Hello Jay,
RE: Encounter Number in Epic and non-Epic systems
You are right that in Epic, the encounter number is an auto-incrementing 
integer field, which is used as the primary key of the Encounters table. I 
would be surprised if you don't have such a field (or a set of fields that 
would comprise a composite primary key, such as a combination of the Patient ID 
and the date/time of the encounter) in your own schema. Since the PCORNET CDM 
uses TEXT(x) as the datatype of the Encounter ID, you could use the 
concatenation without any problem. As long as the value is unique, nothing else 
matters, as long as you can represent the final value textually.

RE: Encounter type - Epic does have a field called ENC_TYPE_C  that records an 
enumeration to track this (though Emergency Visits don't make it into U. Iowa's 
Lookup table that stores Encounter Types, which has some 100+ categories - 
Emergency visits must be determined by checking the Department ID of the 
encounter, and matching it against the several ER Departments within the UIHC 
system. If you are not recording this at Marshfield, you could just use the 
"Unknown" category of the CDM.

Prakash

.


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