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authored document, e.g. discharge summary, that need to reference prior content e.g. Hx, Dx, Rx, but also need to be representable as a standalone document both for signing purposes and for sharing beyond the EHR system boundary;
these seem to be mainly ‘citing’ pre-existing data,
but also need to be converted to a standalone (serialised) document (e.g. XML, JSON etc) that includes (some of) the cited material as if it were inline, e.g. primary Dx, labs.
managed lists, e.g. Rx list, Problem list, whose contents (prescriptions, diagnoses) will generally have been created at a prior time in the EHR, e.g. in an encounter, and may or may not be required in the managed list. E.g. ‘current master problem list’ doesn’t need to indicate resolved childhood bronchitis Dx, etc; Medications list only needs currently active prescriptions;
not all ‘managed lists' are the same: medications list is theoretically a true digital twin of the patient - i.e. a faithful description of the true state of medications / treatments being taken by the patient; ‘problem list’ on the other hand might have a true digital twin version representing processes in the body, but there are also other 'problem lists’ e.g. for nursing, pregnancy etc that are partial / subjective, and may include things that are not technically illnesses (e.g. inability to get up stairs on a nursing problem list).
care plans: similar to managed lists, contain references to previously created content, probably including content within managed lists (Discourse discussion w/ diags);
composite clinical data: data like BMI that consists of component elements previously and/or independently added to EHR, such as weight, height for BMI (Discourse discussion w/ diags)
snapshot of query result: it would be useful to be able to capture the result of a query, e.g. ‘blood glucose over the last month’, ‘migraines over last year’ as a static data item within a note / summary / report;
generated report: a report consisting of content created by AQL queries, which will include cited content inline [more precision needed here].
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