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

[James Busser]

On 15-Oct-08, at 2:01 AM, Karsten Hilbert wrote:

> > 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?
>
> There is currently no other place in the backend for it
> unless you want to put it into the label of the health
> issue.
>
> > 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?
>
> They could but we would need to provide a field for the data
> in the backend. I have for now renamed the pseudo episode to
> "inception notes" to make things more obvious. There
> certainly *was* an episode of some sort back in the days
> even if we don't know anything else about it.

Yes, there must have been an episode of illness. But there may -- or  
may not -- have been an episode of care around that illness.

I have been thinking further around retrospective documentation.  
Think of a patient who comes into the praxis with a discharge summary  
from a hospitalization during the 8 months that the patient lived and  
worked in Italy. I might choose make an episode "hospitalization,  
Florence IT" under the problem(s) which got care. Each problem, where  
it would be useful, could cause me to input 2-3 lines of information  
so that I can better maintain a record of the patient's care  
(including care not delivered by me).

Can we think through how any difference between clin_when and  
care_when would be managed?