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From: | James Busser |
Subject: | access to review audits (was Re: [Gnumed-devel] encounter edit before final save) |
Date: | Tue, 12 Aug 2008 12:59:33 -0700 |
Can we therefore add, and agree, that the ability to edit progress notes, and the ability to review the audited (edited) notes, needs to be implemented together?
On 12-Aug-08, at 12:09 PM, James Busser wrote:
The best answer to the above may be to be able to express the EMR as it existed for a particular patient at a certain point in time. If a patient last saw a doctor at 2PM August 5, 2008 and if the issue becomes what the doctor found, what the doctor advised, and what the doctor did as of 2PM on August 5, 2008 then it should be possible to provide an EMR export that expresses what was in the record at that point in time.In other words, if notes which were committed at 2PM were subsequently altered later on the same day, or at some later point in time when news of a complaint or adverse outcome surfaced, it would be important to be able to provide an EMR export that included the normally-hidden audited versions, along with time stamps.The module could optionally exclude entries altered or added after a certain point in time however these could be important if they included legitimate clarifications and could be simply ignored by the reviewer when irrelevant. The module could also optionally limit the export to certain selected issues of interest.
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