Hi Darius

This looks interesting as a way of grouping encounters and possibly
for organising billing.  I'm sure it is useful.

In terms of the Shimla system I guess there is a notion of who is
currently "visiting" in terms of whether they are in one or other
queue.  This is to manage the real time flow of patients, whereas the
Visit notion you refer to seems more useful in terms of
retrospectively looking at what encounters a patient had (useful for
billing amongst other things).

The "currently in visit" indication goes some way towards marrying the
two.  It *might* be useful to be able to enhance this to be able to
say currently visiting X-Ray though I am not sure if there is a real
requirement for that yet.

If the system were to move to 1.9 I can see that it might make sense
for a visit to be created at registration, rather than an encounter
and for a registration/billing clerk to be able to view visits (with
encounter summary info) rather than encounters directly - not really
100% sure.

Cheers
Bob

On 4 August 2011 15:01, Darius Jazayeri <[email protected]> wrote:
> Hi HISP India people,
> We've started to implement the idea of "Visits" in OpenMRS, and this will be
> released in 1.9 later this year. Since you have a use case that visits could
> support, I'm interested to get your feedback about whether what we've
> implemented will be useful to you.
> As far as the data model, we've added a new Visit class with:
>
> patient (who it belongs to)
> startDatetime, stopDatetime (what date range the visit covers)
> location (where it takes place)
> visitType (the list of possible visit types is admin-configurable)
> indication (an optional concept which can indicate the primary reason or
> billing code for the visit)
> list of attributes (the admin can configure "Visit Attribute Types" for
> whatever they want, e.g. billing code, insurance number, hospital wing, etc)
>
> In addition encounters may now (optionally) be assigned to belong to one
> visit.
> Finally there are some minor tweaks to the standard UI, e.g. the patient
> dashboard shows a "currently in a visit" message at the top if a patient is
> currently in the middle of a not-yet-stopped visit.
> Any thoughts about this approach? Things you like? Anything you'd have
> expected to see done differently? Do you think you'll be able to use this to
> improve your hospital-based implementation?
> -Darius
> PS- I've cc'd the OpenMRS developers list. Also, please let me know if I
> should switch around my HISP India contact list.

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