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[Gnumed-devel] 0.3.2 feedback: EMR tree also Past History item behaviour


From: James Busser
Subject: [Gnumed-devel] 0.3.2 feedback: EMR tree also Past History item behaviours
Date: Fri, 12 Sep 2008 09:39:56 -0700

Past History items are handled (or at least shown) non-uniformly depending on any text entry into the "Progress note" field inside the EMR > History taking... widget.

In the earlier screenshot, items
        pseudo item xage 9 w note
        s/p carcinoid polyp removal
were both done with some text entry whereas
        pseudo item to be at age 10
        s/p cholecystectomy, appendiectomy
were not.

4) all 4 items are past history items, yet 2 items are accorded 3 lines in the tree, and two only a single line not showing they are past history items. In point of fact, all health issues becomes part of the past history immediately with the passing of any time, it is just that a subset continue active into the present. So there is something very artificial about this presentation.

I understand it may simply be the default result of how the tree programmatically builds from the encounter / episode / clin narrative rows.

But if the clin.clin_narrative entry which was created with the past history item does in fact lack a proper episode anyway, can the text be expressed other than it is now?

Instead of devoting an "Episode" to it, can such Past History items instead be displayed without an episode until something more than the original entry has happened?

Could whatever was entered at item creation be instead displayed in the right-side area approximately

        Foundational Health Issue
          Noted...
          Status:
-->  <here as> Comment: or as Creation note: or Inception note:
instead of as right-sided text under a "closed" episode "past history item"?





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