Stream: implementers
Topic: Representing an Ambulance Transport event
Jean Duteau (Jun 01 2021 at 15:45):
Has anyone represented an Ambulance Transport event in FHIR? I'm struggling to determine the right resource. I am looking at Procedure (the scope of Procedure gives non-emergency transportation as an example, so I'm assuming that emergency transportation would also apply), but Encounter has the hospitalization section that could be used for that.
Elliot Silver (Jun 01 2021 at 15:46):
@ANDREA FOURQUET did some work with IHE, I beleive.
John Moehrke (Jun 01 2021 at 15:48):
Paramedicine Care Summary maps the flow of the patient information from the ambulance patient record, commonly known as the electronic Patient Care Record (ePCR), to the hospital Electronic Medical Record (EMR) https://wiki.ihe.net/index.php/Paramedicine_Care_Summary
John Moehrke (Jun 01 2021 at 15:49):
Routine Interfacility Patient Transport supports interoperability between systems used on transport vehicles between healthcare facilities. https://wiki.ihe.net/index.php/Routine_Interfacility_Patient_Transport
John Moehrke (Jun 01 2021 at 15:49):
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John Moehrke (Jun 01 2021 at 15:50):
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John Moehrke (Jun 01 2021 at 15:50):
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John Moehrke (Jun 01 2021 at 15:50):
so... YES, IHE has many Implementation Guides available and in progress of being developed.
John Moehrke (Jun 01 2021 at 15:55):
Quality Outcome Reporting for EMS describes content used for continuity of care between the emergency transport scene records and destination hospital where the emergency will be treated. https://wiki.ihe.net/index.php/Quality_Outcome_Reporting_for_EMS
Jean Duteau (Jun 01 2021 at 16:01):
Thanks @John Moehrke I was looking more for describing the actual ride in the ambulance - data like the distance travelled, the reason for transport, the patient's condition in the ambulance, and what happened during the transport (moved by stretcher, physically restrained, etc.). I couldn't see that information in the IHE RIPT document as that seemed more like the transfer of relevant medical information from patient transport systems to hospitals (or vice versa).
John Moehrke (Jun 01 2021 at 16:08):
@ANDREA FOURQUET is our expert. I am just a member.
Vassil Peytchev (Jun 01 2021 at 16:17):
There has been a discussion of adding a Transport resource: https://confluence.hl7.org/display/FHIR/Transport+Resource+Proposal
ANDREA FOURQUET (Jun 01 2021 at 16:50):
@Jean Duteau There is work in the Paramedicine Care Summary profile in IHE's PCC committee. This profile s split into a Clinical Subset and Complete Report. These elements are meant to be defined in the Complete Report. I am currently working on an EMS encounter resource in FHIR that will be able to reflect this event properly. Let me know if you want to have a call or email discussion on the details.
Last updated: Apr 12 2022 at 19:14 UTC
