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Re: [Gnumed-devel] Dd vs final diagnosis


From: Busser, Jim
Subject: Re: [Gnumed-devel] Dd vs final diagnosis
Date: Thu, 9 Aug 2012 06:05:54 +0000

On 2012-08-08, at 10:45 PM, Vaibhav Banait <address@hidden>  wrote:

> Hi
> Consider a scenario of upper abdominal pain, where doctor puts assessment as
> 1. Gall stone disease
> 2. chronic pancreatitis 
> 3. Acid peptic disease 
> Now on investigation, duodenal ulcer was seen on endoscopy. So final 
> diagnosis is duodenal ulcer. Now, when health issues are printed, it fails to 
> suggest that previous issues mentioned are dd, while final diagnosis is du. 
> All are printed. This needs clarity. Any suggestion is well come 
> Regards 
> Vaibhav

Is the above assessment

        1
        2
        3

multiple items placed in a single soAp row, in a single visit (in which case 
this information would print as part of printing the narrative, but it would 
not print as part of the list of Health Issues.


Or is it a *series* of diagnoses, provisionally

        1 (at the first encounter)

        2 (at the second encounter)

        3 (at the third encounter)

where it is the most recent of the above (#3) that would be contained in an 
Assessment row?


-- Jim


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