Some of these Contsys definitions are problematic:
On 20/08/2018 09:13, GF wrote:
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
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.
that would certainly be a subversion of the usual meaning of 'encounter'
(literally 'to meet') in English and all the latin languages at least...
(in Portuguese and Brazil health system, the word is 'atendimento', i.e.
attendance... - probably the same in Italian and Spanish).
It would be better ontologically to call such an event something else -
in openEHR it is a commit of a Contribution.
There are also other health system actions with the patient absent, e.g.
doing lab work on tissue samples - also real 'work', but not an encounter.
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 acontact <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[/
I would suggest that most people think an episode of care is not limited
to one HCP, and is not always limited to one health issue, even if there
is usually one main 'problem' on admission. An episode of care is
usually thought of as care to resolve an issue for a patient by a team
of HCPs working in an integrated environment, e.g. a hospital. If the
resolution of the issue requires care that crosses institutions (usually
the case), then a different term is probably needed for that.
- thomas
--
Thomas Beale
Principal, Ars Semantica <http://www.arssemantica.com>
Consultant, ABD Project, Intermountain Healthcare
<https://intermountainhealthcare.org/>
Management Board, Specifications Program Lead, openEHR Foundation
<http://www.openehr.org>
Chartered IT Professional Fellow, BCS, British Computer Society
<http://www.bcs.org/category/6044>
Health IT blog <http://wolandscat.net/> | Culture blog
<http://wolandsothercat.net/> | The Objective Stance
<https://theobjectivestance.net/>
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