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Re: [Gnumed-devel] gmClinNarrative: some questions


From: Karsten Hilbert
Subject: Re: [Gnumed-devel] gmClinNarrative: some questions
Date: Sat, 31 Jul 2004 10:40:55 +0200
User-agent: Mutt/1.3.22.1i

> Whatever you do DO NOT add AOE (assessment of encounter to the SOAP control).
That is *your* take, Richard. Also, any user of the SOAP
control is free to use whatever labels (and how many) one sees
fit.

> The AOE is as the name suggests an assessment or summary of the entire 
> encounter which will most often be made up of many soap notes.
Since I invented the term I shall take the liberty to
disagree. What I had in mind is this (and this is consistent
with some of the literature):

patient has problem, comes in, states as RFE

doctor dissects the problems and acts

doctor writes one AOE per "episode"

I have started to think that AOE isn't the best term for what
I intended. Actually, what I thought it would contain is the
"outcome" of the encounter-part relating to one episode (which
may exhaust itself in that one encounter).

I agree that perhaps it is not useful in the basic version of
a "SOAP" SOAP control to include the RFE as it would usually
already be there (disregarding the "quality" of it) courtesy
of frontdesk staff. So, in this specific instance, let's
follow Richard's advice but in *principle* - no, if someone
feels like including the RFE - fine.

> AOE textbox probably at bottom the progress notes screen which will contain a 
> summary/doctors comments of the ENTIRE encounter
This is not what I intended. Also, this is not possible in the
backend. The backend links AOEs to episode-encounters. We do
not have a field for "summary of encounter". That would,
however, be generatable. Just concatenate all the AOEs for one
encounter.

Karsten
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