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Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes)
From: |
Busser, Jim |
Subject: |
Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR |
Date: |
Thu, 8 Dec 2011 04:13:54 +0000 |
On 2011-12-07, at 7:18 PM, Jim Busser wrote:
> - relax the constraint, make them nullable in
>
> blobs.lnk_doc_med2episode
sorry, the above is incorrect, there is no point to a link record that does not
link.
The constraint at issue is
blobs.doc_med.fk_episode | integer | not null
Here now is another good reason to relax this constraint:
it currently prevents staff from attaching a document, because staff cannot
successfully save the document without inputting a value for the clinical
episode to which the document relates. This goes beyond what non-clinical staff
have (a) the training to resolve and (b) the justification to be perusing
documents at that level of detail and internalizing to such an extent the
patients' clinical details.
Some time ago, on the list, there had been a response to the above like
well, just associate the document with an administrative encounter in
an unattributed, administrative episode of arbitrary name
but truly this is an empty exercise, and I would prefer as much as possible for
GNUmed to avoid to require empty actions.
It would actually be much easier, at the time where the clinician would be
(re)viewing the document earlier attached by the staff, to *see* that no
episode had yet been assigned and to then have the *option* to decide whether
or not to input a value.
This is all rather like the ability to input Uncategorized clinical narrative,
it is just in the scenario of rows it was desired to distinguish 'clinical but
unclassified' rows from
soap_cat = null
where the null was being used to convey administrative entries.
In the case of documents, clinical relevance is assumed unless a praxis would
bother to try to disambiguate things like billing and maybe medicolegal
documents from clinical ones, which is achievable if the praxis would bother to
maintain the
[ ] clinically relevant
checkbox and is really not advanced by the use of unattributed, administrative
episodes if their use would be forced.
-- Jim
- [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Busser, Jim, 2011/12/07
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Busser, Jim, 2011/12/07
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Karsten Hilbert, 2011/12/08
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Busser, Jim, 2011/12/08
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Karsten Hilbert, 2011/12/08
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Karsten Hilbert, 2011/12/08
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Karsten Hilbert, 2011/12/08
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Busser, Jim, 2011/12/08
- Re: [Gnumed-devel] Can we have a refresh of Attach documents (Episodes) when a problem was added to EMR, Busser, Jim, 2011/12/08