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Re: access to review audits (was Re: [Gnumed-devel] encounter edit befor

From: Rogerio Luz
Subject: Re: access to review audits (was Re: [Gnumed-devel] encounter edit before final save)
Date: Sun, 17 Aug 2008 14:54:14 -0300

CouldnĀ“t it be generated to be included ONLY under the new review?
as in: TEST X (automatic deleted "abnormal -not significant") new review in 2008-10-14 by <gm-dbo> reviewed test "abnormal - significant"
I think in the Progress notes it will get too full of not interesting and not significant test information. Imagine the patient receives a call from lab that ALL his 10 exams were faulted (who knows, it might happen :) then his progress notes would get TOO FULL of giberish concerning the correct values.

2008/8/17, Karsten Hilbert <address@hidden>:
On Sun, Aug 17, 2008 at 01:04:56PM -0300, Rogerio Luz wrote:

> If I got this DATABASE giberish right ... what you are asking is if a review
> in test results should show in the journal view of a medical record...

Not quite. What GNUmed currently does is:

1) test results without a review are notified in
  - the results viewer
  - the inbox of the intended reviewer

2) both the EMR journal as well as the tree view display existing reviews
  - in other words, if no review is displayed there is none

3) if a test *result* is changed, any associated review is deleted
  - this makes the test result unreviewed again, see above

4) if a test *review* is changed the previous reviewer is notified

The question here is:

When a review is auto-deleted due to the test result being
changed (see 3) the previous review will not show up anymore
for the standard user (it will be kept in the audit log,
however). As long as no new review is stored the result will
be unreviewed (again). This is quite logical. However, it
may be of value to still have accessible some indication of
the previous review. A solution for this would be to add a
pseudo progress note to the EMR saying:

"test result modified, existing review (abnormal - not significant) auto-deleted"

This would end up as a standard SOAP row and be displayed
with other parts of the progress notes, NOT as part of any
future review.

Whether or not THAT is wanted/needed is the question at hand...

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