Re: [Gnumed-devel] EMR tree right-pane Synopsis tweak request

[Karsten Hilbert]

On Tue, Jul 30, 2013 at 11:59:13PM +0000, Jim Busser wrote:

> --> and if I experiment with the status flags and alter the "Health Issue" 
> "Angina" to "inactive" the result is
> 
>        4 known problems, clinically relevant thereof:
>          »Angina« (active)
>          »Angina« (inactive)
>          »Aortic stenosis, severe« (active)
>          »Renal cell Ca, 4+ cm, left, presumptive« (active)
> 
> - are there situations where is makes sense for a Health
> Issue to be "inactive" even despite that the episode
> contained therein is "active"?

Not really, I presume ...

> - or should the existence of an active episode within a
> Health Issue always cause the Health issue to be active?

Hm, I guess. I wrote a trigger to do that.

> - when an episode which had been active (of which there
> can only be one at any one time) becomes inactive, should
> that make the Health issue inactive or do we stop short of
> such extensions, and keep them unidirectional (i.e. active
> episode makes inactive health issue --> active but not the
> converse, since a chronic disease might remain "active" even
> despite that the most recent episode had "settled down"?

I agree with not doing the reverse. Also, when the user
manually inactivates an issue I don't think we should be
second guessing and close any open episodes thereof.

Karsten
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