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Re: [Gnumed-devel] Family History tables

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Family History tables
Date: Thu, 16 Jun 2011 15:50:23 +0200
User-agent: Mutt/1.5.21 (2010-09-15)

On Tue, Jun 14, 2011 at 09:53:45AM -0700, Jim Busser wrote:

> So if the family history that is being copied is an episode that the "donor" 
> consented to share, this "donation" could
> - in the case that the recipient already has a Family Hx item
>       --> update the item by way of an FK to the source episode
> - in the case that the Fam Hx item did *not* already exist
>       --> the Fam Hx item would need to be created
> either way, CAVEAT
> --> we have a record that is being updated outside of the context of the 
> patient whose record is being altered
> … maybe the existing fax Hx is an inaccurate self-report, and the coding or 
> textual description needs altering
> … maybe even that patient's plan needs changing, based on the corrected 
> information
> … and of course when it is new information (no previous self-report) the 
> consequences of the new information need to be worked through, but not during 
> the praxis visit of the donor!
> so that is why, if we would ever "push" a record
> 1. this likely must always be an "add record" scenario because I cannot 
> imagine bringing, into view of the donor, the recipient's fam Hx
> 2. this record needs to show in the inbox as needing signing… it i rather 
> analogous to a "new result"

I agree.

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