Stream: implementers
Topic: Non-patient encounters?
Marc de Graauw (Jan 23 2020 at 09:39):
Encounter quite specifically states is as being between a patient and care provider. We need to model information acquired in meetings between care professionals - specifcally in a multi-disciplinary team meeting, where professionals discuss the case, may alter the diagnosis and may decide the care plan. The next patient Encounter is not a logical place for this information - different date, different participants. The most logical way is to use Episode of Care to aggregate Encounters, and have patient-professional and MDT encounters. So is it "legal" in FHIR to use Encounter for non-patient encounters?
Yunwei Wang (Jan 23 2020 at 15:18):
Here is the previous discussion for similar senario: https://chat.fhir.org/#narrow/stream/179166-implementers/topic/FHIR.20Community.20navigation.20help
and here is JIRA ticket: https://jira.hl7.org/browse/FHIR-20479
Yunwei Wang (Jan 23 2020 at 15:19):
A simple answer is no.
Yunwei Wang (Jan 23 2020 at 15:20):
PA is working on a solution.
Halina Labikova (Jan 23 2020 at 21:23):
@Marc de Graauw There were extensive discussions regarding this at the last WGM. Our group ended up modelling MDTB as an Encounter (per patient discussion) which is partOf another Encounter (MDTB). Composition resource holds all the associated documents they present at the tumor board.
In the last discussion I was part of, the resolution was to 1) update the description of the Encounter in the next release to broaden up its definition, and 2) add participation backbone element with the "required" property which could hold the value of "informational only" (as in Appointment resource) to support that usecase. Not sure what happening with that now. @Brian Postlethwaite ?
Brian Postlethwaite (Feb 01 2020 at 19:05):
We'll be talking about it at the WGM this week.
Patrick Werner (Mar 14 2020 at 17:18):
We are using Encounter in the same way in our TumorBoard Software. Any updates on this?
Last updated: Apr 12 2022 at 19:14 UTC
