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Re: [Gnumed-devel] 0.3.2 feedback: EMR tree also Past History item behav
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] 0.3.2 feedback: EMR tree also Past History item behaviours |
Date: |
Wed, 15 Oct 2008 11:01:03 +0200 |
User-agent: |
Mutt/1.5.18 (2008-05-17) |
On Fri, Sep 12, 2008 at 09:39:56AM -0700, Jim Busser wrote:
> Past History items are handled (or at least shown) non-uniformly
> depending on any text entry into the "Progress note" field inside the
> EMR > History taking... widget.
Correct.
> In the earlier screenshot, items
> pseudo item xage 9 w note
> s/p carcinoid polyp removal
> were both done with some text entry whereas
> pseudo item to be at age 10
> s/p cholecystectomy, appendiectomy
> were not.
>
> 4) all 4 items are past history items, yet 2 items are accorded 3
> lines
> in the tree, and two only a single line not showing they are past history
> items. In point of fact, all health issues becomes part of the past
> history immediately with the passing of any time, it is just that a
> subset continue active into the present. So there is something very
> artificial about this presentation.
Yes. We could rename the artifical episode "Inception notes"
to make things more obvious.
> I understand it may simply be the default result of how the tree
> programmatically builds from the encounter / episode / clin narrative
> rows.
Yes, because the "comment" is just another soap row.
> But if the clin.clin_narrative entry which was created with the past
> history item does in fact lack a proper episode anyway, can the text be
> expressed other than it is now?
There is currently no other place in the backend for it
unless you want to put it into the label of the health
issue.
> Instead of devoting an "Episode" to it, can such Past History items
> instead be displayed without an episode until something more than the
> original entry has happened?
They could but we would need to provide a field for the data
in the backend. I have for now renamed the pseudo episode to
"inception notes" to make things more obvious. There
certainly *was* an episode of some sort back in the days
even if we don't know anything else about it.
Karsten
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