On Wed, Feb 28, 2018 at 12:18:24PM +0000, Jussara Macedo Rötzsch wrote:
> Ranges aren’t actually part of the Information model, they are rules for
> decision support, and therefore belong to the Application level, like a gdl
> based CDS
In practice there are still needs to store ranges (with the data):
1) path labs will attach ranges to recommended interpretations
those are best stored "with" the result(-interpretation)
and, no, it is not sufficient to attach them to the test
*type* of a measurement
2) ranges applied by a clinician upon which a conclusion
has been made
those will often end up as textual part of a SOAP note
Think of a patient with warfarin monitoring: The lab will cry
foul (if not properly informed) but the clinician is happy
when the INR is in the therapeutic range.
GNUmed "solves" that by allowing to attach both a "nominal"
and a "desired" range to each test result.
For what that's worth.
Karsten
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