@Friedman; I'm sorry for answering later to the comments you made on the last question relevant to the Lab module.Your explanations on Lab module were helpful. Thanks.
On Mon, Feb 13, 2012 at 7:25 PM, Friedman, Roger (CDC/CGH/DGHA) (CTR) < [email protected]> wrote: > Dear Faustin,**** > > Sorry I did not get back to you after Implementers Conference as > promised, got involved with raxa-jss lab module which hopefully will reach > a decent state soon.**** > > I think you need to be concerned about the fact that what the doctor > orders is typically a panel of tests, e.g. whole blood count, and there are > many results, e.g. white blood count, platelet count, leukocyte number, > hemogloblin. So the order will reference a set and the observations will > be of set members. Note that even things that might not look like a set > may turn out to be one -- CD4 count and CD4 percent as results from a CD4 > test; HIV rapid test result, initial test kit lot number, confirmatory test > kit lot number from an HIV test.**** > > You also need to take care because OpenMRS allows only one test and > one accession number per order. This is not always the case -- TB > diagnosis requires 2 or 3 sputum specimens, depending on the protocol.**** > > Dave is certainly right in noting 3 different steps -- the order, the > specimen collection and the testing. Note that at order time, there is no > specimen ID/accession number (unless you are dealing with a specimen > collected by the doctor, like a skin snip or a pus specimen). **** > > Also note that you can have an encounterless observation. That is, > the result would be linked back to the lab order and not to a third-step > encounter. So your statuses become:**** > > * pending -- order exists with no accession number, no discontinued date > and no linked obs**** > > * discontinued -- order exists with discontinued date**** > > * collected -- order exists with accession number, no discontinued date, > and no linked obs **** > > * completed -- order exists with no discontinued date and linked obs**** > > ** ** > > ** ** > > *From:* [email protected] [mailto:[email protected]] *On Behalf Of *Dave > Thomas > *Sent:* Tuesday, February 07, 2012 7:13 PM > *To:* [email protected] > *Subject:* Re: [OPENMRS-DEV] How to assign exams results to one Lab > encounter when the exams are ordered on the same date?**** > > ** ** > > Hi Faustin. For Openmrs1.6, you should add the obs with the test results > to the original encounter. They shouldn't be added as just Obs with no > encounter associated with them. The model should be that the result obs > are saved inside the original encounter, and each result obs should have > its 'order' property set to the Order for that test. > > And, accession_number is the sample/specimen Id. And autoExpireDate is > really mostly for drugOrders -- it says that an order will be stopped on > that day (in the future). > > d**** > > On Tue, Feb 7, 2012 at 12:16 AM, Maniragena faustin <[email protected]> > wrote:**** > > Hi Dave, > Just realized you didn't understand very well the question.So, allow me to > explain in details the work flow of Lab module. > *1Step*:On patient dashboard I created a new tab called " Lab order".When > you click on this tab you get a list of all oderable exams at Health Center > or Hospital.By asking the patient relevant questions,the clinician will be > able to select exams to be ordered for more diagonisis. When the selected > Lab exams are ordered ,the Encounter between the patient and Clinician is > created. > Note:This page with Lab order is intended for Physician/Clinician ordering > Lab exams. > *2nd Step*:After the clinician orders lab exams,the patient leaves for > Laboratory to give the sample of those ordered exams in first step.On the > basis of patient name or identifier the laboratory technician automatically > loads all ordered tests from the system for that specific patient and > ordered tests are dis played as it looks like below:**** > > *Number***** > > *OrderId***** > > *Test Name***** > > *Ordered on***** > > *Status***** > > 1**** > > 4560**** > > hemoglobin**** > > 02/02/2012**** > > *incomplete***** > > 2**** > > 4561**** > > CD4**** > > 02/02/2012**** > > *incomplete***** > > 3**** > > 4562**** > > Malaria Smear**** > > 02/02/2012**** > > *incomplete***** > > 4**** > > 4562**** > > Stool exam**** > > 02/02/2012**** > > *incomplete***** > > The result will be added later in next step. > Note:This table above is viewed by Laboratory tecnician when he is > checking the orders for a specific patient > *3rd step*:When results are available ,the next step is to add the > results.The Lab technician click on incomplete status and get the form > below from it the result will be filled in.**** > > Patient**** > > Benz Jean**** > > Observation date**** > > **** > > Location**** > > **** > > Test**** > > Hemoglobin**** > > Results**** > > **** > > **** > > SAVE**** > > When this form is Saved,the encounter whose encounter type is Laboratory > encounter type is created.Now the key challenge I 'm facing is to add > results for all exams and links them to this Last Lab encounter that > created at this 3rd step. > Note;This forms is saved as obs. > For further information on your Lab entry,How do u manage the sample and > specimen number of exams?In which table are the specimen number saved?What > does autoExpireDate, AccessionNumber (from Order properties) mean? > > I think the work flow can make you the logic we are using. > > Faustin. > > > > > > > > **** > > On Tue, Feb 7, 2012 at 3:01 AM, Dave Thomas <[email protected]> wrote:**** > > Hi Faustin. I don't totally understand the question, but if you nemed to > say what test results correspond to what Obs, there's the property > Obs.orderId that lets you explicitly join an Obs (the test result) to the > Order. > > If you mean, 'should there be different Encounters for 1) the physician > ordering the lab test 2) the sample collection and 3) the test result > becoming available', the answer is this: > > In newer version of openmrs, there's a Visit object, that is a parent > object to Encounter, that allows you to group multiple Encounters into a > Visit. > > However, for openmrs1.6, i would only use one Encounter, and then use an > Obs to ask all the questions that need to be added, like: > > Encounter (primary care provider, date, location) > Order (the lab order) (during the primary care visit) > Obs: Specimen collection date, specimen collection time, specimen > collected by, specimen ID, etc... (during sample collection) > Obs: test result, test result date, test result time, test > performed by... (while recording the test result) > > And, test results can be linked back to the Order by > Obs.setOrder(Order order) > > d**** > > On Sun, Feb 5, 2012 at 12:51 PM, Maniragena faustin <[email protected]> > wrote:**** > > Hi All; > I'm working on Laboratory orders and results managements.With this Lab > module,I've to create one encounter when the clinician is ordering > laboratory orders for a specific Patient.Another encounter of type > Laboratory encounter type need to be created when the Laboratory > Technician is adding the results to ordered tests by the clinician and this > is where I'm facing the challenge of creating one encounter that has those > results as observations.If the ordered tests are ordered on the same date > must be have one Lab encounter.So,to make you understand this > questions,below is an example of Patient DAIHATSU and Clinician TOYOTA > till the exams results are available:**** > > - The clinician/physician(*TOYOTA*) orders laboratory order for * > DAIHATSU* patient and save them into the system :The first Encounter > between the patient and clinician is created.**** > - After being consulted,the DAIHATSU leaves for Laboratory to give > specimen.**** > - When DAIHATSU arrives in Laboratory ,the Lab technician A loads the > ordered lab exams from the system and collects the specimen based on the > laboratory orders assigned to that Patient.**** > - When the results are available,the Lab technician click on > incomplete status and add add results relevant to the ordered exams(below > are listed exams and their status)**** > > *Number***** > > *OrderId***** > > *Test Name***** > > *Ordered on***** > > *Status***** > > 1**** > > 4560**** > > hemoglobin**** > > 02/02/2012**** > > *incomplete***** > > 2**** > > 4561**** > > CD4**** > > 02/02/2012**** > > *incomplete***** > > 3**** > > 4562**** > > Malaria Smear**** > > 02/02/2012**** > > *incomplete***** > > 4**** > > 4562**** > > Stool exam**** > > 02/02/2012**** > > *incomplete***** > > The table above is given by the following code; for (Order order : > labOrders){ > String orderStrDate=df.format(order.getStartDate()); > > if (orderStrDate.equals(labEncounterDateStr)) { > if (order.getAutoExpireDate()==null) { > incompleteLabOrders.add(order); > > } > } > } > > Is there any way to create one encounter for all those exams when we want > to add the results as observations? > I'm waiting to hear from you. > > Thanks > -- > *MANIRAGENA Faustin** > MOH/EMR DEVELOPER > Phone:0788670135***** > ------------------------------ > > Click here to > unsubscribe<[email protected]?body=SIGNOFF%20openmrs-devel-l>from > OpenMRS Developers' mailing list > **** > > ** ** > ------------------------------ > > Click here to > unsubscribe<[email protected]?body=SIGNOFF%20openmrs-devel-l>from > OpenMRS Developers' mailing list > **** > > > > > -- > *MANIRAGENA Faustin** > MOH/EMR DEVELOPER > Phone:0788670135***** > ------------------------------ > > Click here to > unsubscribe<[email protected]?body=SIGNOFF%20openmrs-devel-l>from > OpenMRS Developers' mailing list > **** > > ** ** > ------------------------------ > > Click here to > unsubscribe<[email protected]?body=SIGNOFF%20openmrs-devel-l>from > OpenMRS Developers' mailing list > **** > ------------------------------ > Click here to > unsubscribe<[email protected]?body=SIGNOFF%20openmrs-devel-l>from > OpenMRS Developers' mailing list > -- *MANIRAGENA Faustin MOH/EMR DEVELOPER Phone:0788670135* _________________________________________ To unsubscribe from OpenMRS Developers' mailing list, send an e-mail to [email protected] with "SIGNOFF openmrs-devel-l" in the body (not the subject) of your e-mail. 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