Re: [Gnumed-devel] Re: Cannot change the dates of the encounters

[James Busser]

On 5-Sep-08, at 5:15 AM, Karsten Hilbert wrote:

> Shall we capture some of this thread close to
>
>         http://wiki.gnumed.de/bin/view/Gnumed/BasicEmrConcept

I have added to the above, and also to

        http://wiki.gnumed.de/bin/view/Gnumed/EncounterEpisodeIssue

where I added

> Referring back to the example at Dipity, we recall that encounters  
> would be chronological along the time line, with each encounter  
> contributing to one or multiple episodes.
>
> Now, if you go straight up from one particular encounter you will  
> cut through a few stripes == episodes. If you want to print the  
> encounter details within the entry for each episode (as we do in  
> the EMR tree) you will see the same encounter printed several  
> times. And if you edit the encounter at the bottom it will show up  
> changed in all the episode cross-sections.


In point of fact, one encounter may not cut through the episodes  
exactly vertically. At any one encounter with the EMR, say during a  
visit today, you may add some information pertaining to earlier  
events in an episode. The episode might even have been closed. So  
there is a difference between being able to see the information in  
the context of when the event was understood to have *occurred* and  
the fact that the information is only being recorded today. I would  
not want the fact that I today add and comment about a document,  
which was mishandled or only received for the first time today, about  
last year's appendicitis, to force me to re-open the episode and make  
it appear that the clinical problem of appendicitis had any clinical  
activity. I only ant to be able, if I would review the information  
about the appendicitis, to be able to identify that the information  
was only just added.