Clinical care

Update a saved symptom, avoid duplicates and retain an error correction

Review existing-row restrictions, save a status and note change, then understand entered-in-error correction and the filtered history display.

9 min read · Source baseline f6e9f05f

Verification and applicability

source reviewed

Check your installed version, permissions and local configuration.

Before you begin

Verify the intended patient, active encounter, existing symptom and clinical-write permission. Actual execution is Nurse on an isolated synthetic Inpatient encounter in a Polyclinic.
Follow the facility’s approved clinical documentation and correction process. All pictured status changes and notes are fictional software exercises.

1. Reopen and identify the saved row

From encounter Overview, open the symptom edit control, or use Encounter Actions → Add Symptom. Allow the current records to refresh before editing. Identify the intended term and original onset. On an existing saved row, Onset Date is disabled; clinical status, severity, verification and note remain editable until an error correction is saved.

Reopened existing. Actual desktop symptom update, duplicate prevention and retained correction state. — **Reopened existing · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Start: Existing Nurse symptom reloads with disabled original onset and editable clinical status, severity, verification and note.
**Existing onset is read only**: Existing onset is read only
**Update clinical status**: Update clinical status
**Review the saved note**: Review the saved note

2. Choose the intended clinical status and update context

Open Status to review Active, Recurrence, Relapse, Inactive, Remission and Resolved. Clinical status is separate from severity and verification. The fictional example changes Active to Resolved, leaves Mild and Unconfirmed unchanged and replaces the note with an explicitly synthetic status-update explanation. This is still a pending draft.

Status options. Actual desktop symptom update, duplicate prevention and retained correction state. — **Status options · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Action: Existing symptom clinical status menu offers Active, Recurrence, Relapse, Inactive, Remission and Resolved; these are separate from severity and verification.
**Review clinical status choices**: Review clinical status choices
**Choose documented resolved status**: Choose documented resolved status

Reviewed update. Actual desktop symptom update, duplicate prevention and retained correction state. — **Reviewed update · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Action: Pending status update shows Resolved/Mild/Unconfirmed with original read-only onset and explicit fictional status-update note; Submit is required to persist it.
**Review the intended status**: Review the intended status
**Review the update context**: Review the update context
**Save the reviewed update**: Save the reviewed update

3. Respond to a duplicate warning without creating another row

If Add another Symptom is used to select a code already present in a non-error row, the form warns Symptom already exists! and keeps the existing row. Review that row rather than adding a duplicate. In the example the pending Resolved update remains in the single row; the warning does not submit or save it.

Duplicate warning. Actual desktop symptom update, duplicate prevention and retained correction state. — **Duplicate warning · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Error: Selecting the same non-error M54.5 code shows duplicate warning and leaves one existing symptom row; pending Resolved update is not yet saved.
**Duplicate symptom is blocked**: Duplicate symptom is blocked
**Review the existing row rather than duplicating it**: Review the existing row rather than duplicating it

4. Submit and verify the saved update

Review the complete pending row and select Submit. After returning to Overview, let the current data refresh and verify Mild, Resolved and Unconfirmed in Symptoms. Independent readback confirms that the same record UUID retained its 17 October onset, changed its status and note, and left the two existing encounter diagnoses unchanged.

Resolved saved. Actual desktop symptom update, duplicate prevention and retained correction state. — **Resolved saved · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Success: After current data finishes refreshing, encounter Symptoms shows Resolved/Mild/Unconfirmed. Independent READ ONLY verifies same UUID, original onset and updated synthetic note; two diagnoses unchanged.
**Saved symptom can be reopened for review**: Saved symptom can be reopened for review
**Review patient-wide history and source**: Review patient-wide history and source

5. Review the correction action carefully

Reopen the saved symptom and its three-dot menu. Verify the intended term before selecting Remove Symptom. For an existing record, this action immediately prepares Entered in Error in the form; this original UI has no separate confirmation dialog. It does not physically delete the saved record, and the prepared change still requires Submit.

Existing remove menu. Actual desktop symptom update, duplicate prevention and retained correction state. — **Existing remove menu · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Action: Existing saved Resolved symptom has Remove Symptom action; source implementation prepares entered-in-error immediately in the draft, without a separate confirmation dialog.
**Review carefully before preparing correction**: Review carefully before preparing correction
**Verify the intended symptom**: Verify the intended symptom

Error draft. Actual desktop symptom update, duplicate prevention and retained correction state. — **Error draft · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Action: Existing record remains in the form with Resolved/Mild and pending Entered in Error verification plus explicit synthetic correction note; Submit has not yet persisted it.
**Review the pending correction state**: Review the pending correction state
**Document correction context**: Document correction context
**Persist the reviewed correction**: Persist the reviewed correction

6. Review and submit the entered-in-error correction

Review the pending Entered in Error verification and document the correction context in the note before submitting. The fictional example retains Resolved and Mild, adds a synthetic correction explanation and selects Submit. Entered in Error records an erroneous entry; it is different from Resolved clinical status.

7. Interpret the normal Overview and history filters

After the saved correction refreshes, the symptom is omitted from the normal Overview summary. Open See Clinical History → Past Symptoms. The example now shows No Symptoms / No symptoms have been recorded because that query excludes entered-in-error records. These filtered messages do not prove physical deletion or a negative clinical finding. Independent readback still finds the same corrected row and note.

Corrected overview. Actual desktop symptom update, duplicate prevention and retained correction state. — **Corrected overview · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Success: Saved entered-in-error symptom is omitted from normal encounter Overview summary. Independent READ ONLY retains same Condition row and correction note; this absence is filtered display, not deletion or clinical absence.
**Normal Overview filters error records**: Normal Overview filters error records
**Inspect patient-wide clinical history**: Inspect patient-wide clinical history

History filtered empty. Actual desktop symptom update, duplicate prevention and retained correction state. — **History filtered empty · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Success: Past Symptoms normal query excludes entered-in-error records and shows No Symptoms / No symptoms have been recorded. Independent READ ONLY proves same corrected row retained; empty filtered history is not deletion or clinical negative.
**Past Symptoms filters error records**: Past Symptoms filters error records
**Read empty-state messages in their filter context**: Read empty-state messages in their filter context

8. Verify the retained read-only error record

Use Encounter Actions → Add Symptom to reopen the structured form and let current records refresh. The same symptom remains as a faded, disabled Entered in Error row with its original onset and saved correction context. Leave it unchanged. The demonstrated ordinary UI provides no reversal of that saved error row; use the facility’s approved correction and audit process for further action.

Retained error row. Actual desktop symptom update, duplicate prevention and retained correction state. — **Retained error row · 2026-10-18**Recorded baseline screen · 1728 × 921
Capture details
Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. Success: Refreshed form retains faded disabled Entered in Error row with original onset/code/clinical status/severity and saved correction note. Independent READ ONLY confirms same UUID; no ordinary reversal is demonstrated.
**Original symptom record is retained**: Original symptom record is retained
**Saved error row is read only**: Saved error row is read only
**Correction context remains stored**: Correction context remains stored

Observed scope and remaining branches

Actual Nurse in immutable original production UI, isolated synthetic Polyclinic active Inpatient encounter. Same fictional ICD-10-AM M54.5 problem-list item updated Active to Resolved, then corrected to Entered in Error; original onset/severity and two prior encounter diagnoses retained. No real patient or clinical decision. Other transitions, roles and facility combinations remain separate qualification work. The demonstrated transitions are Active to Resolved and Unconfirmed to Entered in Error. Successful historical copy/import, multiple distinct symptoms, new unsaved-row removal, every other status transition and other roles/facilities remain separate branches.

Troubleshooting

A previously saved value appears briefly after reopening

Wait for the current-record request to finish before editing or submitting. The observed form briefly presented cached values and then refreshed to the actual saved state.

A duplicate warning remains visible during draft review

The warning reports the duplicate attempt; it does not save the status or note. Review the existing single row, then Submit only the intended authorized changes.

The corrected symptom seems to have disappeared

Normal Overview and Past Symptoms exclude entered-in-error entries. The structured form and independent audit readback retain the same record; do not treat the normal empty display as deletion or clinical absence.

Source evidence

References are pinned to the private MANSOQ source repository. Repository access is required to open these links.