Stream: implementers
Topic: Location transfer
Grahame Grieve (Nov 01 2018 at 05:44):
Is there anything in FHIR to model patient evacuations as in move a patient to another facility for clinical reasons. (From an implementer)
Jim Steel (Nov 01 2018 at 06:13):
Procedure with SNOMED code 19712007?
Grahame Grieve (Nov 01 2018 at 18:13):
I expected the answer to be something to do with Encounter. @Cooper Thompson ?
Cooper Thompson (Nov 01 2018 at 18:27):
From an site implementation perspective, I would expect this would be handled as either a transfer (if the two facilities are closely related and using the same ADT system), or as a leave of absence->admit or discharge->admit (depending on if the source site supports LOA or not).
From a FHIR modeling perspective, I think all of those options are covered in Encounter. You either have one encounter where the location changes (in the case of the transfer), or two encounters, one that goes "onleave", and a second that is created at the target facility.
In the onleave/discharge -> admit scenario, you do have to deal with discontinuing/re-ordering everything (diet/med orders, etc.) of course, but I think that is outside the scope of what you are asking about?
Grahame Grieve (Nov 01 2018 at 18:33):
yes I think so. thx
Last updated: Apr 12 2022 at 19:14 UTC
