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Re: [Gnumed-devel] Re: Cannot change the dates of the encounters
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] Re: Cannot change the dates of the encounters |
Date: |
Fri, 5 Sep 2008 09:49:12 +0200 |
User-agent: |
Mutt/1.5.18 (2008-05-17) |
On Thu, Sep 04, 2008 at 05:43:31PM -0700, Jim Busser wrote:
> 1) the identification and recording of when it was --- i.e. on what
> year / month / date / time --- that a clinical event of interest had
> occurred. Examples might include removal of a patient's appendix back in
> 2002 (although we may not know the month or date) or the fact that the
> patient was seen in the office or praxis yesterday, when it was so crazy
> busy that I overlooked to record my progress note, which I may like to do
> *now*. Clearly, I can have no objection that the EMR records now as the
> date and time of my *entry* but have we a way to capture and display that
> a visit occurred yesterday even though it is only being documented now?
Sure
- activate the patient
- document today
- start a new encounter
- document yesterdays notes under that encounter
- edit the encounter details to yesterdays date/time
If you don't document anything today you don't even need to
start a new encounter.
> 2) the datetimes when a single entry (or multiple entries) were written
> into the EMR, where the one entry (or the cluster) got defined as
> belonging to one single encounter, where each encounter is
> chronologically distinct from every prior encounter, and from every
> subsequent encounter?
I am not sure I get the question :-)
> I am almost getting the feeling that every clinical record needs not
> only a datetime stamp for when it was written, but also a clinical
> timeline entry which can default to current but which can be modified to
> determine its presentation order.
Absolutely. We have implemented that for some crucial
things (like health_issue.age_noted or test_results).
Karsten
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- [Gnumed-devel] Re: Can�t change the dates of the encounters, Karsten Hilbert, 2008/09/03
- Re: [Gnumed-devel] Re: Can�t ch ange the dates of the encounters, Rogerio Luz, 2008/09/04
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, James Busser, 2008/09/04
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters,
Karsten Hilbert <=
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, Karsten Hilbert, 2008/09/05
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, Karsten Hilbert, 2008/09/05
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, James Busser, 2008/09/05
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, Karsten Hilbert, 2008/09/05
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, James Busser, 2008/09/05
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, Karsten Hilbert, 2008/09/06
- Re: [Gnumed-devel] Re: Cannot change the dates of the encounters, James Busser, 2008/09/06
Re: [Gnumed-devel] Re: Can� t change the dates of the encounters, Karsten Hilbert, 2008/09/05