Investigations & Medications from Medical Records/Summary

Hi,

So I am struggling to think of a situation where vets/nurses should be able to create an investigation or medications without charging for them?

Ideally the only way an investigation or medication record should be created is if an associated service/product is charged first (in my world at least).

So, my question is... Can I easily prevent people creating new investigations in the medical records summary tab, documents tab?

If this is not a simple archetype change can we have a custom modification created so our system prevents this behaviour? Can anyone see problems with this approach?

Thanks,

Adrian

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Re: Investigations & Medications from Medical Records/Summary

Adrian - one can conceive of practices where it might be common to do investigations without showing them on the invoice [but perhaps charging via some other mechanism - eg Lab Work - 23 hours].

Hence I consider it a benefit that one can have both 'charged' and 'uncharged' investigations.

However, I understand your desire to say 'in our practice, all investigations must be charged - ie initiated via a product sale'.

You cannot do this via either an archetype change or an authorisation change.

I think that this is an example of why it would be nice to either switch to or add in control of who can do what on each screen - ie to be able to control the functions available to the user rather than (as at the moment) control their access to data.

With function access control one could potentially set things so than on the medical records screen an user could add a new Note but not a new Investigation.

Regards, Tim G

Re: Investigations & Medications from Medical Records/Summary

In 1.7.1 you are prompted when creating medications via Medical Records. This could be extended to include Investigations.

There is a project that covers this directly. See  the Workspace Action Authority section of http://www.openvpms.org/project/enhance-openvpms-user-authorities

Re: Investigations & Medications from Medical Records/Summary

Adrian - I think that extending the 'medication will not be charged' warning to investigations is an excellent idea - infact I should have understood that the same logic should have been applied to investigations when I asked for the medications warning.

I do not see this change causing any problems - unless there are practices that do all their investigations as uncharged - these people would bitch that the warning comes up every time they add an investigation to the medical record.

As for the workspace action authority project - I see this as something that OpenVPMS should have but it feels like a $10K project and we (ie EIAH Hong Kong) do not need it that much.

Regards, Tim G

Re: Investigations & Medications from Medical Records/Summary

Hi,

I guess it depends what the prompt is... Currently if I try to create a medication from the patient summary screen we get a prompt that says "Medication records are not invoiced, and do not update stock control. Proceed with record creation?" and then pressing "Ok" just lets you continue doing what you were doing... I can state that this does not result in a significant change in behaviour.

A prompt that says. Would you like to charge this medication? Yes -> Goes to invoice. No -> Lets you keep doing what you were doing I feel is more likely to result in changed behaviour and would be the desired option for me. This is because it makes it easy for the user to perform the desired behaviour.

So, in the abscence of any other options, yes, I would request that we at least extend a warning to investigations. However I don't think I will achieve what I would like to achieve.

So, then my question is:

- Will the workspace action authority project/ function access control let us prevent someone creating an investigation (except via the charges screen) as TimG indicates? It is mentioned, but not included in the current spec? If this is the case then I would be interested in getting funding togeather for this project.

Even as a $10k project I think it would pay for itself pretty quickly. Esp if we had a few practices go in...

 

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