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Re: [Gnumed-devel] Measurements (was: New developer searching for a task


From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Measurements (was: New developer searching for a task)
Date: Thu, 5 Dec 2002 13:35:51 +0100
User-agent: Mutt/1.3.22.1i

> [x] We extend the meaning of a clinical transaction
>     so that no doctor needs to be involved, and neither
>     did the patient have to have had any contact with
>     clinical personnel at the entered time
> 
> [ ] We treat measurements seperately from clinical
>     encounters (of course remaining the ability
>     to connect them, or attach them to clinical
>     episodes etc.)

Easy enough. Just change clinical_transaction.id_doctor to
clinical_transaction.id_provider. Since we want our staff in
the identity database anyways there's no difference between
type(id_provider) == patient and type(id_provider) == doctor.
There may be problems, however, with things like review boards
of specialists and similar groups. This was raised recently on
the OpenEHR mailing list (GEHR). I don't see the big problem
yet as in those groups a few people always sign off the
transaction (consensus document or whatever).

Karsten
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