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Re: [Gnumed-devel] Formatting of SOAP row and metadata


From: Jim Busser
Subject: Re: [Gnumed-devel] Formatting of SOAP row and metadata
Date: Fri, 22 Jul 2011 23:37:17 -0700

On 2011-07-22, at 4:33 PM, Karsten Hilbert wrote:

>> With that now in focus on the left, the argument is on
>> what to show at right in terms of this same "Hospitalized
>> ABC " labelling information. Presently, this information
>> may be shown at right multiple times (up to once per
>> encountlet)
> 
> No it may not. It is shown only ONCE, namely for the
> encounter it was created under.

If I go to the public db today using client 0.9.7 and activate Kirk and in the 
EMR tree select

        9/2000 extraterrestrial infection

then in the right-side of the EMR tree journal what I get is shown between the 
two lines of
**************** making my question is whether all those occurrences of 

   Episode "postop infected laceration L forearm"

        (some times…

        in health issue "9/2000 extraterrestrial infection"

        … and other times not)

are these a bug or -- if not a bug -- how is showing me all these meant to help 
me?


*******************************************
 Clinical data generated during encounters under this health issue:
 
 \u256d\u2500 Assessment (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   Health Issue: 9/2000 extraterrestrial infection (na)
    active / clinically relevant
                                         \u257c <gm-dbo>, v1: 2011-02-02 11:35 
\u257e
 
 \u256d\u2500 Plan (Sat, Sep 16 2000) \u2500\u2500\u2500\u2500\u2500
   Vaccination: Tetasorbat (SFCMS) (Tetanus) [SFCMS#102041A#11]
   (left deltoid muscle)
   Comment: prev booster > 7 yrs
   Indications: tetanus
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Subjective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   accid cut himself left forearm -2/24 w/ dirty
   blade rescuing self from being tentacled,
   extraterrest.envir.
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Objective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   left ulnar forearm; 6cm dirty laceration;
   skin/sc fat only; musc/tend not injured; no dist sens loss;
   pain/redness++; smelly secretion+; no pus
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Assessment (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   Episode: postop infected laceration L forearm (closed)
                                         \u257c <gm-dbo>, v2: 2011-02-02 11:35 
\u257e
 \u256d\u2500 Objective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   platelets (PLT): 282 Gpt/l 
   Range:  -  / 150-450
   Responsible clinician: LMcC
   Episode "postop infected laceration L forearm" in health
   issue "9/2000 extraterrestrial infection"
                                         \u257c LMcC, v2: 2011-05-19 04:17 
\u257e
 \u256d\u2500 Objective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   leukocytes (WBC): 9.5 Gpt/l ()
   Range:  -  / 4.4-11.3
   Responsible clinician: LMcC
   Episode "postop infected laceration L forearm" in health
   issue "9/2000 extraterrestrial infection"
                                         \u257c <gm-dbo>, v1: 2011-03-29 06:42 
\u257e
 \u256d\u2500 Objective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   erythrocytes (RBC): 4.40 Tpt/l ()
   Range:  -  / 4.1-5.1
   Responsible clinician: LMcC
   Episode "postop infected laceration L forearm" in health
   issue "9/2000 extraterrestrial infection"
                                         \u257c <gm-dbo>, v1: 2011-03-29 06:42 
\u257e
 \u256d\u2500 Objective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   C-reactive protein (CRP): 17.3 mg/l (++)
   Range:  -  / 0.07-8
   Review by LMcC @ 2011-05-09 06:31: abnormal, relevant (ok)
   Responsible clinician: LMcC
   Episode "postop infected laceration L forearm" in health
   issue "9/2000 extraterrestrial infection"
                                         \u257c <gm-dbo>, v1: 2011-03-29 06:42 
\u257e
 \u256d\u2500 Assessment (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   ?contaminated laceration L forearm
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Assessment (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   contam/infected knife cut left arm, ?extraterr. vector,
   needs ABs/surg/blood
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Plan (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   1) inflamm.screen/std ET serology
   2) debridement/loose adapt.; 10ml xylocitin sc; 00-Reprolene
   3) Pen 1.5 Mega 1-1-1
   4) review +2/7; tomorrow if symptoms/blood screen +ve
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Objective (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   C-reactive protein (CRP): 14.5 mg/l (++)
   Range:  -  / 0.07-8
   Review by LMcC @ 2011-03-26 16:42: abnormal, relevant (ok)
   Responsible clinician: LMcC
   Episode "postop infected laceration L forearm" in health
   issue "9/2000 extraterrestrial infection"
                                         \u257c LMcC, v2: 2011-05-19 04:13 
\u257e
 \u256d\u2500 Administrative (Wed, Feb 02 2011) \u2500\u2500\u2500\u2500\u2500
   Document: patient photograph (2011-02-02 11:32)
    Captain Kirk pictures
                                         \u257c LMcC, 2011-03-16 22:18 \u257e
 \u256d\u2500 Assessment (Sun, Sep 17 2000) \u2500\u2500\u2500\u2500\u2500
   postop infected laceration L forearm
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Administrative (Wed, Feb 02 2011) \u2500\u2500\u2500\u2500\u2500
   Document: referral report other "vietnam-2003-3::1"
   (2011-02-02 11:32)
    Vietnam 2003: The Peoples Republic
                                         \u257c LMcC, 2011-02-26 19:23 \u257e
 \u256d\u2500 Objective (Wed, Feb 02 2011) \u2500\u2500\u2500\u2500\u2500
   Allergy (allergy): developed urticaria/dyspnoe this morning,
   eg. 12h after first tablet
   substance: Penicillin V Stada; allergene: Penicillin; 
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Subjective (Wed, Feb 02 2011) \u2500\u2500\u2500\u2500\u2500
   Family Hx: brother George Samuel Kirk @ 37 years (2267,
   Stardate 3287): Denevan neural parasite infection;
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 \u256d\u2500 Administrative (Wed, Feb 02 2011) \u2500\u2500\u2500\u2500\u2500
   Document: referral report other "vietnam-2003-3::2"
   (2011-02-02 11:32)
    Vietnam 2003: Tagwerk
                                         \u257c <gm-dbo>, 2011-02-02 11:32 
\u257e
 
 \u256d\u2500 Assessment (Wed, Feb 02 2011) \u2500\u2500\u2500\u2500\u2500
   Episode (D): scar problems left arm (open)
                                         \u257c LMcC, v5: 2011-07-07 04:50 
\u257e
 \u256d\u2500 Plan (Thu, Apr 07 2011) \u2500\u2500\u2500\u2500\u2500
   long-term substance intake (approved of):
    rabeprazole [A02BC04] 1mg tablet, 2011-04-07
    get this acid down
    "Razo" [A02BC04]
                                         \u257c LMcC, v1: 2011-04-07 01:56 
\u257e

*******************************************

-- Jim




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