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[Gnumed-devel] Rethinking Allergy clin_when

From: Busser, Jim
Subject: [Gnumed-devel] Rethinking Allergy clin_when
Date: Wed, 30 Nov 2011 17:28:32 +0000

Presently the label in the allergy editor says

        Allergy Noted

and the tooltip suggests to base the entry on 'when was this known about 
(normally today).

This contrasts with the use of clin_when in most if not all of the other tables

        - health issue
        - hospitalizations
        - procedures
        - family history item
        - test results

where the usage is to capture the bio-clinical reality.

When something was known about could be handled as either the datetime of entry 
(when entered in real time) or -- in the case of a post-dated entry -- by 
nesting the entry under a late-entry encounter in which one inputs the datetime 
when that *encounter* occurred.

Imagine you chose to transfer some important entries from a paper chart into 
GNUmed, where the patient experienced a reaction November 1 and obtained care 
on November 12th but now -- say December 1 -- you are putting this into GNUmed. 
You can create an encounter

        in praxis
        started November 12

and in the Allergy editor input

        Trigger = foo
        Onset (if known) = November 1

and this can serve to document when it was known about (Nov 12) despite that 
the datetime stamp on this entry would be *December 1*.

Can we change

        Date Noted
        Onset (if known)

with a corresponding change to the tooltip?


-- Jim

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