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[Gnumed-devel] Encounter defaults
From: |
Jim Busser |
Subject: |
[Gnumed-devel] Encounter defaults |
Date: |
Fri, 19 Nov 2010 09:06:36 -0800 |
Appended EMR Journal result of creating a person from an EMR export (single
record, CA-MSVA format). Right now only the name, dob and sex are imported.
In looking at what is rendered as the Journal, I realized patients are nearly
always going to be created in a separate step from an actual clinical
encounter. The time interval between creation and the clinical encounter would
be as short as minutes only in the rare case where the previously unknown
patient rushes into a practice desperately unwell and needs to be seen
immediately.
I am also mindful that it will most often be praxis front desk staff that
create a patient and after inputting the necessary information they may be
unlikely to retouch that record until after the encounter timer has auto-closed
it. It is likely that the encounter will carry whatever encounter type was the
default for the praxis and will likely be inappropriate.
Would it be acceptable to introduce into the GNUmed "stock" encounter types
person creation
and for this to be treated as the default
Encounter: person creation
in the person creation step, even ignoring whatever the praxis had otherwise
set (for example "in surgery")?
In those cases where the person (patient) *does* get seen shortly thereafter,
is it easy for the clinician to make the clinician encounter different from the
person creation encounter?
-- Jim
Chronological EMR Journal
=========================
Patient: Lastname, Firstname Xx (m), No: 21
Born : 24/12/1960, age: 49y 10m
.------------------------------------------------------------------------------------------------------
| Happened | Doc | | Narrative
|------------------------------------------------------------------------------------------------------
| 2010-11-19 | LMcC | … | Encounter: in surgery 2010-11-19 08:45 - 08:45
(2010-11-19 08:45)
| None | LMcC | O | Allergy state: unknown, unasked (2010-11-19
08:45)
`------------------------------------------------------------------------------------------------------
Exported: Fri 19 Nov 08:53:04 2010
- [Gnumed-devel] Encounter defaults,
Jim Busser <=