Re: [Gnumed-devel] Re: Cannot change the dates of the encounters

[Karsten Hilbert]

On Fri, Sep 05, 2008 at 09:27:43AM -0700, Jim Busser wrote:

> In point of fact, one encounter may not cut through the episodes exactly 
> vertically. At any one encounter with the EMR, say during a visit today, 
> you may add some information pertaining to earlier events in an episode. 
True enough.

> The episode might even have been closed. So there is a difference between 
> being able to see the information in the context of when the event was 
> understood to have *occurred* and the fact that the information is only 
> being recorded today.
We don't support "adding on" to a previous encounter -
except for the last one if it's still in range.

> I would not want the fact that I today add and 
> comment about a document, which was mishandled or only received for the 
> first time today, about last year's appendicitis, to force me to re-open 
> the episode and make it appear that the clinical problem of appendicitis 
> had any clinical activity.
But it DID have activity ?  :-)

> I only want to be able, if I would review the 
> information about the appendicitis, to be able to identify that the 
> information was only just added.

If you add a note today the entry will have a modified_when
of today and an fk_encounter of "the current encounter".
Such there is no doubt about the fact that the information
was "just added".

It could be argued that if one doesn't want to add on to the
two-year old closed episode one could open a new episode.
After all, there *was* new activitiy after a marked period
of non-activity.

Karsten
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