Project: Improve Code and Documentation for the EHR system

outreachy
ehr
outreachy19-midyear
(Robby O'Connor) #1

@elizabeth, use this topic for all discussion about your project on the forums

Project: Improve Code and Documentation for the EHR system
(Toni Shortsleeve) #2

@rhoyt Our intern Elizabeth is working on your project and had a couple of questions.

I have started with the process of adding the Nursing Assessment forms here Administration -> Other -> forms . I have not created the table for data storage yet because we have not agreed on how to implement the data store that is, if we are using another table for it.

I was thinking, If a patient gets to stay in the hospital for say a week, how many encounters will the patient have? It could be one or many depending on whether for every rounds nurses make in a day to check on patient is considered an encounter. If this is the case, we can walk around the issue of data duplication for the vitals form by having the nurse fill out the default vitals form, then the detailed vitals form found in the Nursing Assessment, having fields already filled grayed out. Now, any ‘view’ wishing to display vitals data for a particular encounter will then have to read the data from the two tables in order to have the complete readings that were taken. But if it is one encounter per stay in the hospital it might be difficult to track this data.

My response was:

I think each round a nurse makes is an encounter. In this case it should be okay to have data duplication because we are monitoring each new encounter. Then we can track all encounter data.

We just need to know if this logic is correct.

(Bob Hoyt) #3

@KoniKodes @htuck

With most nurses now working 12-hour shifts, I anticipate one encounter per shift of two per day. Most patients are in the hospital for only about 4 days. Those are average numbers so the encounters will have duplicate information. I have often wondered why US nurses could not use a template with checkboxes and free text for each encounter. Let me know if you would like for me to ask an RN PhD friend at UMN

(Toni Shortsleeve) #4

Thank you so much. I will let her know. If you don’t mind asking, it would be appreciated. All information to help us make this work is great.

(Bob Hoyt) #6

@KoniKodes

I guess the other difficult question is whether nurses can use an ambulatory EHR for an inpatient experience??? In other words, nurses write their notes at the end of a shift in the hospital. LibreHealth is clearly an outpatient or ambulatory EHR. I can bounce this off the nurse specialist

(Toni Shortsleeve) #7

@rhoyt Yes, that is an important question. I’m not that well-versed in healthcare environments so this is very helpful.

(Robby O'Connor) #8

Please continue this discussion here.

(Toni Shortsleeve) #9

Thank you @r0bby I would like to invite @elizabeth to join this discussion, as she’s the intern working on this section of the project.