- Jonathan Teich
- Encounter Statuses and Drafts
- E.g. can sign off on an order and disposition (to send the patient home), before having signed off on the attestation/note
- (In BICS you signed the disposition, in Epic you don't, it's implied.)
- First encounter "ED Release Order" (has order and disposition)
- Later, you come back, find this encounter and say "I want to adend this" (which is actually another encounter under the hood)
- 1. Draft - only I (the author) can see it
- 2. Preliminary ["shared" in Epic] - others can see it but it is marked preliminary. It could be changed, in which case they would see the latest version with a flag to see the earlier ones.
- 3. Final - it's no longer changeable
- We need to introduce EncounterTransaction before we can add statuses (because status will go on EncounterTransaction)
- We need statuses on Obs, Order, and Note* (when we add Note)
- For Obs, status should leverage same "HL7" status field used for exceptions, pending results, etc.
- Shouldn't have a "final" EncounterTransaction that includes non-final Obs
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