Stream: implementers
Topic: use of careteam on communication
Jens Villadsen (Mar 20 2020 at 15:32):
How come a Communication can have a careteam as recipient but not a careteam as sender? that seems rather odd
Lloyd McKenzie (Mar 20 2020 at 15:33):
In what situations would a CareTeam be a sender rather than a member of the CareTeam? (CareTeam as a recipient means to send to everyone who's part of the CareTeam)
Jens Villadsen (Mar 20 2020 at 15:34):
a lot of situations
Jens Villadsen (Mar 20 2020 at 15:34):
it comes down to how responsibility of treatment is handled
Jens Villadsen (Mar 20 2020 at 15:35):
if a careteam is what is assigned to you as a patient in a given episode of care, the information may flow to you from a careteam as a whole and not an individual
Jens Villadsen (Mar 20 2020 at 15:36):
when you are given treatment the treatment is actually provided by an organization i believe
Jens Villadsen (Mar 20 2020 at 15:36):
but in most contexts the organization is too broad as a definition
Jens Villadsen (Mar 20 2020 at 15:38):
careteams may (or should) be the actual group of clinicians that you as a patient may be familiar with
Jens Villadsen (Mar 20 2020 at 15:39):
and they may provide you with information as a whole -
Jens Villadsen (Mar 20 2020 at 15:39):
hence, careteam should be just as much a sender as a practitioner
Jens Villadsen (Mar 20 2020 at 15:40):
the same goes for Appointment participant
Jens Villadsen (Mar 20 2020 at 15:41):
someone from a careteam will meet and greet you in an appointment - the individual clinician may not necessarily be of interest
Jens Villadsen (Mar 20 2020 at 15:41):
@Lloyd McKenzie so there you go
Lloyd McKenzie (Mar 20 2020 at 16:09):
I don't understand how a CareTeam can act collectively. I can understand a 'planned' performer being a CareTeam, but an actual performer would seem to always be an individual within the CareTeam
Lloyd McKenzie (Mar 20 2020 at 16:09):
Communication is about actual, not planned
Lloyd McKenzie (Mar 20 2020 at 16:10):
Sender of CareTeam would mean "it was someone from the CareTeam and we don't know who", which would seem unusual...
Jose Costa Teixeira (Mar 20 2020 at 17:04):
Lloyd McKenzie said:
Sender of CareTeam would mean "it was someone from the CareTeam and we don't know who", which would seem unusual...
Actually it could mean "we don't want to know who"
Jose Costa Teixeira (Mar 20 2020 at 17:06):
We discussed this in workflow call last year. It may happen that someone sends the communication but you are not expected to disclose who. At the time this seemed like a really far exception.
Jens Villadsen (Mar 20 2020 at 19:03):
You get treatment from an institution more than an individual is my take on this
Jens Villadsen (Mar 20 2020 at 19:04):
Lloyd McKenzie said:
Sender of CareTeam would mean "it was someone from the CareTeam and we don't know who", which would seem unusual...
it is not "we don't know who" - its more - the individual is not of interest
Jens Villadsen (Mar 20 2020 at 19:10):
Lloyd McKenzie said:
I don't understand how a CareTeam can act collectively. I can understand a 'planned' performer being a CareTeam, but an actual performer would seem to always be an individual within the CareTeam
The CareTeam indeed acts collectively - I believe this is a pretty normal case - at least in the nordics
Jose Costa Teixeira (Mar 20 2020 at 19:43):
in Belgium they also kind of act collectively. But as sender of a Communication, we only have either a user or a system.
Lloyd McKenzie (Mar 20 2020 at 19:46):
If you get treatment from an institution, then the author is Organization, not CareTeam.
Jens Villadsen (Mar 20 2020 at 20:12):
Organization can be immensely broadspectret
Jens Villadsen (Mar 20 2020 at 20:17):
so in order to communicate within the scope of the patient (within an organization/institution that is managingOrg on Careteam) the communication comes from the people involved in the treatment being the careteam
Lloyd McKenzie (Mar 20 2020 at 20:17):
Sure. But it can also be narrow - e.g. a department. I don't understand why you'd know that something came from someone on a care team but not know/care who.
Lloyd McKenzie (Mar 20 2020 at 20:18):
In any case, you can submit a change request. But the design was intentional
Jens Villadsen (Mar 20 2020 at 20:20):
already submitted
Jens Villadsen (Mar 20 2020 at 20:20):
https://jira.hl7.org/browse/FHIR-26619
Jens Villadsen (Mar 20 2020 at 20:21):
I do believe to some extent that norway, sweden and finland would agree
Jens Villadsen (Mar 20 2020 at 20:22):
also, careteams can cross departments
Jens Villadsen (Mar 20 2020 at 20:25):
departments usually dont cross departments
Jose Costa Teixeira (Mar 21 2020 at 05:31):
The way that I see it here in Belgium is that the UI may not disclose who was it in the team that sent the message, but the message sender is a person.
Jens Villadsen (Mar 21 2020 at 22:37):
the auditlog should hold that information, in any aspect
Last updated: Apr 12 2022 at 19:14 UTC
