Re: [Gnumed-devel] Some issues - grouping of display, profiles etc

[Busser, Jim]

On 2013-07-14, at 11:39 AM, Karsten Hilbert <address@hidden> wrote:

> (unless the user employs panels to recreate the lab
> grouping, which an importer might automatically do if the
> information is avaliable in the incoming data file, which
> holds true in many cases for HL7).

I confess having no clear idea yet how all important fullness of what is 
contained in the appended HL7 message (see between the two ======= ) is 
proposed to be displayed in GNUmed.

Notes:

- the test code is 'HP' and its expanded test name is 'Hematology Panel'
- this 'test' provides, in total

1 'note' that is *not* about any of the measurements, but rather about the 
'panel as a whole':
        'TOXIC GRANULATION present'

16 measurements (these are OBX 1 through 16)

1 note pertaining to one of the measurements (this is the NTE located below OBX 
9)

So far, I understand that the NTE pertaining to OBX 9 is intended to be 
included in the GNUmed tooltip for the associated cell which holds the platelet 
count of 459.

Even so,

--> it is important to ensure that even without looking in the tooltip, the 
user can somehow be aware, from something visually evident in the cell, that 
the tooltip contains something that is possibly important. The way that the 
hospital handles this is, if you go back to look at

        http://lists.gnu.org/archive/html/gnumed-devel/2013-07/msg00122.html

is to append, into the cell (after the indicator) an @ symbol.


Secondly, where in GNUmed measurements would we display

        NTE 'TOXIC GRANULATION present'

bearing in mind that this is a property of the test panel, and not of any of 
the individual measurements?


One option is to recognize that the OBX 16 (which is a pathologist comment) is 
supposed to get a row (cell) of its own anyway.

Maybe when

        OBR

is followed by an

        NTE

then it needs to be imported as a measurement into the test_result table.

-- JIm

=================

ORC|RE||09-999888206-HP-1|||||||||90909^MDCARE^BOB
OBR|1||09-999888206-HP-1|HP^Hematology 
Panel||20091130150900|20091130150900|||||||20091130150900||90909^MDCARE^BOB||||||20091202110155||HAEM1|F|||C1282^GARDEN
 CITY MED CLINIC~90909^MDCARE^BOB
NTE|||TOXIC GRANULATION present
OBX|1|ST|6690-2^WBC||33.5|giga/L|4.0-10.0|A|||F|||20091202110155
OBX|2|ST|789-8^RBC||3.74|tera/L|4.20-5.40|A|||F|||20091202110155
OBX|3|ST|718-7^Hemoglobin||110|g/L|133-165|A|||F|||20091202110155
OBX|4|ST|4544-3^Hematocrit||0.35||0.38-0.50|A|||F|||20091202110155
OBX|5|ST|787-2^MCV||93|fl|82-98|N|||F|||20091202110155
OBX|6|ST|785-6^MCH||29.4|pg|27.5-33.5|N|||F|||20091202110155
OBX|7|ST|786-4^MCHC||318|g/L|305-365|N|||F|||20091202110155
OBX|8|ST|788-0^RDW||14.0|%|11.5-14.5|N|||F|||20091202110155
OBX|9|ST|777-3^Platelet Count||459|giga/L|150-400|A|||F|||20091202110155
NTE|||The platelet count may be higher than\.br\quoted due to the presence of 
platelet \.br\aggregates. If an accurate platelet\.br\count is required, 
suggest recollect\.br\in Citrate and EDTA.\.br\
OBX|10|ST|751-8^Neutrophils||32.5|giga/L|2.0-7.5|A|||F|||20091202110155
OBX|11|ST|731-0^Lymphocytes||0.2|giga/L|1.0-4.0|A|||F|||20091202110155
OBX|12|ST|742-7^Monocytes||0.8|giga/L|0.1-0.8|N|||F|||20091202110155
OBX|13|ST|711-2^Eosinophils||0.0|giga/L|0.0-0.7|N|||F|||20091202110155
OBX|14|ST|704-7^Basophils||0.0|giga/L|0.0-0.2|N|||F|||20091202110155
OBX|15|FT|6742-1^RBC Morphology||RBC MORPHOLOGY essentially 
normal\.br\PLATELETS         slightly increased\.br\||||||F|||20091202110155
OBX|16|FT|14869-2^Pathologist Comments||Reviewed by Dr. SSSS\.br\Neutrophilia 
suggestive of\.br\infection/inflammatory process, reaction\.br\to underlying 
malignancy.\.br\||||||F|||20091202110155

================