Yet another OBSERVATION vs. EVALUATION issue

Shinji KOBAYASHI skoba at moss.gr.jp
Tue Aug 14 08:19:51 EDT 2012


Hi Koray,

I think it would be a composition with observation and evaluation archetypes.
In my experience on surveillance program, your form could be built up
these items.
* OBSERVATION
 History of medication, smoking
* EVALUATION
 Diagnosis, GP assessment status
(INSTRUCTION/ACTION)
 Medication(GP prescribed/prescribing)

However, I am not sure which should be.

Shinji

2012/8/14 Koray Atalag <k.atalag at nihi.auckland.ac.nz>:
> Hi,
>
>
>
> There's a CVD risk assessment tool I’m working on which prepopulates
> clinical info from GP software. This includes diagnoses, smoking status and
> checklist for certain medications. Note that some of the underlying info
> might be coming from previous visits (e.g. problem list type) but also can
> be newly entered as a result of GP’s assessment. Now, regardless of what
> happens in GP software, when it is transferred onto this tool (whether
> automatically prepopulating and/or manual entry) are these Observations or
> Evaluations? Note that the GP does not make any further clinical judgement
> here, just rephrase existing data for a different purpose. My gut feeling is
> the former (Observation).
>
>
>
> I know this is tricky and has been brought to this list many times here but
> thoughts? Masters?
>
>
>
> Cheers,
>
>
>
> -koray
>
>
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