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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