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Re: [Gnumed-devel] One more unanticipated need concerning test "panels"

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] One more unanticipated need concerning test "panels"
Date: Mon, 11 Feb 2008 12:26:54 +0100

> I am just realizing, from looking at a sample message, that in the  
> case of a panel like a "lipid profile" the lab can return comment  
> information like "Fasting" in an OBR NTE field.
> This is a comment on this patient's instance of this test panel, and  
> not necessarily a comment about the intrinsic characteristics of the  
> test, therefore should not actually go into clin.test_type.note_test_org
> As this "fasting" comment characterizes the lipid profile panel, it  
> would apply to all of its parts.

As far as "fasting" goes this would also fit the "material_detail" in
clin.lab_request... ;-)  to which it might be moved later on when
appropriate. However, other comments may not fit that field.

> One option for storing this comment be to store it replicated inside  
> each of the individual test results in the panel, as stored in  
> test_result.note_provider (to be renamed note_test_org), which is  
> where the individual result-specific OBX NTE 003 (Comment) will also  
> go. That would save us having to normalize it out to a separate table  
> for panel_data
> Maybe within note_provider (to be renamed note_test_org) the OBR  
> comment should be stored as "Test comment: <comment>" and the OBX  
> comment stored as "Result comment: <comment>". How does that sound?

I would agree with this approach and it should be documented in the wiki.


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