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Re: [Gnumed-devel] gnumed handling of multiple practice MDs

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] gnumed handling of multiple practice MDs
Date: Sat, 7 Feb 2004 13:39:03 +0100
User-agent: Mutt/

> In case it was unclear (as it may have been) - I meant to refer to 
> multiple physicians within one practice, not multiple practices. 
That was clear.

> By "principal MD" I mean Patient X ("Mary")'s preferred or designated 
> main doctor (Dr A) to whom queries, results, issues are normally 
> directed and with whom appointments are normally made. One cannot 
> always assume it was the one who saw Mary last (Dr B) because Dr B may 
> have just been filling in for A who was away or sick, or who does not 
> work Thursdays which was the day Mary needed an urgent appointment so 
> saw Dr B who had an open slot. It is true that if clinical or test 
> followup were required it might be "B" who does it, but it is equally 
> possible that "A" will be back the next day and will resume direction 
> of care. Office staff (and docs) when fielding a call from or about any 
> Patient X, need to know to whom to normally direct the issue. 
Makes perfect sense. I seem to have had a lapse of reasoning.

> --->If the office staff meant to edit Mary Smith's record, but changed 
> Marion Smith's, and are unsure of the prior value, can they determine 
> it through table or audit, or must they guess or ask others? That is 
> what I meant. 
Table audit. Little to worry about technically. Any tables we
want are fully audited - working now not just proposed.

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