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

[James Busser]

On 30-Mar-08, at 4:38 AM, Karsten Hilbert wrote:
> > What we are really talking about is
> > *acknowledging* (and implying the taking of responsibility for) the
> > results.  I am OK to leave the name "review" in schema's columns
> > (fields). However I think it advisable that in the user interface  
> > we use
> > the word "Sign.." on the button, and in the widget change "This  
> > review"
> > to "This signing" (and "the review" to "this signing").
> Done.

When presented with multiple lab results
- they all need to be signed by some clinician (except as part of a  
bulk bootstrap or import, I guess those might best be signed by gm-dbo?)
- they *may* (in some jurisdictions) need to be signed by the  
ordering physician, even if already signed by someone else
- I think we want all clinicians to be able to sign results (for  
example when covering in absence of a colleague)
- therefore we may wish to be able to display the "not check mark"  
whenever
        a result is not yet signed by anyone
        *or*
	a test_result has fk_intended_reviewer = <current user> but is not  
yet signed by current user
- a function or button to filter & sign "my unsigned results" might  
help here... but if the ordering clinician had already signed it,  
might the clinician who is looking after the patient, if different,  
wish to make their own newer entry to revise some values in  
technically abnormal and clinically relevant? Would we therefore keep  
(and not overwrite) the signature of the ordering physician, because  
they have completed their requirement to sign the result. We would  
(?) take the view that if a different clinician wished to revise  
whatever is the current value for technically_abnormal and clinically  
significant, they could do so, and that would be captured and  
reviewable in the audit table if there were later to be an issue?

... I am not sure how the above would interact with the patient vs  
provider inbox, if there were results to be signed, which did get  
signed by a doctor in absence of the ordering doctor, who would later  
need to (re)-sign some of the same results,