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Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?
From: |
Busser, Jim |
Subject: |
Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter? |
Date: |
Mon, 10 Dec 2012 21:09:05 +0000 |
On 2012-12-10, at 5:21 AM, Karsten Hilbert <address@hidden> wrote:
> <gm-emr_by_mod_time-qeUi5P.txt>
Having now had a chance to look at the output, it's maybe useful to confirm
what it is telling us and the consequence if the Journal would (in production)
take this new approach.
If we would focus attention on the portion of the output (recopied below) which
begins at line 81 about Episode … Bildnotizen
1. we see several occurrences of
Kontakt: in Praxis 2012-12-03 13:24 - 13:37
BA: wants to see Dr.McCoy for scar problems
… can I know whether all of them would have been shown in Journal-by-clin-when ?
2. the dates shown at right within Kontact lines include clin_when dates,
correct?
3. The risk of being misinformed would be when users would newly create (or
else would revise previously-created) clinical entries which pertained to
events some time before. So for example if a patient had a myocardial
infarction in 2010 and the original entry said "right coronary artery stented"
but it is now (2 years later) realized that that is wrong and is now corrected
to "left coronary artery stented" then if we adopt a change to the structuring
of the Journal output, the soap row of which that information is a part will
show up at the bottom of the output.
On the positive, it will be seen that information was recently either newly
inputted (or newly revised to include) the fact that the left coronary artery
had been stented.
We only will not know from the lines (as currently formatted) the associated
clin_when.
I still have the feeling that this offers some value because it informs
whatever someone was most recently working on about a patient's record even if
the problem being worked on was an old problem. The management of the patient
remains best guided by a few things:
1) Per problem, the information that is available for *that* problem and which
is organized according to clin_when
Question:
In the current EMR tree right-side "Journal"
--> what is the hierarchy of organization?
i.e.
2) Across problems, the ability to see what was going on at each contact (an
Encounter-based view which makes available all of the content from any one
encounter).
Encounter (clin _when)
Problem 1 soap rows, sorted (within each cat) by clin_when
U ( ibid )
S ( ibid )
O ( ibid )
A ( ibid )
P ( ibid )
Problem 'n' soap rows ...
=========================================================
2012-12-03 13:28 | LMcC | D | Episode (abgeschlossen): Bildnotizen;
2012-12-03 13:30 | LMcC | … | Deletion of document:
… | 2012-12-03 13:28 "visual progress note"
… | #1: ""
… |
/tmp/gnumed/gm-FCdhFW/gmScannedObj-I9RjmG-001.png
… |
2012-12-03 13:38 | LMcC | … | Kontakt: in Praxis 2012-12-03 13:24 - 13:37
… | BA: wants to see Dr.McCoy for scar problems
… | BE: Bildnotizen;
2012-12-03 20:42 | LMcC | … | Kontakt: in Praxis 2012-12-03 19:39 - 20:42
… | BA: wants to see Dr.McCoy for scar problems
2012-12-04 17:00 | LMcC | … | Kontakt: in Praxis 2012-12-04 16:52 - 17:00
… | BA: wants to see Dr.McCoy for scar problems
2012-12-04 18:05 | LMcC | D | Episode (andauernd): test;
2012-12-04 18:05 | LMcC | A | S oap
2012-12-04 18:05 | LMcC | B | s O ap
2012-12-04 18:05 | LMcC | D | so A p
2012-12-04 18:05 | LMcC | T | soa P
2012-12-04 19:07 | LMcC | … | Kontakt: in Praxis 2012-12-04 18:59 - 19:07
… | BA: wants to see Dr.McCoy for scar problems
2012-12-05 12:42 | LMcC | … | Kontakt: Akteneinsicht 2012-12-05 12:42 -
12:42
… | BA: wants to see Dr.McCoy for scar problems
2012-12-06 11:21 | LMcC | … | Kontakt: in Praxis 2012-12-06 11:20 - 11:21
… | BA: wants to see Dr.McCoy for scar problems
2012-12-06 11:33 | LMcC | D | Episode (andauernd): wants to see Dr.McCoy
for scar problems;
2012-12-06 11:33 | LMcC | A | fd fasd
A |
A | adf as
A | as
A | asd as
A |
A |
A |
A | asdf asdf a
A |
A |
A |
A | asdf ass df
A | a
2012-12-10 11:13 | LMcC | … | Kontakt: in Praxis 2012-12-10 11:06 - 11:13
… | BA: wants to see Dr.McCoy for scar problems
=======================================================
-- Jim
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Busser, Jim, 2012/12/02
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Karsten Hilbert, 2012/12/06
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Karsten Hilbert, 2012/12/10
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?,
Busser, Jim <=
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Karsten Hilbert, 2012/12/10
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Busser, Jim, 2012/12/10
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Karsten Hilbert, 2012/12/10
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Busser, Jim, 2012/12/10
- Re: [Gnumed-devel] Synopsis (AOE?) attaches to the prior encounter?, Karsten Hilbert, 2012/12/12