Re: [Gnumed-devel] Misconceptions about scratchpad, inbox,reminders.

[Karsten Hilbert]

> I was thinking that the importer could identify the ordering (or cc) 
> doctor + patient combination for each test result
If written that way it could.

>, check whether the 
> inbox for that doctor already has an inbox notification for that 
> patient that has not been viewed and, if so, does not bother to 
> create a new inbox record, because the doctor on checking their inbox 
> can already be aware that there is something to check for that 
> patient.
That is how it should work. Also, you have a fairly good
argument here against my idea of being lazy and using standard
e-mail as the provider inbox (that is, it may be a bit hard to
reliably check whether some notification is already there).

> The inbox notification for that doctor / patient combination can have 
> a flag for whether or not any of the results that have come in are 
> abnormal. As soon as a result is imported that *is* abnormal, the 
> flag could be updated.
Surely.

> Let's say a doctor was out of the office for a day, they come back 
> they have in their (individual) inbox
> 
> - 80 patients who have test results notification
There would be (< 80) notifications in that providers inbox.

> (these notify in 
> fact of 800 tests but there is not a need to put all 800 in the 
> inbox!)
Even if - there would only be 10 entries per *patient inbox*.

> and it could be included in the inbox that of those 80 
> patients, 50 have abnormal tests and if we supported the ability to 
> store "critical" abnormal levels if that is what a lab provider can 
> notify, we could know that 7 are critically abnormal.
sure

> Optionally the 
> importer, as it was updating the status flag of whether any of the 
> tests were abnormal, could increment how many test there are to 
> review,
Getting the count would be done by the inbox, not by the
importer. The technique is to query the data, not keep a
tally.

> however would get out of sync of the doctor reviewed some but not all.
Why ?

> - when focusing on a single patient, it should be possible to see the 
> same notifications pooled across doctors (and pooled across 
> non-doctor office staff to whom tasks may have been delegated) but 
> filtered on that patient. These items could be subgrouped by the type 
> of item.
yes

Karsten
-- 
GPG key ID E4071346 @ wwwkeys.pgp.net
E167 67FD A291 2BEA 73BD  4537 78B9 A9F9 E407 1346