So, you're trying to use obs to create a list of recommended vaccinations
for a child?

-Burke

On Fri, Apr 27, 2012 at 4:54 PM, Andrew Kanter <andy_kan...@yahoo.com>wrote:

> So to add on to what Ben has described...
>
> What we are looking for is something like the the active problem list
> functionality to carry the current recommendations for immunizations. Right
> now we are stuck in having to save this information as OBS. To do this, we
> either append an OBS to a current encounter with the recommendation in a
> concept, or we create a new encounter to hold the OBS. The issue is that we
> expect to run the recommendation algorithm nightly or weekly. This would
> create a ton of unwanted encounters if each time we created a new encounter
> from the procedure. If we update the OBS for an existing encounter then we
> have the issue of the encounter date either not matching the OBS date, or
> by changing the encounter we break a rule of EHRs but essentially deleting
> the old encounter and creating a new one with the current information.
>
> The last quirk has to do with the xforms module and the past medical
> history display. If we decide to just keep appending the OBS to an existing
> (older) encounter... will the obs display in reverse chronological order in
> ODK display or will it look only at the encounter date (not the obs
> datetime) and display all the OBS for that encounter on the first page (not
> workable).
>
> Thanks for the advice!
> Andy (and Ben)
>
> *--------------------
> Andrew S. Kanter, MD MPH
>
> - Director of Health Information Systems/Medical Informatics*
> *Millennium Villages Project, Earth Institute, Columbia University*
> *- Asst. Prof. of Clinical Biomedical Informatics and Clinical
> Epidemiology*
> *Columbia University*
>
> Email: andrew.kan...@dbmi.columbia.edu
> Mobile: +1 (646) 469-2421
> Office: +1 (212) 305-4842
> Skype: akanter-ippnw
> Yahoo: andy_kanter
>
>   ------------------------------
> *From:* benjamin rukundo <ben.ruku...@yahoo.fr>
> *To:* openmrs-deve...@listserv.iupui.edu
> *Sent:* Friday, April 27, 2012 4:14 PM
> *Subject:* [OPENMRS-DEV] what could be the best scenario for saving
> patient cohors observation ?
>
> Hi all,
>
> I'm working on the immunization module, and the module provides
> immunization recommendation for patients, currently we have expanded the
> immunization recommendation to be accessible on mobile phone so the
> immunization recommendations are saved as text data type in obs table and
> these immunization recommendations are downloaded from a mobile phone to be
> viewed. The idea is to save the immunization recommendation for a cohort of
> patient eg children < 5 years old.
>
> instead of saving new encounter for each audit date on a daily or weekly
> basis to get the latest immunization recommendations which will create many
> encounters for one patient
> 2 options are proposed
>
> Option 1) we create an "immunization recommendation" encounter if not
> already there. If one exists, we append a new obs with the date of the
> audit.
> as new audits are done, we simply append new OBS to the same old encounter
> but save (obs_datetime) with the audit date as the OBS date
>
> Option 2) we do the same as option 1 but change the encounter date to the
> current audit date.
>
> On the phone, we should only view OBS information (the historical
> information) for a given concept not sure if this sorts by OBS datetime or
> encounter date time ?
>
> Thanks
>
>
> Benjamin RUKUNDO
> EMR Programmer
> MVP-Rwanda
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