Differentiate

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Vincent vd B

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Aug 15, 2020, 6:09:14 AM8/15/20
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Hello,

Syndrome Differentiation:
To make a diagnosis, look for indications to differentiate between possible syndromes.

I have tiddlers who each describe a syndrome.
and tiddlers describing an indication (tagged with the syndromes wich it is indicating to).

What I want is some kind of checklist with all indications. (A list of all tiddlers with the tag: Indication)
If I tick a indication:
All indications that do not refer to that specific syndrome disappear from the list. And any syndromes common to the selected indication (s) will appear at the bottom of the tiddler.

Every time I tick an indication, the possible indications and syndromes become visible. That makes it easier to research and question. Until I only have one or a few syndromes left.

And I need a reset button.

Basically it is like a kind of database / table where you filter everything out of the data that has nothing to do with it.

I am not good at coding and am looking for someone who can help me out.

Thank you,

TW Tones

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Aug 15, 2020, 8:16:37 AM8/15/20
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Vincent,

I will see if I can contribute more - But listening to a podcast recently I learned another important step is to consider for diagnosis it "contra-indications." 

When a Diagnosis is imminent given the indications a list of contra-indications can be given, so if one of these is observed you can rule out one of more of the possible diagnosis.

Actually the idea of indications and contra indications could be suited to many areas such as trouble shooting or problem solving.

Regards
Tony
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Mark S.

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Aug 15, 2020, 10:00:48 AM8/15/20
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I feel there is something wrong with the way this is described, or at least the way I'm understanding it. Each indication can have multiple syndromes. If an indication has even one syndrome that is unique to that indication, then checking that indication will automatically eliminate all other indications, even if the instance at hand does not have that one unique syndrome.

I can see it working the other way -- you check off syndromes, and as you do the list of possible indications becomes smaller.

Vincent vd B

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Aug 15, 2020, 10:04:11 AM8/15/20
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Thank you for your response Tony,

I have thought about it once, but that is not necessary in principle.
To begin with, the outcome is not definitive. For example, "sweating" is just as good as "not sweating" an indication. 
If you are left with a few possible syndromes, you can continue your very specific search.
You can then put any important points for attention in order to differentiate in the tiddler of the syndrome concerned.

What I kept out of consideration because I feared it would get too complicated then is working with categories.
This would make the very long row of indications a lot clearer.

As an example:

* Categorie: Sweat
** No sweating (Indication)
** Little sweating.
** Heavy sweating
** Sweating after exercise
** Sweating in the evening

Thanks,

TW Tones

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Aug 15, 2020, 10:21:21 AM8/15/20
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Vincent,

My suggestion for contra-indications is not about building your solution, but as I understand it, its a medical necessity. In your case for example you say "No Sweating" this could be considered a "contra-indication", if all other diagnoses considered. The problem is the words "all other diagnoses considered", because we rarely do that. Its more like saying for this diagnoses the person "Must not sweat at all", it's not that you may not observe it, its that "if they are sweating" it is not the current diagnosis.

I know it sounds like they are the same thing, "a negative of a symptom is a contra indication", but as I understand it, this is not the case. Part of the issue is when you use search to find something, not finding it, is not a contra-indication, you need to find a statement that "it must not be so".

Any way do what you will with my point.

Regards
Tones

Birthe C

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Aug 15, 2020, 4:40:16 PM8/15/20
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I would think it highly indicative if a person was not able to sweat at all.

Interesting project you are working on, Vincent vd B.

Birthe

Vincent vd B

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Aug 16, 2020, 5:11:25 AM8/16/20
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I think you are right Mark. I think I should tag the syndromes to the correct indications. That will solve the problem?
Or maybe work with fields? List the indications in a field in each tiddler that describes a specific syndrome?

Starting with the syndromes is not an option here. That is the opposite way. If you start from indications, you always 
have some indications available. Selecting these indications eliminates all other syndromes and indications that have 
nothing to do with them. With the remaining indications you can start questioning and researching very specifically.

Vincent vd B

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Aug 16, 2020, 5:14:11 AM8/16/20
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It is that we cannot live without it. Furthermore, I sympathize with you Birthe.. :))  LOL

Vincent vd B

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Aug 16, 2020, 5:54:28 AM8/16/20
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I understand your point and I fully agree with you TW Tones
But I myself am not able to convert my idea into code, especially with your proposal for adding contraindications. 
Because I'm going to depend on the willingness and expertise of others, I don't want to make it too complicated. 
But maybe you can come up with a working idea?

Vincent vd B

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Aug 16, 2020, 6:43:31 AM8/16/20
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TW Tones

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Aug 16, 2020, 8:47:46 AM8/16/20
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Vincent

I will give it some thought. Should be quite simple with a little analysis.

As I said it may prove a very useful algorithium.

Regards
Tones

Vincent vd B

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Aug 16, 2020, 9:16:30 AM8/16/20
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Thank you TW Tones, 

Mark S.

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Aug 16, 2020, 10:03:02 AM8/16/20
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I think some concrete examples would help. As it is, there seems to be a logical inconsistency. You can't code your way out of a logical inconsistency.

For instance, let's say you have indication,

Covid2030: LossOfSmell, HighTemperature, Horns

You have no other indication with "Horns". So when you select Covid2030, no other indication will appear.

Vincent vd B

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Aug 16, 2020, 11:19:54 AM8/16/20
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As soon as I have time I will make an example Mark

TW Tones

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Aug 16, 2020, 7:17:01 PM8/16/20
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Vincent,

With a fresh mind this morning thinking about contra indicators.
  • Contra indications need to be associated with a possible diagnosis
  • When the regular indications are giving rise to a list of possible diagnosis;
    • List any contra indications associated with each possible diagnosis (if it has a contra indication)
  • Selecting the contra indication, will exclude that diagnosis from the possible results
    • Once selected a contra indication only rules out a diagnosis with that contra indication,
    • However in other cases the same question may be an indicator only
Conclusion
 a contra indication can be the same as a normal indication, however it becomes a contra indication if linked to a diagnosis via a special relationship.
  • A diagnosis may be tagged with various indicators
  • A Second tag field, or list field can store a list of Indications to instead be considered contra-indications
Mario's Alt-tags or Gen tags allows you to have more than one tags field. Perhaps a tag field for indications, and another for contra-indications would be a smart approach, these tag fields could be hidden unless the tiddler is a "diagnosis" or a contra/or Indication. You can then keep the regular tags free for other organisation needs.

Food for though complete

Tones

On Saturday, August 15, 2020 at 8:09:14 PM UTC+10, Vincent vd B wrote:

Vincent vd B

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Aug 17, 2020, 5:31:01 AM8/17/20
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The example you give is a good example Mark S. If you only have 1 indication for 1 syndrome, then you only have 1 result. That does not mean that the result is binding. That means that you then continue to search with that result in mind. In the tiddler that describes the syndrome, you can then provide more specific information in order to ultimately make a diagnosis with certainty. You never base your diagnosis on 1 indication. But ultimately on underlying patterns and signs. It may not do the work for you, but it can help you quickly navigate your way through a lot of information. 

Vincent vd B

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Aug 17, 2020, 5:34:16 AM8/17/20
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Thanks.TW Tones. Interesting, I'm going to look for it. Come back to it.

Vincent vd B

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Aug 18, 2020, 10:39:36 AM8/18/20
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TW Tones,

I've been playing around with the GenTags Plugin .. https://ooktech.com/jed/ExampleWikis/GenericTagFields/ I'm starting to understand where you want to go. I'm also starting to see a lot more possibilities. :)) A very good idea.

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