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Re: RFE and AOE was Re: [Gnumed-devel] Translation help
From: |
Karsten Hilbert |
Subject: |
Re: RFE and AOE was Re: [Gnumed-devel] Translation help |
Date: |
Thu, 28 Jan 2010 23:23:03 +0100 |
User-agent: |
Mutt/1.5.20 (2009-06-14) |
On Thu, Jan 28, 2010 at 01:00:52PM -0800, Jim Busser wrote:
> RFE ("Reason for Encounter) starts as either or both of
>
> - the patient's *stated* agenda and/or
> - what that the clinician wants to evaluate or do
I agree. Ultimately, perhaps even with the lofty goal of
enabling scientific analysis at the GP level, after the
encounter the RFE should contain the answer to this
question:
"In retrospect, *what was the patient here for* ?"
> but the content of this RFE field can then be edited, even
> while the visit continues, to allow the doctor to make
> themselves a reminder of what needs attention (or action)
> before closing the encounter / visit.
Yes, this is how the above answer could develop over the
encounter.
In fact, the ultimate form of the RFE will probably only be
known *after* the encounter.
> The nice thing about the implementation of the RFE is that
> it remains available above the set of notelets so that no
> matter which of multiple problem notelet editors that you
> may have open, it remains easy to see whether you have fully
> attended to your "visit" (encounter) "agenda"
That is fully intentional to clearly show the meta-nature of it :-)
> Accordingly, if the above is a shared view, we can
> understand RFE to serve as a text enumeration of the
> one-to-multiple reasons, planned or unplanned, for this
> encounter to "happen"
+1
Shall we improve the Wiki explanation ?
> I would have to check but in a one-problem visit, where your Assessment (soAp
> row) might be
>
> Back pain ?mechanical
>
> then I think you can choose to leave the AOE blank in cases where to write a
> "synthesis" is extra work with no value.
+1
> If this is correct (that the AOE can left blank),
It can, yes.
> then the tree display will (in absence of an AOE) display the content of an
> "A" row.
In fact, the soAp row will supercede the AOE whenever it
exists because the encounters are listed in the tree
per-problem. Such it is fitting to display the soAp for that
problem as the title. Their tooltip, however, contains AOE
and RFE.
> If memory serves, the AOE "auto-offers" a concatenation of
> notelet soAp string(s) which can be user-edited an
> over-ridden.
It does.
Again, in GP scientific terms the AOE should contain the
answer to the question:
"What was the outcome of this encounter, what do I make
of it ?"
Notably, this is *less* well-defined than the RFE ! But
that's the nature of GP work.
Karsten
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