Re: [Gnumed-devel] state of test results handling

[James Busser]

On 30-Mar-08, at 3:22 AM, Karsten Hilbert wrote:
> > - would the checkbox "Technically abnormal" within the Review widget
> > serve to let the user overwrite (alter) whatever value had been  
> > provided
> > by test_org?
> No way ! :-)  What the test_org thinks is what they think.
> GNUmed wouldn't dare alter that even if a misguided user
> thinks that'd be a good idea.

Doh!  I misunderstood it to be recorded into each test_result table  
row acknowledged by a clinician but I see the signing information is  
recorded in Reviewed_Test_Results).

I am not sure how the clinician's decision about technically_abnormal  
interacts with the test_org's determination... maybe the test_org's  
indicator of abnormality should be offered as the default value for  
what is to be signed by the clinical, and the value of storing the  
clinician's value separately would in all likelihood be limited to:

- situations when the lab's workflow did not easily allow them to  
send an abnormality indicator with a particular test type and/or
- errors made by the lab in which case the clinician may wish to over- 
ride how the result is regarded in GNUmed
	(this would spare dependence on getting the lab to fix or change  
something, which can be a hassle and which the test_org may or may  
not get around to doing and therefore may or may not reissue that  
result)

If a signer-assigned value for "technically abnormal" exists, should  
that take the place of what the test_org had assigned (not in the  
data table but) as represented in the grid?

Is there a useful way to capture or represent a combination of the  
test_org indicator, the clinician-determined technical abnormality  
and the clinician-determined clinical significance in that padding to  
the right of each cell?