OpenMRS uses "Complex Observations <https://wiki.openmrs.org/x/wxEz>" for
this workflow.  FYI – we are working to expand this to a more generic notion
of "Custom Datatypes <https://wiki.openmrs.org/x/ZwERAQ>" that can serve not
only for observations, but also for adding implementation-specific person &
visit attributes as well as new global property types.

Complex observations require a complex obs handler that is responsible for
persisting as well as rendering the data.  For each complex observation, an
observation is created with an internal reference created by & used by the
handler to get to the complex value.  Since the handler is in complete
control, it can store the data within a local table or even store & retrieve
values from an external system.

You use complex obs handlers by defining a concept with a datatype pointing
to the handler.  There are generic image & file complex obs handlers
provided by core.  Others can be provided by modules.

Cheers,

-Burke

On Fri, Sep 9, 2011 at 11:37 AM, Shaun Grannis <[email protected]>wrote:

> Has a workflow to attach external files been deployed in OpenMRS? For
> example, consider the following scenario:
>
> 1) A patient receives care at an OpenMRS site.
> 2) An encounter is created, a referral to a specialist is ordered.
> 3) Patient leaves.
> 4) Days later, the specialist's dictated paper note is sent to the clinic.
> It is scanned and the electronic note must be "attached" to the previous
> encounter.
>
> Given the above, a desirable workflow would be:
>
> 1) User selects the patient.
> 2) User selects "Encounters".
> 3) User selects "Edit" to edit the previous encounter.
> 4) User selects "Add Observation".
>
> Steps 1-4 exist today, here's the new, hypothetical workflow:
>
> 5) Select an observation that indicates the result is an external file
> (e.g., an observation like, "PDF Referral note" -- let's not focus on the
> observation name yet, it may not be quite the right model; it's just a
> concept to trigger the next steps in the workflow):
> 6) Selecting "PDF Referral note" surfaces an "attach PDF file" option.
> 7) User selects "Select file"
> 8) User finds file and clicks "Upload" (this is much like an email
> attachment workflow)
> 9) File is uploaded.
> 10) The observation "PDF Referral note" is added to the encounter.
> 11) When user clicks on "PDF Referral note" in the appropriate encounter,
> the PDF file is displayed in an external viewer (again, much like an email
> attachment is handled by an external application)
>
> My question:
>
> Has a workflow similar to this been implemented in OpenMRS? Is it in core
> and I'm missing it? In a module?
>
> Thanks for your feedback!
>
> Shaun
> --
> Shaun J. Grannis, MD MS FAAFP
> Research Scientist, Regenstrief Center for Biomedical Informatics
> Director, Indiana Center of Excellence for Public Health Informatics
> Associate Professor, Dept of Family Medicine
> Indiana University School of Medicine
> 410 West 10th Street, Suite 2000
> Indianapolis, IN 46202
> Voice 317.423.5523 / Fax 317.423.5695
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