Exposing things through webservices is quite easy and now's the time.  If you 
need help, let me know.  Now if this is tied in with Ben's atom feed, I'm not 
up to date on what/how that's doing.

From: dev@openmrs.org [mailto:dev@openmrs.org] On Behalf Of Andrew Kanter
Sent: Monday, April 30, 2012 10:50 AM
To: openmrs-deve...@listserv.iupui.edu
Subject: Re: [OPENMRS-DEV] what could be the best scenario for saving patient 
cohors observation ?

Mmm. Interesting. I think the active list approach makes sense in terms of what 
OpenMRS might want to expose to the application layer or potentially even other 
applications. I don't know how we'd do that though as since we are on 1.6 we 
don't have much experience with them. Using programs seems like a bit of an 
overkill though, and provides another issue about exposing them through 
webservices. I wonder what Ben W would think of this question given his 
understanding of where we are going on the OpenMRS-MoTech-CommCare front...

Andy

--------------------
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<mailto:andrew.kan...@dbmi.columbia.edu>
Mobile: +1 (646) 469-2421
Office: +1 (212) 305-4842
Skype: akanter-ippnw
Yahoo: andy_kanter

________________________________
From: "Friedman, Roger (CDC/CGH/DGHA) (CTR)" <r...@cdc.gov<mailto:r...@cdc.gov>>
To: 
openmrs-deve...@listserv.iupui.edu<mailto:openmrs-deve...@listserv.iupui.edu>
Sent: Monday, April 30, 2012 9:43 AM
Subject: Re: [OPENMRS-DEV] what could be the best scenario for saving patient 
cohors observation ?


So why not create an immunizations active list that shows the most recent 
status for each vaccine-preventable disease?  Or treat each VPD as a program 
and record only state transitions between up-to-date, needs immunization and 
series complete?  This last is probably best for computing clinic-wide coverage.

From: dev@openmrs.org<mailto:dev@openmrs.org> 
[mailto:dev@openmrs.org]<mailto:[mailto:dev@openmrs.org]> On Behalf Of Andrew 
Kanter
Sent: Friday, April 27, 2012 4:55 PM
To: 
openmrs-deve...@listserv.iupui.edu<mailto:openmrs-deve...@listserv.iupui.edu>
Subject: Re: [OPENMRS-DEV] what could be the best scenario for saving patient 
cohors observation ?

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<mailto: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<mailto:ben.ruku...@yahoo.fr>>
To: 
openmrs-deve...@listserv.iupui.edu<mailto: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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