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Re: [Gnumed-devel] Jims SOAP comments + Dr Messages+ Time Elapsed


From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Jims SOAP comments + Dr Messages+ Time Elapsed
Date: Tue, 16 Nov 2004 11:05:39 +0100
User-agent: Mutt/1.3.22.1i

> re: Patient Requests, History Taken, Clinical Findings, Assessment, Plan

> So it could be "Purpose" (since "Objective" would need disambiguation 
> from the Objective examination).
I am fine with any of these.

> To all, within Purpose (or Patient requests or RFE), does it matter 
> whether one part "followup high BP" was doctor-initiated while some 
> other part was patient initiated?
It might matter medico-legally someday but I don't think we
need to let that influence our labelling decision. One would
either document that fact in the Purpose itself ("seeks
followup high BP") or prove that from a string of other clues,
eg a phone call encounter about a followup recall, an
appointment booking, ...

Karsten
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