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[Gnumed-devel] Inadvertent deletion of Procedure when Deleting episode


From: Busser, Jim
Subject: [Gnumed-devel] Inadvertent deletion of Procedure when Deleting episode
Date: Thu, 1 Aug 2013 00:48:38 +0000

Procedures are currently (1.3.7) required to be keyed to either a

        {Location, Episode} combination

or a hospitalization.

Since patients can have surgery at a hospital without a 'hospitalization' 
(without an inpatient stay) it is desirable to be able to input the hospital as 
a location, but this still then needs an episode.

The problem of entering a "historical procedure" is that it is not enough to 
create the Health Issue (Past history item) which demanded the surgery, for 
example that they had been involved in a motor vehicle accident in 2009.

You have to also create an episode, which defaults to "now" and "active", and 
if you then input a procedure, with its proper date from 2009, you eventually 
observe in the EMR tree this 'active' episode and which you neither really want 
and which you risk to think that you do not need, so that if you then delete 
it, since you care only to maintain in the record the historical MVA from 2009, 
you end up (without warning) deleting the Procedure as well.

Can it be possible for a Procedure to attach (be keyed) to a Health issue, so 
that it does not become necessary to create a historical episode to which to 
attach a procedure? Especially since the procedure has a date.

-- Jim


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