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From: | James Busser |
Subject: | Re: [Gnumed-devel] More lab test result considerations: groupings |
Date: | Thu, 14 Feb 2008 12:04:58 -0800 |
On 14-Feb-08, at 8:16 AM, Karsten Hilbert wrote:
We don't need them *in their own table structure* however the the test org lab sections (HAEM, CHEM, MICRO, IMMUN) could be usefully imported into a catch-all text field if we were to add one to lab_requests, something like the test_result table note_provider (to be renamed note_test_org)From reading a bunch of stuff (the HL7 standard itself is not freelyavailable) on the web (such as http://aurora.regenstrief.org/ ~gunther/)I figure that HL7 wants OBR to be what we consider lab_request to be. I think in the first iteration we will equate the two and add fields as necessary. IOWIf we had a field of same or equivalent name in lab_requests, the OBR 024 "Diagnostic Service Section" names could update/append into here.we will add a field lab_request.service_section.
I agree that the service_section has (only) *limited* value. The section info is not *totally* valueless, it serves mainly if there is an issue with your test of interest, and you end up needing to know what section technician you will need to speak with, because the front desk never knows when the infrequently-performed test that you are waiting for will be done, nor do they tend to know --- when there is a suspicious or unclear result --- the section to which they should forward your call, and you can burn up a lot of the time on the phone waiting.
If we reconsider, and suppose that we ordered tests whose information returned by the lab included (any of which could be resulted or pending)
OBR 004 Universal Service ID = YGT^Gamma GT OBR 024 Diagnostic Service Section = CHEM4 OBR 004 Universal Service ID = ALT^ALT OBR 024 Diagnostic Service Section = CHEM4 OBR 004 Universal Service ID = AST^AST OBR 024 Diagnostic Service Section = CHEM4 OBR 004 Universal Service ID = HP^Hematology Panel OBR 024 Diagnostic Service Section = HAEM1 OBR 004 Universal Service ID = PT^INR OBR 024 Diagnostic Service Section = HAEM3 OBR 004 Universal Service ID = URC^URINE CULTURE OBR 024 Diagnostic Service Section = MICRO3 OBR 025 Result Status = P (pending) OBR 004 Universal Service ID = ENDO^Endometrium Culture OBR 024 Diagnostic Service Section = MICRO3 OBR 025 Result Status = P (pending) If we ask ourselves"What would be most useful to capture from the above, and keep with the lab request as note_org_info *instead* of as service_section ... "
I would venture it could be:Gamma GT, ALT, AST, Hematology Panel, URINE CULTURE (P), Endometrium Culture (P)
IOW subsegments that combine the test names with their status (when not FInal).
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