Colleagues, Looking at the discussion it is very obvious that there are several points of view and all are reasonable and correct.
One: the patient viewpoint. The Episode (as I described): one patient, one health issue, and many healthcare parties, contacts, etc Two: the Healthcare party viewpoint. The administrative view. One admission upto discharge for whatever reason. Three: What is the viewpoint as seen from the third type of healthcare party? The payor. Four: What is the viewpoint as seen from Government reporting, reserach, etc? Each viewpoint needs its own definitions of attributes and code systems And all must be harmonized. I expect that work in CEN/TC251 (System of Concepts for Continuity of Care) might enlighten us. Gerard -- <private> -- Gerard Freriks, arts Huigsloterdijk 378 2158 LR Buitenkaag The Netherlands +31 252 544896 +31 654 792800 On 20 Nov 2004, at 20:19, Elkin, Peter L., M.D. wrote: > Gerard and Colleagues, > > At Mayo Episodes of care start with any billable encounter with the > health system (e.g. clinician visit, lab test, etc.) and ends when the > clinician of primary record says that the episode is complete. For > curable illness this often occurs after the cure. For chronic > illnesses it usually ends when the patient reaches a steady state or a > goal (e.g. Diabetes Mellitus with a HgA1C < 7.0 mg/dl). For surgeries > it may be after the first post hospital visit. For medical > hospitalizations it is often at the time of discharge. This has two > important implications. One there is one clinician who is identified > as the team leader of record who is charged to coordinate all of the > care from any provider in the health system. Two, at the end of an > episode the clinician is mandated to sum up the episode and state for > the record what are the final diagnoses for this episode of care. > > I hope that this helps. > > Warm regards, > > Peter > > Peter L. Elkin, MD > Professor of Medicine > Mayo Clinic, College of Medicine -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: text/enriched Size: 2052 bytes Desc: not available URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20041121/9a8f546a/attachment.bin>
