2013-03-11 PA Call Minutes
Patient Administration Call
|PA Work Group Meeting
March 11, 2013
|Facilitator||Line Saele||Note taker||Alex de Leon|
|X||Line Saele||HL7 Norway|
|X||Brad Fonseca||Canada Health Infoway, Canada|
|X||Ewout Kramer||Furore, Netherlands|
|X||Alexander Henket||HL7 Netherlands|
|X||Irma Jongeneel||Nictiz, Netherlands|
|X||Nat Wong||HL7 Australia|
|X||John Roberts||Tennessee Department of Health, USA|
|X||Wendy Huang||Canada Health Infoway, Canada|
|X||Alex de Leon||Kaiser Permanente, USA|
- FHIR – Encounter Resource
- FHIR Encounter Resource Development Page
- Patient Care/Patient Administration Harmonization Issues
- Requirements work on Universal Encounter Model – Norway, Denmark, Germany
- Work done to define clinical encounter, referencing ASTM at the Veteran’s Health Administration (Gregg Seppala)
The group began with attempting to address the question: What is the definition of an encounter? Nat Wong reminded the group of some of the work done before to try to define the encounter topic (see Supporting Documents section). One significant issue was the question: What is the scope of the encounter? Is it one entire healthcare encounter with multiple visits or multiple encounters encompassed by one episode of care?
Alex noted that with the use of the term “visit”, it seems to lead to single instances within one or more episodes of care, as a visit implies a face-to-face interaction with a healthcare provider. Therefore the WG discussed the name of encounter; whether it should be appointment, ambulatory encounter, admission, etc. In the end, it seemed that the term "visit" seems like the best fit, similar to the v2 concept. So, Visit would replace encounter. Now in covering the idea of multiple visits with one healthcare condition the WG tried to come up with good terminology.
Ewout considered that it might be worthwhile to come up with a hierarchy of some sort or some qualifying terminology/attributes (e.g., to cover inpatient visit, ambulatory visit, etc.). Should this encompas emergency, home health, etc., or should those be separate resources.
Additionally, the WG had a short discussion about whether an appointment for an event and the actual event (visit) should be represented with different resources or whether it could be subsumed into one resource with different states (or moods). The WG could not come to an easy conclusion on this so decided to take this up during the next telecon meeting.
Adjourned: 1:38 PM PST.
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