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Re: [Gnumed-devel] Re: Lab importing Re: Bootstrap of (test) lab data

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Re: Lab importing Re: Bootstrap of (test) lab data
Date: Tue, 22 Jan 2008 12:40:11 +0100
User-agent: Mutt/1.5.17 (2007-11-01)

On Mon, Jan 21, 2008 at 01:43:33PM -0800, James Busser wrote:

> I understand that in Germany it is possible to generate bar code labels 
> right in the medical office,
They are often pre-generated by the lab and given to the
practice but that doesn't make a real difference.

> so that the actual tubes of blood/urine etc 
> leave the office with an identifier that can reconcile the result(s) to the 
> original request(s).

> Even that solution would fall down, though, if a 
> German practitioner can request that a copy of the result be directed to 
> another doctor outside the practice who is involved in the care of the same 
> patient...
It would have to be done manually. In 99.99% this would
happen by faxing a paper copy.

> that doctor would have no way (?) to have a copy of the request 
> in their system.
I would assume the lab might be able to re-address results.

> There is, therefore, the methodology to develop around unmatched results 
> that includes identifying if
> - the patient exists in the database but was inadequately 
> identified/matched
> - the patient does not (yet) exist in the database but needs to e created
>       (think: the yet-to-be-seen new referral patient, whose results arrive 
> before the patient)


> - results received in *apparent* error and - in some jurisdictions - a 
> responsibility to communicate the error in case the patient would come to 
> harm (also to help stop receiving some of these results in error)


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