FHIR Chat · fhircast-docs / Issue #355 Add encounter-open,close · fhircast-github

Stream: fhircast-github

Topic: fhircast-docs / Issue #355 Add encounter-open,close


view this post on Zulip Github Notifications (FHIRcast) (Feb 23 2021 at 22:07):

GinoCanessa commented on Issue #355:

I'm worried about how the events line up. Specifically, since encounter-close says:

User closed patient's medical record encounter context. A previously open and in context patient chart & encounter is no longer open nor in context.

it becomes a lot of work to process moving between encounters on the same patient.

view this post on Zulip Github Notifications (FHIRcast) (Mar 16 2021 at 13:29):

isaacvetter commented on Issue #355:

it becomes a lot of work to process moving between encounters on the same patient.

Thanks, @GinoCanessa ! I changed to:

User closed patient's medical record encounter context. A previously open and in context patient encounter is no longer open nor in context.

to clarify that the patient's chart was necessary to close to satisfy an encounter-close. Is it a lot of work to move between encounters on the same patient? I'm not sure. Note that moving between encounters on the same patient isn't a typical clinical workflow, but could be typical in an back-office / audit / review / billing workflow. The work involved is generated an open and close event for each encounter navigated to...

What do you think?

view this post on Zulip Github Notifications (FHIRcast) (Mar 16 2021 at 16:09):

GinoCanessa commented on Issue #355:

Thanks @isaacvetter !

I think it was me incorrectly (or maybe just too aggressively) mapping the event - I was thinking of things like opening and closing notes from prior encounters. If that were the case, reviewing an earlier encounter would close and re-open the patient.

Unfortunately, I'm not sure how to make that clearer. E.g., yes the user is _looking_ at a different encounter, but that's not the one in context so don't generate this message.

view this post on Zulip Github Notifications (FHIRcast) (Mar 25 2021 at 16:30):

isaacvetter commented on Issue #355:

The InM WG voted on this issue on 3/25/2021.
Bas / Isaac: 9-0-0

This isn't obviously an issue that needed a formal HL7 WG vote, because this content isn't yet balloted, but it sure doesn't hurt.

view this post on Zulip Github Notifications (FHIRcast) (Mar 25 2021 at 16:30):

isaacvetter edited a comment on Issue #355:

The InM WG voted on this issue on 3/25/2021.
@bvdh / @isaacvetter : 9-0-0

This isn't obviously an issue that needed a formal HL7 WG vote, because this content isn't yet balloted, but it sure doesn't hurt.


Last updated: Apr 12 2022 at 19:14 UTC