic disease management For managing conditions such as diabetes, chronic obstructive pulmonary disease, asthma, depression, hypertension
Individual problem-knowledge couplers
Disease management:
 Acne vulgaris
 Anaesthesia: preoperative screening*
 Angina, stable
 Anxiety disorders
 Asthma
 Atrial fibrillation - new onset*
 Benign prostatic hyperplasia
 Carpal tunnel syndrome
 Contraception
 COPD - chronic obstructive pulmonary disease
 Dementia
 Depression: management and guidance
 Diabetes mellitus
 Gallstones*
 GERD - gastro-oesophageal reflux disease
 Heart failure due to LV dysfunction
 Hyperlipidaemia or dyslipidaemia
 Hypertension
 Hypertension, malignant and other hypertensive crises
 Male erectile dysfunction
 Menopause - disease management
 Obesity
 Parkinson's disease
 Otitis media with effusion in children*
 Pressure ulcers*
 Smoking cessation
 Substance use disorders
 Suicidal thinking and behavior*
Diagnostic/disease management:
 Asthma attack: assessment and management*
 Chest pain I*
 Kidney stone (known): type of stone and its management*
 Tinnitus (noise in the ear or head)*
Diagnostic:
 Acute abdomen*
 Anaemia
 Anxiety, panic, and phobias
 Chest pain II *
 Depressed feelings, fatigue, apathy
 Diarrhoea
 ECG interpretation*
 Hand and wrist
 Headache
 Heart sounds abnormal (initial evaluation)*
 Haematuria*
 Hypercalcaemia*
 Hypertension
 Itching of unknown origin (pruritis)
 Jaundice*
 Knee problem
 Knee problem due to acute trauma
 Low back, buttock and/or leg pain, acute
 Male erectile dysfunction
 Memory loss and confusion
 Obesity or unexplained weight gain*
 Personality problems*
 Psychotic-like or bizarre behaviour, thinking, perception*
 Rhinitis chronic*
 Shoulder problem*
 Sleep problems*
 Substance use disorders
 Swallowing problems (dysphagia)
 Syncope (fainting)*
 Upper respiratory complaints, acute
 Urinary incontinence
 Urinary problems, female (dysuria, urgency, etc)
 Urticaria/angio-oedema
 Vaginal bleeding abnormal*
 Vertigo and dizziness
 Vomiting not easily explained in an adult or older child*
 Vulvar and vaginal problems (itch, discharge, pain)
Other:
 History: comprehensive screening for mental health problems
 History: screening to discover patient's problems - complete health history
 Laboratory screening - guidance regarding interpretation of indicated lab tests
 Periodic health evaluation - yearly update of patient problem list
 Physical exam: screening to discover patient's problems
 Senior assessment - functional assessment and improved management for seniors
 Travel preparation
 Wellness and health: assessment and guidance - complete health risk assessment
*

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