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Re: [Gnumed-devel] state of test results handling

From: Adrian Midgley
Subject: Re: [Gnumed-devel] state of test results handling
Date: Sun, 30 Mar 2008 12:30:51 +0100
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Karsten Hilbert wrote:

>> - would the checkbox "Technically abnormal" within the Review widget  
>> serve to let the user overwrite (alter) whatever value had been provided 
>> by test_org?
> No way ! :-)  What the test_org thinks is what they think.
> GNUmed wouldn't dare alter that even if a misguided user
> thinks that'd be a good idea. A user review attaches to a
> certain result (or document) what that user thinks about it.
> One limitation (which seems logical to me): There can only
> be one review per result per user (which can be altered, of
> course).

Our lab reports results with a _reference range_ rather than making a
statement about normality.

1 in 20 results will be expected to be outside the reference range
without indicating pathology.

I frequently mark a group of results - liver function tests for instance
- - as normal despite one of them being outside the reference range.

SOme patients have a congenitally different result on some measurement
from the general run, a large but trivial example is those with
GIlbert's syndrome having a higher bilirubin.

Possibly the concept we are dealing with is less "normality" and more

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