Hi Karsten, ISO System of Concepts for Continuity of Care (ContSys) defines all kinds of concepts related to care and its documentation. It would be. a good thing to harmonise terms we use. More info via: https://contsys.org <https://contsys.org/>
ContSys is NOT a Data model but a way to define concepts and there relations using UML. It can/must inform the production of shared archetypes. ENCOUNTER Most certainly this is the case when a Healthcare Provider meets the patient and documents the care given. Meeting can be real and virtual via telephone, e-mail, a third party But there is an encounter when the HcP interacts with the EHR without a Patient (Virtually) present. So ENCOUNTER, in my terms, is any interaction of an Author (HcP, Patient, third Party/Proxy) with the Patient Record. The ISO standard System of Concepts for Continuity of Care uses the term and definition: contact <https://contsys.org/concept/contact_period> perio <https://contsys.org/concept/contact_period>d- healthcare activity period <https://contsys.org/concept/healthcare_activity_period> during which a contact <https://contsys.org/concept/contact> occurs EPISODE ContSys defines this as: episode of care- health related period <https://contsys.org/concept/health_related_period> during which healthcare activities <https://contsys.org/concept/healthcare_activity> are performed to address one health issue <https://contsys.org/concept/health_issue> as identified by one healthcare <https://contsys.org/concept/healthcare>professional[ PROBLEM In addition the term PROBLEM is used in the context of EHR’s. ContSys has NOT defines this term. The closest concept in ContSys is: reason for demand of Care- subject of care <https://contsys.org/concept/subject_of_care> or a subject of care <https://contsys.org/concept/subject_of_care> proxy's perception of health needs <https://contsys.org/concept/health_need> motivating a demand for car <https://contsys.org/concept/demand_for_care>e Gerard Freriks +31 620347088 [email protected] Kattensingel 20 2801 CA Gouda the Netherlands > On 19 Aug 2018, at 13:20, Karsten Hilbert <[email protected]> wrote: > > An Encounter (in community medicine) is very much different > from an Episode of Care. > > An Encounter happens when patient and healthcare system > "meet" in some way, it is one-off. It can encompass a > multitude of Reasons for Encounter, about different care > targets. > > An Episode of Care is a time range during which one > particular care target is handled. It manifests itself during > 1..many Encounters, each of which is about 1..many care > targets (problems). > > Karsten
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