Christopher Feahr wrote: > Hi Thomas, > I'm not sure I like the notion of "superceded". Is the first test an > error? If so, the first result should simply be marked "wrong" and voided > or removed. If the first result just looked a little goofy to the > clinician, but there was nothing to indicate with certainty that it was > erroneous... and the second result comes back with more reasonable-looking > values... perhaps both results should be left in the record. The > time-stamps will suggest to the clinician that the later one probably > "supercedes" the earlier, goofy-looking result.
the clinician or the lab people (who might ring or email) should decide if the first test is erroneous in the same way as they do today. If they do decide, they mark it as superseded, or in error or whatever - it must be hidden from querying. However, the actual result must not be removed from the system - it si medico-legal evidence and may have been used to make a decision in the interim period. That is why I am suggesting that all such Entries havea lifecycle marker. This is somehting which I think our colleagues at UCL have long had in their system, and I have never seen a scenario which I thought justified it until now... - thomas - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
