Bjorn, Heath,

FYI - as part of the openEHR sprint, the results of the review feedback is that 
the previous COMPOSITION for Referral is now generalised to 'Request for 
service' - http://www.openehr.org/ckm/#showArchetype_1013.1.18 - and Discharge 
Summary has been generalised to 'Transfer of Care Summary' - 
http://www.openehr.org/ckm/#showArchetype_1013.1.1970. You can see this in the 
history/audit trail for each archetype.

The NEHTA archetypes were aligned with those original archetypes some time ago 
but have not been updated since.

Regards

Heather

From: openEHR-technical [mailto:openehr-technical-boun...@lists.openehr.org] On 
Behalf Of Heath Frankel
Sent: Wednesday, 16 March 2016 6:52 PM
To: For openEHR technical discussions <openehr-technical@lists.openehr.org>
Subject: RE: Adressing of i.e. discharge summaries

Hi Bjorn,
Yes we have used these archetypes for representing the service request at both 
the instruction and composition level. Our instruction starts in a care plan so 
we have to represent the referred to provide in the instruction participations. 
Then when we send the referral we copy it to the receiving provider 
participation in the eReferral composition.

Since a discharge summary is a kind of transfer of care then I would expect it 
to have a similar participation when it is being directed to a primary care 
provider although this doesn't need to be populated when it is being uploaded 
to a national repository for example.

Regards

Heath

From: openEHR-technical [mailto:openehr-technical-boun...@lists.openehr.org] On 
Behalf Of Bjørn Næss
Sent: Wednesday, 16 March 2016 4:42 PM
To: 
openehr-technical@lists.openehr.org<mailto:openehr-technical@lists.openehr.org>
Subject: Adressing of i.e. discharge summaries

There is a lot of compositions that is created for the purpose of sending the 
content to another healthcare provider. Discharge summaries is one example.
For instruction health care service request there is some elements and slots 
added to the protocol part. Here you can add both the requestor and the 
identifier.

In the Nehta CKM there is a composition archetype for referral. This archetype 
has some structure under context to add participation and identification of the 
requestor. I think this pattern would be the right way to do this.

Anyone with experiences or suggestions on how to do this?



Best regards
Bjørn Næss
Product owner
DIPS ASA

Mobil +47 93 43 29 10<tel:+47%2093%2043%2029%2010>

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