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[Gnumed-devel] Consultation editor... refactor how/when it is offered, a


From: James Busser
Subject: [Gnumed-devel] Consultation editor... refactor how/when it is offered, and rename to Encounter editor
Date: Wed, 17 Sep 2008 11:00:23 -0700

On patient activation, if an encounter was not already running, I surmise an encounter is auto-opened and defaults *invisibly* to the user-modifiable default value "in surgery".

At patient activation it would be great for the user to be offered a tweaked version of the current Consultation Editor (better renamed the Encounter editor).

Depending if the last encounter was below its maximum duration setting, the user is offered -- not through a dialog, but as a button within the editor -- whether to continue the present encounter, whose details are clear by their presentation to the user. The user can then better decide whether to:
- continue the encounter *without* yet modifying any values
(maybe they are just coming back to extend their notes without a change in RFE) - continue the encounter *with* modification, because the patient has returned to ask about something more, so the user wants to extend the RFE
- or start a new encounter

A new encounter supercedes (yes??) the old one as the most-recently *started* encounter and therefore it is only this newer one which can get offered, within its life span?

Progress note activity (as opposed to EMR viewing activity) predicts the need to input the encounter type and RFE and AOE details. Thus, I suggest that upon clicking the Progress Note tab, the Encounter editor be made available. This is the most natural point in which to suitably set the Type or expand/update the RFE of the encounter. I suggest that the AOE may be better updated later in the encounter i.e. at the point of choosing to "finish" it.

What is the level of agreement (or any disagreement) on the above? Should it be a preference in

GNUmed > Options > User interface > Progress note handling > ??? On entry prompt summary

By the way, if, during an "in surgery" encounter, a user wanted to put in Past History items and, to decouple the clinical dates did

        EMR > Start new encounter

this would prevent the "in surgery" encounter from being continued, even though it would still be within its maximum allowed?




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