Re: [Health-dev] [task #13956] Native mobile application for GNU Health

[Cédric Krier]

On 2016-04-18 12:44, Luis Falcon wrote:
> > > An patient evaluation / encounter is a medical act. By definition,
> > > it involves the interaction of a health professional and a patient.
> > > It has medical, administrative and legal implications, as well as
> > > restrictions on who can see that information. It definitely involves
> > > much more than just vitals, or restricting by domain.
> > > The data collected by the patient without the presence or
> > > supervision of a health professional is subjective.  
> > 
> > Can you explain why it can not be solved by a domain? As far as I see
> > it is the same data except as you said the person involved are
> > different.
> 
> No, it is not the same data, and it's not really a technical issue. The
> medical encounter / evaluation is way richer and complex. To start, it
> involves the encounter between a health professional(s) and a patient.
> There are many other aspects and processes ( chief complain, HPI,
> clinical findings, Dx / DDx, discharge reason, plan, ...).  It's in the
> context of a medical act, normally associated to an appointment, with
> the digital signature of the health professional, etc..
> 
> They are just two different models for two different things, from the
> medical, administrative and legal point of views. 

Then I would turn the question this other way. Why not the new model be
used by the patient evaluation model?
For me, they clearly share many things in common so it is better to be
stored in the same table.


-- 
Cédric Krier - B2CK SPRL
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