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EpisodeOfCare FHIR Resource Proposal

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EpisodeOfCare

Owning committee name

Patient Administration

Contributing or Reviewing Work Groups

  • Patient Care
  • Financial Management

FHIR Resource Development Project Insight ID

pending

Scope of coverage

The EpisodeOfCare Resource stores information about an association of a Patient with an Organization for a period of time for a particular reason.

This may include information such as:

  • Organization
  • Problem/Condition
  • Care Team
  • Care Manager/Care co-ordinator
  • Funding Sources
  • Billers
  • Contact information
  • Period
  • Status dates
  • Practitioners (and roles)
  • Referral source
  • Consent?

In many cases, this represents a period of time where the organization has some level of responsibility for the care of the patient, even if not currently participating in an encounter.

Note: The primary difference between the EpisodeOfCare and the Encounter is that the Encounter records the details of an activity directly relating to the patient, however the EpisodeOfCare is the container that can link a series of Enounters together for a specific problem/issue.

These resources are typically known in existing systems as:

  • EpisodeOfCare: Case, Program, Problem
  • Encounter: Visit, Contact

RIM scope

TBD.

Resource appropriateness

Many systems track the progress of a patient’s condition for purposes of ensuring that the care being provided to the patient is maintaining their problem, or improving the issue over time.

Other reasons for creating an EpisodeOfCare could be for tracking the details required for government reporting.

Expected implementations

This resource is likely to be implemented by applications:

  • Community Care Systems
    • Tracking progress of a specific condition
    • tracking government funding
  • Problem based General Practice systems
  • Disability Support Systems
  • Aged Care Systems (Community and Residential)

Content sources

We will refer to the HL7 v2 and v3 messages and models.

Example Scenarios

A General Practitioner wants to track how well a patient of his is managing his diabetes over time and be able to easily separate information in his system relating to the diabetes from the information relating to his mental health.

A Community Care organization wants to track all activities that occur with a patient relating to their disability to simplify the reporting to the government to receive funding to care for the patient.

Resource Relationships

This resource is expected to have references to Patient, Location, Organization, Practitioner.

Other relationships may include: Appointment, Encounter, Coverage, CarePlan.

Timelines

We are hoping that this resource will be ready for inclusion in the next Ballot (expecting September 2014).

gForge Users

brian_pos