Re: [Gnumed-devel] clinicians: coding use case survey - please respond !

[Rogerio Luz Coelho]

2011/5/4 Karsten Hilbert <address@hidden>

On Wed, May 04, 2011 at 03:10:53PM -0300, Rogerio Luz wrote:

> > Just so I get this right:
> >
> > When you rename an episode (or issue) from "Diabetes type 2,
> > insulin dependant" to "Hypertension" you *do* want to have
> > the Diabetes codes stick with the now-Hypertension episode ?
>

> When does this renaming take effect?  For now *yes* I would like to be stuck
> with that code, if it was not put there by mistake. If I am with a DM
> patient that now BECOMES Hyper I would like it to stick.
>
> Give me an example of a work flow and I will try to explain my view.

- user starts GNUmed
- user activates Kirk
- user sees episode "Diabetes" with Diabetes ICD code
- user goes "WTF ?!? This episode is about hypertension !"
- user edits episode name to "Hypertension"

At this time do you want to end up with the now-Hypertension
episode still having the Diabetes ICD code ?

BIG YES ... although this is a good example
- how about the user that goes to Kirk and says ... WTF I left that episode as DM because I was suspecting it at the time ... renames it again and we lose Hypertension.

I preffer to make a coment on the EMR than to miss a diagnosis. Could we (and this maybe a HUGE request) put a signal beside the code that it has been changed?

Rogerio