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

[James Busser]

On 20-Sep-08, at 4:49 PM, Karsten Hilbert wrote:

> > how is it that Kirk has
> >
> >         Unatttributed episodes
> >                 back pain
> >
> > when the episode of back pain has
> >
> >         "... no encounters for this episode"
> >
> > ??
>
> Because it may have only encounters during which only documents or  
> lab tests were added.
> Those do not show up in the tree because they do not contain  
> narrative AFAIR

Even when there had been no progress notes, a highlighted episode  
normally lists at right any attached documents (see "postop infected  
laceration") but there were none. Measurements are currently  
recognized on at the individual encounter (BTW is this intentional to  
not list, or at least acknowledge coalesced, attached measurements at  
the episode level??).

However, by hovering over each of the existing labs, they can be seen  
as not episoded to "back pain".

If a user were able to save, under a "new episode", an "empty"  
progress note, possibly only a single clin_narrative row would be  
created (the one in which the episode name was created and saved) and  
perhaps this is reasonable for the tree to omit. Normally the  
creation of a past history item should only cause an episode to be  
created in association with a past history item "comment" so I dunno  
if somehow an episode got created without a comment, and what we see  
in the EMR Journal is the single "S" (Soap) row having text "Episode:  
back pain"... created by <gm-dbo>.

Maybe it can be considered if this was some quirk of the bootstrapped  
data set. Perhaps this needs await your return so that you can (maybe  
better than I) determine from pdaminIII what other records may relate  
to the same encounter in which the episode was created. :-)

So maybe it is better after the above has a chance to be figured out  
to reconsider the question. That is, the question of whether to  
indicate, under episodes, the encounters in which there had been  
attached activity even when users did not make comments.